Treatment of hydrosalpinx: laparoscopy, antibiotics, alternative agents

In addition to antibiotic therapy, much attention is paid to strengthening immune defense. For this purpose, women are prescribed immunomodulators - for example, Tactivine, tincture of Echinacea, Immunal, Imudon, etc., as well as vitamins and physiotherapy procedures. The listed treatment can not completely relieve a woman from the disease, but will significantly improve her well-being and stop the pathological process.

Medications to slow the formation of hydrosalpinx

• Antibiotics for hydrosalpinx :

1. Ampicillin - diluted with novocaine or saline, injected as a / m injections of 0.5 g 4 times a day;
2. Apmioks - take inside two capsules 4 times a day;
3. Ecocephron - take 1-2 capsules 3-4 times a day;
4. Cefotaxime - is administered intramuscularly, at 1000 mg every eight hours;
5. Metronidazole - take 1 tablet up to 4 times a day;
6. Furazolidon - take 2 tablets 4 times a day on the background of the main antibiotic therapy.

To prevent dysbacteriosis, antibiotic therapy is performed against the background of taking antifungal agents and probiotics (Ketoconazole, Lineks, etc.).

• Nonsteroidal anti-inflammatory drugs:

1. Paracetamol - take 500 mg to 4 times a day;
2. Butadione - take 100 mg 2-3 times a day, between meals;
3. Ibuprofen - take 0.4-0.8 g three times a day.

To potentiate the drug effect and to strengthen immunity, the treatment is supplemented with the intake of vitamin remedies.

• Vitamins, immunomodulators and complex vitamin preparations:

1. Ascorbic acid - take 0.5 g per day, daily;
2. Tocopherol - take 0.1 g daily for a couple of weeks;
3. Kokarboksilaza - injected as / m injections of 1-2 ampoules daily;
4. Immunofan - inject intramuscularly one ampoule per day, for three weeks.

