adnexitis
Introduction
Introduction to attachment inflammation In the female internal reproductive organs, the fallopian tubes and ovaries are called uterine attachments. Attachment inflammation refers to the inflammation of the fallopian tubes and ovaries, but the fallopian tubes and ovarian inflammation often have uterine connective tissue inflammation and pelvic peritonitis, and are not easy to distinguish at the time of diagnosis. Thus, pelvic peritonitis and paracancerous connective tissue inflammation are also drawn. Into the scope of annexation. In the inflammation of pelvic organs, the most common type of salpingitis, due to the close relationship between the anatomical sites, often salpingitis, ovarian inflammation, pelvic peritonitis coexist and affect each other. Although annex inflammation refers to the inflammation of the fallopian tubes and ovaries, the fallopian tubes and ovarian inflammation often have uterine connective tissue inflammation, pelvic peritonitis, and are not easy to distinguish at the time of diagnosis. Thus, pelvic peritonitis and paracancerous connective tissue inflammation are also Into the scope of annex inflammation, in the pelvic organ inflammation, the most common salpingitis, due to the close relationship between the anatomical sites, often salpingitis, oophoritis, pelvic peritonitis coexist and affect each other. basic knowledge The proportion of illness: 0.13% Susceptible population: women who do not pay attention to menstrual hygiene, menstrual sexual intercourse or unclean sexual intercourse Mode of infection: non-infectious Complications: infertility
Cause
Attachment inflammation cause
Although annex inflammation refers to the inflammation of the fallopian tubes and ovaries, the fallopian tubes and ovarian inflammation often have uterine connective tissue inflammation, pelvic peritonitis, and are not easy to distinguish at the time of diagnosis. Thus, pelvic peritonitis and paracancerous connective tissue inflammation are also Into the scope of annex inflammation, in the pelvic organ inflammation, the most common salpingitis, due to the close relationship between the anatomical sites, often salpingitis, oophoritis, pelvic peritonitis coexist and affect each other.
(1) Inflammation of adjacent organs in the pelvic or fallopian tubes, such as appendicitis, can cause tubal oophoritis by direct spread, pelvic peritonitis, inflammation usually occurs in the adjacent side of the fallopian tubes and ovaries.
(2) At the same time as the intrauterine device is widely used, the patient does not pay attention to personal hygiene or the operation is not strict.
(3) intrauterine operations without strict disinfection, such as aspiration, uterine tubal iodine angiography, cervical canal treatment, and obstetric surgery infections that are not strictly sterilized.
(4) Do not pay attention to menstrual hygiene, menstrual sexual intercourse or unclean sexual intercourse.
(5) When there is infection in other parts of the body without timely treatment, the pathogen can be transmitted through the bloodstream and cause fallopian tube ovarian inflammation, which is more common in tuberculous diseases.
Bad living habits (20%):
(1) Sedentary. Sitting for a long time, the blood circulation of the lower limbs is not smooth, the venous return is blocked, and the uterine attachment is inflamed due to the inability to detoxify normally. (2) Improper cleaning. When cleaning the genitals, such as washing the anus and then washing the vulva, the bacteria of the anus will enter the vagina and cause inflammation. During the menstrual period, the bacteria in the water enter the vagina and go up to the uterus and fallopian tubes to cause inflammation. (3) Always wear tight pants. Too tight pants will make the genitals impervious and cause inflammation, and the inflammation will spread and cause the attachment to become inflamed.
Childbirth or miscarriage (15%):
Attachment inflammation often occurs after delivery or after abortion. Because of childbirth or abortion, women's resistance decreases, pathogens spread up through the reproductive tract and spread to the fallopian tubes, ovaries, and then the entire pelvic cavity, causing inflammation.
Intestinal disease (10%):
Enteritis pathogens can enter the genitals through the lymphatic vessels, causing attachment inflammation.
Sexually transmitted diseases (10%):
Sexually transmitted diseases can enter the genital tract and cause attachment inflammation. Sexually transmitted diseases and infections do not necessarily pass through sexual behaviors. Bathtubs, toilet bowls and towels used by sexually transmitted diseases patients may be infected. This is why virgin infection with sexually transmitted diseases and infections.
Prevention
Attachment inflammation prevention
prevention
Active and thorough treatment of acute tubal oophoritis, pelvic peritonitis, is the key to prevent the occurrence of this disease.
If you are already sick, treatment should be sustained, so as not to delay the disease for a long time, it is difficult to cure, usually pay attention to personal hygiene and menstrual hygiene, prevent chronic infection, large tubal hydrops caused by inflammation or fallopian tube ovarian cysts, feasible surgery, For infertility caused by tubal obstruction, feasible fallopian tube surgery, for chronic episodes of chronic tubal oophoritis, pelvic peritonitis, drug treatment is not satisfactory, and patients with older age, surgery can also be considered, in addition, due to The disease is stubborn and recurrent, often making the patient's mental burden heavier, so it is necessary to establish confidence, maintain a comfortable mood, actively exercise, enhance physical fitness, and improve disease resistance.
Complication
Attachment inflammation complications Complications infertility
Can be complicated by infertility.
Symptom
Attachment symptoms of inflammation Common symptoms Ovarian effusion Chronic pelvic pain Lower abdominal pain Abdominal pain High fever vaginal discharge Increased body discomfort Female abdominal pain
In general, attachment inflammation is a common disease that causes infection of the fallopian tubes and ovaries after the pathogenic microorganisms invade the reproductive organs. Divided into acute and chronic. Acute attachment symptoms are obvious, such as fever, chills, severe pain in the lower abdomen. Chronic attachment inflammation has different degrees of abdominal pain, or lower abdominal bulge and involvement, when it is light and heavy, accompanied by increased vaginal discharge, back pain, menstrual disorders and other symptoms.
Examine
Attachment inflammation check
Acute tubal-ovarian examination showed leucorrhea as purulent or homogeneous mucus. The appendages were tender and tender. Sometimes it can lick the fallopian tube, the inflammatory mass of ovarian adhesion, the boundary is unclear, and the activity is limited.
Chronic fallopian tube-ovarian inflammation has tenderness in the lower abdomen. Pelvic examination of the uterus on both sides of the uterus is thick and tender, sometimes touching the enlarged cystic mass.
In general, B-ultrasound examination found no abnormalities, unless there is hydrosalpinx or the formation of fallopian tube ovarian cysts, ultrasound can be found in the mass.
Diagnosis
Annex inflammation diagnosis
The diagnosis of attachment inflammation is generally:
1, acute fallopian tubes. Ovarian inflammation can be seen in the vaginal discharge of purulent or homogenous mucus-like attachments, which have tenderness and tenderness. Sometimes the border of the inflammatory mass of the fallopian tube and ovarian adhesion is unclear and the activity is limited.
2, chronic fallopian tubes. Ovarianitis diagnosis of the lower abdomen has tender pelvic diagnosis of thickening of the uterus on both sides of the tenderness, sometimes can reach the swelling of the fixed cystic mass.
In general, there is no abnormality in the diagnosis of B-ultrasound, and the mass can be found by ultrasound diagnosis unless there is hydrosalpinx or the formation of oviduct ovarian cyst.
