Sactosalpinx is a gynecological illness characterized at hand the aggregation of unstable in the lumen of the fallopian tube, unequalled to a contravention of its patency. It is predominantly diagnosed in patients covered by 30 years of duration and continually acts as a cause of infertility. Thus, according to statistics, sactosalpinx is inaugurate in 7-28% of women who cannot after pregnant. The pathology all but each occurs as a complication of another gynecological infirmity, at the start of an communicable and provocative nature.
Causes of sactosalpinx
Aggregation of serous running in the fallopian tubes occurs in the equanimity of obstacles that hold up its reasonable outflow. These may catalogue:
Adhesions caused through persistent 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 brick the lumen of the fallopian tube and case increased development of mucous secretions. Along with this, from term to tempo, rejected tissues and blood may enter the lumen of the fallopian tube.
Malignant neoplasms of the fallopian tube or uterus. The outlet into the uterine crater may be blocked due to the extension of the neoplasm. In some cases, the tumor development is aggravated by increased moulding of tubal secretions.
Factors that bourgeon the strong of developing sactosalpinx encompass:
offhand propagative contacts, lax sex life;
shirk of impediment contraceptives;
gloomy actual labor.
Symptoms. sactosalpinx
The clinical picture of sactosalpinx depends on the characteristics of the pathological process. The fierce set up of the complaint is infrequently diagnosed. Its feature signs are notable substance temperature and anguish syndrome. The temperature can be nurtured to a number of levels, depending on the genre of the exudate:
with a serous frantic development, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent swelling – in the sphere from 38 to 39 degrees;
with a purulent insurgent approach -39 degrees and more.
Pain in cutting sactosalpinx occurs in the groin область and is characterized as pulsating. The general requisite of the mistress suffers, the patient notes malaise, increased languor, irresolution, lightning-fast heartbeat, increased sweating. The severity of clinical symptoms depends on the station of zeal of the inflammation.
Hardened sactosalpinx regularly occurs without any symptoms. Often, the just ensign that allows a person to assume the speed of the disease is female infertility. With a valuable hoard of fluid contents, a woman may notice discomfort in the cut abdomen, a view of heaviness and distension. In cases where the expansion of the disability is associated with an adhesive approach, the patient may note persistent pelvic pain, which intensifies with hypothermia, active physical motion and sexual intercourse. When the rabid process spreads to ovarian web, a violating of the menstrual cycle may be observed.
Treatment methods in behalf of sactosalpinx
The prime of treatment tactics is unwavering in each suit individually and depends on the clinical aspect of sactosalpinx, the effect that provoked the maturity of the pathological get ready, the organization and greatness of the cystic pattern, the patient’s age and the non-existence or presence of reproductive plans.
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