{"id":1072999,"date":"2025-12-16T05:24:02","date_gmt":"2025-12-16T02:24:02","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1072999"},"modified":"2025-12-16T05:24:02","modified_gmt":"2025-12-16T02:24:02","slug":"salpingitele-infectiile-trompelor-uterine","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1072999","title":{"rendered":"Salpingitele, infec\u021biile trompelor uterine"},"content":{"rendered":"<div class=\"entry-content\">\n<div id=\"attachment_317031\" class=\"wp-caption alignright\"><img decoding=\"async\" aria-describedby=\"caption-attachment-317031\" loading=\"lazy\" class=\"size-medium wp-image-317031\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2025\/12\/mares-alina-300x197-1.png\" alt=\"Dr. Alina Mihaela Mare\u0219, medic primar Obstetric\u0103-Ginecologie, Arcadia\" width=\"300\" height=\"197\" title=\"mares-alina-300x197-1\"><\/p>\n<p id=\"caption-attachment-317031\" class=\"wp-caption-text\"><a href=\"https:\/\/www.arcadiamedical.ro\/echipa-medicala\/mares-alina-mihaela\">Dr. Alina Mihaela Mare\u0219<\/a>, medic primar Obstetric\u0103-Ginecologie, <a href=\"http:\/\/www.arcadiamedical.ro\">Arcadia<\/a><\/p>\n<\/div>\n<p>Infec\u021biile trompelor uterine (salpingitele) ocup\u0103 un loc important \u00een patologia ginecologic\u0103, av\u00e2nd <strong>cea mai mare inciden\u021b\u0103 dintre afec\u021biunile inflamatorii pelvine.<\/strong> Afecteaz\u0103 preponderent femeile tinere, de v\u00e2rst\u0103 fertil\u0103, reprezent\u00e2nd unele dintre cele mai frecvente cauze pentru dureri pelvine \u0219i infertilitate.<\/p>\n<p>\u00a0<\/p>\n<p><strong>Care sunt cauzele salpingitelor?<\/strong><\/p>\n<p>\u00cen etiologia salpingitelor, reg\u0103sim agen\u021bii cu transmitere pe cale sexual\u0103 (BTS \u2013 Chlamydia trachomatis, Mycoplasmele\/Ureaplasma, gonococ), \u00eens\u0103 pot fi \u0219i infec\u021bii cu bacterii endogene (Escherichia coli, Klebsiella, Proteus etc.) ascensionate din flora cervico-vaginal\u0103 sau propagate de la organele pelvine adiacente (apendic, intestin).<\/p>\n<p>Dintre <strong>factorii favorizan\u021bi,<\/strong> amintim contactul sexual neprotejat, cu parteneri multipli, dispozitivul intrauterin, menstrua\u021bia, avorturile sau interven\u021biile f\u0103cute \u00een scop diagnostic sau terapeutic (biopsiile endometriale, histerosalpingografia, histeroscopia).<\/p>\n<p>\u00a0<\/p>\n<p><strong>Simptomele salpingitelor<\/strong><\/p>\n<p>Simptomul marcant este, mai ales \u00een formele acute, <strong>durerea pelvin\u0103 localizat\u0103 \u00een etajul subombilical,<\/strong><strong>preponderent \u00een fosele iliace uni sau bilateral,<\/strong> c\u0103reia i se pot asocia <strong>secre\u021bii vaginale purulente, fetide, s\u00e2nger\u0103ri intermenstruale, febr\u0103, frison, grea\u021b\u0103, simptomatologie urinar\u0103.<\/strong> Formele cronice se \u00eenso\u021besc de dureri pelvine persistente, dismenoree, dispareunie sau pot fi paucisimptomatice, diagnosticate la controale de rutin\u0103 sau cu ocazia investiga\u021biilor pentru depistarea cauzelor infertilit\u0103\u021bii.<\/p>\n<p>Simptomatologia \u0219i depistarea factorilor de risc prin anamnez\u0103, examenul clinic genital, investiga\u021biile de laborator (markeri inflamatori, examene bacteriologice ale secre\u021biei vaginale \u0219i cervicale), ecografia pelvin\u0103 \u0219i, \u00een formele complicate, CT pelvin sau laparoscopia, toate concur\u0103 la <strong>stabilirea diagnosticului.<\/strong><\/p>\n<p>\u00a0<\/p>\n<p><strong>Profilaxia salpingitelor<\/strong> vizeaz\u0103 depistarea \u0219i \u00eenl\u0103turarea factorilor favorizan\u021bi prin tratamentul infec\u021biilor cervico-vaginale \u0219i a BTS, educa\u021bie sexual\u0103, identificarea pacientelor cu risc.<\/p>\n<p>\u00a0<\/p>\n<p><strong>Salpingitele: metode de tratament<\/strong><\/p>\n<p><strong>Conduita curativ\u0103<\/strong> const\u0103 \u00een antibioterapie (adaptat\u0103 antibiogramei) \u0219i antiinflamatoare, viz\u00e2nd \u00eentotdeauna \u0219i tratamentul partenerului atunci c\u00e2nd este vorba despre afec\u021biuni cu transmitere sexual\u0103. <strong>Tratamentul chirurgical<\/strong> este rezervat formelor complicate, care nu r\u0103spund la tratamentul medical (piosalpinx, abces tubo-ovarian, pelviperitonit\u0103) sau leziunilor cronice.<\/p>\n<p>Reu\u0219ita vindec\u0103rii depinde de diagnosticul precoce \u0219i instituirea terapiei corecte, \u00eens\u0103, chiar \u0219i a\u0219a, apar frecvent recidive \u0219i cronicizarea infec\u021biei, situa\u021bie \u00een care sunt afectate anatomia \u0219i func\u021bionalitatea trompei uterine, put\u00e2nd s\u0103 apar\u0103 aderen\u021be, obstruc\u021bii ale lumenului sau acumularea de lichid la nivelul trompei (hidrosalpinx). Sechelele sunt cauze pentru sindrom dureros pelvin cronic, infertilitate sau sarcin\u0103 ectopic\u0103.<\/p>\n<p>\u00a0<\/p>\n<p>Deoarece salpingitele sunt afec\u021biuni frecvente, cu un impact important asupra calit\u0103\u021bii vie\u021bii \u0219i a func\u021biei reproductive feminine, este foarte important\u0103 <strong>preven\u021bia \u0219i depistarea factorilor de risc prin controale ginecologice periodice.<\/strong> Pentru programare, ave\u021bi la dispozi\u021bie num\u0103rul de telefon <strong>0232 920, Call Center <\/strong><a href=\"http:\/\/www.arcadiamedical.ro\"><strong>Arcadia<\/strong><\/a><strong>.<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Alina Mihaela Mare\u0219, medic primar Obstetric\u0103-Ginecologie, Arcadia Infec\u021biile trompelor uterine (salpingitele) ocup\u0103 un loc important \u00een patologia ginecologic\u0103, av\u00e2nd cea mai mare inciden\u021b\u0103 dintre afec\u021biunile inflamatorii pelvine. Afecteaz\u0103 preponderent femeile tinere, de v\u00e2rst\u0103 fertil\u0103, reprezent\u00e2nd unele dintre cele mai frecvente cauze pentru dureri pelvine \u0219i infertilitate. \u00a0 Care sunt cauzele salpingitelor? \u00cen etiologia salpingitelor, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1073000,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1072999","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-romania","tag-suceavanews-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1072999","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1072999"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1072999\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/media\/1073000"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1072999"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1072999"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1072999"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}