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pelvic inflammatory disease refers to women on reproductive tract and surrounding tissue inflammation, may be confined to one area would also have involved several sites, the most common is salpingitis, tubal oophoritis. Pelvic inflammatory disease mostly occurs in sexually active, menstruating women before menarche, after menopause or unmarried rare pelvic inflammatory disease. Three types of clinical manifestations of pelvic inflammatory disease 1.Acute pelvic inflammatory disease: Acute pelvic inflammatory disease refers to the female genitalia and the surrounding connective tissue within the pelvic peritoneum occurred in acute inflammation. Typical symptoms are fever, abdominal pain, refused to press, vaginal discharge quantity, was purulent. Can be associated with fatigue, back pain, menstrual disorders. Severe cases as can be seen high fever, chills, headache, loss of appetite.If peritonitis is nausea, vomiting, abdominal distension and other gastrointestinal symptoms. If abscess formation may occur in front of the bladder symptoms including urinary frequency, urgency, dysuria; in the rectum to stimulate only after symptoms appear, such as tenesmus, anal bulge, such as diarrhea and constipation. 2. Chronic pelvic inflammatory disease: chronic pelvic inflammatory disease refers to the female genitalia within and around the connective tissue, chronic inflammation of the pelvic peritoneum. The main clinical manifestations of menstrual disorders, vaginal discharge increased, waist pain and infertility, such as inflammation has become chronic attachment may palpable mass. Systemic symptoms were not obvious, and sometimes have fever, fatigue susceptibility. Longer duration, some patients have symptoms of neurasthenia. 3. Tuberculous pelvic inflammatory disease: female genital inflammation caused by the Mycobacterium tuberculosis known as genital tuberculosis, also known as tuberculous pelvic inflammatory disease. Clinical manifestations of genital tuberculosis is very inconsistent, and many patients can be asymptomatic, some patients are more severe symptoms. Early due to congestion and endometrial ulcer, menorrhagia can occur. Late endometrial varying degrees of damage, and performance for the period of scarce or amenorrhea. Because pelvic inflammatory disease and adhesions, may have varying degrees of lower abdominal pain fall, menstrual increase.If the activity, and may have general symptoms of TB such as fever, night sweats, fatigue, loss of appetite, weight loss, fever and sometimes only a menstrual period. Tube stiffness, creep limited, the loss of their functions, we can not conceive, so vast majority of infertility patients. Prevention of pelvic inflammatory disease Points 1. To eliminate a variety of infection routes, to keep the perineum clean, dry, clean the vulva with water every night, so that special hand basin, wash the vagina must not hand dig within, not in hot water, soap and other washing vulva. not wearing tight, synthetic underwear texture. 2. Menstrual period, and after abortion, the IUD after gynecological surgery such as vaginal bleeding, we must prohibit sex life, prohibition of swimming, bath, wash sauna to Changing sanitary napkins, so when the body defenses are weakened, pathogens easy to take advantage of infiltration, causing infection. 3. Fever, general sweating when fever patients more, to keep warm, keep the body dry, after sweating to change underwear, avoid blowing air convection or wind blowing straight. 4. Diet nursing, to strengthen nutrition. don't eat grilled oily, spicy things. Lower abdomen, cold fear, lumbar pain who are cold coagulation Qi stagnation, in the diet can be given to ginger, brown water, Gui-yuan hot foods such as meat. Five upset hot, low back pain are mostly yin, can love and care of meat products eggs, flesh and blood to nourish strong. 5. Good contraception to minimize the trauma of abortion. Strict aseptic surgery; avoid invasive pathogens. The treatment of pelvic inflammatory disease 1. psychological treatment. General treatment of patients thought to lift concerns, and enhance the confidence of the treatment, nutrition, exercise, attention to work and rest, increase body resistance. 2. traditional Chinese medicine. Damp-heat mostly with chronic pelvic inflammatory disease, treatment Zeyi clearing away heat. Traditional main prescriptions with: Salvia 18g, Radix 15g, woody 12g, peach kernel 9g, honeysuckle 30g, dandelion 30g, Poria 12g, paeonol 9g, habitat 9g. Pain when weight increases Corydalis 9g.Some patients Cold Coagulation Qi stagnation, government was warm the cold-dispelling. Cinnamon Twig and Poria Decoction used. Deficiency were added Codonopsis 15g, Atractylodes 9g, Astragalus 15g. 3. Physical therapy. Warm benign pelvic stimulation can promote blood circulation. To improve the nutritional status of the organization, improve metabolism to facilitate absorption and inflammation subsided. Commonly used with short wave, FM, iontophoresis (may include various drugs such as penicillin, streptomycin, etc.), wax treatment and so on. 4. other drug treatment. The use of anti-inflammatory drugs, they can also use α-chymotrypsin 5mg or hyaluronidase 1500U, intramuscular injection every other day 1, 5 to 10 times as a course in order to facilitate the absorption of adhesion and inflammation. Individual patient allergies should be local or systemic drug withdrawal. In some cases, application of antibiotics and dexamethasone at the same time, oral dexamethasone 0.75mg, 3 times a day, stopping when the attention is gradually reducing. 5. surgery. Have mass, such as hydrosalpinx or tubal surgery ovarian cyst feasible; presence of foci of small, repeated inflammation caused by surgical treatment should preferably be made of. The principle of operation to completely heal and avoid further recurrence of the lesion left behind the opportunity, unilateral oophorectomy or hysterectomy surgery and bilateral oophorectomy patients.Young women should be kept on ovarian function. Chronic pelvic inflammatory disease monotherapy less effective, integrated treatment is appropriate. 2010-08-16
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