What is drug abortion Drug abortion refers to the use of injections or medication to achieve abortion without surgery in early pregnancy. The application of drugs to terminate the pregnancy is the latest development in the last 20 years. At present, the commonly used drugs are mifepristone (Ru486) and prostaglandin combined application, the former make the uterine metaplasia degeneration necrosis, cervical softening, the latter make the uterus contraction, prompting the discharge of embryos. Medical abortion is simple, effective, non-invasive and avoids the complications that may result from manipulation into the uterine cavity. At present, it is used to terminate pregnancy within 8 weeks. First, the advantages and disadvantages of medicinal abortion Advantages to avoid the pain of surgical abortion and the occurrence of certain complications, to achieve the purpose of pregnancy to stop pregnancy, no pregnancy to promote menstruation. The first is the fact that it is not a good idea to have an abortion, but it is a good idea to have an abortion, and it is a good idea to have an abortion. Second, who can use medical abortion? The healthy women who are 5 to 7 weeks pregnant, not suitable for surgical abortion, such as: 1. Cesarean section within one year, abortion within six months or have a history of multiple abortions and pregnant, because the uterus is not fully recovered, surgical abortion is prone to injury and bleeding and other dangers. 2. Women who have been taking steroidal contraceptives for a long time or who are breastfeeding, because the uterine wall is thin, soft and fragile, it is easy to be damaged, it is better not to use surgical abortion. 3. Women with uterine deformity or extreme tilting of the uterus will have some difficulty with surgery. 4. Women who are very afraid of surgery or who have had symptoms such as dizziness, panic, cold sweat and pallor during surgery. Third, the medicine of the anti-early pregnancy method The medicine abortion method must be under the supervision of the doctor to use the medicine, if necessary, need to be hospitalized for observation. There are a lot of methods of drug abortion, the following two most commonly used and the effect is satisfactory method. 1. With the rest of the hidden (mifepristone) + Cargometrine pessary or other prostaglandin drug abortion. A oral polyphenols or divided into three days, the fourth day vaginally placed Cargometrine pessary 1, (or oral prostaglandins) Observation of 6 hours, complete abortion rate of about 90%. 2. No. 23 visiting relatives drug (R2323) + Cargometrine pessary against early pregnancy. After 3 days of continuous oral administration of R2323, place 1 capsule of Cargometrine pessary vaginally on the 4th day and observe for 6 hours, the rate of complete miscarriage is about 90%. Precautions: ● The person taking the drug must be conceived within 45 days of menopause and under 34 years of age; ● Good physical condition and no contraindications. The so-called contraindications include: having suffered or suffering from serious systemic diseases, liver and kidney insufficiency, allergies, heart disease, high blood pressure, anemia, asthma, glaucoma, itchy skin during pregnancy, and suspicion of ectopic pregnancy, taking a large amount of medication for a long period of time, smoking more than 10 cigarettes a day, alcoholism, etc.; ● Do an ultrasound before taking the medicine to make sure that it is an intrauterine pregnancy; ● Take a rest for at least 3 to 5 days after the miscarriage; ● Strictly abide by the doctor's instructions and follow up on time; ● Cannot be used for the treatment of pregnancy. Follow up on time; ●Cannot take the medicine continuously; ●The hospital you choose must have emergency conditions (emergency scraping, transfusion and blood transfusion); ●Cannot be taken as a commonly used contraceptive drug. I. Precautions after medical abortion 1. After the tissue is discharged, you need to stay in the hospital for 1 hour. If there is not much vaginal bleeding, you can go home and rest. 2. Rest properly for 2 weeks after the abortion, eat nutritious food, and don't do heavy labor. 3. Pay attention to the perineum clean, vaginal bleeding is not cleared when the prohibition of bath and sexual intercourse. 