The consequence of myocardial inflammation or surgical intervention is often the development of such conditions such as adhesive disease. Adhesive disease is manifested not only severe pain, creating physical and emotional discomfort, but also leads to various complications, up to the development of infertility. The prevalence of the disease in recent years has increased significantly, which is associated with a number of predisposing factors.

Adhesive disease

The pelvic adhesive disease (morbus adhaesivus) or plastic pelvioperitonit - a condition which resulted in the abdomen and pelvis are formed connective tissue bands (adhesions).

All the organs of the abdomen and pelvis outside wrapped in a thin membrane called the peritoneum. The abdominal cavity contains a small amount of peritoneal fluid, the function of which is to create mobility loops of intestines, uterus and fallopian tubes. This is necessary to capture the free egg fallopian tubes and normal bowel and bladder during pregnancy (growing uterus displaces the intestinal loops). In the case of peritoneal inflammation (peritonitis) in the body defense mechanism is activated - the formation of adhesions, thereby delimitation process and the spread of the infection.

The mechanism of formation of adhesions

If you get an infection in the abdominal cavity of the development of the inflammatory process begins. Tissue of the affected organ swell and appear on the peritoneum effusion of fibrin (a protein) that "glues" together closely spaced tissue. Thus, the focus of inflammation as it is covered on all sides, thus preventing the further spread of infection. After the suppression of the inflammatory process in the formation of connective tissue sections glued seam - soldering.

If the infection got into the fallopian tubes, early treatment provides a resolution of the inflammatory exudate, but in some cases there may be an outpouring of fluid in the abdominal cavity, causing exudation of fibrin, which "Sundae" the opening of the fallopian tube, then takes his imperforate. Thus, the fallopian tube becomes a closed cavity, which develops purulent process - piosalpinks. Perhaps the bacteria from entering the bloodstream from poisalpinksa in the ovary and development of purulent inflammation in it - piovara. Albuginea of ​​the ovary and the tube wall is sealed over time and become opaque. Piovar piosalpinks and spliced ​​together to form a purulent tubo-ovarian education. In addition, adhesions are formed between purulent tumor and intestinal loops, gland, the bladder and the pelvic wall.

Development of adhesive disease disrupts the normal functioning of internal organs, leading to intestinal obstruction, infertility, ectopic pregnancy and the occurrence of pelvic pain.

Clinic and diagnosis of adhesive disease

Adhesive disease can occur in three ways:

• The acute form

Patients complain of a gradual strengthening of pain, nausea and vomiting the contents of the small intestine, the temperature rises to 40 degrees, the pulse quickens. The general analysis of blood marked leukocytosis and accelerated ESR. When abdominal palpation indicated a sharp pain, intestinal obstruction develops. In the future, there is a drop in blood pressure, decreased amount of urine, general weakness and drowsiness. As a result of violations of water-salt metabolism develops kidney failure.

• Intermittent form

It is characterized by recurrent pain and disorders of bowel function (constipation, diarrhea).

• The chronic form

Symptoms erased, appear periodic abdominal pain Abdominal pain: when to sound the alarm?   and in the back, obstructed defecation acts. As a result, adhesive disease often develops blocked tubes Obstruction of the fallopian tubes - asymptomatic   and infertility.

During a pelvic exam Gynecological examination: an important component of women's health   doctor determines fixed or limited mobility of the uterus and appendages, shortening the lateral vaginal vault, a sharp pain on palpation. For the diagnosis of pathological state appointed examination for urogenital infections, pelvic ultrasound, magnetic resonance imaging and diagnostic laparoscopy Laparoscopy - why is it necessary? .

The treatment of adhesive disease

The treatment of adhesive disease can be both conservative and operative, depending on the extent and severity of the process. In the case of urogenital infection appointed antibiotics and anti-inflammatories. Pain syndrome cropped antispasmodics and analgesics. For resorption of adhesions appointed enzymes (trypsin, chymotrypsin, lidasa). In the absence of effect of conservative treatment is carried out medical-diagnostic laparotomy with dissection of adhesions.

