How is acute pelvic inflammatory disease diagnosed?

2022-08-20

Pelvic inflammatory disease is a common gynecological disease in women, which has a great impact on the health of women's reproductive system. Clinically, according to the onset time and degree of pelvic inflammatory disease, it can be divided into two categories: acute pelvic inflammatory disease and chronic pelvic inflammatory disease. Among them, acute pelvic inflammatory disease has a more rapid onset, so many women feel more pain, and if acute pelvic inflammatory disease is not treated in time, it will become chronic after a long time, and even lead to female infertility or ectopic pregnancy.

In fact, acute pelvic inflammatory disease in women is mainly caused by acute inflammation of the upper genital tract and surrounding tissues. This inflammation can be treated, but the timing of treatment must be grasped. It must be killed in the early stage of inflammation. in a budding state. Because the disease is generally a mixed infection caused by bacteria, it can be transmitted through blood or lymph, or it may be caused by direct spread of nearby organs or tissues. However, many pelvic inflammatory diseases are caused by bacteria in the vagina of women along the mucosal surface. Until it is caused by the pelvis, if it can be diagnosed at the first time and active treatment can be carried out, coupled with good conditioning, it can be treated quickly.

Then, how can female pelvic inflammatory disease be detected and treated early? Gynecologist: Mastering these three diagnostic points is the key.

https://cdn.coolban.com/ehow/timg/220818/212R34525-0.jpg

1. Lower abdominal pain

Due to the inflammation of the pelvic cavity, when the inflammation stimulates the organs in the pelvic cavity, female patients can show different degrees of abdominal pain. However, the abdominal pain characteristics of acute pelvic inflammatory disease are more obvious, that is, female patients will feel strong lower abdominal pain in a short period of time, usually above the pubic symphysis and below the navel, and sometimes it can spread to other parts of the lower abdomen. part. Therefore, for the pain in this part, it can be basically determined that it is gynecological inflammation, and pelvic inflammatory disease is the primary consideration.

In addition, because acute pelvic inflammatory disease and uterine appendages are closely related, through gynecological physical examination, such as taking bimanual or trimanual examinations, it is also possible to clearly feel the abnormality of the uterine appendages. When pressing the lower abdomen, female patients may experience pain. will exacerbate, these can become the basis for the diagnosis of acute pelvic inflammatory disease.

https://cdn.coolban.com/ehow/timg/220818/212R41I4-1.jpg

2. Increased vaginal secretions

Many women believe that vaginal discharge increases only when they have vaginal inflammation, or inflammation of the cervix. In fact, this understanding is a bit one-sided. After the inflammation of the upper genital tract, it will also cause an increase in vaginal secretions, such as adnexitis, endometritis, and pelvic inflammatory disease. These inflammations can promote local inflammatory infections, which in turn increase Discharge, which is excreted from the vagina along with leucorrhea, etc.

Therefore, when there is inflammation in the pelvis, especially acute pelvic inflammatory disease, there will also be an increase in private secretions, and the color of the leucorrhea at this time will be obviously abnormal, usually mainly yellow secretions, and the amount is particularly large , and even accompanied by a peculiar smell. These clinical manifestations can also be an important basis for the diagnosis of acute pelvic inflammatory disease.

https://cdn.coolban.com/ehow/timg/220818/212R51202-2.jpg

3. Imaging and laboratory tests

Sometimes the phenomena seen by the naked eye may not be so accurate, and then it is necessary to use instruments for more in-depth inspection. Therefore, auxiliary examinations are also essential for the diagnosis of acute pelvic inflammatory disease. Imaging and laboratory tests can be used to determine whether female patients have acute pelvic inflammatory disease. For example, ultrasound imaging examination can find lower abdominal mass, laboratory examination can find increased levels of inflammatory factors in peripheral blood, etc. These are important basis for the diagnosis of acute pelvic inflammatory disease.