The danger of bilateral salpingitis and its treatment. Chronic bilateral salpingitis: symptoms and treatment

Acute salpingitis is characterized by piercing pains in the abdomen, slight chills and all signs of poisoning. Both chronic salpingitis and the acute form of the disease can lead to disorders reproductive function and constant pain in the genitals.

This disease usually does not affect the fallopian tube, but immediately acquires a bilateral character, affecting muscle tissues walls of both pipes.

What it is?

Salpingitis is an isolated infectious and inflammatory disease of the uterine (fallopian) tube of one or two-sided nature, often leading to its obstruction and, as a result, infertility.

As an isolated inflammatory process, salpingitis is rare, in most cases inflammation from the fallopian tubes passes to the ovaries (oophoritis), and acquires the features of a combined inflammation of the appendages (salpingoophoritis). Often (ovaries and tubes) is combined with (inflammation of the uterus).

Causes of the disease

Salpingitis can be caused by pathogens various kinds and classes of pathogenic and conditionally pathogenic microorganisms- bacteria, viruses, fungi and protozoa.

Depending on the causative factor the disease is conditionally divided into:

1. Specific salpingitis - more often bilateral, due mainly to infectious agents sexually transmitted. Specific salpingitis is the most common cause infertility. It is called gonococcus, cytomegalovirus, virus herpes simplex Type II, mycobacterium (very rare).
2. Nonspecific salpingitis, which is caused mainly by epidermal or Staphylococcus aureus, streptococcus, Escherichia coli or enterococcus, Gram-positive anaerobic microorganisms that do not form spores (Peptococcus and Peptostreptococcus), yeast and some others. As a rule, the lesion is unilateral.

An increased risk of inflammation of the fallopian tubes is observed in the following cases:

1. Douching increases the risk of salpingitis, as it promotes the transfer of bacteria from the vagina into the uterine cavity and fallopian tubes.
2. Gynecological procedures (endometrial biopsy, curettage, hysteroscopy, abortion, etc.)
3. If a woman had many sexual partners with whom she practiced sex without a condom.
4. If a woman has previously had one of the sexually transmitted diseases (gonorrhea, chlamydia, trichomoniasis, etc.)
5. Availability intrauterine device increases the risk of salpingitis in the first 4 months after the installation of the spiral.

Especially often, inflammatory processes are caused by multiple mixed microbial flora (polymicrobial association), for example, staphylococci with E. coli, gonococci with chlamydia, enterococci with staphylococci and streptococci, clostridium with peptostreptococci, E. coli with enterobacteria and Proteus, etc.

Each type of infection has its own ways of infection and features of the mechanism of development of the inflammatory process. For example, gonococcus is characterized by purulent character and bilateral failure.

Salpingitis and oophoritis

Often salpingitis does not occur alone, but together with oophoritis (). The causative agents of oophoritis include various microorganisms, often found in combination and at the same time quite resistant to antibiotics.

With such a combined disease, the process of soldering of the altered due to the inflammatory process occurs. fallopian tube with the ovary and forms a single extensive inflamed formation with very serious consequences.

Acute salpingitis

The disease begins with an increase in temperature to high numbers, as well as with general malaise. The heartbeat intensifies.

Symptoms of acute salpingitis:

• vomit;
• nausea;
• Strong headache;
• pain in the groin area - important diagnostic symptom. Its localization depends on which of the pipes has developed inflammatory process;
• allocation pathological. With gonococcal salpingitis appear purulent discharge, with trichomonas - foamy and plentiful. If acute salpingitis is very difficult, then the appearance of spotting. It is worth noting that the discharge in this disease is always abundant, and they are accompanied by burning and itching.

Acute salpingitis occurs and progresses due to infection in the oviducts. The way to get into the tubes is ascending or from the focus, which is already in the body of a woman (appendicitis, oophoritis). Most clinical cases acute salpingitis develops against the background ectopic pregnancy. The symptoms of this disease are very pronounced.

Chronic salpingitis

If the treatment of acute salpingitis was not carried out or was not started in a timely manner, in the fallopian tubes begins to form chronic inflammation. Chronic salpingitis does not differ in a pronounced clinic, during periods of remission it is asymptomatic, and frequent exacerbations occur in a subacute form.

As a rule, the symptoms of chronic salpingitis are associated with the complications that have arisen after suffering acute inflammation. The most significant symptom of chronic salpingitis is pelvic pain. Their appearance is associated with the adhesive process, and the intensity is directly dependent on the severity of the adhesive process. Adhesions change the location of organs and affect their mobility. A pronounced adhesive process causes prolonged drawing pains lower abdomen, aggravated by physical activity, menstruation or sexual activity. If, as a result of acute inflammation, the genital organs were slightly affected, pain appears only during an exacerbation.

