Postpartum salpingo

Postpartum oophoritis - inflammation of the uterus; often is a complication endomyometritis. Germs - Germs septic group. The infection spreads lymphogenous or fallopian tubes (intrakanalikulyarno). The inflammatory process initially captures the fallopian tubes, ovaries and then goes on to form a single conglomerate.

Symptoms within. The disease develops in 8-10 days after birth and is accompanied by a deterioration of general condition, raising the temperature to 38-39 grams. C, chills, tachycardia, severe abdominal pain, nausea, flatulence, peritoneal symptoms. When vaginal study determined signs and endomyometritis pastoznost the uterus with one or two sides. adnexal sharply painful on palpation. When hyperergic throughout the process may fester (piosalpinks, pioovary) the threat of diffuse peritonitis. The differential diagnosis is carried out with parametritis, pelvic thrombophlebitis, acute appendicitis.

Treatment. Bed rest, ice on his stomach, mechanically and chemically gentle diet, antibiotics, sulfonamides, analgesics, desensitizing therapy (pipolfen, diphenhydramine), 10% calcium chloride solution w / w, further careful physiotherapy. When purulent formations produce a puncture. In the case of threatening or stepped discontinuity piosalpinks or pioovariya shows an urgent laparotomy and removal of diseased appendages; the uterus is removed through the testimony.