• Longidase with hydrosalpine is prescribed because of the ability of the drug to effectively eliminate adhesions in the small pelvis. In addition, Longidasa significantly increases the bioavailability of other medicines. The agent can be used in two ways - in the form of injections and in the form of suppositories. Injections are performed intramuscularly, once every three days, at a dosage of 3 thousand IU. The general course can be from five to fifteen injections. If the doctor appoints suppositories, then they are administered rectally, one suppository every other day. The duration of therapy should be determined individually. The drug is perfectly perceived by the body. Side effects are single: a slight reddening and swelling at the point of injection. Especially often they combine Longidasu with antibiotics. For example, Longidase and Azithromycin with hydrosalpine complement each other, enhancing the effect of treatment: as a result, successfully soluble adhesions, the inflammatory reaction fades away.
• Ceftriaxone with hydrosalpinx helps to avoid purulent complications, abscess, etc. The drug is administered intramuscularly, in a certain individual dosage. Do not use Ceftriaxone in the presence of hypersensitivity to cephalosporins and antibiotics of the penicillin series. Side effects include nausea, thrush development (as a result of antibiotic therapy in general).
• Tsifran with hydrosalpine is prescribed, given the ability of the drug to successfully combat gynecological infectious diseases. Most often, Tsifran is administered orally in a dosage of 500 mg twice a day, regardless of food intake. The duration of the treatment course is about one week. Adverse symptoms are usually mild and manifested by nausea, diarrhea, anorexia, and sometimes allergies.
• Suppositories with hydrosalpinx are prescribed to virtually all patients, the difference is only in the mechanism of action of such forms of drugs. For example, the suppository may have an anti-inflammatory effect (Diclofenac, Betadine), analgesic and spasmolytic effects (indomethacin, papaverine), restorative action (Metiluracil, Dexpanthenol, Longidase), immunomodulating effect (Pyrogenal, suppository with sea-buckthorn). Such drugs can only be prescribed by a doctor. Incorrect use of them can lead to a number of complications: habituation, imbalance of intestinal and vaginal microflora, decreased immunity, burning sensation and pain in the genital tract.
• Ichthyol suppositories with hydrosalpinx are used 1-2 times a day for 10 years (unless the doctor has prescribed another treatment regimen). Such a drug has practically no contraindications (exception - allergy) and has been successfully used for many years to treat salpingitis, endometritis, erosions, colpitis and other gynecological problems. According to the antiseptic effect, ichthyol is equated with Vishnevsky ointment.
• Recently, many sites strongly recommend the use of so-called "Chinese tampons" to treat gynecological problems. Such remedies have allegedly a special therapeutic impregnation, which affects the pathological focus directly at the site of application. It should immediately be noted that such funds in our country are not officially recognized, so it is not necessary to hurry with their application. There are already a lot of cases when Chinese hydrosalpinx tampons have not been cured, but caused a lot of other problems - irritation of the mucosa, bacterial imbalance, colpitis, etc. It will be prudent to make plans for self-treatment and consult a competent doctor.
• Gynecological garlic tampons with hydrosalpinx are made from chopped cloves of garlic and warm water (water with garlic is filtered through gauze). Received vodichkoi moistened homemade gauze swab and injected into the vagina no more than two hours. It is believed that this time is enough for the active substances contained in garlic to have their therapeutic effect. This method has its fans and those who categorically reject it. Indeed, this remedy can cause severe irritation to the mucosa, up to a burn. Therefore, if you decide to use it, you should definitely discuss this with the doctor beforehand.
• Means of contraception - for example, Regulon with hydrosalpinx carries almost no therapeutic-target load. Such drugs are used, both for contraception, and for regulating the monthly cycle, getting rid of endometriosis. On the very fact of hydrosalpinx, these medicines do not influence in any way.
• Sodium thiosulfate with hydrosalpinx can be used for suppuration of the pathological focus - in this case the solution has a pronounced antitoxic effect. Inside appoint 2-3 grams of the drug in the form of 10% solution (interfere with saline solution). Possible intravenous administration (as directed by a doctor).
• Vilprafen in hydrosalpinx is prescribed in the form of antibacterial treatment - in particular, if the patient is contraindicated in certain antibiotic therapy (for example, with allergies to penicillins). Wilprafen take 2-4 tablets per day (for 2-3 sessions). As a rule, the course of therapy does not exceed ten days.
• Biologically active additive Ginekol with hydrosalpinx promotes inhibition of inflammation, potentiates regeneration. The agent takes for three months two tablets a day, in advance consulting with a doctor. Ginekol is not considered a drug, so they take it only against the background of a general treatment.
• Terzhinan with hydrosalpinx acts as a powerful antiseptic and antibacterial agent. Tablets are administered intravaginally, one at a time, 1-2 times a day. Treatment lasts up to 10-20 consecutive days. Terzhinan can not be used simultaneously with aspirin - these drugs do not combine and can lead to complications.
• Cathegel with hydrosalpinex is used topically due to the content of the drug chlorhexidine, which has a strong bactericidal activity. This drug is not intended for self-administration. It is used only by a doctor or specially trained medical staff, according to a predetermined treatment regimen.

Physiotherapeutic treatment

It is possible to use electrophoresis with iodine, magnesium and calcium salts, with enzyme preparations (Lidase, Wobenzym, Trypsin). The procedure is carried out every day on the lower segment of the abdomen. The therapeutic course can include 10-15 sessions.

In the pelvic region, ultraphonophoresis is used - in this case, the use of Lydase, Terrylitin, Hyaluronidase, an oil solution of tocopherol (2-10%), Ichthyol is appropriate. Sometimes prescribed as a medicinal substance ointments, which include Indomethacin, Troxevasin, Heparin. The course of ultraphoonophoresis includes 15 sessions.

Vaginal irrigation is carried out by the method of introducing hydrogen sulphide, nitric, siliceous, radon water. Water is preheated to body temperature. Irrigation is repeated once in two days, and the entire course of therapy includes 12 sessions.

Application of the mud on the lower segment of the abdomen is carried out every other day, about half an hour. The therapeutic course is from 10 to 15 sessions.

Alternative treatment

In addition to the basic therapy prescribed by the doctor, alternative treatment can be used. This will help the body with a vengeance to fight the disease, strengthening the effect of other medicines.

To stop the growth of capsular formation will help potato juice. He is drunk on an empty stomach 30 minutes before each main meal for a couple of months.

Take 1 tsp. Flax seeds, 200 ml of water. Seeds are flooded with water, brought to a boil on a low heat and removed from the fire for infusion. Take the resulting and filtered broth to 100 ml every 2-3 hours.

Potato juice and decoction of flax from hydrosalpinx are considered to be "number one". They can be combined together: in this case, treatment will be even more effective.