Exacerbation of chronic salpingitis occurs without severe fever, the temperature does not exceed subfebrile norms, and general well-being remains normal. If the infectious-inflammatory process in acute period disease spread to the ovarian tissue and caused in it structural disturbances, chronic salpingitis may be accompanied by disorders menstrual cycle. Menstruation becomes profuse, prolonged and more frequent.

The most common reason for visiting a doctor by patients with chronic salpingitis is infertility. For a long time existing inflammation in the tubes of the uterus lead to their anatomical and functional deformation: the pipes thicken, their lumen narrows, and the inflammatory exudate glues the walls of the pipe together, forming adhesions. Promotion of a fertilized egg into the uterine cavity under such conditions becomes impossible.

A dangerous situation is when the tube remains partially passable, then the egg stops inside the tube and, mistakenly believing that it has reached the uterus, is implanted in the wall of the tube and begins to develop. Under the influence of a growing pregnancy, the tube stretches and then breaks. Ectopic pregnancy - dangerous complication chronic salpingitis.

Diagnosis of salpingitis

Diagnostics consists in detecting motionless painful tumors textures of various densities. For the correct diagnosis of salpingitis essential has a definition of probable infectious diseases of a woman. So, for example, diagnosed, in a young girl, salpingitis most likely has a tuberculous origin, and salpingitis in a married woman nulliparous woman indicates a gonorrhea infection. The presence of infection is determined by laboratory tests of uterine secretions.

Pain in salpingitis is often confused with an attack of appendicitis due to the similarity in the nature of the pain. However, salpingitis gives pain located in the deeper parts of the pelvis. The disease is often diagnosed in combination with an ectopic pregnancy. Confirmed diagnosis Salpingitis refers to diseases unfavorable in terms of cure. Most often, the disease has the ability to remind of itself during the entire period of functioning of the female genital area. In medical practice, cases of death of patients from peritonitis caused by an advanced form of acute salpingitis are described. The cure of the disease with the aim of a complete functional restoration of the patency of the fallopian tubes for the onset of the desired pregnancy for the patient occurs in a very rare cases.

Effects

A neglected or undertreated disease causes serious complications:

• infectious process spreads to the organs abdominal cavity and the pelvic area;
• scars and adhesions are formed, which can lead to infection of the fallopian tubes;
• the risk of infertility increases;
• possibility increases significantly.

At timely handling women to the gynecologist and proper treatment diseases, the prognosis, as a rule, turns out to be favorable: salpingitis is cured, complications do not develop, and the likelihood of conception increases.

How to treat acute salpingitis?

First of all, they begin to treat acute salpingitis with the appointment of bed rest and an easily digestible protein diet. Should be supported defensive forces organism with sufficient intake nutrients without irritating the intestines with fried or spicy foods. In the absence of appetite, you can refrain from eating for several days, but be sure to use a large number of warm liquid - tea, fruit drink, compote.

Antibiotics are prescribed based on assumptions about the causative agent of salpingitis and, as a rule, the drugs are combined in such a way as to cover the largest spectrum of microorganisms. For example, cephalosporins of the 3rd or 4th generation (ceftazidime, ceftriaxone) and metronidazole - this combination is active against aerobes and anaerobes. The course of treatment depends on the type of pathogen; in the treatment of chlamydia, its duration reaches the 21st day and can be repeated several times. Such measures lead to death intestinal microflora therefore, at the end of antibiotic therapy, it is recommended to take preparations of lacto- or bifidobacteria.

To alleviate the condition of a woman, she is given intravenous solutions of glucose, sodium chloride, polyglucins. In addition, vitamins, immunomodulators, desensitizing drugs (diazolin) are prescribed. Locally used anti-inflammatory suppositories with indomethacin - they reduce the severity inflammatory response and damage to the tissues of the pipe. Local sitz baths with solutions of chamomile, calendula, potassium permanganate are shown.

Diet

Diet in the treatment of salpingitis is ineffective and insignificant. However, some recommendations are still given:

1. Drink plenty of fluids;
2. Eat crackers;
3. Use more vitamins through products;
4. Periodically consume low-fat dairy products, meat.

Usually not here strict diet. It is advisable to exclude alcohol as one of the bad habits that depress the immune system and irritate the gastrointestinal tract.

Is it possible to be treated folk remedies at home? Folk ways nobody cancels. However, they should not replace medication and surgery, and add:

1. Baths with juniper, sage, valerian, rosemary or milk.
2. Herbal douching.
3. Therapeutic swabs soaked in a decoction of aloe, plantain or cabbage.
4. Phyto tea from various herbs.

Surgery

Treatment of salpingitis with the help of surgery is used as in acute forms this disease, as well as in chronic ones. Indications for surgical treatment are determined by the attending physician.

Indications for surgical treatment salpingitis are:

• failure of conservative treatment;
• tumors in the uterine appendages;
• the formation of purulent formations in the area of ​​​​the uterine appendages;
• infertility of unknown origin;
• obstruction of one or both pipes as a result of adhesive processes.

