Saktosalpinks - a pathological condition of the fallopian tubes inflammatory, provocative violation of their
patency due to accumulation of serous fluid in the hollow tube formation.
The fallopian tubes (salpnix) - paired organ, cylindrical channels, the lateral ends of which open into the abdominal cavity and the medial ends come off the uterus. Pipe average reaches 10 - 12 cm in length and 0, 4 - 0, 6cm wide. The left and right fallopian tubes can vary in size. The main function of the fallopian tubes - the promotion of the egg in the uterus.
Fallopian tubes are covered with a serous membrane, which is the basis of podseroznaya presented loose connective tissue. The muscular coat of the pipe that lies beneath the connective tissue is composed of three layers of smooth fibers:
- Thin longitudinal outer layer;
- Middle circular, thicker layer;
- The inner longitudinal layer.
The muscular coat of the pipe ensures its peristalsis, promote the transfer of the egg. Under the muscle membrane of the fallopian tubes lies mucosa, forming folds, covered a single layer of columnar and ciliated epithelium, shimmering in the direction of the medial end of the tube, thereby contributing to the promotion of the egg in the uterine cavity. It channels the fallopian tubes fertilization of the egg.
Saktosalpinks is a hollow, circular formation of elastic consistency in the fallopian tube, accumulating serous fluid and difficult to move the egg into the uterus. If sex education pipe exudate accumulates its own secretion, we are talking about saktosalpinkse. When congestion in a cavity of pus diagnosed piosalpinks. Saktosalpinksov formation can be observed on the one hand, and in both fallopian tubes. In some cases, it develops valve saktosalpinks in which education under the pressure of accumulated liquid from time to time break, and poured into the cavity of the uterus. After some time, the newly formed saktosalpinks.
Saktosalpinks: symptoms of the pathology
With the development of saktosalpinksa symptoms may include the following:
- Copious watery discharge from the genital tract (if the valve type of education);
- Sharp cramping;
- Menstrual irregularities;
- Inflammation of the ovaries;
- Drawing pain;
- Ectopic pregnancy;
- Increased body temperature;
However, not all women with saktosalpinksami, the symptoms of which are identical to the usual inflammation of the fallopian tubes, noted in his menstrual disorders, pain and uncharacteristic changes in secretions. In most cases, saktosalpinks diagnosed during examination to determine the cause of infertility or ectopic pregnancy.
The clinical picture in saktosalpinkse depends on the severity of disease, and inflammation, as well as the statute of limitations of the disease and related processes in the uterus and appendages.
There are simple (forming a cavity) and follicular (formation of several cavities in a single tube) saktosalpinks. The shape of the flow recovered acute (active) and chronic saktosalpinks (sluggish). At various forms saktosalpinksa symptoms will have a different character.
Saktosalpinks: the causes of disease
The main reasons for the formation saktosalpinksa include inflammation of the fallopian tubes, as well as the previous adhesions. When diagnosed saktosalpinkse reasons for its development may be:
- Reproductive tract infections (chlamydia, gonorrhea);
- Adhesions tubes after surgical manipulation;
- Salpingitis, salpingoophoritis.
Also in chronic saktosalpinkse reasons may be frequent inflammation of the genital tract, occurring without proper treatment.
Saktosalpinks: risks and complications of the disease
Saktosalpinks cause disruption of the functioning of the fallopian tubes. When inflammation occurs proliferation of connective tissue, affecting a greater or lesser extent, all the layers of the fallopian tube, disrupting the function of the muscle fibers and ciliated ciliated epithelium. Spreading spikes in the lumen of the tube violate its permeability, making it difficult for the egg and sperm movement. If the egg is fertilized, but due to the immobility of the ciliated epithelium is not moving into the uterine cavity, the implantation of the ovum takes place directly in the fallopian tube, which leads to the development of an ectopic pregnancy. In chronic forms saktosalpinksa talk about tubal infertility.
Saktosalpinks and pregnancy: the chances of successful conception
Saktosalpinks and pregnancy is one of the most serious problems for the solution of modern medicine. Saktosalpinks increases the risk of ectopic pregnancy. The chance of successful conception and implantation of the ovum in the uterus is significantly reduced (to 5%). Inflamed fallopian tube when saktosalpinkse is a source of chronic infections. In most cases, chronic forms of the disease a decision about the removal of the fallopian tube. In the absence of tubal pregnancies is only possible after IVF. In various forms of saktosalpinksa and pregnant women should be kept under medical supervision.
Saktosalpinksa Diagnostics, treatment pathology
To diagnose saktosalpinksa use the following methods:
- Gynecological examination, in which between the uterus and ovaries elastic painless palpable (maloboleznennoe) education;
- Ultrasound screening;
- Hysterosalpingography - X-ray study.
Another method for the diagnosis of saktosalpinksa is laparoscopic surgery, during which it is possible not only to diagnose saktosalpinks, but also delete the formation of a lump sum.
When saktosalpinkse treatment can be conservative and radical. In any form saktosalpinksa treatment should be aimed at eliminating the inflammatory process, facilitating the formation of adhesions and scarring of the fallopian tubes, or to eliminate symptoms caused by the formation of a tube. With early diagnosis saktosalpinksa conservative treatment methods have a favorable prognosis. In chronic forms of the disease are used radical methods of treatment.
The most preferred method of surgical treatment is saktosalpinksa laparoscopy. This endoscopic surgery allows us to estimate the probability of recovery functionality tubal adhesions how to share around, and inside the tube.
However, this manipulation does not guarantee full recovery of the functionality of the fallopian tube. Even with the restoration of patency of the tube, ciliated ciliated epithelium remains inactive, and muscle tissue are reduced enough to promote the egg in the uterine cavity.