Scraping endometrium is classified as an operation to remove the mucous membranes of the body of the uterus and cervical canal.Scraping in medical practice it is used as a diagnostic and therapeutic purposes.For example, uterine bleeding, polyps cavity and cervix, and so on. D. Also, scraping is carried out with the purpose of termination of pregnancy at up to 12 weeks.Scraping prescribed after a forced abortion in late pregnancy and the postpartum period, incomplete miscarriage.If retained placenta in the uterus, which is the cause of uterine bleeding.
According to the medical definition, the uterus is a muscular organ, shaped like a "pear".Nature provided in the uterus cavity via the cervix which communicates with the external environment.The uterine cavity is covered with endometrium - mucous membrane.During the menstrual cycle, the endometrium thickens.If you do not become pregnant, the envelope is rejected by the body.There is menstruating.After menstruation the endometrium start
During the procedure, scraping the mucous membrane is produced only mechanical removal of the endometrium.True, not all mucous is removed and only the functional surface layer.After scraping the lining of the uterus remains germ layers of the endometrium, from which grows a new mucosa.
Before and after surgery
Usually scraping operation is performed before the menstruation, just a couple of days before the expected start.So come to the process of scraping the endometrium maturity coincided with the physiological timing of rejection of the endometrium.On the eve of the operation the woman inspects the anesthesiologist.On the day of the operation - operating obstetrician.Conduct a general inspection, investigation vagina and cervix using mirrors and manual research to clarify the position and shape of the uterus.To eliminate the complications and to identify contraindications to curettage.
The operation is usually performed under general anesthesia (but sometimes under local) in the gynecological chair.Cervical canal widen introduced via extenders of different diameters.The whole operation takes about 15 minutes.After scraping the mucous membrane of the uterus of the patient a few hours or days in hospital.Within 1 month after surgery should refrain from sexual activity.Should be monitored by a doctor to avoid complications.These include:
- perforation (violation of the integrity of the wall) of the uterus, infection, inflammation development;
- development of intrauterine adhesions, which may cause menstrual irregularities and fertility.
Within 3-10 days after the operation sometimes appear bloody spotting.It should be wary if allocation ceased almost immediately and at the same time there was a pain in the abdomen.The fear is that the cervical canal and spazmiruet hemometra formed (in the uterus accumulates blood).It is necessary to consult a doctor and get an ultrasound.To prevent the development hematometra, as prophylaxis in the first postoperative days, you can take Nospanum 2-3 times per day (1 tablet).Also in the postoperative course of antibiotics assigned a small - for the prevention of inflammation and other complications.
diagnostic curettage of the endometrium followed study material held under suspicion of dysplasia and cervical cancer, tuberculosis.Just scraping the uterine lining is performed for diagnosis in cases when the data do not allow the US to put an accurate diagnosis:
- uterine bleeding, without any signs of pregnancy, infertility and in some other cases.
- If a woman has prolonged and heavy menstruation with the release of blood clots.
- If there is bleeding intermenstrual discharge.
- When a woman can not get pregnant for a long time.
- When other more rare diseases.
- therapeutic curettage is performed upon detection of pathology.
doctor can be seen on ultrasound mucosal changes, but accurate diagnosis ultrasonography in all cases.Sometimes the US has to do several times before and after menstruation.It is necessary to define the pathology.If education will remain after menstruation - appoint scraping the endometrium.
also appointed by scraping to remove residual fetal membranes after childbirth, miscarriage, a failed abortion.
Scraping endometrium is contraindicated in:
- acute infectious diseases, exacerbation of chronic diseases of internal organs;
- acute and subacute inflammatory diseases of the genital organs;
- suspected perforation (a violation of the integrity of the wall) of the uterus.
In case of emergency (for example, with strong bleeding in the postpartum period) may not be taken into account contraindications.
scraping the uterine lining can diagnose a number of serious diseases, unwanted pregnancy.However, it is unsafe to possible complications of surgery.