Inflammation of the appendages in women, the symptoms and treatment of which are discussed in detail below, is a common group of diseases among women of different ages. The ovaries and uterine (fallopian) tubes, which in the complex are called appendages, are affected.
Why do inflammation of the appendages?
Uterus attachments are important organs of the female reproductive system, located in a small pelvis and closely related to each other. In the ovaries, the sex cells are monthly ripened and stored and sexual hormones are produced. In the immediate vicinity of them are two fallopian tubes. These are long, thin tubes that extend from the base of the uterus and connect it to the abdominal cavity, touching the ovaries with the help of pilias, the filiform processes along which the fertilized eggs are transported to the uterus.
Inflammation of the appendages of the cause is associated with infectious processes that develop due to endogenous or exogenous factors. Infectious agents can spread into the fallopian tubes and ovaries from the initially affected vagina, ureter, cervical canal or uterus. In other cases, pathogens attack the walls of the appendages, penetrating the blood or lymph flow from other organs - the intestine, urinary bladder, lungs, etc.
Sometimes the development of infectious and inflammatory process occurs due to violation of the integrity of the mucous membranes of these organs during surgical interventions, installation of an intrauterine device, birth trauma, diagnostic gynecological manipulation. Often, due to hypothermia, nervous overexcitations, non-observance of hygiene rules, against the background of a decrease in immunity, activation of its own opportunistic microflora provoking inflammation occurs. Alien pathogens of infection are able to penetrate during sexual intercourse.
Common pathogens that cause inflammation of the uterine appendages are:
- staphylococci;
- streptococci;
- gonococci;
- enterococci;
- Mycobacterium tuberculosis;
- E. coli ;
- Trichomonas;
- candidate;
- mycoplasma ;
- ureaplasma ;
- chlamydia and the like.
Inflammation of the appendages in women - symptoms
Considering the symptoms and treatment of inflammation of the appendages in women, it is worth noting that the primary arises acute process, which, if untimely therapy or its absence is quickly able to move into a chronic stage. Inflammation of the appendages of the symptoms is vivid:
- general deterioration of health;
- pain and discomfort during intercourse;
- severe pain in the lower abdominal area, intensifying upon palpation and giving to the lumbosacral region;
- increase in body temperature to 38-39 ° C;
- increased sweating;
- headache;
- muscle soreness;
- failure of the menstrual cycle;
- bloating;
- frequent painful urination;
- pathological discharge from the genital tract (purulent, serous, leucorrhoea).
Inflammation of appendages - diagnosis
The diagnosis is based on the patient's complaints, as well as the following diagnostic measures:
- gynecological examination, including visual examination of the vagina, cervix by means of mirrors and palpation examination from the side of the vagina and abdomen - to determine the size, sensitivity of the uterus, ovaries, fallopian tubes;
- Ultrasound of the appendages and other organs of the small pelvis is transabdominal (the sensor of the device is placed on the abdomen with a filled bladder) or transvaginal (the sensor is inserted into the vagina);
- laboratory bacteriological study of the smear from the cervix - to determine the number of leukocytes and the establishment of infectious agents.
In rare difficult cases, laparoscopy is prescribed with a diagnostic purpose - visualization of the fallopian tubes and ovaries using a special device with a tube inserted through the hole in the abdominal cavity. In addition, to assess the patency of the fallopian tubes, a study can be recommended in which a contrast agent is introduced into the uterus and its progress is recorded by rengen images.
How to treat inflammation of the appendages?
Patients with this diagnosis are often hospitalized in a hospital. If there is an acute inflammation of the appendages, the treatment is based on medical therapy to suppress pathogenic microflora. As additional techniques can be used physiotherapy procedures: UHF, laser therapy, ultrasound therapy, etc. The patient is recommended rest, bed rest, refusal of sexual contacts.
In severe and neglected cases, treatment of inflammation of the appendages in women may include surgery to remove inflammatory purulent exudate, dissection of adhesions, restoration of tubal patency. The operation can be performed by laparoscopic (minimally invasive) or laparotomic (open) method, depending on the extent of the lesion.
What drugs should I take with inflammation of the appendages?
Preparations for the treatment of inflammation of the appendages in women can be taken orally, and in emergency and complicated cases, administered intramuscularly or intravenously. If inflammation of the appendages is diagnosed, pills or injections are selected taking into account the type of pathogen. Of antibiotics and antifungal drugs, the following drugs are often prescribed:
- penicillins (Ampicillin, Amoxiclav);
- cephalosporins (Cefotaxime, Ceftriaxone);
- macrolides (Erythromycin, Azithromycin);
- fluoroquinolones (Ofloxacin, Ciprofloxacin);
- tetracyclines (Doxycycline, Unidox Solutab);
- derivatives of nitromidazole (Metronidazole);
- aminoglycosides (Kanamycin, Gentamicin);
- antifungal drugs (Nystatin, Fluconazole), etc.
In addition, such groups of medicines can be used:
- non-steroidal anti-inflammatory drugs (Ibuprofen, Butadion);
- vitamin and mineral complexes;
- immunostimulants (Polyoxidonium, Imunofan);
- probiotics (Linex, Vitaflor).
Candles for inflammation of the appendages
Cure inflammation of the appendages in women through local drugs can not, they are used only as part of complex therapy. In the form of vaginal suppositories, such anti-inflammatory and antimicrobial drugs may be recommended:
- Hexicon;
- Betadine;
- Indomethacin;
- Clion-D et al.
Inflammation of appendages in women - treatment with folk remedies
If inflammation of the appendages is diagnosed in women, symptoms and treatment must be controlled by the doctor, and only with his permission are allowed the use of folk techniques. Among the popular recipes, which are treated with folk remedies, the inflammation of the appendages is effectively eliminated through the use of a decoction of the calyx color.
Prescription means
Ingredients:
- dried flower flowers - 50 g;
- water - 1 liter.
Preparation and use:
- Pour the raw material with boiling water.
- To sustain on a water bath half an hour, to filter.
- Take 100 ml three times a day, sweetening with honey.
Inflammation of the appendages - complications
When inflammation of the appendages develops, due to improper treatment, the following complications may develop:
- purulent abscess;
- peritonitis;
- development of adhesive process.
Inflammation of the appendages - consequences
Inflamed appendages in women become a threat to the normal course of pregnancy, tk. the risk of ectopic attachment of the fetus is significantly increased. Due to adhesive processes, the development of the obstruction of fallopian tubes, the violation of the process of maturation of eggs after a disease, a woman can remain barren.