Physiotherapeutic procedures are widely used as an additional method to the main treatment, as well as during rehabilitation. This group of methods includes electrophoresis with lidase.
This technique is used in the rehabilitation clinic of the Yusupov Hospital in the treatment of various diseases. The affordable cost of the procedure is combined with the professionalism of specialists and the friendly attitude of the staff, which makes a stay at the Yusupov Hospital not only comfortable, but also beneficial for the body.
What are adhesions in gynecology
Adhesive disease of the pelvic organs in women is a complication after which fibrinous connective tissue grows between the pelvic and abdominal organs.
In this way, the body tries to protect the source of inflammation - due to excess tissue, the fallopian tubes, uterus, ovary and intestinal loops stick together, pull tightly together, which disrupts their functions. Adhesive processes can be of several types, depending on the “neglect”:
- Formation of single thin adhesions (synechia).
- Synechiae become denser, covering up to 50% of the surface of the ovary.
- The adhesions are dense and numerous, changing the position of organs or causing their deformation.
Adhesions cause pain and disturbances in the functioning of the pelvic organs. They appear after gynecological diseases or operations and can lead to serious complications: ectopic pregnancy, infertility, frequent inflammation and more.
To prevent the occurrence of adhesions, avoid complications and prescribe competent treatment, make an appointment with the doctors of the Doctor A clinic. We employ gynecologists of the first and highest qualification categories
Lidase electrophoresis: mechanism of action
Specialists working in the field of aesthetic medicine are faced with solving various problems, the most labor-intensive of which is working with scars. Electrophoresis with lidase is used to treat keloid and hypertrophic scars. This procedure is also used to treat gynecological diseases.
The mechanism of action of electrophoresis is based on the effect on the affected tissues and organs of a low-level direct current, as a result of which metabolic processes in the body are accelerated and rapid cell regeneration occurs. Lidase is an enzyme that increases tissue permeability, improves blood circulation and reduces swelling. Electrophoresis allows the active ingredient lidase to be delivered through the skin. This method does not involve damaging the integrity of the skin, but it allows you to get a positive result.
Many women who are indicated for this procedure ask specialists whether electrophoresis with lidase is safe and effective during menstruation. During menstruation, this procedure can be used, but it is important that the area of influence be clearly localized.
When performing electrophoresis with lidase, specialists at the Yusupov Hospital Rehabilitation Center use high-quality European equipment, which is safe and free of discomfort. An important advantage of visiting the Yusupov Hospital to undergo a course of procedures is the affordable cost of services, which is combined with the professionalism of doctors and the respectful attitude of the staff.
What causes adhesions to form in the pelvis
Inflammation of the pelvic organs. The disease is diagnosed in women who have suffered acute inflammation or suffer from chronic:
- colpitis;
- endometritis;
- andexite;
- parametritis and other diseases.
Operations. Adhesive disease appears in 16% of those operated for the first time and in 96% of women after the third operation. The percentage is high for laparotomy operations:
- appendectomy;
- C-section;
- removal of appendages;
- hysterectomy;
- supravaginal amputation.
Pelvic hemorrhages. The trigger is ovarian apoplexy, bleeding due to a ruptured tube during an ectopic pregnancy.
Endometriosis. The formation of fibrinous ties is provoked by endometrioid growths, which spread to the organs and peritoneum of the pelvis.
Pelvic injuries. Open and closed damage after accidents, falls from a height received at work are one of the reasons for the appearance of adhesions.
Predisposing factors. The occurrence and development of the disease is influenced by:
- invasive gynecological interventions;
- promiscuous sex life;
- late visit to the clinic.
Scars and scars: their types
Scars on the skin differ according to classification types:
1. Scars are classified according to the type of tissue formation:
- Atrophic type scars are small in thickness and are located lower than the tissue surrounding the scar.
- Scars of the normotrophic type do not affect the relief of the skin surface and the area around it; more often, these formations do not have a distinct color and have good elasticity.
- Scar formations of the hypertrophic type are pink in color and protrude above the skin surface without extending beyond the wound area. This type of scarring can occur as a result of a tissue reaction to injury and if the healing of the injured area occurs with complications and the scars are not treated correctly. After 2 years, such scars can resolve, and in their place scars of normotrophic and atrophic types form.
- Keloid type scars can continually grow, enlarging the injured area. Endocrine disorders and disruptions in the immune system can cause the formation of keloid scars. They occur in places of strong skin tension - in the back, shoulders, chest. Sometimes an ear piercing can cause such a scar to form.
