As we all know, has married women of unwanted pregnancies, only by evacuation to achieve the purpose of termination of pregnancy. Induced abortion is the most common type of evacuation operation, about more than half of women have had painful experience of induced abortion. Even contraception carefully to have escaped the abortion a \"robbery\", but it is still possible due to menopause or postmenopausal uterine bleeding and other reasons, need for diagnostic curettage. Clinical practice shows that number for the desired line of diagnostic curettage and many. In addition, common Hysteroscopic surgery except curettage also have rings, removal and Hysteroscopic surgery, these operations will also bring the pain, particularly Central incarceration within the uterine muscle and removal more difficult after menopause, due to the operation difficult, long operation time, operation of the pain is inevitable. This shows that the women in his life can be fortunate enough to escape dominated by curettage uterine surgery, estimated to be no more than one-third. So to solve this two-thirds women over the suffering caused by intrauterine surgery, it is the greatest care to women, is of great social significance. I have come across one, suspected Carcinoma of endometrium in postmenopausal uterine bleeding of women, because of the fear the pain of dilation and curettage, not attending scraping surgery. Until the symptoms clearly, when you visit again, is the cancer has advanced. Therefore, painless uterine curettage, thought to lift such patient concerns, actively cooperate with the diagnosis and treatment, is its relevance. Painless uterine curettage of the more commonly used methods include the following.
1, lidocaine: leaching 2% lidocaine cotton swab placed internal orifice of cervix, about 3-5 minutes to surgery. 2% 5 ml of lidocaine injection can also be in both sides of the cervical submucous, 1-2 minutes after the operation. After delivery, dispersion of the liquid by cervical mucosa to the muscle layer of the uterine cervix, the relaxation of internal orifice of cervix, and may block the cervical sensory nerve endings and vagus nerve inside the tube, play a role in analgesia. Clinical practice has proved that this cervical methods can relaxation as well as reduce intraoperative pain, but still cannot be truly painless.
2, Palace of thrombi: this is a non-anaesthesia analgesia suppositories, its components are prostaglandin synthetase inhibitor. Before operation, placing suppository into surgery at about 2 cm or slightly higher in the anus, about 15 minutes after the operation. After suppository in place, through the intestinal mucosa after absorption, inhibits endometrial synthesis of prostaglandin drug, which reduces the uterine pain sensitivity to stimulate nerve endings and the vagus nerve on operation, to the analgesic effects. Clinical practice shows that relaxation effect of cervical, significantly reducing surgical pain, but also not really painless effect.
3, cataflam: it by inhibiting arachidonic acid metabolism of cyclooxygenase and Lipoxygenase activity, decrease the formation of prostaglandins and leukotrienes, playing the analgesic purposes. Cataflam 50 mg orally, 1 hours after the surgery. Clinical practice shows, with relaxation effects of cervical pain and significantly reduce surgery, but also failed to meet the requirement of completely painless.
4, two hydrogen etorphine hydrochloride: it is a potent narcotics, the receptors for morphine, its analgesic effect than morphine, clinical application of dose morphine only 1/500-1000, so use comparison security. 15 minutes before the surgery, sublingual, and analgesia in the operation efficiency of up to 100%, is a good analgesia of analgesic effect.
5 and propofol: it is a new type of intravenous anesthetics, can use different dose, reached the sedative, hypnotic, until entering the anesthetic State, loss of consciousness, to the analgesic effects. After propofol injection effect quickly, it only takes 30 seconds to surgery. When medication is stopped, to awake without symptoms such as dizziness, sleepiness, satisfaction of analgesic effect.
In these 5 ways, owed to the satisfaction of analgesic effect of the top 4, but safer. Propofol intravenous anesthesia is medicine, injection, anesthesia, but must be experienced by a formal application and management of anesthesiologists, and must prepare the monitoring, rescue equipment, frustrated otherwise prone to respiratory, circulatory system, severe cases may lead to irreparable consequences.
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