流(liu)產(chan)(chan)手(shou)(shou)術(shu)包括藥(yao)物流(liu)產(chan)(chan)和手(shou)(shou)術(shu)流(liu)產(chan)(chan)，流(liu)產(chan)(chan)手(shou)(shou)術(shu)后多久來(lai)月(yue)經呢(ni)？這個時(shi)間不(bu)好說，因為流(liu)產(chan)(chan)的(de)程序不(bu)同(tong)，對人體的(de)傷(shang)害程度(du)也就不(bu)同(tong)，術(shu)后恢復(fu)月(yue)經的(de)時(shi)間也不(bu)相同(tong)，主要(yao)看患者的(de)情(qing)況(kuang)。
一般情況下，什么(me)人會(hui)選擇(ze)藥物流(liu)(liu)產呢？其實，藥物流(liu)(liu)產適用(yong)(yong)于妊(ren)娠(shen)小于49天、年齡小于40歲、確診為宮(gong)(gong)(gong)(gong)(gong)內(nei)妊(ren)娠(shen)、身體(ti)健康及不(bu)適合手(shou)(shou)術(shu)的(de)(de)(de)(de)女(nv)性(xing)。藥物流(liu)(liu)產就(jiu)是(shi)說(shuo)不(bu)用(yong)(yong)做手(shou)(shou)術(shu)，它對身體(ti)損(sun)害小，流(liu)(liu)產后并發癥少，身體(ti)恢復(fu)(fu)(fu)快。如果(guo)藥物流(liu)(liu)產順利的(de)(de)(de)(de)話(hua)，會(hui)在最(zui)后一次服(fu)藥的(de)(de)(de)(de)幾(ji)個(ge)(ge)小時(shi)(shi)之內(nei)排(pai)(pai)出(chu)孕(yun)囊和其它妊(ren)娠(shen)殘留物，同時(shi)(shi)可(ke)能(neng)還(huan)會(hui)有(you)7-10天的(de)(de)(de)(de)陰道出(chu)血以(yi)排(pai)(pai)出(chu)子(zi)宮(gong)(gong)(gong)(gong)(gong)蛻膜(mo)及積血，并伴有(you)輕(qing)微(wei)腹痛(tong)。如果(guo)是(shi)孕(yun)囊順利排(pai)(pai)出(chu)了，不(bu)過(guo)其它宮(gong)(gong)(gong)(gong)(gong)內(nei)妊(ren)娠(shen)殘留物沒有(you)一次性(xing)排(pai)(pai)出(chu)干凈(jing)，那么(me)很(hen)有(you)可(ke)能(neng)會(hui)引(yin)發持續(xu)的(de)(de)(de)(de)陰道出(chu)血，需要進行手(shou)(shou)術(shu)清宮(gong)(gong)(gong)(gong)(gong)治療。由此可(ke)見，藥物流(liu)(liu)產會(hui)對子(zi)宮(gong)(gong)(gong)(gong)(gong)內(nei)膜(mo)造成傷害。一般在流(liu)(liu)產后1個(ge)(ge)月(yue)復(fu)(fu)(fu)查B超，查看(kan)子(zi)宮(gong)(gong)(gong)(gong)(gong)恢復(fu)(fu)(fu)情況。實際上(shang)來(lai)說(shuo)，很(hen)多女(nv)性(xing)在1個(ge)(ge)月(yue)后，子(zi)宮(gong)(gong)(gong)(gong)(gong)能(neng)夠恢復(fu)(fu)(fu)正(zheng)常，月(yue)經也(ye)能(neng)順利到來(lai)。如果(guo)出(chu)現持續(xu)的(de)(de)(de)(de)出(chu)血7-10天，需要到醫院檢(jian)查，再安排(pai)(pai)清宮(gong)(gong)(gong)(gong)(gong)，那么(me)子(zi)宮(gong)(gong)(gong)(gong)(gong)恢復(fu)(fu)(fu)的(de)(de)(de)(de)時(shi)(shi)間會(hui)延長(chang)，月(yue)經也(ye)會(hui)推遲到來(lai)。所以(yi)說(shuo)，藥物流(liu)(liu)產后，一般最(zui)多2個(ge)(ge)月(yue)，月(yue)經就(jiu)能(neng)恢復(fu)(fu)(fu)了。
