What are the adhesions and the stench is unsafe. Adhesions of the intestines and small pelvis after the operation: for what reason they are so good. Symptoms of intestinal adhesions and their healing

The internal organs of a person are covered with a serous membrane, which allows them to be cremated one by one, to change their camp for an hour with a body. With the development of a pathological process in one of the organs, it is often necessary to form a successful tissue, as if gluing the serous membranes together, not allowing them to collapse and function correctly.

In medicine, such a camp is called spike ailment or adhesions, as in 94% of cases develop after surgical intervention. Calls of adhesions are similar to a thin polyethylene slurry, or they are fibrous smog, everything is deposited as a stage of spike disease, as well as to an organ in which a pathological process has developed. Adhesions after surgery can practically appear between any internal organs, and most often stench develops in the intestines, legs, between the fallopian tubes, ovaries and heart. What are adhesions, how much stench is unsafe and how to excite adhesions after surgery.

What are adhesions after surgery

In the norm after the operation, the internal organ, which is given to a third party, is guilty of scarring, a scar appears on the new one, and this organ is called a spike process, which is a normal physiological process and pass for an hour without disturbing the work of others The spike process does not have anything to do with spike ailment, when there is a pathological growth of that tissue growth. In retrospect, even as the scarring after the operation is larger than normal, the internal organ begins to struggle strongly with other organs that do not allow them to function correctly. Such a process itself can be brought to spike ailment, since it may have its own symptoms, it will require additional treatment under the supervision of a doctor.

Cause spikes to develop

The appearance of spikes after the operation is rich in what to lie down in the professional capacity of the doctor of the surgeon, who conducted the ceremony. Fahivets at the surgery room is to blame for the miraculous volodymy of the specialists of the application of resections and seams, as well as the importance of the operational materials and the technical equipment of the clinic itself. Oskіlki vіd tsego to fall so yakіsno the operation was carried out. If you have any doubts about the professionalism of a surgeon, or there are no ideal minds in the clinic, then you can search for another clinic, or independently buy the necessary materials, which will be victorious in the process of the operation.

Without a doubt, the skin of us feels different dzherel, scho trapleyutsya fluctuations, if in the process of surgery through the negligence of the doctor or the medical staff in the middle, they were deprived of sewing materials, tampons, gauze or surgical instruments. The presence of these factors is also responsible for the fact that adhesions are established after the operation.

Post-operative adhesions are most often resolved after surgery on the intestines and organs of the small pelvis. So adhesions after surgery from the uterus can be removed after igniting processes and penetration of infection. The occurrence of adhesions after surgery on the reproductive organs often leads to the development of no or other lesions. To give a frequent cause of the development of spike ailment after surgery for tissue hypoxia, if the internal organ does not take a sufficient amount of sourness. Adhesions after surgical insertion on the organ system are often eliminated in endometriosis, and in the intestines after surgery for appendicitis, intestinal obstruction and in the duct. Z'yavlyayutsya adhesions after abortion, surgery on the ovaries, the heart of chi legeni. In this way, it is possible to grow whiskers, that adhesions after the operation can appear from various reasons, but in any case, they cannot be removed without the respect of the doctor, the shards of their appearance significantly disrupt the functionality of the internal causes of the disease.

Symptoms of adhesions after surgery

The process of shaping spike ailments is to endure for a long time and lie down in the body, which is given to the operational hand. The main symptom of adhesions after surgery is bіl in dilyance of the surgical scar. The back pain syndrome is daily, but the scarring can be lingering in nature. Bolovі vіdchuttya posilyuyutsya p_slya fіzichnyh navantazhen or other ruhakh tіlom. So after the operation on the liver, the pericardium or the legenia was observed with a deep breath. As if the adhesions of the intestines after the operation, then sickness manifests itself in case of sharp body or physical disturbances. The presence of adhesions on the organs of the small pelvis, which manifested itself in the state act. In addition to pain, other symptoms of adhesions are indicated after surgery, and it is important to note that the clinical picture can lie in the middle of the localization of adhesions and damage in the body. Let's look at the most widespread signs of postoperative adhesions:

• impaired defecation;
• parts of constipation;
• tedium of vomiting;
• full visibility of the style;
• bіl on palpation of the postoperative suture;
• blackening, swelling of the oval scar;
• temperature rise;
• aggravated breathing, asshole.

In depressions, if adhesions have been established after the uterus has been removed or surgery on the ovaries, the uterus tubes or the ovary, the woman is aware of the state act, pain in the lower abdomen, disrupted menstrual cycle, various visions of a bloody to gray color with an unacceptable smell. For the adoption of spikes after the operation, the doctor is to blame, but even as the stench appeared after a few months or months after the surgical intervention, then the sick need to independently seek help.

Possibly folded

Adhesions should be done with folding complications after the operation, as if building, it’s not enough to disrupt the work of the internal organs, and to provoke the complications, among them:

• gostra intestinal obstruction;
• necrosis of the intestinal tract;
• peritonitis;
• bezpіddya;
• disruption of the menstrual cycle;
• uterine curvature;
• obstruction of the fallopian tubes;
• pozamatkova vagіtnіst.

Complicated spike ailments often require non-gain surgical assistance.

Illness diagnosis

In case of suspicion of the presence of postoperative adhesions, the doctor prescribes a number of laboratory and instrumental obstezheniya patients:

• Clinical blood analysis - show the presence of the presence of the ignition process in the body.
• Ultrasound follow-up (USD) - visualize the presence of adhesions.
• X-ray of the intestine.
• Diagnostic laparoscopy.

The results allow the doctor to recognize the presence of adhesions, to look at their shape, torso, to distinguish how to work internal organs, to recognize the need for juicing.

Treatment of adhesions after surgery

Likuvannya spikes without intermediary lie down when I become a healthy patient. In order to change the development of adhesions, the doctor in the postoperative period prescribes anti-inflammatory drugs, various enzymes for the dissolution of adhesions, as well as antibiotics, and also causes more collapse, which will allow preventing the destruction of that “gluing” of the body itself. A good result can be achieved in the form of physiotherapy treatment: brude, ozocerite, electrophoresis with medicinal speeches and other procedures.

In the fall, even after the operation period of proishov without suspicion of the presence of spike ailment, but later in the year, the ailing person still shows large scars, symptoms appear, the only correct decision will be to repeat the operation, even if the spike is seen. Vidalennya soldering after the operation is carried out by dekilcom methods:

Laparoscopy - insertion into the pelvis or pelvis of an empty fiber optic tube with a microscopic camera. During the operation, there are two small cuts, in which a manipulator with instruments is inserted, which allows the adhesions to be opened and the judge to bleed. The Danish method of surgical insertion is less traumatic;

Laparotomy provides access to internal organs. At the process of the operation, a gap of about 15 cm is carried out. This method of operative insertion is carried out in depressions, if it is not possible to perform laparoscopy, or because of the large number of adhesions.