The essence of the operation is to remove part of the fallopian tube, clean it from pus and disinfect it. In the absence of the possibility of eliminating the purulent focus and restoring the patency of the fallopian tube uterine appendage is removed. In chronic salpingitis with a pronounced adhesive process, adhesions are also removed.

by the most effective method Surgical treatment of salpingitis is laparoscopic surgery. It consists in removing parts of the pipe using special equipment through small openings in the wall of the abdomen. If using this method it is not possible to carry out a full-fledged operation, then they switch to a laparotomy. This operation consists of an incision in the anterior abdominal wall, which is done in order to get full access to the pelvic organs. The method is more traumatic and provokes the formation of new adhesive processes.

The operation is performed in several stages. Initially, the doctor makes three punctures on the abdomen, through which medical instruments and laparoscopic equipment are inserted. Then, using a laparoscope, a special gas is pumped into the patient's abdominal cavity ( carbon dioxide or nitrous oxide). This is done so that the organs move away from each other, providing the doctor with good visibility. A laparoscope is a hollow tube with an eyepiece on one end and a video camera on the other. The doctor looks through the eyepiece internal organs, and using the video camera, the image is displayed on the monitor screen. The rest of the incisions are intended for insertion of manipulators with which the doctor performs the necessary actions.

During the operation, adhesive formations are cut, and manipulations are carried out aimed at restoring the patency of the pipes. If inflammatory processes are detected during surgery, the doctor removes purulent formations, treats the cavity with disinfectant solutions and installs a drainage system in the abdominal cavity.

Laparoscopic treatment allows a woman to go home three days after the operation, but the recovery process will last up to two weeks. At the same time, doctors advise patients to temporarily abandon sexual intercourse and visit the gynecological office at least once every 3 months.

Prevention

To prevent infection (remember, ascending path the most popular) it is recommended to observe personal hygiene, use contraception against genital infections, maintain immunity and visit a gynecologist at least once every six months.

Forecast

Timely treatment and adequate treatment guarantees complete cure and elimination of the consequences of the disease. The prognosis is most favorable in the case when salpingitis did not cause a violation of the patency of the fallopian tubes. In this case, treatment leads to complete recovery and restoration of reproductive function.

The later a woman turns, the worse the prognosis, respectively - the chronic form of salpingitis is difficult to treat. A delay in treatment is fraught with the development of various reproductive dysfunctions. High risk of ectopic pregnancy.

Bilateral chronic salpingitis is a diagnosis that can frighten any woman. What is behind this concept? What is salpingitis? How does it proceed and why does it occur? What forms are there, how to recover from it?

What is salpingitis?

The term salpingitis refers to a disease inflammatory fallopian tubes. This disease begins to develop in cases where pathogenic microflora penetrates into the tubes from the uterine cavity or other organs. The route of entry is usually hematogenous.

The beginning of the process usually occurs with damage to the mucous membrane of the tubes. Gradually, it spreads, covering subsequent layers. And this leads to a violation of their peristalsis.

The likely consequences of such a situation may be adhesions that threaten over time with infertility or ectopic pregnancy.

Often, with this disease, the uterus and ovaries become inflamed, which makes it even more dangerous for women's health.

In the form of sources, both fungi and gonococci, as well as staphylococci, streptococci, as well as chlamydia, escherichia, intestinal bacteria and even the causative agents of tuberculosis.

Due to the screeds, partial or complete obstruction of the pipes can be observed. When fluid accumulates in the fallopian tube, it is a hydrosalpinx. A similar situation, only with the accumulation of pus, was called pyosalpix.

The disease is divided into three types according to the nature of the course: latent, acute and chronic. The last one is the most frequent. It should be noted that this disease is diagnosed only in 30% of patients.

Causes of the disease

The disease can develop for a number of reasons. Although most often it is still an infection in the fallopian tubes. Inflammation can occur from any intervention in the genital environment (for example, an unprofessional gynecological examination, damage to the cervix, complication after an abortion or caesarean section).

It is for this reason that it is so important that the gynecologist be a professional in his field, since his actions may affect women Health. In some cases, the development of salpingitis can be facilitated by the establishment of an intrauterine device.

The body can perceive it as a foreign body.

In addition, in cases where a girl has an untreated gynecological disease, it can also develop. You can also observe a mirror effect when salpingitis becomes an impetus for the development of another disease.

The highest risk group is:

• girls under 35 who have regular sex and a large number of partners;
• girls who started early sexual life;
• women practicing non-traditional forms of sexual contacts;
• women using hormonal contraceptives;
• girls who had intercourse during menstruation.

The disease can occur during pregnancy and even after menopause.

Factors that increase the chance of developing the disease are stress, malnutrition, weakened immunity, drug addiction and alcoholism.

