Drug treatment of adnexitis

Regarding the treatment of adnexitis, experts say that if the treatment of acute or chronic adnexitis is not very effective, surgical treatment should be considered. For the treatment of chronic adnexitis, some physical therapy can also be considered. There are many types of physical therapy, such as laser, microwave, iontophoresis, etc.

1. Overview of the treatment of adnexitis

If the treatment effect of acute and chronic adnexitis is not very good, surgical treatment should be considered. If acute adnexitis is ovarian and fallopian tube pus, and the mass is relatively large, it is impossible to completely absorb it with antibiotics alone. If the symptoms have not been relieved after 72 hours of active treatment, surgical treatment should be considered. Chronic adnexitis also requires surgical treatment if there is long-term unhealed hydrosalpinx or ovarian cysts. Chronic inflammation can be treated with Chinese medicine appropriately. Acute inflammation can be treated with Western medicine, such as antibiotics. Some physical therapy can also be considered for the treatment of chronic adnexitis. There are many types of physical therapy, such as laser, microwave, ion penetration, etc.

2. Western medicine treatment of adnexitis

1. Applying medicine into the vagina has better effect.

2. Antibiotic treatment

For patients with obvious symptoms, antibiotics should be used first. Antibiotics can kill the remaining pathogenic bacteria and prevent acute attacks. Commonly used drugs are still penicillin, gentamicin, metronidazole, etc., and the usage is the same as that of acute salpingo-oophoritis and pelvic peritonitis.

3. Other drug treatments

Because the female reproductive system has a natural defense function, under normal circumstances, it can resist the invasion of bacteria. Only when the body's resistance is reduced or the female's natural defense function is damaged due to other reasons, will adnexitis occur. The treatment of adnexitis is more professional, Shadier, which can help heal adnexitis.

3. 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.

4. Physical therapy

The benign stimulation of warmth can promote blood circulation in the pelvic cavity, 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.

5. Surgical treatment

Larger hydrosalpinx or tubo-ovarian cysts caused by inflammation can be treated surgically. For infertility caused by tubal obstruction, tubal repair surgery can be performed. For chronic tubo-oophoritis and pelvic peritonitis with repeated acute attacks, when drug treatment is not satisfactory and the patient is in great pain, and the patient is older, surgical treatment can also be considered.

6. Traditional Chinese Medicine

When treating this disease with traditional Chinese medicine, one should distinguish between cold, heat, deficiency and excess, and treat based on syndrome differentiation.

1. Damp-heat type

Treatment is to clear away heat and remove dampness. The prescription is modified from the prescription for stopping leucorrhea:

Take 12g each of Poria cocos, Plantago seed (package), and Red Peony Root, 10g each of Phellodendron chinense, Achyranthes bidentata, Cortex Moutan, and Atractylodes lancea, and 6g each of Alisma orientalis and Artemisia capillaris. Add or subtract: If the abdominal pain is obvious, add 10g each of Corydalis yanhusuo and Toosendan fruit to promote qi and relieve pain; if the appetite is poor and the stool is loose, replace Atractylodes lancea with 10g of stir-fried Atractylodes macrocephala, add 20g of raw Coix seed, and 18g of Poria cocos to strengthen the spleen and remove dampness.

2. Stasis and heat syndrome

The treatment is to promote blood circulation and remove blood stasis, clear away heat and detoxify. The prescription is Danggui Yuanhu Decoction with modifications:

Use 20g of Patrinia, 15g each of Angelica, Corydalis, Rhubarb, Red Peony Root, and Peach Kernel, and 12g of Cyperus. Decoction in water.

Add or subtract: If there is obvious stinging pain in the lower abdomen, add 10g each of frankincense and myrrh to dissipate blood stasis and stop bleeding; if there is obvious distension and pain in the lower abdomen, add 10g each of Chuanlianzi and Zhiqiao to promote qi and stop pain; if the menstrual flow is scanty, dark in color and clots, add 20g of Leonurus japonicus to promote blood circulation and dissipate blood stasis. If the leucorrhea is heavy and yellow in color, add 15g of Artemisia capillaris and 12g of Alisma orientalis to clear dampness and heat.