After surgery, the doctor cannot give a 100% guarantee that the adhesions will not re-establish. That patient needs to see a doctor periodically, follow his recommendations and respectfully take care of his health.

People's prescriptions for the treatment of adhesions after the operation

The cream of the conservative and operational method of treatment of spike ailments, many who seek help to traditional medicine, as it is possible to prevent the growth of spikes at early stages. It is important to remember that the treatment of adhesions by folk methods can be reduced to a supplementary therapy to the main treatment. Let's take a look at the sprat of recipes:

1. For cooking, you need 2 tbsp. As a lyon, as it is necessary to wrap it in gauze and dip it in okrip (0.5 l) for 3 - 5 quills. Then we will need to cool the gauze with us and apply it until a sick month for 2 years.

Recipe 2 l. Grass should be poured with 1 bottle of okrop and boiled on a small fire for about 15 quills. After the vіvaru it is necessary to see and take ¼ part of the flask trichі for a day.

Recipe #3 Leaves of aloe need to be put in a cold bowl for 2 doba, then add 5 tablespoons of honey and milk, mix well and take 1 tbsp. 3 times a day.

Recipe 4. It is necessary to take 1st. nasіnnya rostoropshі, pour 200 ml of okrop, boil 10 quills, let it cool and cool. Ready vodvar should be drunk at the warm sight of 1 tbsp. l 3 here at dobu.

Prevention of adhesions after surgery

It is possible to avoid the appearance of post-operative adhesions, but for whom it is necessary to take the maximum care as a doctor in the process of the operation, as well as the patient himself after the operation. It is even more important to take care of the recommendations of the doctor, to collapse more, to take care of the child, to unify physical tensions, to prevent the possibility of infection penetrating into the seam, which is closed after the operation. If you don’t follow all the recommendations, reduce the risk of the development of spike ailments in a short time.

In addition, after the operation, there were pains in the abdomen, broken deformity, vomitting, it’s not necessary to engage in self-exaltation, it’s necessary to call out “I’ll help Shvidka.” Spike's ailment is to endure serious illnesses, as in some kind of depression you can bring people to death.

In the daily life of a person, it happens to be sick with various illnesses, about which a lot of people did not know before. It’s possible, I’ll say, that it’s better not to be told about a rich illness. However, if you will be aware of all the trends that are experienced by the body, then you will also tell your mother a positive effect at the same time. In this article, there is a story about such a thing, like soldering. What is it like, how can I have symptoms and how can I fight such an ailment?

spike process

I’m going to tell you about those who are sick. І give a meaning to the word soldering (sho tse take). The disease is characterized by the adoption in the body of a person of the thinnest fibers or spleen. The stench glues the organs close to each other. Tim himself was destroyed by the robot of the human system.

Varto signify that the spike process most often affects women. They have such an ailment blamed on the small pelvis. Regardless of the cause, illness can appear in herbal, blood-bearing, heart and other systems of the body.

Diagnostics

It is practically impossible to pamper spikes. The stench of the pavement is thin and the gaps that the human eye simply does not have strength. However, the presence of ailments can be suspected in the wrong way. Often, parts of the shift are glued together.

It is possible to diagnose a spike process with a manual examination or under an hour of ultrasound diagnostics. The swimmers that are being changed in the small pelvis, the gynecologist can suspect for an hour looking at the armchairs. The diagnosis is confirmed after the ultrasound procedure.

Such a disease, like adhesions, cause maє raznі. Let's take a look at them and find the report.

ignition process

The widest cause of ailments is inflamed. Under the hour of ailment of that chi, the organ of the wines will grow in the community, and it will begin to see the motherland. The mucus itself is transformed into thin threads every year, and every year it becomes a strong fusion, like an organ from the backbone or another organ of the other system of the body.

As has already been said, more often, before such an illness, a smart woman. In them, the cause of the spike process in the pelvic area can be metritis (inflammation of the uterus), salpingitis (inflammation of the uterine tube), Varto's adnexitis, which means that the spitting itself settles in that organ, de and buv igniting process. Prote for a severely neglected ailment, the homeland can eat and sudіdnі organs.

Surgical operations

Mayzhe ever after such manipulations people stick to such a phenomenon, like spikes. What is it you already know. Why are these blessings established after such vistas of grace?

Whether the operation is accompanied by blood loss. You can be peaceful or clear. After the completion of manipulations, the doctor should start obov'yazkovo to carry out the toilet of the empty stomach, clearing the excess blood and mucus. Ale, during the period of closed wounds, that seam may appear to sucrose, streaks of blood, or mucus can be seen. Itself tse and becomes the cause of the adoption of adhesions. Varto signify that the pathology develops itself in the organ on which the operation was performed.

For example, with the removal of the appendix or surgery on the intestines, the adhesions settle down there by themselves. In different surgical manipulations on the heart, thin plumes can appear between the cameras. Under the hour of surgery on the female organs, the spike process damages the system itself. The greater the operational expansion and the last operation, the greater the ease of the appearance of ailments.

Internal bleeding

Under the hour of seeing blood in the middle of the empty stomach, adhesions can be established. What is it? Let's take a look at the process.

Often, when a deep organ is opened, blood is seen similar to its homeland. Vaughn and spryyaє threads, like a year they become spittles. Varto signify that the skin can be treated with a surgical path, the prote does not guarantee that the disease will not infect the body.

Zhіnochi reasons for the adoption of the spike process

Adhesions on the ovaries, or on the mother, can be established as a result of various hormonal illnesses. Before them one can see endometriosis, endometritis, myoma and other ailments.

Also, in case of infections, if they were withdrawn during the state contact, they were not forged, due to the spike process. A similar result can be taken away through incorrect selection of intrauterine contraceptives or through partial abortions.

Symptoms of illness

Depending on the appearance of adhesions, the symptoms may be different. Most often, the disease manifests itself as follows:

• buttocks and difficulty in breathing (with the approval of spitting on the expansion of the respiratory system);
• damage to the etching and pain in the empty stomach (during the spike process on the tube, the liver or the mush);
• impaired defecation and pain during the hour of defecation (with adhesions on the intestines).

Spike disease of the small pelvis is characterized by the onset of symptoms:

• intermenstrual bleeding;
• breaking the cycle;
• the appearance of a lingering, slight or sharp pain in the lower part of the abdomen;
• the impossibility of catching or attaching a fruiting egg to an inconspicuous place for a new one;
• rise in temperature, nudota chi vomit.

Illness correction

Treatment of adhesions of the small pelvis or other organs can be carried out by different methods. In case of any obov'yazkovo healed in the patient, the intensity of the symptoms is the reason for the resolution of the spike disease.

I use a conservative, surgical and folk method, as a way to extort adhesions. Let's take a look at the report on the correction technique.