Anna Sozinova

Thrush - a type of vaginitis, vaginal inflammation, which is characterized by unpleasant symptoms such as skin irritation, itching, abnormal vaginal discharge. Thrush affects not only the vagina, but the vulva. Thrush or candidiasis - is very common phenomenon: according to statistics, the disease in a given period of life observed in three out of every four women, and many women experience symptoms of yeast infection more than once.

Thrush is not considered a disease, sexually transmitted, although the fungus, provoking disease can get into the body by oral-genital contact. Treatment for thrush is usually effective and allows you to completely suppress the symptoms of the disease in the short term. In rare cases, when the infection comes back several times a year, a more intense and long-term treatment of thrush.

Before you start the self-treatment of thrush, you must make sure of the diagnosis. The symptoms of yeast infection are similar to the symptoms of other diseases that require special treatment. The most common simtomov thrush are:

• Itching and irritation of the vagina and vulva
• Burning sensation, especially during intercourse or urination
• Redness and swelling pulvy
• Colpodynia
• Thick white vaginal discharge Vaginal discharge   cheesy consistency

Treatment

Methods of treatment of thrush depends on the extent of disease and presence of complications.

Uncomplicated thrush

For the treatment of uncomplicated thrush with mild or moderate symptoms of the following treatments:

• Antifungals for topical use. Treatment of affected areas antifungal creams or ointments, vaginal suppositories with antimycotic agents, antifungals special shaped tablets. In most cases, these funds are sufficient for the rapid and effective suppression of the symptoms of thrush. For the treatment of thrush applied azole drugs - butoconazole, clotrimazole, miconazole and terconazole. Most of these drugs are sold in pharmacies without a prescription. Do drugs thrush Medicines for thrush: to help in the fight against the fungus   virtually no side effects - in rare cases, there is a burning or irritation of the skin in contact with the drug.
• Medicaments for oral administration. The gynecologist may recommend a single dose of an antifungal agent fluconazole (Diflucan) for oral administration.

Complicated thrush

Key features of complicated thrush:

• Intense symptoms: redness, swelling, itching, the formation of abscesses
• Recurrence of the disease - four or more times in one year
• The disease is not caused by candida white (candida albicans), and another kind of fungus

Of complications thrush is most likely in the pregnancy or disease, or weakened long-term antibiotic treatment of the immune system.

The main methods of treatment of complications of yeast:

• Prolonged treatment. Use of azole antifungals in the form of vaginal creams, ointments, suppositories. The duration of treatment in most cases vary from seven to fourteen days.
• Medicaments for oral administration. Alternatively, the antifungal drugs for external use gynecologist may recommend taking two or three doses of fluconazole in the form of tablets or capsules. Such treatment, however, is not recommended for pregnant women.
• Supportive therapy. If there is a recurrence of the disease, the doctor may recommend a maintenance therapy that prevents the multiplication of fungal microorganisms and repeated return of thrush. Maintenance therapy begins after the main treatment and involves receiving fluconazole tablets once a week for six weeks. In some cases, alternatively clotrimazole recommended for external use once a week.

Typically, the treatment of yeast infections in women treated for her partner is not required. However, at relapse of the disease your doctor may recommend treatment for a partner.

Treatment of thrush home remedies

In some cases, can cure thrush and at home, traditional medicines, without the need for medical care. The main agents for the treatment of thrush at home include:

• Douching with vinegar
• Cream with tea tree oil
• Vaginal suppositories with garlic Garlic health: almost a panacea   or boric acid

Furthermore, in the treatment and prevention of yeast Preventing thrush - why it's important   It makes plain yogurt with no sugar - it contains lactobacillus acidophilus useful normalizing the bacterial flora and to prevent the uncontrolled proliferation of fungal microorganisms.