Sactosalpinx is a gynecological condition characterized close to the aggregation of unfixed in the lumen of the fallopian tube, primary to a disregarding of its patency. It is predominantly diagnosed in patients inferior to 30 years of age and ordinarily acts as a call of infertility. Way, according to statistics, sactosalpinx is rest in 7-28% of women who cannot get pregnant. The pathology almost always occurs as a dilemma of another gynecological infirmity, fundamentally of an transmissible and provocative nature.
Causes of sactosalpinx
Increase of serous fluid in the fallopian tubes occurs in the company of obstacles that hold up its reasonable outflow. These may contain:
Adhesions caused near chronic swelling (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as kindly as due to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths block the lumen of the fallopian tube and agency increased development of mucous secretions. Along with this, from time to age, rejected tissues and blood may take up the lumen of the fallopian tube.
Malignant neoplasms of the fallopian tube or uterus. The store into the uterine cavity may be blocked right to the advancement of the neoplasm. In some cases, the tumor organize is aggravated by increased in of tubal secretions.
Factors that expanding the probability of developing sactosalpinx embody:
casual erotic contacts, lax sexual intercourse life;
shirk of obstruction contraceptives;
downhearted actual labor.
Symptoms. sactosalpinx
The clinical picture of sactosalpinx depends on the characteristics of the pathological process. The fierce form of the condition is seldom diagnosed. Its feature signs are notable substance temperature and smarting syndrome. The temperature can get somewhere to various levels, depending on the genre of the exudate:
with a serous frantic proceeding, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent inflammation – in the sphere from 38 to 39 degrees;
with a purulent incendiary development -39 degrees and more.
Agony in acute sactosalpinx occurs in the groin область and is characterized as pulsating. The accustomed condition of the ball suffers, the patient notes malaise, increased weariness, weakness, hurried heartbeat, increased sweating. The painfulness of clinical symptoms depends on the degree of zeal of the inflammation.
Continuing sactosalpinx usually occurs without any symptoms. Over, the only hint that allows a person to suppose the course of the contagion is female infertility. With a significant hoard of flowing contents, a missus may notice twinge in the move abdomen, a passion of heaviness and distension. In cases where the development of the disability is associated with an adhesive approach, the perseverant may perceive chronic pelvic headache, which intensifies with hypothermia, active manifest activity and carnal intercourse. When the fervid development spreads to ovarian concatenation, a profanation of the menstrual series may be observed.
Treatment methods in behalf of sactosalpinx
The cream of treatment tactics is determined in each action one at a time and depends on the clinical usher in of sactosalpinx, the effect that provoked the event of the pathological treat, the formation and square footage of the cystic development, the patient’s time and the lack or manifestation of reproductive plans.
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