Scraping of the mucous membrane of the uterus
What is curettage
Scraping of the mucous membrane of the uterusIs classified as an operation to remove the mucous membranes of the uterus body and cervical canal. Scraping in medical practice is used both for diagnostic and therapeutic purposes. For example, with uterine bleeding, polyps of the cavity and cervix, etc. Also, scraping is carried out with the goal of aborting the pregnancy at terms up to 12 weeks. Scraping is prescribed after the forced termination of pregnancy at late periods and in the postpartum period, with incomplete miscarriage. When the placenta is delayed in the uterine cavity, which is the cause of uterine bleeding.
According to the medical definition, the uterus isMuscular organ, in shape resembling a "pear". Nature in the uterus is provided with a cavity, which through the cervix of the uterus communicates with the external environment. The uterine cavity is covered with endometrium - mucous membrane. During the menstrual cycle, the endometrium thickens. If there is no pregnancy, the shell is rejected by the body. There is a menses. After menstruation, the endometrium begins to grow again.
During the procedure for scraping the mucosaThe mechanical removal of only the endometrium is performed. It is true that not all mucous membrane is removed, but only a functional surface layer. After scraping the shell of the uterus, there are growth layers of the endometrium, from which a new mucous membrane grows.
Before and after surgery
As a rule, the scraping operation is performedJust before menstruation, just a couple of days before her supposed start. This is done so that the process of curettage of the uterine mucosa in terms of time coincides with the physiological periods of rejection of the endometrium. On the eve of the operation, the woman is examined by an anesthesiologist. On the day of surgery - an operating obstetrician-gynecologist. A general examination, a study of the vagina and cervix with the help of mirrors and a manual study to clarify the position and shape of the uterus. To exclude complications and identify contraindications to curettage.
The operation is usually conducted under a commonAnesthesia (but sometimes under local) in the gynecological chair. The cervical canal is dilated with the help of inserted dilators of different diameters. The whole operation lasts about 15 minutes. After curettage of the patient's uterus, several hours or days are spent in the hospital. Within 1 month after the operation, one should abstain from sexual activity. It is necessary to observe the doctor in order to avoid complications. These include:
- Perforation (violation of the integrity of the wall) of the uterus, infection, the development of inflammation;
- The development of intrauterine adhesions, which can cause a violation of the menstrual cycle and reproductive function.
Within 3-10 days after surgery, sometimesThere are spotting spotting. Should be alerted if the discharge stopped almost immediately and simultaneously there was a pain in the abdomen. There is a fear that the cervical canal spasms and forms a hematoma (blood accumulates in the uterine cavity). It is necessary at once to address to the doctor and to pass or take place US. To prevent the development of hematomas, as a prophylaxis in the first postoperative days, you can take no-shpa 2-3 times a day (1 tablet). Also in the postoperative period, a small course of antibiotics is prescribed - to prevent inflammation and other complications.
Diagnostic curettage of the mucous uterus withThe subsequent research of the material is carried out with suspicion of dysplasia and cervical cancer, tuberculosis. Also scraping of the uterine membrane is performed for diagnosis in cases where the ultrasound data does not allow an accurate diagnosis:
- With uterine bleeding, arising without signs of pregnancy, infertility and in some other cases.
- If a woman has a long and plentiful menses with the release of blood clots.
- If there are bloody intermenstrual secretions.
- When a woman can not get pregnant for a long time.
- With other, more rare diseases.
- Therapeutic scraping is performed when pathological formations are detected.
The doctor may notice a change in the mucosa on the ultrasoundShell, but accurately diagnose ultrasound is not possible in all cases. Sometimes, ultrasound should be performed several times before and after menstruation. This is necessary to determine pathological formations. If the formation remains after menstruation - prescribe scraping of the uterine mucosa.
Also scraping is prescribed to remove the remains of the membranes after childbirth, miscarriage, unsuccessful abortion.
Scraping of the uterine mucosa is contraindicated when:
- Acute infectious diseases, exacerbation of chronic diseases of internal organs;
- Acute and subacute inflammatory diseases of the genitals;
- Suspicion of perforation (disruption of the integrity of the wall) of the uterus.
In emergency cases (for example, with severe bleeding in the postpartum period), contraindications may not be taken into account.
Scraping the mucous membrane of the uterus can diagnose a number of serious diseases, interrupt unwanted pregnancy. However, this is an unsafe operation with possible complications.