Advantages and disadvantages of rectal medication in gynecology

Advantages and disadvantages of rectal medication in gynecology

Many diseases will encounter certain obstacles during the treatment process. At this time, the doctor will appropriately change the treatment method according to the patient's condition, just like women with pelvic effusion will worry about the impact on childbirth, and then try various methods to treat the disease. Rectal medication is the most direct treatment method. The following is a detailed introduction to the advantages and disadvantages of gynecological rectal medication. What are they?

Pelvic effusion is the presence of inflammatory exudate in the pelvis, which may occur after pelvic inflammatory disease, adnexitis or endometriosis (pathological). Pathological gynecological pelvic effusion is mostly caused by pelvic inflammatory disease, adnexitis or endometriosis.

The causes of pelvic inflammatory disease and adnexitis are often related to the patient's bad hygiene habits, such as having sexual intercourse during menstruation, within one month after childbirth, taking a bath within one month after gynecological surgery, etc. Medical-induced infection caused by improper disinfection during artificial abortion and induced labor can also cause pelvic effusion. If there are chronic infection lesions, it may be caused by inflammation of the gynecological system such as the ovaries and fallopian tubes in the pelvic cavity, causing pelvic effusion. It may also be caused by tuberculosis or tumors. In a few cases, it is caused by ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cyst, and ovarian cancer.

Rectal medication was first used in my country to treat chronic pelvic inflammatory disease. Records of rectal medication can be found as early as the Han Dynasty and it is now widely used in clinical practice. The length of an adult's rectum is 15-20 cm, and the blood circulation is very rich. Although the rectum does not actively absorb blood like the small intestine,

drugs, but can absorb drugs by passive diffusion.

Advantages of rectal medication for pelvic effusion:

1. It does not pass through the upper digestive tract, thus avoiding the effects of gastric acid and enzymes on the drug, and also avoiding irritation to the gastrointestinal tract;

2. 50% of the drugs avoid the liver, the first effect, reducing the side effects on the liver;

3. Some drugs reach the pelvic cavity directly, making the drug concentration in the affected area high and the effect strong. The bioavailability of rectal drugs is higher than that of oral drugs. The effect of the same dose of drug administered rectally is greater than that of oral drugs. According to research, Chinese medicine enema is absorbed faster and shows faster results than pills, tablets, suppositories, and decoctions, reaches a higher peak concentration, and has a shorter peak time.

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