Antibiotics for inflammation of the appendages. Inflammation of the appendages in women

The human reproductive system includes a set of external and internal genital organs, including endocrine glands, which, together with the rest, promote reproduction. This function, perhaps, is the main for all mankind, because this is what helps to continue the existence of our species in the universe and to increase the population of the planet.

Risk factors

However, many inhabitants of the Earth, even knowing about the natural purpose of women, do not take care of their health, have bad habits and promiscuity, often overcool, do not follow the rules of personal hygiene. It is because of this lifestyle that they can develop various diseases of the organs of the reproductive system, located in the cavity of the small pelvis. In women, they are less protected, and therefore much more often than men, are attacked by all kinds of infectious agents. So develop endometritis, inflammation of the appendages of the ovaries and the sex glands, vagina, cervix. Other risk factors for women are promiscuity, prolonged use of intrauterine contraceptives, frequent curettage (abortion), and unprofessional medical manipulation on the genitals. The anatomical structure of the male reproductive system is such that penetration of the infection into their genital tracts is much less frequent and difficult. However, with a combination of unfavorable conditions (immunodeficiency, prolonged hypothermia), inflammation of the epididymis in men can develop.

Effects

Inflammatory processes in the genital organs lead to a temporary (and with neglected forms - to a prolonged or even permanent) loss of reproductive function. This is primarily because for the fertilization of the egg it is necessary to coincide a lot of favorable conditions, because even with unprotected sex on the way of spermatozoa dozens of obstacles arise. And in the absence of care for women's health, endometritis most often develops (lesions of the uterine mucosa ), inflammation of the appendages in women (ovaries and fallopian tubes - adnexitis or salpingo-oophoritis). The main symptoms of this group of diseases are sharp (sharp) or aching (dull) pains in the lower abdomen. And before or during menstruation, they intensify. Especially characterized by pain during coition, a decrease in sexual desire. Patients often complain of a violation of menstrual function, manifested in irregularities, increase / decrease in the number of secretions, as well as manifestations of intoxication, general weakness, fever, chills.

Sources of infection

The causes of inflammatory changes in the genitals both men and women are more often infectious. A lesion of the appendages occurs via lymphogenous or hematogenous spread from the primary source. Often these are manifestations of extragenital acute or chronic foci (carious teeth, bronchitis, sinusitis, tuberculosis, appendicitis) and complications of sexual infections (chlamydia, gonorrhea, trichomoniasis). Thus, they can be bacterial, viral, fungal agents.

Etiotropic treatment

The doctor prescribes antibiotics after inflammation of the appendages after a survey and a thorough examination of the patient. At the onset of the disease, especially if it developed acutely, medications with broad-spectrum antibiotic activity are prescribed. Parallel to this, a swab of the female genital tract is taken to sow the pathogen on the nutrient medium in the microbiological laboratory, to determine its type. As a consequence, after this, the question is solved with what antibiotics to treat the inflammation of the appendages in the patient.

Therapy

The most effective preparation in a particular case is selected. More often, the same antibiotics are prescribed for inflammation of the appendages - these are Amoxicillin, Doxycycline, Clindamycin, Chloramphenicol, Gentamicin, and Lincomycin. Also the most common is not monotherapy, but complex. For this purpose, a combination of several drugs is selected for the early achievement of positive dynamics, and first of all, to remove the inflammation of the appendages in women. In addition, pathogenetic and symptomatic therapies are carried out, aimed at alleviating the patient's condition and eliminating other links in the inflammatory chain. So, if the disease was first detected and is in the acute phase, then most likely, the patient will recommend inpatient treatment. There she must comply with bed rest, take necessary antibiotics for inflammation of the appendages or other parts of the reproductive system, as well as sulfanilamides, analgesics for pain relief and fortifying agents that strengthen immunity. If the disease occurs in the subacute phase, physioprocedures are carefully added to this treatment regimen. And with chronic - also balneotherapy.

Problems of differential diagnosis

However, if the disease has been latent for a long time or if the patient did not follow her health, she used antibiotics on herself with inflammation of the appendages, then most often in such cases there are many complications, not only leading to infertility, but also requiring surgical treatment. Timely diagnosis of diseases of reproductive function is often extremely problematic, as patients for a long time "carry on their feet" the initial phase of the disease and see a doctor only after the appearance of severe symptoms. At this point, the symptoms of the disease are similar to many other diseases: endometritis, peritonitis, cyst of the kidney, and therefore the doctor can diagnose only on the basis of detailed anamnesis and examination, laboratory (OAK, OAM, PCR, immunological methods of RIF and ELISA) and instrumental studies Ultrasound). Also important is the internal obstetric study, which reveals the limitation of mobility of the ovaries.

Therapeutic tactics

Even if treatment under the supervision of a qualified specialist leads to a complete recovery of the patient, then in the future it should avoid adverse situations for the body. For example, you should not spend a long time on the street or in a cold room, you need to carefully carry out the hygiene of the genitals, monitor your menstrual cycle and in time notice the appearance of any, even minor symptoms of the disease. It would be good if the patient remembered the necessary name of antibiotics for inflammation of the appendages. She needs to keep in memory only some endings of such drugs, for example, -cillin (all the drugs of choice from the penicillin group, they are of a wide spectrum, are prescribed for the bacterial nature of the disease). Such infectious agents (capable of causing inflammation of the appendages in women), whose treatment is made precisely by penicillins and aminoglycosides (often ending with mucin), are more often staphylo-, strepto-, pepto-, peptostreptococci, enterobacteria and bacteroides.

Additional stage in treatment

In the absence of the effect of a prescribed drug or a combination of several for 3 days (72 hours), the drug "Clindamycin" is additionally prescribed. This is a semisynthetic antibiotic of the group of lincosamides, which has a pronounced bactericidal activity. And it is taken until the patient normalizes body temperature and the symptoms of irritation of the visceral peritoneum do not disappear. After this, the drug "Clindamycin" is discontinued and again returns to the previous treatment, that is, a combination of penicillin and aminoglycosides orally for 5 days.

Prevention

In parallel, women should be advised to take antifungal medicines, as against the background of antibiotic treatment, not only pathogenic, but also normal flora is destroyed, and this can lead to an aggravation of the situation and attachment of resistance to most antibiotics. If during the current illness the woman has evident symptoms of intoxication (temperature, headache, feeling of weakness, pains in the lower abdomen or lower back associated with menstruation, dizziness, nausea and vomiting, intolerance to light stimuli, etc.), which determine the serious condition Patients, administer infusion therapy to accelerate the onset of action of the drugs. If, during the height of infection, the patient commits an adhesion disease, then resorption therapy is also needed.