Sactosalpinx is a gynecological disability characterized by the mass of unstable in the lumen of the fallopian tube, leading to a contravention of its patency. It is most of all diagnosed in patients covered by 30 years of duration and continually acts as a call of infertility. Way, according to statistics, sactosalpinx is initiate in 7-28% of women who cannot after pregnant. The pathology barely unceasingly occurs as a intricacy of another gynecological disease, primarily of an catching and inflammatory nature.
Causes of sactosalpinx
Aggregation of serous running in the fallopian tubes occurs in the company of obstacles that restrain its reasonable outflow. These may incorporate:
Adhesions caused through lingering redness (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as well as due to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths stumbling-block the lumen of the fallopian tube and case increased production of mucous secretions. Along with this, from spell to age, rejected tissues and blood may upon the lumen of the fallopian tube.
Malignant neoplasms of the fallopian tube or uterus. The discharge into the uterine hollow may be blocked due to the extension of the neoplasm. In some cases, the tumor process is aggravated sooner than increased moulding of tubal secretions.
Factors that augment the likelihood of developing sactosalpinx embody:
casual erotic contacts, lax sex moving spirit;
spurn of hindrance contraceptives;
miserable palpable labor.
Symptoms. sactosalpinx
The clinical picture of sactosalpinx depends on the characteristics of the pathological process. The acute set up of the contagion is almost never diagnosed. Its feature signs are elevated substance temperature and pain in the neck syndrome. The temperature can rise to a number of levels, depending on the genre of the exudate:
with a serous frantic approach, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent redness – in the sphere from 38 to 39 degrees;
with a purulent insurgent method -39 degrees and more.
Pang in violent sactosalpinx occurs in the groin area and is characterized as pulsating. The general condition of the mistress suffers, the untiring notes malaise, increased exhaust, taste, rapid heartbeat, increased sweating. The painfulness of clinical symptoms depends on the degree of zeal of the inflammation.
Chronic sactosalpinx customarily occurs without any symptoms. Often, the however lexigram that allows a person to suppose the ambit of the sickness is female infertility. With a significant pile of liquid contents, a missus may notice discomfort in the lessen abdomen, a hunch of heaviness and distension. In cases where the maturing of the illness is associated with an adhesive approach, the tireless may note lasting pelvic ordeal, which intensifies with hypothermia, on the move sawbones motion and progenitive intercourse. When the rabid approach spreads to ovarian web, a profanation of the menstrual cycle may be observed.
Treatment methods for sactosalpinx
The cream of treatment tactics is purposeful in each case individually and depends on the clinical occasion of sactosalpinx, the effect that provoked the event of the pathological process, the house and size of the cystic development, the case’s period and the lack or manifestation of reproductive plans.
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