STD Testing

Reagan and Chirac were to sign, on Tuesday 31 March, Washington, an agreement on the Franco-American dispute over the discovery of the AIDS and STD virus. This agreement recognizes the value of the two patents filed separately by teams of professors Luc Montagnier (Pasteur Institute, Paris) and Robert Gallo (U.S. National Institute of Cancer) and provides for the distribution of profits resulting from these patents.

Testing for Sexually Transmitted Diseases, sometimes can be daunting task, since various applications and methods are being used to test for different STD (Sexually Transmitted Diseases)
<a href="http://www.herpes3.com/2009/06/std-testing.html">HERPES | STD GENITAL HERPES: STD TESTING</a>: "Medically registered cases of sexually transmitted diseases (STD) are common in every city and district of United States."

Remember That Any Patient With A Paralysis Of

"In United States, the most infected are the youth and people of younger age, STD affecting especially the black minority more intensely women rather then men, according to federal statistics released in June 2009. Medically registered cases of Sexually Transmitted Disease (STD) are recorded only at public medical centers when the individuals comes for STD TESTING, those other people who orders STD Testing privately, from private medical establishments are not. The CDC reports also shows that cases of syphilis surprisingly continue to grow, since these disease are considered to be "manageable" and preventable. Syphilis is in the process of being eradicated, from the late 90-s, in the United States, however it began to represent a new health threat in 2001, registering an increase of 15. " by USA: The Call for Public Attention to Sharp Increase in STD Sexually Transmitted Diseases

Remember that any patient with a paralysis of the obverse should To be checked up on presence !). Then, Genital Herpes STD investigate bone elements of a membrane of an ear - Examine a forward part of a membrane and investigate a hammer. Look On umbo (the central and well visible point of an eardrum) and The hammer handle. Low sensitivity of a membrane often offers nerve damage (sign Itard-Cholewa). Estimation of a condition of Eustachian tubes The test of Politsera (Politzer's Test). If the patient Has unilateral loss of hearing it is necessary to check up function Eustachian tubes. For this purpose place a vibrating metronome before a nose The patient also ask it to make a little movements. If There is a unilateral loss of hearing, the patient will define changes Intensity of a sound only on the healthy party in a swallowing cycle. Reception of Polittsera (Politzer's aneuver). In it The test the compressed air entered into a nasal aperture is used Spray. Of the patient ask to swallow thus, and the doctor visually Examines a membrane.

Other Experiment. To The First Group Of Examinees

"But the mobilization is immediate killer cells, unlike T cells that need to be educated. The learning behavior of these natural killer cells thus quell the enemy before it progresses in the body, the challenge is to intensify the progression of natural immune system to be more effective and efficient in developing anti herpes approach fighting the virus. The natural killer cells play an important role in eliminating the infection, that is how the immune system is set up to function in regular infection attacks, but the Herpes virus is much too strong and infection demand much stronger immune system. Most initial viral load is a substantial pressure on immune system of the body, that in most cases suppress the immune system and the virus is established in the body for the rest of life. " by New research on pathogens causing genital herpes

Other experiment. To the first group of examinees give for a breakfast basically the carbohydrates, to the second - mainly fats. Herpes Genital Further it appears that the second group of examinees eats in a current of day much more food and, accordingly, energy, than the first. In special researches it is established that than more fat the person in food especially probable uses there will be at it an excess weight. And communication between abusing fat and superfluous kgs is expressed more strongly, than similar communication between excess weight and abusing flour and sweet. Much more strongly. Results of the resulted experiments allow to make some very important conclusions: Fat presence in food does not reduce consumption of other nutrients. Fat presence in food does not reduce appetite, and its presence does not increase a sense of fulness By the way, everyone can be convinced of last conclusion itself. Salad from the vegetables, seasoned with sunflower-seed oil practically no more nourishing, than salad with addition of the same quantity of sour cream, and its caloric content can be in 2-3 times more.

