What to do about pelvic connective tissue inflammation
Release time : 01/18/2025 18:13:27
Pelvic connective tissue inflammation is a common physiological condition among women.
Many people may not be very familiar with this disease.
Moreover, this disease does not exhibit any obvious symptoms when it manifests.
This leads to a significant lack of awareness about the occurrence of diseases, but once they do occur, they can pose a serious threat to one's health.
Below, we will understand pelvic connective tissue inflammation.
Pelvic connective tissue inflammation can cause serious health problems for women and not only affect their own well-being but also severely impact the happiness of their families.
If one has pelvic connective tissue inflammation, they must seek timely treatment.
What is the treatment for pelvic connective tissue inflammation? 1. Treatment of acute pelvic connective tissue inflammation (1) Broad-spectrum antibiotics can be used for antibiotic therapy.
After completing antimicrobial susceptibility tests, the patient was switched to a sensitive antibiotic.
(2) Surgical treatment of acute pelvic connective tissue inflammation should generally be avoided for mild cases to prevent the spread of inflammation or hemorrhage. However, there are some situations where surgical intervention is necessary.
The residual endometrial tissue in cases of vaginal bleeding should be actively treated with anti-inflammatory drugs. If the treatment is ineffective or if there is excessive bleeding, it should be controlled by medication while using a scissors to gently remove the contents of the uterine cavity and try to avoid curettage.
If there is no intestinal injury and hemorrhage, the uterine perforation does not need to be repaired.
In cases of uterine abscess, it is necessary to dilate the cervical canal to facilitate the smooth flow of pus.
Based on the location of the abscess, an open pus drainage surgery is performed.
If the abscess is near the groin, it should be allowed to enlarge before incision.
If the abscess is located on one side of the vagina, the incision should be made as close to the midline as possible to avoid damage to the ureter or the uterine artery.
2. For the treatment of chronic pelvic connective tissue inflammation, symptomatic relief through Traditional Chinese Medicine (TCM) therapy and comprehensive treatment should be provided to alleviate pain.
Post-treatment, symptoms of chronic pelvic connective tissue inflammation can be alleviated, but recurrence is also a concern.
When chronic cervicitis is present, treatment should be concurrent and include physical therapy such as ultrasound, laser, and microwave.
The etiology of pelvic connective tissue inflammation is also somewhat determined. It is essential to promptly seek treatment when a disease occurs.
During treatment, it is essential to understand the causes of pelvic connective tissue inflammation in order to effectively manage the condition.
What are the causes of pelvic connective tissue inflammation? It is due to cervical or vaginal upper tear during childbirth or cesarean section, difficulty in cervical dilation, cervical tear, hemorrhagic endometritis following hysterectomy, and unintentional injury to the uterus during abortion.
In cases where bacteria enter through the neck side wall, infection occurs.
The majority of pathogens in pelvic connective tissue inflammation are streptococci, staphylococci, Escherichia coli, anaerobes, Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma species, etc.
1. Streptococcus is a Gram-positive coccus, among which pneumococcus has the highest pathogenicity and can produce hemolysin and various enzymes to spread infection.
The pus is lighter in color, more abundant in quantity.
Bacteria are sensitive to penicillin.
Group B streptococci are common causes of uterine infection in parturients.
2. Postpartum, following cesarean section, the patient developed a postoperative infection in the gynecological surgery area, with Staphylococcus aureus causing infection at the wound site. The pathogen produced yellow, thick, and viscous fluids, without any odor. Antibiotics commonly used were easily resistant.
According to the drug sensitivity test, this is quite ideal.
Antibiotic-resistant Staphylococcus aureus is more sensitive to Vancomycin, Clindamycin, Vancomycin and Chloramphenicol.
3. Escherichia coli is a Gram-negative bacillus that generally does not cause disease.
However, it can also lead to more serious infections if the body is weakened, has a wound, or after surgery.
In daily life, apart from paying attention to the causes of diseases and how to treat them, we must also understand the classification of diseases. Only by doing so can we better treat them when they arise.
What are the classifications of pelvic connective tissue inflammation? Pelvic conjunctivitis and tissue inflammation can be categorized into acute and chronic: 1. Acute pelvic connective tissue inflammation refers to the initial inflammation of the pelvic connective tissue.