Conservative way

Adhesions on the ovaries, in the fallopian tubes, or those that are spread in other organs of a person, can be treated with medical preparations. Varto signify that such a method of correction is most often chosen, if the symptoms of the disease are not pronounced and do not bring discomfort to the patient.

Also, a similar technique is chosen if it is necessary to prevent the adoption of thin threads and swimming between organs. Such therapy is prescribed at the same time due to the exaltation of inflammation, and after the surgical operation.

Most often, the patient is prescribed injections of the drug "Lidaza" or "Longidaza". With the treatment of spike ailments of the small pelvis in women, the faces of "Longidaza" are more effective in looking at rectal suppositories.

Krіm tsyogo, the doctor can give a physiotherapy. Under the hour of manipulation on the area of ​​adhesion adhesions is a direct special promin, which leads to the growth of new tissue and reshuffling of the adhesion process. Similar prophylactic treatment is always prescribed after the correction of ignition diseases.

Surgical method of treatment

Adhesions, the symptoms of which are described in this article, can cause severe discomfort. And at this time, they often go to the operational vtruchannya. Most often, this method is chosen only if conservative therapy has not given results.

Varto indicates that the removal of adhesions can be carried out in two ways: laparotomy and laparoscopic way. Offended by methods and surgical interventions. Laparotomy is an old and popular option. However, even though the possibility and medical mortgage can be at your disposal the necessary equipment and facsimiles, then laparoscopy itself is hopeful.

Some minor spitting, removed after an additional laparotomy, is settled in a larger number after the manipulation. To that very thing, before the operation of the wart, it is necessary to heal the folding of the illness and the possible consequences.

The most sparing surgical method to remove adhesions is laparoscopy. Under the hour of the procedure, the patient is under general anesthesia. Itself to that it is not necessary to be afraid of a pain and it is necessary to trust the doctor. Lіkar rob at the empty empty sprig of punctures. A video camera is introduced into one of them, as if transmitting an image of the internal empty space to a large screen.

Krym tsygo lіkar rob more slits of tears, manipulators are introduced through yakі. How many of these punctures should be deposited in the first place, to which body the operation is to be carried out. Your number can become from two to four. For the help of these manipulators, the surgeon carefully subtracts the gluing of the organs and conducts the removal of adhesions.

After the manipulation, the closing of the opening is carried out at the edge, and the patient comes to you.

People's well-being

A lot of people give priority to folk methods of jubilation. Varto signify that such a correction is not to blame for the confession of the doctor. A lot of fahivtsiv recommend to use the folk method and the method of treatment with medical preparations.

- Animal. Let's cut the likuvannya wider. For the preparation of liqueurs, you need to hang and trimmed roslin.

Pour one spoonful of sprinkling at the end of one bottle. After that, boil faces for a quarter of the year. Dali, it is necessary to cool the homeland and live it in one glass a day. Portion needs to be divided into chotiri priyomi.

- Bergenia for the exaltation of ailments among women. The variant of this koshti is not much wider, it is effective to carry it out effectively. You need to take 50 grams of roslin (root) and pour 350 milliliters of hot water over the whole lotus. Such a gap was left for 8 years in a dark place.

After whom the face is vvazhayut ready to live. It is necessary to take the container with the vіvarom near the refrigerator. Today, dilute a couple of tablespoons of liquor in one liter of boiled water. In such a way it is necessary to douche before going to bed.

Self-supporting soldering

The small pelvis can independently pass after vagity. Under the hour of ochіkuvannya, the baby's child-bearing organ expands as it grows. Tse allows thin threads to separate independently.

Such a process is most painful. If necessary, the drug may indicate that the future mother is taking analgesics and calming drugs. For some vipadkah, you may need to likuvannya in hospitals.

Have any kind of exuberance of the spike process, you can always be under the control of a specialist. Sometimes a gynecologist prescribes women supplements in order to signify, in a future state, an organization.

Prevention of the appearance of spikes

Skin people know that the best treatment for those with other ailments is prevention. In order to escape the appearance of the spike process, it is necessary to seriously care for your health.

Women are recommended to see a regular gynecologist on a regular basis and once a day to get tested for possible infections. When the ignition process is revealed, it is necessary to have a quicker rozpochati yoga exuberance. Tse dopomozhe niknuti vidіlennya rіdini and zabіgti spike process. So important is the role of playing the image of life. Vіdmovtesya vіd shkіdlivih zvichok and go in for sports.

It is also necessary for representatives of the beautiful state to follow the camp of hormonal ashes. For whom it is not obligatory to fold a blood test. Respectfully look after the regularity of the menstrual cycle and your self-confidence. Unify vipadkovyh state contacts without intimidation. Tse help you to get rid of various infections that call for a spike process.

If you had a chance to perform an operation, it is also necessary to carry out the prevention of adhesions. Talk to the doctor and ask him for the necessary medical preparations. Outwardly, dotrimannya all appointment to help you escape the appearance of spike ailments and її nasledkіv.

Visnovok

Now you know everything about spike ailment. If you enter a group of risks, then you should be careful and repair if necessary, first of all, symptoms and symptoms of various health problems will appear.

Rejoice in your doctor and get the right method of healing. Follow your self-esteem and always try to be healthy!

Over 50% of patients who suffer from chronic pelvic pain have been diagnosed with plastic pelvic peritonitis. In women, the pathology is noted to increase approximately 2.5 times more often, lower in humans, the development of acute intestinal obstruction, the cause of which was peritoneal adhesions, it occurs in 1.6 times more often, lower in patients.

Plastic pelvioperitonitis is diagnosed in patients with a history of any tightness by empty operations or inflammation of the pelvic organs. Imovirnist formation of adhesions depends on the number of transfers of laparotomy. Successful tissue striae are observed in 16% of patients after the first laparotomy and in 96% of patients after the third.

Cause

Spaykoutvorennya v_dnostsya to zahisnykh mehanizm_v organism and may on the spot in the intervening poshkodzhenoy d_lyanki (inflamed or trauma) in the pelvic or ventral empty in healthy tissues. Flexibility to adhesion formation, intensity of their formation and breadth of the process are characterized by low factors: increased reactivity of successful tissue, weakened immunity and individual flexibility of the turn to adhesion formation. Factories for risky molding of happy tissue growth are divided into 3 groups:

1. endogenous, increasing the genetic change of the body to adhesion formation (decrease or increase in the N-acetyltransferase enzyme);
2. exogenous - injected into the body of a call (trauma, surgery, infection);
3. combinations, if molded joints take the part of external and internal factors.

Non-mediated causes of adhesions in the pelvis:

Return respect

In 50 and more years of marriages, the adoption of soldering joints was conditioned by the same number of factors. To take care of their dead state of affairs, abortions, invasive gynecological procedures, lack of care for intimate hygiene, life to the doctor.

