
19
MarchSactosalpinx
Sactosalpinx is a gynecological illness characterized at hand the aggregation of unstable in the lumen of the fallopian tube, paramount to a infringing of its patency. It is predominantly diagnosed in patients inferior to 30 years of time eon and many times acts as a cause of infertility. As a consequence, according to statistics, sactosalpinx is found in 7-28% of women who cannot get pregnant. The pathology all but unceasingly occurs as a complication of another gynecological contagion, primarily of an transmissible and inflammatory nature.
Causes of sactosalpinx
Accumulation of serous solution in the fallopian tubes occurs in the companionship of obstacles that restrain its routine outflow. These may incorporate:
Adhesions caused by persistent inflammation (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as probably as due to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths brick the lumen of the fallopian tube and cause increased moulding of mucous secretions. Along with this, from stretch to many times, rejected tissues and blood may take up the lumen of the fallopian tube.
Malignant neoplasms of the fallopian tube or uterus. The discharge into the uterine gap may be blocked right to the success of the neoplasm. In some cases, the tumor proceeding is aggravated by increased moulding of tubal secretions.
Factors that expanding the distinct possibility of developing sactosalpinx number:
casual propagative contacts, indecent bonking person;
spurn of obstruction contraceptives;
gloomy palpable labor.
Symptoms. sactosalpinx
The clinical picture of sactosalpinx depends on the characteristics of the pathological process. The fierce set up of the disease is infrequently diagnosed. Its feature signs are elevated body temperature and anguish syndrome. The temperature can get somewhere to diverse levels, depending on the disposition of the exudate:
with a serous inflaming proceeding, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent infection - in the trade mark aga from 38 to 39 degrees;
with a purulent incendiary method -39 degrees and more.
Pain in cutting sactosalpinx occurs in the groin область and is characterized as pulsating. The accustomed requisite of the lassie suffers, the patient notes malaise, increased exhaust, puniness, hurried heartbeat, increased sweating. The inflexibility of clinical symptoms depends on the almost imperceptibly a rather of fervour of the inflammation.
Long-lived sactosalpinx regularly occurs without any symptoms. Often, the just sign that allows the same to assume the speed of the disease is female infertility. With a important accumulation of running contents, a girl may mark soreness in the lessen abdomen, a feeling of heaviness and distension. In cases where the maturing of the disability is associated with an adhesive change, the patient may note persistent pelvic headache, which intensifies with hypothermia, on the move manifest vim and earthy intercourse. When the fervid process spreads to ovarian web, a violation of the menstrual course may be observed.
Treatment methods for sactosalpinx
The prime of treatment tactics is determined in each action severally and depends on the clinical usher in of sactosalpinx, the cause that provoked the maturity of the pathological get ready, the house and square footage of the cystic formation, the patient's time and the truancy or self-possession of reproductive plans.
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