You need to understand that this disease is very dangerous, the pus that accumulates in the process of inflammation can eventually spread throughout the body, especially in the organs of the abdominal cavity and small pelvis.

Lack of treatment can lead to serious consequences for life and health.

Symptoms of the disease

It is far from always possible to detect a disease without undergoing special survey. There are a number of symptoms that may be associated with it. Knowing them, you can consult a doctor in time.

Quite often, the disease begins at the end of the menstrual cycle, as well as after a change of sexual partner. The risk is increased if the partner suffers from a disease such as gonorrhea.

Consider the signs that are characteristic of a particular type of salpingitis.

With purulent salpingitis, the temperature often rises sharply, there are pains in the lower abdomen, and it starts to shiver badly. If observed similar signs, no matter what disease caused them, in any case, urgently call a doctor.

Symptoms include vaginal discharge that is purulent in nature. Scary or, conversely, profuse menstruation, painful or too frequent urination, pain during intercourse.

Purulent salpingitis on the initial stage easy to treat, according to the prescription of the gynecologist, the patient must take antibiotics a wide range. In those cases when they do not give the desired effect, it is necessary to remove the inflamed fallopian tube.

Acute salpingitis is characterized by the accumulation of fluid in the uterine cabin, which stimulates the development of inflammation. To recover from it, you should do compresses and take antibiotics, undergo physiotherapy.

Gynecologists indicate that most often this form of the disease occurs against the background of an ectopic pregnancy, subserous fibroids, cysts, inflammation of the ovaries. The symptoms are: sharp rise temperature, pain in the lower abdomen and lower back, pain during intercourse, menstruation and urination.

Bilateral salpingitis is a disease in which the most high risk infertility, as both tubes are affected. Then either right-sided or left-sided salpingitis is observed. Even if surgery is needed to remove one tube, the other remains healthy and functions normally.

For staging accurate diagnosis it is necessary to go through several procedures, ranging from the usual gynecological examination and ending with echography, ultrasound and laparoscopy. For treatment, in addition to antibiotics, suppositories are prescribed. In a number severe cases in an operable way, the patency of the pipes is restored or even removed.

Can be distinguished the following symptoms of this type of disease: bleeding and (or) pain during intercourse, vomiting and nausea, loss of appetite, flatulence and frequent urination, chills and weakness, unusual vaginal discharge and pain, fever.

Chronic bilateral salpingitis is a type of disease that requires correct and timely treatment. If the treatment is timely, a woman suffering from a disease will be able to become pregnant, endure and give birth to a healthy child.

Treatment of chronic salpingitis

It should be understood that the body of each woman is individual. Moreover, at a given age and under the influence various factors it can behave completely differently. That is why it is important to correctly diagnose the disease, take into account the nuances of the patient's condition and understand how the disease proceeds and at what stage it is. Only then can you choose the right therapy. Yes, at early stage the course of treatment is prescribed for only one week, and with later ones it can already last three weeks or more.

As noted above, antibiotics are prescribed to combat the disease, they can usually be combined with the intake of vitamins and immunity-strengthening drugs. Candles, emulsions are also included in the list of therapeutic agents.

With a combination of salpingitis with a tuberculous process, the patient must be subjected to x-ray therapy. This will require compresses and heating pads, heating and warm enemas. In the most difficult cases, as already noted, surgical intervention. It is divided into two types: conservative and radical. In the first case, it is possible to save the tube and other internal organs. But the second provides complete removal fallopian tube or both tubes (with bilateral salpingitis).

The doctor may recommend strengthening therapeutic effect, prescribing a number of folk remedies, but only if he is completely sure of the diagnosis. With such a disease, self-medication is not allowed, otherwise it can lead to its progression and disastrous consequences.

The task of a woman is to maintain her health in order to be able to give birth to children. If for some reason there are certain, then they must be treated. In 20% of cases dismissive attitude to their own sexual health leads to infertility. One of the diseases that can cause this complication, is salpingitis, all of which will be discussed in the article on the site.

What is salpingitis?

Anatomically female reproductive system It consists of the vagina, uterus, fallopian tubes, and ovaries. Which of these parts is affected by salpingitis? What it is? Salpingitis is an inflammation of the fallopian tubes. Rarely, it proceeds without affecting neighboring organs. So, salpingitis often occurs along with inflammation of the ovaries, which is called salpingo-oophoritis. But within this article we will discuss only salpingitis.

Classification

The classification of salpingitis should be considered, which has the following types:

1. Flow shape:
   • Acute - penetration of infection and vivid symptoms of manifestation;
   • Subacute;
   • Chronic - sluggish and meager symptoms.
2. By localization:
   • One-sided - right-handed or left-handed. The development of adnexitis - inflammation of the ovary;
   • Double sided.
3. According to the inflammatory process:
   • Serous;
   • Purulent - is often the result of a gonorrheal infection or chlamydia.
4. infectious type:
   • Gonococcal;
   • Streptococcal;
   • herpes;
   • tuberculosis, etc.
5. Salpingoophoritis - inflammation of the fallopian tubes and ovaries.
6. Type:

• exudative;
• Caveous.

