Sheung Wan surgery

Sheung Wan is the most commonly used long-acting contraceptive measure for women of childbearing age in China. It is often more than ten years for a ring to be placed in the body. The ring itself is a minor operation. Putting a foreign body in the uterine cavity requires a process to adapt. The "ring" is known as the intrauterine device, abbreviated as IUD. It is placed in the uterine cavity of women of childbearing age, through the stimulation of mechanical stimulation and chemical substances to achieve the purpose of abortion contraception, does not inhibit ovulation, does not affect the female endocrine system, thus avoiding the adverse reactions of general drug contraception. After years of practice improvement, the current IUDs are mostly copper-containing or drug-containing devices. The scaffold materials are plastic, polyethylene, memory alloy, etc., and the shape is not single, there are round, T-shaped, V-shaped, Y shape and chain shape, etc. Different materials and different shapes of IUDs have their own characteristics, so they can be applied to women of different physiques and needs. Treatment of diseases: preoperative preparation To do gynecological examination before the ring, women also need to pay attention to not everyone can be on the ring, so it is best to do some checks before the ring. (1) Placed when menstruation is not clean. The menstrual cramps are placed on the 3rd - 5th day. There are three advantages in this period: First, the uterus is loose, easy to put in, and what to pay attention to before the ring, this is all to be noted. (2) Place the menstrual clean. Most women choose to ring at this time. (3) Release the ring immediately after delivery. At this time, the operation is simple and easy, and the contraceptive measures can be implemented in time, but it must be checked by the obstetrician before being placed. What should be paid attention to before the ring, this is also to be noted. (4) Placed 42 days after delivery. That is, at the same time as the health check at 42 days after delivery, the advantages of placement are as follows: First, the uterus is loose. Second, the uterus has returned to normal size and has not shrunk due to long feeding. The third is to timely implement contraceptive measures to facilitate women and avoid the occurrence of "dark tires". (5) What should be paid attention to before the ring, if the caesarean section is at the same time or the surgery is half a year, the situation is normal, and the ring can also be considered. (6) Release the ring immediately after artificial abortion or forceps surgery. The advantage is that the simultaneous implementation of contraceptive measures in one operation reduces the pain and facilitates women. It is also important to pay attention to what matters before the ring. (7) After spontaneous abortion or artificial abortion, the normal menstruation is restored after the curettage. (8) If the ring age of the previous placement is full and the ring is required to be changed, a new ring can be placed at the same time as the ring is taken. You can also put a new ring after the next menstrual clean. However, it must be remembered that during the month after the ring is taken, attention should be paid to contraception. In the matter of attention before the ring, this is all to be noted. Surgical procedure 1. Cut the stone, then disinfect the vulva and vagina according to the conventional method, and spread the sterile towel. 2. Before the upper ring, the relevant upper ring examination is also essential, mainly to check the size, position, inclination and attachment of the vagina and uterus. 3, use the vaginal speculum to dilate the vagina, expose the cervix, wipe the secretions of the cervix, disinfect the cervix and cervical canal with disinfectant. 4, the next step is what we can see in the whole process video of women's ring, which is to accurately measure the depth and width of the uterine cavity. Support the cervical pliers with the left hand, hold the uterus probe with the right hand, gently penetrate into the uterine cavity in the direction of the uterus and go straight to the bottom of the palace. Measure the depth of the uterine cavity and gently swing it to the sides to estimate the width of the uterine cavity. 5, the model of the device needs to be based on the size of the female uterine cavity to make a reasonable choice. 6. Finally, it is the main operation of the upper ring. This is also the most important part of the whole process of the upper ring. The specific method is to place the selected IUD on the placer (upper ring fork or upper ring clamp). The direction of the uterine cavity is gently sent into the uterine cavity to the bottom of the palace. When passing through the uterus, the placer is slightly flat, consistent with the longitudinal axis of the uterus, to prevent the IUD from twisting in the palace, and the IUD is placed at the end of the palace. , exit the placer.

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