手術(shu)流(liu)產一(yi)(yi)(yi)般就是指清(qing)(qing)(qing)宮(gong)(gong)(gong)(gong)手術(shu)，它需要(yao)(yao)先用(yong)負壓吸引器將宮(gong)(gong)(gong)(gong)腔內(nei)胚胎組(zu)織吸出來，然(ran)后(hou)用(yong)刮匙在(zai)宮(gong)(gong)(gong)(gong)腔內(nei)刮取(qu)子(zi)宮(gong)(gong)(gong)(gong)內(nei)膜(mo)與(yu)子(zi)宮(gong)(gong)(gong)(gong)內(nei)容(rong)物。相對(dui)(dui)于藥物流(liu)產來說，清(qing)(qing)(qing)宮(gong)(gong)(gong)(gong)對(dui)(dui)女(nv)(nv)性的(de)(de)傷害(hai)可(ke)能要(yao)(yao)更大一(yi)(yi)(yi)些。首先，清(qing)(qing)(qing)宮(gong)(gong)(gong)(gong)會對(dui)(dui)女(nv)(nv)性身(shen)體造(zao)成(cheng)傷害(hai)。一(yi)(yi)(yi)方面(mian)是會造(zao)成(cheng)生(sheng)殖(zhi)系統疾病(bing)。清(qing)(qing)(qing)宮(gong)(gong)(gong)(gong)作(zuo)(zuo)為一(yi)(yi)(yi)種宮(gong)(gong)(gong)(gong)腔操作(zuo)(zuo)，可(ke)能會導(dao)(dao)致(zhi)(zhi)(zhi)(zhi)生(sheng)殖(zhi)系統感染，內(nei)分泌(mi)紊亂，月(yue)經(jing)(jing)失(shi)(shi)調，習慣性流(liu)產，降低(di)生(sheng)育能力或者導(dao)(dao)致(zhi)(zhi)(zhi)(zhi)不(bu)孕。另一(yi)(yi)(yi)方面(mian)，它還可(ke)能會造(zao)成(cheng)宮(gong)(gong)(gong)(gong)頸(jing)(jing)方面(mian)疾病(bing)，如(ru)果有(you)清(qing)(qing)(qing)宮(gong)(gong)(gong)(gong)不(bu)全容(rong)易導(dao)(dao)致(zhi)(zhi)(zhi)(zhi)宮(gong)(gong)(gong)(gong)頸(jing)(jing)宮(gong)(gong)(gong)(gong)腔粘連(lian)、子(zi)宮(gong)(gong)(gong)(gong)內(nei)膜(mo)異位癥、宮(gong)(gong)(gong)(gong)頸(jing)(jing)炎、盆腔炎或者是子(zi)宮(gong)(gong)(gong)(gong)穿(chuan)孔，嚴重(zhong)時會引起大出血(xue)甚至(zhi)危及(ji)生(sheng)命。其次，清(qing)(qing)(qing)宮(gong)(gong)(gong)(gong)手術(shu)對(dui)(dui)女(nv)(nv)性心理(li)(li)有(you)一(yi)(yi)(yi)定(ding)的(de)(de)傷害(hai)。作(zuo)(zuo)為生(sheng)育期的(de)(de)女(nv)(nv)性來說，流(liu)產是一(yi)(yi)(yi)次生(sheng)命的(de)(de)流(liu)失(shi)(shi)，會讓女(nv)(nv)性心理(li)(li)壓力增(zeng)大，產生(sheng)抑(yi)郁、焦躁等情(qing)緒，影響日(ri)常(chang)生(sheng)活，對(dui)(dui)之(zhi)后(hou)正常(chang)生(sheng)育也可(ke)能會造(zao)成(cheng)一(yi)(yi)(yi)定(ding)心理(li)(li)負擔。所(suo)以，從生(sheng)理(li)(li)上講(jiang)，子(zi)宮(gong)(gong)(gong)(gong)內(nei)膜(mo)的(de)(de)恢(hui)復(fu)需要(yao)(yao)1個月(yue)左右的(de)(de)時間(jian)，1個月(yue)之(zhi)后(hou)才能恢(hui)復(fu)月(yue)經(jing)(jing)。從心理(li)(li)上講(jiang)，可(ke)能導(dao)(dao)致(zhi)(zhi)(zhi)(zhi)女(nv)(nv)性情(qing)緒抑(yi)郁、煩(fan)躁，而導(dao)(dao)致(zhi)(zhi)(zhi)(zhi)內(nei)分泌(mi)紊亂，月(yue)經(jing)(jing)恢(hui)復(fu)的(de)(de)時間(jian)可(ke)能相應延長，不(bu)過呢，一(yi)(yi)(yi)般在(zai)術(shu)后(hou)2個月(yue)，女(nv)(nv)性通(tong)常(chang)都能夠(gou)恢(hui)復(fu)月(yue)經(jing)(jing)，然(ran)后(hou)正常(chang)地排卵。
另外，在人流手(shou)術后，建(jian)議患者加強休息，注意保養(yang)和衛(wei)生清(qing)潔，多補充營養(yang)物質。尤(you)其注意，在1個月(yue)內(nei)禁止(zhi)性生活，防止(zhi)生殖道逆行(xing)感染。如(ru)果持續月(yue)經(jing)不能(neng)恢復(fu)，還(huan)需要到醫院(yuan)再次(ci)檢(jian)查(cha)治療。
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