It's not secondary to ovarian or ovarian inflammation.
It is a type of connective tissue that starts from the uterus and then spreads to other parts
In the early stages of inflammation, patients may experience high fever, lower abdominal pain, and body temperature as high as 39-40 ° C. Lower abdominal pain is similar to acute salpingo oophoritis
If the patient undergoes a total hysterectomy before the onset of the disease, and there is unilateral or bilateral injury during cesarean section, the diagnosis is easier
If an abscess has already formed, in addition to fever and lower abdominal pain, there are also common symptoms such as rectal and bladder compression symptoms such as frequent bowel movements, painful bowel movements, nausea, vomiting, urination, and frequent urination
2. Chronic pelvic connective tissue inflammation due to acute pelvic connective tissue inflammation that has not been fully treated, or if the patient's constitution is poor, with prolonged inflammation duration and chronicity.
Since the cervical lymphatic vessels are directly connected to the peritoneal connective tissue, or possibly due to the progression of chronic cervicitis and peritoneal connective tissue inflammation.
Pelvic connective tissue inflammation symptoms in life, women should pay attention to their health and must be treated in time when necessary.
Pelvic connective tissue inflammation is a common condition, but many people are not familiar with it. Therefore, in daily life, it is necessary to understand the symptoms of pelvic connective tissue inflammation.
Intrauterine hysterectomy or surgical procedures, childbirth, and abortions often present symptoms within 1 to 2 weeks after infection.
At its onset, patients will experience fever, chills, and persistent lower abdominal pain. The pain is intense and worsened by palpation, accompanied by lower back soreness and a sensation of heaviness. After the onset, the patient continues to have high fever with chills.
The inflammation continues to spread into the pelvis, and abdominal pain can radiate to the buttocks and thighs.
Gynecological examination may reveal edema, thickening and severe tenderness of the surrounding tissues of the uterus, especially in front. There is limited mobility, abdominal pressure disease, rebound tenderness and abdominal muscle tension.
If the patient has a total hysterectomy, it is possible to find purulent or purulent discharge at the end of the vagina, and if an abscess has already formed around the vagina.
It might be located in the uterus, on the side, in the posterior part of the uterus and in the mass.
If not treated, pelvic connective tissue inflammation can cause local congestion, edema and protrusion of the pelvis.
Due to the loosening of the pelvic connective tissue, a large amount of inflammatory exudate may accumulate in the fatty mass.
If the infection is promptly controlled, if the exudates cannot be absorbed, inflammation will spread to the fallopian tubes and pelvic peritoneal organs, causing a pelvic abscess.
It can also invade adjacent blood vessels, and in the case of pelvic thrombotic vasculitis, it can lead to retroperitoneal connective tissue around the kidneys, which may spread, resulting in perirenal abscesses and causing serious consequences.
Post-voiding pelvic connective tissue inflammation is attended with certain clinical manifestations, and if the disease's onset can be detected by recognizing these symptoms, it will allow for timely diagnosis.
What are the clinical manifestations of pelvic connective tissue inflammation? 1. Acute pelvic connective tissue inflammation in the early stage of the inflammation may present with high fever, lower abdominal pain, and a temperature of up to 39-40°C, as well as lower abdominal pain similar to acute salpingitis and oophoritis.
If an abscess is formed, in addition to fever and lower abdominal pain, there are symptoms of rectal and bladder pressure, such as frequent bowel movements, painful defecation, nausea, vomiting, urinary pain, and frequency.
In the early stage of disease, there is obvious tenderness and thickening on one or both sides of the uterus in the pelvis.
The thickening may extend to the pelvic wall, and the uterus may be slightly enlarged with less elasticity. A mass may be palpable on one side of the vagina or on the dome of each cervix, with the upper margin usually paralleling the uterus and being tender.
2. Mild chronic pelvic connective tissue inflammation: Generally, this condition is asymptomatic. However, it may present with occasional lower back and abdominal pain upon fatigue, in severe cases, there may be more severe abdominal pain, back pain, and dyspareunia.
The examination showed that the uterus often had swelling and a backward curvature.
*The medical portions of this text are for reference only.
If there is any discomfort, it is recommended to seek medical attention immediately, and the diagnosis and treatment should be based on offline medical examination