General characteristics of the disease
Salpingitis - a gynecological disorder caused by inflammation of one or both fallopian tubes. When combined inflammation of the fallopian tubes, ovaries, and ligaments disease called salpingo or adnexitis.
Development salpingitis often provokes the pathogenic bacterial infection. The infection is usually upward: from the uterus into the fallopian tubes, and only then in the ovaries or ligaments.
The inflammatory exudate accumulates in the salpingitis, leading to scarring of tissue and partial or complete obstruction of the fallopian tubes. As a result of this pathological process woman can become infertile.
In acute salpingitis in the fallopian tubes of women can form pus or serous cavities. They can cause ovarian abscess, infection in the peritoneum and cause inflammation of the pelvic abscess and mezhkishechny.
Chronic salpingitis - one of the most common causes of female infertility. Chronic inflammation in the fallopian tubes trigger infections transmitted during sexual intercourse: ureaplasma, chlamydia, mycoplasma, trichomonas, etc. Possible sources of infection in chronic salpingitis and - control spiral, abortion, miscarriage, any diagnostic and therapeutic activities inside the uterus.
The main symptoms of salpingitis in the initial stage are pain and urinary disorders. Women with symptoms of salpingitis feels a nagging pain in the abdomen and frequent false urge to urinate.
The next stage of the disease symptom is the appearance of salpingitis abundant purulent vaginal secretions. During intercourse a woman is experiencing severe pain. Acute salpingitis sharp pain manifested not only in the peritoneum, but in the lumbar region. Symptoms of acute salpingitis also include high body temperature.
In chronic salpingitis low-grade temperature, and pain has a low intensity. At the stage of chronic salpingitis always develop menstrual irregularities.
Diagnosis of the disease is complicated salpingitis similarity of symptoms of acute appendicitis or ectopic (tubal) pregnancy. Sharp pain and muscle spasm is often not allow the doctor to get objective information about the patient's condition.
Typical symptoms of salpingitis palpation during the inspection on the gynecological chair is painful cervical hypersensitivity appendages.
Indicators ESR blood tests during acute purulent salpingitis & gt; 15 mm / h, leukocytosis is observed above 10, 5 thousand. Ultrasound confirms the presence of inflammation in the fallopian tubes, and to identify the causative agent of salpingitis is necessary to use the fallopian tube or puncture the posterior fornix.
Laparoscopic method of collection of material for acute salpingitis is the most informative. His accuracy of more than 78%. However, because of the high cost of this method and traumatic it is applied only in the most severe cases of acute salpingitis.
Treatment of salpingitis
Tactics of treatment depends on the stage of salpingitis and the nature of the disease.
Early initiation of antimicrobial treatment of acute salpingitis form allows you to achieve significant results already in 7-10 days, and prevent the degeneration of the disease into a chronic salpingitis.
Self-treatment salpingitis of any form is unacceptable. It can lead to irreversible organic changes in the fallopian tubes to the need for surgery and hard cures infertility.
Surgical treatment salpingitis applied when the detected tumors in the fallopian tubes, whose structure is similar to the tumor. The use of surgical treatment of salpingitis is also necessary adhesions in the fallopian tubes and the desire of the woman to get pregnant, or in the case of formation of hydrosalpinx. The latter is an accumulation of fluid between the spikes of the fallopian tube.
The most common surgical treatment of salpingitis used laparoscopic surgery. Thanks to them can be eliminated almost all diseases the fallopian tubes. Moreover, this kind of operation does not cause the formation of new adhesions, malotravmatichen and aesthetic. When minilaparoskopicheskom salpingitis treatment on the abdomen of women made a few punctures.
During the operation, carried out resection of the tissue tube with spikes removed festering secret held disinfecting walls of the fallopian tubes, installed drainage.
After laparoscopic treatment of salpingitis woman on the third day could leave the hospital. The rehabilitation period lasts for about 2 weeks. However, the woman is recommended for a month to give up sex and 1 time in 3 months through gynecological examination.