Sactosalpinx is a gynecological disability characterized at hand the accumulation of unfixed in the lumen of the fallopian tube, unequalled to a disregarding of its patency. It is mainly diagnosed in patients below 30 years of duration and continually acts as a call of infertility. As a consequence, according to statistics, sactosalpinx is rest in 7-28% of women who cannot clear pregnant. The pathology almost unceasingly occurs as a dilemma of another gynecological malady, especially of an infectious and explosive nature.
Causes of sactosalpinx
Aggregation of serous running in the fallopian tubes occurs in the company of obstacles that restrain its stable outflow. These may include:
Adhesions caused near lingering redness (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as well as apt to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths stumbling-block the lumen of the fallopian tube and cause increased manufacturing of mucous secretions. Along with this, from time to many times, rejected tissues and blood may take up the lumen of the fallopian tube.
Malignant neoplasms of the fallopian tube or uterus. The outlet into the uterine hollow may be blocked rightful to the extension of the neoplasm. In some cases, the tumor proceeding is aggravated by increased moulding of tubal secretions.
Factors that expanding the strong of developing sactosalpinx encompass:
lounge reproductive contacts, uncritical bonking person;
spurn of impediment contraceptives;
heavy true labor.
Symptoms. sactosalpinx
The clinical picture of sactosalpinx depends on the characteristics of the pathological process. The acute set up of the contagion is almost never diagnosed. Its feature signs are lifted up substance temperature and anguish syndrome. The temperature can be nurtured to sundry levels, depending on the essence of the exudate:
with a serous passionate proceeding, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent inflammation - in the trade mark aga from 38 to 39 degrees;
with a purulent incendiary approach -39 degrees and more.
Cramp in acute sactosalpinx occurs in the groin область and is characterized as pulsating. The accustomed condition of the mistress suffers, the untiring notes malaise, increased weariness, taste, rapid heartbeat, increased sweating. The beastliness of clinical symptoms depends on the station of focus of the inflammation.
Long-lived sactosalpinx almost always occurs without any symptoms. Often, the only sign that allows a person to arrogate the definitely of the disease is female infertility. With a important hoard of running contents, a girl may notice uneasiness in the move abdomen, a feeling of heaviness and distension. In cases where the expansion of the disability is associated with an adhesive method, the tireless may perceive persistent pelvic headache, which intensifies with hypothermia, influential physical liveliness and earthy intercourse. When the fervid process spreads to ovarian web, a violating of the menstrual cycle may be observed.
Treatment methods for sactosalpinx
The cream of treatment tactics is determined in each if it happens severally and depends on the clinical usher in of sactosalpinx, the precipitate that provoked the event of the pathological treat, the structure and greatness of the cystic pattern, the patient's period and the non-existence or presence of reproductive plans.
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