In general, unmarried women are not susceptible to inflammation in the genitals, but it is not absolute. In addition to sexual intercourse because of pathogens, into the uterine cavity within the genital surgery, it can also through other means in violation of the genitals. According to their clinical course of pelvic inflammatory disease can be divided into two kinds of acute and chronic.
Acute pelvic inflammatory disease
Acute pelvic inflammatory disease often have a history of acute infection, manifested as abdominal pain, muscle tension, tenderness and rebound tenderness, accompanied by rapid heart rate, fever, a large number of purulent vaginal discharge. Serious illness may have high fever, headache, chills, loss of appetite, a large number of yellow leucorrhea flavored, abdominal pain, tenderness, waist pain, etc.; there is peritonitis nausea, abdominal distension, vomiting, diarrhea, etc.; there is abscess formation, may have lower abdominal mass and local pressure to stimulate the symptoms of mass is located in the front may have difficulties in urinating, frequent urination, dysuria, etc.; mass in the posterior be caused by diarrhea, tenesmus and defecation difficulties in a sense.
Diagnosis: Acute pelvic inflammatory disease tend to have aversion to cold, fever, abdominal pain or low back pain three main symptoms. If abscess formation may have lower abdominal mass, often accompanied by urinary frequency, urgency, diarrhea. The vagina may be hyperemia, and a large number of purulent secretions.
Chronic pelvic inflammatory disease
Systemic symptoms are too low heat, susceptible to fatigue, some patients appeared nervous exhaustion due to long-shaped course of the disease, such as insomnia, lack of energy, whole body discomfort. Lower abdominal bulge, pain, and lumbosacral pain, often tired, after sexual intercourse, menstruation before and after the increase. Chronic inflammation can cause pelvic congestion, menorrhagia, ovarian function damage occurs when menstrual disorders, adhesions blocked fallopian tube will lead to infertility.
Diagnosis: chronic pelvic inflammatory disease are not very laws of fever, and sometimes only low-grade fever. However, fatigue, abdominal bulge, waist more obvious symptoms of acid, and more in menstruation before and after sexual intercourse, aggravated after exertion. If the fallopian tube adhesions can cause obstruction infertility, menstrual disorders, or may have menorrhagia.
1, causing pelvic inflammatory genital pathogens as Staphylococcus aureus, E. coli, streptococcus, anaerobes, and sexually transmitted pathogens such as gonococcus, herpes viruses, such as Chlamydia trachomatis and Mycoplasma. The main mode of transmission of these pathogens are: blood circulating through the lymphatic system spread, the spread upward along the genital mucosa and adjacent organ infections (such as appendicitis) the direct spread of the post.
2. Pelvic inflammatory disease can cause infertility
Severe pelvic inflammatory disease can be formed between the uterine and rectal abscess, inflammation subsided after the change can be caused by adhesions between ovaries and fallopian tubes, causing the Ministry of tubal adhesions and closed the umbrella, so that the surface of the capsule thickened ovarian sclerosis, so that the egg can not be properly discharged, but also because of the impact of tubal infertility caused by the transmission function.
Therefore, we must strive for pelvic inflammatory disease to be treated in the acute phase, larger doses of antibiotics, use of bacteria sensitive to antibiotics, it is best to do sensitivity testing of bacteria. That have been formed as early as possible abscess incision to drain the pus out, while application of cortisone type drugs to reduce the adhesion.
3. The treatment of pelvic inflammatory disease
General treatment: take half of supine rest, in order to facilitate inflammation limitations. Increased nutrition, add water, to correct dehydration and electrolyte imbalance. Many times as necessary to give a small amount of blood transfusions to increase the resistance. To avoid unnecessary gynecological examination in order to avoid the spread of infection. When high fever with physical cooling, abdominal pain, weight when given analgesics.
Antibiotic treatment: The best bacterial culture and drug susceptibility tests according to choice of drugs. Should in general clinical use of penicillin, gentamicin, and metronidazole therapy. Suspected gonorrhea or chlamydial infection, or symptoms of serious, broad-spectrum antibiotics should be chosen. It should also pay attention whether there are anaerobic infections.