1. By etiology:

• Specific;
• Non-specific.

Causes of salpingitis of the fallopian tubes

The main cause of salpingitis of the fallopian tubes is the defeat of microbial associations or viruses. There are three ways they get into the fallopian tubes:

1. Ascending - the transition of infection from nearby organs: the uterus (endometritis, cyst), vagina (vaginitis, vulvovaginitis) or urinary ducts.
2. Contact - the transfer of infection from infected organs of other systems, for example, with appendicitis.
3. Hematogenous - the transfer of infection from any infected organ through the blood.

What causes become factors in the development of salpingitis?

• Sexually transmitted diseases: gonorrhea, chlamydia, herpes, trichomoniasis, etc.
• Abortion with curettage.
• Intrauterine spirals.
• Childbirth with trauma.
• Intrauterine diagnostic measures - metrosalpingography, salpingoscopy.
• Diseases of neighboring organs: colitis, oophoritis, appendicitis, pelvic peritonitis.

Contributing factors that allow bacteria and viruses to enter the fallopian tubes are:

1. Stress;
2. Reduced immunity;
3. Lack of treatment for an infectious disease;
4. Cold;
5. Hormonal disorders;
6. Bad habits;
7. Wrong nutrition.

Symptoms and signs

Consider the symptoms and signs of inflammation of the fallopian tubes according to the nature of their course and types:

1. Acute salpingitis:
   • Heat;
   • Chills;
   • Malaise;
   • Frequent heartbeat;
   • Pain in the groin;
   • Nausea and vomiting;
   • Pathological vaginal discharge: purulent, profuse, even bloody;
   • Weakness;
   • Itching that gets worse when urinating
   • Diarrhea;
   • A disorder of the urinary function, which is confused with cystitis.
2. Chronic salpingitis:
   • Weak, dull, aching, constant pain lower abdomen;
   • Minor temperature up to 37.2ºС;
   • Small discharge;
   • Wave-like symptoms, which either increase or decrease. Exacerbations occur with stress and hypothermia;
   • Menstrual disorders that cause pain (algomenorrhea) and scantiness (oligomenorrhea).
3. Purulent salpingitis:
   • Sharp and severe pain in the groin, which are local (depending on the focus of inflammation), and then they are given to the rectum and lower back;
   • Fever;
   • Chills;
   • Purulent discharge from the vagina.

Common symptoms of salpingitis include the following:

1. Pain in the lower abdomen, which is first localized at the site of inflammation, and then radiates. The pain can be sharp, dull, aching, constant, severe, burning, etc.
2. High temperature, which rises especially strongly in acute and purulent types of salpingitis.
3. Vaginal discharge, which is usually mucopurulent, scanty or slight.
4. Violation of menstruation, which becomes painful and profuse, while irregular and sometimes short.
5. Pain during intimacy. They have a pulling and aching character.
6. Female infertility, which is a complication of salpingitis.
7. Loose stools, flatulence.
8. Overwork.

Salpingitis in adults

Salpingitis mainly develops in adults, and more precisely, in women. In men, it does not develop due to anatomical features, but the transfer venereal infections can cause their pathologies. If a partner has salpingitis, then the partner should also be checked.

Salpingitis in a child

In a child, salpingitis is almost never observed. It does not develop in boys. In girls, it can become a pathological complication of another infectious disease in neighboring or distant organs. Mostly, inflammation of the fallopian tubes develops only in adult women. Caveous salpingitis can manifest itself in adolescence.

Diagnostics

How is salpingitis diagnosed? It all starts with the patient's appeal to the gynecologist, who, based on her complaints, conducts gynecological examination using mirrors and the finger method to find the pathology. To make an accurate diagnosis, procedures are performed that give complete picture diseases:

• Ultrasound (transvaginal, transabdominal) of the small pelvis;
• X-ray contrast methods - metrosalpingography;
• Bacteriological smear analysis;
• Blood and urine analysis;
• Examination of secretions from the fallopian tubes;
• Ultrasonic hysterosalpingoscopy;
• Laparoscopy;
• Puncture posterior fornix vagina;
• ELISA and PCR diagnostics.

Treatment

How to treat? Treatment of salpingitis is carried out in three ways: medical, surgical and folk remedies. Let's consider them in a little more detail.

How to treat salpingitis? Medications prescribed by a gynecologist:

• Antibiotics: ampicillin, cephalaxin, cefotaxime, erythromycin, furazolidone, tetracycline, kanamycin, metronidazole;
• Anti-inflammatory drugs: acetaminophen, phenylbutazone, ibuprofen;
• antipyretic drugs;
• Injections;
• antihistamine medicines;
• Probiotics and antifungal drugs for the prevention of dysbacteriosis;
• Vitamins: E, C, cocarboxylase;
• Antioxidants and other medicines that normalize metabolism;
• Immunomodulators that have shown their effective impact preventing the development of complications: polyoxidonium, groprinosin, imunofan.

