{"id":49395,"date":"2018-01-08T20:37:06","date_gmt":"2018-01-08T17:37:06","guid":{"rendered":"https:\/\/sanatate.md\/?page_id=49395"},"modified":"2018-01-08T20:37:06","modified_gmt":"2018-01-08T17:37:06","slug":"boala-adeziva","status":"publish","type":"page","link":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/boala-adeziva\/","title":{"rendered":"Boala adeziv\u0103"},"content":{"rendered":"<p>Este o patologie abdominal\u0103, se caracterizeaz\u0103 prin formarea de concre\u0219teri de \u021besut conjunctiv. Apare ca o reac\u021bie de protec\u021bie a organismului la aceste noduri din interiorul peritoneului.<\/p>\n<p>Ele ca \u0219i cum ar proteja \u021besuturile s\u0103n\u0103toase \u0219i organele de zonele deteriorate. Ini\u021bial, acest nou \u021besut e foarte slab, dar cu timpul se \u00eent\u0103re\u0219te, \u00een el se acumuleaz\u0103 ionii de calciu, \u0219i poate s\u0103 se ce osifice.<\/p>\n<p>Adeziunile se prind de peritoneu \u0219i de organele interne. Survine un disconfort. Organul \u00eencepe r\u0103u s\u0103-\u0219i exercite func\u021bia, apar probleme grave de s\u0103n\u0103tate. De exemplu, prezen\u021ba adeziunii uterine poate duce la infertilitate (clinicienii numesc acest fenomen tr\u00e2mbi\u021ba de infertilitate).<\/p>\n<h3>Cauzele bolii<\/h3>\n<p>Printre principalele motive se disting:<\/p>\n<ul>\n<li>interven\u021biile chirurgicale;<\/li>\n<li>traumatismele abdominale;<\/li>\n<li>bolile organelor interne;<\/li>\n<li>infec\u021biile;<\/li>\n<li>uscarea peritoneului;<\/li>\n<li>s\u00e2ngerare intern\u0103;<\/li>\n<li>prezen\u021ba chiagurilorl dup\u0103 accidentare.<\/li>\n<\/ul>\n<p>Mecanismul form\u0103rii adeziunilor e simplu: prezen\u021ba acestor factori provoac\u0103 umflarea \u021besuturilor peritoneului \u0219i acumularea pe ele a unei substan\u021be lipicioase &#8211; fibrina. Ea contribuie la \u00eencleierea \u021besuturilor \u00een interiorul cavit\u0103\u021bii abdominale.<\/p>\n<p>Dup\u0103 cum \u0219tim, organele interne sunt unite \u00eentre ele prin \u021besuturi netede \u0219i sub\u021biri de peritoneu. Cu timpul \u021besutul dat se transform\u0103 \u00een conjunctiv. Procesul de \u00eenlocuire dureaz\u0103 aproximativ 21 de zile. \u00cen acest\u0103 perioad\u0103 se formeaz\u0103 vasele de s\u00e2nge \u0219i nervii. Pentru a preveni formarea de adeziuni, e necesar\u0103 o terapie corect\u0103 \u0219i adecvat\u0103 chiar de la primele etape.<\/p>\n<h3>Simptomele<\/h3>\n<p>Simptomatologia depinde de localizarea problemei. Boala poate s\u0103 decurg\u0103 f\u0103r\u0103 semne \u0219i poate, dimpotriv\u0103, s\u0103 se declan\u0219eze agresiv. \u00cen a\u0219a caz e nevoie de spitalizare urgent\u0103 \u00een sec\u021bia de chirurgie.<\/p>\n<p>Urgen\u021bele de spitalizare cel mai adesea sunt cauzate de adeziunile intestinale. Se dezvolt\u0103 astfel de adeziuni, dup\u0103 eliminarea de apendicit\u0103 (apendictomia), \u0219i este unul dintre principalele motive de formare a lor. Boala se caracterizeaz\u0103 printr-o durere, pe care pacientul nu o poate localiza.<\/p>\n<p>Durerii acute \u0219i intense, se mai al\u0103tur\u0103 febra, grea\u021ba, voma. Prin palparea abdomenului se \u00eenregistreaz\u0103 senza\u021biile de durere. Pot fi, de asemenea, abateri ale peristaltismului, ceea ce provoac\u0103 constipa\u021bie sau diaree, care \u00een combina\u021bie cu voma poate duce la deshidratare, sc\u0103derea tensiunii arteriale, simptome de sl\u0103biciune general\u0103.<\/p>\n<p>Adeziunile bazinului au acelea\u0219i simptome: constipa\u021bie, diaree, dureri. Singura deosebire const\u0103 \u00een faptul, c\u0103 aceast\u0103 simptomatologie are un caracter periodic. Clinica exprimat\u0103 slab, durerea nu este at\u00e2t de intens\u0103 \u0219i acut\u0103, tulbur\u0103rile intestinale, de asemenea, neglijabile \u2013 acest lucru ne face s\u0103 credem, c\u0103 boala are un caracter cronic \u0219i se manifest\u0103, c\u00e2nd adeziunile se produc \u00een bazin. De o astfel de patologie se ocup\u0103 ginecologii \u0219i obstetricienii.<\/p>\n<h3>Diagnosticul<\/h3>\n<p>Suspiciunea boii poate ap\u0103rea \u00een timpul examin\u0103rii pacientului \u0219i \u00een cazul, \u00een care are loc o caracteristic\u0103 v\u0103dit\u0103 a simptomatologiei. De asemenea, important\u0103 este anamneza pacientului, modul de via\u021b\u0103, c\u00e2t \u0219i antecedentele familiale. Suplimentar se efectueaz\u0103 laparoscopia \u0219i radiografia organelor abdominale.<\/p>\n<p>Cea mai indicat\u0103 cercetare este laparoscopia \u2013 lipirele sunt vizibile pe monitorul calculatorului ce permite s\u0103 se depisteze prezen\u021ba acestora, precum \u0219i s\u0103 fie \u00eenl\u0103turate.