Access restricted to higher education institution's students and staff
master's thesis
ZDJELIČNA UPALNA BOLEST

Jasna Radanović (2015)
Metadata
TitleZDJELIČNA UPALNA BOLEST
AuthorJasna Radanović
Mentor(s)Alemka Brnčić-Fischer (thesis advisor)
Abstract
Zdjelična upalna bolest je infekcija ženskih spolnih organa. Obično se javi kad bakterija, koja se prenosi seksualnim putem, širi iz vagine do uterusa, preko jajovoda do ovarija. U većini slučajeva uzročnici su Neisseria gonorrhoae i Chlamidia trachomatis. Mnoge žene kod kojih se razvija ovu bolest, nemaju uopće nikakvih simptoma i uopće ne traže liječenje. Može se tek kasnije dijagnosticirati zbog nemogućnosti začeća ili razvoja kronične boli. Uobičajeni simptomi uključuju; bol ili osjetljivost donjeg dijela zdjelice, abdomena ili leđa, te vaginalni iscjedak promijenjene boje, teksture ili mirisa. Od ostalih simptoma javljaju se; iregularno krvarenje, bolni seksualni odnosi i dizurija. Dijagnoza uključuje pregled zdjelice, nalaz krvi, cerikalni bris, urinokulturu, ultrazvuk, biopsiju endometrija i laparoskopiju. Liječenje zahtijeva antibiotike širokog spektra djelovanja, kojima se pokrivaju mogući uzročnici kao što su Neisseria gonorrhoeae i Chamydia trachomatis , te gram negativne i gram pozitivne bakterije koje uključuju cervikalnu i vaginalnu floru. Liječenje može biti hospitalno ili ambulantno. Prijelaz s parijetalne na oralnu terapiju može biti započeto tek nakon vidljivog 24h kliničkog poboljšanja. Optimalno trajanje terapije je nepoznato iako se smatra da razdoblje od 14 dana najbolje. Moguće komplikacije uključuju; kroničnu zdjeličnu bol, ektopičnu trudnoću, infertilitet i tubo – ovarijski apsces.
Keywordspelvic inflammatory disease bacteria antimicrobial therapy
GranterSveučilište u Rijeci
Medicinski fakultet
Lower level organizational unitsKatedra za ginekologiju i opstetriciju
PlaceRijeka
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Study programme typeuniversity
Study levelintegrated undergraduate and graduate
Study programmeMedicine
Academic title abbreviationdr. med.
Genremaster's thesis
Language Croatian
Defense date2015
Parallel abstract (English)
Pelvic inflammatory disease (PID) is an infection of the female reproductive organs. It usually occurs when sexually transmitted bacteria spread from vagina to uterus, fallopian tubes or ovaries. Most of the time, PID is caused by bacteria from chlamydia and gonorrhea. Many women who develop pelvic inflammatory disease either experience no signs or symptoms or don't seek treatment. Pelvic inflammatory disease may be detected only later when women have trouble getting pregnant or if develop chronic pelvic pain. Common symptoms of PID include: pain or tenderness in the pelvis, lower belly, or lower back and fluid from vagina that has an unusual color, texture, or smell. Of other symptoms may occur: irregular bleeding, painful sex and pianful urination. Diagnosis includes: pelvic exam, blood tests, cervical culture, urine test, ultrasound, endometrial biopsy and laparoscopy. Treatment requires broad antimicrobial coverage against the likely pathogens, including Neisseria gonorrhoeae and Chlamydia trachomatis, and the gram – negative and gram – positive organisms that comprise the cervical and vaginal flora. Treatment can be inpatient or outpatient. Transitioning from parenteral to oral therapy can be started after 24 hours of sustained clinical improvement. The optimal duration of therapy is unknown, although it is considered that the period of 14 days is the best.Possible complications includes; chronic pelvic pain, ectopic pregnancy, infertility and tubo- ovarian abscess.
Parallel keywords (Croatian)upalna zdjelična bolest bakterije antimikrobna terapija
Resource typetext
Access conditionAccess restricted to higher education institution's students and staff
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:528877
CommitterBosa Licul