Acute inflammation of the ovaries. Treatment

Treatment of inflammation of the ovaries (appendages) in the acute stage is carried out in a hospital. Thus, the necessary conditions are created for the patient's mental and physical rest. Therapeutic measures include the appointment of an easily digestible diet, the necessary amount of liquid (tea, alkaline drink, mors).

Patients diagnosed with acute adnexitis (inflammation of the ovaries) are treated with antibacterial drugs that have a wide range of effects, painkillers, anti-inflammatory drugs. Prescribed and desensitizing (preventing or reducing allergic manifestations) medications.

When carrying out antibacterial therapy, drugs are selected based on the sensitivity of the pathogen. In this case, the dosage of the drug should provide the maximum concentration in the outbreak, where there was inflammation of the ovaries. Treatment for acute adnexitis is carried out with drugs from the group of penicillins (Ampiox, Ampicillin), tetracyclines (Tetracycline, Doxacyclin), fluoroquinolones (Oflocacin), macrolides (Erythromycin, Azithromycin), aminoglycosides (Gentamicin), lincosamides (Clindamycin), nitroimidazoles (Metronidazole). It is preferable to use long-acting drugs (Amoxicillin, Ampicillin and others). If there is a risk of septic complications, anaerobic or mixed flora accompanied by severe ovarian inflammation, treatment is prescribed by various combinations of antibiotics, for example, Levomycetin and Gentamycin, Chloramphenicol and Clindamycin and others. On the anaerobic microflora, the bactericidal effect is exerted by the drug Metronidazole.

In order to eliminate symptoms of intoxication accompanying acute inflammation of the ovaries, treatment includes infusion therapy. It involves the introduction of (intravenous) protein preparations, glucose solutions and other substances.

In the case of detection of purulent inflammatory forms against the background of adnexitis, surgical intervention (laparoscopy) is indicated. During the operation, removal of pus and irrigation of the lesion with antibiotics and antiseptics is carried out. In the treatment of inflammation of the ovaries (appendages), a method is used to evacuate the contents in the saccate tumor by puncturing the vaginal vaults and local administration of antibiotics.

In cases of development of purulent fusion in the appendages (the probability of opening the abscess, increasing renal failure and other complications), surgical removal is shown, since it is not possible to treat inflammation of the ovaries.

After elimination of all manifestations of acute adnexitis, during the transition to the subacute phase, physiotherapeutic procedures are prescribed. They include ultrasound, vibromassage, electrophoresis with potassium, magnesium, zinc on the lower abdomen.

Acute adnexitis in the absence of timely therapeutic measures passes into a chronic inflammation with periodic exacerbations. In the case of such conditions, therapeutic measures are the same as for acute adnexitis (hospitalization, infusion, antibacterial, desensitizing therapy, and vitamins).

After alleviating the symptoms of exacerbation of chronic adnexitis, aloe injection, physiotherapeutic procedures (electrophoresis with the use of drugs, UHF therapy, vibromassage) are recommended. Procedures are conducted with constant control over laboratory and clinical parameters. It should be noted that physiotherapy promotes resorption of inflammation, removal of pain syndrome, reducing the formation of adhesions. Effective are therapeutic mud, vaginal irrigation with mineral waters (sulfide, chloride-sodium), paraffin therapy. Of great importance is the adherence to the regime of proper nutrition.