Till Now We Follow Ganemanu; In This Connection

"In United States, the most infected are the youth and people of younger age, STD affecting especially the black minority more intensely women rather then men, according to federal statistics released in June 2009. Medically registered cases of Sexually Transmitted Disease (STD) are recorded only at public medical centers when the individuals comes for STD TESTING, those other people who orders STD Testing privately, from private medical establishments are not. The CDC reports also shows that cases of syphilis surprisingly continue to grow, since these disease are considered to be "manageable" and preventable. Syphilis is in the process of being eradicated, from the late 90-s, in the United States, however it began to represent a new health threat in 2001, registering an increase of 15. " by USA: The Call for Public Attention to Sharp Increase in STD Sexually Transmitted Diseases

Till now we follow Ganemanu; in this connection the method of ordering STD Genital Herpes which Ganeman has opened, still has the further development. Thus, we have consistently symptoms of finitenesses and a body as a whole; influence of movement, rest and various positions. The following part contains all symptoms depending on nervous system: overexcitation, spasms, weakness, a lameness. The dream, great reducer of nervous system, is located in the following part; also it is possible to find the symptoms concerning at the right time in it, to previous dream, at the right time actually a dream and at the right time, coming after awakening. In the same chapter the symptoms meeting within night are placed. In the following part the symptoms happening during various time of day are located. All symptoms concerning to heat and a cold, shown indoors and out of it, in the open air, are located in the following chapter together with wind and weather influences. The new chapter contains all symptoms , fevers and a perspiration, i.

As A Result There Is A Full Impassability

As a result there is a full impassability - of a gullet and at liquid or food reception. The raised salivation is marked. At hit of a large foreign matter in input area in a gullet the instant death from is possible. At - gullet perforation the - hypodermic emphysema can develop, there are symptoms purulent - a body heat, a fever, deterioration of the general condition. Punching walls - sharp foreign matters can lead to a bleeding from the damaged adjacent large vessels - the general carotid, veins, aortas, etc. At punching of a wall of a gullet probably damage of a pleura, lungs and development of pishchevodno-respiratory fistulas. Long stay of a foreign matter - in a gullet causes traumatic with the - subsequent punching owing to gullet walls. With a gullet foreign matter - carrying out of emergency radiological research is necessary for all patients-. Metal - foreign matters reveal at usual . At less contrast foreign matters the tomography, research of a gullet with water-soluble contrast is shown -.

Clinic And Diagnostics: The Clinical Picture Of Disease

Clinic and diagnostics: the clinical picture of disease - develops of the symptoms caused by local action - of chemical substance, and intoxication displays. Weight of defeat depends mainly on character of the accepted - substance, its concentration, quantity, degree of filling of a stomach at the moment of a poisoning, first-aid treatment terms. Localisation - of a burn and depth of defeat depends also on how the patient drank an aggressive liquid. At reception by its small drinks - there is a burn of a mucous membrane of an oral cavity, , the top - third of gullet; if a liquid drink "volley", the - bottom third of gullet and a stomach is damaged - basically. Acids cause fabrics with formation - of a dense scab which interferes with penetration of substance - into depth of fabrics, reduces its hit in blood. Caustic alkalis cause (formation water-soluble which transfers alkali on fabric sites), characterised by deeper and widespread defeat of a wall of a gullet. Infringement of motor function of a gullet and the swallowing certificate at chemical burns is caused not only local changes in a gullet, but also changes peripheral vegetative and the central nervous structures providing the certificate of swallowing.

The Anaemia Can Be A Unique Symptom Of

The anaemia can be a unique symptom of disease-. The bleeding occurs by , from erosion and ulcers at . Crucial importance in an establishment of the diagnosis of a hernia - diaphragm apertures has radiological research. Research spend in vertical and horizontal - position of the patient and in position of Trendelenburga (with the lowered head end of a table). At sliding hernias mark continuation of folds - of a mucous membrane department of a stomach above a diaphragm, presence or absence of shortening of the gullet, the developed corner of Gisa, a high confluence of a gullet of a stomach, reduction of a gas bubble, a reflux of contrast substance from a stomach in a gullet. The arrangement over a diaphragm is a sign hernias diaphragm apertures. At accompanying a reflux-ezofagite the gullet can - be expanded and truncated. it is expedient at a gullet, an ulcer, suspicion on a cancer, a bleeding. She allows to specify length of a gullet, to estimate weight , to define insufficiency degree , to exclude ulcer defects.

