What do spikes look like after a cesarean?
As a rule, spikes after a caesarean section are formed in the area of the pelvic organs, also the intestines and directly in the uterine cavity. Therefore, the so-called adhesive process can be observed both in one organ and in several at once.
The mechanism of their formation is the following. In the process of wound healing, which remains on the organs after the operation, a scar is formed. At the same time, a substance such as fibrin, which promotes the fusion of body tissues, is synthesized. If the tissues of a nearby organ are involved in the process, a condition is observed which, in medicine, was called a spike, is a dense scarlike fusion directly between the two injured organs.
What are the main signs of adhesions formed after cesarean?
The question of how to find out whether there are spikes after a cesarean section is of interest to many, because the symptoms of these formations are sometimes hidden. Most often after a similar operation, the formation of adhesions directly in the uterine cavity or the organs of the small pelvis (ovaries, fallopian tubes) is observed.
This kind of disorder is accompanied by the appearance of a certain discomfort, and sometimes severe pain in the lower abdomen. If we talk about the symptoms of adhesions after cesarean, then this is, first of all:
- aching, sometimes pulling, periodic pain in the lower abdomen, sometimes radiating to the lumbar region of the back;
- the appearance of pain in the lower abdomen, which is sharply increased during movement, as well as during or after intercourse;
- long absence of pregnancy.
It is the latter, for the most part, that causes a woman to consult a doctor who diagnoses the adhesion process in the reproductive organs. Quite often spikes violate the passableness of fallopian tubes, as a result of which a mature egg can not enter the uterus and a long-awaited pregnancy does not occur.
How is the diagnosis and treatment of the disease carried out?
A woman, before treating the educated after Caesarean adhesions, undergoes a survey to determine the presence of an adhesion process. As a rule, for this purpose ultrasound of the pelvic organs is performed, which allows not only to locate the adhesions, but also their size. The very treatment of this disorder is a set of measures aimed both at reducing the manifestation of this disease, and at its complete elimination. So, in those cases when a woman applied for help at the initial stage, physiotherapeutic procedures possess high efficiency in the treatment,
In addition, in order to reduce the size of adhesions, it is often prescribed a course of enzyme preparations, dissolving connective fibers - Lydase, Longidase. This method does not allow to get rid of the problem completely, but it helps to reduce and soften the adhesions. After this course, the condition of women with strong pain sensations from the adhesive process formed after cesarean section is improved.
If the spikes are pronounced and painful, then the doctors resort to their surgical treatment. The operation is performed using a laparoscope.