Adnexitis chronic - what is it? Symptoms, treatment. Chronic adnexitis and pregnancy

Diseases of the female genitourinary system can have serious consequences. In addition, they are very unpleasant symptoms. One of these diseases is chronic adnexitis. What it is and what features it has, you will learn further.

general description

So, this pathology is an inflammatory process that is localized in the fallopian tubes and ovaries. In this case, purulent exudate accumulates in the lumens of appendages.

It should be noted that such inflammation can be unilateral or bilateral. In addition, it has two forms: acute and chronic. Each of them is characterized by its signs and the nature of the current.

Adnexitis chronic (what it is, you already understood) can occur under the influence of harmful microorganisms and bacteria. For example, the causative agent of the pathology may be E. coli, chlamydia, etc. It should be understood that under the influence of these microorganisms, the walls of the injured organ are destroyed and inflamed.

Causes of pathology

Adnexitis chronic (what it is, described in detail below) can provoke such factors:

1. Operations on internal genital organs, including abortion.

2. Subcooling.

3. Non-compliance with hygiene rules.

4. Allergic reactions to protective equipment (condoms).

5. Stress or nervous overexertion.

6. Injury of internal organs.

7. Taking medications that help reduce immunity and disrupt the balance of microorganisms.

8. Random sex and infectious diseases.

9. Complex delivery.

Symptomatic of a chronic form of pathology

Adnexitis chronic (what it is, you probably already understood) has a certain set of characteristics, by which it can be distinguished from an acute form. There are such symptoms of this pathology:

- Constant dull pain in the lower abdomen. It should be noted that its amplification occurs with body overloads , hypothermia.

- Violations of the monthly cycle: excretions become less.

- There may be an increase in body temperature, and it can last more than a week.

- Decreased sexual function.

As you can see, the signs of chronic adnexitis are not specific, they can be easily confused with other diseases. Maybe that's why women often come late to the doctor. In some cases, the situation can not be remedied.

Symptoms of acute form

Above we considered what the chronic adnexitis looks like. Treatment (drugs are prescribed in most cases) should begin after a thorough examination of the patient. However, we still need to consider the signs of an acute form of pathology. It is characterized by the following symptoms:

1. Increase body temperature to 39 degrees.

2. Occurrence of chills.

3. Strong pain in the groin area.

4. Strong increase in appendages from one or both sides. When probing these areas with a doctor, a woman feels a sharp pain.

5. Bloody or purulent discharge from the cervix.

6. Nausea and even vomiting.

If the acute form is not treated promptly and effectively, then it passes into chronic adnexitis. Treatment (the drugs used in this, we describe below) in this case, a long and complicated. Therefore, try to contact specialists at the first symptoms of the disease.

Features of pathology diagnostics

So, as has already been said, before the appointment of any therapy a woman needs a full examination. It includes such procedures:

- External check of the patient by a gynecologist: palpation. In addition, the patient must make a pregnancy test, because such symptoms can occur with its ectopic form.

- The delivery of urine and vaginal discharge tests, a general blood test. A smear of microflora can show the presence of those microorganisms that are characteristic of the presented disease.

- Ultrasound. And this procedure is carried out intravaginally. Thanks to this study, the doctor will be able to assess the status of the uterine appendages and approach the severity of the disease.

- Laparoscopy. This study should be carried out in those cases, if there is any doubt about the reliability of the diagnosis.

- Hysterosalpingography. Due to this analysis, specialists learn the degree of patency of the fallopian tubes.

Chronic bilateral adnexitis is a complex disease that threatens a woman with multiple complications. Therefore, careful diagnosis will help not only to establish pathology, but also to determine the methods for its elimination.

Features of drug treatment of pathology

Exacerbation of chronic adnexitis (the symptoms are amplified) can happen quite often. In order to prevent this, it is necessary to undergo medical therapy in a timely manner. As already mentioned, treatment should be comprehensive and comprehensive. It is best if the fight against pathology will take place in a hospital hospital, since it involves bed rest. It includes the taking of such drugs:

- Antibiotics: "Azithromycin", "Erythromycin", "Metronidazole". The course of taking these medicines is at least a week. If you yourself refuse them or change the scheme of reception, then the treatment can be delayed, and the effect disappears.

- Desintoxicants: "Neogemodez", "Reopoliglyukin". These drugs are used to purify the body of a woman from the products of vital activity of harmful microbes and bacteria. In this case, the weight of the patient and her general physical condition should be taken into account.

- Preparations for improving blood circulation in blood vessels: "Heparin".

- Nonsteroidal anti-inflammatory drugs that have analgesic effect: Diclofenac, Ibuprofen.

- Antibacterial drugs: Pefloxacin.

In addition, the patient will need restorative therapy, which will help her to strengthen immunity.

