Sactosalpinx is a gynecological disease characterized close to the heaping up of unfixed in the lumen of the fallopian tube, paramount to a infringing of its patency. It is most of all diagnosed in patients under 30 years of duration and ordinarily acts as a root 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 complication of another gynecological malady, primarily of an communicable and inflammatory nature.
Causes of sactosalpinx
Growth of serous running in the fallopian tubes occurs in the equanimity of obstacles that hold up its reasonable outflow. These may catalogue:
Adhesions caused through long-standing swelling (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, etc.), as comfortably as rightful to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths brick the lumen of the fallopian tube and cause increased moulding of mucous secretions. Along with this, from spell to age, rejected tissues and blood may inscribe 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 success of the neoplasm. In some cases, the tumor organize is aggravated at hand increased direction of tubal secretions.
Factors that expanding the probability of developing sactosalpinx number:
casual propagative contacts, promiscuous bonking moving spirit;
slight of barrier contraceptives;
heavy true labor.
Symptoms. sactosalpinx
The clinical carbon copy of sactosalpinx depends on the characteristics of the pathological process. The grave fabric of the condition is rarely diagnosed. Its idiosyncratic signs are elevated body temperature and anguish syndrome. The temperature can be nurtured to sundry levels, depending on the genre of the exudate:
with a serous passionate approach, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent infection – in the range from 38 to 39 degrees;
with a purulent incendiary approach -39 degrees and more.
Agony in cutting sactosalpinx occurs in the groin area and is characterized as pulsating. The extensive requisite of the ball suffers, the invalid notes malaise, increased languor, weakness, hurried heartbeat, increased sweating. The severity of clinical symptoms depends on the degree of intensity of the inflammation.
Hardened sactosalpinx almost always occurs without any symptoms. Often, the at worst ensign that allows one to suppose the definitely of the disease is female infertility. With a significant build-up of running contents, a woman may mark discomfort in the lessen abdomen, a view of heaviness and distension. In cases where the expansion of the disability is associated with an adhesive change, the patient may feel long-standing pelvic ordeal, which intensifies with hypothermia, influential manifest motion and earthy intercourse. When the inflammatory change spreads to ovarian web, a violating of the menstrual recur may be observed.
Treatment methods in behalf of sactosalpinx
The choice of treatment tactics is unwavering in each case one at a time and depends on the clinical usher in of sactosalpinx, the effect that provoked the expansion of the pathological process, the structure and size of the cystic pattern, the constant’s age and the absence or manifestation of reproductive plans.
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