How to maintain after cervical adhesion surgery

The female uterus is a very fragile organ, and most people's cervix is ​​prone to problems. Cervical adhesion is a common disease that can only be treated by surgery, otherwise it is impossible to recover on its own. After the operation, women need to take good care of their bodies to ensure that the uterus can recover quickly. So how should they take care of themselves after cervical adhesion surgery?

How to maintain after intrauterine adhesion surgery

1. Early mobility: Except for high-risk patients, patients can be guided to turn over and move around in bed within 6 hours after surgery, and can get out of bed and move around after 68 hours, and the amount of activity can be gradually increased.

2. Pain care: Patients may experience varying degrees of pain after surgery. Asking patients to perform relaxation techniques can usually relieve the pain on their own. If the pain cannot be relieved, analgesics can be given.

3. Observe the urination situation: supervise, guide and assist the patient to urinate at an early stage. For those who really have difficulty urinating, induce urination and provide catheterization if necessary.

4. Diet care: After the operation, you can eat nutritious soft food and reduce the intake of irritating food.

5. Routine care: that is, lie flat without a pillow for 6 hours to avoid raising the head too early, which may cause cerebrospinal fluid to leak out of the meningeal cavity from the puncture site, resulting in low brain pressure, stretching the intracranial venous sinuses, meninges and other tissues, and causing headaches.

6. Perineal care: After the operation, the perineum can be scrubbed with potassium permanganate or chlorhexidine solution twice a day to avoid retrograde infection of the uterine cavity during catheterization.

Causes of surgery for intrauterine adhesions

Endometrial damage is a necessary condition for intrauterine adhesions, and its causes are miscarriage, infection and iatrogenic injury.

1. During pregnancy, the uterus becomes fragile, and the endometrium and underlying layer are more easily injured. The decrease in estrogen levels after pregnancy surgery (including abortion, uterine curettage, etc.) affects endometrial hyperplasia. Uterine injury during pregnancy (accounting for 90%), including abortion (induced abortion, incomplete/missed abortion), postpartum hemorrhage, retained placenta, cesarean section and gestational trophoblastic disease trauma.

2. Intrauterine adhesions may also occur during other non-pregnancy periods, such as diagnostic curettage. Occurs during the non-pregnancy period: after curettage, myomectomy, cervical biopsy or polypectomy, and after radium irradiation. After hysteroscopy: such as patients after mediastinectomy, submucosal myoma resection, bilateral uterine artery embolization and uterine artery ligation for postpartum hemorrhage.

3. Common infections include endometrial tuberculosis, chronic or subacute endometritis, which may also lead to intrauterine adhesions.