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Explanation of analyzes

Oophoritis - what is it? Symptoms and methods of treatment, drugs

In the system of gynecological diseases, oophoritis (Oophoritis) refers to inflammatory diseases affecting the sex gland and genitourinary system. . Represents a serious threat to the reproductive function of women .

In medicine, this term is used quite widely - it is applied to pathologies that occur in the form of inflammatory processes, but neither pathologically nor etiologically have anything to do with inflammatory processes.

Content

Causes of oophoritis

Causes of oophoritis Reactions of inflammation in the female sex glands can develop due to the action of pathogens specific (caused by chlamydia, vaginal trichomonas, mycoplasma or mycobacterium tuberculosis), and against the background of microorganisms of a nonspecific nature (streptococcal, staphylococcal, due to eschrechia and fungus condylid).

Oophoritis does not belong to the idiopathic (independent) form of the diseases, the localization of the ovaries makes it impossible for the primary infiltration of infectious agents into them.

The infection enters the ovaries from the body of the uterus, its isthmus and fallopian tubes. Sometimes this can occur by endogenous drift (by lymphatic vessels) or by hematogenous way (through the blood).

The development of oophoritis ovary affects many factors:

  • cyclic physiological process (menstruation);
  • hypothermia (effect of cold);
  • surgical and diagnostic manipulations;
  • artificial abortions;
  • intrauterine contraceptives.

The active development of oophoritis is promoted by:

  • endocrine pathologies;
  • the presence of chronic infections;
  • exhaustion of the body and psychological stress;
  • disorderly intimate life (promiscuity);
  • unprotected sexual intimacy;
  • nicotine addiction.

Signs and symptoms of oophoritis

Signs and symptoms of oophoritis

The clinic of oophoritis is manifested - acute, subacute and chronic course, with symptoms characteristic of a certain phase.

Acute oophoritis

The acute form of inflammatory reactions in the sex glands is manifested by a violation of their functions, swelling and enlargement of the gland.

Fallopian tubes are subjected to pathological processes, they are soldered to the sex glands, forming a single inflamed conglomerate. The process causes tissue melting of the ovary and secretion of a purulent secret from the fallopian tube.

The characteristic symptoms of the oophoritis of this form are:

  • development of intoxication in the body;
  • masushchimisya purulent vaginal discharge and persistent pain in the lower abdomen;
  • hyperthermia, fever and lethargy;
  • irritability and hostility to sexual intimacy;
  • a violation of the functions of the digestive tract;
  • morbidity in the outflow of urine;
  • muscle and headaches;
  • dysfunctional uterine bleeding.

Treatment should take place in a hospital setting.

Subacute myophoritis

Symptoms of the oophoritis of the subacute form are manifested due to infectious damage to mycoplasmosis or mycobacterium tuberculosis.

Symptoms are similar to the acute form of manifestation, but have an erased picture. In time, not treated pathology takes a chronic course with periods of remission and exacerbation complicating treatment.

Chronic oophoritis

The manifestation of chronic oophoritis is promoted by the weakened immune system of a woman. The scenario of the course of the disease without special exacerbations and symptoms is possible, when the ovaries are affected by gonorrheal infection, causing defeat of the embryonic epithelial tissue of the ovaries with the formation of an adhesive process around them.

Over time, in the fallopian tubes, scar tissue forms, the obstruction of the tubes and infertility develops. At an exacerbation, to already available symptoms typical signs for this form of illness are added:

  • there is a dependence of stupid, aching pain in the groin area and in the lower abdomen - they intensify before menstruation, with cold infections and hypothermia;
  • the cycle of menstruation is disrupted;
  • abundant release of leucorrhoea;
  • the possibility of pregnancy is absent.

Localization of inflammatory reactions

Right / left sided oophoritis

Right / left sided oophoritis

According to the prevalence of the disease, inflammatory reactions in the ovaries are characterized by left / right third-party localization or bilateral ovarian involvement.

Right / left sided oophoritis - inflammatory reactions in the ovaries develop on one side of the abdominal cavity. More often result from gynecological diseases of an infectious nature, medical procedures and manipulations.

Develop under the influence of stress, long hypothermia, with weakened immunity.

Clinical features are characterized by:

  • prolonged subfebrile fever, which does not respond to the action of antipyretic agents;
  • localization of pain at the bottom of the peritoneum in accordance with the side of localization;
  • the appearance of vaginal whiteness and bleeding acyclic nature;
  • all this is accompanied by irritability and a disorder of sexual functions.