4. In the first 2-3 days after abortion, the amount of vaginal bleeding is generally equal to or slightly more than the amount of menstruation, if the amount of vaginal bleeding is a lot or continues to be unclean, we should consult the doctor in time. 5. For those who do not see any tissue discharge, observe for 2 weeks after using the medicine, and pay attention to whether there is any tissue discharge when urinating or defecating during the period. Send urine for pregnancy test every week. 6. After the abortion may soon resume ovulation, should take contraceptive measures to avoid another pregnancy. Second, the causes and treatment of bleeding after medical abortion Bleeding after medical abortion is usually in 1-3 weeks, the general performance is: bleeding day by day less; if the bleeding decreases and then increases or does not decrease at all or gradually increase, are not normal, the common causes are as follows: 1. Incomplete abortion: the main cause of bleeding after medical abortion, generally through gynecological examination and ultrasound can be judged 2. Infection after medical abortion: if the ultrasound judgment is There is no residue in the uterus, then the infection in the uterus should be considered, because the blood coming out of the abortion is a very good culture medium for bacteria. If the situation is serious, there will be pressure and pain in the uterus during gynecological examination, and there will also be fever, etc. 3. Bad blood coagulation function: some people are prone to petechiae or bags after slight touching or pinching, then maybe this person's blood coagulation function is not too good, and there can be hemorrhage or prolonged bleeding time during medical abortion or abortion. Treatment: Because of the many reasons, it is best to go to the hospital to do a detailed examination to determine How to perform a medical abortion Although there are many advantages of medical abortion, it also has its limitations and side effects, so it can't be as simple as a cold and fever, buy a few tablets of APC by yourself at the pharmacy and eat them, and in order to ensure the women's health, it is strictly prohibited to sell the drugs for abortion in the general pharmacy, and those who perform medical abortion must do it in the medical institutions that have the conditions. Can you do your own abortion at home In the past, women of childbearing age have been praying for a safe and reliable method to stop pregnancy after contraceptive failure, and now there are oral abortion drugs, such as mifepristone, misoprostol, etc., which are highly effective and popular. However, if the application is not appropriate, serious side effects and complications can occur, so it should not be taken lightly. Mifepristone, also known as polyphenols or Ru486, is a new type of anti-progesterone drug, which can play a role in inducing abortion and terminating early pregnancy. The effective rate is 65% to 85% when applied alone, while the success rate (i.e. complete abortion) can be as high as 95% or more when combined with misoprostol. It is suitable for pregnant women within 49 days of menopause with a positive urine pregnancy test, and the shorter the gestation period, the better the effect. However, it is contraindicated in pregnant women with asthma, spasmodic bronchitis, angina pectoris, arrhythmia, heart failure, hypertension, glaucoma and hepatic or renal insufficiency, ectopic pregnancy, ulcerative colitis, adrenocortical insufficiency, long-term use of glucocorticosteroids and insulin-dependent diabetes mellitus. General application of mifepristone and misoprostol, about 2 to 3 days, the uterine cavity of the embryonic sac can be discharged, at this time more vaginal bleeding, there can be dizziness, nausea, vomiting, fatigue, abdominal pain and other reactions, and the uterus of the meconium tissue is often about 2 weeks to be slowly discharged, followed by the bleeding stops, which is known as a complete miscarriage, so it is stipulated that pregnant women in the medical abortion after the 15 days to go to the hospital to re-examine. If necessary, ultrasound examination and urine pregnancy test to determine the effect of abortion. If there is no abortion within 1 week after taking the medicine, or the vaginal bleeding increases significantly in about 10 days, as well as more than 3 weeks to 1 month, the bleeding is still dripping, then you should go to the hospital in time to review the failure of abortion or incomplete abortion, respectively, need to do abortion or scraping surgery. However, some pregnant women do not understand the advantages and disadvantages of the drug, resulting in a dangerous situation. Such as a pregnant woman at home to take their own medicine abortion, the beginning of the embryonic sac is not discharged, but in the fourth day of sudden abdominal pain, pale, shock state, diagnosed by the doctor as ectopic pregnancy, fortunately, timely rescue to save the day; another pregnant woman in the hospital for the abortion of the medicine, but anxious to leave the hospital, the results of the hemorrhage on the way back to the home, had to rush back to the hospital for emergency surgery to scrape the uterus, and then turned into a safe place; there is also a pregnant woman in the abortion of the medicine, the vaginal bleeding continued for more than 40 days. Another pregnant woman after a medical abortion, vaginal bleeding continued for more than 40 days, trying to use menstruation to flush down the residual tissue, but not timely