I. Routine postoperative observation and treatment after ultrasound ablation treatment.
(a) After treatment, you must lie prone for no less than 45 minutes because the uterine fibroids after ablation are slow to dissipate heat and 2-3 times bladder cooling.
(b) After completion of bladder perfusion, the bladder is emptied and the urinary catheter is immediately removed. Observe the number of urination, the volume of each urination, the nature of urine and related symptoms within 8 hours for any urinary bleeding, infection and urinary retention.
(iii) Observe vital signs for 2 hours after treatment. Individual patients with post-treatment pain may be given sedation once again.
(iv) Routine oral antibiotics for 3 days, ornidazole and roxithromycin; for pain relief and swelling can be given for one week Fotarine.
(v) Observe abdominal signs: presence of abdominal pain, abdominal distension and local pressure, rebound pain and bowel sounds to determine the possibility of acute abdomen.
(6) Diet: After 2 hours of treatment, you can start to eat liquid, within 24 hours you can eat liquid, after 24 hours, no abdominal pain, bloating, local pressure pain, fever and loss of appetite can enter semi-liquid diet, after 48 hours, no abdominal pain, bloating, local pressure pain, fever and loss of appetite can resume normal diet.
(vii) Observe the perineum and lower extremities for pain, sensory and motor disorders.
(viii) Observe the presence or absence of vaginal discharge, as well as the nature and presence of bleeding. The increase of vaginal discharge, sometimes bloody, or even the exclusion of some ablated fibroids, may occur for a short period of time after treatment of submucosal fibroids, which is a normal reaction.
(ix) Keep the vulva clean and change sanitary napkins or pads regularly.
II. Daily care after ultrasound ablation treatment.
(i) Within 3 weeks after treatment, when sleeping or resting in bed, encourage more changes in position to prevent sterile inflammation to local nerves for a long time and prevent the production of adhesions.
(b) Do not sit or stand for a long time, avoid lifting heavy objects over 3 kg, and avoid yoga and other exercises to increase abdominal pressure for 6-8 weeks after surgery.
(c) After resuming normal diet, you can take rectified intestine or yogurt to promote the function of the gastrointestinal tract.
(d) Pay attention to the intake of high protein, high iron and high fiber foods, such as vegetables and fruits, fish soup, bone soup, vegetable porridge, etc., and ensure a daily water intake of 2000-3000 cc to prevent constipation. Stimulating foods should be eaten as little as possible. Usually avoid raw and cold, do not overexert yourself.
(E) mood, do not sulk, do not have a psychological burden, divert attention, try not to always worry about their condition! Good mood, for the recovery of the body is a great help!
(F) Regular review ultrasound: 3, 6, 12 months, 2 years after surgery.
(iii) Reproductive contraception program.
(i) Pregnancy planning: The complications of pregnancy and the long-term effects of fetus after ultrasound ablation are unknown.
(ii) Contraception: Sexual intercourse is prohibited after treatment and can be resumed after one menstrual cycle.
Suggested contraceptive options.
1. Instrumental contraception: condom.
2. oral contraceptives: use new generation contraceptives containing low doses of estrogen and progestin: mafron, minting even, etc.
3. intrauterine device (IUD): the IUD can be placed two months after the return of normal menstruation, but at the earliest, it should not be less than three menstrual cycles.
The ultrasound used for ultrasound ablation is the same as the ultrasound used in the hospital for examination, which is harmless to the human body. It is a kind of ultrasonic mechanical wave and there is no radiation. Ultrasound ablation treatment causes minimal disturbance to the pelvis and creates a good internal space for patients with fertility plans. You can usually live a normal life 2-3 days after the procedure. Complications are less and recovery time is shorter compared to other traditional procedures.