The Apoplexy of ovary — a very serious condition that is accompanied by rupture of the tissues. As a result of this process the blood into the ovarian tissue and the abdominal cavity. The ailment requires immediate treatment as otherwise may develop hemorrhagic shock. In the absence of timely assistance pathology can result in death of the patient.
Of Course, many women are interested in more information. Why developing ovarian apoplexy? What is it? The consequences of the disease, its first symptoms and basic methods of treatment — is important information that you want to see. The sooner you get diagnosed the illness, the higher the likelihood for favorable patient outcome.
To start is to understand General information about this disease. Ovarian apoplexy (code according to ICD-10 N83) — this is an acute condition which is accompanied by rupture of the tissues of the ovary. As a rule, first in the region of the affected organ appears hematoma, resulting in increased pressure within the ovarian — this is accompanied by sharp pains. The pressure rise leads to disruption of the integrity of the ovary. Even the slightest rupture, sometimes accompanied by massive bleeding.
The Pathology may develop in different stages of the menstrual cycle. Most often affects the right ovary because the right ovarian artery departs directly from the aorta. In addition, on this side is more developed lymphatic system, greater weight and dimensions.
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According to statistics, in most cases, such problem faced by young women aged 20 to 35 years.
In fact, the causes of apoplexy of the ovaries can be different. But in most cases the gap appears on the background of diseases involving degenerative or sclerotic changes in the tissues of the ovary.
The doctors Also highlight some risk factors, which if necessary can provoke the rupture of the ovary. To their list include:
It is Worth noting that sometimes the rupture of the ovary occurs at rest or even during sleep.
Symptoms of ovarian apoplexy can be different. Their intensity depends on the form and stage of disease, presence of comorbidities, amount of blood loss and some other factors.
The First and main symptom is pain. Pain syndrome is associated with stimulation of the receptors in tissues of the ovary, and with the spasm of the vascular walls.
Usually the pain arises suddenly, sometimes on the background of well-being. Unpleasant sensations are localized in the lower part of the abdomen, but sometimes they can spread to the lumbar region and umbilicus, perineum and anus.
The Pain in most cases of acute. Sometimes it may be present constantly, in other cases — to appear and disappear type contractions(paroxysmal). The duration of the attack can vary from 30 minutes to several hours. At times like this “fight” repeated several times a day. Palpation of the abdomen, and pelvic examination, are accompanied by increasing discomfort.
If there is a loss of blood, symptoms of ovarian apoplexy can be different. In addition to pain occur following violations:
It is Worth noting that in most cases patients brought to the hospital with complaints of sharp, acute pain in the abdomen. The same symptoms observed on the background of other diseases, in particular acute appendicitis, ectopic pregnancy, renal colic, severe inflammation of the abdominal wall, acute pancreatitis. It is therefore so important that the correct differential diagnosis.
The Above symptoms — a reason to urgently see a doctor. In any case it is impossible to ignore the acute pain and weakness, as timely therapy depends on a woman's life.
In modern medicine, there are three forms of ovarian apoplexy, each of which has its own set of symptoms.
You Should immediately call a doctor if you suspect an apoplexy of the ovary. Emergency care and properly conducted treatment in this case is very important.
For the doctor important is the volume of blood loss in the patient. Depending on this factor there are three stages of development of ovarian apoplexy:
You already know about why developing ovarian apoplexy and what it is. The consequences of such pathology can be extremely dangerous.
By Itself, this pathology is not the cause of infertility. Nevertheless, even when properly conducted treatment of apoplexy of the ovaries there is a possibility of formation of adhesions in the fallopian tubes and abdominal cavity. That is why women have difficulties with fertility, and a good carrying a child.
If the patient is pregnant, then should carefully monitor health. Previously transferred apoplexy should be reported to the doctor. Statistics show that there is a fairly high risk of miscarriage or premature birth.
Timely diagnosis of ovarian apoplexyit is extremely important. If we are talking about hemorrhagic forms, even the slightest delay can result significant blood loss, hemorrhagic shock and death of the patient.
You first need to collect a history and to see the complaints of the patient. It is mandatory gynecological examination. Natural color of the vagina is preserved, only sometimes there is a slight pallor of the tissues. The size of the uterus also conform to the norm. However, the affected ovary is increased, and its palpation is accompanied by a sharp, acute pain.
Also needed a blood test. Sometimes there is a slight increase in the number of white blood cells and reduced hemoglobin level due to blood loss.
Visible apoplexy of the ovary on ultrasound. During the inspection, the specialist can examine the organs of sexual the pelvis, to notice a cluster of small - and medium fluid in the region of the ovary and in the abdominal cavity. Held puncture of posterior fornix of the vagina, which makes it possible to detect the accumulation of serous fluid, blood or pus in the abdominal cavity. It also analyzes the level of human chorionic gonadotropin — this allows you to exclude (or confirm) the presence of an ectopic pregnancy.
Sometimes additionally performed laparoscopy — a surgical procedure during which the inside of the pelvis through a small puncture of the abdominal wall introduces specialists the tools. During the procedure, the specialist can detect blood and clots in a free cavity, to assess the size and condition of the uterus, to detect inflammation of the fallopian tubes.
At the time of diagnosis it is essential to determine the causes of apoplexy of the ovary, as well as the form and stage of disease. It is from these factors depends largely on the success of the treatment.
If there are acute pain and other the above symptoms, the patient need to be sent to hospital wing and, therefore, to call the ambulance. Only a doctor after examination can diagnose ovarian apoplexy.
What to do, waiting for the arrival of medical personnel? To actually help the woman is at home not much. It is only necessary to lay the patient, placing a pillow under his head. Doctors do not recommend taking analgesics, anti-inflammatory medicines or other medicines to help cope with the pain, — it may complicate the diagnostic process or to exacerbate the disease.
Conservative treatment of ovarian apoplexy carried out only in the most severe cases, when symptoms are mild, and bleeding is absent. The scheme of treatment in this case is as follows:
This treatment is carried out only in a hospital — patient should always be under the supervision of a physician. If bleeding, the woman is treated with surgery.
The Apoplexy of the ovaries increases the risk of adhesions, especially in those cases when therapy was carried out with the help of drugs. That is why such treatment is prescribed to women who do not plan to have children in the future. If we are talking about patients of young age, then the best option is surgery.
Most Often, the apoplexy treated surgically. In this case, is performed laparoscopy. This procedure has many advantages:
The Technique of carrying out largely depends on the form of apoplexy, the volume and speed of blood loss and also some other tissues.
During the rehabilitation period, women are prescribed using special drugs. Moreover, there are various methods of physiotherapy, including electrophoresis lids and zinc, ultrasound therapy, magnetic therapy and electrical stimulation of the fallopian tubes. Such procedures help to prevent the development of variouscomplications, particularly adhesions.
In fact, there is no specific means for the prevention of such diseases. Women are advised to avoid exposure to risk factors. In addition, all gynecological diseases, in particular adnexitis and oophoritis, must be time to treat.
If a woman suffered a painful form of apoplexy of the ovaries, the favorable forecasts — the body is quickly and completely restored. But after the hemorrhagic form of pathology is essential hormone therapy — this will help prevent the recurrence of the disease.
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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."
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