Adhesive desease
Contents:
Description:
Commissures (adhesive desease) are connective tissue unions between the next bodies or surfaces. Commissures are divided on inborn and acquired. Inborn commissures arise at inborn malformations of this or that body. The acquired commissures develop after inflammatory processes or bleedings in internal perigastriums: not resolved inflammatory liquid or blood gradually gets thick and burgeons connecting fabric (will be organized). In the beginning connecting fabric friable and commissures it is easy to disunite, but over time it becomes strong and can even become impregnated with calcium salts, to divide such stiffened commissures very difficult. Over time in commissures blood vessels and nerves appear.
Symptoms of the Adhesive desease:
The adhesive desease can be to proceed differently. Sometimes it begins in the form of the sudden or gradually accruing attack of pain, a hyperperistalsis (movement) of intestines, is followed by vomiting and rise in temperature. Quickly there are signs of impassability of intestines, the general state sharply worsens (dehydration weakness, a sharp lowering of arterial pressure appear from behind repeated vomiting).
In certain cases attacks of pains appear periodically, its intensity is various, ponosa, locks and vomiting from time to time disturb.
There is also a long course of a disease with the aching abdominal pains, feeling of discomfort, locks, disturbance of overall health and periodic attacks of acute intestinal impassability.
Reasons of the Adhesive desease:
Most often the adhesive desease develops after an inflammation of a worm-shaped shoot and its removal (appendectomy). Commissures can develop also after operations for impassability of intestines, gynecologic and urological operations.
In formation of commissures in an abdominal cavity the leading place is taken by a peritoneum inflammation. But they can appear also after mechanical damage of a peritoneum (injury), impact on it of any chemicals (for example, a burn iodine). At an injury of a stomach long paresis (obezdvizhennost) of intestines at which favorable conditions for unions of loops of intestines because of their long contact among themselves are created is important.
Treatment of the Adhesive desease:
Treatment of an adhesive desease depends on its manifestations. Nevertheless, conservative therapy has to be the leader, and surgical intervention has to be carried out only at threat of life of the patient. Thermal procedures are most often applied: dirt, paraffin and ozokeritovy applications, flat cakes from clay, an electrophoresis with medicinal substances (anesthetics, resorptional) and so on.
At a bad attack, not allowed by means of conservative measures within one-two hours, surgical treatment (elimination of an obstacle for the movement of fecal masses) is carried out, at repeated attacks - the surgical treatment directed to prevention of the acute attacks.