Lighting mechanism

The empty cherevna in the middle hangs with an edge - a serous shell, which makes up the closures of the space, de є organs of the abdomen. The peritoneum is represented by two sheets: parietal, which hangs on the empty stomach, and visceral, which envelops the internal organs. Having offended the leaves of the queue, z'ednani among themselves and go one to one. The main functions of the peritoneum are the formation of fragility of organs, preventing them from rubbing one about one, protecting them from microbial agents and interfering with the infectious process when microorganisms penetrate into the empty stomach or small pelvis.

Poshkozhuyuchy factor (trauma chi inflammation of the queue) calls for the vision of mediators that stimulate regeneration. At the stage of the process, fibroblasts are activated that generate fibrin. Fibrin fibers, which have become established, cry out for adhesion of adjacent organs and tissues. As a result of the ignition, the fire is exposed to healthy tissues. However, there may be a lot of traumatic injury and chronic inflammation, rupture of healthy tissues, adhesions form blood-bearing vessels and nerve endings, and the thickness of collagen fibers rises. Fluffy adhesions and leaves of the ovary become more slender, the friability of the pelvic organs is intermingled. Be it a misplaced organ (turn, get sick, physically navantazhennya) to force adhesions, tease the nerve plexus and cause pain in the lower abdomen.

Classification

The following clinical forms of plastic pelvioperitonitis are seen in the fallow in particular features of the overrun of the disease:

• Gostra. The disease is characterized by a pronounced clinical picture. Ailing turbulence is intense, rising temperature, lowering blood pressure, loss of appetite. Increasing intoxication is evidence of development and will require a negligent surgical intervention.
• Intermittent. Characterized by the overrun phase. Attacks of acute pain are replaced by periods of complete calm. Looking back at the blame for the pain syndrome, intestinal disorders come up. In the phase of remission, there are no symptoms, or the stench is slightly pronounced.
• Chronic. This form of illness occurs with mild signs and is asymptomatic. The most common parts of scarga ailment: periodic constipation, dullness or niuchi. The main reason for the woman's resignation to the gynecologist is the skarga for the duration of pregnancy.

Shards of small pelvic adhesions are often the cause of female infertility, gynecologists in the classification of pathology see the stages of illness, as if they are prescribed for additional laparoscopy.

• First. Single thin bands, rotting around the ovary, fallopian tube or uterus. The presence of adhesions does not disrupt the process of ovarian rupture from the stump into the tube, but then at the empty uterus.
• Friend. Between the ovary and oviduct and other organs, there are strong bands, and more than half of the area of ​​the stump is free. Growth destroys the process of occupancy of eggs with fimbria trumpets.
• Third. Most of the area of ​​the ovary is covered with thick growths, which disrupt the process of egg production from the follicle and exit to the surface of the vine. Also, deformation and partial occlusion of the fallopian tubes, which is impossible to prevent.

Symptoms of adhesions of the pelvic organs

A clear clinical sign of plastic pelvioperitonitis is pain syndrome. Women with adhesions of the small pelvis feel constant pain at the bottom of the abdomen, which either becomes stronger or weaker. Pain can be dull or aching, localized in the suprapubic, transverse, cranial areas, or vented into the rectum. Pain seems to increase in the process of physical tension or tension (under heaviness, physical right, sharp turns, sickly or haircuts), with tension during defecation, in the process of a state act and after a new one, a new succussed out of it. Strengthening of pain sensations can provoke nerve overexertion, overcooling, menstruation or ovulation.

As if the adhesions are pulled over by the sich mіkhur, the patient swears at the impossibility to endure the new sich mіkhur, it is possible to interrupt the sich, or the ailing sichovipakannya. In case of compression of the commissures of the large intestine, there is a risk of derangement of its functions. Constipation, which is periodically blamed, is replaced by an accelerated style or diarrhea, flatulence and bloating are indicated. It is possible for the appearance of nudity and rarely vomiting. Intestinal derangement increases after the reduction of products, which stimulate gasification (peas, kvassola, chasnik, grapes, zdoba, beetroot). Constriction by adhesions of the ovaries and fallopian tubes is accompanied by a disorder of reproductive function - bezplyddyam.

complication

Ill with an unsafe development of advancing complications and nasledkiv:

• Gostra intestinal obstruction. Crushing with a well-tissue strand of the intestinal tube should be brought to a complete or partial sounding of the gap and damage to the microcirculation in the intestinal wall, which requires an emergency operation.
• . It is diagnosed in 25% of patients with plastic pelvioperitonitis. Mindful of damage to the passage of the fallopian tubes, disorder of the processes of ovulation and flooding.
• . Impaired transport of the ovum by the oviduct after the sounding of the galmues penetrates the fetal egg into the empty uterus and leads to implantation in the fallopian tube.
• . Flooding of the fragility of the fetuses with adhesions during її growth during the period of gestation leads to hypertonicity of the uterus, which can lead to interruption of vaginess (otherwise).

Diagnostics

Diagnosis of pathology is based on the collection of anamnesis and scarg of the patient. Carrying out a gynecological examination allows you to restore the fragility of the uterus, shortening of the crypts, with palpation in the area of ​​​​the appendages, pain is felt, heaviness is palpable. Additional fittings include:

With the method of inserting a microbial agent, which provoked chronic inflammation, it is possible to take smears on the pharynx flora, bacterial culture of the pharynx in place of the sensitivity to antibiotics of the revealed microorganisms, PLR on the attached state.

Treatment of spike ailments of the pelvic organs

Treatment of pathology is carried out by a conservative and surgical way . Conservative therapy is carried out at stage 1 of plastic pelvioperitonitis and includes:

• . The detection of an infectious agent will require antibiotic therapy, the choice of drugs is determined by the results of the tank. posting and improving the resistance of bacteria to them.
• NPZZ. With non-steroidal anti-inflammatory drugs, indomethacin, diclofenac are used, which can cause pain syndrome, eliminate swelling of inflamed tissues and dissipate frizzy adhesions (on the cob stage of the disease).
• Hormonal benefits. Treatment with hormones is carried out with the revealed endometriosis.
• Fibrinolytic enzymes. Longidaza, lidaza, terilitin cleave the adhesions for the rachun cleavage of glycopeptide bonds. Enzymes are prescribed in rectal suppositories, for intravenous administration and for the first hour of physiotherapy.
• Physiotherapy, gynecological massage, exercise therapy. From physiotherapeutic procedures, effective electrophoresis with enzymes, paraffin therapy, SMT.
• Vitamins, . Polish the burning camp, normalize blood flow and exchange of speech in tissues, stimulate immunity.

Surgical treatment is indicated for the ineffectiveness of conservative therapy, as well as for various acute and intercurrent forms of the disease.

With the development of congenital complications (ectopic vagity, intestinal obstruction), an urgent operative intervention is carried out.

