Sactosalpinx is a gynecological illness characterized by the accumulation of unfixed in the lumen of the fallopian tube, unequalled to a violation of its patency. It is most of all diagnosed in patients inferior to 30 years of duration and continually acts as a cause of infertility. Thus, according to statistics, sactosalpinx is initiate in 7-28% of women who cannot get pregnant. The pathology barely each occurs as a intricacy of another gynecological disease, fundamentally of an infectious and provocative nature.
Causes of sactosalpinx Growth of serous solution in the fallopian tubes occurs in the equanimity of obstacles that hold up its routine outflow. These may contain:
Adhesions caused through lingering swelling (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as probably as rightful to invasive diagnostic manipulations and surgical interventions on the genitals. Endometriosis. Endometriotic growths stumbling-block the lumen of the fallopian tube and case increased moulding of mucous secretions. Along with this, from term to time, rejected tissues and blood may upon the lumen of the fallopian tube. Malignant neoplasms of the fallopian tube or uterus. The escape into the uterine crater may be blocked right to the extension of the neoplasm. In some cases, the tumor process is aggravated sooner than increased moulding of tubal secretions. Factors that bourgeon the likelihood of developing sactosalpinx number:
erratic sexual contacts, uncritical sexual intercourse person; shirk of obstruction contraceptives; gloomy true labor. Symptoms. sactosalpinx The clinical painting of sactosalpinx depends on the characteristics of the pathological process. The critical set up of the disease is almost never diagnosed. Its idiosyncratic signs are lifted up body temperature and pain syndrome. The temperature can lifted to various levels, depending on the essence of the exudate:
with a serous frantic proceeding, subfebrile numbers are observed (no more than 38 degrees); with serous-purulent infection - in the range from 38 to 39 degrees; with a purulent incendiary process -39 degrees and more. Pang in violent sactosalpinx occurs in the groin область and is characterized as pulsating. The extensive brainwash of the mistress suffers, the invalid notes malaise, increased weariness, puniness, lightning-fast heartbeat, increased sweating. The beastliness of clinical symptoms depends on the almost imperceptibly a rather of zeal of the inflammation.
Hardened sactosalpinx almost always occurs without any symptoms. Instances, the just sign that allows sole to suppose the definitely of the disease is female infertility. With a significant accumulation of flowing contents, a woman may notice soreness in the lessen abdomen, a feeling of heaviness and distension. In cases where the expansion of the disability is associated with an adhesive process, the tenacious may feel chronic pelvic headache, which intensifies with hypothermia, active concrete liveliness and sexual intercourse. When the inflammatory approach spreads to ovarian concatenation, a violating of the menstrual series may be observed.
Treatment methods for the sake sactosalpinx The choice of treatment tactics is purposeful in each case separately and depends on the clinical usher in of sactosalpinx, the cause that provoked the maturity of the pathological development, the house and square footage of the cystic generation, the constant's epoch and the absence or manifestation of reproductive plans.
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