Tuesday, February 19, 2008
Tubal unreasonable symptoms
1, tubal infertility caused unreasonable And tubal obstruction or poor-is an important reason why female infertility, or about 1 / 3. The main cause of the inflammatory lesions, but the rate of non-inflammatory lesions gradually increase, but also should not be overlooked. First Salpingitis Clinical Gynecologic tubal inflammation is common diseases, female infertility is caused one of the main reasons. In recent years a sexually transmitted disease (STD) gonococcal, Chlamydia trachomatis of tubal infertility caused inflammation was significantly higher morbidity trends, prevention and treatment of reproductive tract infections, infertility is essential. An acute Salpingitis Etiology: 1, pathogenic microorganisms STD pathogens such as Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma, viruses, etc.; non-specific category are cocci, E. coli, anaerobes. Is often mixed with a variety of pathogenic microorganisms. 2, the body resistance weakened. (1) After the abortion, and post-menstrual period and partial resistance of the lower body. (2) invasive examination or treatment, infection control measures are not strict, as in the Diagnostic Clinic of curettage, cervicitis treatment of uterine Hydrotubation operation, such as placement of the IUD. (3) from the neighbouring organs inflammation and infection spread, mainly reproductive tract inflammation such as cervicitis, endometrial go far retrograde infection; also found suppurative appendicitis, peritonitis, such as tubal spread to pelvic genital mutilation. (4) such as sexually transmitted dirty sexual intercourse, promiscuity, her husband repeatedly sexually transmitted infections transmitted to his wife. Pathology: Acute Salpingitis to endometrial inflammatory lesions mainly from acute pelvic inflammatory disease if the disease widely. Tubal organizations such as congestive exudative, intracavity purulent exudate such as pelvic inflow caused pelvic peritonitis, weight, pelvic abscess formation; inflammation spread to ovarian, fallopian tube formation ovarian inflammation or abscess; if tubal adhesions atresia umbrella of the fallopian tube can be formed when the plot pus, was particularly prevalent in the acute exacerbation of chronic inflammation. Acute inflammatory exudation wound pus in the mucosal surface and can often identified pathogenic microorganisms. Tubal unreasonable clinical manifestations: 1, tubal unjustifiable under acute symptoms of abdominal pain, Zhuichan; frequency Niaotong; Nongxue-like vaginal discharge liquid; be shivering with fever, may also have abdominal distension and constipation or diarrhea. If the menstrual period or after the abortion incidence, increased blood volume, menstrual extension. Follow-up gynecologic disease, or there may be a history of exposure to sexually transmitted diseases such as. 2, tubal unreasonable signs have high body temperature, pulse rate accelerated to a lower abdominal muscle tension or resistance sense of tenderness, and anti-Tiaotong. Gynaecological examinations can have vaginal and cervical fluid Nongxue, congestive cervix, in contravention of easy bleeding, cited pain. Annex District tenderness, painful nodules may be touched. Posterior fornix Punctures can extract a small amount of purulent fluid. 3, help check blood transfusion in increased leukocyte, neutrophil leukocytes multicore increased erythrocyte sedimentation rate faster posterior fornix of testing interleukin, cervical smear (or culture) or PCR detection technology may be found Neisseria gonorrhoeae, Chlamydia trachomatis, etc. to Disease microbes. Second, chronic salpingitis Etiology: 1, because of the proliferation of reproductive tract infection uplink inflammation, such as Manxingzi cervicitis, endometritis, Gongpeng organizations go far from tubal inflammatory changes. Pathogenic microorganisms can toxicity is not strong, the body a certain resistance is also not appropriate for the treatment of chronic inflammation was thorough and change. 2, acute Salpingitis untreated or treatment is thorough and to chronic inflammation. Pathology: chronic salpingitis accompanied ovarian inflammation, the clinical inflammation known as the annex. Lesion, degree of different types are common: 1, chronic interstitial Salpingitis (simple fertilizer large) Due to long-term inflammation change, tubal intramural proliferative connective tissue fibrosis, thickening of the wall, acting like thickening of the lumen plug unreasonable. Tubal tortuous and often inflammatory adhesion in ovarian broad ligament posterior lobe, it is difficult separation. 