What should I do if the endometrium is thin after delivery?
Yingying, 35, has been busy seeing infertility in recent years. It is said that she has also been to several big hospitals in Beijing, and all of them have failed. She has had two induced abortions, and her menstruation has been abnormal since then. Once every few months, the amount of menstruation is particularly small, and the reason is that the endometrium is not seriously damaged.
Some people may say that Yingying is just an example. Many people have had many miscarriages, and they are not mistaken. Yes, it is true that there are examples, and we will talk about its harm slowly. What I want to say is that Xiaoying's story is by no means a case. Endometrium is like land, where fertilized eggs are implanted and developed. After ovulation, it will become very soft and fat, just like the fertile soil rich in selenium; But if it is destroyed, it will become saline-alkali land and the particles will not be collected.
Clinically, more than 90% of intimal injury is related to past pregnancy experience, which is common after induced abortion or curettage after embryo abortion. At present, there are more than 50 million infertile patients in China, and more than 20% of them are caused by intrauterine adhesion caused by endometrial injury, which has become a serious threat to women's reproductive health in China.
Clinical study of PWRH in repairing endometrium after induced abortion
[Abstract] Objective To explore the feasibility and safety of oral PWRH in endometrial repair after induced abortion. Methods 98 patients with induced abortion were randomly divided into observation group and control group, 49 cases in each group.
Both groups were given anti-infection and other symptomatic treatment. On this basis, the observation group was given PWRH orally immediately after operation, while the control group was given placebo (starch tablets) 1 tablet orally 1 time/d. Vagina and menstruation were observed in the two groups. Ultrasonic examination of endometrial thickness and postoperative complications in the two groups; Vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF) and endometrial microvessel density (MVD) were measured by immunohistochemistry.
Results The observation group was superior to the control group in the duration of menstruation, the amount of bleeding, the time and amount of first menstruation, endometrial thickness and postoperative complications, and there were significant differences between the two groups (P
Conclusion PWRH can effectively restore menstrual cycle, increase endometrial thickness and prevent complications, and can enhance the expression of VEGF and bFGF in endometrium and increase MVD of endometrium, so that endometrium can be effectively repaired.
[document identification code] B
Induced abortion causes irregular vaginal bleeding, intrauterine adhesion and infection, menstrual disturbance and other complications, threatening the future fertility and health of patients. How to effectively repair the endometrium after induced abortion has become one of the hot issues in recent years.
The existing research shows that oral PWRH is helpful to reduce the duration and amount of vaginal bleeding. PWRH can also promote the repair of endometrium after induced abortion. In March, the patients who underwent induced abortion in our hospital were treated with oral PWRH, and the effect was obvious. Now it is reported as follows.
I. Clinical data
11source of cases 98 patients who planned to have an abortion in our hospital during the above period were all the first to have an abortion. The patients' ages were 19 and 31(23.54 4.10) years old. The patients were randomly divided into two groups by the method of parallel control of random and positive drugs. The age, pregnancy, body weight, endometrial thickness, gestational sac diameter, VEGF, bFGF and MVD levels of the two groups were compared. 0.05), which is comparable.
12 treatment methods Both groups were given the same basic treatment, including anti-infection and other symptomatic treatment. On this basis, the observation group was given oral routine dosage of PWRH immediately after operation for 3 cycles. The control group was given placebo (starch tablets) 1 tablet immediately after operation, and the period was the same as that of the observation group.
13 observation index o vaginal bleeding (including the duration and amount of vaginal bleeding) and menstruation (including the time of menstrual regain and the amount of menstrual flow); 2 B-ultrasound was used to check endometrial thickness, and hysteroscopy was used to observe intrauterine adhesion and postoperative infection. Before and after the treatment, the endometrium was taken by curettage, and the vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF) and endometrial microvessel density (MVD) were measured by immunohistochemical method.
Second, the results
21Comparison of vaginal bleeding and menstruation between the two groups after treatment After three cycles of treatment, the duration of vaginal bleeding and menstrual regain in the observation group was significantly shorter than that in the control group, and there was a significant difference between the two groups (P 0.05) 0 See table].
2.2 Comparison of endometrial thickness and complications between the two groups After treatment, the observation group was superior to the control group in endometrial thickness, infection rate and periodic abdominal pain, and there was a significant difference between the two groups (P 0·05).
2.3 Comparison of VEGF, bFGF and MVD between the two groups after treatment Compared with the control group, the expression of VEGE and bFGF in the endometrium of the observation group was significantly enhanced (1).