<\/p>\n<p>Radiografia se efectueaz\u0103 pentru a determina focarele inflama\u021biilor, precum \u0219i pentru a identifica obstruc\u021bia intestinal\u0103 \u0219i prezen\u021ba de gaze.<\/p>\n<h3>Tratamentul<\/h3>\n<p>Pe primul loc este tratamentul conservator prin aplicarea procedurilor termice: noroi, parafine, analgezice \u0219i substan\u021be absorbabile, \u00eempreun\u0103 cu electroforeza.<\/p>\n<p>Se indic\u0103 terapia simptomatic\u0103: la vomit\u0103ri \u2013 antiemetice, la obstruc\u021bie \u2013 o clism\u0103 de cur\u0103\u021bare, la crampe de stomac \u2013 primirea<br \/>\nantispasmodicelor. P\u00e2n\u0103 la vindecarea deplin\u0103, sunt excluse toate tipurile de efort fizic. Se indic\u0103 un regim alimentar special, care previne formarea de constipa\u021bie.<\/p>\n<p>Interven\u021bia chirurgical\u0103 se efectueaz\u0103 \u00een cazul, c\u00e2nd exist\u0103 o amenin\u021bare la via\u021ba pacientului. Si preg\u0103tirea pentru aceast\u0103 opera\u021bie, nu mai pu\u021bin grav\u0103, presupune o \u00eengrijire preoperatorie. \u00cen caz de deshidratare \u0219i de imposibilitate \u00een mod normal s\u0103 se opereze, pacien\u021bilor prin perfuzii intravenoase li se injecteaz\u0103 solu\u021bie de Clorur\u0103 de Sodiu, Hidrocarbonat de Sodiu, Ringer \u2013 Locke, Reosorbiolact, Reopoligluukin. Acest lucru ofer\u0103 posibilitatea de a compensa echilibrul de ap\u0103 \u2013 sare dup\u0103 vom\u0103 \u0219i diaree.<\/p>\n<p>Atunci c\u00e2nd chirurgul depisteaz\u0103 aceast\u0103 maladie, decide ce s\u0103 fac\u0103 \u2013 s\u0103 efectueze separarea, deplasarea sau \u00eendep\u0103rtarea defectului. Totul depinde de situa\u021bie. Dac\u0103 ave\u021bi o necroz\u0103 a intestinului, chirurgul \u00eendeparteaza zona afectat\u0103, iar pentru eliminarea de fecale &#8211; se direc\u021bioneaz\u0103 intestinul spre exterior. O asemenea tactic\u0103 se alege \u0219i pentru a preveni recidiva bolii.<\/p>\n<p>Metoda de incizii mari, oprirea total\u0103 a hemoragiei, prevenirea p\u0103trunderii \u00een ran\u0103 a unor obiecte str\u0103ine, capsarea se face cu fire polimerice \u2013 toate acestea previn apari\u021bia factorilor, care pot duce la aceast\u0103 maladie.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Este o patologie abdominal\u0103, se caracterizeaz\u0103 prin formarea de concre\u0219teri de \u021besut conjunctiv. Apare ca o reac\u021bie de protec\u021bie a organismului la aceste noduri din interiorul peritoneului. Ele ca \u0219i cum ar proteja \u021besuturile s\u0103n\u0103toase \u0219i organele de zonele deteriorate. Ini\u021bial, acest nou \u021besut e foarte slab, dar cu timpul se \u00eent\u0103re\u0219te, \u00een el se [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":47544,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-49395","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Boala adeziv\u0103<\/title>\n<meta name=\"description\" content=\"Este o patologie abdominal\u0103, se caracterizeaz\u0103 prin formarea de concre\u0219teri de \u021besut conjunctiv.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/boala-adeziva\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Boala adeziv\u0103\" \/>\n<meta property=\"og:description\" content=\"Este o patologie abdominal\u0103, se caracterizeaz\u0103 prin formarea de concre\u0219teri de \u021besut conjunctiv.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/boala-adeziva\/\" \/>\n<meta property=\"og:site_name\" content=\"Sanatate.md\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/boli-si-tratament\\\/boli-endocrine\\\/boala-adeziva\\\/\",\"url\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/boli-si-tratament\\\/boli-endocrine\\\/boala-adeziva\\\/\",\"name\":\"Boala adeziv\u0103\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/#website\"},\"datePublished\":\"2018-01-08T17:37:06+00:00\",\"description\":\"Este o patologie abdominal\u0103, se caracterizeaz\u0103 prin formarea de concre\u0219teri de \u021besut conjunctiv.