The consequence of myocardial inflammation or surgical intervention is often the development of such conditions such as adhesive disease. Adhesive disease is manifested not only severe pain, creating physical and emotional discomfort, but also leads to various complications, up to the development of infertility. The prevalence of the disease in recent years has increased significantly, which is associated with a number of predisposing factors.
The pelvic adhesive disease (morbus adhaesivus) or plastic pelvioperitonit - a condition which resulted in the abdomen and pelvis are formed connective tissue bands (adhesions).
All the organs of the abdomen and pelvis outside wrapped in a thin membrane called the peritoneum. The abdominal cavity contains a small amount of peritoneal fluid, the function of which is to create mobility loops of intestines, uterus and fallopian tubes. This is necessary to capture the free egg fallopian tubes and normal bowel and bladder during pregnancy (growing uterus displaces the intestinal loops). In the case of peritoneal inflammation (peritonitis) in the body defense mechanism is activated - the formation of adhesions, thereby delimitation process and the spread of the infection.
The mechanism of formation of adhesions
If you get an infection in the abdominal cavity of the development of the inflammatory process begins. Tissue of the affected organ swell and appear on the peritoneum effusion of fibrin (a protein) that "glues" together closely spaced tissue. Thus, the focus of inflammation as it is covered on all sides, thus preventing the further spread of infection. After the suppression of the inflammatory process in the formation of connective tissue sections glued seam - soldering.
If the infection got into the fallopian tubes, early treatment provides a resolution of the inflammatory exudate, but in some cases there may be an outpouring of fluid in the abdominal cavity, causing exudation of fibrin, which "Sundae" the opening of the fallopian tube, then takes his imperforate. Thus, the fallopian tube becomes a closed cavity, which develops purulent process - piosalpinks. Perhaps the bacteria from entering the bloodstream from poisalpinksa in the ovary and development of purulent inflammation in it - piovara. Albuginea of the ovary and the tube wall is sealed over time and become opaque. Piovar piosalpinks and spliced together to form a purulent tubo-ovarian education. In addition, adhesions are formed between purulent tumor and intestinal loops, gland, the bladder and the pelvic wall.
Development of adhesive disease disrupts the normal functioning of internal organs, leading to intestinal obstruction, infertility, ectopic pregnancy and the occurrence of pelvic pain.
Clinic and diagnosis of adhesive disease
Adhesive disease can occur in three ways:
Patients complain of a gradual strengthening of pain, nausea and vomiting the contents of the small intestine, the temperature rises to 40 degrees, the pulse quickens. The general analysis of blood marked leukocytosis and accelerated ESR. When abdominal palpation indicated a sharp pain, intestinal obstruction develops. In the future, there is a drop in blood pressure, decreased amount of urine, general weakness and drowsiness. As a result of violations of water-salt metabolism develops kidney failure.
It is characterized by recurrent pain and disorders of bowel function (constipation, diarrhea).
Symptoms erased, appear periodic abdominal pain
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and in the back, obstructed defecation acts. As a result, adhesive disease often develops blocked tubes
Obstruction of the fallopian tubes - asymptomatic
During a pelvic exam
Gynecological examination: an important component of women's health
doctor determines fixed or limited mobility of the uterus and appendages, shortening the lateral vaginal vault, a sharp pain on palpation. For the diagnosis of pathological state appointed examination for urogenital infections, pelvic ultrasound, magnetic resonance imaging and diagnostic laparoscopy
Laparoscopy - why is it necessary?
The treatment of adhesive disease
The treatment of adhesive disease can be both conservative and operative, depending on the extent and severity of the process. In the case of urogenital infection appointed antibiotics and anti-inflammatories. Pain syndrome cropped antispasmodics and analgesics. For resorption of adhesions appointed enzymes (trypsin, chymotrypsin, lidasa). In the absence of effect of conservative treatment is carried out medical-diagnostic laparotomy with dissection of adhesions.