Inflammatory disease in women
inflammatory disease in women are much more often than other diseases of the genital organs.Activators of them can be a variety of bacteria: staphylococcus, streptococcus, E. Escherichia, gonococci, tubercle bacillus (Mycobacterium), trichomonas, fungi and anaerobic bacteria, etc. Pelvic inflammatory disease is characterized by persistent or recurrent infections of internal female reproductive organs and is one of the most.frequent causes of pelvic pain in women.Infection usually begins in the cervix, it is distributed in the uterus and fallopian tubes, and then captures the pelvic cavity.In most cases, proper treatment leads to complete recovery in about a week, although the recurrence of the disease occurs frequently.If untreated pelvic inflammatory disease can lead to serious complications, including life-threatening abdominal abscesses, infection of the abdominal cavity (peritonitis) and blood poisoning.Furthermore, pelvic inflammatory disease can lead to the formation of scar tissue in the fallopian
origin and course of the inflammatory process depends on the nature of the pathogen and characteristics of the protective forces of the body of women.When failure of the body's defenses can occur generalization of the process (sepsis).During inflammation distinguish acute, subacute and chronic stage.Inflammatory diseases of the genital organs often have a very long duration.As a result of repeated exacerbations of existing long-term inflammation is often reduced glucocorticoid function of the adrenal cortex and changes of gonadotropic function of the pituitary, sometimes there are symptoms of thyroid dysfunction, nervous system, they are associated with various vascular disorders.
Inflammatory diseases of internal genital organs (uterus, ovaries, tubes, pelvic peritoneum) accompanied by disruption of the menstrual (various violations of menstruation) and fertility (infertility, spontaneous miscarriage, and others.).
• Different carriers of infections, especially chlamydia and gonorrhea, can be transmitted to a sexual partner, and cause pelvic inflammatory disease.
• Less frequently, pelvic inflammatory disease is associated with the use of intrauterine devices, or may occur after the false pregnancy, a full pregnancy or gynecological procedures such as intra-uterine biopsy or curettage.
• Risk factors include sexual activity at a young age and a large number of sexual partners.Condom use reduces the risk.
• Sometimes the infection can spread from other organs (eg, as a complication of appendicitis).
• A dull ache in the lower abdomen or back.
• Pain during sexual intercourse.
• Mild fever, possibly with chills.
• Irregular or unusually heavy menstruation, or lack thereof.
• Excessive vaginal discharge with a bad odor.
• frequent, painful urination.
• Loss of appetite.
• Nausea and vomiting.
• It is necessary to examination of the pelvic organs.Pelvic inflammatory disease can be difficult to diagnose because it is sometimes impossible to distinguish from other types of infection, such as appendicitis.
• Based on the analysis of smears of vaginal discharge main infectious agents can be identified.However, the patient may be infected with gonorrhea or chlamydia, even if you can not distinguish culture.
• Examination of the pelvic organs with a small flexible tube that is inserted through a small incision in the abdomen (laparoscopy) can be performed to confirm the diagnosis or to drain an abscess.
• If there is a suspicion of pelvic inflammatory disease, antibiotics are often prescribed immediately because of treatment delay is dangerous.Therapy can be verified after be known laboratory results.
• Can be considered for admission to the more serious cases, if diagnosed crumple: flax, if the patient is a pregnant woman or a teenager, or if the infection does not go for outpatient treatment.Treatment may include intravenous antibiotics and surgical drainage of the abscess.Abscess broke through life-threatening and may require a complete hysterectomy with removal of the ovaries.
• Surgery may also be needed in complex cases or recurring infections that do not respond to antibiotics.Successfully cured a woman can get re-infection from a sexual partner, so that all partners, even if asymptomatic, should be treated for gonorrhea and chlamydia.
Vulvitis - an inflammation of the external genitalia and the vagina.Primary vulvitis is rare, occurs when unscrupulous content and injury of genitals.Secondary vulvitis observed in diabetes, urinary fistulas and kishechnopolovyh, during stimulation of the external genital organs inflammatory diseases of the genital organs can be nonspecific and specific (tuberculosis, gonorrhea) etiology.It should be emphasized that in the era of antibiotics so-called opportunistic pathogen microflora become severe sepsis various diseases (for example, a group of Proteus, Escherichia E. et al.).
Sometimes inflammatory diseases develop as a result of transfer of infection from adjacent organs (appendicitis, typhlitis).However, as a rule, inflammatory diseases occur in violation of the uterine tissue integrity (after abortion and childbirth).
reasons for vulvitis may include: irritation belyami, menstruation, masturbation, dirty laundry, dirty hands.
