Ileus – treatment of disease. Symptoms and prevention of diseases of Ileus

Илеус – что это за болезнь? Илеус – это нарушение продвижения пищевого комка по кишечнику, которое может быть спровоцировано различными факторами – сдавлением, bowel spasm or hemodynamic disorder.

This pathology is not a separate Nosological form and may develop against the background of many diseases. According to statistics, in abdominal surgery for this condition accounts for about 4% all emergency conditions.

Илеус – Причины возникновения

There are various forms of ileusa, each of which can be caused by different reasons. This kind of ileusa, as spastic bowel obstruction, is the result of a strong bowel spasm, pain caused by irritation or mechanical impact. This can happen if the hookworm infestations, abdominal Livid bruising, injury of the abdomen, nephrolithiasis, acute pancreatitis, Renal Cliquet, turn ribs and many other pathologies, affecting the intestines. In some cases, spastic bowel obstruction can also be caused by a dysfunction of the nervous system, for example, with craniocerebral injuries, ischemic stroke.

Cause mechanical obstruction is the presence of an obstacle in the bowel lumen, not allowing promotion of food mass. This may be neoplastic tumor, ʙezoar, accumulation of worms, fecal stones or foreign body. When interference or hernia may develop gut zavorote stranguljacionnaja ileus.

Besides, to the development of ileusa can cause adhesive processes in the gut, thrombosis of mesenteric artery.

Илеус – Симптомы илеуса

For all types of intestinal obstruction characterized by following symptoms:

• • severe abdominal pain;
• • long delay stool;
• • absence of flatus;
• • frequent vomiting.

Pain with intestinal obstruction, usually, is shvatkoobraznoj and very pronounced. During the attack of pain the patient tends to take a forced position (usually, the knee-loktevoe or squatting), He notes some of the symptoms of shock (Blanching of the skin, tachycardia, pressure and cold sweat). In high intestinal obstruction (obstruction of the small intestine) raises the frequent vomiting. In some cases it is possible to have intestinal contents in vomit. Also, if ileuse occurs a marked asymmetry of the abdomen.

Илеус – Диагностика

Differential diagnosis of intestinal obstruction is performed with probodnoj duodenal ulcer and stomach, acute pancreatitis, cholecystitis, acute appendicitis, renal colic and ectopic pregnancy.

Илеус – Виды заболевания

Depending on the anatomical and functional characteristics of development entails the following types ileusa:

• • dynamic ileus (divided into spasticheskuju and paraliticheskuju);
• • mechanical intestinal obstruction (divided into stranguljacionnuju, obturacionnuju and mixed);
• • Vascular ileus.

There is also a classification of intestinal obstruction in the level of localization. So, distinguish high and low tonkokishechnuju occlusion and obstruction of colon.

Илеус – Действия пациента

Кишечная непроходимость – крайне опасное состояние. When it detects the ileusa symptoms should immediately seek help from a doctor. При наличии сильного болевого синдрома – вызвать скорую помощь.

Treatment ileusa

Илеус – острое состояние. Removal of intestinal obstruction should be implemented immediately. Treatment is carried out permanently. Demonstrates the use case or stimulating the intestines of medicines (Depending on the type of ileusa). May also need correction vodno-elektrolitnogo balance. The ineffectiveness of conservative therapy, and in the presence of peritonitis demonstrates urgent surgical intervention. During the operation it is possible to nekroznyh parts of the bowel resection.

Илеус – Осложнения

In the absence of medical emergency bowel obstruction can lead to necrosis of the bowel and peritonitis development.

Prevention ileusa

Prevention of ileus include timely diagnosis and treatment of diseases of the gastrointestinal tract, screening and prevention of bowel tumor resection of worm infestations. It is also recommended to avoid trauma of the abdomen and stick to a healthy diet.