Is pelvic peritonitis contagious in women? According to experts, pelvic inflammatory disease is not contagious, but sexual intercourse is prohibited during treatment to avoid adverse effects on recovery. Attention should be paid to the cleanliness of the affected area, avoid bathing in a tub, do not eat spicy food, and develop good living habits. The following is an introduction to the treatment of pelvic peritonitis. 1. Physical therapy: Benign warm stimulation can promote pelvic blood circulation, improve the nutritional status of local tissues, and facilitate the absorption and disappearance of inflammation. Commonly used physical therapies include shortwave, ultrashortwave, infrared, audio, ion penetration, etc. However, physical therapy should not be used when the body temperature exceeds 37.5℃ or when suffering from genital tuberculosis. 2. Tissue therapy: Such as placental tissue fluid and placental globulin, intramuscular injection, once a day or every other day, 15 times as a course of treatment. 3. Antibiotic treatment: Patients with acute pelvic peritonitis should undergo bacterial culture of cervical secretions or posterior fornix puncture fluid, or blood culture and drug sensitivity test, and choose effective antibiotics based on this. 1. When the pathogen is not clear, gentamicin plus metronidazole can be used, which is effective against Escherichia coli and anaerobic bacteria. The specific usage is: 80,000 units of gentamicin, twice a day, intramuscular injection, 500 ml of 0.2% metronidazole, once a day, intravenous drip. You can also use 2.4 grams of anthracene, add liquid and drip intravenously, once a day, and take anthracene tablet 0375 at night to enhance the efficacy; in addition, vancomycin B, clarithromycin, erythromycin, fosfomycin sodium, etc. can also be used. 2. When the results of bacterial culture and drug sensitivity test are detected, the decision on whether to change the antibiotic should be made based on the results of drug sensitivity test and the efficacy of the first selected antibiotic. Generally speaking, if the efficacy is good, it can be left unchanged, but if the efficacy is not significant after 3 to 4 days of medication, it should be changed in time. 4. Surgical treatment: 1. Incision and drainage: When pelvic peritonitis causes abscess formation and the abscess has reached the pelvic floor, incision and drainage can be performed through the posterior fornix. However, since the abscess is located in the abdominal cavity, drainage can only temporarily relieve symptoms and often cannot cure the disease. 2. Laparotomy to remove the lesion: When a pelvic abscess forms and ruptures, laparotomy can be performed to remove the lesion while controlling the infection with large amounts of antibiotics. This is the most effective and rapid method. Through the above content, we should all know how to treat pelvic peritonitis. If we live seriously, there will not be so many unnecessary troubles. Therefore, we should learn more about the common sense of diseases in our daily work. Here we remind everyone to study the common sense of diseases seriously, and hope it will be helpful to everyone. |
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