Chronic pelvic inflammatory disease
The chronic pelvic inflammatory disease mostly following sends in the acute pelvic inflammatory disease, because the treatment is not thorough, the condition procrastinates sends. Or the patient physique is bad, the disease germ toxicity is weak, initially is chronic, is gynecology department common disease. The clinical common type includes: The chronic salpingitis and the oviduct water, the tubo-ovaritis and the oviduct ovarian cysts, the pelvic cavity knot contract the organization inflammation. This sickness condition is stubborn, is not easy to cure thoroughly,
The easy ute attack, the serious influence woman’s physical and moral integrity, to create the great agony repeatedly to the patient. This sickness sees here and there in the traditional Chinese medicine “infirmity xia”, · morbid leucorrhoea, sickness”, “the painful menstruation”, “sterility” and so on diseases.
[clinical manifestation]
The main performance falls the bulge for the underbelly, the ache and the waist is sore, after tired, around sexual intercourse, and the menstruation aggravates. The leucorrhea quantity are many, menstruation being out of balance, or sterile. The partner is low-spirited, whole body asthenia, weary, low heat, losing sleep and so on.
[diagnosis]
1. model clinical manifestation.
2. gynecological examination: Womb Chang Chenghou the position, moves is limited or adheres fixedly, the tenderness. When salpingitis may touch nearby the palace body to strip funicular, has the tenderness. Governs the oviduct water or the oviduct ovarian cysts, may touch the cystic goitre in the pelvic cavity, the activity receives limits, tenderness. When the pelvic cavity knot contracts the organization inflammation, then womb one side or the both sides have the laminated accumulation, the tenderness, the womb sacrum ligament increases thickly, changes
Hard, tenderness.
3rd, ultrasound: The both sides appendix broadens, the accumulation, or has the inflammatory goitre.
4. in palace oviduct iodine oil radiography: Demonstrated that the oviduct part or blocks completely.
According to 1, 2 two items, adds 3, 4 item of an item, then diagnoses the chronic pelvic inflammatory disease.
5. differential diagnosis
(1) endometriosis sickness: The main performance is following sends the gradual painful menstruation, accompanies menstruation being out of balance or sterile. If after lying in the palace behind, the womb sacrum ligament, falls the depression to have touches a sore spot the tubercle, then diagnoses. In addition, chronic pelvic inflammatory disease long treatment invalid, should consider that has the internal membrane dystopia sickness possibility.
(2) pelvic cavity extravasated blood syndrome: The performance falls the pain for the waist sacrum department ache and the lower abdomen, to lower limb emission, long station and tired postemphasis. The inspection cervix of the uterus assumes the indigo blue, but womb and appendix not different. Often, symptom and symptom not symbol. May diagnose through the pelvic cavity vein radiography.
(3) tumor ovarii: The ovary malignant tumor may also display for a pelvic cavity package of block, adheres with the surroundings. Does not move, has the tenderness, confuses with inflammatory Bao Kuaiyi. But its common healthy situation is bad, the condition development is rapid, the ache is an endurance, has nothing to do with the menstrual cycle. the ultrasound inspection is helpful to the diagnosis.
[treatment]
west 1. medical attention
(1) physical therapy: Like the shortwave, the ultrashort wave, infrared, the medicine ion passes the human and so on, promotes the pelvic cavity blood circulation, is advantageous in the inflammation absorption.
(2) pharmacological treatment: Is heavy regarding the hypogastralgia and gynecological examination pelvic cavity inflammation obvious, practical writing spectrum antibiotic like penicillin class, cephalosporin class, coordinate metronidazole, After Jingjing the static drop, the lO day is a treatment course, treats 2-3 treatment courses continuously.
(3) surgery treatment: The serious oviduct water or the oviduct ovarian cysts after govern invalid, the feasible surgery treats.
2. Chinese medicine treatment
(1) hot and damp silt knot: One side or the both sides lower abdomen ache resists to press, waist shinbone painfully swollen, morbid leucorrhoea quantity multicolor yellow, nature thick smelly filthy, the volume of menstrual flow are many, the low heat fluctuation, urinates Huang Pianjian, the tongue substance is red, liver moss yellow greasy, arteries slippery number.
Governs the law: The refrigeration advantage is wet, removes extravasated blood to relieve congestion.
Fang Yao: Honey suckle, weeping forsythia, herbaceous peony, peony tree bark, red rattan, patrinia scabiosaefolia grass each 15 grams, sparganium stoloniferum, e technique, Achyranthes Bidentata each 10 grams.
Traditional Chinese medicine: Golden rooster powder.
(2) cold-damp silt knot: Lower abdomen and waist shinbone crymodynia, warm, then reduces, the silk thread business or the tired postemphasis, the morbid leucorrhoea clear thin quantity are many, does not have the stink, the menstruation later period, has the blood clot, the fear cold extremity is cold, the tongue substance pale or has the silt spot, the liver moss white greasy, the weak pulse is late.
Governs the law: Passes through warm dissipates cold which has penetrated the body, melts dispels phlegm wet.
Fang Yao: Cassia twigs, Poris cocos, peony tree bark, Italian seed of job’s tears, salvia miltiorrhiza each 15 grams, sparganium stoloniferum, e technique, peach kernel each 10 grams, evodia 6 grams.
Traditional Chinese medicine: Lower abdomen by silt pill.
(3) stagnation of flow of vital energy blood silt: The lower abdomen painfully swollen, the waist shinbone is sore, morbid leucorrhoea quantity many or few, the color white matter mounts, the premenstrual young bulge, the chest coerces the painfully swollen, the menstruation color is dark, has the blood clot, the tongue substance dark red or side has the ecchymosis silt spot, the liver moss thinly white, arteries string or astringent.
Governs the law: The sparse liver regulates the flow of vital energy, removes extravasated blood to stop pain.
Fang Yao: The vinegar bupleurum chinensis, attaches fragrant, is dried, gives a dose of medicine each 10 grams, the herbaceous peony, the peony tree bark, the root of herbaceous peony, Bai Zhu each 15 grams, roasts the licorice 6 grams.
Traditional Chinese medicine: Blood government office by silt pill. outside (3) governs the law: Retention sausage: The cassia twigs, the monkshood, the leech, suppose the medicine, Kelp each 10 grams, the sparganium stoloniferum, e technique, herbaceous peony, peony tree bark, betel nut, patrinia scabiosaefolia grass each 15 grams. Fries lOOml thickly, every night 1 retention sausage, the menstrual period stops using. The hot and damp silt ties the card to be forbid.
[prevention and recuperation]
1. maintains the vulva is clean.
2. the acute pelvic inflammatory disease treats suitably thorough.
3. increases the nutrition, exercises the body, enhances organism
Apr
09
By: Gelais
In: pelvic inflammation | Permalink
