Inflammation of the ovaries - oophoritis - rarely occur in isolation. Usually, inflammation of the ovaries occurs with simultaneous inflammation of the fallopian tubes - salpingitis. Combined inflammation of the ovaries and tubes known as inflammation of the appendages (adnexitis) or salpingo. Salpingo among the most frequent localization of inflammatory diseases of the pelvic organs. Every five women who have had an inflammation of the ovaries and tubes facing infertility. This is due to delayed diagnosis and treatment of diseases due to the fact that often occurs in salpingo erased or subacute forms.
It causes inflammation of the ovaries and tubes
Inflammation is caused by infection of the ovaries in the general weakening of the immune system. Pathogens oophoritis are gonorrhea, streptococcus, staphylococcus, tuberculosis and E. coli. The primary origin of ovarian inflammation is rare, as glands are surrounded by dense tunica, which prevents the penetration of infection. Inflammation of the ovaries often develops from neighboring organs affected by infection (appendicitis, enteritis, colitis). A huge role in the development of oophoritis play hypothermia and trauma of the uterus (abortions, the introduction of an intrauterine device
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, Obstructed labor). Ovarian inflammation associated factors are: overwork, starvation, decreased immunity, menstrual disorders
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and stress.
The clinical picture salpingoophoritis
Salpingo can be acute or chronic. In the acute stage of inflammation, patients complain of a sharp, aching, or dull pain in the lower abdomen (in the iliac region). The pain is worse during physical exertion, sharp movements, straining, and may radiate to the lower limbs and the rectum. Intoxication syndrome manifested in elevated temperatures (often up to 40 degrees), weakness, malaise, loss of appetite. Against the background temperature may cause nausea and vomiting. Join the symptoms of urinary disorders. In an analysis of blood was marked leukocytosis with a left shift, increased ESR. With adequate and timely treatment of acute adnexitis ends recovery.
Exacerbation of chronic salpingoophoritis can occur in two ways. The first variant is characterized by symptoms of acute adnexitis, and the second option due to the pelvic nerves neuralgia resulting from chronic inflammation. Characterized reflected pain (dull, aching), worse cooling, concomitant diseases, before or during menstruation. Usually the pain is felt in the abdomen, the sacrum, in the groin and into the vagina. Often the intensity of the pain does not correspond to the nature of the changes in the genitals. In about half the cases there is a violation of menstrual function. One-third of patients noted a decrease or lack of sexual desire, pain during intercourse. Often there are disorders of the secretory function (whiter appearance), the cause of which may be associated colpites and endocervicitis.
Treating inflammation of the ovaries and tubes
Adneksita Treatment should only be done by your doctor. In the acute stage salpingoophoritis patients be hospitalized, during which creates physical and mental rest, appointed by easily digestible food, drinking plenty of fluids is controlled by the function of the intestine and bladder. The main place in the treatment of antibiotic-owned adneksita after determining susceptibility to them. Together with antibiotics prescribed metronidazole
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Which is effective against anaerobic flora. Not lost its significance and physical treatment such as cold on the suprapubic area. The cold has analgesic, anti-inflammatory and hemostatic effect. For the purpose of detoxification performed massive fluid therapy (saline, glucose solution). To remove the pain analgesics, antispasmodics, and inhibitors of the synthesis of prostaglandins that cause pain (indomethacin). After removal of the acute process in the case of chronic adnexitis held physiotherapy (SMT, electrophoresis of drugs). To stimulate the immune system uses aloe, vitamins autohaemotherapy and solutions.
Anna Sozinova
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