Ways to treat spike ailments. All about intestinal adhesions

- getting sick, wikklican of the statements of tissue strands between internal organs and worms. Pathology is most often tied to the anterior operation. Symptoms lie in the localization of adhesions and their width. For a hospitable period, beating in the stomach is characteristic, carrying a constipation, bloating, dropping a vice, increased temperature, weakness. Diagnostics of the field in the medical history and scarg, as well as the performed X-ray of the organs black empty, Ultrasound, MRI, laparoscopy. Likuvannya is straightforward for the suppression of symptoms, for the progression of pathology, with frequent aggravations and relapses, an operation is indicated.

Country houses

Spaykova ailment is a pathological camp, the formation of transmucosal tissue growths (adhesions) in a translucent void. The body of people is uniquely vashtovat, at the singing moment of the hour, it includes the mechanisms, which can help the development of important accelerations, rather than be driven into the zagalny camp. With the aim of ensuring healthy organs from small structures near the pathological cavity, tissue is formed. You cannot memorize the function of what is involved, or even allow you to memorize the empty and cleanse the new tissues of pathology. With a handful of fabrics on the fluff, then you can get lost and in some kostenin. So і adhesions take place.

Adhesions in the deep-woven strands, which make the strand open internal organizations... To overtighten the organisms і to flank іх rupture, to cut them out to destroy іх functions, it is not easy to become a reason serious sickness, For example, intestinal laxity or a baby's absence.

cause

Provocative factors, such as the mechanism of spike ailments, can be a disease of internal organs in the event of surgical trauma (in 98% of cases). If you have to admit infection, shelter, drying up the queue before the injuries, then the risik will show the spike of growth.

Start the development of spike ailments can be hit and injured in the abdomen. Stupid mechanical problems are not often supervised by internal bleeding, bruising, damaged lymph flow and exchange of words in the tissues. The blood flow in the spine and the cob is fired with vitriolic inheritance until it spreads out. Spike ailments can also suffer from congenital anomalies and wadi development, chemical words, drugs and side effects.

pathogenesis

The internal organisms of the empty worms are covered with thin leaves of the queue. The normi stench may have a smooth surface and secretion is a small amount of ridin, so that there is only one empty space between the organs of an empty one. Produce a provocative factor until the tissue is loaded and the fibrin nalot appears on the neck. Fibrin - tse gluing the river If you do not carry out adequate therapy in an hour, then when the pathological processes calm down, adhesions are established at the time of gluing.

The process of forming a plant takes place in a series of stages: a collection of vipadi fibrin, then after 2-3 additional cells (fibroblasts) appear on the new one, which secretes collagen fibers. The change in the replacement of fired fabrics will be repaired on the 7th day and will end on 21. During the whole period of growth, it will transform into spikes, capillaries and nerves will grow in them.

Symptoms of spike ailments

Clinical signs of spike ailments lie in the localization of adhesions and the spread of pathology. Illness can be asymptomatic, because there is a rapid and state medical emergency with the need for a term hospitalization at a given surgery.

Inadvertent stays with adhesions are most often associated with intestinal obstruction. In some situations, patients skary on intense bile, tediousness, bloating, increased temperature. Palpation of the abdomen more views Until then, the patient cannot be attributed to the exact location. Zahvoryuvannya infusedє on intestinal peristalsis: it is possible to improve the strength with the development of carrying, navpaki, weakened until again, to produce before constipation appears. Bagatorazovaya bloody razko pogirshu camp of paciєntіv and viklikє vnevodnennya, price to go back to the fall arterial vise, Riskoy weakness and also.

Some of the symptoms of spike ailments may be of a periodic nature, sometimes they are, sometimes they are raptus. In general, the patient has pain in the abdominal area, constipation or diarrhea. Also, there is a weak turn, the development of a small amount of intestinal problems, so to speak about the development of chronic adhesion ailments. Most often, gynecologists are among those who are involved, some of the spike processes can be hostile to the internal statuses of the organization, negatively pouring into the menstrual function and building until the day.

diagnostics

Surgeon can detect spike ailments for an hour first look around a patient with the presence of characteristic scarg, anterior firing incapacitations of organs of black emptying, operative procedures and infectious pathology. DIAGNOSTIC Please visit us for laparoscopy, ultrasound and MSCT of organs of black emptying, roentgenography, electrogastroenterography.

laparoscopy- the most informative method for diagnosing spike ailments. The price for its own essence of micro-operation, as there is a glimpse of small razrіzіv, introduced in them special tools with a camera, as it allows to carry out visualization of internal organs. This is not only a diagnostic procedure: if a problem is detected, it is possible to immediately get involved promptly for the treatment of spike ailments.
Oglyadova radiography of the OChP the great role in staging the diagnosis of spike ailments. The method allows the firing of gas into the deep emptying, the movement of gas into the intestines and the second. Often, it is necessary to carry out a contrasting speech at the end of the week for visualization of intestinal obstruction.
electrogastroenterography MAU on uvazi vimir electrical signals herbal tract pіd hour yogo fast.
Ultrasound and CT scan of organs in empty empty- the exact methods, which allow the significant expansion of adhesions and their width.

Lykuvannya spike ailments

Treatment of spike ailments in the field of conservative and surgical procedures. Conservative therapeutic go directly to the problem of detecting adhesions and negative inheritances, as well as eliminating symptoms. It is promptly involved in the case of non-removable mills, persistent relapses of pathology and frequent aggravations.

conservative therapy

On the cob of conservative treatment of spike ailments in the first place, you can learn more of the symptoms. It is possible to cope with the passage of cleansing cleansing (which is tied with constipation and clogging of gas), heat applied to life, and spasmolytics. The problem of constipation can be violated by signs of special children, waste products, which will stimulate peristalsis (be it abysmal in hunger, it may be vicious as a result of acute pathology). Although it is not supplementary, it is recognized that it is easy to carry drugs and physiotherapy: diathermy, paraffin aplication, electrophoresis, mud.

Patients are guilty of becoming more physically active, they will become ill with muscle spasms, as they suffer more pain. For usunennya bloating, prescribe against bloody preparations, as well as vikoristovuyut internal problems for the knowledge of symptoms of bloating.

surgical treatment

Hіrurgіchnі vruchannya in case of spike ailments to finish folding, before that it stinks on uvazі serious pereoperatsіynu training. Operate the drive more often non-slip mills: The preparation of such patients is shvidkoplinna, albeit povnotsinna. We are sick to overfill plasma, breakdown to sodium chloride, Ringer-Locke, sodium bicarbonate to reduce the symptoms of annealing and normalization of acid-puddling blood. With the method of detoxification, inject salt solutions, rheopolyglucin with prednisolone or hydrocortisone.

There are NOT a few old cicatrices on the skirts from the anterior operation, so as it can lead to an acceleration, the fragments of the intestinal loops are soldered to the cicatrix. Adhesions are seen, add, rosy. Vibir method to lay down a specific situation. If the bowel necrosis is detected, then the area is resected, and the passage of the disease is introduced or a stoma is applied. With adhesions, scho deform the intestine, form a routine anastomosis. Some manipulations are shown when there is a conglomerate of loops, but a little dilenca is resected.

Before the hour of the operation, you can see the main thing from the prevention of recurrence of ill health: to curb wide rozrіzi, to prevent the drying up of leaves of the queue, to carry out a repeated examination of the bleeding і quickly see the shelter, to exclude the object of the parties; do not add dry antiseptics and antibiotics to the wound, for the suturing of vicious polymeric threads.

During the operation, the intra-urethral administration of proteolytic enzymes is shown, the sign of anti-pyretic and antihistamines, the stimulation of peristalsis. It means that surgical maneuvers in 15-20% of cases should be produced before the re-establishment of adhesions, so it should be thought over before the nutrition of therapy.

Forecast and prevention

The prognosis for single adhesions of splendid, altogether numerous tests, victories of negative patches. Zapobіgti development of spike ailments is possible, you can see a number of awkward actions: slid lead correct image Life, povnotsinno and rationally hungry, going in for sports. It is not possible to tolerate a period of trivial hunger, but to be guilty of being overwhelmed by attacks. It is important to follow the regularity of the style, as well as to prevent the poisoning from happening, to carry out the prevention of ill health. shlunkovo-intestinal tract and regular check-ups with a gastroenterologist. There is a lot of reason for the prevention of spike ailments to lie in the competence of the doctor, the technique and the rules of the operation, and the recognition of adequate therapy.

- constipation

- blues

- nudota

spike ailment(Morbus adhaesivus) - a term that is used to get used to the designated stan_s, tied with spikes (half-tissue strands) in the black empty with a number of sickness, often of a fiery nature, for traumatic events during the day.
spike ailments began often in literature from the end of the 19th century and the ear of the 20th century in conjunction with the development of abdominal surgery.

General views about spike ailments

Organize the empty and small pelvis (uterus, uterine tubes, ovaries, chaff, rectum) are covered with a thin blistering shell - a cauliflower. The smoothness of the queue in the back with a small amount of the queue in the black empty space ensures good displacement of the loops of the intestine, uterus, uterine tubes. In addition, in the normal robot intestine, the accumulation of the ovum by the uterine tube does not occur, and the growth of the uterus before the hour of vaginosity does not overshoot the normal robot of the intestine and sectional micuria.

Naybilsh often cause spike ailmentsє inflammation of the wormlike appendage (appendix) and apendectomy (close to 43%), on the other hand there is a discomfort and surgery on the pelvic organs and surgery to drive intestinal imperfections (close to 30%).

Zapalennya queue - peritonitis - is even more difficult to get sick. And it’s not safe, there’s less space in the black empty or in the small basin I’ll start. Ale in organizmі іsnu mechanizm, which intertwines extended peritonitis, is the establishment of adhesions.

During the development of the ignition process in the small basin, the fabrics near the vognischі burned up, and the surface of the quill should be covered with sticky nalot, so that the fibrin (block, which forms the basis of the blood clot) is covered. Pouring fibrin on the surface of the queue in the flare, gluing the suspended surfaces one to one, as a result of which there is a mechanical switch for the extended firing process. The end of the state-of-the-art ignition process in the process of gluing the internal organs can be set up at the sight of the clear-shattered beads. The growth rate is called spikes. The function of adhesions is the destruction of the organism as a result of the broadening of the igneous-ignition process along the cage emptying.