2, isthmus nodules salpingits features isthmus nodular thickening stiffen tough, muscular hypertrophy tubal endometrial epithelium was myometrial invasion of the island, is a chronic inflammation of the change is that some people within the fallopian tube Ectopic membrane disease, the disease of surviving controversy. Isthmus obstructive lesions induced infertility. 3, tubal empyema may be left over from the consequences of acute inflammation, may also be infected with chronic suppurative umbrella of the adhesions caused by atresia. Performance of the wall, marked thickening of the lumen of the wound pus containing thick, pale endometrial mucosal folds decreased or disappeared. Can be combined with ovarian abscess adhesion, and the broad ligament and the posterior wall of uterus adhesion. 4, Hydrosalpinx pathogenesis is not very clear, perhaps because of chronic infection umbrella of the Department of visco-blocking, tubal fluid accumulation and inflammatory exudates in the ampulla, the narrow isthmus wall cavity fine, when there are plug adhesion, the tube effusion difficult rearrangement, not a gallbladder-absorbing fluid. No adhesion with other organizations or mild adhesions. 5, caused by Mycobacterium tuberculosis salpingits Salpingitis常呈granuloma kind fallopian tube can be seen all types of chronic inflammatory changes such as ulcers, dry-Cool, miliary nodular type, nodular isthmus, simple fertilizer major change Yan , can be found Mycobacterium tuberculosis, or TB nodules pathological examination to find specific change. TB can have systemic performance. Clinical manifestations: 1, no obvious symptoms and discomfort to the primary or secondary infertility treatment. Some patients have lower abdominal pain, Zhuichan lumbosacral pain, menstrual period, or after sexual intercourse, aggravated fatigue; normal vaginal discharge increased menstrual flow more menstrual extension, such as dysmenorrhea. Pelvic inflammatory disease and cervical could go far in history. 2, static signs of chronic salpingitis, and have no obvious signs. Some patients with abdominal tenderness or annex area, there are cervicitis, viscous secretions, after dumping常呈uterus adhesion fixed mild tenderness, annex could be touched vague boundaries of the mass activities, the irregular shape of a tenderness. 3, imaging examinations to more than B-image, also has a discretion as CT scan or MRI imaging. Tubal enlarged image can be displayed. Annex mass, tubal fluid change. The second tubal dysplasia Tubal dysplasia less see, it was not easy to be discovered, often associated with reproductive tract dysplasia coexist, leading to infertility or ectopic pregnancy. Second, whether fertility tubal unreasonable? The sperm enters the vagina, uterus, fallopian tubes in the ampulla and egg "鹊桥meet" with a fertilized egg. If not tubal patency is not without fertility expect, as the case may be undetermined. Tubal unreasonable, there are three situations: The first one is the fallopian tube-and are sluggish, the reason is caused by a slight inflammation of adhesion or too thin tube bending, or tubal adhesions outside, pulling a tubal activities. Laparoscopic treatment can be used, often anti-inflammatory drugs into the fallopian tube to eliminate inflammation. On the outside of adhesion can also be cut laparoscopic decomposition, tubal "relaxing." After treatment, most women can be pregnant. The second situation is tubal occlusion could not damage a lesser extent, most of the fallopian tube is normal. This situation can be destroyed surgical resection of the fallopian tube connected to a normal part of the implementation of tubal anastomosis. Some Hydrosalpinx, above its opening in the mouth, release them liquids, said tubal ostomy. Generally speaking, the effect of anastomosis better-surgery rehabilitation success rate of 50 percent to 80 percent. The third situation is unreasonable tubal occlusion, and the severe lesions. This situation, the present level of our medical terms, it is difficult to restore fertility. Thus, whether there are unreasonable fallopian tube birth may, depending on tubal patency is not the specific type and whether there are ways to lift.
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