Bilateral adnexitis is an inflammation of the fallopian tubes and ovaries on both sides, resulting from infections (chlamydia, mycoplasmosis, gonorrhea) entering the body during sexual intercourse. First, this pathological process develops in the fallopian tubes, after which it passes to the ovaries. With the development of inflammation in the tubes of the uterus or ovaries, there is a risk of serious complications. Timely diagnosis of the disease helps to minimize such undesirable phenomena.
The content of the article:
Symptoms of the disease inflammation of the uterine appendages
Diagnosis of bilateral adnexitis
Treatment of bilateral adnexitis
Bilateral adnexitis
Therapeutic tactics in the inflammatory process depends on the level of inflammation, the presence of complications and concomitant pathological processes. Treatment is carried out through complex therapy of antibacterial, anti-inflammatory, detoxification drugs, as well as vitamin therapy. In some cases, the use of surgical treatment is appropriate.
Symptoms of the disease inflammation of the uterine appendages
To avoid serious complications of this pathology, it is necessary to consult a doctor immediately after the appearance of the primary signs of the disease, do not use questionable methods of traditional medicine and do not prescribe treatment yourself. One of the manifestations of this disease is an acute pain sensation in the iliac region. It usually occurs symmetrically on both sides. Also, the infection causes hyperthermia, in which a woman experiences weakness. Nausea and vomiting may occur, as well as acute abdominal syndrome.
In some cases, the symptoms may recede, the pain may subside, and the temperature may subside. This does not always indicate recovery, and if you do not consult a doctor, adnexitis can develop into a subacute or chronic form. Due to adhesions in the uterus, there is a risk of menstruation cycle disorders, infertility, as well as ectopic pregnancy, which, in turn, can cause the removal of the ovary or fallopian tube.
Diagnosis of bilateral adnexitis
To identify adnexitis, patients need to undergo a number of procedures and pass several tests. To begin with, it is necessary to find out the localization of changes, in clinical practice there is a pathological bilateral process of adnexitis. At the first stage of diagnosis, after collecting anamnestic data and complaints of the patient, the doctor can perform a two-handed gynecological examination or gynecological examination using gynecological mirrors. To determine the infectious pathogen, it is advisable to perform bakposev. Biological samples for this study are obtained by smears from the cervix, urethra and vagina.
Laparoscopy is prescribed to detect purulent formations. Ultrasound diagnostics allows you to diagnose pyosalpinxes and hydrosalpixes (accumulation of pus and fluid in the fallopian tubes). In order to find out the patency of the fallopian tubes, hysterosalpingography (X-ray with contrast agent) is prescribed. If adnexitis causes a violation of the menstrual cycle, various tests are carried out, including tension of cervical mucus and measurement of rectal temperature.
Treatment of bilateral adnexitis
Proper treatment of a patient with bilateral inflammation of the uterine appendages requires hospitalization in a hospital. Special conditions are created in the clinic: psychological and physical rest of the patient, compliance with a special diet, control of fluid intake. Adnexitis can be defeated by prescribing broad-acting antibacterial drugs. The selection of drugs in each case is individual and depends on the nature of inflammation. Most often, it is advisable to use antibacterial drugs with a prolonged mechanism of action. Also, the complex of therapy includes anti-inflammatory and painkillers.
In order to relieve intoxication, dehydration infusion therapy is carried out (intravenous drip infused drugs that promote the elimination of toxins). Surgical interventions are prescribed for purulent complications of this inflammatory process. Atraumatic operations are widely used — for example, laparoscopy, during which ulcers are removed and treatment with antiseptics. After the disappearance of the clinical manifestations of the disease, a rehabilitation complex is prescribed, which includes physiotherapy methods. In the advanced stage, when adnexitis turns into a chronic form, along with the standard treatment regimen, autohemotherapy and UV irradiation are recommended.
