Inflammation of the tubes of the uterus: treatment, symptoms, causes
Unfortunately, inflammation of the uterus and appendages is a common phenomenon in women . Inflammation of the fallopian tubes is referred to in medicine the word «salpingitis». And when added to the inflammation adnexitis and oophoritis this is called salpingo. The disease can lead to infertility and other negative consequences in the female body. Inflammation can occur due to the presence in the organism of bacterial infection and to detect it only half of the cases.
Germs and bacteria migrate into the cavity from the vagina, then penetrate into the fallopian tube. Here the «path» to the infection, and the cause can be any infective focus in the body. Thus, the bacteria through the blood fall into the fallopian tube, the sad result of inflammation of the uterine appendages. Illness can appear after surgery on this organ (the uterus) in the presence of wounds, which can develop pathogens. In the area of large risk those patients who have abortions illegally and some others, and then consider in more detail.
The uterus is an important organ in women that is responsible for fertility. Feature of the uterus that it borders the cavity of the abdomen at one end, and the other with the same muscular body. Due to the anatomical position of the disease can spread through the pipes of the uterus as the source of bacteria may enter the vagina and uterus, and abdominal cavity under the influence of many conditions change and more exposed inner layer of the uterus.
Like many diseases, it is of subacute, acute, and chronic form of inflammation of the appendages. One of the most difficult and dangerous form of salpingitis (acute) when fallopian tubes are filled with blood, increase in volume and become red, darker shade. If left untreated can result in chronic inflammation of the appendages. This disease can also cause bacteria that are sexually transmitted: different well-known Trichomonas, chlamydia, fungi, staphylococci, gonococci, Escherichia infections, and others. It is therefore very important to protect themselves and stay healthy.
Salpingitis is considered a «brother» adnexitis. In medicine distinguish inflammation of one or both sides of the ovary, since the pipes have a uterus two. In the case of unilateral inflammation of the patient is inflamed one tube. Sometimes the process of inflammation of both tubes, it is much more common, and it is called bilateral.
A little bit more about who may be at risk of the disease.
- Women with penetrating disease sexually transmitted (chlamydia, gonorrhea, syphilis).
- Women, who often printouts. The result is a transfer of germs from the vagina to the uterus.
- Women doing a variety of mini — operations and procedures at the gynecologist — scraping, biopsies, abortion, etc.
You should pay attention that the disease can claim people with low immunity, colds, exposure to stress under the influence of any factors.
Inflammation of the fallopian tubes symptoms is different. How can I determine the salpingitis? To show symptoms after menstruation. For acute forms of the disease can worsen mood, temperature – rise, appear lower abdominal pain, there may be vomiting, and the accompanying nausea and other symptoms. One of the signs of this disease are the allocation of pus from the vagina and genital organs, frequent urination it can be accompanied by pain, diarrhea, and pain during sex.
The main symptoms pointing to the presence of this disease:
- Hurts from the bottom of the abdomen, pain may be given in different parts of the body.
- Different selection which have the smell is not very pleasant.
- Discomfort while visiting the toilet, burning.
- Temperature increases.
- Nausea, flatulence, diarrhea, vomiting.
- Changes in menstrual cycle, their violation, if menses are not regular, there are delays, discharge not blood related, and bleeding.
In all these cases it is necessary to consult the gynecologist, or urgent hospital.
Diagnosis of disease
For the diagnosis of inflammation of the fallopian tubes using different methods.
First, normal pelvic examination has not been canceled. A woman should not forget about the visit to the gynecologist every six months.
With the disease to see a doctor unpleasant and painful. The doctor will be able to probe in the area of ovarian infiltration, which, due to swelling has no clear contours. Usually, the blood rate is increased by leukocytes.
When salpingitis must first identify the causative agent, do it using a simple and straightforward analysis from the vagina.
Another way to diagnose an inflammation – ultrasound (transvaginal or transabdominal), which will be marked thickened fallopian tubes, adhesions, various tumor changes.
One such method of diagnosis is laparoscopic method. Doing it through small incisions and insert laparoscop. The doctor examines the bodies and decides whether they have inflammation, take the analysis (smear) on the check. However, the method is applied in case of serious grounds.
