Salpingitis

　　When there are more bacteria, stronger virulence, or decreased body resistance, it can lead to the occurrence of this disease. According to the different types of pathogenic bacteria, acute salpingitis is divided into two types: one is specific gonococcal infection, where gonococci spread from the cervical mucosa and endometrium to the fallopian tube mucosa; the other is non-specific suppurative bacterial infection, where bacteria enter the peritoneal tissue around the uterus through lymphatic vessels and blood vessels from the endometrium, finally leading to peritubal inflammation and salpingitis. If acute salpingitis further progresses, it can lead to acute pelvic peritonitis and acute peritonitis.

　　Salpingitis is caused by pathogenic infections. Generally, salpingitis can lead to the following gynecological diseases:

　　Can cause infertility:There are many diseases that can cause female infertility, and salpingitis causing tubal obstruction is the most common disease leading to female infertility.

　　Can cause ectopic pregnancy:If a woman has salpingitis, it can lead to lumen obstruction, fluid accumulation, or adhesion, all of which hinder the movement of sperm, egg, or fertilized egg, causing obstacles for the fertilized egg to reach the uterine cavity and resulting in ectopic pregnancy.

　　Other complications:Salpingitis can cause purulent leukorrhea, bilateral lower abdominal pain, lumbar sacral pain, downward坠, menstrual irregularity, etc., seriously endangering the physical and mental health of female salpingitis patients.

　　The general clinical manifestations can vary with the severity and extent of the inflammation, with mild cases showing no symptoms or only mild symptoms. Common symptoms include lower abdominal pain, fever, increased vaginal discharge. Severe cases may have chills, high fever, headache, loss of appetite, and other systemic symptoms. If there is peritonitis, there may be gastrointestinal symptoms. If abscesses form, there may be lower abdominal masses and local pressure and stimulation symptoms; if the mass is located in front of the uterus, there may be bladder irritation symptoms such as difficulty urinating and frequent urination; if there is bladder muscle inflammation, there may be symptoms such as dysuria; if the mass is located behind the uterus, there may be rectal irritation symptoms. If there are symptoms and signs of salpingitis and concurrent right upper quadrant pain, suspect perisalpingitis.

　　Patients have varying signs, with mild cases showing no obvious abnormalities or tenderness in the adnexal area on gynecological examination, often accompanied by inflammation in other parts, and physical examination may also show positive signs in corresponding parts. Severe cases present with an acute illness appearance, with fever, increased heart rate, tenderness, rebound tenderness, and muscle tension in the lower abdomen, and even abdominal distension, decreased or absent bowel sounds. In the case of simple salpingitis, the thickened fallopian tube can be palpated with marked tenderness; if there is pyosalpinx or salpingo-oophoritis, a mass can be palpated with unclear tenderness and non-mobility. If there is salpingitis with symptoms and signs and concurrent right upper quadrant pain, perisalpingitis should be suspected.

　　There are many causes of female salpingitis, and different preventive measures should be taken according to different causes:

　　1. It is important to maintain the hygiene of the external genitalia and personal cleanliness, keep oneself pure, and avoid frequent sexual intercourse.

　　2. For women with acute salpingitis, they should rest in a semi-recumbent position to prevent and limit the movement of inflammatory fluid due to changes in body position, and choose high-nutrition, easy-to-digest, and vitamin-rich foods.

　　3. During sexual intercourse, attention should be paid to the hygiene of both oneself and the sexual partner. It is best to clean the external genitalia of both parties before sexual intercourse to prevent the smooth invasion of bacteria. If there are abnormal phenomena in the vulva, it should be prohibited.

　　4. When performing artificial abortion, delivery, intrauterine device insertion and removal, and other intrauterine operations, strict disinfection should be carried out to avoid introducing bacteria into the vagina and uterus through surgery, and causing infection artificially.

　　Once salpingitis is detected, it is necessary to go to a regular specialized hospital for examination and treatment in a timely manner to avoid delaying the treatment opportunity, leading to the worsening of the condition, increasing the difficulty of treatment. As long as the patient is actively treated, salpingitis can be cured.

　　1. Blood culture

　　Patients with chills and high fever should undergo blood culture examination to understand the condition, clarify the type of pathogen, and determine the sensitivity of the pathogen to drugs, so as to target the use of antibiotics effectively.

　　2. Blood test

　　The total white blood cell count is increased, with neutrophils accounting for more than 80%.

　　3. Posterior fornix puncture

　　Exudate or pus can be punctured out.

　　4. Urinary tract or cervical secretion smear or culture.

　　What not to eat for patients with salpingitis

　　1. It is best not to eat sweet and greasy foods during the illness, such as butter, cream, high-fat milk, ice cream, and similar foods, as these foods may increase the secretion of leukorrhea and worsen the condition.

　　2. Eat less spicy foods such as chili, pepper, curry, and hot foods such as lamb, dog meat, longan, etc., as these may exacerbate the spread of inflammation.

　　3. Do not eat seafood such as shrimp, crab, and shellfish.

　　4. Avoid smoking and drinking, and exercise more.

　　What kind of food is good for salpingitis

　　1. It is advisable to eat more chicken, eggs, lean meat, milk, soy products, etc., to effectively enhance physical fitness, strengthen nutrition, and improve resistance.

　　2. When supplementing fluids, do so in small amounts multiple times to reduce water evaporation, eat more fruits and vegetables, supplement vitamin C, vitamin B, etc., which is beneficial to prevent constipation.