As an obstetrician and gynecologist, Dr. Wang was often asked by friends: "I accidentally get pregnant again. What should I do?
Recently, Dr. Wang encountered two examples: a 17 -year -old high school flower season girl, because people do not want to be pregnant and go to small clinics in the field to secretly flow the medicine flow. After the drug flow, the blood bleeding lasted for more than a month., Pelvic inflammatory embryonic tissue that has not been completely clean has formed an mechanized tissue on the uterine wall.Whether this girl still has fertility is still unknown.There is also a 35 -year -old beautiful woman who has already experienced her own experience of taking drug abortion at home, so when she found that she was positive at home testing the urine pregnancy test, she took it again without permission.As a result, this pregnancy was an ectopic pregnancy. After taking the medicine, the fallopian tube pregnancy rupture caused the acute abdominal hemorrhage. When he arrived at the hospital, he almost lost his life.
It can be seen that women who are in fertility should have a certain understanding of abortion. As long as they understand the pros and cons of people and the flow of drugs, everyone can make the right choice according to their own situation.
Terminal pregnancy is divided into two ways: artificial abortion (referred to as abortion) and drug abortion (referred to as drug flow). On the basis of artificial abortion, painless abortion (referred to as painless abortion), the foundation of painless artificial abortionThe above further developed painless ultrasound medium -to -visual abortion (referred to as painless superconducting visual flow).
Doctors use the instrument to enter the uterine cavity suction or claw scrape to terminate pregnancy.The pain of the abortion mainly comes from the negative pressure of the steel head of the expansion cervix and the attractor. This pain is similar to the pain of the knife scraper.
Use Mepitone and Miso to achieve the purpose of terminating pregnancy.The chemical structure of rice non -sidone is similar to progesterone, which can bind to progesterone receptors, and the combination effect with progesterone receptors is 300 times that of progesterone.It does not have the effect of progesterone, which causes the embryo to lose the nutrition of the embryo to lose the nutrition of the progesterone, partial necrosis, and partial or completely falling off from the palace wall.Meso is a prostaglandin that can cause uterine contraction and eliminate embryos.When the drug flows, you can feel the pain of the uterus, which is like the feeling of holding the uterus in one hand.
1. When the drug flow, no equipment enters the uterus, causing the possibility of infection and endometrial injury.During the flow of people, the attractor must enter the uterine cavity, and it must also scrape the adhesion of the inner wall of the uterus. If the doctors operate are rich, they will not hurt the endometrium, but if the operation is improper, it will damage the endometrium.The endometrium is like a "field". If the endometrium is scarred, the "seeds" may not have the "soil" of growth and development in the future.In special circumstances, the uterine perforation may encounter in special circumstances.
2. The flow of people is suitable for women with good health, good psychological quality, and tolerance to pain.After surgery, some patients will have adverse reactions such as pale, slow heart rate, disgusting, dizziness, vomiting and panic, and doctors need to give appropriate treatment before leaving.
3. Patients with severe pelvic infection or reproductive tract infection need to treat infection before abortion; patients with severe heart disease, asthma, or cardiopulmonary insufficiency are best to have painless abortion in the doctor’s strict monitoring;Patients with diseases are suitable for painless abortion; patients with hyperthyroidism or hyperthyroidism need to be treated after appropriate treatment.
Those who are allergic to mi butterone; patients with heart, liver, renal diseases and patients with adrenal cortex; taboos who use prostaglandin drugs, such as glaucoma, asthma, and allergies to prostaglandin drugs;And doubt that ectopic pregnancy; smoking women over 35 years of age are not suitable for drug abortion.As a new medicine, the long -term complications of Mi butterone are unknown.Therefore, it is recommended that those women who intend to have childbirth in the short term considering that Mepitone’s unknown effect on the next pregnancy fetus is more ideal.
4. The softer breastfeeding women choose the drug flow.Women’s uterus that once had a caesarean section has scars, and the shape of a woman with uterine fibroids may change. These two cases are difficult to flow abortion. You can consider using the flow of drugs.
5. Before the abortion, you must learn the size of the pregnancy sac in the B -ultrasound; before the drug flow surgery, the B -ultrasound must be confirmed as an early pregnancy pregnancy, because taking the drug prostaglandin patients in ectopic pregnancy can cause acute bleeding in the abdominal cavity of the fallopian tube, seriously, seriouslyThe person even died.In addition, due to the occurrence of pregnancy sac obstruction during the gestational capsule excretion, the patient will bleed a large amount of vagina, and there will even be a shock in severe cases.The larger the gestational week, the higher the chance of this situation.So it is dangerous to take drugs without authorization.
