Adnexitis refers to inflammation of the fallopian tubes and ovaries. There are acute and chronic adnexitis. Generally speaking, the chronic adnexitis we refer to is the acute adnexitis. Adnexitis is a common disease among women, especially in countries with disordered sexual life and rampant sexually transmitted diseases. The main causes of pelvic inflammatory disease in my country include poor personal hygiene, the use of intrauterine contraceptive devices, postpartum and post-abortion infections, insufficient attention to aseptic operation during gynecological examinations and surgeries, unclean sexual intercourse or sexual intercourse during menstruation, etc., which can easily lead to the invasion of pathogens and cause disease. Chronic adnexitis is often caused by the failure to properly and thoroughly treat acute adnexitis or by the patient's poor physical condition and prolonged course of the disease. Clinically, systemic symptoms are mostly not obvious, and may manifest as low-grade fever and fatigue. When the disease lasts for a long time, some patients may have symptoms of neurasthenia, such as lack of energy, general discomfort, Insomnia, etc. When the patient's resistance is poor, acute or subacute attacks are likely to occur. Local symptoms are mostly manifested as lower abdominal distension, pain, and lumbar pain, which are often aggravated after fatigue, sexual intercourse, defecation, and before and after menstruation; patients may have increased menstruation and leucorrhea, menstrual disorders when ovarian function is damaged, and infertility when fallopian tube adhesions and blockages occur. The treatment of chronic adnexitis is not complicated, but it is easy to relapse, so it seems lingering and difficult to cure.In the acute stage of adnexitis, hospitalization is required, and antibiotic-based drug therapy is used. Sometimes vaginal incision and drainage of pus are used. Although this method can relieve the painful symptoms of the acute stage, due to the continued inflammation in the abdomen, symptoms such as slight fever, discomfort and pain in the lower abdomen will continue to occur. In order to prevent chronicity, appropriate treatment must be adhered to. Most acute adnexitis will not turn into chronicity after antibiotic treatment and can be gradually cured. Chronic adnexitis is usually treated with antibiotics and anti-inflammatory analgesics, and the condition is observed. If the adhesion symptoms cannot be relieved and the abscess does not shrink, surgery must be performed to remove the adhesion and abscess. |
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