Many people will try to expand the use of the house after buying it, such as pouring cement to build a new balcony, separating two floors to build a loft, so that the whole house to make the best use of it. But if the fetus is living in the womb is expanded, more than a small room called “rest room”, you can not think that this is a little more space for children to kick so simple, it brings hidden dangers are endless.
1.Brainman’s small room
Some women who have undergone a cesarean section have a strange phenomenon when they get their periods: they have prolonged periods. They complain to the clinician that their periods, which were clean a week before the cesarean delivery, now take more than 10 or even 20 days to drip and drag. It was hard to get rid of them, but then it was time for their next cycle. They complained that they had been using pads and sanitary napkins for a long time and were very uncomfortable down there. When they came to the hospital for a checkup, they were suffering from vaginitis, and also when they had intercourse, a dark blood suddenly came out, which was really disturbing.
When the doctor heard this, he ordered her to go for a transvaginal ultrasound (a small amount of vaginal bleeding is possible with a cath lab). Once the cath results came out, the doctor found that there was a small diverticulum in the lower part of her uterus, where the original cesarean delivery was done. “Oh…” What immediately entered the doctor’s head was the disease “uterine scar diverticulum”.
So the question is, what does a uterine scar diverticulum look like? How do these annoying symptoms appear?
Imagine if you think of the endometrium as land and the diverticulum as a pit. When it rains the rain cannot flow along the surface, it accumulates in the pit and from time to time it diffuses a little, that’s the reason why you have long periods, long time dirty water slowly flows out, small bugs that like moisture proliferate and vaginitis follows. If you walk past an elephant, “boom” a foot shaking the earth, the water in the pit flowed out, is the reason why a blood suddenly comes out when you have sex.
Since menstrual blood accumulates in the diverticulum for a long time, the color becomes dark and dark, so the blood you see coming out of the vagina is not bright red. “It’s so annoying, so I’ll have another pregnancy and a cesarean section next time and let the doctor sew up my uterus so it won’t be like this, right?” You must not have such thoughts, this small room is not only a dirty environment, but also make your whole house will become a dangerous building it!
2, dangerous small room
There is a nursery rhyme that says: “a toad four legs, two eyes and a mouth”, if a toad has an extra leg, it becomes a deformed toad, and so is the human being. The structure of the human body is very delicate, from large organs to small cells, there is a reason for what it looks like and what function it has.
The myometrium is 2-62.5 px in early pregnancy and only 1-37.5 px in late pregnancy as the uterus increases in size. You may be shocked to learn that there are only a few mm! The thin layer cannot withstand the pressure of contractions during labor, so the uterus may break during childbirth, and some may not even last through the delivery period, so that not only the child’s life is not safe, but also the mother will have life-threatening hemorrhage. So this little room this’s not a stroke in a beautiful blueprint, but a time bomb!
The situation described above is scary, but if you are really pregnant, we can monitor the entire pregnancy closely, so it is not the scariest kind. What really makes doctors sign the hospital card right away is “uterine scar pregnancy”: the uterus is so big, but the fertilized egg chose a scar! Why would a fertilized egg go there? The doctors haven’t figured it out yet, but it’s hard on the mothers: the small room will not be able to accommodate the growing fetus, and there is always the risk of rupture and bleeding, so the baby can’t be wanted at all, but the bad thing is that even the abortion is still prone to hemorrhage.
Doctors sometimes try to use “uterine artery intervention embolization” to temporarily block the uterine blood flow to reduce bleeding during abortion, but the effect is not ideal; using drugs to kill the embryo often does not work, the embryo still stubbornly survives, which is a headache for pregnant women, doctors, dangerous disease.
This is the first time I’ve ever seen a woman with a scar, and I’m sure you’re thinking logically, so I’m sure you’ll have a question: “After so many years of cesarean section, the surgery should be very mature, how can this disease? “
3.The origin of the small room
If doctors can use a microscope every day to watch how the cells grow after the uterus is sewn up, it is estimated that they can know the reason why so many women suffer from uterine scar diverticulum. Now the presumed reasons are probably as follows.
1. The structure of the uterus: the incision location is usually close to or on the cervix, where there is less blood flow, which affects healing. And the different thickness of the cervix and the uterine body makes the incision prone to poor alignment.
2. infection factors: if infection occurs, it will affect the normal repair of the cesarean incision and diverticulum will be formed.
3. ectopic endometrial incision.
4. posteriorly inclined and retroflexed uterus.
5. related to the number of cesarean delivery: the more cesarean deliveries, the greater the possibility of diverticulum formation, and the cesarean delivery rate in our country is increasing year by year, the number of women with uterine scar diverticulum increases.
In fact, uterine scars actually do not only appear after a cesarean section, they can occur with any surgery that moves on the uterus and reaches the endometrial layer. Simply put, it is a complication, not a matter of “the surgeon was careless and missed a stitch”. With the improvement of medical testing and the emphasis on the body, more and more diseases are being discovered, and this is also considered the reason for the increased incidence of scar diverticula.
4.Dangerous rooms should be finished
As soon as China opened the “separate second child” policy, many young mothers jumped at the chance. If you have had a cesarean section and have a prolonged period afterwards, we recommend that you go to the hospital for an ultrasound to see if there is a small room in your uterus. Once the small chamber is found and it is very disruptive to your life, there are ways for your doctor to treat it.
There are two types of treatment for uterine scar diverticulum: oral contraceptives and surgery. Oral contraceptives provide temporary relief, but have a high recurrence rate. Some statistics show that the remission rate of oral contraceptives is about 94%, but the recurrence rate is as high as 69% after stopping the pill. The goal of surgical treatment is to remove the scarred diverticulum and repair the uterus. Especially for women who still have the requirement to have children, surgical treatment brings more benefits than medication alone, as the former can effectively avoid the risk of possible future fertility.
So, how does surgery work? Simply put, it involves cutting out your scar either vaginally or via the transabdominal route and re-suturing the uterus. A hysteroscope is used before and after the procedure to see how the scar diverticulum is and how well it is repaired. You may ask, how long does the procedure take? 1-1.5 hours is the usual procedure time, but when preparation, anesthesia and awakening are included, the time cannot be predicted.
It is worth noting that this type of surgery, like a cesarean section, requires strict contraception for more than a year after surgery to give the uterus time to recover. In short, more vigilance, less risk. It is never wrong to take care of your body.