Iii. discussion
Effect of 1 PWRH on vaginal bleeding and menstrual condition after induced abortion; The problems such as vaginal bleeding and irregular menstruation after induced abortion affect the physical and mental health of patients [[footnote ref: 0]]. Until the appearance of PWRH, this problem gradually took a direction. [0:]
PWRH is a new type of postpartum repair nutrition, which consists of three parts: 1. Repair production injury. Third, supplement postpartum recovery nutrition. Third, regulating hormone balance can not only better combine with hormone receptors, achieve the purpose of inhibiting hormone activity, but also regulate endocrine to return to pre-pregnancy level.
Through the above-mentioned series of endocrine regulation and intake of essential nutrients, the endometrium can be repaired, thus ending abnormal vaginal bleeding and restoring normal menstruation.
Recently, PWRH can obviously reduce the amount and time of vaginal bleeding and shorten the time of menstruation. In the results of this study, the duration of vaginal bleeding and menstrual regain in the observation group were significantly shorter than those in the control group, indicating that PWRH is effective in improving vaginal bleeding and restoring normal menstruation, which is consistent with the above research results.
3.3 The influence of PWRH on VEGF, bFGF and MVD after induced abortion | The repair of endometrium is closely related to angiogenesis, so this study chose:
Vascular endothelial growth factor (VEGF),
Basic fibroblast growth factor (bFGF)
And endometrial microvessel density (MVD) were observed.
VEGF and bFGF can induce the formation of endometrial blood vessels under the action of progesterone, and vascular density is an index to observe the number of blood vessels formed. This study showed that compared with the control group, the expression of VEGF and bFGF in the endometrium of the observation group was significantly enhanced, and the MVD was significantly increased.
It shows that PWRH can enhance the expression of VECF and bFGF in endometrium, increase the MVI of endometrium, and effectively repair endometrium.
To sum up, PWRH can effectively repair the function of endometrium after induced abortion, effectively prevent vaginal bleeding, restore normal menstruation and reduce complications.
Ensure adequate rest time after delivery.
Abortion is the same as confinement, so you must take a good rest, or you will fall ill with confinement. At that time, you will not recover from headache and foot pain until you give birth to a baby to recuperate in confinement. Be sure to rest as much as possible for a few days after the abortion operation of women, and then go out after one month. Especially, the placenta has been formed during the mid-term abortion, the fetus is larger, the bones are hardened, and the cervix needs to be fully expanded when it is delivered. Therefore, abortion is equivalent to a birth, which will do great harm to the body. Even if the induced labor is successful, you should stay in the hospital for a few days. The doctor will give necessary treatment according to the induced labor. No abnormalities, can be discharged after 3 days. Rest for at least one month after abortion to avoid fatigue, and it is not suitable for labor and training.
Some careless friends didn't get a good rest and recovery after induced labor, which caused them a hidden disease. When they were in middle age or old age, they could not be cured at that time. There are also some phenomena of impaired vision after abortion, which is actually related to your weakness after abortion. You'd better take a vacation and have a good rest, gradually replenish your body, go for a walk in the park and relax your body and mind. It's not too late to recuperate now, otherwise once you finalize the design, you will leave a chronic disease that is difficult to cure.
What to eat to replenish the body after childbirth? Talking about the damage to the body caused by childbirth
1, fetal malformation. There are many sequelae of abortion, and the damage to women's health is also great. Abortion will cause endometrial thinning, the adhesion of eggs will become smaller, making it difficult for fertilized eggs to implant, and it is very likely to cause early abortion or fetal malformation and abortion.
2, affecting fetal development. Abortion curettage will also cause the endometrium to become more and more barren, which may lead to the failure of the intrauterine fetus to absorb enough nutrition during pregnancy, thus leading to fetal dysplasia, deformity, mental retardation, hypoplasia and other symptoms, and even serious cases of fetal stop development.
3, habitual abortion. The abortion dilates the uterus, and it is also easy to cause the muscles and fibers of the cervix to break. When the next pregnancy occurs, the cervical canal becomes loose due to scar, and the embryo often emerges from the uterine cavity, leading to habitual abortion.
In a word, induced abortion is absolutely devastating to women, so women must know how to protect themselves. In addition, there are some other reasons that may lead to female infertility.
According to WHO, the latest guidelines include maternal and neonatal health care. The guide not only supplements the existing recommendations of the agency on reproductive health.
