Can the diverticulum of uterine incision go up?

summary

At present, many women choose cesarean section after pregnancy in order to avoid the pain of uterine contraction, but they do not understand that there are many complications after cesarean section. So when pregnant women give birth, the doctor will advise women to choose the way of natural birth. Some women after cesarean section will leave uterine incision diverticulum, seriously affecting women's health, so, can uterine incision diverticulum ring?

Can the diverticulum of uterine incision go up?

If there is only diverticulum indicated by B-ultrasound, but there is no clinical symptoms, and there is no further birth planning, it can not be treated and rechecked regularly; If there is irregular bleeding, or there is a plan to get pregnant again, the scar diverticulum of cesarean section incision during pregnancy will become thinner, increase the risk of uterine rupture and bleeding during pregnancy, which belongs to high-risk pregnancy, so this kind of patients should be operated again. It can be repaired by laparoscopic surgery or vaginal surgery. The principle is to suture the weak tissue again. One year after operation, the pregnancy can be repeated.

Because of the poor matching during cesarean section, the endometrium is brought into the incision. After the formation of incision diverticulum, the diverticulum endometrium also shows periodic exfoliation and bleeding. The diverticulum is connected with the normal uterine cavity, and the bleeding needs to be discharged through the uterine cavity. However, due to the small channel between the two, the withdrawal bleeding can not be discharged smoothly, so it is often manifested as endless vaginal bleeding in late menstruation or a little vaginal bleeding in mid menstruation.

According to the size of diverticulum, the amount of bleeding and previous examination experience, diverticulum can be divided into three types: light, medium and heavy: ① light: there is a gap like defect in the scar of lower uterine segment, the serous layer is continuous, there is a thin layer of muscle wall and endometrium, and the gap is connected with the uterine cavity. Diverticulum appeared and disappeared in the examination, with little or no bleeding. ② Severe: the endometrium, myometrium and serosa were herniated and protruded outward to form a large diverticulum. Blood like echo can be seen in the diverticulum during uterine contraction. The blood clot in diverticulum can be seen, which can bleed for a long time. ③ Medium: between light and heavy.

matters needing attention

Pregnant women must go to the regular hospital, follow the doctor's advice, do not blindly choose cesarean section, so as to avoid the situation of uterine incision diverticulum after cesarean section, which will not only affect women's health, but also affect women's pregnancy again. If you have to do a caesarean section, you must do a good job of reexamination after the operation, and do a good job of examination before you get pregnant again.