As an addition to medicines, physiotherapeutic procedures are carried out: electrophoresis with lidase, pulsed ultrasound, reflexology, balneotherapy (irrigation of the vagina and bath), detoxification therapy, infusion therapy, autohemotherapy, diadynamic therapy, heat therapy.

Surgical treatment is carried out with the following indicators:

• Inefficiency of medical and physiotherapeutic treatment;
• Tumor in the uterine appendages;
• Infertility;
• The formation of ulcers;
• Adhesions that make the fallopian tubes obstructed.

Diet

Diet in the treatment of salpingitis is ineffective and insignificant. However, some recommendations are still given:

• Eat more vitamins through foods;
• Periodically consume low-fat dairy products, meat;
• Drink plenty of fluids;
• Eat crackers.

Usually there is no strict diet. It is desirable to exclude alcohol as one of the bad habits that depress the immune system and irritate the gastrointestinal tract.

Is it possible to be treated with folk remedies at home? Nobody cancels folk methods. However, they should not replace medical and surgical treatment, but supplement:

• Baths with juniper, sage, valerian, rosemary or milk.
• Herbal douching.
• Therapeutic swabs soaked in a decoction of aloe, plantain or cabbage.
• Herbal teas from various collections of herbs.

life forecast

Salpingitis is a non-fatal disease. How long do patients live? A full life, if there are no complications.

Chronic salpingitis is unfavorable. It is he who leads to the infertility of a woman. Unilateral salpingitis is treatable and gives positive results. Bilateral is more difficult to treat, but does not give complications if treated in a timely manner. Purulent appearance has a favorable outcome. In the absence of its treatment, the development of peritonitis and endometritis is possible. With salpingoophoritis, the prognosis of life is favorable if treatment is carried out. Otherwise, infertility and ovarian hypofunction develop. To everything are added chronic incessant pain in the small pelvis and a disturbed menstrual cycle.

Thus, one should observe the hygiene of the genital organs, treat venereal and infectious diseases, and also do not delay the treatment of salpingitis.

Women's gynecological diseases frequently encountered in medical practice. One of the common pathologies is salpingitis. What it is? It is an inflammatory process that develops in the fallopian tubes of the uterus. Most often, the pathology affects both fallopian tubes, also involving nearby muscle tissue.

Chronic or acute salpingitis of the fallopian tubes is formed as a result of mechanical action or penetration of pathogenic microorganisms. Especially often this disease affects the representatives of the weaker sex, who are just beginning puberty.

To mechanical reasons that can lead to the development of fallopian tube disease in patients include injuries and damage to the mucous membranes that appear during abortion, childbirth, the introduction of drugs into the uterine cavity and diagnostic procedures. The result of an abortion or childbirth often becomes an infection, which then leaves the uterine cavity and enters the tubes. But it does not cause any sensations, therefore this form of pathology is called latent.

The bacterial pathway of salpingitis is that the most a variety of bacteria that cause inflammation in the pipes. The main culprits of infection are pathogens such as gonococci, staphylococci and streptococci.

Types of pathology and their manifestations

Based medical practice specialists identify several common types female disease uterus. Depending on the location of inflammation of the fallopian tubes, the disease is divided into three types:

• bilateral salpingitis;
• left-sided salpingitis;
• right-sided salpingitis.

The disease is also classified based on the nature of the development of the pathology of the fallopian tubes:

1. subacute salpingitis;
2. acute salpingitis;
3. chronic salpingitis. Chronic manifests itself only during an exacerbation.

Acute and subacute form

Acute salpingitis is formed as a result of penetration into the oviducts pathogenic bacteria, which occurs through the vagina or through a focus already present in the patient's body. Often it appears when a woman develops an ectopic pregnancy.

Symptoms of salpingitis are quite pronounced. At first, the patient feels high temperature body and general deterioration. The heart starts beating faster. Vomiting, nausea, severe pain syndrome head and groin area.

Where the pathology will develop depends on which particular fallopian tube the inflammation process has occurred. If the disease is caused by gonococci, then purulent discharge from the vagina is observed, if Trichomonas - abundant, resembling foam. If acute salpingitis is on advanced stage, the appearance of blood in the secretions is observed. Also, all this is accompanied by itching and burning. When subacute salpingitis of the fallopian tubes develops, the patient feels a little better, the temperature drops, the pain syndrome becomes softer.

Chronic form

Chronic bilateral salpingitis practically does not cause any severe symptoms. In most cases, the patient feels normal, rarely there is an increase in body temperature. Main symptom a disease that should alert is the occurrence of soreness in the abdomen, characterized by a dull or aching character.

