Sactosalpinx is a gynecological disability characterized close to the heaping up of fluid in the lumen of the fallopian tube, leading to a infringing of its patency. It is predominantly diagnosed in patients below 30 years of discretion and continually acts as a basis of infertility. As a consequence, according to statistics, sactosalpinx is initiate in 7-28% of women who cannot clear pregnant. The pathology almost always occurs as a intricacy of another gynecological disease, at the start of an infectious and inflammatory nature.
Causes of sactosalpinx
Increase of serous runny in the fallopian tubes occurs in the equanimity of obstacles that hold up its stable outflow. These may catalogue:
Adhesions caused near persistent redness (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, ? ??? ?????), as well as apt to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths block the lumen of the fallopian tube and case increased moulding of mucous secretions. Along with this, from term to many times, rejected tissues and blood may upon the lumen of the fallopian tube.
Malignant neoplasms of the fallopian tube or uterus. The discharge into the uterine gap may be blocked due to the success of the neoplasm. In some cases, the tumor development is aggravated sooner than increased direction of tubal secretions.
Factors that bourgeon the likelihood of developing sactosalpinx embody:
offhand reproductive contacts, uncritical sexual intercourse human being;
shirk of barrier contraceptives;
miserable palpable labor.
Symptoms. sactosalpinx
The clinical carbon copy of sactosalpinx depends on the characteristics of the pathological process. The acute form of the condition is infrequently diagnosed. Its feature signs are elevated body temperature and pain syndrome. The temperature can lifted to various levels, depending on the essence of the exudate:
with a serous inflaming development, 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 method -39 degrees and more.
Pain in acute sactosalpinx occurs in the groin ??????? and is characterized as pulsating. The accustomed requisite of the woman suffers, the sedulous notes malaise, increased exhaust, taste, rapid heartbeat, increased sweating. The severity of clinical symptoms depends on the degree of focus of the inflammation.
Long-lived sactosalpinx regularly occurs without any symptoms. Over, the just hint that allows one to assume the course of the disease is female infertility. With a important build-up of liquid contents, a missus may note discomfort in the cut abdomen, a view of heaviness and distension. In cases where the increase of the illness is associated with an adhesive approach, the patient may feel chronic pelvic headache, which intensifies with hypothermia, influential concrete liveliness and sexual intercourse. When the fervid change spreads to ovarian concatenation, a infringement of the menstrual course may be observed.
Treatment methods for sactosalpinx
The cream of treatment tactics is dogged in each action separately and depends on the clinical occasion of sactosalpinx, the effect that provoked the event of the pathological development, the formation and square footage of the cystic development, the case’s epoch and the lack or imperturbability of reproductive plans.
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