Typically, perforation of the uterus may occur during an abortion to terminate the pregnancy.Sometimes, uterine perforation can occur due to the introduction of an intrauterine device.This may be due to many factors: the anatomical features of the structure of the uterus, the shape and type of the spiral is also important qualification gynecologist.Let's look at what the symptoms and treatment of uterine perforation.
What are the symptoms of uterine perforation can be determined?
Symptoms of uterine perforation may be complaints of women in sharp abdominal pain, mild fever, general weakness, dizziness, and spotting from the vagina.Significant blood loss is reflected in characteristics such as pale skin, tachycardia, and a sharp drop in blood pressure.
Symptoms of uterine perforation depend on its localization.If the uterus is intact probe without damaging peritoneum and no bleeding, signs of damage are not usually seen.If there is damage to the peritoneum, the presence of acute pain and may devel
Professionals should pay attention to symptoms such as penetration of the surgical instrument to a length that is greater than the length of the uterine cavity, and the dramatic change in the status of women at the same time, it can sometimes occur and internal bleeding.
diagnose uterine perforation can be the following symptoms:
- a sharp pain when administered intrauterine device,
- the disappearance of her strands in the next few weeks or months,
- bleeding or pregnancy after installation uterine spiral.
But if these symptoms are absent, the diagnosis is very difficult because there is no uterine bleeding.
far as the danger of perforation of the uterus?
The biggest danger is that the doctor can not help noticing that the uterus is damaged and continue the operation, while accidentally damaging the reproductive organs, bladder and intestines.When the uterus is damaged, the patient has a sharp pain, but at the time of the abortion put anesthesia and this symptom is excluded.With the passage of surgical instruments into the abdominal cavity of the operation should be immediately stopped.Because its continuation would cause further serious complications.Salvage myometrium promotes penetration of the solution into the abdominal cavity, it may greatly damage the intestine and other organs coming.
sometimes damaged during operation is not the uterus and the cervix, because it can develop erosion or swelling.When abortion the cervix is damaged in any way, so the future birth the cervix revealed bad, and delivery run caesarean section.
Also, damage to the cervix during abortion may result in premature disclosure, and this in turn leads to a history of miscarriages.The uterus may appear adhesions, this is due to damage to the walls of the uterus during an abortion when the fruit is removed, together with the egg endometrium, so that it undergoes significant changes.
saddest consequence of perforation of the uterus, there are a lot of damage when this body is the inner abdominal bleeding, a complete removal of the uterus.
Treatment of uterine perforation.Possible complications.
main method of treatment of uterine perforation - the immediate cessation of all operations with the body when it is determined that the uterus is damaged.Conservative method of treatment - bed rest women, application of ice on the lower abdomen, close observation of changes in the body.The patient measure temperature, pulse, blood pressure, doing abdominal palpation, investigate and monitor blood spotting.Introducing drugs the patient is impossible, because it is impossible to establish the beginning peritonitis.
urgent surgical treatment is carried out in the case when they were affected by nearby organs.Also, the operation is performed in the case when uterine perforation occurred during a criminal abortion.The nature of the operation, the doctor decides its volume, by taking into account the localization of the damage, the possibility of infection and the age of the patient.Possible closure of the damaged area, the partial or complete removal of the uterus.
women, who have a history of uterine perforation, must stand at the place of residence.And if pregnancy occurs, they need careful medical supervision.
Any operation on the uterus may result in its perforations.It is especially dangerous for those women who are at risk.A thorough check should be done before surgery those patients who have such diseases as multiple abortions, endometritis, uterine fibroids, conservative mioektomiya, molar pregnancy.In such cases, the amount of preoperative preparation is determined solely by your doctor.
At the time put diagnosis and timely treatment of uterine perforation prognosis for life and health friendly.Still, it should be remembered that at the time of the abortion, and you can lose the fetus and uterus, which plays an important reproductive function of a woman's life.