Many women with pain in the lower abdomen are diagnosed with "sactosalpinx". What is it, what symptoms characterize this disease, how can it be cured? These questions are of interest to patients with inflammatory processes in the appendages.
The concept of sactosalpinx
Saktosalpinks - what is it? This disease occurs in women who are prone to inflammatory diseases of the genital organs, and in those who suffer from infertility. More than 100,000 women in Russia are diagnosed with sactosalpinx every year. It is noted that most often it occurs in women aged 15-25 years, especially after the first sexual intercourse, if a condom was not used. A large number of sex partners can also be a risk factor for inflammation.
Treatment of this process should be long and complex, including various therapeutic and surgical methods and many groups of drugs. "How can sactosalpinx be cured with exercise?" – this question can be asked to a physiotherapist only aftersubsidence of the acute process and the elimination of various complications.
Views
So, a fairly common pathology is sactosalpinx. What is it, we found out. Now let's take a look at the views. Sactosalpinx is cavitary and follicular. In the first case, fluid accumulates in one segment of the fallopian tube in the form of a cystic overgrowth. In the second, there are many such cysts in one fallopian tube.
Downstream, it can be acute and chronic, when periods of exacerbation are replaced by remission.
Pyosalpinx is divided by content, when the content is represented by pus, hydrosalpinx is serous content.
More often the disease is unilateral when one tube is affected, and bilateral in case of cavities in both tubes.
Causes of occurrence
The fallopian tubes are the organs that connect the uterine cavity with the ovary and transport the egg or zygote (fertilized egg) to the uterus. The mucous membrane of these organs produces a secret, which, under the influence of contractions, must be poured into the uterus, absorbed or removed through the cervical canal.
Protection against ascending infection is provided by the mucous plug of the cervical canal and other fluids that are produced by the inner layers of the genital organs. The effectiveness of this protection decreases during ovulation and menstruation. This explains the appearance of the first symptoms immediately after menstruation.
Inflammation cancaused by various microorganisms, which most often enter from the vagina in an ascending way. Most often it is chlamydia, mycoplasma or gonorrhea. Some infections can enter the tube by the so-called contact route, for example, with peritonitis. Tuberculosis, staphylococci, streptococci most often penetrate the lymphogenous or hematogenous way. It is possible to carry pathogens through menstrual blood due to its reflux into the lumen of the tubes during menstruation.
Of the risk factors, hysteroscopy, curettage of the uterine cavity, insertion of an IUD, endometrial biopsy should be noted. Childbirth, abortion can be the cause of sactosalpinx. Sexually transmitted infections, during unprotected intercourse, easily penetrate into the lumen of the fallopian tubes with increased uterine contractility.
What happens in the pipes?
When the mucosa becomes inflamed, a protective reaction to the infectious process occurs - an increase in fluid production. It does not have time to resolve, and therefore fibrous bands appear, which delimit the inflammatory infiltrate, which further prevents the clearance of the lumen. Gradually, the tube may look like a cystic band.
Main symptoms
The most characteristic symptom of this disease is the pain that occurs:
- immediately after period;
- during ovulation;
- during intercourse;
- may come and go intermittently without treatment;
- mainly in the lower abdomen and in the lumbar region.
Besides this, bloating worries,may have fever, nausea and vomiting.
Complications
There are many life-threatening consequences of inflammation. Complicated sactosalpinx (what it is, we will tell you now) is not uncommon. Before the use of antibiotics, the mortality rate from sactosalpinx was about 1%. However, the mortality rate is much higher when complicated by ruptured tubovarial abscess and acute ectopic pregnancy.
Delayed complications include chronic pelvic pain, tubovarial abscess, hydrosalpinx, tubal infertility and ectopic pregnancy.
The likelihood of chronic pelvic pain is 4 times higher in women diagnosed with infectious sactosalpinx than in those who suffer from aseptic pelvic inflammatory disease. Those who have cured sactosalpinx without surgery complain of this constant gnawing pain throughout their lives.
Tubovarial abscess is one of the main and serious complications and occurs in 15% of women with pelvic inflammatory disease. In half of the cases, a unilateral sactosalpinx is diagnosed on the left or right. At the same time, both aerobes and anaerobes are sown. This process may involve the ovaries, uterus, peritoneum, and sometimes the intestines. Tubovarial formation with rupture or untimely treatment can lead to death. It has been proven that sactosalpinx occurs when wearing an intrauterine device for more than 5 years, vaginal hysterectomy, after puncture of follicles for IVF, or when a intestinal diverticulum ruptures.
The most frequent anda formidable complication of sactosalpinx is infertility, which is difficult to cure. According to statistics, more than 50% of infertility cases occur after inflammation of the fallopian tubes.
Ectopic pregnancy is a complication that most often occurs after sactosalpinx due to the fact that the mucous membrane of the tubes is affected and cannot fully perform its protective functions and the functions of the oviduct.
Diagnosis
To determine the sactosalpinx, one examination by a gynecologist is enough. Ultrasound of the pelvic organs, hysteroscopy, laparoscopy can confirm the disease. The latter method allows not only to diagnose, but also to treat sactosalpinx.
Determination of the number of leukocytes in the general blood test, leukocyte formula, ESR allows you to judge the possibility of septic damage to the body. Analyzes of the flora of the secretions of the cervical canal and bacteriological culture of this material on nutrient media to determine sensitivity to antibiotics will help identify the pathogen.
Treatment
Use a set of measures to eliminate sactosalpinx. Treatment without surgery is carried out in the gynecological department using various groups of drugs that not only affect the pathogen or the inflammatory process, but also normalize the functions of the whole organism.
All those who cured sactosalpinx without surgery say that the therapy is long. It includes antibiotics, antimicrobial, antiviral agents, infusion, resorption therapy, vitamins,immunomodulators. Properly selected drugs help get rid of a disease such as sactosalpinx.
Surgical treatment is used when conservative therapy fails. Most often, laparoscopic excision is used or, if necessary (significant damage or extensive adhesive process), removal of the fallopian tube. But modern laparoscopy techniques allow you to "repair" the fallopian tube. To do this, dissection of adhesions, salpingoplasty, the formation of salpingostomy and fimbrioplasty (formation of the final section of the tube) are used.
After tubectomy, natural fertilization is impossible, therefore, in this case, IVF is used after the sactosalpinx is completely eliminated. Reviews of doctors say that in about 35% of cases this procedure is successful.
Acupuncture, herbal medicine or meditation techniques are alternative methods that are used to treat sactosalpinx. Treatment without surgery should not start with these methods. They can only be used as ancillaries.
Therapeutic exercise
How can sactosalpinx be cured with exercise? Firstly, this should be done only after conservative or surgical treatment and elimination of the acute process. At the same time, exercises are assigned that contribute to:
- adhesion prevention;
- reduce residual inflammation;
- improve blood circulation in the pelvic organs;
- recoveryanatomical ratios of organs;
- strengthening the ligamentous apparatus;
- stimulation of metabolic processes;
- strengthening pelvic floor muscles;
- increase the body's resistance to infection;
- normalization of physical performance and mood.
This treatment uses simple gymnastic and breathing, general strengthening and special exercises that correspond to the tasks of exercise therapy for this pathology, and at the same time the formation of scar tissue is prevented.