Special Methods Of Research Of Bodies Of A

Special methods of research of bodies of a belly cavity are described in corresponding sections. STOMACH TRAUMAS Distinguish getting wounds of a belly cavity and a stupid trauma of a stomach. Any getting wound of a stomach can - be accompanied by damage of an internal that in turn conducts or to peritonitis development, or to an intrabelly - bleeding. That is why any getting wound of the stomach, whatever insignificant it seemed, demands urgent . At a stupid trauma of a stomach damage - of an internal with peritonitis or bleeding development also is possible-. More often than other bodies the spleen, then a liver is damaged. Ruptures of these bodies can conduct to a massive intrabelly - bleeding. The stupid trauma of a stomach can cause rupture with a - bleeding in a cavity or between leaves with development subsequently a gut site. Damage of the fixed bodies of a belly cavity - which settle down directly at a backbone (a - pancreas, a duodenal gut) is possible--. At damage of these bodies of the phenomenon of a peritonitis can develop after - some days after a trauma.

At A Burn Acids Expediently Drink 2% A

At a burn acids expediently drink 2% a - sodium hydrocarbonate-, magnesium ( magnesias), , at a poisoning with alkalis - 1 - 1,5 % of a solution of acetic acid. Into the first 6 - 7 enter antipillboxes. Treatment: the stationary. The patient spend antishock and therapy - introduction gljukozo-novokainovoj mixes, , , a haemomisinformation, , , plasmas, solutions of electrolits. For normalisation of activity of cardiovascular system appoint warm , . Correction metabolic is carried out by introduction of a solution of bicarbonate of sodium by of 5 %. For struggle with - spend a food of patients during 3 - 4 days. For preventive maintenance of a secondary infection and a pneumonia appoint antibiotics of a wide spectrum of action. For the purpose of the prevention of development of cicatricial narrowing of a gullet - to patients since 1 days give through everyone 30 - 40 mines on 1 - 2 drinks of the mixture containing sunflower-seed oil, benzocaine, 5 % a solution , an antibiotic, from 3rd day them feed - with the cooled food.

The Painful - Irritation Arises At Excitation Of

The painful - irritation arises at excitation of painful receptors or at - on sensitive nervous fibres on a way from receptors to a visual hillock. The pain reasons are pathological changes of fabrics (an inflammation, an ischemia, a - mechanical trauma, change - of a kislotno-alkaline condition and ) participate In the pain mechanism , , . The vistseralnaja pain starts with bodies of a belly cavity, branches of vegetative nervous - system. Cause a pain a stretching, a swelling, a spasm of bodies a path, uric system, a stretching of covers - bodies (a liver, a spleen). Painful irritation, reaching under- the centres, it is perceived by the patient in the form of a pain , symmetric round an average line of a stomach. A pain localised in of area, illnesses of a stomach, a duodenal gut, a bilious bubble, a pancreas liver cause. A pain in areas cause small intestine diseases a shoot, the blind gut, an ascending gut and the right half cross-section guts. A pain in areas diseases of the left half cross-section a gut descending and of a gut.

Superficial In The Presence Of Irritation Reveals Along

Superficial in the presence of irritation reveals along with protective pressure of muscles of a belly wall the greatest morbidity in a zone corresponding to localisation of irritation . morbidity can prove definition of s it ShChetkina - Bljumberga. This symptom consists that at pressing on a belly wall arising morbidity stretchings at the moment of sudden a palpating hand from a belly wall. it can be is easier accessible in the field of a navel, at research of a back wall the channel, at research. After superficial carry out deep on a method It is exemplary - Strazhesko. a stomach internal it is necessary to spend to a step with respiratory movements. a stomach allows to find out changes of intestinal noise, presence of arterial vascular noise. In norm intestinal noise arise through unequal time intervals and cause the muffled gurgling sound. the intestinal noise getting sonorous tone, it is characteristic for mechanical intestinal impassability at strengthening . Absence of intestinal noise testifies about intestines.

Bloody Vomiting Is Marked, And The Hypodermic Emphysema,

Bloody vomiting is marked, and the hypodermic emphysema, develops a shock, the body temperature raises. At damage pleurae arise symptoms ). External (openly) traumas of a gullet in a peace time meet seldom. Usually they are combined with plural the next bodies (a thyroid gland, a trachea, heart, easy, large vessels, etc.). The clinic and diagnostics, at wound of a cervical part of a gullet patients complain of a pain at swallowing, the hypodermic emphysema on a neck Through 12 20 develops and . At damage of chest department of a gullet patients mark a sharp pain behind a breast, amplifying at a breath, cough, the swallowing, the raised salivation, sensation of a foreign matter and a gullet. The compelled position of patients is characteristic - the trunk is inclined forward There is a vomiting with a blood impurity, ooa a neck emphysema, symptoms , , a pleurisy. Wounds of belly department of a gullet can lead to peritonitis development. is frequent complication of damages of a gullet.

