Sactosalpinx
Sactosalpinx is a gynecological illness characterized close to the heaping up of unfixed in the lumen of the fallopian tube, primary to a infringing of its patency. It is as a rule diagnosed in patients below 30 years of discretion and many times acts as a cause of infertility. Fashion, according to statistics, sactosalpinx is initiate in 7-28% of women who cannot after pregnant. The pathology almost without exception occurs as a difficulty of another gynecological infirmity, at the start of an catching and explosive nature.
Causes of sactosalpinx
Aggregation of serous fluid in the fallopian tubes occurs in the company of obstacles that restrain its normal outflow. These may include:
Adhesions caused near persistent redness (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, etc.), as well as apt to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths stumbling-block the lumen of the fallopian tube and genesis increased development of mucous secretions. Along with this, from term to tempo, rejected tissues and blood may enter the lumen of the fallopian tube.
Evil neoplasms of the fallopian tube or uterus. The escape into the uterine gap may be blocked due to the success of the neoplasm. In some cases, the tumor process is aggravated by means of increased direction of tubal secretions.
Factors that bourgeon the distinct possibility of developing sactosalpinx embody:
offhand reproductive contacts, uncritical sex moving spirit;
spurn of obstruction contraceptives;
heavy palpable labor.
Symptoms. sactosalpinx
The clinical duplicate of sactosalpinx depends on the characteristics of the pathological process. The critical fabric of the condition is almost never diagnosed. Its property signs are notable bulk temperature and pain in the neck syndrome. The temperature can get somewhere to various levels, depending on the disposition of the exudate:
with a serous passionate proceeding, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent inflammation - in the sphere from 38 to 39 degrees;
with a purulent fomenting process -39 degrees and more.
Cramp in cutting sactosalpinx occurs in the groin область and is characterized as pulsating. The non-specific inure of the mistress suffers, the sedulous notes malaise, increased languor, weakness, rapid heartbeat, increased sweating. The severity of clinical symptoms depends on the extent of fervour of the inflammation.
Hardened sactosalpinx almost always occurs without any symptoms. Often, the only ensign that allows one to assume the ambit of the disease is female infertility. With a valuable accumulation of flowing contents, a missus may notice soreness in the cut abdomen, a passion of heaviness and distension. In cases where the maturing of the disease is associated with an adhesive process, the perseverant may sense long-standing pelvic headache, which intensifies with hypothermia, active manifest liveliness and earthy intercourse. When the rabid approach spreads to ovarian web, a profanation of the menstrual cycle may be observed.
Treatment methods in behalf of sactosalpinx
The prime of treatment tactics is unwavering in each action one at a time and depends on the clinical aspect of sactosalpinx, the precipitate that provoked the event of the pathological process, the organization and measurements of the cystic formation, the patient's period and the truancy or imperturbability of reproductive plans.
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