Curettage is also commonly known as dilation and curettage. It is a form of abortion. Many people want to know how curettage is performed. The process of curettage is relatively complicated, and there are many preparations to be made before and after the operation. At the same time, infection during the uterine curettage should be avoided. 1. Process The curettage operation is to enter the cervix from the vagina to the uterine cavity. Before the operation, you must pay attention to whether the vagina has inflammation and pay attention to anti-inflammatory. After the operation, the cervix is dilated, so pay attention to ascending bacterial infection. During uterine cleaning, we can only see the cervix but not the inside of the uterus. We use a negative pressure to suck out foreign matter like a siphon. The uterus is divided into a functional layer and a basal layer. If the basal layer is damaged, adhesion will occur, so there will be some damage to the uterus. In addition, during the suction process, instruments enter and exit the uterine cavity, which can easily cause infection. Even with strict disinfection, there is no guarantee that there will be no bacteria. Therefore, if you can avoid intrauterine operations, try not to do them to reduce damage. 2. Key steps ① Body position: lithotomy position. ②Disinfection: Routinely flush and disinfect the vulva and vagina. ③Uterine exploration: Use cervical clamp to fix the upper lip of the cervix. Send the probe along the direction of the uterine body to the fundus of the uterus to understand the size of the uterus. ④ Dilate the cervix: Use a cervical dilator to dilate the cervical canal until the uterine cavity suction device can pass through. ⑤ Uterine curettage: Insert the uterine suction device into the uterine cavity without negative pressure. Then maintain negative pressure and perform repeated scraping and suction, being gentle throughout the entire process. If the suction tip is blocked by tissue during suction, the tissue should be quickly removed before continuing suction. If there are no conditions for suction uterus, curettage and dilatation can be performed. 3. Note When suctioning the uterus, pay special attention to the uterine corners and fundus on both sides. If you feel there is still tissue, scrape it with a curette. If you feel that the uterine wall has become rough and observe bloody foam in the suction bottle, and the uterus is significantly shrunk during examination, it means that the uterus has been emptied and the operation can be ended. |
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