In the acute phase marked itching, burning, profuse discharge, redness and swelling of the small and large labia, pain after urination (urinary irritation of inflamed tissue).Diagnosis is based on patient complaints, changes in the vulva, found during the inspection and bacteriological studies (necessary to exclude diabetes).
Symptoms of vulvitis: tickling sensation of external parts, passing in pain when walking and urination, inflammation of the small and large labia, whiter appearance of yellowish-greenish color and an unpleasant odor.
to prevent vulvitis very important personal hygiene with the hygiene of the sexual partner.
Traditional medicine recommends 2-3 times a day to wash the labia carbolic soap and water, add a little potash.On the sex gap is applied compresses of lead water, or a rag with boric Vaseline.A good effect is given a silver washing with water 2-3 times a day.
Treatment of the underlying disease that caused the vulva.In the acute phase is recommended to wash the external genitalia with a solution of potassium permanganate, a decoction of camomile or boric acid solution, warm sitz baths with a solution of potassium permanganate or a decoction of chamomile, radiation to the area of the external genitalia UFO.
Vulvovaginitis - an inflammation of the external genitalia and vagina.Observed mainly in children and less often - in adults.The reasons for it may be a violation of the rules of hygiene, permanent trauma, chronic tonsillitis, ekssudativnsh diathesis.
In the acute stage of burning, itching and profuse discharge.In the chronic stage of inflammation phenomena decrease.On examination, marked swelling and redness of the vulva and vaginal mucosa (the girls adjusted with Vaginoscopy), serous or purulent discharge gnoynokrovyanistye (especially in the presence of foreign bodies).
Treatment is the same as at the vulva.
vaginitis (coleitis) -vospalenie vaginal mucosa due to infection with its various micro-organisms, metabolic disorders, hormone deficiency in the body (premature menopause, after the removal of the ovaries, in old age), as well as chemical or mechanical trauma.
Slizistognoynye and purulent discharge, feeling of heaviness in the abdomen, pain in the vagina, burning, itching.On examination, marked hyperemia of the mucous membrane, edema, sometimes small nodules on her and the vaginal part of the cervix (granulosa coleitis).If there are signs of senile coleitis age atrophy, the mucous membrane of the vagina smooth, pale, sometimes with bleeding hyperemic areas.To determine the cause of vaginitis need to bacta-rioskopicheskoe study selections.
treatment.Eliminating things that contribute to the emergence of obesity, restorative therapy, the treatment of external genital organs with a solution of potassium permanganate or broth chamomile.When fungal coleitis - douching solution of sodium bicarbonate, the introduction into the vagina of 20% solution of borax in glycerine, balls with Nystatin.
genital Warts (benign - multiple growths on the surface of the external genitalia and vaginal entrance).May extend to the perineum, vagina, cervix.The cause of warts is a filterable virus, the development process contribute profuse discharge from the genital tract as obesity and endotservitsitah.Especially genital warts grow rapidly during pregnancy.
most often localized on the external genitals, perineum, around the anus.In cases of necrosis warts and joining a secondary infection appears purulent discharge.Warts vagina and cervix during pregnancy and childbirth can cause bleeding.Diagnosis is based on inspection.It should be differentiated from syphilitic warts, with a wide base.
treatment.For small warts apply powder to boric acid and resorcinol or resorcinol solution was treated with 70% ethanol.It is necessary to pre-lubricate the skin around the warts with petroleum jelly.
Rp .: Resorcini _
Acidi borici aa 15,0 M. D. S. Powder
Rp .: Resorcini 1,5
Spiritus aethylici 70% 50,0 M. D. S. Outside
When extensive lesions produce removal of warts by surgery or electrocoagulation.
Trichomoniasis - a specific disease caused by Trichomonas vaginalis (elementary);sexually transmitted.Most often there is trihomonadozny coleitis often Trichomonas also cause urethritis, cervicitis, proctitis.
In the acute stage are pronounced itching, burning, heaviness in the abdomen.On examination: the vaginal mucosa redness, pus-like abundant frothy.
In the chronic stage of hyperemia disappears, but remains abundant characteristic selection.The disease is prolonged, there is a tendency to relapse.
Diagnosis is based on microscopic examination of vaginal discharge.
Treatment for both the sick woman and her husband.Need treatment of opportunistic diseases and functional disorders, as well as the impact on existing centers of trihomonoznye.Assign metronidazole (Flagyl, Trichopolum, orvagil, Clione).The drug is used inside for the treatment of acute and chronic trichomoniasis in women and men.Dosage: 0.25 g of 2 times a day for 7-10 days.The total dose per course of treatment for adults 5 of Metronidazole is contraindicated in pregnancy, especially during the first 3 months.
