Female pelvic peritonitis is a common disease in gynecological clinics. Many women do not pay attention to bacterial infection in their daily lives, which eventually leads to pelvic peritonitis, causing great trouble to the patients' lives. We must learn more about pelvic peritonitis in order to better treat it. Inflammation of the female internal reproductive organs and the surrounding connective tissues and pelvic peritoneum is called pelvic peritonitis. It can be acute or chronic. Chronic pelvic peritonitis often develops from acute pelvic peritonitis. The pathological changes of chronic pelvic peritonitis are connective tissue hyperplasia and adhesion, which are more common in chronic salpingitis and hydrosalpinx, salpingo-oophoritis and salpingo-ovarian cysts, and chronic pelvic connective tissue inflammation. Treatment generally adopts a comprehensive plan to enhance local and systemic resistance at the same time. Pathogenic characteristics The pathogens of pelvic peritonitis have two sources: exogenous and endogenous. The two pathogens can exist alone, but usually there is a mixed infection. 1. Exogenous pathogens are mainly pathogens of sexually transmitted diseases, such as Chlamydia trachomatis and Neisseria gonorrhoeae. 2. Endogenous pathogens come from the flora originally residing in the vagina, including aerobic bacteria and anaerobic bacteria. It may be an infection with only aerobic bacteria or only anaerobic bacteria, but mixed infection with aerobic and anaerobic bacteria is more common. Infection route 1. Spreading upward along the genital mucosa 2. Spread through the lymphatic system 3. Spread of menstrual blood circulation 4. Direct spread Clinical manifestations The clinical manifestations may vary depending on the severity and extent of the inflammation. In mild cases, there may be no symptoms or mild symptoms. Common symptoms include lower abdominal pain, high fever, and increased vaginal discharge. The abdominal pain is persistent and worsens after activity or intercourse. If the condition is serious, there may be chills, high fever, headache, and loss of appetite. If the disease occurs during menstruation, there may be increased menstrual flow and prolonged menstruation. If there is peritonitis, there may be digestive system symptoms such as nausea, vomiting, abdominal distension, diarrhea, etc. If an abscess is formed, there may be symptoms of lower abdominal mass and local compression and irritation; if the mass is located behind the uterus, there may be symptoms of rectal irritation; if it is outside the peritoneum, it may cause diarrhea, tenesmus, and difficulty in defecation If symptoms and signs of salpingitis are present along with right upper abdominal pain, perihepatitis should be suspected. The above is some introduction to pelvic peritonitis. The symptoms of pelvic peritonitis are very painful for female friends. Because the treatment of gynecological diseases has always been a hidden danger of leaking patient privacy, this requires us to learn more about it in normal times, so that when faced with it, we know what to do. |
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