Do not start the ignition process in the black hole until the spikes are established. As soon as the spike ailment was detected, it was done right away and it was done correctly, and the number of adhesions was changed. Adhesions are established only if the process goes over to chronic and starts to grow in an hour.

prophylaxis

For the prevention of spike ailments, patients should be given physical procedures, As the scars are softened and the adhesions loosened up. There can be magnetic procedures, for example, electrophoresis from "Lidaza". Ale the stench will ring out efficiently in the first hour of operation. In a large number of spas, the intestinal imperfections can be increased to new operations... However, in surgery, such a witness, yak gostra kishkova imperfection,і chronic, recurrent... At first, if in obviousness gostra klinika, Symptoms are important, surgery is recommended.

Adhesions can seize normal robotic internal organs. Loss collapse of intestinal loops can lead to intestinal imperfections... Adhesions, scoot uterine tubes, uterus, ovaries, rupture the consumption of ovules into the uterine tube, oversupply sperm through the uterine tubes, develop spermatozoa and ovules, before embryo In gynecology, adhesions can be the cause of pelvic pain.

Diet with spike ailments

Diet for adhesions of intestinal ailments to be taken only in an individual order, unaffected by those who are in the background. So, absolutely all patients are recommended to use a shotgun. Behind him, those who need to be smashed into small portions 5-6 times a day should be taken care of. At the same time, it’s necessary only at the same hour.

Symptoms of spike ailments

The scale of the adhesion process in the cage empty can be different: from the total expansion along the entire surface of the queue to the approval of the extremities (strangs), fixed in 2 points, and the reduction of intestinal loops.

As a rule, the spike process of more bends in the zone of colic operation on organs of the worm. Often, the intestinal loops are soldered to the operative cicatrix or fix to the cicatrices of the operative cicatrix.

For a critical interruption of spike ailments, go for:

gostru,
intermittent,
chronic.

The gostra form is manifested by a rapid or step-by-step development of pain syndrome, peristaltic pain, blues, and temperature. The pain may be of a growing nature.

When blood is prolonged, leukocytosis appears, accelerated SHOE.

With an increase in intestinal imperfection of the vomiting in the place of the small intestine, there are symptoms of a papillae, tachycardia. In razі away zrostannya yavisch non-prohіdnostі sposterіgaєtsya zduttya bowel i vіdsutnіst Yogo peristalsis, znizhuєtsya Dobovo dіurez, rozvivaєtsya arterіalna gіpotenzіya, sposterіgaєtsya tsіanoz, akrotsіanoz, Sprague, sonlivіst, prostratsіya, gіpoproteїnemіya, torn down water obmіnu - spochatku pozaklіtinna and potіm i vnutrіshnoklіtinna degіdratatsіya. The mineral exchange will collapse: the amount of calories and sodium in the blood will go down sharply, so that it manifests itself clinically as a weakness, hypotension, or weakened reflexes. The destruction of the alcohol and water-salt exchange will result in the severity of the sick person and the glybin of intoxication.

With intermittent forms of adhesions, pain attacks occur periodically, the intensity of pain decreases, dyspepsia occurs, discomfort, constipation. Ailments with a common form of spike ailments are hospitalized several times in surgery.

The chronic form of adhesions is manifested by low pain in the abdomen, almost discomfort, constipation, decreased vaginitis and periodic attacks of gastrointestinal imperfection.

Causes of spike ailments

The main reasons for the establishment of spikes:

firing the organs of the small pelvis,
appendicitis,
traumatic (mechanical) surgery of the queue and organs of the black empty and small pelvis,
cheery infusion on the neck,
bloodshed into the empty line,
inflow aliensі emergency intervention on organs of the celiac empty space і small pelvis,
endometriosis.

A common cause for the establishment of adhesions є igniting the pelvic organs. To what? Let's get out at once.

Fiery illnesses of statutory organs occur in 60-65% of all gynecological ailments. I will store the firing of the uterine tubes and yachniks for the pitched wag.

If you get an infection in the uterine tube, do not expect an ignition exudate. There may be an abortion of the state of the art of the mucous membrane of the tubes before the transition to the stage of exudation. At the bagatokh ailments, having settled in the state of the stadia, ill-fated exudat rozmoktutsya. Only in a small part of the ailments of the gostria the ignition process in the uterine tubes should be carried out to the widening of the ignition serous abnormal exudate along all the tubes.

Eksudat, izl_vsh_yysya through the hole of the pipe into the black hole, you can choose the type of reaction - vypadannya fibrin, seal the abdominal opening, and it will be hermetically obliterated in an hour. The matkovo pipe will turn into a closed empty space. With the development of the gn_y process, the pyosalpinx takes shape in it. As soon as the uterine tube is opened, it can become visible, it is possible to drive the exudate into the emptying of the uterus and distant through the name. From the uterine tubes with an exudate and a hematogenous pathway, bacteria can penetrate into the ovary and viciousness of melting (pyovar).

Yak uterine tube, so in the world of accumulation of igniting exudate, it grows in size, with which the tube swells retort-like, and the egg-shaped form. At the slimy obolontsi pipes, the desquamation epithelium and gluing of the protruding surfaces with the installed partitions are promoted. As a result, multi-chamber saccular illumination is formed, in some cases it is stored with serous exudate - hydrosalpinx, in others - with ginny exudate - pyosalpinx. When glued together, and sometimes grown pisalpinx and pivar, capsules can be melted in the grown ones.

The white shell of the ovary and the walls of the uterine tube in the world of hyaluronic acid deposited in them and the growth of fibrous tissue is transformed into the cavity, impenetrable capsules. The price of ignition education (hydrosalpynx, piosalpynx, pyovar, ginny tubo-ovarian puffins) will increase the growth of the pelvic glands, the uterus, the uterine tube, the ovary of the protolezhny side, the omentum, sechovim mikhur and intestines. Osvita non-penetrating capsules for microbes and great growths in the state of the art will play a role, changing the widening of infections. Nadal, after the bend of the exciters in the ignition process, and the impenetrable capsule, absorb the dehydration of the accumulated serous abnormal exudate.

The size of the pelvic elements in case of fired mischiefs has a significant change, the function of the organs (rectum, slash) and the function of the other organs (rectum, slash) and the function of the second one is not deteriorated.

Mechanical (traumatic) pockets of serous membranes, or infusing them with some kind of chemical words (iodine, alcohol, antibiotics, sulfanilamide drugs, talcum and active ingredients).

Adhesions develop when blood is bloody empty, especially when blood is inflamed. In gynecology, the cause of adhesions is often the cause of adhesion є bleeding with post-vaginal vaginosis and with ovarian apoplexy. Experimentally brought the significance of the injury to the spike, cooling or overloading in the development of the spike ailment.

The presence of third parties (servetki, drainage) in the middle of the empty before the hour of operative engagement is also supervised to establish adhesions.

The appearance of a spike ailment develops as a result of such congenital anomalies as the area of growth between intestinal loops (Lane's strands) or growth between parts colon(Membrani Jackson).

In a number of species, the establishment of adhesions has a progressive interruption, the cause of which has not been completely established, due to a general ignition process and the virulence of the microbial flora does not wake up. In cychids, intestinal deformities are diagnosed, normal motility and evacuation of the intestinal cavity break down.

Prevention of adhesions

The main methods for the prevention of adhesions include:

vikonannya operative engagement with gostrich zvoryuvannyah empty organs without coarse drainage and tampons;
production of black emptying, inodі - carrying out a peritoneal dialogue;
Intensive antibiotic therapy in the background and during the operative engagement - with drugs Vibor є antibiotics group tetracycline, cephalosporin, sulfanilamidiv;
zasosuvannya anticoagulants (heparin, fraxiparin), prednizolone with novokain;
stimulation of intestinal motility (proserin);
vikorystannya fibrinolytic drugs (drugs that detect fibrin, near which adhesions are established) - chemotrypsin, trypsin, fibrinolizin, streptokinase, urokinase.

Uwaga! Variety of drugs and treatment schemes can be found in the form of a specific skin type and can be broken with a drug.

Diagnosis of spike ailments

The patient of the spike ailment can be perceived on the basis of the anamnesis (surgery or injuries of a black emptying) and a characteristic clinical picture.

Laparoscopy in most cases is contraindicated.

When blood is reached, leukocytosis, C-reactive block appears, I will accelerate SHOE.

With radiological prediction, it means pneumatization of intestinal loops and equal lengths in them (so called Kloyber's bowls). With the introduction of the barium through the mouth, the contrast suspension is introduced into the intestines, up to the point of the pereshkodi.

X-ray diagnostics of intermittent i chronic form spike ailments should be primed on the appearance of polypositional deformities, non-invisible fixation, change of positioning and contours, growth from the deep organ. The technique of achieving that particularity of the X-ray picture is based on the nature of the path (encirclement, or extensions of the periviscerit), the stage of its variation and localization.

For the detection of adhesions of the small intestine, it is blown out before the introduction of a pressure suspension through a probe, and during pericolitis - before irrigoscopy. postponed operations for a wound to the abdomen, more beautifully vyavlyayutsya when advancing on boats.

Lead the intestinal adhesions to a stiff bowel deformity, the snake position of the loops, the intercourse of the passive and active decay and education of a risky step, In some cases of suprasthenotic enlargement of the intestine, flatulence and damage to the passage of a pressure suspension. The contours of the sound of readiness, unevenness, jagging, with characteristic flaring sounds, change their shape and change in the process of delay, especially with a dose of compression or blown out by gas.

Viclican adhesions of acute abnormalities and ulceration of the intestine add up to a general x-ray picture. When we weld together, we can stick to the suspension loops, we can pretend not to expand until the hour before the so-called "two-barreled". The nature of a similar deformity is more beautiful to start in the minds of the sublayer contrasting of the intestine. At the same time vivchayut the stanchion of the mucous membrane і. elasticity of the bowels, especially in the zone of deformity and distortion of the intestine. The folds of the mucous membrane in some kind of wrinkles want to deform, twist and change very straight or flatten, to quilt on every stretch, not to overwhelm. About the adhesion process, we can also speak of the rigidity of the intestine, as well as the powerfully malignant swelling.

Diagnosis of adhesions in gynecology

It is possible to detect the presence of adhesions in the black empty ones in the patients, in the past they underwent an ignition of the small pelvis, surgical operations on the organs of the small pelvis and the black empty ones, and in women, who are on guard. However tіlki half patsієntok of nayavnіstyu bіlshe dvoh faktorіv riziku rozvitku peredayutsya statevim Shlyakhov in anamnezі adhesions viyavlyayutsya pid hour laparoskopії (operatsії, vchasno yakoї in perednіy cherevnіy stіntsі roblyat nevelikі opened through SSMSC insertion optichny priladit scho dozvolyaє look porozhninu, i spetsіalnі hіrurgіchnі іnstrumenti ).

The gynecological insight allows to allow for the manifestation of the adhesion process in the black empty space at 75%.

