Adnexitis chronic or acute - how to treat the disease?
Adnexitis is a disease that affectsfemale sexual sphere. With adnexitis inflammation of the appendages and fallopian tubes occurs, which arises from the penetration of pathological microorganisms. By the nature of the flow can be identified acute adnexitis, chronic adnexitis. The danger of adnexitis is that, often with mild symptoms, women do not rush to the doctor, and they take off the symptoms with pills. In this case, adnexitis passes into a chronic form, threatening with acute relapses. Two-sided chronic adnexitis is most dangerous. Usually, adnexitis occurs in all different ways. It depends on what triggered the inflammatory process, which organs seized the inflammation, what are the defenses of the body and how they work in this situation.
Symptoms of the disease
Acute adnexitis has symptoms that are well known to gynecologists, so the disease is not difficult to diagnose. Acute adnexitis has such symptoms:
- Increase in body temperature. Usually the body temperature rises sharply, and the severity of the process is directly proportional to the rise in temperature. If chronic adnexitis develops, the symptoms of hyperthermia may be absent.
- General weakness. The disease is similar to a cold - nausea, a feeling of "wadded" legs, chills, a headache is a typical intoxication.
- Pain. Such a feeling a woman can feel to varying degrees. Usually the center of pain is located in the lower abdomen, but it can irradiate in the lower back or even the thigh.
- Allocations. Vaginal discharge with adnexitis specific, not the same as in healthy women. They have a dirty yellow color and cause burning and itching of the genitals. They can be different in intensity in different stages of the process.
If the adnexitis is chronic, then similar symptomscan be lubricated - some manifest more, some - less, and others are completely absent. Chronic adnexitis is prone to relapse. The general condition of a woman worsens as in acute adnexitis, but the degree of pain increases with certain factors - after lifting weights, sexual intercourse, hypothermia. Quite often doctors state such consequences of untreated acute adnexitis, as dysbacteriosis of the vagina, disruption in the sexual sphere, malfunctions of the menstrual cycle. If the adnexitis is chronic, the inflammatory process can cause adhesions in the fallopian tubes and infertility. Infection through the genitals can penetrate the ureter and cause cystitis, pyelonephritis.
Causes of the disease
The causes of adnexitis lie in the defeat of femalegenital organs by gonococci, streptococci, E. coli and staphylococci. Usually strong immunity cope independently with these pathogens, but with weakening of immunity, cocci can cause disease. In addition to these factors, "coccuts" help supercooling, stress and overwork, sexual intercourse during menstruation, and some gynecological manipulations.
In the body of a woman cocci fall in several ways - through the vagina, peritoneum, with blood flow and with the current of lymph.
Diagnostics
The presence of adnexitis is established by the usualgynecological examination, the result of a smear from the vagina on the flora, the result of a blood test, ultrasound and, if necessary, laparoscopic examination of the fallopian tubes.
Treatment of adnexitis
If the adnexitis is acute, then the actions of the doctorare directed, first of all, to the removal of pain and antibacterial therapy. After that, a number of physiotherapeutic restorative procedures are shown. In the presence of adhesions, if the adnexitis is chronic, the indications for treatment are the same, but laparoscopic intervention is added to separate the adhesions and further restore the patency of the fallopian tubes.