PARAMETRITIS

Options - inflammation parameters (parauterine fiber). It arises as a result of penetration into the parameters (usually lymphatic) Escherichia coli, streptococci, staphylococci and other microorganisms. More often develops as a complication of a second after the birth or abortion (especially criminal). It may also occur after various intrauterine manipulations and operations in the internal genital organs, inflammatory diseases of the fallopian tubes and ovaries, paraproctitis, appendicitis.

Depending on the location of inflammation are distinguished front, rear and side parameters. At the front of the parameter affected predominantly tissue located between the front surface of the cervix, and bladder; when zadnem- fiber, filling the space between the rear surface of the cervix and rectum; a side - fiber encased between sheets of broad uterine ligament. The most common side parameters.

Acute parameters begin with a rise in body temperature to 38-39 ° C and more, sometimes a fever appear. Pain in the lower abdomen at first insignificant, when involved in the inflammatory process of the peritoneum are sharp. In the case of the spread of inflammation to the bladder or rectum disturbed function of these organs: there are disorders of urination, tenesmus, etc. When two-handed vaginal and rectal examination side (less front or rear) of the uterus palpated motionless, dense, homogeneous, usually maloboleznenny infiltrate. spreads in the side of the parameter to the pelvic wall. Typically, after 7 - 14 days infiltrate gradually dissolve. There may be complications such as abscess infiltrate and abscess formation in the parameters, the patient's condition deteriorates, there is fever , pain in the abdomen grow. On palpation infiltration during vaginal and rectal examination can determine the fluctuation. An abscess can be opened in the bladder, rectum and lead to the formation of a fistula. In severe cases, sometimes it develops sepsis .

Subacute parametritis occurs with less severe clinical symptoms.

Chronic parametritis manifested minor pain in the abdomen, with two-handed vaginal examination reveals a shortening of the vaginal vault, the displacement of the uterus due to adhesions in the pelvic peritoneum. There are recurrent acute inflammatory process parameters.

Treatment. In acute hospitalization parameters. Assign bed rest, ice on the abdomen, antibiotics and symptomatic agents. In the formation of an abscess in the parameters (stock fluctuations) conduct surgery. In subacute and chronic setting is recommended physical therapy and spa treatment.

Prevention is the rational management of labor, abortion prevention, strict adherence to aseptic technique during intrauterine manipulation, early detection and treatment of inflammatory diseases of the pelvic organs.