Generally speaking, anesthesia is not recommended during uterine curettage. This is because during the uterine curettage operation, the doctor relies entirely on his feelings. If the operation is not performed properly at this time, it may cause great harm to the reproductive health of women. Therefore, when women undergo uterine curettage while awake, the feeling of pain is different, which can give doctors better hints, so as to avoid causing greater impact on women. It is not good to use anesthesia during curettage. One of the significant effects of anesthetics is pain relief. Secondly, the doctor cannot see what is inside during the curettage operation. He or she can only perform the operation based on clinical experience to judge whether the operation is thorough. If the operation is shallow, bleeding may occur due to incomplete scraping, which may result in a second curettage. If the scraping is too deep, it will inevitably cause trauma to the endometrium due to excessive scraping and damage the function of the uterus. A single curettage, especially multiple curettages, can lead to uterine cavity adhesion and cervical adhesion, which can cause infertility. The endometrium is the implantation layer of the fertilized egg, and the result of curettage is the destruction of this functional layer. Repeated curettage will lose the loose soil suitable for seed growth, making it more difficult to get pregnant. If anesthesia is used, the patient will not be able to express her pain correctly, so the doctor will not be able to judge the depth of the curettage. The depth of the uterine cleaning will not be reasonable, and the endometrium will generally not be damaged, but it will be painful. Therefore, it is not a good idea to use anesthesia during curettage. Contraindications of anesthetic for curettage 1. People who are allergic to anesthetics. 2. Patients with cardiac system, respiratory system, nervous system diseases, etc. Be cautious in choosing anesthesia. Chief among these are heart and respiratory problems. 3. Cardiac system such as myocardial infarction, arrhythmia, bigeminy, or trigeminy. 4. Breathing: patients with emphysema and cor pulmonale. During an asthma attack. 5. Mental system: during epileptic seizure period. Note: There are relatively few people who are contraindicated with anesthetics, but everyone's allergic constitution is different, so relevant examinations must be done before using anesthetics to avoid accidents. In addition, if only local infiltration anesthesia is used, it is also acceptable. |
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