Gynecological Comprehensive
Introduction
Gynecological comprehensive introduction The diseases of the female reproductive system are gynecological diseases, including vulvar diseases, vaginal diseases, uterine diseases, fallopian tube diseases, ovarian diseases and the like. Gynecological diseases are common and frequently-occurring diseases in women. However, due to the lack of proper understanding of gynecological diseases, lack of health care for the body, and various bad living habits, the physical health is deteriorating, leading to some female diseases, and long-term cure, bringing extreme life and work. Great inconvenience. basic knowledge Proportion of disease: according to different gynecological diseases, the proportion of illness is different Susceptible people: good for adult women Mode of infection: some gynecological diseases through sexual transmission Complications: Infertility
Cause
Gynecological comprehensive cause
The main causes of gynecological inflammation are postpartum or abortion infections, postoperative infections during intrauterine surgery, poor menstrual hygiene, and direct spread of inflammation in adjacent organs. Can cause acute endometritis, cervicitis, vaginitis, fallopian tube ovarian abscess, acute pelvic connective tissue inflammation, acute pelvic peritonitis, sepsis and sepsis.
Prevention
Gynecological comprehensive prevention
1, exercise, a balanced diet, but eat foods with high sugar content.
2, both husband and wife must develop good hygiene habits, especially the cleaning of sexual organs. It is best to clean the vulva with a feminine care solution that uses a weak acid formula every day.
3, develop good hygiene habits: do not use sanitary wares in public places, baths, bath towels, etc., should also wash your hands before going to the toilet; do not abuse unclean toilet paper; wipe the vulva after defecation should be rubbed from front to back; change underwear and put Dry in a ventilated place; use your own basin and towel for yourself; wash your underwear and socks in different basins. It is best to take a shower in the shower.
4, too many people and births is also one of the reasons for the induction of gynecological diseases. Therefore, excessive crowding and births should be avoided.
5. Regular gynecological diseases should be conducted. Under normal circumstances, married women under the age of 40 are inspected every two years, and women over the age of 40 are examined once a year.
6, menstrual period, 30 days after abortion prohibiting the same room, easy to cause pelvic infection and blood reflux caused by endometriosis, and even cause infertility.
7, itching should avoid excessive scratching, friction, hot water washing and other ways to stop itching, do not use alkaline soap bath, can not use the bath to wash the vulva or wash the vagina repeatedly, causing vaginal PH changes, leading to normal vaginal bacteria The group is dysfunctional, thereby destroying the vaginal acid antibacterial barrier and not abusing the stimulating hormone-external drug.
Complication
Gynecological complications Complications, infertility
Gynecological diseases are not obvious, and sometimes there are low-grade fever, lack of energy, general discomfort, insomnia, lower abdomen bulge, pain and irregular menstruation in the lumbosacral region. If not treated in time, it will often change chronic pelvic inflammatory disease from acute pelvic inflammatory disease, leading to infertility, so that women regret it.
Symptom
Gynecological syndrome Common symptoms Peptic blood leucorrhea lower abdominal pain purulent secretion increased persistent fever sexual intercourse pain vaginal bleeding low back leucorrhea brushed
Cervicitis: more leucorrhea, milky white, mucus or leucorrhea with bloodshot, or sexual intercourse bleeding, with genital itching, lumbosacral pain, menstrual aggravation.
Pelvic inflammatory disease: acute onset, serious illness, abdominal pain, fever, chills, headache, loss of appetite. During the examination, the patient was found to have acute illness, high body temperature, fast heart rate, muscle tension, tenderness and rebound tenderness in the lower abdomen. Pelvic examination: There is a large amount of purulent secretion in the vagina, the eyelids have obvious tenderness, and the uterus and double attachments have tenderness, rebound tenderness, or thickening of one side attachment.
Vaginitis: The change of vaginal discharge traits and genital itching and burning are the main clinical features. Sexual pain is also common. When the infection involves the urethra, there may be symptoms such as dysuria and urgency.
Endometritis: Due to increased secretion of endometrial glands. Generally it is a thin watery sample, light yellow, sometimes bloody leucorrhea. Senile endometritis is a purulent leucorrhea and often contains a small amount of blood. When the uterus accumulates, the secretion is purulent with odor.
Examine
Gynecological comprehensive examination
1, speculum check
Should try to take the uterine cavity drainage to send bacteria culture and drug sensitivity, while smear test bacteria for the reference of the drug. Speculum examination revealed a large amount of purulent or fouling bloody odor secretions in the uterus. Cervical pain during double consultation. The palace body is swollen due to congestion and edema, soft and tender. The test showed an increase in the total number of white blood cells and neutrophil counts.
2, diagnostic curettage
Can determine the cause of the disease and exclude malignant lesions. Inflammation should be controlled for three days before surgery, and antibiotics should continue to be given after surgery. Intraoperative operation should be gentle, due to the fragility of the infected uterine wall, easy to cause uterine perforation. Senile endometritis has a thin inner membrane and should be noted when scraping. Endometritis may have residual embryonic tissue after abortion, which should be carefully and completely scraped, often at the same time.
Diagnosis
Gynecological comprehensive diagnosis
1, vaginal discharge is grayish white, very sticky, even like batter, uniform, but not purulent secretions, the amount is uncertain.
2. The amine content in the secretion is particularly high, so it is fishy smell. When sexual intercourse or activity, the odor is aggravated by promoting the release of amine. The amine flavor can also be released after adding 10% potassium hydroxide to the secretion.
3, the ph value in the vaginal secretions increased, ph range of 5.0-5.5, while normal people are 3.7-4.5.
4. The clue cells can be detected in the wet smear of vaginal secretions. Among the above four criteria, more than three can be diagnosed, and the fourth is the necessary diagnostic criteria.