scraping, also led to hemorrhage, although the rescue efforts to get out of danger, but has occurred anemia and pelvic infection and other diseases. It should be emphasized that many women, especially unmarried women, there is often a misunderstanding that medical abortion is like menstruation in general, will not affect the health, so do not pay attention to take effective contraceptive measures, once the discovery of pregnancy will ask for a medical abortion, some do two or three times a year, will obviously damage the body. It can be seen that medical abortion is not a regular contraceptive method, but only as a remedial measure after the failure of contraception and the occurrence of an unwanted pregnancy. And must be in the conditions of the hospital, under the supervision and guidance of the doctor, do not take the liberty of pregnant women at home medication abortion, or the consequences are unimaginable. Self-conditioning after abortion With the development of obstetrics and gynecology, artificial methods to terminate pregnancy as a contraceptive failure after the remedy and widely used in clinical practice, especially the promotion of the application of the new anti-early pregnancy drug mifepristone, and in the abortion with traditional Chinese medicine treatment to reduce pregnancy products discharged due to the poor vaginal bleeding and prolonged bleeding time of the side effects of the reduction of the rate of purging, and greatly alleviate the sufferings of the subjects. The author has been engaged in clinical work for many years, I feel y that many abortion (especially in recent years the use of medical abortion) patients, do not pay attention to the post abortion regimen recuperation, thus affecting the physical and mental health. Postpartum regimen is well known, and has always been emphasized, but the importance of post abortion regimen is often overlooked. Medical abortion is the use of drugs to force the separation of the fetus and the uterus, the damage to the body is more obvious than full-term normal delivery. Ming Dynasty physician Xue Lizai also pointed out: "Miscarriage is heavier than the big birth, cover the big birth such as corn ripe since off; Miscarriage is like a raw picking, break its shell, hurt its roots also". The pain caused by abortion is imaginable. Therefore, gynecologists now attach importance to post-abortion recuperation, that post-abortion rest should be heavier than after a big birth. Under normal circumstances, early pregnancy after drug abortion, vaginal bleeding of varying degrees, 3-5 days or 7-10 days clean. Generally will not bring big effects to the body. However, if repeated pregnancies and repeated abortions, or improper regulation can also cause many complications. The reasons are: First, where abortion abortion, there is no one who does not damage the uterus. Improperly regulated, too much fatigue or indiscreet sexual intercourse, easy to injure the Chong Ren, the uterus is more difficult to recover. Secondly, after abortion, the blood room is open, neglecting to regulate, do not keep the vulva clean, the evil venom is easy to offend. Third, after the miscarriage, the Chong Ren of the ready damaged, the uterus of the residual blood and turbid liquid stays, "protect the fetus with the things" within the stagnation, resulting in vaginal blood, more than a long time to flow, the treatment of the regulation is not appropriate, and often lead to "pelvic infection," and many other complications. Therefore, it is especially important to regulate after abortion. Adjustment of labor and leisure: with the accelerated pace of life, many professional women, especially unmarried pregnant, often give up rest time after abortion. The author often asked such outpatients, why do not follow the doctor's advice after the abortion, do not rest, they always laugh it off, or that the work can not be separated, or that the damage is small, no big deal. I have come across a car driver out of Zu, four abortions in two years (two of which are medicinal abortion), *** rest less than 10 days. Now weak and sickly, colds at every turn. This shows that after the abortion must follow the doctor's advice to rest and recuperate, do not overwork. Appropriate temperature and cold: after abortion coupling is not dense, wind and cold is easy to invade, do not be greedy for cold and drink cold. In summer, do not be greedy for cold and use fan, eat cold things, sleep in the wind; in summer, store one or two tanks of water in the room to relieve the heat; in winter, add one or two pots of fire to warm up ("The Essentials of Protecting Maternity"). Prudent diet: after abortion, the loss of qi and blood, over-eating nourishing greasy cold, easy to hurt the spleen and stomach. You should eat nutritious and easy-to-digest food, and you can also use appropriate prescriptions or medicinal diets according to your body's preference for heat or cold. The following prescription can be used: 1, Yi Gong drink: Codonopsis pilosula, chasteberry, dry lotus herb, celandine, motherwort 15 grams each, atractylodes macrocephala, Pu Huang charcoal 12 grams each, licorice 3 grams. Soak in cold water for 30 minutes, decoct 150￣200 ml of juice, twice divided into doses, 1 dose per day. It is suitable for those who have more than vaginal bleeding after abortion. 