Simultaneously with metronidazole is recommended to wash the external genitalia and vaginal douching decoction of chamomile or potassium permanganate solution.Also produced tablets of metronidazole 0.5 g to be inserted into the vagina.The relatively high activity has protivotrihomonadnoy trihomonatsid.It is used internally and locally.Inside appoint 0.3 g per day (2-3 hours) after meals for 3-5 days.Children dose is reduced in accordance with age.
Endocervicitis - inflammation of the mucous membrane of the cervical canal.It may occur when the penetration of various bacteria (staphylococcus, streptococcus, Neisseria gonorrhoeae, Escherichia E. et al.).Endocervicitis often associated with inflammation in other parts of the genital apparatus - obesity, salpingo, cervical erosion.
Slizistognoynye vaginal discharge.Painful sensations are not present.Clinical signs expressed little.In the acute stage is determined by hyperemia around the external os and slizistognoynye selection.In the chronic stage there is little congestion, discharge remains.In the long process of developing hypertrophy (thickening) of the cervix - cervicitis.To elucidate the etiology of the process must be microscopic examination of vaginal discharge.
Treatment depends on the nature of the pathogen: in gonorrhea and trichomoniasis prescribe appropriate therapy;in viral en dotservitsite - tetracycline;in nonspecific Endocervicitis used douching solution of potassium permanganate, a decoction of chamomile, as well as sintomitsinovoy streptocidal or emulsion.In the chronic stage shows endocervicitis physiotherapy.
Cervical erosion - defect surface epithelium of the vaginal portion of the cervix.erosion formation occurs under the influence of abnormal discharge from the cervical canal, which causes maceration and subsequent desquamation (peeling) stratified squamous epithelium.
purulent or muco-purulent vaginal discharge.When examination of the cervix using mirrors is determined by the congestion around the external os, usually on the back lip of the cervix.erosion surface can be smooth or velvety, sometimes marked bleeding when touched.
Diagnosis of cervical examination using mirrors.Be sure to colposcopy, with the help of which addressed the issue of the need for targeted biopsy with subsequent histological examination.cervical erosion should be differentiated from cervical cancer, tuberculosis and syphilitic ulcers.
treatment.Along with the need to endocervicitis therapy treatment of opportunistic diseases of the genital organs.Tampons used with fish oil, sea buckthorn oil, emulsions containing antibiotics and sulfonamides.When long-term healing of erosion shows electrocoagulation (after biopsy data).
Endometritis - inflammation of the mucous membranes and the muscle of the uterus.
Acute endometritis is characterized by abdominal pain, fever, purulent or purulent bloody discharge from the uterus.
When two-handed palpation study notes uterine tenderness, and an increase myagkovataya its consistency.In chronic endometritis observed pain, prolonged bleeding, the temperature is usually normal, uterine tenderness on examination is absent.Diagnosis is based on history (unsafe abortion, post-partum), fever, pelvic exam data.
meters - inflammation of the uterine membranes.Developed with the progression of endometritis, often being the manifestation of a generalized septic infection.
Remind clinical endometritis, but are more severe and are often accompanied by pelvioperitonitom.
Options - inflammation parauterine fiber, most commonly seen after childbirth, abortion and other interventions (sensing, the expansion of the uterus daeyki).
When the so-called lateral infiltration parameters located close to the uterus and reaches the bone pelvic wall.Side set of respective sides flattened.Consistency dense infiltrate, with festering determined fluctuation.At the front of the parameter infiltrate localized anterior to the uterus at the back - backwards.For the acute phase is characterized by pain, fever, chills, increased heart rate, disturbance of sleep and appetite.There may be dysuria, constipation, menstrual disorders.When festering infiltrate the clinical picture is characteristic of purulent septic processes.Diagnosis is based on the symptoms and laboratory test data.
pelvioperitonit - inflammation of the pelvic peritoneum.
characterized by acute abdominal pain, nausea, vomiting, abdominal distention, delayed stool and gas, fever, rapid pulse.Tongue dry, coated with white bloom.On palpation of the abdomen is marked muscle tension anterior abdominal wall in the lower part, a positive sign of Blumberg - Shchetkina.In the blood, elevated erythrocyte sedimentation rate, leukocytosis, shift to the left white blood.In the present (erased) for maybe a small symptom or the absence of some of them.It is often difficult to diagnose.