A comprehensive analysis of the symptoms and treatment of pelvic inflammatory disease, worth reading

Pelvic inflammatory disease is a common gynecological disease in women, which is usually related to postpartum infection, menstrual hygiene and other factors. If this disease is not treated in time, it will have a great impact on the health of patients. So what are the specific symptoms and treatments of pelvic inflammatory disease?

Symptoms of pelvic inflammatory disease

1. Acute pelvic inflammatory disease

The onset is acute and the condition is severe, with symptoms including lower abdominal pain, fever, chills, headache, and loss of appetite. During the examination, the patient was found to be in an acute condition with a high temperature, a rapid heart rate, and muscle tension, tenderness, and rebound pain in the lower abdomen. Pelvic examination: There is a large amount of purulent secretions in the vagina, obvious tenderness in the vault, tenderness and rebound pain in the uterus and bilateral adnexa, or thickening of one side of the adnexa. The symptoms of chronic pelvic inflammatory disease are: slow onset and long course. Systemic symptoms are mostly not obvious, but may include low fever, fatigue, lower abdominal pain, etc. During examination, it is found that the uterus is often posterior, with limited movement, or adhesions and fixation.

2. Chronic pelvic inflammatory disease

Systemic symptoms include occasional low-grade fever and fatigue. Some patients develop symptoms of neurasthenia due to the long course of the disease, such as insomnia, lack of energy, and general discomfort. Lower abdominal distension, pain, and lumbar pain are often aggravated after fatigue, sexual intercourse, and before and after menstruation. Chronic inflammation can cause pelvic congestion and menorrhagia, menstrual disorders when ovarian function is damaged, and infertility when fallopian tube adhesions and blockages occur.

How is pelvic inflammatory disease treated?

1. Psychological treatment

General treatment relieves patients' mental concerns, enhances their confidence in treatment, increases nutrition, exercises the body, pays attention to the combination of work and rest, and improves the body's resistance.

2. Physical therapy

The benign stimulation of warmth can promote local blood circulation in the pelvic cavity. Improve the nutritional status of tissues and enhance metabolism to facilitate the absorption and disappearance of inflammation. Commonly used ones are shortwave, ultrashort wave, iontophoresis (various drugs such as penicillin, streptomycin, etc. can be added), wax therapy, etc.

3. Drug treatment

1. Acute pelvic inflammatory disease

(1) Antibiotics should be used in combination, and it is best to select drugs based on bacterial culture and drug sensitivity tests.

(2) Nutritional support: Provide adequate nutrition and fluid intake to correct electrolyte imbalance and acid-base imbalance.

2. Chronic pelvic inflammatory disease

(1) Drug treatment: While using antibiotics, 5 mg of α-chymotrypsin or 1500 units of hyaluronic acid can be injected intramuscularly once every other day, with 5 to 10 times as a course of treatment. Antibiotics and prednisone can also be used at the same time, and the dosage should be gradually reduced after discontinuation of the medication.

(2) Surgical treatment is suitable for patients with lumps such as hydrosalpinx or tubo-ovarian cysts; surgical treatment is also suitable for patients with small infection foci and repeated inflammation. The principle of surgery is complete cure to avoid recurrence of residual lesions. Unilateral oophorectomy or radical hysterectomy plus bilateral oophorectomy is performed. For young women, ovarian function should be preserved as much as possible. The effect of single therapy for chronic pelvic inflammatory disease is poor, and comprehensive treatment is appropriate.