Lack of uterine tubes due to hysterosalpingography data (a contrast line is inserted into the uterus, radiological signs are violated) ultrasound dosage with a great degree of vitality, in order to be clearly transmitted by a state road, the progression of the uterine tubes does not allow the appearance of adhesions, but quite often the vaginosity is overwhelmed.

Due to ultrasound detection, it is not possible to reliably reveal the presence of small pelvic adhesions.

The method of nuclear magnetic resonance seems to be even more promising in diagnostics and is transmitted by the state path on the current day. For the help of this method, one can gain signs that represent the "camp of the right" in the rіzni rіvnya.

The main method of diagnostics is the method of laparoscopy. Vin allows not only to detect the manifestation of spikes and assess the severity of being transmitted by a state path, or to carry out a treatment.

There are three stages to be passed on by way of laparoscopic data:

Stage I: adhesions spread around the uterine tube, ovary, or in the іnshіy area, or do not seize the accumulated ovum;
Stage II: adhesions spread between the uterine tube and cell or between organs and other structures and may seize the accumulated ovum;
Stage III: there is either a torsion of the uterine tube, or a blockage by adhesions, or blockade dumping of ovules.

Lykuvannya spike ailments

Lіkuvannya, in fallowness, it is shown, it can be conservative or operative.

Shown before the operation can be diagnosed in case of a severe attack of adhesions of intestinal obstruction (ekstrina abo terminova operation) or in case of recurrent interruption of adhesions (planned operation). In the case of an extraordinary operation, the growth of adhesions is violated, resection of the necrotic intestine. In case of chronic forms of spike ailments, use the Noble operation or modification.

It is practically unwise to transfer the spike ailment with a broach. With frequent relapses of spike ailments, ailments may be delayed. The prognosis is greater with solitary adhesions.

In gynecology, the head method of treatment is transmitted by the state path є laparoscopy. For the additional help of special micro-manipulators, adhesiolizis is carried out - the development and visualization of adhesions. Adgeolizis is carried out by the following methods:

laser therapy - the development of adhesions behind the laser);
akvadissekts_ya - the distribution of spikes with additional water, yak to be fed with a grip;
elektrohirurgiya - the development of spikes with the help of an electric knife.

Before an hour of laparoscopy for the prevention of the establishment of new surgical adhesions, the following methods should be adopted:

introduced into the open space between the anatomical structures of the small bar'ernyh ridin (dextran, povidin, mineral oils and in.); okutivan_e uterine tubes and cells with special polydimensional dewlap.

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Intestines growth or "adhesions" - tse serious pathology Tastes such as can be threatening for life. Through adhesions, intestinal laxity, peritonitis can develop. Defective blood loss on aphids is transmitted by a statute pathway, and will clog up intestinal tissue necrosis, which can be shown to a visible part of the intestine. Lyudin can become an invalid. It is even more important for the nobility of the symptoms of spike ailment of the intestine, especially for those who have recently had to undergo surgical treatment of pathologies of abdominal emptying. About those who also have adhesions, like suspecting their manifestation and not allowing acceleration, read the article.

What are the spikes?

Those who call our doctors "spike", European doctors call them "adhesions" Intestinal adhesions are the result of scarring with good fabrics mіzh loops і okremimy dіlyankas і small intestine, as well as rostasovany hand organs. The intestines, adhesions can be spiked in other organs of the black empty, for example, in the mat, yuchniki, chewing mushroom.

On a note: adhesions of intestinal ailments with a leaky ICD code 10 Up to 56.5.

Reasons and mechanism of development of pathology

Empty kernels from the middle і organi, roztashovanі in nіy, in normі pokritі with leaves of a queue. Tse zapobіgaє angry organs one by one. When the integrity of the tissue of the queue is damaged, the processes are launched in the body, which are straightened on the backbone. At the mice of the fabrication of fabrics, the approval of the resulting fabrics is obtained. One hour, one sees the speeches, which are guilty, and I will receive the fabric from the fact that the earning of the ear will be seen. This process is called fibrinolysis. As far as not to be seen, it is more possible to establish adhesions.

The main cause of spike ailments of the intestine is the carrying out of operations in the cherevniy empty. According to statistics, 85% of patients who underwent surgery on the intestines, in which adhesions were established. During laparotomy, 93-95% of patients develop spike ailments. When the appendix is visible in the fourth patient's skin, the first rock is drawn through the operation and the development is transferred by the body path into the intestine. By the end of 3 rocks, adhesions appear in the skin of another operated patient. In females who underwent an operative treatment of gynecological pathologies, in 70% of cases, the growth of intestinal loops and uterus or ovaries was observed. Alle not only earlier, the surgery was not carried out before the development of the spike ailment. Approximately 15% of cases of pathology show up with a condition in people who have not undergone surgery.

Osvita spike pislya surgical engagement I will explain tim, scho:

during the operation, the integrity of the tissue of the queue and organs will be destroyed;
mucous organs during the hour of the operation are hot;
tissues of organs in a wormless empty space are in contact with foreign objects: surgical instruments and materials, the hands of a surgeon;
on the operative organs, blood clots become clotted or follow the blood.

In addition to surgical intervention, intestinal adhesions can be diagnosed through:

severe and severe abdominal injuries, as a result of which it can lead to a loss of internal organs and an ear of bleeding;
ignited sickness of organs of the black empty: adnexitis, enteritis, endometriosis;
congenital anomalies in the development of organs: the appearance of Lane's strands, Jackson's membranes;
Back to the intensive establishment of the resulting tissue and / or disruption of the process of secretion of enzymes, which leads to the development of the process;
decaying schilosity (as a rule, in humans, adhesions appear not only in the intestines, but on the other organs of the black empty).

V childish spike ailment of the intestine, as a rule, becomes a common abnormality of its development. Tse may buti intestinal atresia, podovzhennya sigmoid colon(Dolichosigma), abnormal swelling of the colon and other pathology.

What is the diagnosis of adhesions in the intestine?

Do not expect a spike ailment to develop symptoms. For some people, they have no symptoms. All lay down from the growth of growth and development. As the adhesions are thin and elastic, people may not feel the discomfort due to their manifestation. On the right - comrades and wide strands with great blood-bearing vessels. Їх formulation does not become incomprehensible і give nobility about oneself by the manifestation of a number of symptoms.

Most often, patients skarzhitsya on pulling, any pain in the abdomen and pelvis. An operation was carried out earlier than the bull, ill-feeling will be localized in the area of the scar. More pain relief physical options for stressing the muscles of the abdomen, as well as sending it to the patient.

In the adhesion process, signs of dyspepsia are found: nudity, pain in the abdomen, breakdown of the style, flatulence, and more severe abdominal pain, gurgling, and intracranial pressure. If adhesions ruin the intestinal passages, there may be a prolonged constipation, in case of dyspeptic symptoms it will only be possible. With chronic spike ailments in humans, there is a decrease in vagi.

What are the necessary adhesions?

Poor pathology cannot be underestimated. Those who have found and are not safe adhesions, lie in all kinds of ways, as much as possible. For example, adhesion of the intestine and uterus can provoke secondary dysmenorrhea. When the growth is established between the loops of the intestine and the uterine tubes or the ovary of the woman, it can be difficult when trying to get started.

The presence of adhesions increases the risk of bleeding during operations in the middle of the drain.

Ale the best I am not safe for adhesions is intestinal imperfection. Through the strand of the intestine, you can twist, bend it so that it will enlighten you. With the development of intestinal imperfections in the place of the intestine, it ceases to be oversaturated in a new part of the order. As it develops more poorly, the ailing needs a term surgical operation. Through the twisting of the intestine, blood circulation in niy zupinyaєtsya, which leads to necrosis and development of peritonitis. Symptoms of intestinal laxity: bile and spasms in the intestines, swelling of the style, bloating, abdominal swelling, cold food, low vice.

methods of therapy

For the diagnosis of pathology, the method of laparoscopy, colonoscopy and radiography of the intestine with contrasting speech is used. In the quality of the pre-production dosage, the ultrasonic inspection of the black empty is designated. A gastroenterologist will take care of ailments. Until new and it is necessary to turn around, having suspected a pathology.

In case of severe symptoms of ill health, treatment should be carried out hirurgic path... It is a pity that the medications didn’t create a “rosirvati” appearance, especially since the stench has been established for a long time and the structure has been damaged. Before the hour of the operation, the surgery is to rob the abdomen, when the adhesions are removed from the intestine, the adhesions are dissected with a scalpel. With innumerable strands, you can use the laparoscopic method.

Important! The operation is not a guarantor, but in a future patient you will not be caught up in the problem again. Approximately 4 individuals in 10 years of operation of the intestine have grown up again.

As soon as the adhesions are taken, the number is small, and the stench does not cause any discomfort, the treatment can be carried out for additional physiotherapeutic methods, massage, hirudotherapy, herbs, compressions. So as adhesions can provoke the development of intestinal imperfections, with adhesions of the intestine, it is important to take a child.

dietotherapy

Fakhіvtsі recommend to the patients with the part-time impassability before the slag-free children. Vona is surrounded by vzhivannya products, so you can take a large number of cakes: cereals, fresh vegetables, whole grains, fruits. In the menu, reload fermented milk products(Yoghurt, kefir, sour milk), puddings, jellies, cream soups, meat and ribs soufflé, cutlets, bouilloni.

Such a race cannot be finished for a trivial hour, since the body can perceive the failure of singing microorganisms. However, also eating for adhesions of intestinal ailments with a decrease in the amount of feces and a failure to diagnose unacceptable symptoms of intestinal laxity.

it is impossible to pass;
It is necessary often, but not to blame for being great;
trivial hunger is not safe, it won’t cause intestinal motility to deteriorate;
the supper is guilty of being light;
during the day it is required to drink a minimum of 2 liters of water;
vrantsi natschesertse corynno vipivati a bottle of pure warm water.

In addition, the menu for spike ailments of the intestine is guilty of viklyuchaty products, which consumes the scraps of style: rice, unripe persimmon, stale kefir, good vipichka, manna porridge, chornytsya. Їх need to be included in the rating, or if you want to reduce the number of times.

Do not underestimate the seriousness of the pathology. There might be a lot of good things to do. To that, when you are growing up, you need to turn to the doctor for help. If the diagnosis is confirmed, it is important to check all the recommendations of the gastroenterologist, so that you can successfully treat the ailment.

