골반염증성질환(PID) 케이스스터디
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간호학과 여성병동 케이스스터디_ 골반염증성질환(PID)
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2023.06.25
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  • 1. Pelvic Inflammatory Disease (PID)
    골반 내 자궁, 난관, 난소 등에 생긴 염증성 질환으로, 질과 자궁경부로부터의 원인균이 자궁내막과 난관을 통해 난소 및 골반 내 장기에 염증을 일으킨다. 주요 증상으로는 성교통, 하복통, 질 분비물 증가, 배뇨통, 출혈, 월경이상, 고열, 오한 등이 있으며, 합병증으로는 불임증, 자궁외임신, 만성 골반 통증, 간 주위 염증, 난소 난관 농양 등이 발생할 수 있다. 진단을 위해서는 복강경 검사, 자궁내막 조직 검사, 질 초음파 검사 등이 활용되며, 치료는 항생제 투여와 수술적 치료로 이루어진다.
  • 2. Tubo-ovarian Abscess
    난소 주위나 난소 자체에 염증이 퍼져 난관 농양, 난소 농양이 형성된 상태로, 질이나 자궁 경부에 감염된 세균이 상행하여 발생한다. 주요 증상으로는 복통, 성교통, 발열, 구토, 비정상적 질 분비물, 불규칙한 질 출혈 등이 있으며, 초음파 검사로 진단할 수 있다. 치료는 항생제 투여와 함께 농양 배출을 위한 외과적 처치가 필요하다.
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  • 1. Pelvic Inflammatory Disease (PID)
    Pelvic Inflammatory Disease (PID) is a serious infection of the female reproductive organs, including the uterus, fallopian tubes, and ovaries. It is typically caused by sexually transmitted bacteria, such as chlamydia and gonorrhea, that ascend from the vagina and cervix into the upper genital tract. PID can lead to significant complications if left untreated, including chronic pelvic pain, infertility, and an increased risk of ectopic pregnancy. Early diagnosis and prompt treatment with antibiotics are crucial to prevent these long-term consequences. Women with multiple sexual partners, a history of sexually transmitted infections, or intrauterine devices (IUDs) are at a higher risk of developing PID. Preventive measures, such as safe sex practices and regular STI screenings, can help reduce the incidence of this condition. Overall, PID is a significant public health concern that requires increased awareness and access to quality reproductive healthcare services.
  • 2. Tubo-ovarian Abscess
    A tubo-ovarian abscess is a serious complication of pelvic inflammatory disease (PID) that occurs when the infection spreads to the fallopian tubes and ovaries, leading to the formation of a localized collection of pus. This condition can be life-threatening if left untreated, as the abscess can rupture and cause sepsis, a potentially fatal systemic infection. Symptoms of a tubo-ovarian abscess include severe pelvic pain, fever, nausea, and abnormal vaginal discharge. Prompt diagnosis and treatment are essential, typically involving a combination of intravenous antibiotics and, in some cases, surgical drainage or removal of the affected reproductive organs. Risk factors for developing a tubo-ovarian abscess include a history of PID, previous pelvic surgeries, and the use of intrauterine devices (IUDs). Prevention strategies, such as safe sex practices and timely treatment of sexually transmitted infections, can help reduce the incidence of this serious complication. Overall, a tubo-ovarian abscess is a complex and potentially life-threatening condition that requires immediate medical attention and a multidisciplinary approach to management.
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