How to detect pelvic tuberculosis

How to detect pelvic tuberculosis

Pelvic tuberculosis is very harmful to women's health. It is necessary to go to the hospital for examination in time. There are many ways to examine, such as laparoscopy, pathological biopsy, B-ultrasound, etc. Only through a good examination and diagnosis can regular treatment be carried out to avoid greater harm to physical health. In addition to good treatment, you should also pay attention to a good attitude and emphasize self-cultivation.

Pelvic tuberculosis is often accompanied by fallopian tube tuberculosis and can be divided into two types. One is wet peritonitis, which is mainly characterized by exudation. There are countless gray-yellow nodules of varying sizes scattered on the peritoneum. The exudate is a serous straw-yellow clear liquid that accumulates in the pelvic cavity. Sometimes, due to adhesion, multiple encapsulated cysts may form, which needs to be differentiated from ovarian tumors. The second is dry peritonitis, which is mainly characterized by adhesions, also known as adhesive peritonitis. It is characterized by thickening of the peritoneum and tight adhesions with adjacent organs. The adhesion lumps often undergo caseous necrosis and are prone to fistula formation.

After the endometrium is infected by tuberculosis, the initial symptoms include excessive menstrual bleeding or spotting due to inflammation, congestion or ulcers of the endometrium. If not diagnosed and treated in time, the disease can progress further, destroying most of the endometrium, causing menstruation to become sparse. Finally, the endometrium is completely destroyed and replaced by scar tissue, at which point menstruation stops. Patients with pelvic tuberculosis may have common systemic symptoms of tuberculosis, such as low-grade fever, night sweats, weight loss, weakness, etc., or they may not have any symptoms at all.

The disease is often secondary to pulmonary tuberculosis. In the genitals, the fallopian tubes are the first to be infected, followed by the endometrium and pelvic peritoneum. Ovarian and cervical tuberculosis are less common.

Patients with primary infertility, oligomenorrhea or amenorrhea, chronic pelvic inflammatory disease that cannot be cured, and a history of pulmonary tuberculosis and intestinal tuberculosis may suffer from this disease and can ask a doctor to take a sample of the endometrium for pathological examination. If the diagnosis is confirmed, the patient should receive regular treatment in the hospital. The way to prevent pelvic tuberculosis is to strengthen exercise, improve physical fitness, do a good job of BCG vaccination, and actively prevent and treat pulmonary tuberculosis, lymph node tuberculosis and intestinal tuberculosis.

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