What is pelvic peritonitis?

What is pelvic peritonitis? Pelvic peritonitis is a common gynecological disease, which is clinically divided into several types. Many women who suffer from pelvic peritonitis do not know that they have pelvic peritonitis, which delays the treatment of the disease and causes serious harm to the body. Therefore, it is recommended that women learn some relevant knowledge about pelvic peritonitis so that they can detect this disease in time.

Pelvic peritonitis infection route:

1. Spread through the lymphatic system: Bacteria and pathogens invade the pelvic connective tissue and other parts of the internal reproductive organs through the lymphatic vessels of the vulva, vagina, cervix and uterine body trauma. It is the main transmission route for puerperal infection, post-abortion infection and infection after placement of an intrauterine contraceptive device, and is more common in infections with streptococci, Escherichia coli and anaerobic bacteria.

2. Spread along the genital mucosa: After the pathogen invades the vulva and vagina, it spreads along the mucosa through the cervix, endometrium, and fallopian tube mucosa to the ovaries and abdominal cavity. Neisseria gonorrhoeae, Chlamydia trachomatis, and Staphylococcus aureus spread along this route.

3. Transmission through blood circulation: The pathogen first invades other systems of the human body and then infects the genitals through blood circulation. This is the main route of tuberculosis infection.

4. Direct spread: After other organs in the abdominal cavity are infected, they spread directly to the internal reproductive organs. For example, appendicitis can cause right-sided salpingitis.

Principles of treatment of pelvic peritonitis:

Antibiotics are the main treatment for infection, and surgery is performed when necessary. Broad-spectrum antibiotics are selected based on experience to cover possible pathogens, including Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma, anaerobic bacteria, and aerobic bacteria.

(1) All treatment regimens must be effective against Neisseria gonorrhoeae and Chlamydia trachomatis, because negative endometrial and cervical screening findings do not exclude upper genital tract infection.

(2) The antimicrobial spectrum of the currently recommended treatment regimen should cover anaerobic bacteria.

(3) Start treatment immediately, because timely and appropriate use of antibiotics is directly related to long-term prognosis.

(4) When choosing a treatment plan, factors such as effectiveness, cost, patient compliance, and drug sensitivity should be considered comprehensively.

(5) Method of administration: Intravenous and non-intravenous administration and the need for hospitalization are determined by the physician's discretion.

(6) Traditional Chinese medicine treatment can also have a certain effect on PID.

Even if you are in good health, you should develop the habit of regular gynecological examinations so that you can detect diseases in time and give treatment. When women suffer from pelvic inflammation, there are no symptoms in the early stages, so you must learn more about the relevant knowledge so that you can prevent and treat it in time.