Since acute endometrial tuberculosis often occurs after abortion or delivery and is related to retrograde bacterial infection of the uterine wound, active treatment of genital tuberculosis before delivery and attention to personal hygiene after abortion and delivery will play a certain role in preventing the occurrence of acute endometrial tuberculosis. Conduct a comprehensive gynecological examination before abortion and before delivery to promptly detect acute and chronic tuberculosis of the reproductive tract and provide treatment to prevent ascending bacterial infection after abortion or delivery. Choose a regular hospital for abortion or delivery. Insufficient disinfection during surgery or delivery is an important cause of acute endometrial tuberculosis and should be taken seriously. Pay attention to personal hygiene after delivery or abortion, do not use unclean sanitary napkins, change sanitary napkins in time, and refrain from sexual intercourse. Pregnant women should go to designated hospitals for regular prenatal checkups, receive health guidance during pregnancy, actively treat chronic diseases such as malnutrition and anemia, and strengthen their physical fitness. Sexual intercourse is prohibited in the late pregnancy. After delivery, pay attention to diet and eat nutritious foods that are easy to digest and rich in protein and vitamins to maintain good physical condition. When lochia is not completely discharged, take a semi-recumbent position to facilitate the discharge of lochia. At the same time, you should rest in bed, preferably in a semi-recumbent position, so that the tuberculous exudate is confined to the lowest part of the pelvic cavity and is conducive to the discharge of lochia; keep the vulva clean, wash the vulva and change underwear every day to prevent repeated infection; drink more water in terms of diet and eat a diet rich in protein and vitamins; do not have sex during the illness; if the patient is a parturient, do not close the door and door because of postpartum or fever, keep the room warm and ventilated, and the air fresh, and do not wear too thick clothes to prevent excessive sweating, and the clothes and bedding should be warm and cool. During the treatment, the patient should learn to observe the changes in the amount, color, quality, and smell of vaginal secretions or lochia, as well as the changes in abdominal pain, to judge whether the treatment is effective. |
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