gynecology | | Amenorrhea (absence of menstruation)
Under adnexitises understand the inflammation of the uterus, which include the fallopian tubes, ovaries and ligaments. The inflammatory process can cause a variety of pathogens, ranging from the staphylo-and streptococci, and ending with fungi. Infection can enter from both the external genitalia (in this case it is called "ascending"), and in vascular or lymphatic channel from the other inflammatory focus in the body ("descending") infection.
In the norm in the vulva inhabits a certain number of microorganisms, including potentially pathogenic, ie, capable of causing disease, but with sufficient immunity, these microorganisms can not penetrate. But this can happen with the weakening of the immune defense, fueled by nervous stress, chronic fatigue, malnutrition, rapid hypothermia, a variety of illnesses.
Adnexitises may be acute or chronic. In acute adnexitis characterized by sharp pain in lower abdomen, which can be given in the rump, back, rectum and strengthen under load or under natural physiological functions. Stands out from the genital tract bleeding or purulent contents. Together with local and general symptoms manifested: the temperature rises sharply, worse overall health, develops and pereutomlyaemost weakness, trouble sleeping, irritability. Can sometimes nausea and vomiting. In the lumen of the fallopian tube is accumulated inflammatory infiltrate, which provokes the formation of internal adhesions and blocks the natural passage for the egg, preventing her way to get into the uterus. The result can occur ectopic pregnancy. The accumulation of inflammatory fluid and pus in the fallopian tube and can move on the ovary, leading to inflammation of its tissues. The danger of this process is that within the ovary leads to the formation of abscesses (cavities with purulent contents), which are expanding, merging with each other and cause purulent fusion ovarian tissue. And it is fraught with infertility. In addition, the pus breaks through the ovarian capsule and poured into the abdominal cavity, which leads to the development of severe complications - peritonitis.
Chronic adnexitis formed mostly due to improper or incomplete treatment of what are often guilty of the very patient.Noticing the first signs of feeling better, women are often wrongly abandon treatment, despite a doctor's prescription. Such ill-considered actions can lead to chronic process, to get rid of that will need much more time, money and effort as medical personnel, and the most patient of which will require more and a lot of patience. That is why sharp adnexitis be treated to full recovery of health and complete therapy only when the doctor says.
The transition to the chronic form of periods of remission interspersed with acute exacerbations, when the patient was starting to bother dull drawing pain in the abdomen, scanty or heavy painful menstruation. Adhesions can form between almost all organs of the pelvis (the relevant sections of bowel, bladder, ovaries, uterus, fallopian tubes, etc.). Regular exacerbation may affect the psycho-emotional pattern patient: it is often in a bad mood, anxiety, depressive and irritable over trifles. Over time, it can sharply reduce libido.
When diagnosing adnexitis important role played by such methods as ultrasound and laparoscopy. Common blood test will determine if the organism of an infectious process, as evidenced by a sharp increase in the total number of leukocytes in general, and the percentage increase in their younger forms, in particular. Urinalysis may show the presence of protein, leukocytes, and various bacteria, which normally should not be.
In the treatment depending on the type of agent used antibiotic therapy, physiotherapy, remedial gymnastics . To enhance immunity useful light exercise, good nutrition fortified, tempering procedures (after consultation with your doctor!). In any case not to self-medicate and do not interrupt the designated therapeutic course! In cases of serious complications have resorted to surgical interventions.