What effect does hysteromyoma have on menstruation after operation?

Hello, it doesn't matter, the main concern is: 1, How to take care of yourself for patients with uterine fibroids after discharge ① postoperative cleaning: the abdominal incision should be kept dry after discharge, and bathing (no bath) is allowed after one week. Because the stitches were just removed when leaving the hospital, the needle eye has not completely healed, and the scab of the incision has not fallen off, which is not suitable for bathing. Of course, the whole body skin should be kept clean before bathing, and the perineum should be cleaned every night or after defecation. ② Pain nursing: A. Generally, there may still be slight hanging pain at the abdominal incision when leaving the hospital, and it is normal to have acupuncture-like pain from time to time. If the incision pain is obvious, you need to check whether it is red and swollen, so as to rule out the possibility of infection. If pus is squeezed out, you need to go to the hospital for dressing change. If it's just red and swollen, you can buy an infrared light bulb and install it on the base of the desk lamp, and place it properly, and irradiate the abdomen twice a day for 20 minutes each time, so as not to feel hot. B, low back pain: mild pain will generally improve itself after a few days of rest. If the pain is obvious, you need to go to the hospital to consult a doctor to eliminate the sequelae left after anesthesia and use some drugs when necessary. C, micturition pain: most patients will not have this symptom, and a small number will have small abdominal radiation pain when micturition, which may be caused by surgery. Because the uterus is adjacent to the bladder, if there is adhesion in the pelvic cavity, the uterus will be separated from the bladder during resection, and there may be slight abrasion. It will get better by itself in a few days. Usually eat more boiled water and drain immediately when consciously urinating. Don't hold your urine too long. If the urethral orifice hurts when urinating, it may be caused by urinary tract infection. Mild patients can drink more boiled water every day, and severe patients need to go to the hospital for further examination and treatment. ③ Possible abnormal symptoms: A. Vaginal bleeding: In the case of myomectomy or submucous myomectomy, there is a wound on the uterine wall, which will lead to a small amount of vaginal bleeding after operation, generally not exceeding 65,438+00 days, which is normal. If it is more than half a month, go to the hospital for examination; B. There is generally no bleeding after subtotal hysterectomy, but if the cervical margin is high, there may be a little vaginal bleeding every month on the day of menstrual cramps, and the amount depends on the height of the cervical margin. If the cutting edge is high, the intima remains and vaginal bleeding will be more. On the contrary, vaginal bleeding will be less. C, after hysterectomy, 10- 15 may have a small amount of yellow secretion or bloody secretion for a few days, which naturally subsided. If purulent secretion appears, it may be infection of vaginal incision stump or vaginitis. You should go to the hospital for treatment, find out the reason and deal with it in time. If there is a large amount of vaginal bleeding in patients with secondary hysterectomy or total hysterectomy, it may be that the suture is cracked, and they should go to the hospital for emergency examination immediately. ④ Diet: A light and digestible diet with high protein, vitamins and minerals that you like after discharge. Eat more fruits and vegetables to keep the stool unobstructed, because constipation is easy to make the suture of vaginal stump thinner and rupture and bleed. ⑤ Sexual adaptation: uterine fibroids are dug out and sexual life is forbidden for one month. Subtotal hysterectomy and total hysterectomy can resume sexual life after going to the hospital for two months and three months respectively. However, the sexual problems of patients with gynecological tumors are not only affected by physical and psychological aspects, but also by the wrong ideas of patients and their sexual partners, which often makes women worry that they are no longer a woman and that their husbands will no longer love her and have sex. In fact, these worries are unnecessary. You can get in touch with nurses or doctors, find out the reasons, eliminate unnecessary worries, and make their sexual life harmonious and happy. 2. How to follow up patients with hysteromyoma after operation ① Patients with hysteromyoma are reviewed once a month, once every three months, three times in a row and once every six months. The contents of the review include B-ultrasound and gynecological examination, mainly to see whether the hysteromyoma recurs, the size of the uterus, whether the wound on the uterine wall heals, and to review the attachments 2 months after the second hysterectomy. Re-examination contents: B-ultrasound, gynecological examination, pelvic examination, especially the upper cervical wound and abdominal incision for infection and ulceration. ③ Three months after total hysterectomy, the reexamination contents: B-ultrasound and gynecological examination (focusing on whether the vaginal stump is healed) ④ Patients with hysteromyoma are treated conservatively and followed up regularly every 3-6 months to observe the situation and changes of hysteromyoma and decide whether to further treat it. 3. How to prevent recurrence after myomectomy? The patient needs contraception for 2 years after myomectomy. And do the following to prevent recurrence: ① avoid long-term and excessive stimulation of estrogen, use hormone drugs rationally and eat less nutritional supplements. ② Maintaining a healthy, stable and optimistic attitude is conducive to maintaining the balance of sex hormones (estrogen, pregnancy and androgen), and hormone secretion is regulated by higher nerve centers. ③ Contraception and birth control. Individuals with uterine fibroids often have some invisible small fibroids after myomectomy. Pregnancy will accelerate the development of fibroids, so contraceptive measures should be taken to reduce the number of pregnancies. Patients with fibroids should not use oral contraceptives, because both endogenous and exogenous estrogen stimulation can make fibroids develop, and it is not suitable to place intrauterine devices, which may easily lead to increased uterine bleeding. Other contraceptive methods can be used. (4) strengthen exercise, improve physical fitness, enhance immune function and disease resistance. ⑤ Balanced nutrition, reasonable diet, avoiding the recurrence of fibroids due to insufficient intake of trace elements and utilization obstacles. In addition, you can also go to the online home of hysteromyoma patients-99 hysteromyoma network to learn about hysteromyoma, ultrasonic ablation, women's health and other knowledge. There are professional doctors to consult and sisters in the same boat to communicate with.