The principle of curettage and hemostasis

When women choose to have an abortion by artificial or medical abortion, it may cause heavy bleeding. Heavy bleeding is very harmful to women. It can cause anemia in women. If heavy bleeding is not stopped in time, the patient will be in a life-threatening situation due to blood loss. Therefore, sometimes curettage can be used to stop bleeding. So what is the principle of curettage?

Why can curettage stop bleeding?

First of all, during women's menstruation, the contraction of the uterine muscle layer causes continuous spasm of the spiral arterioles in the functional layer of the endometrium, which reduces endometrial blood flow, causes tissue degeneration and necrosis, and increases the permeability of the vascular wall. This causes blood vessels to rupture, leading to the formation of a hematoma at the bottom of the endometrium, which in turn promotes tissue necrosis and exfoliation. In summary, the functional layer of the endometrium disintegrates and detaches from the basal layer.

The main purpose of diagnostic curettage is to diagnose and stop bleeding, in order to determine the cause of irregular uterine bleeding. Although I am not clear about the specific steps, I estimate that it is to scrape out the functional layer of the endometrium for examination, artificially create the physiological changes after menstruation, make the uterus enter the early stage of proliferation, and the endometrium begins to proliferate and repair.

What are the precautions after curettage?

1. After the curettage, you must rest in bed for two or three days before you can get out of bed and move around slowly. You cannot do heavy physical labor within half a month after the curettage and avoid contact with cold water. It takes a month to recover from curettage, so during this period you should also pay attention to strengthening your nutrition and consume enough protein to help patients enhance their resistance and promote organ recovery. It is appropriate to eat more fish, meat, beans, etc., and also eat more fresh vegetables.

2. After the curettage, the uterus has not completely closed yet. It usually takes a month to recover to normal. During this period, you must pay attention to the cleanliness of the vulva. You cannot take a bath in a tub after the operation to prevent sewage from entering the vagina and causing infection. At the same time, please note that you should not have sex within one month after the operation.

3. After the curettage, there will be vaginal bleeding, which usually does not exceed one week. If vaginal bleeding lasts for more than one week and is accompanied by abdominal pain, fever, increased leucorrhea, turbidity, odor and other symptoms, seek medical attention promptly.

4. After the curettage, the ovaries recover relatively slowly, but the ovaries will still ovulate and pregnancy can still occur during the recovery process, so contraceptive measures must be taken.

After the curettage, you should pay attention to recovery and choose a regular hospital to perform the curettage, which can also ensure the effectiveness of your surgery. The above is the introduction about "Why can curettage stop bleeding?" Women should make preparations before undergoing curettage, and take good care of themselves and recover after the operation.