Ileus, paralytic or adynamic obstruction, intestinal paresis - all this is one and the same pathology, which is a violation of the peristalsis of this organ. Despite favorable predictions in the treatment of this disease, therapy should be started immediately. Stool retention quickly leads to severe intoxication and dangerous consequences.
Causes of an intestinal paresis
As a rule, the observed disorder is observed after surgery performed on the organs of the abdominal cavity. Paresis of the intestine after surgery arises from a strong water-electrolyte imbalance.
Other, less common causes of worsening peristalsis:
- inflammatory processes - diverticulitis , appendicitis;
- internal hemorrhages - compression fracture of the spine, aneurysm rupture;
- side effects of medications - opiates, calcium channel blockers;
- metabolic disorders - hypokalemia;
- diseases of the kidneys or organs of the sternum - myocardial infarction, lower lobe pneumonia.
Symptoms of an intestinal paresis
The clinical manifestations of paralytic obstruction are as follows:
- severe bloating;
- flatulence ;
- Stretching pain, spreading throughout the entire intestine and in all its departments;
- frequent vomiting with blood streaks, bile, stomach and even intestinal contents;
- violations of the fecal matter, sometimes - a watery lean chair.
In this case, the stomach of the patient is not tense, soft.
Due to swelling and bursting of the walls of the intestine, the breathing of a person has a superficial character. Later this symptom can go to tachycardia with a sharp drop in blood pressure.
Treatment of postoperative and other types of intestinal paresis
Primary therapy of the described pathology consists in the installation in the abdominal cavity of a special duct through which
With regard to conservative therapy, studies are still being conducted on the appropriateness of prescribing various drugs. The only drug recognized in the medical community at the same time effective and relatively safe in terms of side effects is serotonin adipate.
As an additional method of intensifying intestinal peristalsis, electrostimulation of the gastrointestinal tract is well established.