Sactosalpinx is a gynecological condition characterized close to the aggregation of runny in the lumen of the fallopian tube, primary to a violation of its patency. It is predominantly diagnosed in patients under 30 years of duration and many times acts as a basis of infertility. Thus, according to statistics, sactosalpinx is inaugurate in 7-28% of women who cannot get pregnant. The pathology all but unceasingly occurs as a complication of another gynecological infirmity, fundamentally of an catching and inflammatory nature.
Causes of sactosalpinx
Growth of serous solution in the fallopian tubes occurs in the equanimity of obstacles that restrain its stable outflow. These may catalogue:
Adhesions caused through 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 clog the lumen of the fallopian tube and cause increased manufacturing of mucous secretions. Along with this, from term to time, rejected tissues and blood may upon the lumen of the fallopian tube.
Evil neoplasms of the fallopian tube or uterus. The outlet into the uterine cavity may be blocked due to the advancement of the neoplasm. In some cases, the tumor proceeding is aggravated by means of increased direction of tubal secretions.
Factors that increase the distinct possibility of developing sactosalpinx encompass:
offhand propagative contacts, indecent relations person;
spurn of obstruction contraceptives;
heavy physical labor.
Symptoms. sactosalpinx
The clinical painting of sactosalpinx depends on the characteristics of the pathological process. The acute fabric of the complaint is seldom diagnosed. Its idiosyncratic signs are lifted up bulk temperature and anguish syndrome. The temperature can get somewhere to sundry levels, depending on the disposition of the exudate:
with a serous inflammatory development, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent inflammation - in the range from 38 to 39 degrees;
with a purulent insurgent approach -39 degrees and more.
Pain in acute sactosalpinx occurs in the groin area and is characterized as pulsating. The extensive condition of the lassie suffers, the untiring notes malaise, increased weariness, puniness, lightning-fast heartbeat, increased sweating. The beastliness of clinical symptoms depends on the almost imperceptibly a rather of fervour of the inflammation.
Continuing sactosalpinx customarily occurs without any symptoms. Often, the only ensign that allows the same to suppose the ambit of the disease is female infertility. With a valuable accumulation of flowing contents, a woman may make note of soreness in the lessen abdomen, a feeling of heaviness and distension. In cases where the expansion of the plague is associated with an adhesive method, the patient may note lasting pelvic pain, which intensifies with hypothermia, influential sawbones liveliness and earthy intercourse. When the fervid development spreads to ovarian concatenation, a profanation of the menstrual recur may be observed.
Treatment methods as sactosalpinx
The creme de la creme of treatment tactics is determined in each action individually and depends on the clinical phase of sactosalpinx, the precipitate that provoked the expansion of the pathological process, the formation and measurements of the cystic development, the constant's time and the non-existence or imperturbability of reproductive plans.
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