Rossіchennya adhesions are fixed endoscopically (laparoscopy):

• laser therapy (adhesions are broken by a laser exchange);
• electrosurgery (growing up with electricity);
• aquadissection (adhesion adhesions are vibrated with water under a high vise).

Ganna Sozinova, obstetrician-gynecologist

Adhesions in the small pelvis - tse camp, which is characterized by adhesions in the cherevniy empty and organs of the small pelvis - happy tissue cords.

In the rest of the hour, the spread of spike ailment in gynecology greatly increased.
Tse z rich with provocative officials in the world. The girls do not care for their health, they burn the inflammation of the appendages without lubrication, it can go away on its own, with chronic inflammation and adhesions are settled.

Causes of this mechanism of adhesions in the small pelvis

The most common reasons to treat the blame for the spike process in the small pelvis are:

3) mechanical damage to the organs of the small pelvis and emptying of the stomach (injuries, surgical insertion). Adhesions develop in case of bleeding into an empty stomach, especially in cases of blood infection that has been shedding. In gynecology, often the cause of adhesions is bleeding in case of post-uterine vaginess and in ovarian apoplexy. The significance of injuries of the vertebrae, cooling or overheating of them in the development of spike ailment has been experimentally brought.

The presence of third-party bodies (servettes, drains) at the empty cherevnіny pіd hour of operative insertion is also accompanied by the adopted adhesions. ;

4) bleeding into the empty stomach (pozamatkova vagіtnіst, apoplexy of the ovary thin);

MRI - magnetic resonance imaging of the pelvic organs - to be carried out after the anterior ultrasound of the pelvic organs. Non-invasive instrumental method of investigation, which may be highly informative;

- Diagnostic laparoscopy is an operative, but the most reliable method of diagnosis. Roar two small roses on the heart of the wall. At the empty cherevnu, it is pumped again. Insert a laparoscope into one opening (a thin tube with a video camera unit on the end, through which the image is transmitted to the monitor screen). Insert a manipulator into another section - for this, the additional doctor looks at the organs, looks around in detail. Tse allows you to make an accurate diagnosis with confidence.

From the laparoscopic picture, one can see 3 stages of expansion of the spike disease:
1st stage-commissures of rotting only the fallopian tube, ovary or other area, but do not re-occupy the egg;
2nd stage - soldering adhesions between the fallopian tube and the ovary, or between these organs and the occlusion of the egg;
The third stage is the torsion of the fallopian tube, blockage of the fallopian tube with adhesions, which makes it impossible to bury the egg.

Obstruction of the fallopian tubes for hysterosalpingography data (introduce contrast speech into the uterus, bleed x-ray marks), gynecological obstruction and ultrasound follow-up with a great degree of reliability in indicating the presence of a adhesion process, prolapse of the uterine tubes is not allowed Zvichayne ultrasound investigation does not allow to reliably reveal the presence of adhesions of the small pelvis..

Thus, the designated stage of the expansion of the spike process is the main one for the designation of the tactics of exuberance. In different situations, patients can be fatally diagnosed with a gynecologist with an undiagnosed diagnosis, and laparoscopy itself allows you to make an accurate diagnosis, and to conduct an effective treatment of spike ailment at once.

Likuvannya spike ailment

Likuvannya spikovoi ailments to lie down again depending on the degree of severity of illness, it can be both conservative and surgical. I would like to point out that in acute and intermittent forms of illness, surgical treatment - laparoscopy, the only method of treatment through high efficiency and swvidky effect. Even more often, surgical treatment should be combined with conservative ones for a greater effect.

In chronic form of spike ailment, it is possible to zastosuvannya inclusively conservative treatment. It is necessary to identify the cause of the development of spike ailment. If it has been revealed whether it is a urogenital infection (say, chlamydia), then we may be able to direct it to the elimination of the main disease, in order to save the further expansion of the spike process. With the use of drugs of choice, antibiotics and antiseptic drugs (NPZZ, corticosteroids). Since the cause of spike ailment is endometriosis, then hormonal treatment, antiseptic drugs, desensitization and symptomatic therapy are prescribed.

Non-specific therapy - fermentotherapy - fibrinolytic preparations, which resolve fibrin (longidaza, trypsin, chymotrypsin), and effective preparations, which increase small adhesions, is gaining wide popularity. For the severity of the acute infectious process, physiotherapy - internal laser therapy and modern magnetic laser therapy should be instituted.

The whole treatment is not a panacea for the chronic form of spike ailment. Conservative treatment is most effective in the 1st stage of illness.

In the case of ineffectiveness of all resurfacing techniques, and with a further widening of the adhesions, cuval-diagnostic laparoscopy is indicated. As a rule, a gynecologist-surgeon diagnoses spike ailment already on the operating table and performs the operation at the same time - detecting spikes. There are 3 options for laparoscopy:
- soldering spikes for the help of the laser - laser therapy;
- soldering spikes for help with water under a vice - aquadissection;
- soldering spikes for the help of electronics - electrosurgery

Vybіr on the merit of that chi іnshgo method likuvannya vyznaє likar pіd hour laparoscopy, fallow vіd rastashuvannya commissures and the breadth of the process. Under the hour of the operation, the surgeon should conduct conservative treatment with the method of preventing the spike process: injecting bar'ernі rіdini - dextran, povilin that іn), apply polymeric patches on the uterine tubes and ovaries, which will be removed.

Officials, what to add to the exuberance of spike ailments

When the diagnosis of "Spike's disease" is established, it is necessary to follow up on the singing canons and rules with the method of identifying repeated relapses of the disease:

Seeing a gynecologist once a day;
- rational diet - in small portions with small breaks between meals - approximately 5 times a day; unique products that call for a gas expansion;
- physiotherapy procedures are more appropriate for the most obvious dressing, it is recommended that you regularly see a physiotherapist - you can carry out electrophoresis with medicinal preparations, luxuriant massage and physical culture);
- when a painful attack is blamed, antispasmodics (no-shpa, papaverine) can be used. If you don’t attack, you need to go to the gynecologist and don’t engage in self-exaltation on your own.

After the performed liquor - after the operation or conservative liquor - to patients of indications, physical calm stretching for 3-6 months, more dynamically guarded by a gynecologist. In the first 2-3 months, it is necessary to complete the described more rational diet. Shvidko oduzhanny spryaє also exuberant physical culture and physiotherapy procedures. For the end of all rehabilitation visits, the forecast is favorable.

National treatment of adhesions in the small pelvis

Folk medicine also zastosovuєtsya with spike ailments as a symptomatic treatment. However, it is necessary to be sure that all the people can be effective only in that depression, as if you go about alone solderings, otherwise the herbal infusions are not pomіchniki and in the case of a treacherous attack on the grass, the camp can only get worse. It is even better to vincify the herbal tincture in the rehabilitation period and as an additional zasib to the main liquor. With the help of the method of victorious zvіrobіy at the dried and trimmed look. Pour a tablespoon of herb with zvіroba flask dill, boil 15 khvilin, process and take in 14 flasks 3 times a day.

