여성실습 간호과정 Tubo-ovarian abscess(TOA)
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(A+)여성실습 간호과정 Tubo-ovarian abscess(TOA)
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2023.04.04
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  • 1. Tubo-ovarian abscess (TOA)
    Tubo-ovarian abscess (TOA)는 골반 내 감염으로 인해 발생하는 질환으로, 주로 골반 염증성 질환(PID)이나 자궁 내막염 등에 의해 발생합니다. 이 환자의 경우 3일 전부터 복통이 시작되었고, 입원 당시 acute ill-looking appearance와 불안한 정서 상태를 보였습니다. 혈액검사 결과 Hb, MCV, MCH, RBC 수치가 낮고 WBC가 증가되어 있어 감염이 의심되었습니다. 초음파 검사에서 adenomyosis와 자궁내막 및 부속기 이상 소견이 확인되었습니다. 항생제 치료에도 불구하고 증상이 호전되지 않아 수술적 치료가 필요할 것으로 보입니다.
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  • 1. Tubo-ovarian abscess (TOA)
    Tubo-ovarian abscess (TOA) is a serious gynecological condition that requires prompt diagnosis and appropriate treatment. TOA is an accumulation of pus in the fallopian tube and ovary, often resulting from an ascending pelvic infection or a complication of pelvic inflammatory disease (PID). The condition can be life-threatening if left untreated, as the infection can spread to other organs and lead to sepsis. Early recognition of TOA is crucial, as it allows for timely intervention and management. Patients with TOA typically present with symptoms such as lower abdominal pain, fever, nausea, and vaginal discharge. Diagnostic imaging, such as transvaginal ultrasound or computed tomography (CT) scans, can help confirm the diagnosis and assess the extent of the abscess. The primary treatment for TOA is antibiotics, often in combination with surgical drainage or removal of the affected structures. In some cases, conservative management with antibiotics alone may be sufficient, but in more severe cases, surgical intervention may be necessary to prevent the spread of infection and complications. The choice of treatment depends on the size and location of the abscess, the patient's clinical condition, and the expertise of the healthcare provider. It is important to emphasize the importance of preventive measures, such as prompt treatment of pelvic infections and adherence to safe sexual practices, to reduce the risk of developing TOA. Additionally, early recognition and management of TOA can significantly improve patient outcomes and prevent long-term complications, such as infertility or chronic pelvic pain.
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