6. In view of the relatively small pain caused by the abortion, more and more women tend to choose drug abortion.In principle, the drug and abortion is suitable for pregnant women within 7 weeks of menopause. The shorter the pregnancy, the better the effect.Patients who are 7 to 10 weeks in clinical clinic are also given drug abortion, but they must be hospitalized and observed, and the dosage and usage of drugs are slightly different from those less than 7 weeks of pregnancy.
7. After taking the medicine, a small amount of vaginal hemorrhage will usually occur earlier. After a few pregnant women take rice non -ketone tablets, they can have a natural abortion.The entire process of abortion is relatively long. You need to take the medicine at home for 3 days. After taking the drug at the hospital at the hospital on the day of the abortion, you can observe for several hours at the hospital.About 80 % of pregnant women discharge fetal sacs within 6 hours after using prostaglandin drugs, and about 10 % of pregnant women discharge the fetus within one week after taking the medicine.
8. Mi -not -sisone needs to take orally after 2 hours of eating or eat. After taking the medicine for two hours each time, patients with severe ulcers of the stomach and duodenal intestines are not suitable for drug flow.
9. The adverse reactions of Mi butterone are: After some early pregnant women take the medicine, there will be mild nausea, vomiting, dizziness, fatigue and lower abdominal pain, anal swelling and uterine bleeding; individual women can have rashThere are abdominal pain, and some people can vomit and diarrhea; a few people have flushing and numbness.
10. The success rate of the drug flow is 90%, and 10%of patients cannot completely discharge the uterus.If the B ultrasonic examination or the blood HCG is determined, the diagnosis is diagnosed as an incomplete or continued pregnancy, and the abortion must be terminated to terminate the pregnancy.The loss of the medicine needs to be flowed again, also called Qing Palace surgery.However, because the pharmaceutical effect has been opened, the pain is much lighter than the abortion surgery.
11. Excessive bleeding time and excessive bleeding after the drug flow are its main side effects. Sometimes it can last for nearly a month, which is relatively increased by retrograde infection.The vaginal bleeding after the drug flow is not easy to determine whether it is caused by incomplete abortion, or the side effects of the drug itself.Therefore, women who use the drug flow need to be left in the hospital for 1 hour after the tissue is discharged, or after taking the drug on the third day, send the complete pregnancy discharge to the hospital, and ask the doctor to determine whether it is completely aborted.It is also necessary to take infected drugs for a week.If continuous bleeding for more than 1 week, be sure to go to the hospital in time, and ask the doctor to help solve it.If the B -ultrasound is confirmed that there is no residue of embryo tissue in the uterine cavity, you can take Chinese medicine biochemical soup, motherwort paste, etc., or ask Chinese medicine to help for treatment.
12. Those who often flow are the taboo crowds of drug flow.Because of repeated abortion pregnant women are prone to endometritis, the possibility of endometrial adhesion is more likely, and the chance of incomplete abortion is higher.
In the flow of people, with the technology of using venous anesthesia, there is no pain during the operation.Suitable for people who are more sensitive to the pain and have a strong fear of abortion.However, the cardiopulmonary function of pregnant women is required to have normal cardiopulmonary function and no allergic reaction to anesthesia.If patients have the aforementioned special disease, they need to perform painless abortion under the more stringent cardiopulmonary monitoring.Because a general anesthesia is needed, there is a risk of anesthesia; and because the patient is in a general anesthesia, there is no pain stress reaction, and the whole body muscles are relaxed.
That is, in the process of painless abortion, the B ultrasonic probe is placed in the patient’s abdominal wall, and the uterine and the uterine cavity are displayed under the B -ultrasound.This surgical method not only retains the painless advantage, but also avoids the risk of uterine perforation and endometrium being excessively scratched and excessive damage. It is currently a more perfect way to terminate pregnancy.The disadvantage is high costs and anesthesia risk.
No matter which method is used to terminate the pregnancy, you must be carried out in a regular hospital. You must not choose a small clinic without practice conditions.Otherwise, it may be due to inflammation or excessive damage to the uterine endometrial, which causes diseases such as fallopian tube blocking, pelvic inflammatory disease, endometritis, scarce menstruation and other diseases, and even secondary infertility.Some patients have a cheap picture, and they have undergone painless abortion surgery in small clinics without qualifications. The incidents of death due to an accidental anesthesia accident and no rescue conditions are occasionally heard.
No matter what kind of abortion, it is a last rescue measure. It is dangerous and will cause a certain adverse effect on the body.Therefore, the best way is to do a good job of contraception to prevent problems before they occur.
