What is the chronic pelvic inflammatory disease?
??In the female the reproductive organ and the periphery knot contract when the organization, the pelvic cavity peritoneum has the inflammation, is called the pelvic inflammatory disease.
??What characteristic respectively acute and does the chronic pelvic inflammatory disease have?
??The pelvic inflammatory disease is divided acute and the chronic two kinds, the acute pelvic inflammatory disease is more serious gynecology department disease, many after post-natal, surgery, miscarriage does not pay attention to hygienic as well as adjacent organs disease by the germ infection or the menstrual period (appendicitis and so on) spreads the result; The chronic pelvic inflammatory disease many treats for the acute pelvic inflammatory disease is not prompt is the result. When chronic pelvic inflammatory disease ute attack, serious may develop for the chronic peritonitis, the septicaemia, even toxic shock.
??Acute and chronic pelvic inflammatory disease respective clinical manifestation how?
?? Both’s clinical manifestation varies, the acute pelvic inflammatory disease has the high fever, the fear cold, under the abdomen play to hurt and the tenderness much. The chronic pelvic inflammatory disease has the abdomen to continue the ache much, the waist is sore, menstruation being out of balance, the leucorrhea to increase, the urgency of urination, frequent micturition, the urination difficulty, the appetite, to give off heat not good, symptoms and so on headache, the lower abdomen both sides has the strip funicular goitre induration, and is accompanied by sterility.
??Which does the acute pelvic inflammatory disease’s cause of disease have?
??Acute pelvic inflammatory disease many for aerobe and anaerobe mixed infection, causes the acute pelvic inflammatory disease’s main cause of disease to include: after 1) post-natal or miscarriage, after infecting 2) in the palace cavity the surgery operates, infects 3) the menstrual period health bad 4) adjacent organs’ inflammation to spread directly 5) the chronic pelvic inflammatory disease’s ute attack and so on.
??Which does the chronic pelvic inflammatory disease’s cause of disease have?
??The chronic pelvic inflammatory disease is not often thorough for the acute pelvic cavity treatment, or the patient physique is bad, the course procrastinates the result, but also some woman not acute pelvic inflammatory diseases’ processes, but the direct performance is the chronic pelvic inflammatory disease. The chronic pelvic inflammatory disease condition is stubborn, when organism resistivity is bad, but ute attack.
??Which main clinical manifestations does the chronic pelvic inflammatory disease have?
??Mainly has: 1) the general symptom many are not obvious, sometimes may have the low heat, Yi Gan is weary. The course time is long, the partial patients may have the neurasthenia shape. 2) the chronic inflammation forms the scar adhesion as well as the pelvic cavity hyperemia, may cause the underbelly to fall the bulge, the ache and the waist shinbone department are sore, often around tired, the sexual intercourse, the menstruation intensifies. 3) as a result of the pelvic cavity ecchymosis, the patient may have the menstruation to increase, the ovarian function harm may have menstruation being out of balance, when oviduct adhesion blocking may send sterile.
??Is the chronic pelvic inflammatory disease’s disease incidence rate why high?
??The pelvic inflammatory disease chronic pelvic inflammatory disease is very common gynecology department disease particularly. In our country, as a result of the personal hygiene condition as well as the medical condition’s limit, or the aseptic technique idea is faint in the gynecology department minor treatment minor surgery and in the birth control surgery, in addition in the widespread application palace time the birth control patient does not pay attention to reasons and so on personal hygiene, causes pelvic inflammatory disease’s disease incidence rate to be very high. Along with foreign exchange day by day frequent, venereal diseases assume in our country’s disease incidence rate elevate the tendency year by year, therefore causes the pelvic inflammatory disease is also increasing. This kind of situation is light in the natural consciousness, so that the sex life confusion venereal diseases succeeding in the imperial civil service examinations area is more obvious.
??Which does the pelvic inflammatory disease common cause of disease have?
??after (1) post-natal or miscarriage, infects: After patient post-natal or miscarriage, the physique is weak, the palace throat opening not yet well shuts down after the expansion, this time in the vagina, the cervix of the uterus exists the bacterium has the possibility upward infection pelvic cavity; If in the palace cavity still had the placenta, the fetal membrane to remain, then infects the opportunity is bigger.
??after (2) gynecology department surgery, infects: The line of induced abortion technique, puts the link or takes the link surgery, the oviduct to pass the fluid technique, the oviduct radiography technique, the endometrium polyp excision technique, when or under the mucous membrane the fibroid excises the technique, if disinfection not strict or original reproductive system chronic inflammation, after namely has the possibility to cause the technique, infects. Also after some patient surgery, does not pay attention to the personal hygiene, after or technique, does not observe the doctor’s advice, has the sex life, similarly may cause the bacterium upward infection, causes the pelvic inflammatory disease.
??(3) monthly period does not pay attention to the health: The menstruation period endometrium cracking-off, in the palace cavity the blood sinus is open, and has congeals the blood clot existence, this is the good condition which the bacterium multiplies. If in menstruation period does not pay attention to the health, the use sanitation standard unqualified sanitary napkin or the toilet paper, or has the sex life, will provide the retro-infection to the bacterium the opportunity, will cause the pelvic inflammatory disease.
??(4) adjacent organs’ inflammation spread: What is most common when has the appendicitis, the peritonitis, because they with the female in reproductive organ adjoining to, the inflammation may through the direct spread, cause the feminine pelvic cavity inflammation. When contracts the chronic cervicitis, the inflammation can also through the lymph circulation, cause the pelvic cavity knot to contract the organization inflammation.
??The pelvic cavity infects can create in the woman physiology and the psychological influence, therefore, once discovered that has the above ill symptom, should to the hospital seeing a doctor, cut promptly cannot take the medicine carelessly, in order to avoid causes delay the treatment to procrastinate does not recover.
