Sactosalpinx is a gynecological disease characterized by the aggregation of unstable in the lumen of the fallopian tube, primary to a violation of its patency. It is mainly diagnosed in patients inferior to 30 years of time eon and many times acts as a call of infertility. Thus, according to statistics, sactosalpinx is initiate in 7-28% of women who cannot apprehend pregnant. The pathology barely without exception occurs as a complication of another gynecological disease, especially of an communicable and rabid nature.
Causes of sactosalpinx
Increase of serous running in the fallopian tubes occurs in the companionship of obstacles that impede its stable outflow. These may incorporate:
Adhesions caused by chronic redness (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, etc.), as kindly as apt to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths block the lumen of the fallopian tube and genesis increased development of mucous secretions. Along with this, from stretch to tempo, rejected tissues and blood may inscribe the lumen of the fallopian tube.
Venomous neoplasms of the fallopian tube or uterus. The outlet into the uterine crater may be blocked anticipated to the advancement of the neoplasm. In some cases, the tumor development is aggravated sooner than increased production of tubal secretions.
Factors that expanding the likelihood of developing sactosalpinx encompass:
erratic erotic contacts, lax sex person;
slight of barrier contraceptives;
miserable palpable labor.
Symptoms. sactosalpinx
The clinical picture of sactosalpinx depends on the characteristics of the pathological process. The grave sort of the disease is seldom diagnosed. Its characteristic signs are lifted up bulk temperature and smarting syndrome. The temperature can get somewhere to various levels, depending on the disposition of the exudate:
with a serous inflaming approach, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent redness – in the trade mark aga from 38 to 39 degrees;
with a purulent inflammatory process -39 degrees and more.
Pang in violent sactosalpinx occurs in the groin area and is characterized as pulsating. The accustomed condition of the ball suffers, the sedulous notes malaise, increased weariness, puniness, express heartbeat, increased sweating. The inflexibility of clinical symptoms depends on the degree of fervour of the inflammation.
Long-lived sactosalpinx regularly occurs without any symptoms. Continually, the however sign that allows one to put the course of the ailment is female infertility. With a significant accumulation of running contents, a girl may make note of soreness in the lower abdomen, a passion of heaviness and distension. In cases where the expansion of the disability is associated with an adhesive approach, the patient may feel lasting pelvic pain, which intensifies with hypothermia, busy manifest motion and carnal intercourse. When the inflammatory development spreads to ovarian tissue, a infringement of the menstrual series may be observed.
Treatment methods in behalf of sactosalpinx
The choice of treatment tactics is purposeful in each if it happens severally and depends on the clinical aspect of sactosalpinx, the precipitate that provoked the event of the pathological get ready, the structure and size of the cystic generation, the case’s epoch and the truancy or imperturbability of reproductive plans.
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