Tuberculous salpingitis

Tuberculous salpingitis often occurs in females during adolescence and youth, when they are more susceptible to tuberculosis infection due to their poor resistance.

When tuberculous salpingitis occurs, there will be obvious abdominal pain and fever. If not treated in time, the inflammation will spread to nearby organs, causing infertility or ectopic pregnancy. Treatment of tuberculous salpingitis includes conservative therapy, traditional Chinese medicine, Western medicine and surgical therapy.

reason

The occurrence of this disease is often caused by the spread of tuberculosis bacteria from tuberculosis lesions in other parts of the body. The fallopian tubes are more susceptible to tuberculosis bacteria spread through the blood than other parts of the female reproductive tract. Because genital tuberculosis has a long incubation period, it is difficult to detect in time, and the fallopian tubes are often severely damaged when it is discovered. Tuberculosis of the fallopian tubes, such as pulmonary tuberculosis lesions, can be cured, but evidence of extrapulmonary tuberculosis can often be found, such as bone, kidney, peritoneum, lymph node and urinary tract tuberculosis. Primary genital tuberculosis, which is directly infected by male urogenital tuberculosis through sexual intercourse, is very rare.

harm

1. Abdominal pain and fever

Patients with acute salpingitis often have obvious symptoms, such as pain and fever, which make them suffer greatly and reduce their quality of life.

2. Spread of Inflammation

If acute or chronic salpingitis is not cured in time, the inflammation may spread to adjacent organs and tissues, leading to gynecological inflammations such as oophoritis and endometritis.

3. Ectopic pregnancy

Inflammation of the fallopian tubes can cause obstruction of the lumen, accumulation of water or adhesions, all of which can hinder the movement of sperm, eggs or fertilized eggs, causing obstacles for the fertilized eggs to reach the uterine cavity and resulting in ectopic pregnancy.

4. Infertility

If chronic salpingitis is not cured for a long time, it can cause adhesion of the mucosa in the fallopian tube, resulting in blockage of the fallopian tube, secondary infertility, or incomplete blockage of the fallopian tube lumen, increasing the chance of ectopic pregnancy.

Treatment

1. Conservative treatment

1. Get adequate rest and strengthen nutrition.

2. Physical therapy

Promote blood circulation and help absorb inflammation. Commonly used methods include short wave, ultrashort wave, diathermy, external beam irradiation, etc.

3. Antibiotic blockade of the vaginal fornix

Antibiotics and dexamethasone are injected into the lateral fornix once a day or every other day. 7-8 times constitute a course of treatment. If necessary, the injection can be repeated after the next menstruation. Generally, 3-4 courses of treatment are required.

4. Intrauterine injection of antibiotics into the fallopian tube: Use antibiotics such as penicillin, gentamicin, etc., and add hyaluronidase, chymotrypsin or dexamethasone.

5. Drug treatment of adhesions

2. Surgical treatment

Laparoscopic or hysteroscopic surgery.

3. Traditional Chinese Medicine Treatment

The treatment of salpingitis should first distinguish between cold and heat and deficiency and excess, and distinguish between urgency and severity. For those with excess and heat, clearing away heat and detoxifying should be the main treatment, combined with the methods of removing blood stasis and relieving pain, promoting dampness and stopping leucorrhea; for those with cold and deficiency, warming the meridians and dispersing cold, removing dampness and relieving pain should be the main treatment. In terms of specific treatment methods, oral decoctions can be the main treatment, combined with other therapies such as enema, plasters, acupuncture, etc.

4. Western medicine treatment

The treatment of acute salpingitis is mainly based on antibiotics to control infection. Appropriate antibiotics can be selected according to the different pathogens and drug sensitivity tests. Surgery can be performed if necessary. Chronic salpingitis can be treated with a combination of antibiotics and corticosteroids, and surgery can be performed if necessary.