Half of the hedging device placed 20 years ago is now disappearing?Actually, it has been "chanting" to the abdominal cavity

"Doctor, why is there only half the ring in my uterus!" In a hospital outpatient clinic, an aunt who had just finished the ring surgery was anxiously asked the doctor.

Dr. Liu smiled and helped the aunt sitting down. Said to the aunt, "Auntie, don't be nervous, you have been on the ring for 20 years, the time is too long, and the menopause is more than 2 years. Some of the ring rings have ran to the uterine muscle layer. When you come out, take it out when you take it, and only take it out. "

Dr. Liu was pinched out of the incomplete birth ring with pliers, which was more like the normal ring should be. And told the aunt to check and take out the residual part again.

The aunt expressed his understanding, but if you want to take a few days before taking it, you will go home first. Because there is nothing uncomfortable, this is 7 years. In the past February, the lower abdomen pain and discomfort, only half of the birth rings in the stomach did not come out. So I came to our hospital for inspection and asked to take the ring. Both the vaginal ultrasound and the pelvic CT reminded that there are residues in the uterus. After receiving the inpatient hysteroscopy examination, unfortunately it was empty in the uterine cavity, and nothing was found.

The naughty residual ring and the doctors caught the hide. How to do it? Where will it go? Is it in the uterine muscle layer, in the abdominal cavity, in the bladder or in the intestine? Hey, there is no way, you can only open your abdomen. We opened the patient's abdominal cavity, and felt the hard ring of the uterine muscle, not in the intestinal wall, and not on the large omentum.

Find it, the ring is not in the uterus at all, and it has already ran into the abdomen! Finally grabbed it behind the uterus and in front of the rectum. Compared with the CT tablets before surgery, the remnant rings are consistent with the CT film.

For a small hedging device, it took so much time and energy to perform several operations before taking it out. It was really impossible. This is a real case in my clinic. In order to prevent our female compatriots from being consent again, my popular science is about the knowledge taken from the internal adverse in -harem and the timing of the in -palace.

The in -palace is an efficient, long -term, reversible, safe, and simple contraceptive method, accounting for the first place for women's common contraceptive methods in Chinese childbearing age. After women's menopause, they no longer have fertility, so they no longer need to continue contraception, and they should take out the in -palace during the palace. During the entire upper ring period, the timing of the ring should be recognized and the internal birth ring is removed in time. Avoid damage to the body.

The high -risk factors taken out of the in -harem in the harem of the harem

1. Physiological factors:

After women's menopause, ovarian function declines, the level of estrogen hormones in the body decreases, and the vagina, cervix, and uterine body gradually shrink. The decrease in the elasticity of the tissue or even adhesion, resulting in the difficulty of exposing it when taking the ring, or even the unable to enter the uterine cavity.

In addition, the atrophy of the uterine cavity causes the uterine cavity to shrink, and the muscle wall becomes thinner, which may cause the in -uterine -saving device to embedded, and even completely atlytic to the uterine body; the probability of an uterine perforation during the surgery increases. After menopause, the chances of merging and surgical diseases have increased, and the tolerance of surgery is reduced.

Therefore, after menopause is a high -risk surgery category. For the recipients who have difficulty taking out the internal palace, they need to complete the surgery under the anesthesia with the help of ultrasound or endoscopy, and sometimes even need to surgery again or multiple times. Due to the complexity of the situation, individual recipients were unable to remove the in -palace.

2. Factor in the palace:

(1) Audging in the palace. With the extension of the placement time, parts or all of the in -the -palace health materials have gradually appeared or all dissolved and dropped, and plastic can be aging, broken, and disconnected.

(2) The in -palace in the palace. The intrauterine birthpool device placed in the body may be embedded in the muscle layer of the uterus for various reasons, resulting in difficulty in taking out the in -palace. The possibility of incarceration in women after menopause increases.

Remove the adaptation permit for a menopause harem in the harem

Those who need to be removed from the palace after menopause and have no taboos for surgery; those who have amenorrhea for more than 6 months should be recommended. It is best to take it out within one year after menopause.

Menstructed harem in the harem to remove taboos

1. Poor condition cannot tolerate surgery.

2. At the acute stage of various diseases, surgery is needed to be cured or stable.

3. Inflammation of reproductive organs requires surgery after treatment.

4. Taking certain types of drugs for a long time, such as anticoagulant drugs, thrombolytic drugs, hormones, etc., can increase the risk of surgery. After evaluation, replacement of treatment medicine or stopping the drug to a safe state can be surgery.

The timing of the in -palace

During the entire house -saving period, in order to enable us to serve us in a safe state in order to enable us to serve us in a safe state, pay attention to the position of the placement of the scholarship. Complications of complications. If the following situation occurs, take it out in time:

1. Those who plan to have birth or no sexual life do not need to be contraceptive;

2. Those who need to be replaced after the placement period is full;

3. Within 1 year of menopause period stop;

4. Those who intend to use other contraceptive measures or sterilization;

5. Those who appear abnormal;

6. Embedded or broken;

7. Movement of the birthplace;

8. Pregnancy (including internal pregnancy and off -the -palace pregnancy);

9. Due to the irregular vaginal bleeding after resettlement of the breeding device, for 3-6 months, if the conservative treatment is invalid, the in-palace can be taken out for diagnostic curettage at the same time. Replace or use other methods to contraception.

Female compatriots, let's take good care of the ring in our uterus together to ensure that it serves us obediently and safely.Elderly female compatriots, there are no eternal ring. Within 1 year, if there is no contraindication, it is recommended to take it out.Do not let our ring run out of the palace cavity, just like Sun Wukong cannot run out of the palm of Rulai, so as not to cause unnecessary trouble.

(Edit ZS. Part of the picture source network, invading deletion)

Hunan Medical Chat Special Author: Shaoyang County People's Hospital Zeng Wanzhen

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