Symptoms of pyosalpinx.

Symptoms of pyosalpinx.

Sharp, bursting (pulsating) pains in the lower abdomen, radiating (spreading) into the lumbar region and the sacrum, often on the one hand.

Increased body temperature.

Increased sweating, chills.

Symptoms of intoxication (general malaise, weakness, headaches.

Nausea, vomiting.

Purulent discharge from the genital tract.

Violation of menstrual function (irregular menstrual cycle, delay of regular menstruation, etc.).

In the chronic course of the pyosalpinx, the pains in the lower abdomen are permanent, intensified with physical activity, against the background or after sexual intercourse, and menstruation.

According to the nature of the flow, the pyosalpinx is distinguished.

acute pyosalpinx – develops within a few days, the symptoms are pronounced (acute pulsating pain in the abdomen, a sharp rise in body temperature, weakness, malaise, nausea, etc.).

chronic pyosalpinx – symptoms are mild, permanent, can be observed for a long time (pains in the lower abdomen – pulling, intensifying with physical activity, against the background and after intercourse, menstruation, hypothermia, menstrual cycle is noted.

Infectious and inflammatory diseases of the pelvic organs (acute or chronic salpingitis (inflammation of the fallopian tube), acute or chronic salpingoophoritis (adnexitis, inflammation of the appendages), acute or chronic endometritis (inflammation of the uterine cavity.

Obstetrical and gynecological interventions – artificial abortion (abortion), diagnostic curettage of the uterine cavity, scraping of the uterine cavity with undeveloped pregnancy. cesarean section, etc.

Sexually Transmitted Infections (Gonorrhea, Chlamydia, etc.)

The presence of an intrauterine device (IUS).

Tuberculosis of female genital organs.

Decrease in general and local immunity.

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A gynecologist will help with the treatment of the disease.

An analysis of the history of the disease and complaints (when (for a long time) there were pains in the lower abdomen, whether they were accompanied by a rise in body temperature, secretions from the genital tract, etc.

Analysis of obstetric-gynecological history (gynecological diseases, operations, sexually transmitted diseases, pregnancy, abortion, childbirth, etc.).

Gynecological examination with obligatory bimanual (two-hand) vaginal examination (gynecologist with two hands to touch (palpation) determines the size of the uterus, ovaries, cervix, their ratio, the condition of the ligamentous apparatus of the uterus and the region of the appendages, their mobility, soreness,

Ultrasonic diagnosis of pelvic organs.

Microscopy of the vaginal discharge of the vaginal discharge, cervical canal and urethra.

Bacteriological study of secretions from the genital tract with the definition of sensitivity to antibiotics.

PCR diagnosis of sexually transmitted diseases and the most common pathogenic viruses and microorganisms.

Diagnostic laparoscopy.

Treatment of pyosalpinx.

Drug treatment.

antibiotic therapy taking into account the previously identified pathogen and its sensitivity to antibiotics.

anti-inflammatory therapy.

detoxication therapy (therapy aimed at eliminating toxins (harmful substances produced by the pathogen in the process of its life or death) and their effect on the human body.

general restorative therapy (reception of vitamin-mineral complexes, introduction of glucose glucose, etc.)

Surgery.

salpingostomy – puncture of pyosalpinx (piercing) with aspiration (suction) of its contents and subsequent introduction into its cavity of antibiotics, antiseptics and enzymes.

laparoscopic (through several small incisions in the anterior abdominal wall) tulectomy (removal of the uterine tube.

removal of appendages.

Complications and consequences.

The spread of infectious-inflammatory process to other organs of the small pelvis – endometritis (inflammation of the uterine cavity), salpingo-oophoritis (inflammation of the appendages.

The spread of the infectious inflammatory process to the ovary with the subsequent development of an abscess in it (a limited cavity with pus), and with the development of a melting of the ovarian tissue against this background, the formation of piovar.

Tubo-ovarian abscess – fusion of pyosalpinx with piovar.

Perforation of the pyosalpinx (wall rupture) with the expiration of pus in the bladder, rectum, vagina and, as a result, the formation of the tubal-papular, tubal-intestinal or tubal-vaginal fistula (pathological communication (channel.

Peritonitis and / or pelvioperitonitis (the spread of the infectious inflammatory process to the peritoneum and the organs of the abdominal cavity and small pelvis.

Risk of developing an ectopic pregnancy.

Prevention of pyosalpinx.

Timely and sufficient treatment of infectious and inflammatory diseases of the pelvic organs (endometritis, salpingoophoritis) and sexually transmitted diseases (chlamydia gonorrhea, trichomoniasis, etc.).

Compliance with personal hygiene.

Exclusion of casual sexual relations, use of barrier methods of contraception (condoms) at sexual contacts.

Rejection of bad habits.

Exclusion of hypothermia.

Regular visit to the gynecologist (2 times a year).

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