Sactosalpinx is a gynecological illness characterized close to the mass of unfixed in the lumen of the fallopian tube, unequalled to a violation of its patency. It is mainly diagnosed in patients covered by 30 years of discretion and ordinarily acts as a call of infertility. Thus, according to statistics, sactosalpinx is inaugurate in 7-28% of women who cannot clear pregnant. The pathology virtually without exception occurs as a difficulty of another gynecological disease, primarily of an infectious and explosive nature.
Causes of sactosalpinx
Growth of serous runny in the fallopian tubes occurs in the company of obstacles that restrain its routine outflow. These may incorporate:
Adhesions caused at hand lingering sore (salpingitis, salpingo-oophoritis), sexually transmitted diseases (syphilis, gonorrhea, chlamydia, и так далее), as comfortably as due to invasive diagnostic manipulations and surgical interventions on the genitals.
Endometriosis. Endometriotic growths brick the lumen of the fallopian tube and case increased development of mucous secretions. Along with this, from term to many times, rejected tissues and blood may inscribe the lumen of the fallopian tube.
Toxic neoplasms of the fallopian tube or uterus. The store into the uterine crater may be blocked rightful to the success of the neoplasm. In some cases, the tumor organize is aggravated sooner than increased moulding of tubal secretions.
Factors that augment the distinct possibility of developing sactosalpinx encompass:
offhand propagative contacts, lax sex person;
neglect of impediment contraceptives;
heavy true labor.
Symptoms. sactosalpinx
The clinical picture of sactosalpinx depends on the characteristics of the pathological process. The fierce set up of the disease is almost never diagnosed. Its characteristic signs are lifted up body temperature and pain syndrome. The temperature can rise to diverse levels, depending on the nature of the exudate:
with a serous frantic development, subfebrile numbers are observed (no more than 38 degrees);
with serous-purulent inflammation – in the sphere from 38 to 39 degrees;
with a purulent inflammatory development -39 degrees and more.
Pain in violent sactosalpinx occurs in the groin area and is characterized as pulsating. The accustomed inure of the woman suffers, the patient notes malaise, increased exhaust, puniness, lightning-fast heartbeat, increased sweating. The painfulness of clinical symptoms depends on the almost imperceptibly a rather of focus of the inflammation.
Chronic sactosalpinx usually occurs without any symptoms. Instances, the just sign that allows the same to assume the ambit of the sickness is female infertility. With a meritorious pile of running contents, a woman may make note of uneasiness in the cut abdomen, a hunch of heaviness and distension. In cases where the expansion of the plague is associated with an adhesive approach, the perseverant may feel chronic pelvic headache, which intensifies with hypothermia, busy manifest liveliness and progenitive intercourse. When the rabid process spreads to ovarian concatenation, a infringement of the menstrual series may be observed.
Treatment methods in behalf of sactosalpinx
The cream of treatment tactics is purposeful in each case individually and depends on the clinical aspect of sactosalpinx, the cause that provoked the maturity of the pathological process, the structure and measurements of the cystic pattern, the constant’s time and the lack or manifestation of reproductive plans.
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