Complication of spike ailments

Spaykov's ailment is more than ill, to marvel at the new krіz fingers. Buvayut fluctuations, if the sickness endures pleasantly, not letting you know about yourself, however, for unfriendly environments, the spike process expands rapidly and for the presence of a literate approach, that likuvannya can be more seriously aggravated, so: intestinal obstruction, obstruction of the fallopian tubes, pozamatkova vaginost, not seeming already about the acute form of the development of illness, as you can bring to life unacceptable nasledkiv.

Prevention of spike disease

Prevention of spike ailments includes: regular follow-up at the gynecologist, gynecological massage, self-treatment of urogenital infections, natural planning of sim's: prevention of negligence of vagity, of gynecological abortions,

Education and advice on the topic of adhesions in the small pelvis

1. Ultrasound showed adhesions in the small pelvis. Can I get interested?
So, vagity is possible, as adhesions do not overwhelm the occlusion of the egg.

2. How likely is the current vagity after laparoscopy?
Approximately, the skin patch of a woman can be affected by the natural path after the operation. In addition, EKZ (extracorporeal flooding) is shown.

3. Can you get adhesions after a caesarean rupture?
So, it is possible, whether it be promptly introduced to the adoption of the spike process.

4. Can adhesions rise after physiotherapy?
Physiotherapy is a dієviy method, during the first hour of the procedure, adhesions grow and change, tse znіmaє pain syndrome, it's a little easier, that adhesions appear more often.

5. Can you put a spiral on spikes?
It is possible, albeit unbearably, the shards of the spiral can provoke the ignition process.

6. Can you have more sex for more than an hour, how about spikes?
So, maybe, especially when there is a spike process with endometriosis.

7. I have a uterine contraction. Tse means that I am soldering?
Not ob'yazkovo. Tse can be a variant of the norm.

8. What kind of infections are most likely to cause adhesions and bezplydya to the end?
Chlamydia and gonorrhea.

9. I have a constant pull in the lower abdomen. The doctor seems to be sleeping. Ale did not show anything on ultrasound. What work?
Unfortunately, it is not possible to know the presence or presence of adhesions by ultrasound. To clarify the diagnosis, additional follow-up methods are needed - MRI, laparoscopy.

Photo Spike process in an empty small pelvis.

Obstetrician-gynecologist, Ph.D. Christina Frambos.

Tell me, please, report about physiotherapy - what procedures can be included in it (less cicavit ce from the look of gynecology - exaltation of inflammation and expansion of adhesions) at a certain time of the insurance rate, it is possible, you know, such procedures can be done.

Physiotherapy is a different method of treatment of chronic inflammation and spike process. She doesn't use the adhesions, but rozm'yakshuyuchi їх, changes the symptom: bіl, damage to the robotic organs. If there is obstruction of the fallopian tubes, then physiotherapy cannot help. Therefore, it is necessary to carry out the treatment of tubo-peritoneal safety, physiotherapy is carried out only after the renewal of the tubal patency (installed by the HSG). It is impossible to describe the procedures, they are too rich, physiotherapy is guilty of choosing individually, fallow in rich conditions. The course consists of 30 procedures, it takes 10 working days (3 procedures per day). .

After two operations (removal of appendicitis and drainage of the empty stomach), I developed spike ailment. In order to change, it is necessary to conduct a course of physiotherapy. Tell me, please, report about the whole course.

Physiotherapy allows expansion of spike structures, increasing them more thin and stretching. It is not necessary to change or to re-pin the pain, to improve the function of the intestine, which is constricted by adhesions, the specific physical factor is selected individually, fallow in the eye, concurrent illnesses.

It is necessary to remember that physiotherapy is not surgery, it cannot be used to "disassemble" adhesions. Get rid of the stench, just become soft. To that, after an advanced course of symptoms (bіl, disruption of the intestines), it may be necessary to have an operation to resolve adhesions.

My man (24 years old) was found to have low viability of spermatozoa.
I can have solderings in the pipes, because trichi exulted adnexitis.
What are the prospects for the people of children in us? Yakі іsnuyut methodi lіkuvannya malopіdv. spermatozoa?

You have prospects. Individuals need to undergo a consultation and consultation with an andrologist. As a result, the results will be unfortunate, it is possible to plant the so-called additional reproductive technologies, for example, ІСІ - the introduction of a spermatozoon with a special head into the middle of the egg. For whom the fragility is not necessary. The second option is a piece filled with donor sperm.

It is necessary to understand the prospects of a person, so that you can lay your tactics exuberance. Obviously, for the cob, it is necessary to perform hysterosalpingography and to reconsider the passage of the tubes. If the stench is impenetrable, or if it is a waste of practice, then everything is left to fall due to the results of the person’s exuberance. new spikes. As soon as you fill up for help ІKSІ (at the sample), then you don’t need to blow the trumpet, so that the embryo is planted directly into the empty uterus. Then it is necessary for you to prepare yourself resolutely, but do not blow the trumpet.

Already CHOTIRI ROKI I suffer from the type of CONSTANT pain in the lower abdomen (if strong, if weaker), then. Bіl to pass even rіdko і z'yavlyaєtsya anew, varto trohi collapses. It started from the fact that I had an abortion, and not without reason I fell ill with metroendometritis and bilateral salpingo-oophoritis (in the acute form). They proclaimed successfully. In a deaky hour, I was aggravated again, I did an analysis, and chlamydia was detected in me. Passed an outpatient course of treatment, concurrent analysis (PCR) showed a negative result. Chotiri time passed the treatment at the hospital for a month and more with a diagnosis of "chronic metroendometritis and bilateral salpingo-oophoritis". Mіzh them passed a course that I inspire. Kіlka times robbed ultrasound, Doppler, puncture, diagnostic imaging. Diagnosis - signs of chronic metroendometritis and bilateral salpingoophoritis. Recently, adhesions and uterine myoma (1 cm) were detected. Vipisuvali with such pains themselves. I still have a post-yni vision, brudno - yellow, not sirn, smears are good, but I still see a strong smell. Menstruation is regular on the first day or two. Typical pain before menstruation and on the first day. The main drugs that were admired were: trichopolum, metronidazole, tinidazole, bicillin, ampicillin, abaktal, doscicyclin, ciprolet, sumamed, gentamicin, metrogil, dioxydin, fizrozchin, norkolut, ortofen, Ringer's solution, glucose, power chlorine, vitamins gr. B, nicotinic acid, aloe, FIBS, autohemotherapy, furosemide, splenin, diclofenac, lidase, mistceve treatment: nystatin, polygynax, clotrimazole, candles, herb baths, diflucan, physiotherapy: electrophoresis with magnesia, course, b vitamins, festal, carsil, electrophoresis, bifidumbacterin. I went to the gastroenterologist, I looked back on the results, without analyses, saying that I was not in my yogo part. At the same time, one doctor is to diagnose "chronic pelvic pain" and to perform laparoscopy (with the help of diagnostics, and possibly, the removal of any morbidity, soldering), and the other one to treat the intestines (I have constipation for 1-2 days). I want to live; I can’t live with our lives, but I can’t believe that I can live the whole hour of illness. Help! Please, what more often than once, chula, what more tomography, maybe, with help, you can make the correct diagnosis and correct? How to turn around in the sight?