2. Division of scars according to the type of their active formation:
- Active growth scars are visible
- Scars of stable formation.
3. Duration of scar formation:
- Education of young origin
- Scars of old formation.
4. According to the existing qualification division, scars of physiological and pathological origin are distinguished. Physiological scars are painless and do not affect motor functions. Pathological scars are removed surgically or using a conservative treatment method.
Adhesions in gynecology: symptoms
The adhesive process can be both acute and chronic, or have a periodic nature (with periodic exacerbation of symptoms). Often, women do not notice any symptoms of adhesions in the pelvis, and the disease is discovered only when examining the possible causes of infertility.
Signs of adhesions in the pelvic cavity:
- Painful sensations in the lower abdomen, lower back, above the pubis or in the sacral area;
- Discomfort during physical activity, before menstruation, after stressful situations;
- Pain during sexual intercourse or urination;
- Intestinal disorders: diarrhea, constipation, flatulence;
- Periodic attacks of nausea and vomiting.
Symptoms may worsen when consuming foods that increase gas formation.
Types of electrophoresis
- Galvanic electrophoresis . The current is supplied continuously, one of the positive “+” electrodes is placed on the diseased area, the other electrode with a negative “-” electrode is placed according to the diagrams indicated in the operating manual for the device;
- Bath electrophoresis . The electrodes are placed in a bath with a healing solution. The patient lowers the injured part of the body into the liquid. This method is suitable only if the limb is damaged.
- Cavity electrophoresis . One of the electrodes is placed in a hollow organ such as the stomach, uterus, bladder or intestines; a medicinal solution is administered. The other electrode is located on the surface of the body.
- Interstitial electrophoresis . The solution is administered by injection or by mouth, after which electrodes are placed in the area of inflammation.
Sometimes electrophoresis is called iontophoresis, but this is not entirely true: yes, both procedures work on galvanic current, however, it’s all about its quantity. With iontophoresis, the discharge is very weak and constant, while electrophoresis involves its increase during the session.
The differences don't end there. In iontophoresis, two oppositely charged electrodes are placed next to each other in a pad soaked in a physical solution. With galvanic electrophoresis, one electrode is placed on the problem area of the patient’s body, and the person holds the oppositely charged electrode in his hand (or the electrode is fixed on the body, depending on the type of procedure).
Next, we will cover in more detail the method of galvanic electrophoresis, since it is this method that is most often used both in medicine and in cosmetology.
Diagnosis of the disease
Diagnosis of adhesions in the pelvis is carried out using various studies:
- Diagnostic laparoscopy. This method can most accurately see adhesions and assess the severity of the process. Diagnosis is carried out under local (or general) anesthesia; a small incision is made through which a camera is inserted.
- Ultrasound of the pelvic organs;
- Hysterosalpingography (performed using X-rays or ultrasound and contrast agents);
- MRI of the pelvic organs.
The necessary examination (or set of examinations) will be prescribed to you by your attending physician.
Procedure
We know that electric current causes the movement of ions. Thanks to the current, medicinal and cosmetic substances that carry an electrical charge are introduced through certain areas of the body. During the procedure, the medications are deepened to 15 mm. The process of removing active substances from the body ranges from 4 to 18 hours, which allows for a prolonged action.
The electrophoresis procedure can be of the nature of toning, resorption, drying, etc. It depends on what drugs are used for this procedure.
During the procedure, only two electrodes are used, which carry positive and negative charges. Electrode plates can be of different sizes. The small electrode plate produces a strong electrical charge. This is the active electrode. It is attached to the problem area of the skin, and a plate of a larger area is attached to any part of the client’s body.
During electrophoresis on the face, labile electrodes are used, which have different shapes. For convenient use, the cosmetologist selects the individual shape of the electrode plates. Before starting the facial electrophoresis procedure, a special gel is applied to the skin areas so that the labile electrodes move smoothly over the skin. Otherwise, the client feels an unpleasant tingling sensation due to poor skin conductivity, according to reviews.
How to treat adhesions in the pelvis
What to do if adhesions are found in the pelvis? Depending on the severity of the adhesive process, the doctor will select the appropriate treatment for you.
To treat single thin adhesions in the pelvis in women, drug therapy is used. What is usually prescribed:
- Antibiotics and antimicrobial agents (to relieve inflammation);
- Non-steroidal anti-inflammatory drugs (as a pain reliever);
- Fibrinolytic agents (for resorption of adhesions);
- Vitamins and immune system regulators (to restore immune balance);
- Hormonal drugs (in cases where adhesions are caused by endometriosis).
