How to do physiotherapy for pelvic effusion? Look here

Pelvic effusion is one of the common gynecological diseases in women, which is often manifested by lower abdominal pain, increased leucorrhea, sudden lower abdominal distension and pain, etc. So how to treat pelvic effusion?

1. Traditional Chinese medicine treatment

Chronic pelvic inflammatory disease is mostly of damp-heat type, and the treatment principle is to clear away heat and dampness. The main function of the prescription is to promote blood circulation and remove blood stasis. The prescription uses: Salvia miltiorrhiza 18g, Red Peony Root 15g, Costus Root 12g, Peach Kernel 9g, Honeysuckle 30g, Taraxacum Mulberry 30g, Poria 12g, Moutan Bark 9g, and Rehmannia Glutinosa 9g. If the pain is severe, add 9g of Corydalis yanhusuo. Some patients are of the cold stagnation and qi stagnation type, and the treatment principle is to warm the meridians and dispel the cold, promote qi and activate blood circulation. Guizhi Fuling Decoction is often used with modifications. For those with qi deficiency, add 15g of Codonopsis pilosula, 9g of Atractylodes macrocephala, and 15g of Astragalus membranaceus.

2. Other drug treatments

When using anti-inflammatory drugs, you can also use 5 mg of α-chymotrypsin or 1500 U of hyaluronidase at the same time, injected intramuscularly once every other day, 5 to 10 times as a course of treatment, to facilitate the absorption of adhesion and inflammation. The medication should be discontinued if local or systemic allergic reactions occur in individual patients. In some cases, antibiotics are used simultaneously with dexamethasone, 0.75 mg of dexamethasone is taken orally 3 times a day, and the dose should be gradually reduced when the drug is discontinued.

3. Physical therapy

The benign stimulation of warmth can promote local blood circulation in the pelvic cavity. Improve the nutritional status of tissues and enhance metabolism to facilitate the absorption and disappearance of inflammation. Commonly used ones are shortwave, ultrashort wave, iontophoresis (various drugs such as penicillin, streptomycin, etc. can be added), wax therapy, etc.

4. General treatment

Relieve patients' mental concerns, enhance their confidence in treatment, increase nutrition, exercise, pay attention to the combination of work and rest, and improve the body's resistance.

5. Surgical treatment

Patients with lumps such as hydrosalpinx or tubo-ovarian cysts can undergo surgical treatment; patients with small foci of infection and repeated inflammation are also suitable for surgical treatment. The principle of surgery is complete cure to avoid recurrence of residual lesions. Unilateral oophorectomy or radical hysterectomy plus bilateral oophorectomy is performed. For young women, ovarian function should be preserved as much as possible. The effect of single therapy for chronic pelvic inflammatory disease is poor, and comprehensive treatment is appropriate.