Diagnostic Value Has Occurrence At Cough Of A

Diagnostic value has occurrence at cough of a pain and its localisation. a stomach make for delimitation of a liver, a spleen, the sizes of pathological formations in a stomach (-, a tumour, an abscess). Sonorous a sound give: Gas congestions in intestines , gas congestions in a belly cavity , at punching of hollow body (disappearance of hepatic dullness). For revealing of a congestion of a free liquid in a belly cavity (, , ) spend comparative both half of stomach in a direction from an average line to its lateral departments, then on right and left to a side. Change a sound (instead of dullness) happens in the presence of freely moving liquid in a belly cavity. In vertical position sick a stomach spend in a direction from top to down on an average line and to lines. Zone a sound over a bosom with horizontal - concave top border - a sign of a free liquid in a belly cavity. A zone with horizontal top border and over it - a sign of a congestion of a liquid and gas. If the top border of a zone a sound over a bosom forms convex up a line is the sign - specifying in overflow by contents of a bladder, on - uterus increase, presence .

The External Bottom Border Of A Stomach Passes

The external bottom border of a stomach passes on the lines spent from of bones in the parties to , further to lobbies top bones, on their crests and the basis . The stomach cavity a belly cavity - is limited in front, from sides and behind - by belly walls, above - a diaphragm, below passes in a cavity of a small basin. From within a belly cavity . Belly cavity subdivide on a cavity limited -, and space. In a belly cavity allocate two floors: top and bottom. Border between them is cross-section guts. Stomach walls divide into two departments: and back, or lumbar area Borders between them are the right and left back axillary lines. At diagnostics of diseases of bodies of a belly cavity the doctor for revealing of localisation of pathological process should imagine mentally - spatial parities of bodies with each other and their projections to a belly wall. In clinical practice use division stomach walls on the areas formed as a result of carrying out of conditional two horizontal and two vertical lines.

Primary Localisation Of A Belly-ache, And Then Later

Primary localisation of a belly-ache, and then later - pain joining - in area hernias it is characteristic more for sharp diseases of bodies of a belly cavity, than for the - restrained hernia. Sudden occurrence of an acute pain in areas with development of a peritonitis at sick of a stomach ulcer is characteristic for ulcer perforation. Primary localisation of a pain in right with under the right shovel, in right , the greatest morbidity and pressure of muscles in right -, positive symptoms of Grekova - Ortnera, Murphys are characteristic for a sharp cholecystitis. Pain occurrence initially in areas or round a navel with the subsequent moving of a pain in right the area, the greatest morbidity and pressure of muscles of this area are characteristic for an acute appendicitis Consecutive occurrence in the beginning signs of intestinal impassability, then a peritonitis and after changes in hernia area allow to treat a pain in the field of a hernia, increase in the sizes and pressure of a hernia as displays of false infringement.

Development Of A Cancer Of A Gullet In

Development of a cancer of a gullet in patients (at 4 - 7 %) is noted, especially at considerable expansion of a gullet and long stagnation in it , and also at patients with - a gullet, hernias apertures of a diaphragm and with a congenital short gullet owing to presence at them - chronic are Always suspicious on possibility - is long not healing gullet ulcers (especially Barret's ulcer; sm "Peptichesky ulcers - of a gullet") One of the factors conducting to occurrence of a cancer of a gullet are cicatricial after chemical burns. a gullet consider as a precancer. Occurrence in these patients is long not healing , , fistulas, a fast weight loss are the indication to removal the changed gullet gullet Deenergizing at a total plasticity a thick gut at burn eliminates possibility in connection with liquidation In the presence of gullet polyps always there is a real danger of their regeneration, therefore a gullet polyp it is necessary to remove. As precancer disease consider a syndrome (a syndrome of Plammera - Vinsona) which is shown by an anaemia, , an atrophy of mucous membranes, and later an oral cavity mucous membrane, drinks and a - gullet Consider that it can arise at the exact maintenance in food of iron and vitamins, especially vitamins - B2 and With.