The disease develops in waves, changing periods of exacerbation and calm. Chronic bilateral salpingitis sometimes worsens, which may occur due to hypothermia or stressful situations. A characteristic manifestation This form is a violation of menstruation, they usually become abundant and are accompanied by pain.

Left side view

Left-sided salpingitis occurs due to the inflammatory process that forms in the large intestine on the left side. The disease first affects the ovarian mucosa, then affects all nearby muscles. As a result, the mucous membrane becomes red, puffiness appears, and its surface is covered with sores.

At further development pathology of the fallopian tubes, the affected tissues begin to stick together with each other, forming various cavities among themselves. In these cavities, blood, pus or mucus is then observed. Clinical manifestations of salpingitis on the left side are either pronounced or blurred. This pathology will be cured only if patients turn to doctors in time.

Right side view

Right-sided salpingitis occurs in the fallopian tube, which is located on the right. Its appearance can be caused by chlamydia and other pathogenic bacteria. The virus can penetrate if the patient had unprotected sexual contact, did not observe personal hygiene, was exposed to mechanical damage during medical procedures.

When an infection with salpingitis enters the ovary, swelling immediately appears, blood circulation in it is disturbed. First of all, the inflammatory process affects the muscle tissue, so the appendages begin to thicken significantly. After a certain period of time, the tissues become dense, and they stick together with the peritoneum. As a result, a spike is formed. Surgery is required to remove it.

Purulent form

Often, purulent salpingitis appears due to the penetration of a gonorrheal infection. This form develops as a result of miscarriages, abortions, the use of spirals beyond the prescribed period. With this pathology, many purulent masses begin to accumulate in the uterine cavity. If they enter the abdominal cavity, then there is a high risk of adverse effect- peritonitis.

Symptoms of this form of the disease usually disturb patients very brightly. Patients complain of high body temperature, soreness in lower section abdomen, purulent discharge from the vagina. Only surgery will help to defeat this type of salpingitis. Medical method therapy is practically not prescribed, because it does not produce the desired effect.

How to detect pathology?

staging correct diagnosis and appointment adequate treatment uterine pathology is impossible without diagnostic measures. The symptoms and are interconnected with each other, so the doctor first studies the patient's medical history and the manifestations of the disease indicated by her. Detection of the disease is carried out using various diagnostic methods.

In acute salpingitis, the examination is quite painful. Doctors can feel the neoplasm through the surface of the peritoneum, but due to tissue edema, it is not possible to determine clear boundaries.

AT without fail are held laboratory research with salpingitis. In the blood with the development of pathology, an increase in the content of leukocytes occurs. In addition, the doctor takes a smear from the vagina and cervical canal, which helps to identify pathogens, as well as their sensitivity to antibacterial drugs.

Also held ultrasound procedure with salpingitis, with the help of which the specialist sees that the fallopian tubes are thickened, there are adhesions and neoplasms in the small pelvis. Ultrasonic hysterosanpingoscopy is prescribed in order to see the condition of the patency of the fallopian tubes in women suffering from salpingitis chronic type. If there is an accumulation of fluid that comes out of the small blood vessels in the process of inflammation, in the abdominal cavity, which causes periadnexitis, the doctor recommends a puncture of the posterior fornix of the vagina.

Laparoscopy is also performed for salpingitis of the fallopian tubes as a method of diagnosing the disease to check if the patient has acute appendicitis, whether an ectopic pregnancy develops, and also, whether there are ruptures of the pyosalpinx and ovarian apoplexy.

The fight against the disease

For during the period of exacerbation, constant supervision of doctors is required, therefore, therapy is carried out in a hospital setting. During treatment, the patient must comply bed rest, eat right and apply cold to the hypogastric region.

Doctors recommend undergoing antibacterial therapy for salpingitis, prescribed in accordance with the results of the study, which revealed the pathogen and its sensitivity to drugs. For this, penicillins, fluoroquinolones, macrolides, tetracyclines and other drugs can be used, which are taken in a course of two weeks.

In addition, doctors recommend drinking anti-inflammatory nonsteroidal drugs, immunostimulants, antifungal drugs for salpingitis of the fallopian tubes. To activate metabolic processes and maintenance of the body as a whole, patients take vitamins.

Salpingitis, which appeared as a result of the penetration of anaerobes and Trichomonas, is treated with the use of Metronidazole, and if the disease is caused by pathogens of tuberculosis and gonorrhea, then the same treatment is prescribed as for these pathologies.

When a patient suffers from chronic salpingitis, physiotherapy, magnet therapy, electrophoresis are used. medicines, hydrotherapy. Acupuncture can also be used, which helps to eliminate soreness and avoid negative consequences with salpingitis.