Ear of adhesion of small intestine loops

promptly vikonannya operative engagement in case of hospitality incapacitation of organs of black emptying without storing coarse drains and tampons;
production of black emptying, inodі - carrying out peritoneal dialysis;
Intensive antibiotic therapy in the background and during the operative engagement - with drugs Vibor є antibiotics group tetracycline, cephalosporin, sulfanilamidiv;
zasosuvannya anticoagulants (heparin, fraxiparin), prednizolone with novokain;
stimulation of intestinal motility (proserin);
vikorystannya fibrinolytic drugs (drugs that detect fibrin, near which adhesions are established) - chymotrypsin, trypsin, fibrinolizin, streptokinase, urokinase.

Indicators of electrogastroenterograms in an ailing spike ailment

Інші urage of a queue (K66)

Viklyucheni: adhesions [growth]:

pelvis in women (N73.6)
intestinal obstruction (K56.5)

The Russian International Classification of ailments of the 10th glance (ICD-10) has adopted a single normative document for the incidence of illness, the reasons for the infestation of the population in medical mortgage of all households, causes of death.

ICD-10 was introduced into the practice of protecting health in the entire territory of the Russian Federation in 1999 by the order of the Ministry of Health of Ukraine dated 27.05.97. No. 170

A new look (ICD-11) is planned by WHO in 2017 2018 roci.

From the changes and additions of the VOOZ rr.

Processing and transfer zmin © mkb-10.com

spike ailment

In the norm, all organisms and the very stems of black empty may have a smooth, slimy surface. Tse zapobіgaє angry organs and will secure freedom of ruch.

Spaykov's ailment of black waste

Tse stan, with internal organisms and fabrics, they grow between themselves with smugs with a full tissue (fibrous smugs, or adhesions). Growth can be a kind of heavy, one with vessels and nerves, and can be thin membranes. Adhesions will ruin the rupture of organs, persh for all the intestines, tying them with semi-tissue "mistki". The stench can be detected between the loops of the small intestine, in the area of the liver, gum, uterus and uterine tubes, eggs, chaff, ocherevin.

Causes of spike ailments

The most common reason is the operation of the organs of the dead body. Adhesions occur in 93% of surgical cases. As the operation was carried out in the area of the small pelvis with the lesions of the intestines and the uterus with the appendages, then the risik was determined by the adhesions of growth. The process of increasing and decreasing adhesions can be dozens of rockets.

There are reasons to provoke the approval of spikes:

ear for internal organs;
hanging of the surface of internal organs before the hour of surgery;
contact of internal fabrics with foreign objects, such as gauze, surgical mittens, seam material, tools;
Shelter, lousy fabrics or thrombi, foreign bodies, in general, for the first time during the operation.

I will also become a reason for not being tied to surgical entrances without a mediocrity:

cutting the appendix, zhovchny mіkhur;
exchange therapy;
gynecological infections;
Infectious diseases of organs of empty waste;
injuries.

In 4.7% of cases, adhesions are formed, and their form is seen before the hour of organ laying.

In rare cases, adhesions can be found for no apparent reason.

Code for MKH-10

Kodi is ill, according to the classification:

K66.0 - Cauliflower adhesions
N73.6 - Pelvic peritoneal adhesions in women
T99.4 - Pislyoperative adhesions in the small pelvis
Q43.3 - Congenital anomalies of intestinal fixation.

Symptoms of spike ailments

The name of the spike ailment is asymptomatic. It is early for a patient to skip for post-pain (chronic pain syndrome) or for discomfort in the abdomen.

Pain with adhesions

Often there is a belly button, an attack like, spastic character. Unsatisfactory abdominal pain, flatulence.

Patients with disabilities have post-vaginal vaginosity. Osvita adhesions without a middle in the matrix can lead to a snazzy innocence vaginosti.

It can also develop without problems in women or intestinal imperfections.

Intestinal imperfection with adhesions

Stan vimag of non-secret medical aid, most often - operations. Terminova consultation of the doctor is necessary, even if the patient has, if something in life was promptly transferred to the patient, if he was burnt in a black empty, the following symptoms appeared:

strong cramping character in the stomach
blues nudity
flatulence, fast bowel movements, where there are sounds (gurgling, transfusion)
increase in size of the abdomen
unkindness of defecation or undesirability of drinking gas
constipation, so that defecation is more than three times a day. The process of defecation can be painful.

Diagnosis of spike ailments

Unfortunately, adhesions can be detected by laboratory analyzes or by standard visualization methods (X-ray, ultrasound).

Accurate diagnostics of spike ailments should be carried out only with visual inspection of a black empty during an hour of laparoscopy or an open operation on a black empty.

X-ray and computer tomography (CT) may be helpful in diagnosing intestinal impairment.

Lykuvannya spike ailments

If adhesions do not appear and do not suffer any symptoms, then they will not be needed.

Hirurgic operation - single effective method lykuvannya. show:

pain syndrome;
bezpliddya;
intestinal imperfection; in case of increased intestinal imperfections, the operation is obov'yazkov, in case of partial problems, conservative methods may be helpful.

However, the repeated operation is meaningfully advancing the establishment of new spikes.

Likuvannya of spike ailments with folk zasob

The great clerical preludes to the folk methods did not evolve. By such a rank, the efficiency of them is not approved, ale і is not reasoned.

Diet with spike ailments

Doslіdzhennya didn’t viyavili, scho kharchuvannya, dієta abo yakіs okremі lively speeches play a role in the prevention of adhesions. As soon as a small part of the intestine is diagnosed with a lack of integrity, then there is a sense of improvement in the life of a child and less than a child. For more advice on food, better clean it up from the doctor.

forecast

The spike ailment itself is not a wicked scarg, it is asymptomatic and not severe. Nezpechny accelerated. In the given hour of methods, it is possible to see all adhesions, not іsnі. Likewise, there is no ideal method of treatment, even if it is necessary to continue the development of new therapy options.

Prevention of adhesions

Zakvoryuvannya smoothly zapobіgti povnіstu, otherwise it is possible to reduce yogo risik. For the whole during the operation, it is possible to change the low-traumatic laparoscopic method. If the operation is not sparing and requires a wide rozrіz on the cherevnіy stіntsі, then in the end the installation of special material between the organs and the organs and the cranial wall is needed. Tsei material similar to waxing papyr and more and more wiping out with a stretch of tension, wiping the surface of the organs and not giving the resulting tissue between the organs.

Інші methods of prevention of adhesions of the intestine and organs of the small pelvis before the hour of the operation є are generalized:

vicorystannya mitt, which are not chipped with starch and talcum powder
acurate і dbaylivne poozhdeniya s organs
fast hour of operation
relieve bleeding
vicorianna of loose tampons and servet
adequately sucking physiological for growing organs with the meta of growth.

The visits of prophylaxis during the operation take into account the early activation of the sick person (early getting up) and the dizzy gymnastics.

Spaykov's ailment of black emptying: code for MKH-10, symptoms, lіkuvannya, dіeta, folk zasobi

A spike ailment is called a pathological stun, an enlargement of the diagnoses of schilny trans-tissue structures (strains), and of the cauliflower and internal organs.

Postage before the development of spike ailments can be all the burning and traumatic ear of the queue, as well as surgical operations on the organs of the black emptying.

Osvita adhesions є zachisnoy reactionary organism, how to magnetize the health of organisms from small structures by the way of forming a white sticky nalot with a high vigorous fibrin.

The head signs of the tacky connective tissue floss є gluing the susceptible surfaces, which additionally helps to encircle the battle zone. In the world of calming down, the ignition process in the mice has formed a gluing, it can be established that a larger structure is established - a heavy one, which connects the neck with the internal organs.

Overtightening and rather intertwining with the collapse of internal organs and blood-bearing vices of the quill, adhesions every hour more and more shrink and shrink, flare up for the diagnosis ill-gotten sick, Scho end, for example, women without children for general intestinal imperfections.

The ignition process in the black hole is not expected to lead to the detection of spikes. As often as possible, a complex of prophylactic visits, directed to the spike ailments, can be uniquely identified.

form

The following can be found in the ethology of the diagnosis of Spaykov Hvoroba:

Vrodzhenoy. Riddling types of other pathologies are present in the form of growth between the loops of the colon (Jackson's membranes) or the area of the small intestine (the so-called Lane's strands).
Pridbanoi. It develops as a result of surgical operations, igniting the disease of the ovary (peritonitis, visceritis, peri-processes of internal organs), as well as traumatic ear surgery, which is superimposed on the hemorrhage.

Features key overrun allow you to see three main forms of spike ailments:

gostru, scho supravodzhuєtsya yaskravoy symptomatology of intestinal imperfections;
intermittent, so that it can be heard more quietly;
chronic, which is characterized by cherguvannya period in every day key manifestations and aggravation of ailments.

Code for MKH-10

In the last version of the international classification of ailments (ICD-10), the adhesions of the black emptying are brought up to the XI class, which are aloof for ailments of etching organs.

At razdіlі "Інші urazhennya queue" (pіd code К66. 0) about'єdnanі adhesions:

Peritoneal adhesions in females that are localized in the pelvic area, during the period up to the XIV class, including ailments sectional system, Під code N73.6. For pislyoperative peritoneal pelvic adhesions in female entrapment, code N99.4.

It is common knowledge of the spike ailment to appear at once up to two classes. Pidstavuyu for seeing adhesions of the small pelvis in the vicinity of the category є firing urazhennya feminine organs.

cause sickness

There is a great number of reasons, which provoke the development of new routes, are transmitted by a state road.

In one moment, all of the reasons are common, the end result is the loss of tissue and organs of black emptying (the type of waste in this particular type is not meaningful).

The factories, which should be used for the sake of goodness, are divided into three groups.

Mechanical emptying, which leads to internal bleeding, bruising, damaged speech and lymph flow in the structures of damaged tissues, can be seen in the result:

prompt engagement;
strong blows;
all kinds of drops (on solid objects, for example);
kulovikh wounds;
stabbing wounds.

A group of ignorant illnesses, who are ready to lead to the diagnosis of spike ailments, are represented by:

appendicitis (inflammation of the appendix);
colitis (inflamed intestines);
enteritis (inflamed small intestine);
oophoritis and salpingitis (inflamed uterine tubes and appendages);
cholecystitis

Chemically injured organs in a black empty can be eliminated as a result of:

to cut through the slunker - the most insecure acceleration swirling ailments, Scho end to drink in the empty hole instead of the shlunk і concentrated shlunk juice;
an important prevention of pancreatitis, which leads to the growth of specific enzymes along all the worms;
Poor or acidic opіkіv, taken from the occasional abnormal acidic implantation of acids and meadows;
Razryvnogo mіkhura with the inevitable vilitam zhovchі.

To achieve a widespread cause of adhesions to adhesions in the area of the pelvic organs and intestines є the manifestation of a chronic ignition process in the statues of the female organs.