Additionally, physiotherapy, balneotherapy and mud therapy may be prescribed as auxiliary measures.
In more severe forms of adhesive disease, a surgical method is used to treat adhesions in the pelvis, i.e. their dissection. The most gentle surgical procedure is manipulative laparoscopy. To prevent re-formation of adhesions, hyaluronic acid is injected into the surgical area.
Who needs electrophoresis and why?
Physiotherapy is used both in medicine and in cosmetology. But in what cases do you choose one method or another? Electrophoresis will help solve such problems in cosmetology as:
- acne, increased sebum production;
- puffiness of the face, bags under the eyes;
- wrinkles and nasolabial folds;
- acne, scars;
- enlarged pores, general skin depletion.
In medicine, electrophoresis is used much more widely, as evidenced by the following indications for use:
- diseases of the respiratory system: pneumonia, tracheitis, bronchitis, etc.
- diseases of the ENT (ear, throat, nose) organs: otitis media, pharyngitis, etc.
- diseases of the gastrointestinal tract: gastritis, colitis, etc.
- diseases of the cardiovascular system: atherosclerosis, angina, etc.
- diseases of the genitourinary and nervous systems;
- diseases of the musculoskeletal and endocrine systems;
- skin diseases;
- postoperative rehabilitation: wounds, scars;
- dental and eye diseases.
Before starting electrophoresis procedures, in any case, you should consult your doctor. He will prescribe the required session time (usually from 10 to 20 minutes), the required concentration of the solution and select the medicine. Also, if you are taking any medications or doing other physical therapy procedures, it is worth warning about this. It is very important not to overload the body, especially for children. Electrophoresis for children should last no more than 10-15 minutes a day, for adults - no more than 25 minutes.
Is it possible to get pregnant during adhesions?
Adhesions disrupt the proper functionality of the reproductive organs, which greatly reduces the chance of getting pregnant. There is a chance of pregnancy and its successful gestation, especially in cases where the adhesive process affected only one tube. But the likelihood of conception decreases, and the risk of ectopic pregnancy and miscarriage also increases.
In this case, IVF may help. The fallopian tubes are not involved in such fertilization, and a 3-5-day-old embryo is immediately implanted into the uterine cavity.
Main advantages
The main advantage of using electrophoresis is that the distribution of the medical substance occurs painlessly, slowly, and effectively. The procedure requires much less dosage than with intravenous or intramuscular administration.
The use of the substance in a large dose does not affect the effectiveness of therapy.
The procedure has no side effects or discomfort during the procedure. Unlike intravenous or intramuscular injection, the skin remains intact. It is because of these advantages that specialists prescribe physiotherapy for the treatment of various diseases. This accessible and simple method reduces the dosage of the administered drug and reduces the risk of side effects.
Prevention of adhesions
For the prevention and treatment of adhesions, enzyme preparations based on hyaluronidase are used. Perhaps the most popular drug for the treatment of adhesions in gynecology is Longidaza suppositories.
Prevention is mostly aimed at preventing relapses of the disease or before an upcoming operation (since adhesions often appear after them).
Remember that the best prevention is regular visits to the doctor and timely diagnosis. Don’t delay until later and sign up for a pelvic ultrasound or a consultation with a gynecologist.
If you feel acute pain in the abdominal cavity or pelvic organs, do not delay visiting a doctor - prevent the development of the disease. Doctors at the Doctor A clinic will conduct an expert examination and prescribe competent treatment. Call or make an appointment online.
Electrophoresis with lidase: contraindications
Before performing electrophoresis with lidase, specialists from the Yusupov Hospital Rehabilitation Center carry out a comprehensive diagnosis aimed at identifying possible contraindications.
The main contraindications for electrophoresis with lidase:
- diseases and damage to the skin;
- malignant formations;
- increased body temperature;
- allergic reaction to lidase;
- diseases of the heart and blood vessels;
- bronchial asthma;
- diseases of the endocrine system;
- pulmonary tuberculosis;
- high sensitivity to electrical discharges.
During pregnancy and lactation, the use of this procedure should also be limited. Lidase for electrophoresis, the price of which is affordable, does not cause unpleasant sensations, nor does exposure to electric current, but during this period the woman is the most sensitive and vulnerable.
The Yusupov Hospital employs experienced physiotherapists who regularly improve their skills, so when contacting the rehabilitation center, patients can be confident that the services provided meet international quality standards.