At Radiological - Research Of A Thorax -

At radiological - research of a thorax - of patients with reveal additional the right contour , presence of level of a liquid in a projection back , a gas bubble of a stomach. The basic radiological sign - narrowing of terminal department of a gullet with accurate, equal and elastic contours ("a flame of the turned - candle", "a mouse tail") Folds of a mucous membrane - in the field of narrowing are kept the First drinks of barium can to arrive freely in a stomach, then contrast weight is long is late in a gullet. Over a baric suspension define a layer of a liquid and the food rests. Gullet expansion over a place of its narrowing is expressed in various degree At a number of patients mark lengthening and a gullet curvature. a gullet at all patients it is sharply broken: reductions are weakened, have spastic character and insufficient amplitude. At development changes of a relief of a mucous membrane of a gullet are visible: granularity, a thickening and tortuosity of folds. allows to confirm the diagnosis , - to reveal its complications and to spend the differential diagnosis with - other diseases accompanied .

The Pishchevodnoe Aperture Of A Diaphragm Is Formed

The pishchevodnoe aperture of a diaphragm is formed in most cases at the expense of the right internal (medial) leg of a diaphragm, the left leg participates in its formation only in 10 % of cases. Through a diaphragm aperture pass also wandering nerves. Through intermuscular cracks of lumbar department of a diaphragm pass sympathetic trunks, nerves-, unpaired and semiunpaired veins. The aperture for the bottom hollow vein is located in the diaphragm centre. From above the diaphragm is covered intrachest , a pleura and a pericardium, from below-intrabelly and . To diaphragm parts a pancreas, the duodenal gut, the kidneys surrounded with a fatty capsule and adrenal glands. To the right dome of a diaphragm a liver, to left - a spleen, a stomach bottom, the left share of a liver. Between these bodies and a diaphragm there are corresponding sheaves. The right dome of a diaphragm is located - above (the fourth ), than left (the fifth ). The height of standing of a diaphragm depends on the constitution, age, presence of various pathological processes in chest and belly cavities.

N2 - Mobile Lymph Nodes On An Opposite

N2 - Mobile lymph nodes on an opposite side or - bilateral. N2a - The increased lymph nodes do not contain metastasises. N2b - The increased lymph nodes contain metastasises. N3 - The fixed lymph nodes. M - the remote metastasises - there are no displays of the remote metastasises in lymph nodes or - other bodies. M1 - There are remote metastasises. M1a - Metastasises in the remote lymph nodes. M1b - Other remote metastasises. Clinic and diagnostics: in clinical display of a cancer of a gullet it is possible to allocate three groups of symptoms: 1) the places-chye, depending on defeat of walls of a gullet; 2) secondary, resulting distributions of process on the next bodies and fabrics; 3) the general. The beginning of development of a cancer of a gullet passes . The latent period can last 1 - 2 years. (at 70 - 98 % of patients) are the first symptom of disease, but in essence it is the late symptom arising at closing of a gleam - of a gullet by a tumour on 2/3 and more, thus at 60 % of patients there are metastasises in .

If The False Infringement Is Not Distinguished And

If the false infringement is not distinguished and operation concerning a hernia is undertaken, it is important to estimate correctly at this diagnostic stage contents of a hernial bag (a condition of intestinal loops, character ). At the slightest suspicion on an acute disease of bodies of a belly cavity (in a hernial bag a little changed loop of a gut, purulent or ) it is necessary to make median for revealing of a source of a peritonitis. Treatment: the restrained hernia is the indication to - emergency operation. It is necessary to eliminate infringement and to find out viability of the restrained bodies. Operation spend to some stages The first stage - a level-by-level section of fabrics to and an exposure of a hernial bag. The second stage - opening of a hernial bag make - not to damage cautiously - intestines loop, skintight to a wall of a hernial bag. At sliding and femoral hernias there is a danger of damage of a wall of a thick gut or a bladder. Having opened a hernial bag, delete "hernial water".

In A Duodenal Gut Digestion Of All Food

In a duodenal gut digestion of all food - components is carried out-. The duodenal gut has value in regulation functions of a stomach, a pancreas, a liver, in activity coordination the device. Stomach and duodenal gut, participating in a metabolism, provide homeostasis regulation. Being the main link in hormonal - system of a gastroenteric path, the stomach and a duodenal gut influence diverse functions of various systems of a human body. SPECIAL METHODS OF RESEARCH The analysis of gastric juice. To research of secretion of gastric - juice apply stomach sounding by a thin probe. Before the research beginning through a probe take the - contents which have accumulated in a stomach-. Investigate "" secretion during the interdigestive - period and secretion after - stimulator introduction-. Secretion zhel-udochnogo juice is on an empty stomach carried out mainly as a result of influence on the device - of a stomach of wandering nerves, therefore on indicators "" secretions can be judged a condition of a tone of wandering nerves indirectly.