The accessibility of the general ailment of the field is due to the fact that, through the blurring of the clinical manifestations of the wine, they can pass through the stretches of rocky rock, leading to non-gated snakes, which can help those who have no trouble.

In rare cases, the adhesion process can be a common internal uterine fluid development and congenital anomalies.

Symptoms of spike ailment

The peculiarities of the clinical break of the spike ailment are not necessarily tied to the form of the pathological process.

Gostra form must be repaired quickly. The sick person has severe pain in the abdomen. At the same time, the peristalsis of the intestine can develop, and the bloating develops and the temperature increases. Zagalny analysis of blood, taken at a time, even for the manifestation of leukocytosis and increased frequency of accumulation of erythrocytes.

In the world of the growth of intestinal imperfections, ailments are suffering from:

Postynoy spragi.
Of frequent attacks on blues small intestine, Then - slunk juiceі zhovchyu). Blues, which do not bring lulling, leave a feeling of heaviness in the stomach.
Takhіkardії.
Discomfort caused by intestinal obstruction.
Arterial hypertension.

Krim perakhovannyh vische manifested in the next meaning:

cyanosis of shkiri, tight lips, in the shells, Fingers on hands and feet, nose tip;
galmuvannya of clever reflections;
Significantly lowering the obsyagu slash, wobbling with nirkas with a stretch of dobi (dobovogodiuresu).

When palpation of the abdomen, the patient sees gostry bil, You cannot install the localization of which win.

Intermittent form of spike ailment is characterized by periodic pain. For the formation of ailments, a complex of dyspeptic disorders is characteristic of the formation of ailments. advanced gas purification, The appearance of oversubstance of the slunk) and the sutta of the intestinal peristalsis. For some of the children, if they do, they will lead to the inconvenience, for those who are weak, they will get constipated.

For the chronic form of adhesions, the manifestation of weakly swelling clinical manifestations is characteristic: no painі finish off minor intestinal problems.

As a rule, such a form is known as a spike process, which affects the female organisms. Head of yogo nebezpeka polyagaє in negative injections on the form menstrual cycle and health before the people of children.

diagnostic methods

The suspicion of the sensation is transmitted by the state path of the surgeries' announcements, possibly at the stage of the primary patient.

For adolescents, there is a possibility:

a whole complex of characteristic skargs;
the earlier transfer of the burning sickness of the organs of the black empty;
healthy surgical engagement;
infectious pathologies.

To establish an accurate diagnosis, it is necessary to carry out a number of instrumental tests:

Ultrasonic inspection of organs in the worms empty. The main value of the diagnostic procedure of the field in the possibility of detection is transmitted by the state path at the last report stage, which will often reduce the treatment of ailments and reduce the prognosis. In the development of the event, it is transmitted by the state road to the big new stage The development of ultrasonic scanning allows for the precise localization of tissue strands and their width.
Laparoscopy - a procedure for diagnosing a glance at the end of the line behind the additional optical system of a laparoscope - an adjunct introduced into the patient's body through small punctures in the anterior abdominal wall. Endovidocamera, mounted in a laparoscope, transferring the image to a special monitor, equipping with the function of bagatorazovogo sbіlshennya, to that the visit of the laparoscopy goes to the control of the zoru. The main advantage of the diagnostic procedure is low trauma and the ability to diagnose without gluttony. If necessary, the diagnostic laparoscopy can be easily transformed into a therapeutic procedure: if adhesions are found, surgery can be performed according to their use.
MSCT (multispiral computer tomography) Organs of the worm empty, which allows you to trim the two- and trivial images of the internal organs, for the help of which it is possible to determine whether a new solution is to be found.
Ogladovoy radiography of a black emptying is a diagnostic technique, which is of great importance in staging an accurate diagnosis of spike ailment. X-ray signs, removed during the procedure, can reveal the presence of gas in the intestine, this condition, as well as the presence of an ignition exudate in black emptying. In the case of the degree of intestinal imperfections, X-ray diffraction is not often detected due to the presence of X-ray contrast speech - suspension of sulfate barium.

Electrogastroenterography - electrophysiological preliminaries of slunk peristalsis by means of reconstruction of slunk biopotentials. For healthy procedures, electrodes should be implanted into the wall of the shlunk, or up to the shinny curves of the anterior wall of the abdomen.

Koduvannya spike ailments according to ICD 10

Spike ailment is characterized by adhesions in the eyes of the strands from the full tissue in the black empty, so that the organism experiences a specific reaction for the interconnection of the zone and the extension of the pathological process.

For spikov's surgery for ailment according to ICD 10 maє code K66.0, which is a viznacha ethological factor, Pathological signs and breadth. A heading is given in the International Classification of Ailments 10 to look at the information about the single unified protocol of diagnostics, treatment and preventive visits from the drive of the most severe and chronic intestinal transmission to the state gate. For the patient's management with the appearance of tissue strains in the middle of the empty space, the doctor vikoristovuyut local protocols, as there may be some evidence for the skin, almost taken out of the pledge.

Ethiology

Spike ailment of the black emptying or of the small pelvis in a large number of cases is zoomed by the same ethiotropic factors. So, the main reasons for failing are seeing offensive:

mechanical handling of black emptying;
trivial ignite;
chronic incapacitation of organs of the sechostatic system on aphids of rheumatic diseases in the blood warehouse;
hirurgic engagement, or injecting third-party files on the internal organisms;
gostry appendicitis.

Gostra form of pathology in the hospital emergency hospital.

Spaykov's ailment of black emptying: symptoms and lіkuvannya

Spaykova's ailment is a constant companion of any operatives involved in a black empty space. The variability of symptoms is due to the severity and the broadening of the process. It can be asymptomatic, so it can bring significant discomfort to the patient. Deyak vcheni vvazayut, so abdominal surgery in 100% of cases of superficial adhesions, but in the furthest part of adhesions self-relieving.

Symptoms of a congenital are seen to be transmitted by a state path, which appears in newborns, who were not previously given to surgical involvement.

Laparoscopy is a new factor, increasing the number of spike ailments.

Mechanism of development of spike ailments

Ocherevina, scho pokriva organo black empty, has the power of vіdmezhovuvati zon and pozhkojennya. So, for example, it is seen in case of uncaptured appendicitis, the ocular adhered to the zone and ignited and applied to the empty space - appendicular infiltration. You may be asked if promptly- stitch of sticksє:

to mіsts rozrіzu;
to the operable organ;
to the zoni zapalennya.

At the stage of widening ignition processes, if chronically ignited in black empty spaces, especially Infectious diseases uterine tubes and uterine cells, the ovule diffusely adheres to all organs, damaging their growth and normal functioning. Nadal adhesions were made to shrink and shuffle, and even more wry and perturbed were consumed by organisms and textiles in them. At the same time, it’s healthy to liven up organisms і fabrics, sudin. Normal blood flow will break down and develop more sour hunger, which is the cause of pain in the abdomen with adhesions. Likewise, as a result of hypoxia and ulceration of the intestine, the collapse feces, Scho, in his own devil, to bring up to permanent constipation. And in an extreme fall, you can lead to the development of such a dreadful camp, like intestinal imperfection.

International classifier of ailments ICD-10 vidіlyaє okremo spike ailment of black emptying and spike ailment of a small pelvis. On the whole, it’s just a little sick, like the malium pelvis is also partly empty. Quite ailments are seen in the vicinity of the category, which is the reason for the adhesions, most often, firing up sickness of female statues.

cause

The reasons for the development are conveyed by a state-of-the-art path, but only one thing - all the stinks are produced before the organs or fabrics are black and empty, just because of that kind of process.

Mechanical injuries of the worms:

hitting, falling from visoti, falling on a solid object;
stab-lacerated wounds;
culpable injury;
surgical operations;

Chemistry school:

opіk with acids or meadows with vipadkovy abnormal implantation;
digging the slunker with the exit into the empty hole of the sour slunker vm_stu;
important pancreatitis with pancreatic enzymes on black empty;
razryvnoy mіkhura z vilityam zhovchi.

Fired up sick:

the appendix (appendicitis);
zhovchny mіkhura (cholecystitis);
small intestine (enteritis);
small intestine (colitis);
pipes and appendages (salpingitis, oophoritis).

A frequent reason for the development of adhesions ailments near the intestines and organs of the small pelvis is a chronic ignition process in the female organs. So, in case of low symptoms and, apparently, a trivial interruption, it can be brought to a swiveling and often nonvolatile process right up to the point of failure.

Suputnі factories - deterioration of food of a sick person, diabetics, third-party materials in the early.

Classification

For ICD-10, the spikes of the black empty are added:

Occurring adhesions (K66.0), which include:

abdominal (stink) adhesions;
diaphragm adhesions;
intestinal adhesions;
pelvic adhesions in choloviks;
adhesions of the small and abnormal intestines
gland adhesions;
shlun adhesions.

Peritoneal ignition adhesions in female pelvis (N73.6).
Pislyoperative adhesions in the small pelvis (N99.4).

The whole picture of the ailment can be described by the three skarg, which includes the onset of symptoms:

Obviously, not all of us see the man at once. Falsely as a result of the growth of a pathological process, as well as the triviality of adhesion ailments, and symptoms may occur in recent days. Symptoms do not occur, but only when they occur during the last few days, for example, in women when they are older than the drive.

Ailments in the stomach are seen through those who see a heel or a bleeding of the intestine. The intestine peristalts and fights against the illness. Bіl eagerly trivial. Adzhe adhesions are made step by step. If adhesions squeeze the intestine, then intestinal obstruction will be repaired. Bіl a collection of the deaf, vіddalena, ale from the old gostra, the development is alive. It can also be localized in the singularity of the abdomen, or on all surfaces. If you don’t go for medical assistance at all times, then you will see an increase in the pathological process and become unbearable. The fear of death appears. Let everything calm down. This means that all the nerves are finished, and the processes have failed.

So as the intestines are prodovzhu pratsyuvati, and the penetration of the internal vidbuvaa through the pereshkodi, then it will be manifested by blues, constipation and flatulence. If the spike ailment pokes into the small intestine, then the first symptom at once will be bluish. If the pathological process is interrupted by your intestine, then everything will be repaired for constipation.

Bluvota can be butti ryasna, bagatorazova. Before the warehouse of blooming masses, there should be a lot of products, which are in advance, then slunk and intestinal juices, gum. Blues do not bring lulling. To feel heavy in the stomach. Nudota never leaves for khvili. The act of bloating ailments, therefore, antiperistaltic ailments sniff out the dilens of non-effervescent intestines, such as to ache with greater intensity.