Signs of right-sided lesion are similar to those of appendicitis. When the inflammatory process spreads from one sex gland to another, a bilateral oophoritis develops.

The developmental clinic with bilateral localization is characterized by a strong pulsating pain syndrome at the bottom of the peritoneum and inguinal zones, with frequent irradiation into the sacral region and lower back.

Symptoms of the disease are similar to one-sided localization, but they manifest themselves according to a clinic corresponding to acute or chronic course.

In chronic course, symptoms are less pronounced, but this form of the disease is more dangerous, as it contributes to the functional violation of the gonads and the development of infertility.

Treatment of oophoritis

Treatment of oophoritis

The tactics of treating oophoritis are made according to the form of manifestation of inflammatory reactions. Acute and subacute form should be treated in a hospital setting. Appoint ice packs on the affected area.

As a drug therapy, oophoritis is treated with drugs that:

  1. pain and antimicrobial effect;
  2. medicines that suppressively act on the concentration of neurotransmitters of inflammation;

Are appointed:

  • vitamin and mineral complexes;
  • electromagnetic radiation (UV);
  • autogenotherapy and biogenic stimulants;
  • multivitamins;
  • body cleaning - detoxification;
  • injecting therapy, which helps to counteract the organism.

Treatment of oophoritis with antibiotics is performed during exudation or purulent tubo-ovarian tumor formations in uterine tubes and pelvic cavity. The puncture of the focus is carried out - exudate or pus is sucked off, and preparations of antibiotics and chymotrypsinogenes are administered.

In chronic oophoritis, therapy is prescribed according to clinical symptoms. The basis of therapy is physiotherapy.

При обострении хронических воспалений назначают физиотерапию воздействием магнитных полей, и микроволновую терапию. 1) In case of exacerbation of chronic inflammations, physiotherapy is prescribed by exposure to magnetic fields, and microwave therapy. With a slight exudation - therapy with high-frequency currents.

При выраженной болевой симптоматике, применяется физиотерапевтический метод введения лекарственных средств с помощью электрофореза, процедуры УФ-терапии. 2) With severe pain symptoms, physiotherapeutic method of drug administration by means of electrophoresis, UV-therapy procedure is used.

При преобладании спаечных процессов, лечение основано на использовании импульсного ультразвукового излучения, индуктотермоэлектрофореза и индуктотерапии. 3) With the predominance of adhesive processes, the treatment is based on the use of pulsed ultrasonic radiation, inductothermoelectrophoresis and inductotherapy. Strengthen the result of sanatorium treatment.

Effect of oophoritis on pregnancy

Chronic inflammation of the sex glands and pregnancy, an absolutely unacceptable situation. The mere fact of having a disease reduces the woman's ability to become a mother.

After all, it is from the normal functioning of the sexual glands that the hormonal background of the woman, the ability of the full maturation of the egg cell and the possibility of its fertilization depend.

Chronic inflammatory processes provoke changes in the functions of the ovaries adversely affecting the course of pregnancy and the outcome of delivery.

Effect of oophoritis on pregnancy Sometimes the latent, asymptomatic form of the disease can make itself felt during this period, when a functional decrease in the immune defense of a woman occurs against the background of an additional burden on the body.

Not revealed and in time not treated pathology before the moment of conception, can provoke:

  • spontaneous abortion, on the background of hormonal disorders;
  • tubal development of the fetus, when pathology is combined with inflammation of the fallopian tubes - the formation of adhesions and scar tissue in them prevents the passage of the egg into the uterus and fertilization occurs in the fallopian tube;
  • infection of a child from infectious foci of a woman, both in the embryonic period, and in the process of childbirth.

In pregnancy, complete treatment is impossible, since many methods and drugs in this period are contraindicated. Therefore, it is necessary to treat the disease before pregnancy.

Oophoritis: complications

The most common complications of inflammatory processes of the female genital glands are manifested:

  1. disorders of the digestive system - various intestinal diseases.
  2. Various forms of pathologies of the urinary system - cystitis, pyelonephritis, etc.
  3. Endocrine disorders and signs of worsening CNS functions.
  4. Violation of cyclicity, delay and painful menstrual flow.
  5. Development of adhesions , tubal pregnancy and infertility.

Classification of oophoritis according to ICD 10

Common section: N00-N99 - Diseases of the genitourinary system

Class N70 - Salpingitis and oophoritis

  • N70.0 Acute salpingitis and oophoritis
  • N70.1 Chronic salpingitis and oophoritis
  • N70.9 Salpingitis and oophoritis, unspecified

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