Physiotherapy and Disease

Chronic adnexitis of the ovaries should also be treated with the help of physiotherapy procedures. For example, a good effect can provide baths and syringing using dimexid and furatsilina. In addition, a method such as dosed hypothermia can be used. That is, the affected area can be applied ice 3 times a day, but not more than 10 minutes.

In addition to these methods, there are also hardware methods of treatment: dynamic currents, ultraviolet irradiation, magnetic therapy. A good effect is provided by microclysters with a warm solution of novocaine and potassium iodide. Still it is possible to apply such procedures:

- Electrophoresis.

- Acupuncture.

- Vitaminotherapy.

- Laser stimulation.

Is surgery necessary?

Acute chronic adnexitis in some cases requires surgical operation. Naturally, this radical measure is extreme, but sometimes only it can restore the patency of the pipes.

The operation is necessary if there are such threatening conditions:

1. Rupture of the pyosalpinx.

2. Lack of visible effect after laparoscopic intervention during the day, that is when the drainage of the abdominal cavity was useless. In this case, the operation should be carried out in the next 24 hours.

3. Diffuse inflammation of the abdominal wall.

If during the progression of the pathology the appendages of the uterus were severely damaged or altered, they should be removed. When appointing such a procedure, the patient's general physical condition, age, nature and extent of the destructive process should be taken into account. Naturally, it is also necessary to pay attention to the possibility of cancer changes.

If a woman already has children, then the doctor may decide to completely remove the uterus along with the appendages.

Traditional medicine in the fight against the disease

How to treat chronic adnexitis medication and other ways, you already know. Now we need to find out whether it is possible to help a sick woman with the help of folk recipes. The answer is yes. But the herbs should be applied in combination, together with other forms of treatment.

Useful for you will be such recipes:

1. Try daily douche with warm solutions of infusions of herbs such as plantain, aloe, chamomile, oak bark.

2. Milk will be useful. It should be heated to near a boil. Then pour the liquid into the pelvis and sit over it so that hot steam can penetrate into the vagina.

3. The potato juice acts from the inside. You just need to drink it on an empty stomach every day.

4. Collect such a composition of herbs: leaves of strawberries and birch, yarrow, stigma of corn, a string. All this you need to take 10 grams. Next, mix all the plants well. Take two large spoons of the composition and steal 1.5 liters of freshly boiled water. Please note that the resulting liquid must be infused for at least five days. Next, you can take a decoction of half a glass three times a day. The course of treatment is 30 days.

5. Tampons with honey and propolis are good at fighting disease. For this, the ingredients are taken in equal parts. Honey and propolis need to be warmed up well in a water bath, but do not let them boil, otherwise all the useful qualities will be destroyed. Stir the food constantly during heating. Next, take a swab and soak it with the mixture. After it cools down, you can put it into the vagina and leave it there for the whole night.

Adnexitis and pregnancy

This issue is very important for young girls suffering from this pathology. At once it is necessary to note, that chronic adnexitis and pregnancy - concepts opposite. It is impossible to exclude the possibility of long-awaited conception, especially with the proper treatment of the disease. However, this can not happen soon and not as easy as we would like. Naturally, before the alleged conception, it is necessary to treat the disease and make sure that the pipes are passable. Note that conception should be done after consultation with a doctor to rule out the possibility of an ectopic pregnancy.

If the process is aggravated already during pregnancy, then the woman needs the increased attention of the doctor. The fact is that inflammation can lead to the termination of pregnancy. In addition, treatment should be selected so that it does not harm the future baby.

Complications of the disease

It should be noted that other diseases can be added to the pathology presented. Often a woman along with adnexitis have to treat and infectious pathologies.

Complication can also become a difficulty in conceiving a child. In some cases, the disease can provoke full infertility of the woman. This can occur due to the obstruction of the fallopian tubes, as well as the absence of ovulation. And the patient may have an ectopic pregnancy, which is also fraught with the removal of the uterus and appendages.

Adnexitis is also capable of provoking the development of an adhesion process, which, in turn, can "insure" you with intestinal obstruction. The disease promotes the spread of inflammation to other internal organs. Concomitant pathology may be cystitis or pyelonephritis.

Forecast

It can be called relatively positive. In itself, a disease can not be called fatal. However, it leads to serious consequences. With effective and timely treatment, specialists not only manage to eliminate and stop the inflammatory process, but also completely restore the woman's health. In this case, the possibility of a full sexual life and conception of children is preserved.

However, neglected cases can be fraught with the removal of the uterus and appendages, and this leads not only to the lack of children, but also to lifelong hormone therapy. Therefore, try to contact the doctors on time.

Prevention of pathology

Exacerbation of chronic adnexitis (treatment is performed according to the prescribed scheme) is an unpleasant phenomenon. In order that this disease does not bother you, you must follow certain rules:

- Ordered sexual relations.

- Thorough personal hygiene.

- Wear underwear only from natural materials.

- Regular check-ups with a female doctor.

- Using condoms during sexual intercourse to avoid infections.

That's all the features of this insidious disease. Be healthy!