- Inflammation of the appendages - the impact on reproductive health
- Therapeutic activities
Significance of pathological changes in the appendages associated with inflammatory processes, determined by their negative consequences in terms of reproductive health. Inflammation of the appendages requires an integrated approach to the choice of treatment strategy with the mandatory appointment of a course of rehabilitation or restorative treatment.
Inflammation of the appendages (salfingit) - an inflammation of the fallopian tubes (the long thin channels that connect the uterus and ovaries). Salfingit refers to pelvic inflammatory disease.
Normally, women have two fallopian tubes. According to him the egg transferred into the uterus during ovulation
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; In addition, they penetrate the sperm from the uterus to fertilize an egg. This occurs by means of thin cilia that cover the inside of the fallopian tubes. These cilia push the first egg and the sperm towards each other, and if fertilization occurs, the embryo helping to go down into the uterus. The inner shell of the fallopian tubes is very sensitive to any infection. Different fluid, pus or bacteria can easily cause swelling, inflammation or even serious damage to the fallopian tubes.
Distinguishing features lesions
Inflammatory processes that affect the reproductive system of women may have isolated for or combined with simultaneous multiple lesions of the pelvic organs. In modern conditions, acute inflammation of the appendages is rare. Most often, the disease becomes chronic, or erased, which leads to further complications.
There kind of peak incidence, which is observed in women in the age group 15 to 24 years. It largely depends on the sexual activity, sexual behavior culture. That is the nature of sexual relations affect the structure of the possible causative agents of inflammation. Inflammation of the appendages in women can be caused by the following kinds of microorganisms:
- pathogens, sexually transmitted (STD group). This group includes pathogens mycoplasma, chlamydia, gonorrhea, trichomoniasis. Microbiological examination reveals gonorrhea (N. gonorrhoeae) is almost 50% of cases of inflammatory diseases
- Gram positive aerobic bacteria (bacterial flora of the genus Staphylococcus, Streptococcus, Enterococcus)
- Gram-negative aerobic bacteria of the genus Proteus, Klebsiella
- anaerobic microorganisms
The infection can enter the body in different ways. The most common is the ascending pathway when the pathogen enters the upper genital system through the cervical or cervical canal. There is also a way of lymphatic and hematogenous spread.
The first signs of inflammation of the appendages can be Just noticeable, so this feature is one of the reasons for late uptake patients to a specialist. Most clearly when the disease is advanced or bilateral lesions. Inflammation of the symptoms can be roughly grouped into various groups. This clinical manifestations related to local inflammation and intoxication syndrome. Severity of symptoms depends on the extent of the process and the overall reactivity of the female body, which is largely determined by the state of immune defense.
One of the first complaints may be nonspecific general symptoms as weakness, malaise, anorexia, malaise, sleep disturbances
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. Temperature reaction appears in complicated disease, a variant of which is a bilateral inflammation of the appendages. The main clinical manifestations of inflammation caused by pathological changes in the field of appendages. Develops pain syndrome, which is characterized by its degree. There tenderness in the iliac region on the side of the affected organ or in the lower divisions. Pain with inflammation of the appendages may radiate to the perineum or lumbosacral spine. It is important to clarify the diagnosis, since women may mistake this pain for seizure localization osteochondrosis and self-medicate. Increased pain can be observed during bimanual examination of the patient when the inspection on the affected side leads to increased expression of pain.
The inflammatory process may show a dysfunction of the rectum or bladder. The symptoms of this dysfunction is a disorder of the chair (or frequent bowel movements) and dysuria (cramps, burning sensation, discomfort during urination). Such dysfunctions indicate progression of disease severity. Anatomic proximity of the bladder and rectum with appendages allows you to understand the process of the spread of inflammation to adjacent organs. Evaluation of the functional status of these bodies should be mandatory as one of the criteria for the diagnosis of the disease.
Women have changed the nature of discharge. Most often it is mucopurulent or mucous whites
Beli: abnormal discharge
Abundant in number, that create discomfort expressed by a woman. Select with inflammation of the appendages can be considered in most cases, an additional diagnostic criterion, since their nature can not be considered specific. Based on the results of microbiological study concludes secretions of pathogens. Laboratory confirmation of the presence of cervical infection should be included in the complex of diagnostic measures in inflammatory processes.
- Thick vaginal discharge with a strong unpleasant odor
- Pain in the lower abdomen. Usually the pain dull and weak, but sometimes it can be severe and very severe
- Nausea, vomiting, or diarrhea
- Abnormal menstrual bleeding
- Urethritis - swelling or inflammation of the urethra, which causes painful urination
- Increased body temperature
- Pain in muscles and joints
- Back pain
The causative agent salfingita is a bacterial infection that is out of the vagina, cervix or uterus spreads to the fallopian tubes. This may occur as a result of abortion, some medical procedures and diseases, sexually transmitted diseases. The risk for salfingitu are women who have started to be sexually active in their teens, and / or have had many sexual partners.
The only thing that can be done to prevent salfingita - use condoms during sexual intercourse, but it does not help in all cases.
The first step is to study diagnostic salfingita symptoms and medical history. Then conducted gynecological examination
Gynecological examination: an important component of women's health
And then, if necessary, for the doctor takes a blood test or Pap smear.
- Infertility (if the fallopian tubes are blocked)
- The formation of scar tissue in the fallopian tubes
- Increased risk of ectopic pregnancy
- Chronic pain in the lower abdomen
- Recurrent pelvic infections
- Forced removal of the uterus
Salfingit not contagious and poses no danger to other people.
To prevent the development of dangerous complications, you need to start treatment as early as possible. Most often, women, the sick salfingitom prescribe antibiotics, painkillers and, in some cases, bed rest.
Most often, the patient treated at home, but in some cases, hospitalization is required - for example, when a salfingita are quite serious symptoms and the patient's condition requires constant medical supervision. In rare cases, surgery is performed, during which removed the scar tissue that has formed in the fallopian tube, or fallopian tube itself.
Side effects of treatment
Antibiotics may cause stomach upset, headaches, or allergic reaction. If these symptoms are causing severe discomfort, you need to consult a doctor. Perhaps you need other medications. In any case, after the course of antibiotics the patient's condition improves.