Chronic adnexitis is a disease characterized by an inflammatory process in the appendages of the uterus (tubes and ovaries) with recurrent relapses. Outside the period of exacerbation, the clinical picture (symptoms may be absent) complicates the diagnostic process.
Causes of chronic adnexitis
Inflammation of the uterine appendages is a consequence of the impact on the reproductive system of pathogenic microorganisms. Their penetration is possible both ascending (from outside) and descending (from neighboring affected organs and systems). Among the factors predisposing to the development of adnexitis, it is necessary to distinguish:
- infectious processes in the lower parts of the small pelvis;
- long-term use of intrauterine contraceptives;
- lack of a regular sexual partner;
- diseases of the urinary system ( pyelonephritis , cystitis);
- presence of a focus of inflammation in other organs and systems (tonsillitis, tonsillitis);
- surgical interventions in pelvic organs;
- presence of abortions in anamnesis.
Chronic adnexitis - symptoms
When chronic inflammation of the uterine appendages develops, symptoms may be absent. Signs of pathology a woman can fix only during an exacerbation. Among the possible symptoms of this form of adnexitis it is necessary to distinguish:
- constant inexplicable weakness;
- pressure in the lower abdomen;
- soreness in the lumbar region of a noisy character;
- increase in body temperature to 38-39 degrees;
- violations of the menstrual cycle of a different nature - increasing the duration, delay, change in volume, consistency and color of discharge;
- the appearance of purulent discharge from the vaginal cavity, not associated with the menstrual cycle.
Chronic right-side adnexitis
With this type of disease, the inflammatory process is localized on the right, affecting the fallopian tubes and ovaries. Considering such a chronic adnexitis, the signs of which are sometimes hidden, the doctors among the first symptoms are called pulling painful sensations in the right side. Often they give in the lower back and thigh, the sacrum. One of the possible causes of localization of pathology from this side is the possible transition of intestinal flora from the appendices and rectum located nearby.
Chronic left-sided adnexitis
For left-sided adnexitis, inflammation of the left appendages of the uterus is characteristic. Infection can occur ascending from the lower genital tract. Also, the infection can spread from the left part of the large intestine - sigmoid and downward intestine. The pains are localized to the left and are pulling, pricking or cutting. They can also give to the coccyx or rectum. At a primary examination, the doctors of chronic adnexitis in the acute stage may take for appendicitis. This makes it difficult to diagnose and diagnose.
Chronic bilateral adnexitis
This chronic adnexitis is characterized by the development of inflammation in both ovaries. First, the pathological process is limited to the fallopian tubes (salpingitis) and then switches to the ovaries. The disease is always accompanied by a period of exacerbation, therefore signs of chronic bilateral adnexitis are easy to detect. Women when he appears complain to the doctor about:
- acute periodic pain in the lower abdomen on both sides;
- tension of the muscles of the press;
- decreased efficiency;
- mood swings, nervousness;
- insomnia;
- fast fatigue;
- prolonged rise in body temperature.
Like any chronic form, bilateral chronic adnexitis, the symptoms and treatment of which are discussed in the article, for a long time can not give symptoms. Because of this, a woman has an erroneous opinion that the disease has receded. The development of an exacerbation refutes him. The disease worsens when:
- violation of hygiene rules;
- weakening of the immune system;
- supercooling;
- stressful situations;
- infectious diseases.
Chronic adnexitis - treatment
Before treating chronic adnexitis, doctors prescribe a comprehensive examination aimed at establishing the cause and identifying the type of pathogen. According to the results, a course of therapy is appointed, which is aimed at sanation of the inflammatory focus. Thus, it is possible to alleviate the course, to prevent a relapse in the future. In general, therapy for a disease such as chronic adnexitis includes the following medications:
- anti-inflammatory;
- antibacterial;
- immunostimulants;
- antifungal drugs.
In addition to drug treatment, in order to exclude chronic bilateral adnexitis, physiotherapy procedures are also prescribed. They can remove symptoms, accelerate regenerative processes, eliminate inflammation. Among the procedures used are:
- electrophoresis;
- vibromassage;
- ultrasound on the lower abdomen;
- treatment with mineral waters and mud, applications of ozocerite (waxy product of oil passage).
