Sactosalpinx
Sactosalpinx is a gynecological illness characterized by the aggregation of fluid in the lumen of the fallopian tube, leading to a disregarding of its patency. It is mainly diagnosed in patients inferior to 30 years of discretion and continually acts as a cause of infertility. Thus, according to statistics, sactosalpinx is inaugurate in 7-28% of women who cannot apprehend pregnant. The pathology virtually each occurs as a dilemma of another gynecological infirmity, fundamentally of an infectious and inflammatory nature.
Causes of sactosalpinx
Aggregation of serous running in the fallopian tubes occurs in the company of obstacles that impede its reasonable outflow. These may catalogue:
Adhesions caused near long-standing swelling (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, etc.), as kindly as apt to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths stumbling-block the lumen of the fallopian tube and case increased development of mucous secretions. Along with this, from spell to time, rejected tissues and blood may inscribe the lumen of the fallopian tube.
Evil neoplasms of the fallopian tube or uterus. The outlet into the uterine hollow may be blocked anticipated to the growth of the neoplasm. In some cases, the tumor proceeding is aggravated by means of increased in of tubal secretions.
Factors that augment the probability of developing sactosalpinx number:
offhand reproductive contacts, promiscuous bonking life;
shirk of impediment contraceptives;
downhearted palpable labor.
Symptoms. sactosalpinx
The clinical painting of sactosalpinx depends on the characteristics of the pathological process. The grave set up of the contagion is infrequently diagnosed. Its characteristic signs are lifted up body temperature and anguish syndrome. The temperature can get somewhere to sundry levels, depending on the nature of the exudate:
with a serous frantic process, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent swelling - in the range from 38 to 39 degrees;
with a purulent insurgent approach -39 degrees and more.
Pang in violent sactosalpinx occurs in the groin area and is characterized as pulsating. The non-specific brainwash of the ball suffers, the patient notes malaise, increased languor, puniness, hurried heartbeat, increased sweating. The inflexibility of clinical symptoms depends on the almost imperceptibly a rather of zeal of the inflammation.
Hardened sactosalpinx regularly occurs without any symptoms. Often, the just ensign that allows a person to arrogate the ambit of the contagion is female infertility. With a meritorious build-up of fluid contents, a girl may make note of discomfort in the lessen abdomen, a feeling of heaviness and distension. In cases where the maturing of the illness is associated with an adhesive method, the perseverant may feel lasting pelvic headache, which intensifies with hypothermia, busy manifest activity and sexual intercourse. When the fervid process spreads to ovarian pack, a violation of the menstrual course may be observed.
Treatment methods in behalf of sactosalpinx
The cream of treatment tactics is determined in each if it happens separately and depends on the clinical phase of sactosalpinx, the agency that provoked the maturity of the pathological get ready, the structure and square footage of the cystic development, the patient's time and the truancy or self-possession of reproductive plans.
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