{"id":7075,"date":"2017-07-03T00:00:00","date_gmt":"2017-07-02T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=d7b14620fde7cce92064d659ce5b0829"},"modified":"2018-08-21T12:13:41","modified_gmt":"2018-08-21T04:13:41","slug":"%e5%95%8f%e9%86%ab%e7%94%9f%ef%bc%9a%e6%80%a7%e6%8e%a5%e8%a7%b8%e3%80%81%e5%a9%a6%e7%a7%91%e6%89%8b%e8%a1%93%e6%aa%a2%e6%9f%a5-%e5%9d%87%e6%9c%89%e9%a2%a8%e9%9a%aa","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e5%95%8f%e9%86%ab%e7%94%9f%ef%bc%9a%e6%80%a7%e6%8e%a5%e8%a7%b8%e3%80%81%e5%a9%a6%e7%a7%91%e6%89%8b%e8%a1%93%e6%aa%a2%e6%9f%a5-%e5%9d%87%e6%9c%89%e9%a2%a8%e9%9a%aa\/","title":{"rendered":"\u554f\u91ab\u751f\uff1a\u6027\u63a5\u89f8\u3001\u5a66\u79d1\u624b\u8853\u6aa2\u67e5 \u5747\u6709\u98a8\u96aa"},"content":{"rendered":"

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\/\/www.afterroberto.com\/wp-content\/uploads\/2017\/07\/11-1.jpg;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】傅:傅邦彥醫生 柴:柴逸蘭醫生<\/p>\n

傅﹕前陣子有一名女病人,因為肚痛了兩天加上發燒而來求醫,問過病歷後懷疑是盆腔炎。什麼是盆腔炎?有什麼成因?是否常見?<\/p>\n

柴﹕盆腔炎是指女性的盆腔受到細菌感染,女性盆腔主要的器官有子宮、輸卵管、卵巢及附近組織,如果這些地方出現感染便是盆腔炎。最主要成因是性接觸傳染,令盆腔受感染,嚴重時更可產生膿腫。除了性接觸,曾做過子宮手術或入侵性婦科檢查,都可能導致盆腔炎。另外,有朱古力瘤等婦科疾病,出現盆腔炎的風險也較高。<\/p>\n

■初時腹痛發燒 拖延可致宮外孕<\/p>\n

傅﹕什麼人容易感染盆腔炎?會帶來什麼影響及後遺症呢?<\/p>\n

柴﹕任何有性接觸的女性都有可能感染盆腔炎,尤其是性伴侶較多、性行為沒有用安全套,感染風險相對較高;而曾接受盆腔或子宮手術也容易出現感染。<\/p>\n

盆腔炎的短期影響主要是引起腹痛、發燒、膿腫等不適;若未有及早醫治,可致不育、宮外孕,以及引起長期腹痛。<\/p>\n

■分辨真假盆腔炎 留意陰道分泌或出血<\/p>\n

傅﹕不少病人因肚痛、發燒求診,這些徵狀可以是腸胃炎、尿道、盲腸炎甚至是盆腔炎,如何分辨?盆腔炎有什麼明顯徵狀?<\/p>\n

柴﹕下腹痛、發燒,都是盆腔炎常見病徵,的確與腸胃炎、尿道炎等徵狀相似;但盆腔炎病人要額外注意的徵狀,例如下體多了些帶異味的分泌物,或有不規則出血,即在經期以外有不正常出血。建議一旦有腹痛、發燒,應盡早找醫生檢查,因為盆腔炎若不及時治療,可能會導致不育。<\/p>\n

醫生會為病人做陰道檢查及婦科檢查,若發現異常分泌物,抽取樣本做種菌,以確診是否盆腔炎。另外,婦科及超聲波檢查都可以觀察子宮有沒有膿腫。<\/p>\n

■抗生素可治癒 不易復發<\/p>\n

傅﹕怎樣治療盆腔炎?治療期間有什麼需要注意?會否容易復發?<\/p>\n

柴﹕治療盆腔炎需要使用抗生素,視乎病情嚴重程度,如果是初期及不嚴重個案,可以用口服抗生素,但如出現高燒及持續腹痛,用藥後未見改善,便可能需要入院接受靜脈注射抗生素。<\/p>\n

口服抗生素療程一般是兩星期,療程完成後通常就會康復。治療期間,若病人有腹痛,建議多飲水多休息,用止痛藥紓緩;如有性行為一定要使用安全套,否則可能很快又會再被傳染。病人亦應同時建議伴侶做相關檢查及治療,以免交叉感染。只要處理得當,盆腔炎並不易復發,除非再有不安全的性行為。<\/p>\n

■無關個人衛生 防病要有「一套」<\/p>\n

傅﹕盆腔炎可能與性接觸傳染病有關。提起性病,很多病人有疑問﹕性病是否性接觸才會傳染?使用不乾淨的廁所會否傳染?去泳池、浴室或使用公共毛巾,會否增加感染盆腔炎的風險?<\/p>\n

柴﹕性接觸傳染病只會透過性接觸才感染,想預防就要使用安全套。很多人擔心去了不衛生的公廁、泳池,或使用公共毛巾會感染性病,全屬謬誤,實際上毋須擔心。<\/p>\n

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