Treatment of chronic adnexitis in the acute stage
Exacerbation of chronic adnexitis is accompanied by the appearance of severe symptoms of inflammation. To eliminate it, doctors prescribe antibacterial and anti-inflammatory drugs. Treatment of the disease in acute stage effectively - it is possible to eliminate all active pathogens, preventing their development and reproduction. Selection of antibacterial agents is carried out individually, taking into account the type of pathogen and the stage of the inflammatory process. Talking about how to cure chronic adnexitis, doctors talk about the need for repeated courses of therapy.
Treatment of chronic adnexitis - drugs
Antibiotics for chronic adnexitis constitute the main ongoing therapy. Prohibition to their use can only become a pregnancy. Scheme of treatment is selected individually. Often, doctors resort to the simultaneous use of several groups of antibacterial drugs. Among the prescribed for the treatment of chronic adnexitis:
- cephalosporins - Ceftriaxone, Cefotaxime;
- penicillins-Amoxicillin, Amoxiclav;
- fluoroquinolones - Ofloxacin, Ciprofloxacin;
- macrolides - Erythromycin, Leucomycin.
Candles with chronic adnexitis are used frequently. Among the prescribed drugs:
- Hexicon;
- Flumisin;
- Terzhinan;
- Polizhinaks;
- Movalis.
At the same time, the following groups of drugs can be used as part of complex therapy:
- anti-inflammatory - Ibuprofen, Ibuklin, Voltaren;
- antifungal - Metronidazole, Nystatin.
Chronic adnexitis - treatment with folk remedies
Eliminate chronic inflammation of the uterine appendages often help folk remedies. They are used as an adjunct to the main therapy and after consultation with the doctor. Let's consider effective recipes.
Healing herbal tea from adnexitis
Ingredients:
- St. John's Wort - 1 tsp;
- chamomile - 1 teaspoon;
- yarrow - 1 teaspoon;
- sage - 1 teaspoon;
- turn - 1 teaspoon;
- water - 1 liter.
Preparation, application
- Herbs are mixed.
- The resulting mixture is covered with a thermos and poured with boiling water.
- Insist 1 hour.
- Take 1 glass 3 times a day.
Therapeutic baths with adnexitis
Ingredients:
- Oak bark - 6 teaspoons;
- oregano - 4 tsp.
- altey - 1 teaspoon;
- water - 1 liter.
Preparation, application
- Herbs are mixed and poured with boiling water.
- Insist 30 minutes.
- Filter, pour into the basin.
- Fill not hot boiled water, making sure that the temperature was not more than 45 degrees.
- Take sedentary baths - 15 minutes twice a day.
Potato juice
Ingredients:- potatoes - 3-5 root crops.
Preparation, application
- Potatoes are cleaned, washed.
- Rub on a fine grater.
- The resulting gruel is squeezed with gauze.
- The resulting juice is taken in the morning - 100 ml.
Chronic adnexitis and pregnancy
Often, chronic bilateral adnexitis is an obstacle to pregnancy. However, in the course of her onset, doctors establish constant monitoring for the future mother. Exacerbation can occur at any time, which will adversely affect the process of pregnancy. Painful sensations speak of spasms and contractions of the myometrium, which is accompanied by an increase in the tone of the uterus. This condition is fraught with premature birth (with exacerbation in later terms) or spontaneous abortion (at the beginning of pregnancy).
It is impossible to completely exclude the possibility of infection of the fetus. The causative agent can penetrate the placental barrier into the general bloodstream. In addition, with delivery often infect the baby during passage through the birth canal. Given these features, in some cases, doctors resort to conducting a planned caesarean section.
Can I get pregnant with chronic adnexitis?
Doctors say that with chronic adnexitis you can get pregnant, but the process of gestation is fraught with many dangers, trapping both the future mother and the fetus. Often, gestation is interrupted at short notice - the inflammatory process can become an obstacle to the movement of a fertilized egg through the fallopian tubes into the uterine cavity.
How to treat adnexitis during pregnancy?
The diagnosis of chronic adnexitis for many expectant mothers becomes a terrible news. Because of the impossibility of using antibacterial drugs on short terms, doctors adhere to expectant tactics. To prevent the development of an exacerbation,
- gynecological massage;
- physiotherapy.