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/boli-si-tratament\\\/boli-endocrine\\\/boala-adeziva\\\/#breadcrumb\"},\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/sanatate.md\\\/ro\\\/boli-si-tratament\\\/boli-endocrine\\\/boala-adeziva\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/boli-si-tratament\\\/boli-endocrine\\\/boala-adeziva\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430\",\"item\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Boli si tratament\",\"item\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/boli-si-tratament\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Boli endocrine\",\"item\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/boli-si-tratament\\\/boli-endocrine\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Boala adeziv\u0103\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/#website\",\"url\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/\",\"name\":\"Sanatate.md\",\"description\":\"\u0416\u0443\u0440\u043d\u0430\u043b \u0434\u043b\u044f \u0432\u0441\u0435\u0439 \u0441\u0435\u043c\u044c\u0438 \u0432 \u041c\u043e\u043b\u0434\u043e\u0432\u0435\",\"publisher\":{\"@id\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ro-RO\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/#organization\",\"name\":\"SANATATE\",\"url\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/sanatate.md\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/sanatate-logo.svg\",\"contentUrl\":\"https:\\\/\\\/sanatate.md\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/sanatate-logo.svg\",\"width\":\"1024\",\"height\":\"1024\",\"caption\":\"SANATATE\"},\"image\":{\"@id\":\"https:\\\/\\\/sanatate.md\\\/ro\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Boala adeziv\u0103","description":"Este o patologie abdominal\u0103, se caracterizeaz\u0103 prin formarea de concre\u0219teri de \u021besut conjunctiv.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/boala-adeziva\/","og_locale":"ro_RO","og_type":"article","og_title":"Boala adeziv\u0103","og_description":"Este o patologie abdominal\u0103, se caracterizeaz\u0103 prin formarea de concre\u0219teri de \u021besut conjunctiv.","og_url":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/boala-adeziva\/","og_site_name":"Sanatate.md","twitter_card":"summary_large_image","twitter_misc":{"Timp estimat pentru citire":"4 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/boala-adeziva\/","url":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/boala-adeziva\/","name":"Boala adeziv\u0103","isPartOf":{"@id":"https:\/\/sanatate.md\/ro\/#website"},"datePublished":"2018-01-08T17:37:06+00:00","description":"Este o patologie abdominal\u0103, se caracterizeaz\u0103 prin formarea de concre\u0219teri de \u021besut conjunctiv.","breadcrumb":{"@id":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/boala-adeziva\/#breadcrumb"},"inLanguage":"ro-RO","potentialAction":[{"@type":"ReadAction","target":["https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/boala-adeziva\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/boala-adeziva\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430","item":"https:\/\/sanatate.md\/ro\/"},{"@type":"ListItem","position":2,"name":"Boli si tratament","item":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/"},{"@type":"ListItem","position":3,"name":"Boli endocrine","item":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-endocrine\/"},{"@type":"ListItem","position":4,"name":"Boala adeziv\u0103"}]},{"@type":"WebSite","@id":"https:\/\/sanatate.md\/ro\/#website","url":"https:\/\/sanatate.md\/ro\/","name":"Sanatate.md","description":"\u0416\u0443\u0440\u043d\u0430\u043b \u0434\u043b\u044f \u0432\u0441\u0435\u0439 \u0441\u0435\u043c\u044c\u0438 \u0432 \u041c\u043e\u043b\u0434\u043e\u0432\u0435","publisher":{"@id":"https:\/\/sanatate.md\/ro\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/sanatate.md\/ro\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ro-RO"},{"@type":"Organization","@id":"https:\/\/sanatate.md\/ro\/#organization","name":"SANATATE","url":"https:\/\/sanatate.md\/ro\/","logo":{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/sanatate.md\/ro\/#\/schema\/logo\/image\/","url":"https:\/\/sanatate.md\/wp-content\/uploads\/2022\/01\/sanatate-logo.svg","contentUrl":"https:\/\/sanatate.md\/wp-content\/uploads\/2022\/01\/sanatate-logo.svg","width":"1024","height":"1024","caption":"SANATATE"},"image":{"@id":"https:\/\/sanatate.md\/ro\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/sanatate.md\/ro\/wp-json\/wp\/v2\/pages\/49395","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sanatate.md\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sanatate.md\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sanatate.md\/ro\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/sanatate.md\/ro\/wp-json\/wp\/v2\/comments?post=49395"}],"version-history":[{"count":0,"href":"https:\/\/sanatate.md\/ro\/wp-json\/wp\/v2\/pages\/49395\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/sanatate.md\/ro\/wp-json\/wp\/v2\/pages\/47544"}],"wp:attachment":[{"href":"https:\/\/sanatate.md\/ro\/wp-json\/wp\/v2\/media?parent=49395"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}