Sactosalpinx is a gynecological disease characterized close to the mass of unstable in the lumen of the fallopian tube, unequalled to a contravention of its patency. It is as a rule diagnosed in patients under 30 years of duration and many times acts as a root of infertility. Way, according to statistics, sactosalpinx is inaugurate in 7-28% of women who cannot apprehend pregnant. The pathology barely always occurs as a intricacy of another gynecological malady, fundamentally of an infectious and provocative nature.
Causes of sactosalpinx
Aggregation of serous runny in the fallopian tubes occurs in the equanimity of obstacles that hold up its reasonable outflow. These may incorporate:
Adhesions caused through chronic swelling (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as well as ample to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths block the lumen of the fallopian tube and agency increased manufacturing of mucous secretions. Along with this, from term to age, 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 hollow may be blocked rightful to the extension of the neoplasm. In some cases, the tumor process is aggravated at hand increased direction of tubal secretions.
Factors that augment the likelihood of developing sactosalpinx number:
erratic propagative contacts, uncritical bonking moving spirit;
shirk of hindrance contraceptives;
downhearted palpable labor.
Symptoms. sactosalpinx
The clinical picture of sactosalpinx depends on the characteristics of the pathological process. The acute fabric of the complaint is seldom diagnosed. Its characteristic signs are illustrious body temperature and pain syndrome. The temperature can rise to sundry levels, depending on the nature of the exudate:
with a serous frantic development, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent infection – in the trade mark aga 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 general inure of the mistress suffers, the untiring notes malaise, increased exhaust, taste, rapid heartbeat, increased sweating. The beastliness of clinical symptoms depends on the extent of focus of the inflammation.
Continuing sactosalpinx usually occurs without any symptoms. Continually, the only ensign that allows a person to assume the speed of the disease is female infertility. With a meritorious accumulation of liquid contents, a woman may note uneasiness in the cut abdomen, a hunch of heaviness and distension. In cases where the maturing of the illness is associated with an adhesive approach, the tenacious may note long-standing pelvic ordeal, which intensifies with hypothermia, active physical motion and progenitive intercourse. When the fervid development spreads to ovarian concatenation, a violation of the menstrual cycle may be observed.
Treatment methods for sactosalpinx
The choice of treatment tactics is unwavering in each action one at a time and depends on the clinical occasion of sactosalpinx, the precipitate that provoked the event of the pathological treat, the formation and size of the cystic formation, the constant’s age and the lack or presence of reproductive plans.
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