Also, many people drink medicine based on St. John's wort. Prepare it this way: first steal 1 tbsp. L. Raw materials in 200 ml of boiling water, insist 1 hour. Then put on the fire, bring to a boil and keep on low heat for a quarter of an hour. After that, the medicine is cooled, filtered and drunk on an empty stomach three times a day for 5 tbsp. L.

Some sources claim the positive effect of hirudotherapy. However, most experts are sure: leeches from hydrosalpinx will not be completely relieved, but will only give a temporary effect. The functionality of the pipes can partially restore only the surgical intervention. However, to improve the regeneration process hirudotherapy is quite acceptable: the procedures are carried out by the course, in a special clinic under the supervision of a doctor.

Vishnevsky's ointment with hydrosalpinx eliminates the adhesion process - the main cause of the onset of the disease. One ointment for successful treatment is not enough: it is also necessary to prepare a medicinal harvest from the same quantities of eucalyptus leaves, chamomile flowers, calendula, and oak bark. Pour boiling water 1 tbsp. L. Collecting, insist for half an hour. Infusion filter and do syringing (the liquid should be warm) at night, and immediately after the procedure should insert inside the vagina swab, treated with Vishnevsky ointment. The tampon is done by hand (the usual purchase will not work) from a sterile bandage and thread. The procedures are repeated daily, for three weeks.

Before starting any independent treatment, you must first get a medical consultation.

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Herbal Treatment

• A good restorative tool in gynecology is considered to be grass sporisha. The medicine from this plant is prepared by this method. Brewed in 1000 ml of boiling water 5 tbsp. L. Sponges, cover with a lid and a warm kerchief and stand for about 40 minutes. Next, the infusion is filtered and drunk throughout the day - for example, instead of tea. Such treatment lasts no less than a month, after which it should be a break 10-14 days.
• Seeds of anise in the amount of 100 grams are mixed with 1 liter of honey, kept for three days at room temperature. Take a drug for 1 tsp. Three times a day before meals.
• A plant of sage is widely known as an excellent anti-inflammatory and regenerating agent. To make a medicine for hydrosalpinx, you need to take 1 tsp. Sage, brew in a glass of boiling water, insist half an hour in a sealed container. The received amount of infusion should be drunk during the day (for example, three times). Such treatment can last until the condition improves.
• The uterus with the hydrosalpinx is used as often as with other gynecological problems. To make the infusion, take 10 g of the plant, brew in boiling water (200 ml) and insist 20 minutes. Consume 1 tbsp. L. Infusion 5 times a day. You can also buy in the pharmacy ready-made alcohol tincture of the hog queen: it is drunk with water, 30 drops three times a day between meals. The course of treatment with the use of a bovine uterus should last for three months.

Homeopathy

The program of homeopathic treatment is selected in the course of individual consultation. During the first few days homeopathic preparations can cause a slight deterioration in the form of headaches, nausea, general weakness. Within a few days, well-being is normalized.

The most widespread are the following means of homeopathy:

• Lachezis - is prescribed for inflammatory processes in the genital area;
• Pulsatilla - strengthens immunity, stabilizes reproductive function;
• Gormel - restores the work of internal sex organs;
• Gynecochel - promotes the restoration of damaged tissues;
• Apis - is used to treat inflammatory processes affecting the pelvic organs.

Homeopathic prescriptions are necessarily combined with the main treatment, as well as with the intake of folic acid, B vitamins, additional sources of magnesium, potassium, and zinc.

Surgery

The surgeon's help is usually recommended for all women with diagnosed hydrosalpinx, who later plan to become pregnant. To date, the main method of surgical access for this disease is laparoscopy. Such a procedure can have several varieties. What exactly to apply to the patient, the doctor decides.

• Tubectomy is a resection of a tube, or two tubes. This is an extreme case when another treatment is not considered.
• Salpingostomy involves creating an opening in the tubes of the uterus to unite them with the abdominal cavity.
• Fimbriolizis is aimed at freeing villi, swabbing from adhesions and getting rid of fluids.
• Salpingoovariolysis is the excision of adhesions in the tube lumen.

Laparoscopy with hydrosalpinx is always the preferred method. This operation is relatively fast, as well as recovery after it. At the same time, the organ structure suffers minimal, which significantly increases the woman's chances of further pregnancy.

The treatment of hydrosalpinks by a laser is referred to physiotherapeutic procedures: such therapy is appropriate if the operation is impossible for some reason. The affected area is affected by laser light - its power is 5-100 W. Thanks to the procedure, the exchange reactions are optimized, spikes are softened, the patient's chances of pregnancy increase.