The pelvic inflammatory disease of diagnosis and treatment.

The pathogens causing pelvic inflammatory disease are staphylococcus, Escherichia coli, streptococci, anaerobic bacteria and sexually transmitted pathogens including gonococcus, herpes simplex virus, Chlamydia trachomatis and Mycoplasma. The main routes of infection are: menstrual circulation, spread over the lymphatic system, spread down the genital mucosa and direct spread after infection of adjacent organs. It is a common disease that split up into acute and chronic disease.

1. acute pelvic inflammatory disease: previous acute infection, lower abdominal pain, muscle tension, tenderness and rebound tenderness, associated with rapid pulse rate, fever, a large amount of purulent secretions in the vagina. Severe illness will surely have high fever, headache, chills, loss in appetite, a lot of yellow leucorrhea with smell, abdominal pain, tenderness, waist pain, etc.; there are nausea, bloating, vomiting, diarrhea when patients have peritonitis; when we have abscess formation in pelvic, you will find lower abdomen mass and local compression stimulation symptoms, the mass might be as you're watching dysuria, frequent urination, dysuria, etc.; the mass located within the posterior might cause diarrhea, urgency, and difficulty in defecation.

2. Chronic pelvic inflammatory disease: systemic symptoms are now and again low fever, susceptible fatigue, some patients have neurasthenia symptoms on account of long lifetime of disease, for example insomnia, insufficient energy, general discomfort. Lower abdomen bulge, pain and soreness in the lumbosacral region, it often worse after overworked, intercourse, and pre and post menstruation. Due to chronic inflammation, pelvic congestion, menorrhagia, ovarian dysfunction, menstrual disorders, tubal adhesions that might cause infertility. Acute inflammation may cause serious consequences such as diffuse peritonitis, sepsis as well as septic shock; chronic inflammation is caused by repeated treatment and recurrent attacks, which affects women's normal work and life and both mental and physical health.

The diagnosing pelvic inflammation disease:

1. acute pelvic inflammatory disease: gynecological examination – vaginal congestion, sputum tenderness, uterine congestion, edema, tenderness. The palace is slightly enlarged, with tenderness and limited activity. The attachments on both sides are tender, can touch the mass or thicken, where you can fluctuating feeling if the mass is formed.

2. chronic pelvic inflammatory disease: gynecological examination – the uterus is often within the posterior position, the adventure is restricted or adhesion fixation. The attachment can be seen inside the following cases: salpingitis; hydrosalpinx or fallopian tube ovarian cyst; pelvic pedicle tissue inflammation.

The treatment of pelvic inflammation disease:

The main treating pelvic inflammatory disease are: rest during sex, supplement nutrition, mainly antibiotics (including: broad-spectrum antibiotics and anti-anaerobic drugs), sometimes Chinese medicine treatment may also work, in severe cases, such as: pelvic abscess, patients need surgery.

Acute pelvic inflammatory disease can usually be treated with general supportive therapy, antibiotic therapy, external use and surgery. Chronic pelvic inflammatory disease may be treatable with general treatment (Fuyan pill), therapy, external medicine and surgery.

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