Ms. Sun had done three times before, and recently found that menstruation has become very small.The B -ultrasound found that the endometrium was very thin, and it was prompted that there may be "uterine adhesion".What is the uterine cavity adhesion?
Listen to gynecologists in detail
How to break the uterine cavity adhesion
Gynecological Tang Juanjuan
The uterus is a container’s muscle organ. There is soil inside her container, which will show the periodic changes of soil thickness under the action of female hormones. This layer of soil is very precious and is used to breed the seeds of life.If the flow of people or clearing the palace, this layer of soil will be artificially scraped. After the scraping, there will be scars in some places.Together, the uterine cavity is like a cave, potholes, and many small caves are divided.Space and soil are severely damaged.Without the thick soil, of course, the menstrual blood formed by the soil will not fall off.
For women with children who do not need to have fertility, the soil is not fertile and harmless, and fertilized eggs do not need to plant. Patients only have less menstrual volume, and they do not affect their health and do not need to be dealt with.However, the cave formed by the adhesion of some people’s uterine cavity will block the channels that flow out of the blood flow, and further occur when the menstrual tide is obvious. This situation needs to be solved.For women who have not given birth to children, if the suspected uterine adhesion is related to infertility, it must be cracking.
The weapon used by doctors to crack the uterine cavity adhesion is "hysteroscopy".Hysteroscopy can directly observe the situation in the uterine cavity, including the situation of soil, the condition of the uterine cavity, and the formation of the cave.You can use professional tools to eliminate these formed adhesion bands, open up various pores, and restore the normal shape of the uterine cavity.
The slight uterine cavity adhesion is usually only a thin band, just cut it.But the severe uterine cavity adhesion is a world -class problem for doctors. It is not a band, but a hard stone pillar that needs to be gradually cut.However, even if these abnormal bands are removed and restore the space due to the uterine cavity, the soil in this space is difficult to re -become fertile.It is like opening wasteland to the ground. Remove the weed thorny trees on the ground. The stones are removed and the ground is flattened, but it does not mean that the barren sand and gravel land will become fertile soil again.The method of relying on drug stimulation to promote soil hyperplasia is not very efficient, soil damage is to a certain extent, and the response to the drug is poor.
(Figure: The uterine cavity adhesion in the hysteroscopy)
Ms. Sun is a lucky person. She performed hysteroscopic surgery under the arrangement of the doctor. During the operation, she found medium adhesions of the uterine cavity. The normal space of the uterine cavity was restored by surgery.After a cycle of treatment, the doctor suggested that she actively test the pregnancy. She was pregnant for half a year after hard work. Although the phenomenon of ahead during pregnancy occurred, she had stabilized with the doctor with her efforts. Later, she successfully gave birth to a natural delivery.A cute female baby.
Another Ms. Lin is not so lucky. This is a mother who has already had a baby. After the two -child policy is released, she actively tried to try her pregnancy, but unfortunately, when the embryo stopped developing more than 2 months of pregnancy, the embryo stopped developing.It was a miscarriage clearance surgery.It has been aborted twice before.After the Qing Palace passed, there was a small amount of bleeding. The B -ultrasound suspected that there was a uterine residue in the corner of the uterine cavity, so he performed hysteroscopy.During the operation, it was found that Ms. Lin had adhesions to the uterine cavity, and the endometrial tissue that could be pregnant was blocked in the uterine horn, which was separated and removed by adhesion.The menstruation of the postoperative was delayed. It was found that the endometrium was very thin and could not grow.Fortunately, Ms. Lin already had a child, and she gave up knowing that she was not easy to get pregnant.
The uterine cavity adhesion is not not all soil. Sometimes there will be a small piece of place or some areas that are thicker soil and can be pregnant. However, due to the small area, the lack of nutrients may cause the embryo to stop developing, or the pregnancy sac is planted in the planting sac.The corner deviates from the normal position.For such a uterus, the difficulty of the Qing Dynasty surgery is very difficult. It is difficult to find and avoid or cut off these hidden adhesive bands. Often, it will not be eliminated.It is difficult to be scratched.
The cracked focus of uterine adhesion focuses on prevention and prevent unnecessary curetic surgery. What is unnecessary curettage surgery is the flow of people caused by accidental pregnancy. This is the most harmful and the most common cause of uterine adhesion.After one abortion, 30 % of patients may have uterine cavity adhesion, half of the abortion may occur in the secondary flow, and more than 60 % of patients with more than 60 % of the abortion may occur in the uterine cavity adhesion.Therefore, before completing fertility, we must scientifically and efficient contraception to avoid harming uterine soil and avoid forming uterine cavity adhesion.Not only to protect women’s precious reproductive resources, but also to protect doctors, reducing these difficult operations and extremely risky surgical operations.