Adnexitis

May 16, 2011

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Expression adnexitis   It combines two different inflammatory disease: inflammation of the ovaries ( oophoritis ) And inflammation of the fallopian tubes ( salpingitis ). Accordingly, the name of "Salpingo-ophoritis"   It means the same thing as adnexitis.

The disease has an infectious nature, and begins with an inflammation of the fallopian tubes. If during the inflammatory process is formed exudate Which gradually spreads throughout the pipe, and may get into the abdominal opening or into the uterine cavity. And in fact, in both cases the effects from the disease can be very serious.

As soon as a fallopian tube or exudate accumulates in the ovary, they begin to grow significantly, and adopts a spherical form ovary and fallopian tube - retortoobraznuyu .

If it is about adnexitis - salpingitis, that without proper treatment it can lead to blockage of the fallopian tube, which naturally leads to infertility . When Oophoritis shell of the ovary becomes dense and impervious to germs. Therefore, formed as a result of inflammation capsule performs a protective function, on the one hand preventing further penetration of the infection, on the other hand to protect the body from spreading accumulated purulent fluid, which leaked from blood vessels during inflammation.

Said expansion of the fallopian tubes and / or ovarian inevitably leads to a change in the location of some organs and disturbances in their function. Most often suffer from rectum and bladder, which are in close proximity to the site of inflammation.

Treatment adneksita   It is essentially conserved, especially in the acute phase. Admission antimicrobials complement suction accumulated purulent fluid, which is produced through a special puncture. Read more about this and other methods of treatment of the disease, we describe below, but first focus on the main causes and symptoms.

Reasons adneksita

As we have noted, the main reasons adneksita that cause inflammation, are infections that affect both men and women: Chlamydia   ( Chlamydia ) mycoplasma   ( mycoplasmosis ) ureaplasmas .

There are many ways of infection in the fallopian tubes, but, sadly, most of the infection occurs during medical gynecological manipulation: abortion, introduction IUDs . However, you can not write off the sexual transmission during sexual contact.

Infections do not immediately fall to the fallopian tubes, and vaginal mucosa. From there it can already be separated by appendages, which requires certain conditions. In addition, not every woman getting an infection in the vagina inevitably entails adnexitis.

In this regard, one can speak about indirect causes adneksita, that is, factors that increase the susceptibility of the female body to develop infections. These factors include common issues lifestyle of modern women: frequent stress, lack of personal hygiene, hypothermia, bad habits, and other actions that reduce immunity.

Symptoms adneksita

Although sometimes Symptoms adneksita   virtually do not appear in the initial stages of the inflammatory process, yet in most cases the presence of the disease itself produces pain in the lower abdomen on the right or left side. Moreover, a woman may feel pain even in the sacral or lumbar spine, where it is given.

So, how often and with what force adneksita symptoms appear, it depends on the course of the disease. In the acute form can be detected only occasionally unusual discharge in the vagina. Much more often patients have just a general deterioration of health against the backdrop of the increased temperature. As manifest themselves and others pelvic inflammatory disease .

If the patient does not receive appropriate treatment adnexitis, it becomes chronic. This is reflected in the fact that the symptoms adneksita appear more and more tangible. It was noted that changes in the menstrual cycle are taking place after the disease becomes chronic. According to statistics, over 50% of women who are diagnosed with adnexitis had menstrual cycle disorders.

Saying that the allocation during menstruation always plentiful or scarce on the contrary is not necessary. Different women can reverse symptoms, but that is typical for almost any patient, so it is strong menstrual cramps.

The fact that a woman's body develops an inflammatory process, may be close to learn and to change her mental and emotional state. Recurrent pain lead to the fact that the patient is disturbed sleep, increased irritability. Since the symptoms are manifested adneksita even during sexual intercourse, the presence of pain reduces the attraction of women to men. Accordingly, sexual dysfunction - one of the signs.

Treatment adneksita

Start a description of treatment of this disease is a warning: independent attempts almost never leads to a cure, and only for a time reduce the symptoms adneksita. After a while, they come with a bang, but to see a doctor already may be that the disease has moved into a chronic form.

Treatment is divided into adneksita Conservative   and operational . The first is considered effective in the acute form. The only case when the doctor decided on surgery in the acute form, is piosalpinks gap and the lack of positive dynamics during the reception of antibacterial drugs and regular aspiration of purulent exudate.

In the chronic stage, on the contrary, it is   surgery adnexitis   deemed reasonable, since it has everything to testify. Either the patient appealed to the doctor too late and antibiotic therapy does not bring the desired results, or chronic form was the result of failure of conservative treatment. And in fact, in both cases the resorting to surgery.

Of course, the task of any woman who discovered her symptoms adneksita enters as soon as possible to see a specialist. As a result of the inspection, survey and laboratory investigations, after the diagnosis well established method of treatment the doctor chooses.

For conservative method has several options: antibiotic therapy . receiving anti-inflammatory drugs . receiving antisense drugs   and taking pain medications . All are used in varying degrees depending on the patient's indications.

If adneksit already passed in the chronic stage, these methods can not do, though some of them still continue to use. For example, pain relievers are an integral part of any treatment, since women, especially in the chronic stage of the disease, often complain of severe pain, from which you can get rid of only with the use of pain medication.

Any surgery adnexitis is aimed at removing inflammatory formations. This surgery is rather complicated, so the doctor decided on it, but collecting all the relevant evidence when conservative methods are powerless. Sometimes surgical method solved if inflammatory education appendages were found during another operation, then an urgent decision about their removal.

The operation begins with a study of the relations, which are the pelvic organs. Then, after the surgeon assessed the affected areas, one or both fallopian tubes are allocated, and then excised. Maximum wire tightly closed defects visceral peritoneum. Then summed tubular drainage to the place where the tumor formation. At the end of the toilet is conducted in layers and the peritoneum sutured wound.

It should be understood that in the hands of the woman has the opportunity to prevent the operation if it is to see a doctor as soon as the first symptoms found adneksita, and will not delay to the chronic form.