1, processing method
Clinical treatment of pelvic effusion;
1, general treatment: relieve patients' ideological worries, enhance treatment confidence, increase nutrition, exercise, pay attention to the combination of work and rest, and improve the body's resistance.
2, Chinese medicine treatment: Chronic pelvic inflammatory disease is mostly damp-heat type, and the treatment is mainly to clear heat and promote diuresis. Mainly promoting blood circulation and removing blood stasis, the prescription is: Salvia Miltiorrhiza 18g, Paeonia Rubra 15g, Radix Aucklandiae 12g, Semen Persicae 9g, Flos Lonicerae 30g, Herba Taraxaci 30g, Poria 12g, Cortex Moutan 9g and Radix Rehmanniae 9g. When the pain is severe, add 9g of Rhizoma Corydalis. Some patients are of cold coagulation and qi stagnation type, and the treatment principle is to warm meridians to dispel cold, promote qi circulation and promote blood circulation. Guizhi Fuling decoction is commonly used. Codonopsis pilosula 15g, Atractylodes macrocephala 9g and Astragalus membranaceus 15g are added for patients with qi deficiency.
3, physical therapy: warm benign stimulation can promote pelvic local blood circulation. Improve the nutritional status and metabolism of tissues, so as to facilitate the absorption and regression of inflammation. Commonly used are short wave, ultrashort wave, iontophoresis (penicillin, streptomycin and other drugs can be added) and wax therapy.
4. Other drug therapy: When using anti-inflammatory drugs, you can also inject 5mg of α -chymotrypsin or hyaluronidase 1500U, 1 every other day, and 5 ~ 1 0 times is 1 course of treatment, so as to facilitate the absorption of adhesion and inflammation. Individual patients should stop taking drugs when they have local or systemic allergic reactions. In some cases, antibiotics and dexamethasone were used at the same time, and dexamethasone 0 was taken orally. 75mg, three times a day, pay attention to gradually reduce when stopping the drug.
5, surgical treatment: there are masses such as hydrosalpinx or tubal ovarian cysts that can be treated surgically; Authors who have small infected lesions and repeatedly cause inflammation should also be treated surgically. The operation is based on the principle of complete cure. In order to avoid the recurrence of residual lesions, unilateral appendectomy or total hysterectomy plus bilateral appendectomy is performed. Young women should try to preserve ovarian function. Single therapy for chronic pelvic inflammatory disease is not effective, so comprehensive therapy should be adopted.
Combined with the above cases, Chinese medicine Yanfu No.2 can be used, which has the functions of strengthening body resistance and eliminating pathogenic factors, clearing away heat and toxic materials, promoting blood circulation and removing blood stasis, diminishing inflammation and relieving pain, eliminating dampness and diuresis, and regulating endocrine, and has a good curative effect on gynecological inflammation such as pelvic inflammatory disease and pelvic effusion.
At the same time, irregular liquid dark areas on the right side18 mm *1mm and 30MM* 18MM can be seen behind the uterus. But there is no discomfort at present, and you can do B-ultrasound follow-up. You can't take medicine for the time being.
Finally, such a situation generally has no effect on fertility, and it is recommended to check it regularly.
2. Main symptoms
First, there are two kinds of pelvic inflammatory disease: acute and chronic. Acute pelvic inflammatory disease is mainly manifested as lower abdominal pain, fever and increased secretion of female private parts. Abdominal pain is persistent and gets worse after activity or sexual intercourse. If the condition is serious, chills, high fever, headache and loss of appetite may occur.
2. Menstrual patients may have increased menstrual flow and prolonged menstrual period. If pelvic abscess is wrapped by pelvic inflammatory disease, it can cause local compression symptoms, and bladder compression can cause frequent urination, dysuria and dysuria. Compressing the rectum can cause rectal symptoms, such as acute internal and back heaviness. The further development of acute pelvic inflammatory disease can cause diffuse peritonitis, septicemia and septic shock, which can be life-threatening in severe cases.
Third, chronic pelvic inflammatory disease is caused by incomplete treatment of acute pelvic inflammatory disease or poor physical fitness of patients and prolonged course of disease. The main manifestations are abdominal distension and pain at the bottom of the waist, which is often aggravated after fatigue, sexual intercourse and menstruation. Followed by irregular menstruation and irregular menstruation. When the course of the disease is long, some women may have neurasthenia symptoms such as listlessness, general weakness and insomnia. It often exists for a long time and recurs, leading to infertility and tubal pregnancy, which seriously affects women's health and increases the family and social and economic burden.
3. Preventive measures
First of all, do a good job of hygiene during menstruation, pregnancy and puerperium. When menstruation, early pregnancy and puerperal lochia are not clean, and the uterus has not returned to normal, pay attention to the cleanliness of the vulva and do not share the same room. Secondly, pay attention to contraception, reduce the chances of intrauterine surgery such as abortion and induced labor, so as to reduce the possibility of infection.
Two, three days before abortion and induced labor, and after abortion and induced labor, women's private parts bleeding is not clean, to avoid the same room. And pay attention to sexual hygiene and reduce sexually transmitted diseases. When there is female genital inflammation, both men and women should be treated at the same time, and they can only sleep together after being cured. Finally, pay attention to personal hygiene, exercise, enhance physical fitness, cure acute pelvic inflammatory disease in time and thoroughly, and prevent it from becoming chronic.