So called seals serous nature between the various internal organs due to changes in the structure of connective tissue. This formation is the result of unusual interaction of visceral and parietal sheets (the first covers the organs, the second - the walls of the cavity). Most often it occurs in the region of the respiratory organs and between the intestinal loops.
What causes spikes?
The most common cause is a change in the epithelial structure of the peritoneum. To fill the "gap" between the leaves of the serous membrane, connective tissue begins to grow. Thus, a kind of scarring of the damaged tissue occurs. Call for other reasons for changes in the structure of tissues:
- adhesions in the intestines after surgery - observed in 12-15% of cases, for example, in places of external contact of the intestines after surgery with the removal of the gall bladder;
- closed and open injuries in the abdomen - adhesive disease may develop some time after injury;
- peritonitis - infectious processes in the area of the peritoneum, under the influence of which the integrity of the tissues is disturbed, followed by "scarring" (the appearance of adhesions);
- internal inflammation with extensive damage to epithelial cells caused by the breakthrough of the ulcerative portion of the internal organ;
- sore appendicitis;
- as a consequence of the influence on the intracavitary environment of the woman’s body, of inflammatory processes occurring in the female reproductive system;
- genetic predisposition (anatomical, metabolic);
- consequence of radiation therapy and oncotherapy.
However, most often there are spikes in the intestines after surgery. And the more extensive and harder the surgery, the higher the likelihood of the formation of such "scars".
Does the disorder have any characteristic signs?
Many pathological processes are characterized by the presence of characteristic signs. The appearance of certain symptoms accompanies the formation of adhesions in the intestine. But the process for a long and long time may be asymptomatic. Often, altered structures are detected during non-targeted examination. Therefore, many patients go to the doctor already in the acutely complicated period.
Of the characteristic symptoms of the disorder are:
- pain after some time after surgery, having a different character and intensity; aggravated due to physical exertion, abrupt change in body position, weight lifting;
- chronic disruption of the digestive tract, accompanied by constipation, bloating, flatulence;
- problematic defecation (the presence of adhesions prevents the free passage of masses through these areas);
- bouts of nausea and vomiting after eating;
- weight loss that occurs with sluggish and chronic course of the disease.
Acute forms of pathology can significantly affect the patient's well-being. Often, the only way to solve a problem is an emergency prompt response:
Acute intestinal obstruction occurs due to a large number of adhesions, squeezing them of separate parts of the body with blocking the patency of its contents. Here are observed:
- complete lack of stool;
- emetic manifestations;
- severe pain symptom;
- bloating due to gas;
- a sharp decrease in blood pressure;
- increase in heart rate.
Necrotic lesion - tissue necrosis is observed due to insufficient or complete lack of blood supply to areas of the intestine, as a result of vessels' squeezed by adhesions. The decision on the operation must be made quickly, during the procedure, dead tissue is removed and the causes leading to this are eliminated.
The specificity of the disorder lies in the fact that adhesions, unfortunately, do not resolve themselves. Often, a patient who has undergone an operation in the abdominal area, after a while, has to go under the knife again, but already to eliminate postoperative complications (formed adhesions). If everything is so difficult, then how to treat intestinal adhesions?
In the postoperative period, the patient must be prescribed a course of rehabilitation procedures. At this time, the person is under constant medical supervision in order to prevent any likelihood of such a complication. The complex of measures includes physiotherapeutic procedures, such as electrophoresis, to stimulate fibrin resorption and prevent adhesive processes.
There is also a drug treatment with antispasmodics and analgesics. The conservative method is effective for minor functional disorders, where there is no need for surgical intervention. Also, the patient may be assigned special injections for partial softening (resorption) of the seals. And for better bowel movement - laxative. The list of medicines and their dosage are selected individually and only by a specialist.
Complicated course of the disease cannot be eliminated without prompt measures:
- laparotomy - a cut of the abdomen of at least 15 cm allows unhindered access to the internal organs (used in multiple adhesive formations);
- laparoscopy - special tubes with a video fixator and a laser are inserted into the cavity through minor holes (a gentle surgical method that allows point-to-point formations to be removed).
Next, the patient during the rehabilitation period is simply obliged to comply with the regime, adhering to the main rule - functional rest of the intestine until full restoration of the integrity of damaged tissues:
- Special food: diet table number 0 by Pevzner on the first day; liquid food in the future without heavy fats, smoked meats, coarse foods;
- Limitations of physical activity in the first weeks after therapy;
- Tracing the regularity of the chair - if necessary, do an enema, take appropriate stimulant drugs;
- Systematic observation at the attending physician.
How else can bowel adhesions be treated? For example, at home?
Intestinal adhesions: treatment of folk remedies
To eliminate some of the symptoms of bowel adhesions, many are helped by adequate treatment with folk remedies. There are several popular home remedies:
- Lingonberry-rosehip decoction with nettle leaf. Ingredients are taken proportionally. On a glass of boiling water - 2 spoons of the mixture. Infused 2 hours. Drink warm, dividing the portion into 2 doses.
- Decoction Hypericum. 1 tbsp. l herbs boiled in 200 ml of water for a quarter of an hour. Filtrate, cool to a comfortable temperature for drinking. The portion is divided into three steps.
- Infusion on the root of Bergenia, including douching. At 3 tbsp. l shredded root - 300 ml of boiling water. Insists 3-4 hours. Provided for 3 days to drink 1 tbsp. l three times a day before meals. For syringing - 2 tbsp. l dilute in 1 liter of warm water. The procedure is carried out not twice a day.
- A warm compress made from flax seeds to relieve pain.
- Tincture of Maryin root. 50 g of crushed plants insist on 0.5 liters of alcohol (vodka) for 1.5 weeks. Take 30 days three times a day before meals, 40 drops.
Recall that these formations are not able to dissolve completely. These methods are designed to relieve pathological processes and improve the patient's condition. When resorting to unconventional means, it is advisable to consult with your doctor regarding the acceptability and feasibility of the chosen therapy.
To avoid the likelihood of adhesive disease, as well as to prevent recurrence after treatment, you need to constantly monitor the condition of your body. Eat properly, avoid poisoning and other infections of the abdominal organs. Monitor the functionality of the gastrointestinal tract, if necessary, conduct sparing preventive measures. An active lifestyle without feasible physical exertion has not hurt anyone. And the last, do not neglect planned complex inspection.