Diagnosis and treatment of female pelvic inflammatory disease

Female genital within (such as the uterus, fallopian tubes and ovaries, pelvic peritoneum) and the surrounding connective tissue, peritoneal pelvic inflammation, known as pelvic inflammatory disease. Cause pelvic inflammatory disease pathogens as Staphylococcus aureus, Escherichia coli, Streptococcus, anaerobic bacteria and sexually transmitted pathogens such as gonococcus, herpes virus, such as Mycoplasma and Chlamydia trachomatis. Main mode of transmission: blood circulation transmission, the spread of the lymphatic system, genital mucosa upstream along the adjacent organs and the spread of the infection spread directly. It is the most common gynecologic, inflammation can be confined to one site, but also several positions at the same time the incidence. Two sub-acute and chronic. ① acute pelvic inflammatory disease: a history of acute infection, abdominal pain, muscle tension, tenderness and anti-Tao Tong, accompanied by rapid heart rate, fever, a large number of purulent vaginal secretions. Serious condition have high fever, headache, chills, loss of appetite, a large number of yellow Leucorrhea odorant, lower abdomen pain, tenderness, waist pain, etc.; peritonitis, nausea, abdominal distention, nausea, vomiting, diarrhea, etc.; abscess formation, abdominal mass and can stimulate the local symptoms of oppression, mass at the front have dysuria, frequency, Niaotong; in before the mass of diarrhea, flu and defecation Lijihouchong difficulties. ② chronic pelvic inflammatory disease: systemic symptoms are sometimes low heat, susceptible fatigue, some patients because of a long course and symptoms of neurasthenia, such as insomnia, sleepiness,周身discomfort. Zhuichan lower abdominal pain and lumbosacral pain, often tired, after sexual intercourse, aggravated after menstruation. As a result of chronic pelvic bleeding, menorrhagia, ovarian dysfunction when there menstrual disorders, obstructive tubal adhesions will lead to infertility. Acute inflammation can cause diffuse peritonitis, sepsis and septic shock, and other serious consequences; Jiuchibuyu chronic inflammation due to repeated attacks, which will affect their normal work and life of women as well as physical and mental health. Diagnosis: ① acute pelvic inflammatory disease: gynaecological examinations ─ ─ vaginal congestion and posterior fornix tenderness Obviously, uterine congestion, edema, tenderness obvious. Palace increased a little, tenderness, activities restricted. Annex both sides tenderness, lumps or thickening can be touched, mass formation of a sense of volatility. ② chronic pelvic inflammatory disease: gynaecological examinations ─ ─常呈posterior uterine activity restricted or adhesion fixed. Annex that the following situations: Salpingitis; Hydrosalpinx ovarian cyst or tubal; based organizations pelvic node inflammation. Treatment: Treatment of pelvic inflammatory disease are: bed rest, nutritional supplements, mainly antibiotics (including: broad-spectrum antibiotics and anti-drug anaerobes), and sometimes medicine can be effective treatment, serious, such as: pelvic abscess, needs surgery. Acute pelvic inflammatory disease can be generally supportive therapy, antibiotics treatment, medication and surgical treatment of chronic pelvic inflammatory disease can be general treatment, physical therapy, medication and surgery. Prevention: Acute pelvic inflammatory disease: ① attention menstruation, pregnancy, childbirth and postpartum health, the prevention of infection. ② for gynecological surgery preoperative preparation. Pay attention to maintaining genital clean, avoid sexual intercourse for the first three days; attention after genital, vaginal clean, wash with hot water Qin genital, perineal pad and the timely replacement of underwear, 2 to 3 weeks prohibit sexual intercourse. ③ completely cured of acute pelvic inflammatory disease, and to prevent chronic. Chronic pelvic inflammatory disease: the importance of personal hygiene and increase nutrition, physical activity, enhance physical fitness, attention Laoyijiege and improve body resistance, timely and complete treatment of acute pelvic inflammatory disease.