If the patient has a tubo-ovarian tumor in the fallopian tube, then the doctors perform a laparoscopy. If necessary, the appendages are removed completely. In some cases, transvaginal aspiration-flushing drainage and sanitation of the small pelvis are done.

What complications does the disease cause and how can it be prevented?

In patients who have undergone inflammation of the fallopian tubes, the functioning of the reproductive and reproductive systems is often disrupted. Patients often develop infertility, ectopic pregnancy, pain in the pelvic region, which worries women due to the formation of adhesions.

In order to prevent the development of salpingitis of the fallopian tubes, it is necessary to refuse casual and unprotected sexual intercourse, observe the rules of personal hygiene, and doctors should carry out any gynecological procedures carefully, propagandize barrier contraception. You should also consult a doctor in time if there are signs of the disease. Only then the prognosis for recovery will be favorable.

Bilateral salpingitis

Bilateral salpingitis, accompanied by inflammation of the fallopian tubes, is a fairly common disease. As a rule, the disease is combined with oophoritis and inflammation of the ovaries. When diagnosing unilateral salpingitis, it can be said that it is caused by a septic infection, and the diagnosis bilateral salpingitis- gonorrheal infection.

Treatment of bilateral salpingitis

Treatment is based on what stage of development you have the disease and the inflammatory process. Medical preparations with bilateral salpingitis, they are prescribed purely taking into account your individual drug tolerance. In acute and subacute salpingitis, hospital treatment is prescribed: bed rest, analgesics, sulfanilamide and antibacterial drugs, calcium chloride. Balneotherapy and physiotherapy are recommended for chronic form diseases. Surgical intervention with bilateral salpingitis, it is prescribed only if the appendages are also enlarged and conservative treatment ineffective.

Causes of bilateral salpingitis

Infectious agents that can provoke this disease can be the following:

• coli;
• Trichomonas;
• streptococcal infection;
• staph infection;
• Protein;
• Tuberculosis;
• Chlamydia;
• Viruses;
• Fungi.

Bilateral salpingitis can also be provoked by artificial, or spontaneous abortion, a birth process, menstrual bleeding. With rare exceptions, chronic inflammation of the appendages also develops into salpingitis.

Initially, inflammation begins, affecting the mucous membranes of the appendages, and passes to the muscular layer of the fallopian tubes. If the inflammation is not treated in a timely manner, this leads to obstruction of the tubes and adhesive processes in them. Adhesions with salpingitis make it difficult to conceive and, in rare cases, make pregnancy impossible.

Symptoms of bilateral salpingitis

There are three degrees of development of bilateral salpingitis: chronic, subacute and acute. If you feel a significant increase in body temperature, pain in the lower abdomen, and sexual intercourse becomes painful, if you have difficulty urinating, leucorrhoea with pus intensifies - immediately run to the gynecologist! Diagnosis of the disease is difficult and clinical picture appendicitis or ectopic pregnancy.

Chronic bilateral salpingitis

Salpingitis is a disease in which the mucous membrane of the fallopian tubes becomes inflamed due to entry into the uterine cavity. various kinds infections. Most often, this disease can be accompanied by inflammation of the ovaries. The disease begins with damage to the mucous layer of the fallopian tube, then spreads to the muscular and serous layer. The folds inside the mucous membrane stick together and adhesions form, and this in turn leads to obstruction of the tubes. Often, due to delay in treatment, chronic bilateral salpingitis develops.

Treatment of chronic bilateral salpingitis

Used to treat chronic salpingitis antibiotic therapy, but only if it has not been done before. In order to stimulate protective functions The body uses an extract of the placenta and aloe, and autohemotherapy is also prescribed. To eliminate adhesive changes, drugs containing enzymes are prescribed. It is also recommended to use rectal suppositories containing amidopyrine.

To enhance the immunological reactions of the body, prodigiosan and pyrogenal are used - special bacterial polysaccharides. Also during treatment, physiotherapy is prescribed in order to resolve adhesions.

Symptoms of chronic bilateral salpingitis

Chronic bilateral salpingitis is characterized by pain and the formation of scars and adhesions, as well as menstrual irregularities. However, the symptoms of this salpingitis are not always pronounced. You should be alert for symptoms such as unexplained slight pain in the abdomen, as well as:

• pain in the lower back and legs;
• chills or fever;
• vaginal discharge With bad smell;
• spasms during menstruation with bilateral salpingitis;
• nausea, vomiting, general malaise with chronic form of salpingitis;
• decreased or loss of appetite;
• fatigue with salpingitis;
• pain during intercourse and bleeding after it.

Chronic Bilateral salpingitis is diagnosed according to the anamnesis and clinical manifestations diseases. To establish the etiology of the disease, it is necessary first of all to carry out microbiological research, which includes cultural cultivation of crops and microscopy of smears. Smears should be taken before antibiotic treatment of salpingitis, after the so-called provocation: this can be, for example, eating salty foods.