With constipation, people stuck in haunted life... Tom on the cob with a spike ailment of a lyudin on the tse is not a beast of proper respect. Kozhen thinks, you will go through everything by itself. Ale lock it up with spike ailments, don't just lock it up! The adhesions are getting bigger and bigger, tying up the intestines, like pavutin. Tse porushuє th robot. kharchovy masi to be found in the intestines of malfunctions and to fix blukati. To create a great number of gases to the approval, as it is also impossible to be named. There is an increase in the intestines and abdomen. The intestine is stretched out, which is also the case with a sickly feeling. The ailment is going to go to the toilet as productively as possible, a vicious spike pidhodiv. Ale everything is marno. Lіkuvannya by passing і clisms may not be supplemented. Navpaki, you can mess up the situation.

Spike ailment can catch the organ of the small pelvis. In this kind of symptoms, there may be three types of symptoms. The price is typical for women who have undergone operations in the whole region and often become ill with fiery incapacitation of statues of their organs. In the small basin of females there is a uterus, uterine tube and cells. The stench can get lost before the process. Adzhe adhesions do not vibrate whom to drag into their pathological pavutina. As a result, women have problems with menstruation. The stench is sore, irregular, and up to the point of being pinched. It will explain itself to the fact that the uterus bend over, trumpets and bend over or squeeze, the eggs are twisted. All the tses of a non-guilty beast for medical assistance, so how to produce it to the neglect of the form to the end of the day.

Hirurgi go to some special methods of prophylactic treatment in the course of the operation, which is to change the enlargement to be transmitted by a pathway near the intestine. The price of special gels with enzymes, membranes, special solutions, which wash the intestines. So the very increase in the development of adhesion ailments near the intestines: discharge of gas with a lesser grip during laparoscopic manipulations, the removal of special surgical gloves without powder, the removal of surgical tampons in the presence of a robotic intestine, during

Preventive treatment of spike ailments - tse professional come in, Which will get used to the hour of the operation, such as:

Vikoristannya in the course of an operative treatment 4% of the polymer of the codex;
Likuvannya for additional carboxymethyl cellulose and polyethylene oxide, which build up a jelly-like bar near the intestine;
Zastosuvannya for lіkuvannya bar'ernyh membranes with hyaluronic acid, cellulose and other materials.

The peculiarity of the spike ailment is in the fact that it can develop and reach the longest period of the operation. If all the preventive methods of fixing adhesions are unimportant on all preventive methods, then it is not possible to get away with it. People zasobi there is no strength. To witch doctors and extrasensory people can go and not be. So you can spend an expensive hour.

If the process has become wider on the internal organisms, the intestines, in the small pelvis and the scarga has appeared, it is time to go for medical help. In such a vipad there is a lot of only surgical methods for treating spike ailments. The tactics are based on a lykuyuchiye likar.

Having analyzed the reasons for the diagnosis of spike ailments, you can come before the week, which will not help you. Parse the price of the firm. But all the same, non-surgical reasons for the development of spike ailments can and should be taken into account.

hitting a number of simple rules allow ustotno change risik development of spike ailments in a small basin:

Such a disease, such as appendicitis, cholecystitis, gostry pancreatitis, Peritonitis booth does not shine with herbs. І navіt, do not google in the jokes of the most beautiful herbaceous zbor... People with ailments get caught up in the hospital as a surgeon.
Chronic flares of black empties are also guilty of being controlled by the doctor.
Stay tuned for your health status, and ts:

dotrimannya rules of intimacy;
vikoristannya bar'ernyh methods of contraception;
maintaining a morally correct sexual life with one sexual partner;
regular examination of the pelvic organs;
obsozhennya on іnfektsії, scho transmitted by statute path;
Frequently lіkuvannya fired up sickness organisms.

Differential diagnostics should be performed with meconium plug, stenosis of the terminal end of the club intestine, dynamic intestinal imperfection, megacolon, zvichny constipation, endocrinopathy, hypovitaminosis B 1.

In case of intestinal lesions, associated with enterocolitis, antibacterial therapy and wellbeing with physiological problems should be used. The purchase of the manifestations of the enterocolitis is made to the point of failure. Radical and general operation (Fig. 8-5, d) before conservatively: Laxative effect, cleansing and siphoning cleansing, symptomatic therapy.

Prognosis of sagging in rectal form and prompt operative involvement.

K66.0. Occurrent adhesions of the abdominal (stinka), intestines, brisket, adhesions of the tympanic.

Spaykovia ailment is a syndrome, of the appearance of adhesions in the spikes in the spines, and is characterized by frequent attacks of intestinal imperfection, as a rule, as a rule, in cases of surgical involvement on the organs of the clotted cells.

The growth of the spike ailment of the queue (SBB) and the adhesion of the intestinal lesion (SCN) in the middle of all types of aleus in children will remain an hour.

Hirurgic engagement on black emptying є without a median reason for the establishment of spikes. Whether the igniting process in the middle is the result of the injury of the wound and the infusion of the infectious agent to the activation of the immune response to the participation of mediators, the inflammation, cytokines, and immune cells, as a result of which The complex is primed to the cells of healthy tissues and the activation of the complement system. Cytotoxic reactions, wickleness and activation, produce up to the tissue and smooth flow of the ignition process, so that the proliferation of the resulting tissue is supervised, and the spike process itself becomes stronger.

The classification of the SBB (Gataullin N.G., 1978) is based on the key transition of the disease from the urahuvannya of the yogi and allowing the most effective tactics of dealing with the sick.

I have 4 forms of grief:

Latent asymptomatic form of SBP;

Spaykov's ailment for relieving pain syndrome;

Spaykov's ailment with discomfort in the gastrointestinal tract;

Table 8-2. Basic forms and key manifestations of the SBB

Small. 8-6. Forms of SKN in children (according to G.A. Bairova, 1983)

The clear picture of spike ailments and adhesions of a black empty is variable. There are symptoms that add up to the severity of the sick person's backbone and muscular manifestations (Table 8-2). correctly selected anamnesis, In any particular meaning, the introduction of early transfer of ignition processes and operational involvement on the organs of black emptying, as well as the longevity of the disease, is carried out in the diagnosis.

It is important to correctly palpate the abdomen with the mark of the manifestation of the actions characteristic symptoms Mechanism of such immobilization based on the principle of viscerosensory reflexes and dressings with the appearance of large appearances when adhesions are stretched:

- Blinov's symptom- beating in the scar when nahila tuluba forward;

- Androsov's symptom- bile in the epigastric with hyperpalpation of the hypogastric region;

- Hunafin symptom- I develop pain with a piece of belly distension (with adhesions, be it localization).

During the development of the SKN state hotel, small hospitality, overcoming pains, bloating with congested space, abdominal pain, clogging of the style and gas, when looking around, the asymmetry of the abdomen appears, we can see the peristalsis of the intestinal loops on the anterior stoma

Peritoneal fever, fever, neutrophilic leukocytosis, rіzke pіdvischennya SHOE.

The role in diagnostics is to follow the radiological dosage. The main symptoms of SBP, which appear during the examination of the organs of the empty empty ones (Fig. 8-7, a):

Unnecessary growth of gas in the intestinal loops;

Kloyber's bowls and arches, which allow the appearance of significant levels of intestinal imperfections.

However, it is a straightforward sign that it is possible to visually size, type, localization of spikes, when this method doslіdzhennya dumb.

The method of X-ray diagnostics of the slunk-intestinal tract with contrasts of syrchanoxic barium is more informative. Hour to appear contrasting speech in the intestine at the normal moment of taking the suspension per os. show up indirect signs transmitted by a state path (Fig. 8-7, b):

Fixation of intestinal loops to the anterior cranial wall, pislyaoperative cicatrix to other organs;

Conglomeration of loops of the small intestine with an uneven speed of evacuation of contrasting speech;

Tightening of the segments of the small intestine, enlargement and tightening of the intestinal wall in the form of adhesions, coverage of unhealthy diverticulums in the small intestine for the development of tract adhesions.

A promising and most informative method for diagnosing SBB є diagnostic laparoscopy(Fig. 8-7, c).

Fighting with the already formed adhesions of the black empty until the present hour will become foldable and until the end of the life of abdominal surgery. In practice, a large part of the operations should be performed in an extreme order when the situation is diagnosed, yaka will load the life sick.

Small. 8-7. SBB: a - x-ray photograph of organs of the empty carriage; b - radiopaque dosage of the shlunkovo-intestinal tract in straight projections; c - laparoscopic picture; d - development of coagulated adhesions

Falsely from the clinical manifestations of illness (from the isolated pain syndrome before the circulating picture of the SCI) probeі treatment of a slurry, blockages, hypertonic compressions on the anterior cranial wall, medication stimulation of the intestines by means of the introduction of anticholinergic diseases, purification and hypertensive diseases, reduction of pain syndrome.

Dani come in and let the intestinal leakage be removed without prompt involvement. The term of conservative treatment will start within hours, and with the polish, I will be able to continue it.

With the ineffectiveness of the conservative treatment and the often reversed picture of the SKN nutrition surgical entrusted virishuєatsya unambiguously. With diagnostic laparoscopy, you can go to the drug room when adhesions are confirmed in the black empty space. The operation was given to be called laparoscopic adhesion. Vona is a little invasive, allowing the maximum reduction in the traumaticity of the operative involvement and training in the field of information and the results of the treatment of the SBB. The essence of the operation of the field is in the visualization of the adhesions of the black emptying and coagulation with the advancing rosette (Fig. 8-7, d).

The routine surgical practice needs to be taken care of principles of nonspecific intraoperative prophylaxis adhesion formation, to reduce the invasiveness of involvement, injuries, ischemia tissue

Special (private) methods of prevention to transfer the prescribed drugs, which are available in different directions:

Fibrinolytic enzymes (streptokinase, urokinase, collagenase, etc.);

Proteolytic enzymes (trypsin, chymotpsin and in.);

Anticoagulants (LMWH);

Protisapalny drugs (antibiotics);

Non-specific desensitizing agents (antihistamines);

Preparations of hyaluronidazi (lidazi).

In addition, in the period of the operational period, the group development of the SBB will require a designated preparation in order to ensure the synthesis of collagen and its utilization. In a complex of antiapaline therapy, it is necessary to have penicillamine (cuprenila *) in the middle of 3 days of surgery in the course of a few days in such doses: up to 5 years - 0.15 g; 5-12 rocks - 0.3 g; over 12 years - 0.45 g. When using collagen fibers, phonophoresis of collalysin should be carried out one hour from the 2-3 day after the operation sessions.

For the improvement of the development of the intestinal paresis of the intestines, vikoristovuyu electrostimulation, holcoreflexotherapy, prolonged blockade of reflexogenic zones of black emptying, hyperbaric oxygenation.

