Ovarianitis
Introduction
Introduction to oophoritis Ovarian inflammation is a type of inflammation in the female ventricle. It is caused by infection, resulting in inflammation of the ovaries, resulting in serious sequelae such as ovarian adhesions, fallopian tube wrapping, abscesses and obstruction, resulting in infertility. In general, non-specific ovarian inflammation is divided into acute and chronic. Under normal circumstances, there will be symptoms such as fever, abdominal pain, and a feeling of bulging in the anus. The chronic side is weak, the spirit is poor, the menstruation is not adjusted or the menstrual volume, and even the lower abdomen will find signs such as mass. It is usually accompanied by inflammation of the disc cavity. basic knowledge The proportion of illness: 0.001% Susceptible people: women Mode of infection: non-infectious Complications: ovarian cancer, infertility, endocrine disorders
Cause
Cause of oophoritis
Environmental factors (10%):
Women do not pay attention to menstrual hygiene and personal hygiene, causing ovarian inflammation. Sexual intercourse during menstruation or usual unclean sexual intercourse and premature, over-frequency intercourse, etc., cause the bacteria to enter the body and ascend to the ovaries.
Low immunity (20%):
As the patient's full-term delivery or natural and artificial abortion of the body's resistance decreased, the bacteria infected by the vagina, uterus and spread to the fallopian tubes, ovaries, causing ovarian inflammation.
Disease factor (30%):
In other parts of the body, there are infectious lesions, such as acute appendicitis, colonic diverticulitis, etc., if not eliminated in time, the pathogen can be transmitted through the bloodstream to cause acute oophoritis. When the pelvic or fallopian tube is adjacent to the organ, the acute oophoritis is caused by the direct spread of the infection. Inflammation usually occurs on the adjacent side of the fallopian tubes and ovaries.
Iatrogenic infection (30%):
During gynecological surgery, due to accidental injury to the intestines, or inhalation of infective abortion, the uterus is inadvertently worn, resulting in severe peritonitis, inflammation spread to the ovaries. Ovarian inflammation is caused by intrauterine procedures without strict sterilization. Such as cervical tube treatment, aspiration, fallopian tube uterine angiography, fallopian tube fluid and other surgical infections.
Prevention
Ovarianitis prevention
1, the most important thing for female friends in daily life is to pay attention to personal hygiene, especially during menstruation, after childbirth and after abortion, underwear should be changed frequently, do not suffer from cold, but also pay attention to not overwork during menstruation.
2, female friends usually drink more water, because if women have oophoritis, it is easy to heat, so drink plenty of water to cool down.
3, female friends should pay attention to daily diet, eat more light, nutritious food, try to eat less raw, cold, spicy and more irritating food.
4, female friends are best to avoid unnecessary gynecological examinations, because some gynecological examination equipment improper disinfection, can lead to infection, trigger inflammation, can also lead to the spread of inflammation, aggravating the condition.
5, female friends do not have sex during menstruation, because during the menstrual period, women's body immunity and resistance are relatively weak, if sexual life during this period, it is easy to lead to bacterial invasion, leading to gynecological inflammation, triggered Infertility.
Complication
Ovarian complication Complications, ovarian cancer, infertility, endocrine disorders
1, endocrine disorders: female friends after suffering from ovarian inflammation, because the function of the ovary has been affected, it will have a certain impact on the level of some hormones in women, causing endocrine disorders in female patients.
2, ovarian cancer: ovarian inflammation has not been timely and effective treatment, not only will cause female friends to appear weakness, lower abdomen pain, etc., but also have a certain impact on women's mental, the most important thing is to cause The emergence of ovarian cancer poses a threat to women's health.
3, infertility: the most important hazard of ovarian inflammation is to cause female infertility, because pelvic inflammation causes increased genital inflammatory secretions, affecting sperm survival and activity; tubal obstruction and stagnant water, leading to sperm eggs can not meet, ovarian adhesion package Ovulation disorders or fallopian tubes can not pick up eggs, ovarian function is destroyed, leading to inability to ovulate and menstrual disorders. These symptoms have caused serious damage to the physical and mental health of female friends.
4, pain: patients with acute ovarian inflammation may have fever, abdominal pain (dull pain, no radiation to it), lumbosacral pain, anal bulge, etc., chronic patients are included in chronic pelvic inflammatory disease, such as waist Pain in the ankle, anal swelling, anorexia, general fatigue, poor mental health, menstrual changes (mostly increased menstruation), and even lower abdomen mass.
Due to the destruction of female defense mechanisms or low resistance, pathogens invade, pathogens such as streptococcus, staphylococcus, Escherichia coli and anaerobic bacteria cause other complications.
Symptom
Symptoms of ovarian inflammation Common symptoms Lower abdominal pain Fatigue Anal bulging lumbosacral soreness Menstrual cycle changes
Acute symptoms: If a woman has acute oophoritis, usually the patient will have abdominal pain, lumbosacral pain, and anal swelling.
Chronic symptoms: If a female friend is suffering from chronic oophoritis, the patient usually presents with lumbosacral pain, fatigue, weakness, anal bulge, and poor mental health.
Other symptoms: Some patients may have some other symptoms after suffering from oophoritis. For example, infertility, the cause of female infertility is usually caused by ovarian inflammation causing increased genital inflammatory secretions, affecting sperm survival and activity. Not only that, but the ovarian function at this time will also be destroyed, leading to the inability to ovulate and cause menstrual disorders.
Examine
Ovarian examination
1. Abdominal examination: There are few other positive findings except for mild tenderness on the lower abdomen.
2, gynecological examination: the cervix has many erosions, eversion, mucus purulent vaginal discharge. The uterus often leans back or bends backwards, and the activity is worse than normal. Generally, the cervix or the uterus is painful. The mild disease only touches the thickened cord-shaped fallopian tube at the bilateral attachments, and the severe ones can be on both sides of the pelvic cavity. Or the posterior side of the uterus smashed into irregular, irregular and fixed masses, which were often tender. The wall is thick and sticky, and the severe cystic mass is mostly abscess; the wall is thin, the tension is large, and it is slightly active, mostly hydrosalpinx.
Diagnosis
Diagnosis and diagnosis of ovarian inflammation
After the acute phase, the puncture was pumped to the exudate or pus, or the B-ultrasound ovarian puncture to extract the purulent secretion, or the above-mentioned puncture to extract the liquid for culture, and to detect the pathogens such as streptococcus and staphylococcus. In chronic cases, laparoscopic examination can confirm the diagnosis. It is common under the microscope: ovarian enlargement or surface edema or ischemia or adhesion, covering the surface of the membrane, and the ovary may form adhesion to the fallopian tube, the side wall of the basin, and the posterior wall of the uterus, or It can be seen that the ovarian fallopian tube adhesions are wrapped together. If there is an ovarian abscess, the ovary surface can be seen with pus moss, and the ovary enlarges obviously.