Your mind can be helped by well-chosen physiotherapy. Those who have passed a few courses with no result, it is reasonable to suggest that there is an unrecognized diagnosis of endometritis, and that the laparoscopy is done, to see all the pathological things that will be (should be) detected, but later on, all the same, according to the results of physiotherapy. Golovnya - physiotherapy can be chosen individually for you, only to help you.

Ultrasound showed adhesions in the great kilkost. What is the threat, what can be the consequences?

On ultrasound, a number of adhesions are not visible. Less than indirect ultrasound signs of adhesions: change of the ovaries, sweating of the ovarian periphery. Spikes show up behind a great manual cladding. The consequences of the spike process: bіl, impaired bowel function, and more importantly - tubal obstruction and absence. As if the tubes are not passing, the adhesions are separated for additional laparoscopy, as if they are passing, then physiotherapy is prescribed to change sickness and soften the adhesions.

22 years, zamіzhnya, did not grow up, 2 years ago I had pains from my right side in the lower abdomen. After the examination, I was diagnosed with right-sided adnexitis and treated with traditional methods (autohemotherapy, suppositories with indomethacin, ultrasound), after the examination, there were no visible positive results. Todi Bulo punished zdat analysis at the venereal dispensary (bak. posіv) for chlamydia and іn. All analyzes are normal. Prescribed candles from lidaz, boulen commemorate the deacons of polypshennya. Ale after an insignificant interval of time, the pain was not only revived, but they became more sensible. Then antibiotics were prescribed (doxycycline, trichopolum, nystatin) - the pain subsided for more than an hour, and then recovered. To supplement everything else, my lymphatic nodes in the inguinal cavity lit up. Todі mіy lіkar having punished you with a phthisiogeniologist. Whose fahіvets having reminded me of the step that I have a "serious" spike process, which causes pain, which I describe. The spike process called to the point that the right ovary was fixed in the wrong position, and the uterus became stiff. Fahivets having told me that it is unlikely that I may have manifestations of tuberculosis of the female organs. Vaughn assigned me an analysis (sorry, I can't guess the name) during my period. Tell me, be kind, what can you do? How to rejoice? Pain in the lower abdomen on the right does not give me peace of mind and sometimes peretkayut near the area of ​​the uterus. How can my ailment be thrown into the future vagіtnіst?

W soldering process is the result of transferred ignition. scar tissue grows, tightening organs, closing in the wrong position, squeezing judges and nerves. Tse cause pain to develop. On the back of the head, it is necessary to get enough rest at the phthisiogynecologist, to turn it off, and then go back to the physioginecologist, tk. maybe change physiotherapy (although it didn’t help once, but sometimes they prescribed a standard scheme, and її it was necessary to take it individually. fallow in the form of scars, turning, concomitant illnesses should be carried out intensively 3 times a day for 10 days).
The spike process can affect the present vagity, because. solderings can stick to the tubes and make them impassable. If it should appear like this, then adhesions can be removed more quickly, with additional laparoscopy. Physiotherapy only tends to improve the adhesions, so that the stench does not overwhelm the growth of the uterus under the hour of pregnancy.

I took an x-ray of the uterus and appendages. I had adhesions on the ovaries and small polyps. The doctor said that it is necessary to perform laparoscopy. I would also like to know what kind of operation and how much you need to work with this diagnosis.

Even if you are obstezhuetsya z drive without plinth, adhesions in the area of ​​the appendages (tubes and ovaries) can cause obstruction of the tubes, and for the present vagity it is necessary to see them. Laparoscopy is a sparing operation, in the case of severing, do not open the opening, but just pierce 3 unremarkable openings, introduce illuminating tubes and micromanipulators, with which to open the adhesions. Spend some blood, no matter what day you get up from your bed. If you don’t choose to have a child, then you can get rid of adhesions. And the axis of the polypi from the empty uterus must be cleaned up. Tse roblyat for help vishkribannya, more beautifully (alle and more expensively) - under the control of the eye, - hysteroscopy. Polipi must be seen directly from your child's mother.

How to exemplify the spike process in the small pelvis (after suffering adnexitis). They rejoiced in aloe (in'єktsії), folic acid, vit. Є more pyrogenal (20 injections). Ale soldering all one lost. Chula about EHF therapy, how to get rid of adhesions. Tell me, be kind, report more about this method In the course of the spike process, uterine reflexion is important for the future conception of a child.

Introduced by you methods of likuvannya will be seen as soon as possible before prophylactic, then. what will help the adoption of the spike process, down to the methods of yoga healing. The vaginess becomes unbearable, as if in the spike process the uterine tubes are radiated, and the passage is broken. The method that allows z'yasuvat tse hysterosalpingography, tobto. X-ray examination of the uterus and tubes. In case of chyoma, inject radiopaque speech into the empty uterus and marvel, as if it is spreading at the tubes. For the obvious obstruction of the fallopian tubes, they go to laparoscopy.
Laparoscopy is a more efficient insertion, when 3 small punctures are made in the vertebral column, through them manipulators and optical attachments are inserted into the empty vertebral column, until a video camera is attached. The image is displayed on the screen and for additional manipulators, the operation is performed, at your discretion, according to the separation of adhesions and the recognition of the permeability of the fallopian tubes.

EHF-therapy can be even weaker. Establish the most advanced physiotherapy methods for treating the spike process.

Meni 20 years. I was suddenly rejoiced at the inflamed appendages. I scurried on my right side in the area of ​​my ovaries. The doctor urged me to take a course of inflammation, to the fact that my "wealthy vision" and is characteristic of the ignition process of seeing, I was given an idea. The results of the analysis of the first diagnosis - right-sided adnexitis were not confirmed. I drank a course of Metronidozol, pricked vitamins B1, B2 and aloe, as well as douching, Klion D candles, demidrol and nystatin. Ale, the pain was gone, only the crumbs became of a different character: they were addictive to small livers. Ultrasonography did not reveal any more ovaries on ultrasound, and the diagnosis was made - a spike process. Likar prescribed me physiotherapy and Microfolin Forte. Yogo won recommended to drink for 4-6 months, like an antiseptic, "to allow us to turn on the ovaries for a certain hour." I read the instructions for administering the drug, rehearsed the doctor and tried to explain: what is the true anti-zasib? Chi do not require me to drink like contraceptives (I used to drink Celest)? І chi can you drink them together? Ale vіdpovidі so i didn't take it.
And now, let’s hear about the fear that I’m being praised, I’m blaming one more thing: what is the right thing to rejoice at me? Even though it seems to me that "the spike process is not great, there may be less time for relief." And on your site, I read that women are rejoicing, and I start to boast: chi unsafely overwhelm everything like that, relying less on microfiber, which I didn’t understand.

