How to judge acute pelvic inflammatory disease? Five signals indicate that you are sick

Acute pelvic inflammatory disease is a common gynecological inflammation and a common disease that poses serious harm to women. Once we experience abnormal manifestations, we must immediately undergo examination and diagnosis.

Symptoms of acute discitis

1. When acute inflammation becomes chronic inflammation, scar adhesion and disc congestion may occur. Causing lower abdominal swelling, pain, and lumbosacral pain. It usually occurs after exhaustion, sexual activity, or before and after menstruation.

2. During the onset of the disease, there may be lower abdominal pain, as well as fever and chills. If there is Peritonitis, there will be abdominal distention, diarrhea, nausea and vomiting.

3. Symptoms of pelvic congestion and increased menstruation. When the ovarian function is damaged, Menstrual disorder occurs. When the fallopian tubes become sticky and blocked, women become infertile.

4. There is the formation of an abscess, with symptoms of lower abdominal mass or local compression stimulation. The patient presents with acute symptoms, tension in the lower abdominal muscles, increased body temperature, increased heart rate, abdominal distension, tenderness, and rebound pain.

5. Systemic symptoms are often not obvious, sometimes with low fever and easy fatigue. He has been ill for a long time and has Neurasthenia symptoms such as low spirits, physical discomfort and insomnia. If the patient's resistance is poor, acute and subacute attacks can easily occur.

Acute pelvic inflammatory examination

1. Ultrasound examination: mainly B-type or grayscale ultrasound scanning and imaging, this technology has 85% accuracy in identifying masses or abscesses formed by adhesion of the fallopian tubes, ovaries, and intestinal tubes. However, mild or moderate pelvic inflammatory disease is difficult to show its characteristics on B-ultrasound images.

2. Examination of male partner: This is helpful for the diagnosis of female pelvic inflammation. The urethra secretion of the male partner can be directly smeared for staining or cultured for gonorrhoeal Diplococcus. If positive, it is a strong evidence, especially in Asymptomatic or mild symptoms. Alternatively, it can be found that there are more white blood cells. If all male PID patients are treated, no matter whether they have Urethritis symptoms or not, it is significant to reduce recurrence.

3. Pathogen culture: Samples from the same source must be incubated in a 35 ℃ incubator for 48h immediately or within 30s on the basis of Thayer Martin culture, and then identified by Glycolysis. The new and relatively fast Chlamydia enzyme detection has replaced traditional methods for Chlamydia detection, and can also be used for Chlamydia antigen detection through mammalian cell culture, using enzyme-linked immunosorbent assay.