Adnexitis

 Adnexitis

Ovaries are directly related to the fallopian tubes, through which they connect with the uterus, so the ovaries and fallopian tubes conventionally combined into one entity - the uterus.

Inflammation of the uterus called adnexitis, the second name of the same disease - salpingo formed words salpingitis (inflammation of the fallopian tubes) + oophoritis (inflammation of the ovaries). Salpingitis and oophoritis rarely occur separately, in view of the close relationship with each other, so to combine them into one combined inflammation disease entities - adnexitis, inflammation of the appendages.

Reasons adneksita

The reason is adneksita penetration of infection in the uterus. This can happen in two ways, ascending and descending. Rising called genital route of infection to the epididymis, as a result of contact with the vulva, vagina and uterus through the infectious agent enters the ovaries and fallopian tubes. Down the way, is the penetration of infection in the area of ​​the appendages of the existing body of primary inflammatory focus through the blood or lymph.

The most common cause is adneksita urogenital infection, or abbreviated IGO. This group of microorganisms, primarily through joint infection, namely sexually. These include gonorrhea, trichomonas, mycoplasma, ureaplasma and some other pathogens. Infection caused by downward usually Streptococcus or E. coli.

The most important condition for the emergence adneksita a weakening of the general and local immunity: transferred on the eve of an infectious disease, hypothermia, poor personal hygiene, unprotected sex with questionable partners and other manifestations of unhealthy lifestyles. Psychology of gender relations should exclude such contacts.

Symptoms adneksita

Symptoms depend on adnexitis whether an acute or chronic form of the disease occurs.

 Symptoms adneksita
 The symptoms of acute adnexitis form: the emergence of severe pain in the abdomen, on the right or left side. The pain is severe, aching and pulling character, can give to the sacrum, lower back, rectum. There are vaginal discharge serous (as ichor) or purulent character. Acute adnexitis accompanied by a sharp deterioration of general condition, there are fever, headache and muscle-joint pain, fatigue.

In the absence of adequate treatment, adnexitis becomes chronic. Often there is primary chronic adnexitis, who had severe acute form. Symptoms of chronic adnexitis in less pronounced, especially common manifestations. The main symptom of chronic adnexitis are drawing aching pain in the abdomen, less intense than in acute adnexitis. They appear periodically, usually before or after menstruation. Signs of chronic adnexitis are also pain during sexual intercourse (dyspareunia).

As is typical for chronic adnexitis adhesions and structural abnormalities in tissue appendages appear menstrual disorders: amenorrhea, oligomenorrhea, dysmenorrhea and so on. Chronic adnexitis may worsen after suffering common diseases, as a result of hypothermia or suffering stress, in this case, the symptoms of acute adnexitis match flow. Sometimes, chronic adnexitis may be asymptomatic, and the disease is detected in the survey for infertility. Infertility as a result of impaired function of the ovaries or fallopian tubes obstruction - a common symptom of chronic adnexitis in advanced.

Diagnosis adneksita

Correct diagnosis when adnexitis quite complicated because symptoms of acute abdomen, characteristic adneksita in acute form, are common to many acute diseases of the pelvic organs, and symptoms in chronic adnexitis are usually not expressed.

As a diagnostic adneksita conducted gynecological examination, including laboratory analysis of vaginal secretions, blood and urine tests, including urine culture. Detection typical adnexitis microorganisms in urine and vaginal contents may indicate available adnexitis, yet these features are not specific, as well as signs of inflammatory reactions, detectable in the blood.

Some of the symptoms of chronic adnexitis may be detected by ultrasound.

Accurate method of diagnosis, eliminates errors, laparoscopy is resorted to in cases of doubt. This endoscopic examination, which allows visualization of the fallopian tubes and ovaries, and immediately detect signs of inflammation: accumulation of pus and serous effusion, inflammation of the mucous membrane in acute adnexitis, adhesive process and the restructuring of the tissue in chronic adnexitis appendages.

Treatment adneksita

Treatment in the acute form adneksita require hospitalization, as a sharp adnexitis fraught with serious complications: purulent fusion of the ovaries, the formation of purulent cavities in the pipes (piosalpings), peritonitis, etc. Appointed by bed rest, pain relief is carried out both by means of medicines, and by applying an ice pack to the affected appendage. To relieve inflammation appointed broad-spectrum antibiotics, anti-inflammatory drugs. Upon detection of purulent process used adneksita surgery: laparoscopic approach using evacuated collection of pus, antibiotics are injected directly into the affected area.

Treatment of chronic adnexitis flow carried by a similar scheme, but antibiotics are selected taking into account the sensitivity of the pathogen, as anti-inflammatory agents appointed corticosteroids performed restorative and immunostimulatory therapy. Displaying physiotherapy adneksita: mud, paraffin, magnetic, microwave and UHF-therapy, and others.

People treated adneksita

 Treatment adneksita radiograms four-fold

People treated adneksita used quite widely, especially when it is justified by chronic adnexitis. People in the treatment of acute adnexitis not recommended, as there is a high risk of severe, life-threatening complications or transition into a chronic acute adnexitis.

As the national treatment adneksita used decoctions and infusions of herbs anti-inflammatory action, are used to douche, enema or trays. That action the pharmacy chamomile, St. John's wort, a succession, sage, calendula, sweet flag, kalanchoe juice, eucalyptus, caragana drug, yarrow, golden mustache and others.

As a tonic and immunostimulating national treatment adneksita taken orally aloe juice (pure or in the proportion of 1: 1 with honey), Echinacea purpurea tincture, extract of ginseng, mummy, as well as honey and other bee products.

Folk treatment adnexitis flowing in chronic form may be performed in parallel or medical in remission, reducing the drug load on the organism.





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