An important point is the informality of the ailments and their fathers as well as the key interruption of the SBB and the need for medical consultation with the help of early diagnostics ill health and improvement of SKN and others

The postponed operative treatment and vipiski were taken to the hospital dispensary region with regular glances not more than 2 times per pik. recommend holding revitalized entries, Direct on the advancement of extravagant resistance to organisms, on the prevention of fiery illnesses.

The prognosis of unpleasantness in the case of a single operative involvement in SKN, the mortality rate in the case of an even lower limb is 5-7%. In the course of a trivial interruption, it is transmitted by a state path with frequent relapses of intestinal imperfections.

Spaykov's ailment of black emptying: code for MKH-10, symptoms, lіkuvannya, dіeta, folk zasobi

form

Pridbanoi. It develops as a result of surgical operations, igniting the disease of the ovary (peritonitis, visceritis, peri-processes of internal organs), as well as traumatic ear surgery, which is superimposed on the hemorrhage.

Code for MKH-10

Peritoneal adhesions in females that are localized in the pelvic area, up to the XIV class, including ailments of the Sechostatic system, under code N73.6. For pislyoperative peritoneal pelvic adhesions in female entrapment, code N99.4.

cause sickness

prompt engagement;
strong blows;
kulovikh wounds;
stabbing wounds.

Postynoy spragi.
Takhіkardії.
Arterial hypertension.

diagnostic methods

infectious pathologies.

Spaykov's ailment of black waste

Ear of adhesion of small intestine loops

promptly vikonannya operative engagement in case of hospitality incapacitation of organs of black emptying without storing coarse drains and tampons;
production of black emptying, inodі - carrying out peritoneal dialysis;
Intensive antibiotic therapy in the background and during the operative engagement - with drugs Vibor є antibiotics group tetracycline, cephalosporin, sulfanilamidiv;
zasosuvannya anticoagulants (heparin, fraxiparin), prednizolone with novokain;
stimulation of intestinal motility (proserin);
vikorystannya fibrinolytic drugs (drugs that detect fibrin, near which adhesions are established) - chymotrypsin, trypsin, fibrinolizin, streptokinase, urokinase.

Indicators of electrogastroenterograms in an ailing spike ailment

Spaykova hvoroba: form, signs and methods of treatment

A spike ailment is called a pathological stun, an enlargement of the diagnoses of schilny trans-tissue structures (strains), and of the cauliflower and internal organs.

Postage before the development of spike ailments can be all the burning and traumatic ear of the queue, as well as surgical operations on the organs of the black emptying.

Osvita adhesions є zachisnoy reactionary organism, how to magnetize the health of organisms from small structures by the way of forming a white sticky nalot with a high vigorous fibrin.

Overtightening and rather intertwining with the collapse of internal organs and blood-bearing vessels of the queue, adhesions more and more inferior and short-lived in an hour,

form

The following can be found in the ethology of the diagnosis of Spaykov Hvoroba:

Vrodzhenoy. Riddling types of other pathologies are present in the form of growth between the loops of the colon (Jackson's membranes) or the area of the small intestine (the so-called Lane's strands).
In addition, it develops as a result of surgical operations, igniting the disease of the neoplasm (peritonitis, visceritis, peri-processes of internal organs), for example, they eliminated the traumatic leaf area in the hematopoietic area.

The peculiarities of the clinical breakdown allow you to see three main forms of spike ailments:

gostru, scho supravodzhuєtsya yaskravoy symptomatology of intestinal imperfections;
intermittent, so that it can be heard more quietly;
It is chronic, which is characterized by the chronicity of the period in every day of the week of clinical manifestations and acute illness.

Code for MKH-10

In the last version of the international classification of ailments (ICD-10), the adhesions of the black emptying are brought up to the XI class, which are aloof for ailments of etching organs.

At razdіlі "Інші urazhennya queue" (pіd code К66. 0) about'єdnanі adhesions:

cause sickness

There is a great number of reasons, which provoke the development of new routes, are transmitted by a state road.

In one moment, all of the reasons are common, the end result is the loss of tissue and organs of black emptying (the type of waste in this particular type is not meaningful).

The factories, which should be used for the sake of goodness, are divided into three groups.

Mechanical emptying, which leads to internal bleeding, bruising, damaged speech and lymph flow in the structures of damaged tissues, can be seen in the result:

prompt engagement;
strong blows;
all kinds of drops (on solid objects, for example);
kulovikh wounds;
stabbing wounds.

A group of ignorant illnesses, who are ready to lead to the diagnosis of spike ailments, are represented by:

appendicitis (inflammation of the appendix);
colitis (inflamed intestines);
enteritis (inflamed small intestine);
oophoritis and salpingitis (inflamed uterine tubes and appendages);
cholecystitis

Chemically injured organs in a black empty can be eliminated as a result of:

I will break through the slunker - the most insecure acceleration of the twisting ailments, so that the waste will end in the empty hole instead of the slurry and concentrated slurry juice;
an important prevention of pancreatitis, which leads to the growth of specific enzymes along all the worms;
Poor or acidic opіkіv, taken from the occasional abnormal acidic implantation of acids and meadows;
Razryvnogo mіkhura with the inevitable vilitam zhovchі.

To achieve a widespread cause of adhesions to adhesions in the area of the pelvic organs and intestines є the manifestation of a chronic ignition process in the statues of the female organs.

In rare cases, the adhesion process can be a common internal uterine fluid development and congenital anomalies.

Symptoms of spike ailment

The peculiarities of the clinical break of the spike ailment are not necessarily tied to the form of the pathological process.

In the world of the growth of intestinal imperfections, ailments are suffering from:

Postynoy spragi.
Frequent attacks of blues (storage of bloody masses with a lot of buvom representations in the place of the small intestine, sometimes - with slunk juice and gum). Blues, which do not bring lulling, leave a feeling of heaviness in the stomach.
Takhіkardії.
Discomfort caused by intestinal obstruction.
Arterial hypertension.

Krim perakhovannyh vische manifested in the next meaning:

cyanosis of the skin, tight lips, shells, fingers and toes, nose;
galmuvannya of clever reflections;
Significantly lowering the obsyagu slash, wobbling with nirkas with a stretch of dobi (dobovogodiuresu).

When palpation of the abdomen, the patient sees the gostry bil, it is impossible to establish the localization of which wine.

Intermittent form of spike ailment is characterized by periodic pain. For the whole form of ailment, a complex of dyspeptic disorders is characteristic of the disease (the diagnosis of the stove, the preparation of sour, the increased gas concentration, the appearance of the re-supply of the slurry) and the sutta of the intestinal peristalsis. For some of the children, if they do, they will lead to the inconvenience, for those who are weak, they will get constipated.

For the chronic form of adhesions, the manifestation of weakly circulating clinical manifestations is characteristic: the appearance of minor pains and minor intestinal dislocations.

As a rule, such a form is known as a spike process, which affects the female organisms. The head of the child is not safe in the negative influences on the formation of the menstrual cycle and health before the birth of children.

diagnostic methods

The suspicion of the sensation is transmitted by the state path of the surgeries' announcements, possibly at the stage of the primary patient.

For adolescents, there is a possibility:

a whole complex of characteristic skargs;
the earlier transfer of the burning sickness of the organs of the black empty;
healthy surgical engagement;
infectious pathologies.

To establish an accurate diagnosis, it is necessary to carry out a number of instrumental tests:

Ultrasonic inspection of organs in the worms empty. The main value of the diagnostic procedure of the field in the possibility of detection is transmitted by the state path at the last report stage, which will often reduce the treatment of ailments and reduce the prognosis. In development, the development is transmitted by a state path to a larger stage of the development of ultrasonic scanning, which allows for a very precise localization of semi-tissue strands and their wideness.
Laparoscopy - a procedure for diagnosing a glance at the end of the line behind the additional optical system of a laparoscope - an adjunct introduced into the patient's body through small punctures in the anterior abdominal wall. Endovidocamera, mounted in a laparoscope, transferring the image to a special monitor, equipping with the function of bagatorazovogo sbіlshennya, to that the visit of the laparoscopy goes to the control of the zoru. The main advantage of the diagnostic procedure is low trauma and the ability to diagnose without gluttony. If necessary, the diagnostic laparoscopy can be easily transformed into a therapeutic procedure: if adhesions are found, surgery can be performed according to their use.
MSCT (multispiral computer tomography) of organs of black emptying, so that it allows you to remove two- and trivial images of internal organs, for the rest of which it is possible to detect any new solutions.
Ogladovoy radiography of a black emptying is a diagnostic technique, which is of great importance in staging an accurate diagnosis of spike ailment. X-ray signs, removed during the procedure, can reveal the presence of gas in the intestine, this condition, as well as the presence of an ignition exudate in black emptying. In the case of the degree of intestinal imperfections, X-ray diffraction is not often detected due to the presence of X-ray contrast speech - suspension of sulfate barium.

Yak lіkuvati adhesive ailment?

The treatment of spike ailments can be:

Conservative. The main method of conservative therapy is the prevention of adhesions and the acceleration of adhesions, as well as the deterioration of their clinical manifestations.
Hirurgic. Shown before the operative involvement є: non-adherent hospitalization, parts of the stinging and regular recurrence of spike ailments.

Pershochergovim employees of the conservative treatment are transmitted by the state path є the reduction of pain syndrome. As soon as there are more people who see the purchased gas in the intestines and the obvious fixation, the patient's camp can be helped by:

clean klizma;
reception of spasmolytics - drugs, Shore away the relaxation of smooth muscles;
applying heat to the abdomen.

If you are a locksmith, you should be aware of the following:

A special day, which is stored at the implanted products, is able to consume the strength of intestinal peristalsis (in them there is a large number of roslinnaya klitkovini).
Preparations that can be easily relaxed.
There are a number of physiotherapeutic procedures. Desire of good results in the treatment of spike ailments, additional iontophoresis low springsі little strength), deathermy (procedure for heating deep-lying organs and tissues with an electric strum of a high frequency), mud bathing and a cycle of paraffin applications.
On the basis of important physical problems, spasm of smooth muscles and provoke pain syndrome.

For bloating, we are averse to using bloating, and the internal introduction of special preparations in addition to helping to fit in with the inheritance of bloody organisms.

operation

Operations involved, tied with licks are transmitted by a state route, and even more serious preoperative preparation of the patient.

Suck down the symptoms of cold blood flow and normalize the acidic stagnation of the blood;

The vibration of the method of operative involvement in a specific skin disorder is individualized: in the course of the operation, adhesions can be seen, distributed or disrupted.

The development of spikes can be found for additional help:

elektronozha (the area of medicine is called elektrokhirurgiya);
laser (during the operation of laser therapy);
drive (the same type of operation is changed by aquadissection).