One of the frequent complications of the disease is inflammation of the ovaries. This happens, if the inflammation is «migrated» with the fallopian tubes on the ovaries. The symptoms of these two inflammation is not easy to distinguish because they have similar manifestations and symptoms. Transferred diseases are dangerous because they can cause infertility, ectopic pregnancy, blocked tubes uterus, and other diseases.
Also plays the role of the presence of inflammation and other neighboring organs, for example, colon, urinary tract, microorganisms can go to the fallopian tube. She gets on simpaticescom vessels with blood, or other way.
Some diseases can complicate inflammation of the uterus: oophoritis, adnexitis, colitis and others.
If left untreated salpingitis, it can develop into stage of chronic. The symptoms are very unexpressed, lethargic. In principle, the status of women is satisfactory, no fever, slight abdominal pain, dull or aching. The disease is sometimes acute, sometimes subsides, the possible aggravation on the background of stress, hypothermia.
However, when the disease in chronic form it is possible to notice the violation of the female cycle, the increase or decrease in bleeding – menstruation. Both the deviation from the norm.
The correct treatment
Treatment of inflammation of the fallopian tubes. As a rule, doctors focus on the treatment of medicines. The first thing you should troubleshoot and remove the infectious source, as well as to increase the immunity of the patient. For a start, antibiotics, they need to eliminate bacteria. In acute forms used antipyretics and anti-inflammation. In the chronic case, the main role is paid immunodepletion. Taking these antibiotics: ampicillin, afaxin, cefotaxim. Mainly in the treatment of inflammation of the uterus and adnexitis used antibiotics type penicillin, purulent inflammation used drugs group of cephalosporins. It is also important not to forget if you are taking antibiotics, it is necessary to combine them with drugs against the bacteria overgrowth and antifungal agents. Next, take vitamins E, C and other.
In order to avoid the risk of complications and fallopian tubes, to increase the success of recovery also in the treatment of inflammation used drugs that enhance the immune system (Imunofan in cancer, groprinosin, etc.) it is Worth remembering that doses exactly the same as the treatment, inflammation of the uterus, choose your doctor.
In the treatment of chronic forms of the disease can assign physiotherapy: massage, electrophoresis, various baths and irrigation of the vagina. Sometimes in severe forms of inflammation it is necessary to resort to surgical intervention. Indications for surgical intervention determined by the physician. At times, when conservative treatment does not bring positive results and recovery use radical methods. In case of detection of tumors in the genital organs, are formed when the pus and other entities in the same region, infertility for unclear reasons, obstruction of one or both tubes as a result of adhesions.
To such transactions there are contraindications, if: the patient is obese, has chronic illness, which to begin to cure, discovered poor blood clotting in the patient.
The very essence of the operation is to remove any part of the fallopian tubes, surgeons cleaned from pus and disinfected. Sometimes the appendage must be removed.
To date, the most effective and humane method of treatment is laparoscopic surgery. Abdominal incision is made (the hole) and using medical equipment removed part of the pipe.
Before the operation the patient should do a lot of tests. Blood tests to determine her svorachivanie, urine test to determine if the body inflammation, hepatitis and HIV, an electrocardiogram – to rule out cardiac pathology before surgery, ultrasound examination.
A similar operation is divided into several parts, or stages. Through an incision on the skin in the abdomen is entered, a special unit. On laparascope one end to be the eyepiece and the other on a camcorder. Through the first doctor examines the bodies of women, and through the camera image can be seen on the screen.
After surgery will need some time to recover, the doctor can assign, if needed, pain pills. the most common and unpleasant symptoms after laparoscopy – weakness, nausea, flatulence, frequent urination and more. But all symptoms disappear within a few days. A couple of weeks already, the stitches are removed, but here all individually.
For the first time will take some power, do not lift weights, not to plan travel, not to bathe in the tub, the pool, the sea and other restrictions.
After elimination of obstruction of the fallopian tubes in a patient increase the chances for fertilization. After surgery patients recommend hormonal pills and you can plan pregnancy.