Feminine in reproductive organ and the periphery knot contract when the organization, the pelvic cavity peritoneum has the inflammation, is called the pelvic inflammatory disease; May divide into the acute pelvic inflammatory disease and the chronic pelvic inflammatory disease two kinds. · Acute pelvic inflammatory disease
Bacteria and so on staphylococcus, chain coccus, backwoods coli the lacerated wound which and placenta’s peeling surface taking advantage of the childbirth, the miscarriage creates, menstrual period endometrium being separated from and the reproductive organ surgery injured area invasion cause the acute pelvic inflammatory disease. May also comes by adjacent organs’ inflammation direct spread or by the bodily other spot suppurative infection after the blood circulation dissemination.
The acute pelvic inflammatory disease including the acute womb intimitis and the acute womb myositis, acute loses the egg official oophoritis, the acute pelvic cavity knot to contract the organization inflammation, the acute pelvic cavity peritonitis.
The acute pelvic inflammatory disease’s symptom may differs from because of the inflammation weight and the scope size. The common symptom has the high fever, the shiver, the headache, to have a poor appetite with the underbelly ache. Has when the peritonitis may present, vomitive, the distension of the abdomen, the diarrhea symptom disgusting. The inflammation stimulation urinary tract may have the urination difficulty, frequent micturition, the urine pain symptom; If stimulates the rectum to be possible to have the diarrhea and the bowel movement difficult symptom.
When physical examination the detectable underbelly myo- tight, has the tenderness, in the vagina has the massive purulent secretion, the cervix hyperemia, the womb both sides may trace to the tumour and has the tenderness.
The acute pelvic inflammatory disease should have bedrest, best takes partly lies the body posture, is advantageous in the sanies agglomerates in causes the inflammation limitation together. For sufficient nutrition and moisture, when necessity should the small amount transfuse blood, the ache seriously to be possible many times to use the pain-killer. High fever available physics temperature decrease law. According to infection bacterium’s type use antibiotics, like penicillin, chain mildew element, chloromycetin, aureomycin and so on. After the antibiotics should the sufficiency, symptom vanishing, should continue to apply drugs for two weeks, by the consolidated curative effect, prevents to form the chronic pelvic inflammatory disease.
The traditional Chinese medicine treatment acute pelvic inflammatory disease’s effect is good, the suitable clearing heat and detoxication, cold hearted removing extravasted blood, the available silver curls upwards the disintoxicating soup; The high fever, the shiver, are agitated the perspiration, available clear camp soup; Acupuncture effect is also good; In acupoint selection extremely, Guanyuan, return, three cloudy junctions, foot three miles, kidney Yu, each time needle 2-3 holes, every other day one time.
Has the pelvic abscess forms when should the surgery cut open the drainage; Is invalid after the pharmacological treatment, or doubts has the pyosalpinx, the ovarian abscess. Treats on the surgery.
· Chronic pelvic inflammatory disease
The chronic pelvic inflammatory disease for the acute pelvic inflammatory disease has often not been able the appropriate thorough treatment, or the patient physique is bad, the course procrastinates transfers. Also some chronic pelvic inflammatory diseases do not have the acute pelvic inflammatory disease medical history.
The chronic pelvic inflammatory disease’s general symptom is not obvious. Sometimes may have low fever, Yi Gan is tired, low-spirited, the whole body is ill, losing sleep and so on. When patient resistivity drop, but ute attack. Because the chronic inflammation forms the scar, the adhesion, and the pelvic cavity hyperemia, may cause the underbelly to fall the bulge, the ache and the waist can be sore. Often after tired, when sexual intercourse, bowel movement and menstruation ahead of time postemphasis. As a result of the pelvic cavity ecchymosis, the patient has the menstruation and the leucorrhea increases; The ovarian function harms when may have menstruation being out of balance; Oviduct blocking may create sterile. Inspects womb’s position caster, moves is limited or the adhesion is fixed, may trace in womb one side or the both sides to the strip funicular increases the thick oviduct, and has the mild tenderness.
To the patient should explain that the chronic pelvic inflammatory disease’s related knowledge, frees one’s mind of apprehension, the enhancement treatment confidence, increases the nutrition, exercises the body, the attention alternates work with rest, enhances the resistivity.
Selects the traditional Chinese medicine treatment chronic pelvic inflammatory disease effect to be good, hot and damp sees, alleviates fever the advantage to be wet suitably, blood circulation removing extravasted blood, available salvia miltiorrhiza, herbaceous peony, banks rose, peach kernel, honey suckle, dandelion, Poris cocos, peony tree bark, fresh and so on; If to congeal coldly the stagnation of flow of vital energy, by heats suitably, dissipates cold which has penetrated the body, dispels symptoms such as bloating, the blood circulation primarily, commonly used cassia twigs Poris cocos soup addition and subtraction. Moreover, may externally apply, with fries the big lake salt 500 gram or the vinegar mixes the traditional Chinese medicinal plaster made of iron filings 500 grams, spreads with the cloth wrapper in the underbelly, also the available red rattan fries 100 milliliters to make the retention sausage. As well as Chinese medicine traditional Chinese medicines and so on acupuncture, ear-acupuncture have certain treatment result.
May also use the seal-off therapy, can block the malignant stimulation, the improvement organization nutrition. Generally each time uses 0.25% novocain 40 milliliters to seal up before the shinbone angle, every week 1-2 times, 4-5 times are a treatment course.
The use shortwave, the ultrashort wave, the laser, the audio frequency, the ion infiltrate, physiotherapies and so on wax therapy, may promote the pelvic cavity blood circulation, the improvement organization nutrition condition, enhances metabolism in order to help the inflammation absorption retrogression and the retrogression.
Each antibiotics should also select according to bacterium’s sensitive experiment. Simultaneously adds with the chymotrypsin 5 milligram or the hyaluronidase 1500 units, the intramuscular injection, 1 time, 5-10 times are a treatment course every other day, in order to help adhesion and inflammation absorption.
Has the obvious tumour feasible surgery to excise.
