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无痛人流前后应注意什么?术后应观察注意阴道流血和腹痛情况

编辑:北京凤凰妇儿医院-网站医生发布时间:2018-01-25

        无痛人流手术是我们现在生活当中,十分常见的一个手术,这个手术是我们解决意外怀孕最为常见的一个方法,一般情况下对女性的身体都不会造成损伤,但是我们在做人流手术之前,我们还是有很多的注意事项是要了解的。

  下面就无痛人流手术各方面的需要的注意事项进行总结:

  北京妇科医院北京凤凰妇科:无痛人流术的术前注意事项:术前必须由医生详细询问病史,既往患有心、肺、肝、肾脏疾病者,须告知医生,由医生判断是否适合无痛人流术;术前由医生经HCG 和B超确诊宫内受孕;术前应避免性生活,积极治疗阴道炎症和感冒等;术前4小时禁饮食、饮水,避免食物反流造成窒息。术前要常规准备麻醉机及气管插管等复苏设备,准备好抗过敏、升压及抗胆碱等药物,患者术前预约,把握适应证,并常规禁饮禁食;其次术中常规给氧,并监测BP、HR、SpO2;最后重要的是掌握推药速度,并严密观察。

  无痛人工流产术结束后应观察2小时,注意阴道流血和腹痛情况。

  术后嘱产妇休息2周,并预防着凉和感冒,多吃些富有营养的食物,使身体尽快恢复正常。

  在无痛人工流产术后的一段时间内,子宫内膜上的创伤尚未恢复,子宫颈口松弛,宫颈内原来有阻止细菌进入宫腔作用的黏液栓已被去掉,新的黏液栓尚未形成,此时如不注意外阴部卫生,阴道内细菌容易进入宫腔引起感染。

  因此,人工流产后要更加保持外阴部清洁卫生,每天用温开水清洗1~2次,勤换月经垫和草纸。

  2周内或阴道流血未干净前不要坐浴,1个月内禁止性生活,以防生殖器官感染。如果有发热、腹痛或阴道分泌物有异常气味,可能为感染所致,及时就诊。且无痛人工流产术后子宫壁上创面可有少量出血,这种情况随着子宫收缩及创面修复,一般在3~5天阴道流血渐渐停止,最多不超过10~15天。如果阴道流血量超过月经血量,持续时间过长,这时需要及时就诊治疗。

  虽然现在我们无痛人流手术的技术是比较成熟的,但是我们大家也不能够放松警惕,我们还是应该去及时的了解这个手术的一些注意事项,这样,对于我们大家才是最好的一个保障。

  关于人流、药流、无痛人流你还想了解更多吗?下面妇科医生给大家推荐一篇国外的文献阅读,希望您对抑郁症有更多的了解。

  Aug. 15, 2007 -- The abortion pill RU-486 is no riskier to future pregnancies than surgical abortion, a U.S./Denmark study shows.

  French researchers reported in 2003 that women who had RU-486-induced abortions -- what doctors call "medical abortions" -- were nearly three times as likely to suffer ectopic pregnancies.

  In ectopic pregnancy, the fertilized egg attaches outside the uterus, usually to the fallopian tubes. These "tubal pregnancies" do not result in live births and can affect a womans future fertility.

  To see whether RU-486 really increases the risk of ectopic pregnancy -- or other risks to future pregnancies -- U.S. National Institutes of Health researcher Jun Zhang, MD, PhD, and colleagues looked at Denmarks extensive medical database.

  They compared 2,710 women who had an RU-486 abortion to 9,104 women who had a surgical abortion.

  The bottom line: Women who used RU-486 had no increased risk of ectopic pregnancy, miscarriage, preterm birth, or low-birth-weight babies when they eventually decided to have a baby.

  "By now, probably more than 5 million women worldwide have had RU-486 abortions," Zhang tells WebMD. "More than half of women seeking early abortion use this method. So this is a very significant finding about the safety of this treatment."

  Jean Bouyer, PhD, of the French Institute of Health and Medical Research, led the earlier study linking RU-486 to ectopic pregnancy. Bouyer says the Zhang study does not prove that RU-486 is safe -- just that it is as safe as other kinds of abortion.

  "Their reasoning is indirect," Bouyer told WebMD via email. "No difference was found between medical and surgical abortion. Surgical abortion is known to be safe, thus medical abortion is safe, too."

  But Zhang and colleagues say it is simply not accurate to directly compare women who have had abortions with women who have never had an abortion. These women differ in many respects that affect future pregnancies, including socioeconomic status, smoking status, and other health-related conditions and behaviors.

  Zhang notes that the Bouyer study included only 24 women who had only medical abortions.

  "When you have such a small number, you always have a possibility the finding is by chance," Zhang says.

  Bouyer defends the study, which was designed not to look at the question of RU-486 safety but to find out possible risk factors for ectopic pregnancy.

  "The definite interpretation of the relationship between abortion and ectopic pregnancy -- if any -- remains somewhat unclear to me," Bouyer notes.

  Zhang and colleagues report their findings in the Aug. 16 issue of The New England Journal of Medicine.

  北京凤凰妇儿医院医生:若您还有相关的妇科问题如宫颈炎、人流医院哪家好、人流医院,妇科疾病检查、阴道炎、盆腔炎、子宫内膜炎、无痛人流、可视人流、微创人流、药物流产、卵巢疾病、内分泌疾病、妇科炎症、子宫肌瘤、宫颈囊肿、卵巢肿瘤、宫颈癌、处女膜修复、阴道紧缩术、外阴白斑、盆底功能障碍等想要咨询,可以在线咨询武汉妇科医院医生哦。还可以在线预约挂号哟。

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