3. Cold and dampness stagnation type

The treatment is to warm the yang and dispel cold, activate blood circulation and remove dampness. The prescription is Shaofu Zhuyu Decoction with modifications:

Take 15g of Poria, 12g each of Chinese Angelica and Red Peony Root, 10g each of Myrrh, Artemisia argyi, Atractylodes macrocephala, Zedoariae rhizome, and Red Caulis, 9g each of Fennel, Chuanxiong, and Cinnamon Twig, and 6g of Dried Ginger. Decoction in water.

Add or subtract: If the amount of vaginal discharge is large, white and thin, add 10g of nutmeg and ginkgo to warm the kidney and stop the discharge. If the back pain is obvious, add 20g of Chuan Duan and 10g of Eucommia to strengthen the kidney and waist. After taking the above medicine orally, the remaining residue can be put into a cloth bag and applied to the lower abdomen, and each hot compress should last for 20-30 minutes.

4. Anal drip method

Use 20g each of red peony root, red vine, Patrinia scabra, Taraxacum mongolicum, and Salvia miltiorrhiza, and 15g of Prunella vulgaris. Boil the above ingredients to 100ml and drip into the anus 1-2 times a day. 15 times is a course of treatment.

This prescription is suitable for patients with damp-heat or stasis-heat syndrome.

If a lump is formed, add 20 grams of Trillium and 15 grams of Curcuma to remove blood stasis and eliminate accumulation; when there are signs of qi deficiency, add 30 grams of Astragalus to replenish qi and strengthen the spleen; if there is cold pain in the lower abdomen, remove the Patrinia and Taraxacum, and add 10 grams of Asarum and 10 grams of cinnamon twig to warm the meridians and dispel cold.

5. Traditional black plaster for the treatment of adnexitis

Safflower, salvia miltiorrhiza, angelica, cinnamon twig, poria, licorice, aconite, eucommia, cnidium monnieri, gallnut, euryale ferox, silkworm cocoon, angelica dahurica, honeysuckle vine, red vine, isatis indigotica, moutan bark, red peony root, processed rhubarb, toosendan fruit, bupleurum, white peony root, pseudostellaria, ginger, old garlic, and green onion.

Traditional Chinese medicine Wen Gong Fu Yan Patch is used to treat adnexitis, which can enhance and improve the balance mechanism of various organs in the body, strengthen the local tissue nutrition supply, improve blood microcirculation, and promote the absorption of inflammatory secretions from the uterine adnexae. It has the effects of dredging meridians, promoting blood circulation and removing blood stasis, removing dampness and cold, relieving inflammation and pain, and eliminating fluid accumulation. It also has the advantages of being easy to use and having no side effects.

After wiping the skin with ginger, apply two patches of plaster to Shenque acupoint (navel) and Guanyuan acupoint respectively. Each patch can be applied for three days, and ten patches constitute a course of treatment.

7. Treatment time of adnexitis

Asking the doctor about the treatment time is something that many people have done. However, no matter what kind of disease it is, it is difficult to give a specific time for how long it will take to cure, because the treatment time is not only related to the severity of the patient's condition, but also to the patient's health care during the treatment, and the patient's attitude towards cooperating with the doctor.

If treated promptly, the symptoms of acute adnexitis, such as lower abdominal pain and fever, will generally gradually ease within a week or so. However, it should be noted that if acute adnexitis is not treated thoroughly, it can easily turn into chronic adnexitis. It takes a long time for the symptoms of chronic adnexitis to completely disappear, generally at least one month and at most several months.

The treatment of most diseases is a gradual process. It is rare for the symptoms to disappear immediately after treatment. Therefore, patients with adnexitis should be patient during treatment and not be too impatient.

8. Treatment of chronic adnexitis

Chronic adnexitis is not effective if only antibiotics are used. The treatment of chronic adnexitis requires long-term supportive therapy, which is to increase nutrition and improve the body's immunity. The most important way to increase the body's immunity is to exercise. On the one hand, it can improve the body's immunity, and on the other hand, it can also make the body and mind happy. If you are in a bad mood, many diseases will come to you. Chronic adnexitis is also a physical and mental disease to a large extent.

The treatment of chronic adnexitis will not be effective immediately, and the symptoms will gradually ease. The drugs are mainly some Chinese patent medicines, and when using these drugs, you must continue to use them for at least one month. Do not stop taking the medicine when you think the symptoms have eased, otherwise it will recur soon.

It can be used in conjunction with physical therapy, which can dissipate local edema, soften scars, promote intestinal peristalsis, promote blood circulation, and greatly improve local lesions.

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