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Спайки — плотные тяжи из соединительной ткани, которые могут «склеивать» петли кишечника между собой или фиксировать их к другим органам [1](https://mc21.ru/articles/spaechnaya-kishechnaya-neprokhodimost/). \n\nВыделяют три основных типа непроходимости [1](https://mc21.ru/articles/spaechnaya-kishechnaya-neprokhodimost/): \n1. **Обтурационная (механическая)** — просвет кишечника сдавливается или перекрывается спайками, что препятствует нормальному продвижению содержимого [1](https://mc21.ru/articles/spaechnaya-kishechnaya-neprokhodimost/). \n2. **Странгуляционная** — происходит ущемление петель кишечника спайками, что нарушает кровоснабжение стенки кишки [1](https://mc21.ru/articles/spaechnaya-kishechnaya-neprokhodimost/). \n3. **Смешанная** — сочетает признаки обтурационной и странгуляционной непроходимости: спайки не только механически сдавливают кишечник, но и нарушают его кровоснабжение [1](https://mc21.ru/articles/spaechnaya-kishechnaya-neprokhodimost/).\n\n## Причины\nНекоторые причины образования спаек: \n* **Хирургические операции** на органах брюшной полости [1](https://mc21.ru/articles/spaechnaya-kishechnaya-neprokhodimost/)[6](https://evimeds.ru/o-klinike/stati/spayki-v-kishechnike-prichiny-simptomy-diagnostika-i-lechenie/). Особенно высокий риск после открытых (полостных) операций, лапароскопические вмешательства вызывают спаечный процесс реже [6](https://evimeds.ru/o-klinike/stati/spayki-v-kishechnike-prichiny-simptomy-diagnostika-i-lechenie/). \n* **Воспалительные процессы** в брюшной полости, например, перитонит (воспаление брюшины), аппендицит [1](https://mc21.ru/articles/spaechnaya-kishechnaya-neprokhodimost/). При этих состояниях организм запускает защитные механизмы, приводящие к образованию рубцовой ткани, которая позже трансформируется в спайки [1](https://mc21.ru/articles/spaechnaya-kishechnaya-neprokhodimost/). \n* **Травматические повреждения** брюшной полости, включая механические травмы и лучевые поражения при лечении онкологических болезней [1](https://mc21.ru/articles/spaechnaya-kishechnaya-neprokhodimost/). \n* **Инфекционные патологии** органов пищеварительной системы, особенно протекающие с поражением брюшины [1](https://mc21.ru/articles/spaechnaya-kishechnaya-neprokhodimost/).\n\n## Симптомы\nСимптомы спаечной кишечной непроходимости могут варьироваться в зависимости от степени «заблокированности» кишечника [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/). Некоторые признаки: \n* сильные боли в животе [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/); \n* вздутие живота [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/); \n* тошнота и рвота [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/); \n* потеря аппетита [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/); \n* потеря веса [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/); \n* запор или диарея [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/); \n* слабость и усталость [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/). \n\nПри появлении признаков острой кишечной непроходимости (сильные приступообразные боли, невозможность испускания газов, рвота) нужно немедленно вызвать скорую [6](https://evimeds.ru/o-klinike/stati/spayki-v-kishechnike-prichiny-simptomy-diagnostika-i-lechenie/).\n\n## Диагностика\nДля диагностики спаечной кишечной непроходимости используют: \n* **Визуальное обследование** — врач пальпирует живот на наличие вздутия или болей [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/). \n* **Лабораторные исследования** — анализ крови и кала [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/). \n* **УЗИ, рентгенографию и колоноскопию** — эти методы позволяют определить местоположение и размер спаек, а также оценить степень непроходимости кишечника [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/).\n\n## Лечение\nЛечение спаечной кишечной непроходимости зависит от степени «заблокированности» кишечника и общего состояния здоровья пациента [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/). \n* **При частичной непроходимости** могут быть эффективны консервативные методы лечения — диета, лекарственная терапия и физиотерапия [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/). \n* **В более сложных случаях** может потребоваться хирургическое вмешательство [2](https://semeynaya.ru/directions/khirurgiya/spaechnaya-kishechnaya-neprokhodimost/). 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