The spike process develops after the transferred inflammation, so pain can be like a past adhesion, so it is a dull ignition process. The exuberance of the inflamed flames favors the stagnation of antibacterial diseases. Physiotherapy procedures to prevent the development of adhesions, and often their rozmoktuvannya. Zvichayno, all lie in the vіd vraznostі process. It also lives at the bottom, but it can also be used for endometriosis, or for varicose veins of the small pelvis, or for intestinal infections, or for transverse osteochondrosis. If it was to be of an expression nature, and if there was a suspicion of an increase in the spike process or an obvious one, then they go into the operational area of ​​the adhesions and the exacerbation of endometriosis. You need to see a gastroenterologist to rule out a disease of the intestinal tract. Doing sports will increase the development of varicose veins.
What is the use of microfolinum, it is not a choice for contraception. I use nameless preparations, which give a good contraceptive effect and mimic the work of the ovaries (on the basis of which it is used), giving them the benefit.

Meni 23 rocky, not narodzhuvala. With ultrasound of the small pelvis on the 6th day of the cycle, I was told that my left ovary was located "behind the back of the uterus" and that there were indirect echo-signs of a spike process in the small pelvis. I really want a baby. Be kind, suggest that the pathology of such a position of the uterus and naskilki is serious for the possibility of conception and echo-signs. How cool is it, why do I have tubal obstruction or chronic inflammation of the appendages (the doctor guessed about it)? So they wrote that "in the empty M-moon 3.2" What is it like? There is no new creation that kіst. There were no vacancies. Buli gardnerella and warts.

For clarification of yours, I will need a better clinic. In absentia, not knowing your history, it is important to work as an excuse. For viznachennya prohіdnostі of uterine tubes you neobhіdno spend gіsterosalpіngografіyu (rentgenologіchne doslіdzhennya, pіslya Introduction kontrastnoї rechovini) abo laparoskopіyu (tochnіshy view dіagnostiki scho dozvolyaє at viyavlennі whether yakoї patologії, vіdrazu Well її usunuti, napriklad, rozsіkti adhesions vіdnoviti prohіdnіst of uterine tubes). .D.). First of all, going into serious invasive methods, we recommend that you take an analysis for the presence of urogenital infections, which can cause an ignition process. If it is necessary to appoint M-exo, then this is how the endometrium (internal sphere of the uterus) is indicated, and if the follow-up was carried out on the 6th day of the cycle, then we should talk about endometrial hyperplasia. It is recommended that you repeat the ultrasound follow-up.

I had an operation (laparoscopy), a dermoid cyst from the right ovary was seen (about 7 cm in size, histology showed that the teratoma was visible), a cyst of the zhovt body from the left ovary, a paraovarian cyst (I don’t know what I wrote). Under the hour of the operation, endometriosis of the peritoneum was revealed, the middle part of which was coagulated. Before the operation, the uterus was pushed to the left, as I was told, through the dermoid cyst, as if the right hand was ripped. After the operation, I went through a course of physiotherapy, maybe one more. Ale, the position of the uterus has not changed, it is also pushed to the left. The first day of menstruation is the most painful. Tell me, please, is the first day of menstruation just as painful (like before surgery)? And why did the uterus lose its position to the left?

1. Might be viklikana tim, but not all middle endometriosis coagulation. They could have lost small, unremarkable cavities during the operation. Possibly, there is also internal endometriosis (the body of the uterus), which cannot be removed by laparoscopy. Start after laparoscopic coagulation of the endometrial cycle, a course of hormone therapy is prescribed to prevent recurrence of the disease. Rejoice with the gynecologist who, having operated on you, may be able to recognize you an appropriate hormonal drug. Soreness of menstruation may also not be associated with endometriosis or chronic endometritis (inflammation of the mucous uterus). Tsey becomes very happy, here is the main method of physiotherapy.

2. The uterine contraction is caused by tight adhesions, which are settled as a result of chronic inflammation of the appendages, intestines (in children) or endometriosis. Spikes can not be worn out at the hour of menstruation, so the stench will continue to tighten the uterus. Tsya the situation is not guilty of turbulent you, it doesn’t cause wine-making of vaginess and doesn’t call out ill-tempered ones.

Tell me, be kind, about the ways of exuberance soldering. Chi іsnuyut ways, krіm khіrurgichіchnogo vtruchannya that yak tse vpline on my mozhlivіst narodzhuvati.

W to study the method of physiotherapy infusion; prepare to change adhesions; hydrotubation (into the empty uterus under the pressure to introduce the mother of the dot, the docks do not know the passage of the pipes). Prote the most effective and surgically subdivided adhesions. As a spike process of rotations, problems can be blamed from conception. In this case, it is necessary to separate adhesions for normalization of the permeability of the fallopian tubes.

In "94, I rejoiced at ureaplasmosis, cervical erosion, hydrosalpinga of the right tube (2cm) and right ovary brush." , Repeated analysis of the PLR ​​method (person and men) gave negative results, but in every case we underwent a new course of antibiotics and repeated analyzes also did not reveal anything. CSH method revealed obstruction of both fallopian tubes in the interstitial space. At 97g. I had a laparoscopy and a laparotomy, and they saw the right tube through the hydrosalpings, and also saw the adhesions from the left ovary and the tube. In addition, with regular ultrasound examination, I was diagnosed with an onset of visnovs: a puffy-like ovarian ovary (smooth cirrhosis cystoadenoma?) with a size of 11.0x9.6x8.3 cm, left-sided hydrosalpings, adhesions of the small pelvis. They said that the ovary is better for everything you need to see. Adjunctive infections were also not detected by the inoculation and PLR method. In addition, in less equal cases, the temperature does not drop below 36.9C and not more than 37.4C. I already gave an analysis for VIL 2 times (without changing my partner) in this period - negative.
I have 3 meals for you:

1. What could be the cause of this temperature?
2. In the case of a partial preservation of the left ovary, how can a "plastic" operation of the left tube be possible, which one can see the obstruction in the interstitial right, which can be done at a certain price?
3. How many Moscow clinics work for EKZ and at what cost?

Theoretically, plastic blowing is possible, but your mood is clearly scalable to the spike process - the current vagality is even small. Obviously, you may feel like arguing that the EKZ is engaged and in the same place perform an operation to remove the ovary brush. You should get a guide like “Health - Moscow” and especially call all the great centers - the Institute of the Mother of the Child, MONIAG, likarni No. 1, 4, gently sloping booth No. 4 thinly.