Visiting old people who have lost their scars on the screen in front of the front of the operation, do not vibrate, they do not wobble, they are clogged with the development of the slowing down, tied with the bowel loops attached to them.

In the presence of strains, the intestines are deformable, and a routine interstitial anastomosis is applied. Yaksho a conglomerate of intestinal loops emerged as tight as before, resection of a problem dilyanka.

Schob will prevent recurrence of adhesions, in the course of surgical intervention:

spread wide;
live calls in and out of the queue;
zapobіgayut third parties tіl in the operative wound;
promptly bleed and see shelter;
do not pickle dry antiseptic and antibiotic drugs for cleaning of operative wounds;
there is a conservative approach to the introduction of bar'ernyh ridin - poilin, dextran (using the same method on the surface of the cells and uterine tubes to apply plavs to dissolve polydimensional materials);
zasosovyut polymeric seam material.

Pid hour during the operational period in the patient's empty room to inject proteolytic enzymes, to stimulate intestinal peristalsis, and prescribe antihypertensive and antiapaline drugs.

dyeta

The patient’s harchuvannya, imovirno is suffering from spike ailment, the rules are low:

Accepted, she is guilty of being warm and rubbed, and the amount of porcelain is reduced to a minimum.
Harchuvatisya slid not less than five or six times for doba.
It is necessary to reduce the graph of food, in any transfer of one and the same year to receive it: to lighten the body of the sick plant according to the process.

The main meta of such a child is: to prevent uncomfortable appearances, to tie up and to fix the abdomen.

Before the hour of the preoperative period, the patient is guilty of seeing the following:

The products are capable of revealing a large number of coarse tall fibers, re-entangling the intestines and causing altered gas. The category includes: corn, legumes of culture, be-yak see cabbage.
Smoked, pickled, salted and greased grasses.
Mushrooms, shitty peretravlyuyutsya human organizm.
Good vipychki і white hlib, provoke the "bloating" of the abdomen.
Mayonnaise, fatty broths and sauces, which activate the processes of fermentation and general development of pain syndrome.
Be it gostrich spices (adjika, pepper, hіrchitsі), which are the reason for teasing the mucous membranes of the organs in the intestinal tract.
Sparkling drinks, tea, kawi and milk. Brush the drinks for an hour to catch the children є green tea and drinking water.

On the table of a patient who is suffering from spike ailment, guilty but:

Puree from prepared vegetables.
Pisnі bouilloni.
Riba, chicken and rabbit meat are not fatty
Stravi siru i sira.
Low-fat yogurt and kefir.
Strongly brewed rіdki porridge (vіvsyana abo greekana), cooked in water with a small piece of top oil.

food processing

Before taking care of the development of the adhesions, it is necessary for the mucous membranes of the operated organs to appear again.

In a stretch of twenty years after the operation, the patient is guilty of utrimatisation as a result of the life of the patient. Drinking water is possible, but in a small amount.
Pislya add to the races of the operated patient, include the broths and the little ones, rubbed the cereals.
At the beginning of the day in the menu, introduce vegetable soup-puree, juices and food of likarsky herbs, which will take revenge on zukru.

The period of the operated patient is allowed to live:

Soft-boiled eggs.
I'll add a chicken and a riba.
Soup-puree, cooked from carrots, beetroots and zucchini.
Fermented milk products (especially kefir), which are consumed by a quick renewed organism.
Yabluka (rubbed or rubbed).
Compoti, jelly and morsi.
Fruit juices, which are guilty of buty, are completely grown and half diluted with clean drinking water.

Pіdbіr pislyaoperatsіynoї action in indivіdual order wіll wіll be a talented lіkar. The more important and the neglect of the transfer of the ailment is the greater the suvoroi є the dyeta is recognized.

The patient is guilty of all the uniqueness of the implantation of products, the lasting provocation of the diagnosis of constipation, the abdominal distension and the subtlety of the mucous membranes of herbal organs.

People zasobi

Cauti folk medicine with spike ailments, it can be effective for relapse prevention (for an hour rehabilitation period), Abo at the very early stages of the ailment as before the main treatment.

Most often it will be stagnant in a zombie. Taking a tablespoon of dry syruin, pour it with a bottle of steep sprinkle and boil it in a water bath for four years. Pislya prodzhuvannya drink 100 ml of three per day.
Similar to the preparation from a tablespoon of plantain seed and 400 ml of water (the technology of preparation is the same as in the described recipe). The triviality of the course of treatment - for a three-time reception at one table - to become no less than chotiroh tizhniv.
No less requests for infusions, preparations with sipshini berries (30 g), lingonberries (15 g) and sprinkling leaves (30 g). The bay of Fitosirovin with a liter of sprinkle, insist it in a thermos for a night. Take 100 ml each: before going to bed and only on a hungry slunk.
Having wandered dry Fitosirovina (burkun, mother-and-machuhu and golden-thousandth, taken in equal shares), take a tablespoon of herbal pickle and, having boiled it into a thermos, pour it into a bottle of sprinkle. For two-year infusion and process of infusion, take 100 ml at least five times for doba. The minimum course of treatment is chotiri tyzhny.

Prevention and forecast

With the presence of single adhesions, the forecast is friendly, which cannot be said about ailments, but it called for many tests to be diagnosed.

You can secure the development of spike ailments by way of a number of awkward rules, ordering:

taking a healthy way of living;
the need for rational and reliable food;
the binding of optimal sports prices;
the inadmissibility of cherguvannya periods of trivial hunger with episodes of passing;
obov'yazkovy control of regularity of style;
the need for entry, direct to the prevention of secondary etching;
the need for regular examinations at the gastroenterologist.

In order to realize the need for repeated surgical interventions, the failures of provincial clinics should go up to the method of preoperative manifestation of constitutional decline in mental health before the establishment of adhesions.

Injecting special anti-inflammatory drugs into the patient's empty room.

It is clear that it is economical because of the anti-adherence of lykarsk diseases in terms of the use of the preoperative method of preoperative detection of genetic schism to adhesions on a scale Russian Federation There can be up to twenty million dollars only for a change in the rate of decrease in the level of repeated adhesion of intestinal imperfections.

Spaykov's ailment of black emptying: symptoms and lіkuvannya

Symptoms of a congenital are seen to be transmitted by a state path, which appears in newborns, who were not previously given to surgical involvement.

Laparoscopy is a new factor, increasing the number of spike ailments.

Mechanism of development of spike ailments

to mіsts rozrіzu;
to the operable organ;
to the zoni zapalennya.

At the stage of widening igniting processes, for chronic inflammation in black emptying, especially infectious diseases of the uterine tubes and cells, the ovary diffusely glue up to all the organisms Nadal adhesions were made to shrink and shuffle, and even more wry and perturbed were consumed by organisms and textiles in them. At the same time, it’s healthy to liven up organisms і fabrics, sudin. Normal blood flow will break down and develop more sour hunger, which is the cause of pain in the abdomen with adhesions. Likewise, as a result of zsuvu and zvuzhennya enlightenment of the intestine, the collapse of feces will collapse, which, in its own heart, will lead to permanent constipation. And in an extreme fall, you can lead to the development of such a dreadful camp, like intestinal imperfection.

cause

We pay for the most common reasons for passing the article by way:

Mechanical injuries of the worms:

hitting, falling from visoti, falling on a solid object;
stab-lacerated wounds;
culpable injury;
surgical operations;

Chemistry school:

opіk with acids or meadows with vipadkovy abnormal implantation;
digging the slunker with the exit into the empty hole of the sour slunker vm_stu;
important pancreatitis with pancreatic enzymes on black empty;
razryvnoy mіkhura z vilityam zhovchi.

Fired up sick:

the appendix (appendicitis);
zhovchny mіkhura (cholecystitis);
small intestine (enteritis);
small intestine (colitis);
pipes and appendages (salpingitis, oophoritis).

Suputnі factories - deterioration of food of a sick person, diabetics, third-party materials in the early.

Classification

For ICD-10, the spikes of the black empty are added:

Occurring adhesions (K66.0), which include:

abdominal (stink) adhesions;
diaphragm adhesions;
intestinal adhesions;
pelvic adhesions in choloviks;
adhesions of the small and abnormal intestines
gland adhesions;
shlun adhesions.

Peritoneal ignition adhesions in female pelvis (N73.6).
Pislyoperative adhesions in the small pelvis (N99.4).

The whole picture of the ailment can be described by the three skarg, which includes the onset of symptoms:

With constipation, people are stuck in a haunted life. Tom on the cob with a spike ailment of a lyudin on the tse is not a beast of proper respect. Kozhen thinks, you will go through everything by itself. Ale lock it up with spike ailments, don't just lock it up! The adhesions are getting bigger and bigger, tying up the intestines, like pavutin. Tse porushuє th robot. Harchovies can be found in the intestines of malnourishment and repair blues. To create a great number of gases to the approval, as it is also impossible to be named. There is an increase in the intestines and abdomen. The intestine is stretched out, which is also the case with a sickly feeling. The ailment is going to go to the toilet as productively as possible, a vicious spike pidhodiv. Ale everything is marno. Lіkuvannya by passing і clisms may not be supplemented. Navpaki, you can mess up the situation.

Preventive treatment of spike ailments - even prophylactic come in, before the hour of the operation will get used, such as:

Vikoristannya in the course of an operative treatment 4% of the polymer of the codex;
Likuvannya for additional carboxymethyl cellulose and polyethylene oxide, which build up a jelly-like bar near the intestine;
Zastosuvannya for lіkuvannya bar'ernyh membranes with hyaluronic acid, cellulose and other materials.

The peculiarity of the spike ailment is in the fact that it can develop and reach the longest period of the operation. If all the preventive methods of fixing adhesions are unimportant on all preventive methods, then it is not possible to get away with it. The people will be helpless here. To witch doctors and extrasensory people can go and not be. So you can spend an expensive hour.

After taking a number of simple rules to allow for a quick change in the development of spike ailments in a small basin:

Such ailments, such as appendicitis, cholecystitis, gostry pancreatitis, peritonitis, do not use herbs. І navіt do not google in the jokes of a beautiful grassy fence. People with ailments get caught up in the hospital as a surgeon.
Chronic flares of black empties are also guilty of being controlled by the doctor.
Stay tuned for your health status, and ts:

dotrimannya rules of intimacy;
vikoristannya bar'ernyh methods of contraception;
maintaining a morally correct sexual life with one sexual partner;
regular examination of the pelvic organs;
obsozhennya on іnfektsії, scho transmitted by statute path;
Frequently lіkuvannya fired up sickness organisms.