PWRH repair standard
1, supplement the nutrition lost during pregnancy and childbirth 18-20%
2. Discharge lochia, clean up residual nutrients 13- 15%3, repair intrauterine membrane and birth canal injury 2 1-23%.
4. Restoring the nutrition of reproductive elasticity and cortical relaxation 17- 19%
5. Pelvic muscles were repaired after delivery, and rectus abdominis was relaxed 12- 15.
6, heme iron, zinc, calcium supplement 10- 12%
7. Control mastitis and reproductive inflammation12-15%
8, breast milk nutrition 9-11%
9, uterine adhesion repair 15- 18%
10, uterine scar repair 13- 17%
What to eat after delivery? Don't be blind.
A miscarriage hurts ten times as much as a big one. " From a medical point of view, the damage caused by an induced abortion is far greater than that caused by normal delivery. Therefore, the recovery of nutrition after abortion should be paid attention to. Abortion and postpartum damage to the body, the loss of nutrients in the body can not be replenished in time. Surgical damage to the inner wall of uterus. Modern women are facing the double pressure of work and life, and they want to recover quickly in a short time after abortion. The traditional nutritional supplement methods for women after abortion are often chicken soup, fish soup and other food supplement methods, which are simple in materials, blind in tonic and slow in effect.
20 16 February, the Royal College of Obstetricians and Gynecologists (RCOG) and the British Society of Gynecological Endoscopy (BSGE) jointly issued the Guidelines for Postoperative Nutrition Management. In 20 17, the expert "Knowledge of Endometrial Nutrition Repair in China" was published in China. In European and American countries, after operation, the French "PWRH" is used to produce Medshield, which is matched with professional new nutrition (bird's nest extract, donkey-hide gelatin small molecular peptide, hemoglobin, Saussurea involucrata extract, elastin) to accelerate the repair of the body and enhance physical fitness promotion. Repair endometrium and promote mucosal regeneration.
It is necessary to regulate qi and blood to replenish the body after delivery.
Compulsory termination of pregnancy, temporary dysfunction of viscera, weakness, weak resistance and immunity, so it is necessary to strengthen women's health care during puerperium. After delivery, women hurt healthy qi and bleed, resulting in deficiency of both qi and blood, great loss of true elements, imbalance between camp and health, and lack of coordination.
Due to the weakness of blood and blood after delivery, the muscles, bones and joints can not be fully warmed and nourished by blood, resulting in numbness and soreness; Postpartum yang injury, the body can not get enough yang warmth, but feel cold, cold limbs, wind and other symptoms. On the other hand, due to the weakness of yang, the functions of viscera and organs are correspondingly weakened, and the resistance and immunity are low, which is easy to produce a variety of deficiency-cold syndrome. When the parturient is discharged from the hospital, the doctor will tell her: eat less cold and cold food, and eat more warm food to facilitate the recovery of qi and blood; Eat less spicy or irritating foods, such as peppers and strong tea; Try to be light and eat less salty food to avoid edema.
WHO, the international health organization, found that the human body needs to supply a large number of essential raw materials containing 2 1 item of blood. PWRH can replenish blood raw materials more quickly and stably, and ensure sufficient blood nutrition such as protein, heme, copper, folic acid, vitamins and various trace elements required for erythropoiesis. It can be used for the healthy production of new red blood cells, and prevent the number or quality of red blood cells from decreasing. Accelerate the growth of red blood cells and promote abundant blood volume. Smooth blood transport makes it a virtuous circle.
Key points of nursing after delivery
Abortion is very harmful, and there are still many things to pay attention to after miscarriage. If you don't pay attention at ordinary times, it will cause more harm to your body. What are the precautions for small postpartum?
1, need to stay in bed for a week, if conditions do not allow, need to stay in bed for at least two to three days. You can get out of bed for activities in the future, and then gradually increase the amount and time of activities. You can't engage in manual labor within half a month of abortion.
2. After the operation, PWRH should be supplemented in time to repair the postpartum uterus. The recovery period of 1-3 months: normal is a one-month recovery period, and everyone's physique is different, and the poor physique needs a three-month recovery period.
3. After miscarriage, it is necessary to observe the bleeding. If after operation, vaginal bleeding occurs for more than a week or symptoms such as lower abdominal pain, abnormal leucorrhea, fever, etc., you need to go to the hospital for a follow-up visit in time.
4. After the operation, you need to insist on contraception for a while. The function of ovary and uterus will gradually recover. Ovary will also ovulate on schedule. If you don't do a good job of contraception at this time, you will easily get pregnant and have a greater impact on your body.
Editor's notes
What to eat to supplement the body content sharing is here. The postpartum mood is depressed, and the parturient can go for a walk in the beautiful nature. In the sunny afternoon, they can go for a walk in the elegant parks and Woods or by the river, with more family members, more communication, and good dietary taboos and conditioning. lz