Often Mark - Gurgle And Rumbling In A

Often mark - gurgle and rumbling in a thorax on the hernia party, short wind strengthening in horizontal position. After meal there is a vomiting - by the accepted food that brings simplification. At a stomach, - accompanied by a gullet excess, develops paradoxical (the firm food passes better liquid). Direct dependence of expressiveness of clinical symptoms on degree of filling of a gastroenteric path has the big diagnostic value. Infringement hernias characterise sharp pains in a corresponding half of thorax or in areas, in a back, a shovel. The infringement of hollow body - can lead and punching of its wall with development . To suspect a hernia it is possible at presence in the - anamnesis of the trauma, listed above complaints, reduction of mobility - of a thorax and smoothing of intercostal intervals by the defeat party, a stomach at big it is long existing hernias, definition or over a corresponding half of the thorax, changing - intensity depending on degree of filling of a stomach and an intestines-, auscultation an intestines or splash noise in this zone at simultaneous easing or a total absence of respiratory noise, dullness displacement in not amazed - party.

Revealing Of Noise Of Splash Of A Liquid

Revealing of noise of splash of a liquid in a stomach is reached by drawing of short pushes on a belly wall tips of the semibent fingers. Noise of splash of the liquid, defined on an empty stomach, testifies to infringement of evacuation from a stomach (a stenosis of an exit from a stomach, a stomach). Noise of splash of a liquid in intestines can be found out at intestinal impassability. At a stenosis aorta department listen to noise in a point at once below a navel and on 2 sm to the left of an average line. Manual research of a rectum. Define a tone , gut contents (, slime, blood), a condition glands. At manual research of a rectum tumours and gut departments, in a small basin, cancer metastasises on (metastasises of Shnitslera), tumours guts, tumours of a uterus and can be revealed. At sharp diseases of bodies of a belly cavity manual research of a rectum gives the important information. Morbidity at pressing on rectum walls specifies in inflammatory changes prjamokishechno-matochnogo deepenings ( a pocket-) and bodies of a small basin.

To Conduct Research It Is Necessary Very Cautiously

To conduct research it is necessary very cautiously in connection with punching possibility . Treatment at the small sizes , absence of complications, absolute contra-indications to surgical - treatment spend the conservative therapy directed on - preventive maintenance of a delay of food weights in and reduction of possibility of development . The food should be - high-grade, mechanically, chemically and thermally sparing. The patient recommend to eat well crushed food After meal - it is necessary to drink some drinks of water, to accept the position promoting . At the big sizes sometimes there is a necessity for cavity washing -. Indications to surgical treatment a gullet: complications (punching, , a bleeding, a - gullet stenosis-, a cancer, development of fistulas), big , complicated at least a short-term delay in them of food weights, a long - delay of food in irrespective of its sizes. Depending on localisation choose operational - access: at glotochno-pishchevodnyh - cervical, at - right-hand , at - link sided .

In Umbilical Area A Radiant Arrangement Expanded Hypodermic

In umbilical area a radiant arrangement expanded hypodermic veins ("a head of a jellyfish") observe at difficulty - of outflow of blood on to a vein. In departments of a stomach occurrence expanded venous between - femoral and bottom a vein testifies to difficulty of outflow of blood on system of the bottom hollow vein. Observe displacement of a belly wall during the breath certificate. Absence of displacement of any area or all belly wall during breath happens at pressure of muscles as a result a reflex arising owing to irritation . Check active a stomach (a symptom - of Rozanova). To the patient suggest to inflate a stomach, and then to involve it. At sharp inflammatory processes in a belly cavity patients - cannot inflate a stomach because of sharp strengthening of pains. At the - inflammatory processes localised (-, a pleurisy), accompanied sometimes pains in the field of a stomach and pressure of muscles of a belly wall, and stomach retraction probably. The symptom of Rozanova - gets value for difference of sharp inflammatory processes of a belly cavity from processes.

