Adhesions - Causes, Symptoms, Treatments & More…
Why is adhesive disease dangerous?
The disease is called morbus adhaesivus in medical language. Its main symptoms: between the abdominal organs located in the small pelvis, cords appear - adhesions.
The reason for their formation is to protect against infection - the body produces fibrin that covers the peritoneum, blocking the access of pathogenic microorganisms. The introduction of pathogenic flora becomes impossible, but the walls of the peritoneum and internal organs grow together.
One of the main reasons for the appearance of adhesive disease are infectious and inflammatory diseases of gynecological organs:
- endometritis - inflammation of the uterine cavity;
- parametritis - pathogenic flora develops outside the uterine cavity;
- metroendometritis - inflammation of the uterine lining;
- salpingo-oophoritis is an inflammatory process in the ovaries.
Infection occurs after the operation, when wearing an intrauterine device, with the introduction of pathogenic flora - infection with sexually transmitted infections. The resulting adhesions do not allow the inflammatory process to spread to other organs of the peritoneum, limiting the disease to the pelvic area.
Not everyone has adhesions. In most patients, the exudate formed in the acute stage of the disease resolves and does not spread through the fallopian tubes. But in those who have this, serous discharge through the abdominal opening is poured into the abdominal cavity.
The body reacts by producing fibrin, the opening is obliterated, and the fallopian tube is closed.
If the purulent process continues, rupture of its walls may occur. While the opening is open, purulent discharge is poured into the uterus, and then into the vagina. As soon as adhesions completely block the exit of exudate, bacteria penetrate into the ovary, which causes its purulent fusion. Therefore, the treatment of adhesions on the ovaries should be started when the first symptoms of the disease appear.
By the same principle, adhesions appear not only in the pelvic organs, but also throughout the abdominal cavity.
Their growth causes such deviations:
- inflammation of appendicitis;
- ectopic pregnancy;
If, after a cesarean section or other surgical interventions, an inflammatoryprocess or if the technology is violated, foreign bodies remain inside - drains, napkins, etc. - fibrin release begins.
It can be summarized: adhesive disease occurs in any situation when an acute inflammatory process turns into a chronic stage. The location of the gynecological organs, due to the presence of adhesions in the small pelvis, is disturbed. This causes them to put pressure on the neighboring organs - the rectum and bladder. Accordingly, the condition affects the work of these organs.
Adhesive disease symptoms
As soon as characteristic symptoms appear, treatment of adhesions in the small pelvis begins. In gynecology, much attention is paid to identifying characteristic symptoms - the elimination of strands is extremely important. They not only limit the functions of organs located in the small pelvis, but also cause infertility.
Classify 3 degrees of severity of adhesive disease:
- Sharp. Its signs are: acute pain in the very lower abdomen, radiating to the lower back, to the diaphragm, fever, nausea, vomiting, impaired urine outflow. An acute abdomen is diagnosed - the anterior wall becomes hard and painful on palpation. The condition can lead to intestinal obstruction;
- Intermittent. Pain occurs periodically, the disease is diagnosed;
- Chronic. In most cases, the disease proceeds without pronounced symptoms, periodic unreasonable bowel disorders, painful menstruation, and the inability to become pregnant indicate its course.
Treatment of adhesions in gynecology is one of the important stages in the restoration of fertility.
Diagnosis of adhesive disease is difficult - ultrasound can show the deviation of internal organs, but it is not able to describe the exact clinical picture. The presence of a chronic inflammatory process is shown by smear results. Magnetic resonance imaging of the abdominal cavity can give an idea of what is happening in the pelvic cavity, but the most accurate description of the disease is possible only with diagnostic laparoscopy.
However, this form of examination is used as a last resort.
This examination is a gentle surgical intervention - during it, not only the clinical picture is described, but also adhesions in the fallopian tubes and between the pelvic organs, adhesions after cesarean section are treated.
The acute form of adhesive disease can only be treated surgically.
Currently, in most cases, the method of choice is laparoscopy, but may be required for excision of adhesions and abdominal surgery. With a small number of adhesions, operations are tried to be avoided, since there will certainly be a need to treat adhesions after this operation. In order to avoid postoperative complications as much as possible, special drugs are injected into the abdominal cavity, kupirwith increased production of fibrin: trypsin, fibrionolysin, povilin ...
To prevent infertility, the ovaries are wrapped in an absorbable polymer film. When the body is accustomed to reacting to any invasion with increased production of fibrin, then it responds to any surgical intervention in the same way. Measures taken to prevent the formation of adhesions during surgery are not always sufficient to stop the development of cords.
To prevent the recurrence of adhesive disease and to treat its chronic form, the following therapeutic regimen is used. All diseases that can lead to an inflammatory process are eliminated - the penetration of pathogenic microorganisms into the gynecological organs is signaled by the results of a smear.
Fibrinolytic drugs are prescribed that dissolve fibrin. During the operation, they are pumped into the abdominal cavity. They are injected into the pelvic area.
Physiotherapy must be connected - laser therapy, magnetotherapy, exposure to currents of different frequencies. Electrophoresis with absorbable drugs is especially effective. Biostimulants are used - plasmol and aloe extract.
Traditional medicine in the treatment of adhesions
Traditional healers advise using the following recipes to treat adhesions with folk remedies.
- Douching with an infusion of badan and inserting tampons soaked in this infusion into the vagina. 50 g of badan is poured into a glass of boiling water, brought to a boil, then insisted in a thermos for 6 hours. After straining, store in the refrigerator. Before use, dilute with water - 100 ml per liter. A glass of infusion is enough for 2 douching;
- A tablespoon of St. John's wort is poured with a glass of boiling water, brought to a boil, left over low heat for not a quarter of an hour. A glass is drunk a day in equal portions;
- The following ingredients are mixed: 15 g of lingonberries and 30 g each of nettle leaves and rose hips. Pour boiling water over, insist in a thermos overnight - for this amount, 1 liter of boiling water is enough. Drink on an empty stomach and before bedtime, 100 g;
- Mix in equal proportions honey and aloe juice, soak gauze, roll into a tampon and insert it into the vagina for 6 hours. Add rye flour to the mixture, knead the cake, and simultaneously with the tampon apply it to the uterus.
When treating a disease according to traditional medicine recipes, you should first consult a doctor. The presence of an infection and the installation of tampons with products prepared with drugs according to traditional medicine recipes cannot be combined.
To prevent exacerbation of adhesive disease, you should adhere to some rules:
- It is necessary to adjust the diet - do not overeat to the dump - the upper intestines
begin to press onand the rectum, in the presence of fibrin, the possibility of adhesion increases;
- It is necessary to abandon products that increase gassing;
- Increased physical activity should be avoided, especially associated with heavy lifting;
- It is necessary to engage in physiotherapy exercises: perform special exercises that accelerate blood microcirculation in the pelvic organs and strengthen the abdominal muscles;
- Avoid the appearance of congestion in the pelvic area.
Treatment of adhesive disease is a long-term process. Complex therapy and implementation of recommendations within two years will stop the formation of new adhesions, relieve the characteristic symptoms and restore the lost functions of organs located in the pelvic region.