??What relations the chronic pelvic inflammatory disease and do sterility have?
??In the woman pelvic cavity the womb, the oviduct and the ovary or its periphery organization, including the pelvic cavity in the peritoneum, when any has the inflammation, may be called the pelvic inflammatory disease. The inflammation may limit to a spot, may also several spots also become inflamed. On what the clinical narrow sense’s pelvic inflammatory disease refers to is the salpingitis.
??The pelvic inflammatory disease may come by the external genital organs inflammation upward spread, may also causes by adjacent organs’ inflammation or the bodily other spot infection dissemination. The germ often in the menstruation, the miscarriage, the childbirth process, or enters the pelvic cavity through the genital tract each kind of surgery’s injured area to cause the inflammation. The pelvic inflammatory disease divides into acute and chronic, the former critically ill, generally has the obvious aetiological agent, if treats promptly, is thorough, is effective, then Chang Ke cures. When the acute inflammation has not been able to treat thoroughly rotatable turns chronic, what but are more is because gets sick slowly, the condition is light has not brought to the attention, therefore the treatment is not prompt, procrastinates chronic, this kind of pelvic inflammatory disease causes the woman to be sterile frequently.
??The chronic pelvic inflammatory disease multi-performance are the two-sided salpingitises, gradually causes oviduct’s aperture, specially accepts the egg that end (to call it umbrella end) partially or the complete block system, may also cause the oviduct inner layer mucous membrane because of the inflammation adhesion, causes the lumen to strict or the block system. Thus, causes the egg, the sperm or the fertilized egg passes through has the barrier, causes sterile. The serious pelvic inflammatory disease may spread to nearby the pelvic cavity peritoneum, the womb and the cervix organization, causes these organ organization to stiffen finally, moves does not work, specially the oviduct loses the soft creeping motion the physiological performance, becomes stiff, the distortion, the lumen stops up completely, achieves the degree which is unable to treat.
Why hasn’t had a child can also result in the pelvic inflammatory disease or the salpingitis?
This part is because does not pay attention to the menstrual period health, under the menstrual period the paddy field work or the swimming, the long-term few germs invade unceasingly, gradually can cause the chronic pelvic inflammatory disease; The part is because other diseases cause, what is common is the pelvic cavity tuberculosis causes the endometrium and the oviduct internal membrane tuberculosis and the oviduct does not pass; Also has the few parts is as a result of the sexual relationship disorder, venereal diseases disseminates causes the salpingitis to cause the oviduct not to pass; Few before the wedding for a long time has not contracted the vagina inflammation like infusorium or the mycotic vaginitis, the germ can upward infect the oviduct, creates oviduct’s inflammation. Therefore, the girl should pay attention to the vulva department clean health since childhood, after the puberty, when presents the hypogastralgia or the obvious painful menstruation, when menstruation not normal or vagina leucorrhea exceptionally, should go to the hospital inspection, the early light salpingitis or the pelvic inflammatory disease is may cure.
??What relations the chronic pelvic inflammatory disease and do the adnexitis have?
??In the female in the reproductive organ, the oviduct, the ovary are called the uterine appendages. Therefore says strictly, the adnexitis is refers to the oviduct and ovary’s inflammation. But the oviduct, the oophoritis merge frequently have nearby the palace the knot to contract the organization inflammation, the pelvic cavity peritonitis, and in diagnosis time is not easy to differentiate, like this, nearby the pelvic cavity peritonitis, the palace the knot contracts the organization inflammation, is also included within the adnexitis scope.
??Chronic salpingitis, pelvic cavity peritonitis many by trouble acute tubo-ovaritis, when pelvic cavity peritonitis treats not thorough or does not take seriously to treat the result. The chronic inflammation will manifest suddenly repeatedly, procrastinates in the course of time, will cause the pelvic cavity hyperemia, the knot to contract the organization fibrosis, the pelvic cavity organ mutual adhesion. The patient underbelly falls the bulge ache is the most common symptom, and often at the menstrual period or the tired postemphasis, simultaneously the leucorrhea increases, the volume of menstrual flow has the possibility to increase, the waist shinbone is sore, the partial patients may also have the sexual intercourse pain. When gynecological examination sees the womb retroflexion, the active difference, nearby the womb may hold and increase the thick oviduct, has the tenderness. If has the inflammatory package block formation, when inspection may touches a package of block behind the palace or the womb, the activity bad, has the tenderness.
??The chronic salpingitis does not recover for a long time, may cause in the oviduct the mucous membrane adhesion, causes the oviduct jamming, following sends sterility, or the oviduct lumen blocks not completely, increases the extrauterine pregnancy the occurrence opportunity. When oviduct umbrella end because of inflammation, but time adhesion, but may also present the oviduct water, but the patient possibly does not have the obvious subjective symptom.
??Chronic pelvic inflammatory disease’s Chinese medicine treatment
??The Chinese medicine thought that this sickness the occurrence many are because the silk thread business post-natal and so on butcher arteries are void time, enters Yu Baogong and the blood knot hotly evilly hinders the butcher arteries mutually, but sends butcher pulse blood circulation line of impeded, obstructs in the lower burner, but yun melts hotly; Or evil hot flaming, yun accumulates with, damages the blood vessels, long forms pus, belongs to the traditional Chinese medicine hypogastric pain, morbid leucorrhoea, sterile, categories and so on lump in the abdomen, is one of gynecology department common diseases. Is different according to the clinical manifestation, may act according to the different symptom to select the different pharmacological treatment separately.
Apr
09
By: Gelais
In: pelvic inflammation | Permalink
