Sactosalpinx is a gynecological disability characterized at hand the mass of unfixed in the lumen of the fallopian tube, unequalled to a violation of its patency. It is as a rule diagnosed in patients under 30 years of duration and continually acts as a root of infertility. As a consequence, according to statistics, sactosalpinx is inaugurate in 7-28% of women who cannot clear pregnant. The pathology virtually each occurs as a difficulty of another gynecological malady, at the start of an infectious and inflammatory nature.
Causes of sactosalpinx
Growth of serous runny in the fallopian tubes occurs in the company of obstacles that hold up its routine outflow. These may include:
Adhesions caused at hand lingering sore (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as kindly as ample to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths stumbling-block the lumen of the fallopian tube and genesis increased moulding of mucous secretions. Along with this, from term to age, rejected tissues and blood may enter the lumen of the fallopian tube.
Toxic neoplasms of the fallopian tube or uterus. The outlet into the uterine crater may be blocked rightful to the growth of the neoplasm. In some cases, the tumor process is aggravated at hand increased in of tubal secretions.
Factors that expanding the distinct possibility of developing sactosalpinx number:
casual propagative contacts, uncritical sex life;
slight of impediment contraceptives;
gloomy true labor.
Symptoms. sactosalpinx
The clinical painting of sactosalpinx depends on the characteristics of the pathological process. The grave set up of the condition is seldom diagnosed. Its characteristic signs are illustrious association temperature and anguish syndrome. The temperature can rise to diverse levels, depending on the disposition of the exudate:
with a serous frantic process, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent infection – in the lot from 38 to 39 degrees;
with a purulent insurgent process -39 degrees and more.
Pang in acute sactosalpinx occurs in the groin область and is characterized as pulsating. The general brainwash of the woman suffers, the sedulous notes malaise, increased exhaust, irresolution, hurried heartbeat, increased sweating. The inflexibility of clinical symptoms depends on the degree of focus of the inflammation.
Long-lived sactosalpinx regularly occurs without any symptoms. Over, the only ensign that allows one to assume the course of the sickness is female infertility. With a meritorious build-up of running contents, a girl may notice twinge in the lower abdomen, a feeling of heaviness and distension. In cases where the increase of the illness is associated with an adhesive method, the patient may perceive persistent pelvic ordeal, which intensifies with hypothermia, influential concrete liveliness and sexual intercourse. When the inflammatory change spreads to ovarian web, a violating of the menstrual series may be observed.
Treatment methods for sactosalpinx
The creme de la creme of treatment tactics is determined in each if it happens severally and depends on the clinical occasion of sactosalpinx, the precipitate that provoked the development of the pathological get ready, the organization and square footage of the cystic pattern, the patient’s period and the truancy or self-possession of reproductive plans.
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