2, brown sugar motherwort soup: brown sugar 60 grams, motherwort 30 grams. To motherwort decoction juice, punch into the brown sugar, divided into 2 times to take. Applicable to the stasis of excessive blood. 3, ginseng astragalus cream: 60 grams of ginseng, 500 grams of roasted astragalus, 500 grams of syrup. The first two flavors of repeated decoction 2 times, filter the juice 200 ml, into the caramel, the fire concentrated into a paste, storage standby. 3 times a day, 20 grams each time, boiled water. Applicable to qi deficiency, under the blood color pale thin. If the symptoms are obvious, such as fever, abdominal pain, long time blood is not clean, or under the belt or under the blood odor, etc., should go to the hospital in time for the appropriate diagnosis and treatment. Drug abortion is forbidden Because abortion often brings great pain to the body and mind, so many people choose drug abortion. As the name suggests, medication abortion is a method of terminating early pregnancy by taking medication orally. It avoids some of the problems brought about by surgical abortion, complete abortion rate has reached 90% -95%, and if the abortion fails, then the pain of surgical removal of the uterus is also lighter than artificial abortion, because the mouth of the uterus has been opened, do not need to dilate the uterus. However, the drug abortion also has its scope of application, women in the drug abortion before, must first find out whether they are within this scope. Indications: 1. For various reasons require the termination of pregnancy without contraindications; 2. Suitable for high-risk pregnancy within 8 weeks of pregnancy, negative pressure suction difficult or high risk and need to terminate the pregnancy, but also suitable for surgical abortion concerns or fear of women. Contraindications: 1. glaucoma, asthma patients; 2. heart, liver and kidney disease and adrenal sebaceous insufficiency; 3. with intrauterine device, pregnancy and suspected ectopic pregnancy; 4. after taking the medicine can not go to the hospital in time to consult the best not to use the drug abortion, so as to avoid an emergency can not go to the hospital in time to avoid delays in the condition. If you decide to have a medical abortion, then you should also know some precautions: first of all, medical abortion is only used to terminate intrauterine pregnancy. Before using the drug must do ultrasound examination, confirmed diagnosis of intrauterine pregnancy, the size of the fetal sac is about 1.0cm-2.5cm before taking the drug; secondly, after the discharge of the fetal sac, you can take motherwort punch to reduce the membrane residue caused by the bleeding time is long. In addition, anti-inflammatory drugs should be taken orally to prevent infection. The general procedure of medical abortion is as follows: (1) Strict screening before the use of drugs, including medical history, general physical examination and gynecological examination, laboratory tests, such as urine pregnancy test, vaginal cleanliness, trichomonas and mycobacteria, blood routine and blood type, and ultrasound examination if necessary. (2) The doctor should explain in detail the method of taking the medicine, the efficacy of the medicine and the possible side effects, and the medicine should be taken only after obtaining consent. (3) Currently, the commonly used dosage of mifepristone is 150-200 mg, which can be taken at once or in divided doses within 3 days. In the hospital on day 3, add a prostaglandin preparation: Cargometrine 1 mg placed intravaginally or misoprostol 60O micrograms orally. Observe for 6 hours in the hospital. (4) Supervision during abortion: During the hospitalization period, in addition to paying attention to the blood pressure, pulse and side effects of drugs, the urine and feces should be retained in a clean bedpan, and the presence of fetal sacs, the time of discharge, the size of the fetal sacs and the amount of bleeding should be examined and recorded by a special person. If there is active bleeding before or after the expulsion of the fetal sac, uterine constrictor can be given or the bleeding can be stopped by scraping the uterus immediately. (5) After 6 hours of observation, if the fetal sac is still not expelled and there is not much bleeding, you can go home and follow up on the date specified by the doctor. If the tissue is expelled at home, it must be brought to the doctor for observation.
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