It causes inflammation of the appendages - a pathogen and decreased immunity. The combination of these two factors, and promotes development of infectious and inflammatory processes in the uterine appendages. As infectious agents, and moments that cause decreased immunity, can be different, and this is reflected in the features of the disease.

The two main causes of inflammation of the appendages

Inflammation of the uterus (adnexitis or salpingo-ophoritis) can be caused by many reasons. But on closer examination all of them can be divided into two parts: the infectious agents and decreased immunity Immunity - types and characteristics in children in adults .

Some infectious agents are able to penetrate into the internal reproductive organs and without reducing the immunity they themselves over time, cause a decrease in immunity. But the majority of infectious agents to penetrate the low immunity of the uterus is still required.

The first reason - Infection

The infection causes inflammation of the uterus, can be specific and nonspecific. They distinguish between these two types of agents of the fact that some of them (specific) cause characteristic only for them the inflammatory response of tissues, while the latter (non-specific) usually cause an inflammatory response typical of many pathogens.

Specific pathogens are Mycobacterium tuberculosis infection Tuberculosis - a full recovery is not guaranteed All infections, sexually transmitted infections and others. For non-specific - staphylococcus, streptococcus, E. coli, Proteus, and so on, most of all - they are representatives of conditionally pathogenic microflora, constantly live on the mucous membranes of the external genitalia of women.

Starting inflammatory process in the majority of cases in women vulva then ascending infection (through the cervical canal and uterine cavity) enters the uterine appendages. The infection can get into the appendages and through the blood and lymph systems, both from the external genitalia, and other foci of infection, even remotely (eg, tuberculosis). Nearby sources of infection may be the gut (eg, appendicitis) and urinary tract (cystitis).

In order to get into the internal reproductive organs of women, which normally does not contain any of the microflora, the infectious agent is usually required an additional condition - reduced immunity. It is easier to penetrate into the internal reproductive organs is given the specific pathogens infections - they are more aggressive and tend to spread.

The most urgent problem today is an infection caused by pathogens developing intracellularly (chlamydia, mycoplasma Mycoplasma - the smallest microbe , Ureaplasma), since they are difficult to treat and promote the reduction of immunity. Decrease in immunity provides access conditionally pathogenic microflora, resulting in a developed mixed infections that are very difficult to treat.

The second reason - low immunity

Infection can circulate for years in the vulva of women, without causing inflammation of the uterus Inflammation of the uterus - is one of the most common gynecological diseases If a woman has a good immune system. But as soon as he drops (usually temporary, short decline under the influence of some factors), infectious agents can immediately enter in the internal genitals.

Common factors that cause a temporary decrease in immunity include hypothermia (adnexitis after colds - the most common phenomenon), heavy physical and psychological stress, stress, common acute and chronic diseases.

Of great importance is violating the integrity of the genital mucosa, promoting the penetration of the infection. Injury mucosa often occurs during abortions, gynecological operations and manipulations, as well as during heavy labor.

A common cause of infection is the intrauterine contraception. Intrauterine devices (IUDs) irritate the mucous membrane of the uterus, causing her inflammatory process that prevents pregnancy. But in order to establish the Navy must first fully examined the woman and make sure she does not have the infection. Otherwise, the spread of infection in the uterus and its appendages guaranteed.

Yet the leader among the pathogens that cause inflammation of the uterus are the causative agents of sexually transmitted infections - gonorrhea, chlamydia, trichomoniasis, and others. As a rule, it is a very aggressive infection, which is not always even, additional conditions for the spread. Therefore, the main prevention adnexitises - is the observance of sexual health.

Galina Romanenko

In gynecological practice, this procedure is widely used as a douche. Douching can be conducted for medicinal purposes and as a preventive. To perform this manipulation are different solutions containing medications, various decoctions of herbs and chemicals. One such solution I is potassium permanganate. Douching potassium permanganate, until recently, it was considered almost a panacea for all vaginal infections and unwanted pregnancy. Currently douching potassium permanganate is used rarely, although this method has the right to exist. The main condition during the procedure is the exact observance of the dosage of the active substance (potassium permanganate).

Syringing

Douching - a medical procedure, which is based in the irrigation of the vagina with various solutions. As a result, the vagina mechanically and chemically cleaned from abnormal discharge and / or sperm. Douching carried mug douches (in hospitals) or a special syringe, which is convenient to use at home.

Potassium permanganate

Potassium permanganate (potassium permanganate or potassium permanganate) is a dark or red-violet crystals or a fine powder with blue metallic sheen. When dissolved in water (1:18 in the cold and 1: 3, 5 to boiling) constitutes a solution dark purple. Potassium permanganate is a strong oxidizing agent and in contact with organic (coal, sugar, tannin) and the easily oxidisable substances can cause an explosion.

Due to the action of potassium permanganate silnookislyayuschemu widely used as an antimicrobial (antiseptic) agent. The mechanism of action is that upon contact with the easily oxidizable substances in aqueous solution, is cleaved by potassium permanganate, oxygen gas, which is a potent antiseptic. After occurred chemical reaction produces poorly soluble manganese oxide brown, which come into contact with tissue proteins, forms complexes albuminates. In turn, complex albuminates cause astringency of potassium permanganate (but only in small concentrations it). High concentrations of manganese-irritating and cauterizing action. In addition, the cleaved, active oxygen has deodorizing effect and that is based on the oxidation of the volatile odorants.

A solution of potassium permanganate is widely used in medicine. It is used for gastric lavage for poisoning (0, 02% -0, 1%), diarrhea Diarrhea (diarrhea) - a familiar nuisance   (take one glass twice a day) as an antiseptic externally for washing wounds (0, 1 - 0, 5%), to gargle (0, 01 - 0, 01%), for lubricating ulcer and burn surfaces.

Potassium permanganate for irrigation

As mentioned above, douching solution of potassium permanganate is used as an adjunct in the treatment of pelvic inflammatory disease, and as a method of protection against unwanted pregnancy. It should be noted that any douching solutions including the solution of potassium permanganate is very fragile contraceptive.

The color of the solution should be slightly pink, or douching with potassium permanganate threatens the formation of chemical burns and ulcers. Prepare a solution of potassium permanganate, and can be on the "eye". To this must be dissolved in one liter of water about ten crystal chemical. Considering that during the preparation of the solution of potassium permanganate crystals to dissolve immediately, it is desirable to first make a concentrated, bright crimson solution which is then added to the boiled water.

It should be remembered that the antimicrobial action of potassium permanganate solution is short, and the pathogenic microflora is destroyed only during the processing of the vagina (douching). For handling, use only freshly prepared solution, as after time diluted potassium permanganate loses its properties.

Anna Sozinova