Salpingoophoritis or adnexitis is an inflammation of the uterine appendages (ovaries and fallopian tubes) caused by pathogenic microorganisms. There are acute, subacute and chronic forms of salpingo-oophoritis. Untimely treatment of inflammation of the uterine appendages often causes infertility.
Acute form
Acute adnexitis proceeds painfully enough, and it is necessary to treat it in the hospital. The main drugs for the treatment of inflammation of the appendages are antibiotics, which are prescribed depending on the type of pathogen. Often prescribe broad-spectrum drugs or a combination of antibiotics - this method is used for suspected anaerobic infection.
Effective combinations of antibiotics:
- gentamycin and levomycetin;
- lincomycin and clindomycin;
- clindomycin and chloramphenicol;
- penicillin and kanamycin / gentamicin (for anaerobic infection).
Within three days the woman normalizes the temperature, and pain in the abdomen weakens. Further treatment of inflammation of the appendages is supplemented with tablets of a group of penicillins and aminoglycosides.
To remove the symptoms of intoxication, the patient is placed droppers with glucose, polyglukin, hemodez, rheopolyglucose, vitamins. Therapy is supplemented with antihistamines: dimedrol, suprastin.
Chronic form: exacerbation
During the exacerbation, medical treatment of inflammation of the appendages involves antibacterial, infusion, desensitizing therapy.
In case of slight exacerbation in hospitalization, there is no need to be treated at home, but in accordance with the doctor's recommendations.
For oral use, antibiotics are used:
- abactal;
- bactrim;
- ofloxin;
- siflox.
For topical application in the treatment of inflammation of the appendages appoint suppositories, gels, creams (clindamycin, dalacin) and solutions for douching (vagotyl, romazulan, miramistin). Therapy must be supplemented with immunomodulating drugs and multivitamins.
Chronic form: remission
After the aggravation of exacerbation of adnexitis physiotherapy is recommended:
- electrophoresis with magnesium, iodine, zinc, potassium;
- UHF-therapy;
- autohemotherapy;
- ultrasound therapy;
- vibromassage;
- injection of aloe.
These procedures reduce the risk of adhesions, have analgesic and resorptive effects.
Chronic inflammation of the uterine appendages also implies treatment with healing mud (ozokeritotherapy) and paraffin applications; effective vaginal irrigation with mineral waters (sulfide, chloride-sodium) and therapeutic baths.
To pass the period of remission, appoint combined oral contraceptives - a course of at least 6 months.
Favorably affects the health of patients with chronic adnexitis resort and sanatorium treatment (recommended for persistent remission).
Complications and surgical treatment
Often, in women who delay treatment, inflammation of the appendages provokes complications requiring surgical intervention (peritonitis, pelvic abscess, ectopic pregnancy).
Surgical intervention allows you to remove adhesions, purulent and fluid formations, restore patency of the fallopian tubes. The risk of infertility after surgery is not ruled out.
Today, in the operative treatment of inflammation of the uterine appendages, laparoscopy and minilaparoscopy are used - these surgical techniques almost do not leave any scars and are less painful than the traditional incision.