Pharmacological Test - With And Is Negative. In

Pharmacological test - with and is negative. In patients with often find out hernias - diaphragm apertures, the combination of disease with a gullet is possible. Complication are , attacks of a reflex stenocardia. The disease current long, from time to time that - amplifies, disappears almost completely. At a secondary (reflex-) dyskinesia of a gullet its symptoms usually pass at - treatment of the basic disease. Work capacity, as a rule, is not broken. Treatment: should be directed on normalisation of a motility of a gullet. Complex treatment of patients with (primary) includes appointment of a sparing diet-, and sedative preparations, vitamins, - physiotherapeutic procedures. In the absence of a positive effect - from conservative therapy make (as operation of Gellera) to level of an arch of an aorta. Insufficiency . Disease is connected with - infringement of switching function physiological that leads to occurrence zheludochno-pishchevodnogo a reflux and to development of functional and organic changes of a gullet.

Patients Have A Painful Thirst As A Result

Patients have a painful thirst as a result , . At a blood test mark , shift - formulas to the left, increase , increase , hypo- and . In hard cases it is observed -, and , metabolic -. At an accompanying burn of a throat and vocal chords can be the voices, complicated-breath, . In - hard cases toxic defeat bodies (sharp hepatic and nephritic insufficiency) develops. The poisoning with an acetic essence can cause development intravascular . Patients have a jaundice, urine gets colour of meat slops, it is marked , , the anaemia accrues. As a result at patients the pneumonia can develop . At direct damage of vessels in the field of a burn there are early - bleedings. Sometimes on 5 - 7th day develops a psychosis (a mental trauma, stress, a pain, burn ). II stage - a stage of "imaginary well-being" - proceeds with 7 about 30 days. By the end of 1st week tearing away gullet fabrics begins. than liquid food becomes slightly more free, bleedings are possible. At deep there is a punching of a gullet with development - of symptoms , , pleurae, a pishchevodno-bronchial fistula.

These Substances Accept For The Purpose Of -

These substances accept for the purpose of - suicide or by mistake. Heavy damage of departments - of a digestive path happens also at reception of a solution of permanganate , , acetone. The mechanism of their action on a fabric other, than acids and alkalis. So, permanganate and operate on a fabric as oxidizers. At chemical burns of a gullet there can be simultaneously - burns of a mouth, a throat, a hypostasis of lungs, sharp respiratory - insufficiency. It happens at reception of acetic acid and liquid ammonia owing to them and at influence of steams of the concentrated acids and alkalis. Pathological anatomy: the most expressed changes arise in places of physiological narrowings - in - area , glotochno-pishchevodnogo , at level tracheas, over physiological . As a result of a chemical burn the oral cavity mucous membrane, drinks, a gullet, a stomach is damaged first of all. After and a mucous membrane hypostasis quickly comes - fabrics. By the end of 1st week tearing away sites from subject fabrics and formation superficial or deep begins.

The Main Task Of A "flowing" Method -

The main task of a "flowing" method - maintenance - of sufficient outflow separated of a wound Use - of powerful modern antiseptic tanks (, ) allows - to achieve utter annihilation microflora - effectively enough washing of wounds by solutions , - boric acid, a sodium hydrocarbonate. Advantages of the given - method : technical simplicity and availability. The method of active surgical treatment of sharp purulent - diseases includes probably early closing surfaces - by means of the primary, primary delayed, early secondary seams. The basic condition for suture on a purulent wound - is carrying out of high-grade surgical processing of a purulent wound or clarification by its chemotherapeutic means. The usual - central seam stitched through all layers of a wound, provides good adaptation of edges and wound walls. Carrying out (the general and local) should be a necessary component of complex treatment of patients. The antibiotic choice should be carried out taking into account sensitivity - to it of the activator.

Results Of Research Document By Means Of Roentgenograms,

Results of research document by means of roentgenograms, videorecording, . To specification of prevalence of tumours of a gullet and - their differential - diagnostics from formations apply (radiological research of bodies , contrasted by means of entered in - gas). To an estimation of a condition of walls of a gullet apply (radiological research at simultaneous - a gullet air in conditions ). If necessary resort to a tomography, allows to examine a gullet mucous membrane on all extent, precisely to make by means of special nippers from suspicious sites, to make dabs for cytologic research. Remote slices of a fabric subject to histologic research. rigid - apply with the medical purpose to extraction of foreign matters and for forced a - gullet. The important additional method of diagnostics of functional and some organic diseases of a gullet ( , , hernias apertures of a diaphragm-, etc.) is (graphic record of reductions and a tone of walls of a gullet and it ). At differential diagnostics of organic and - functional narrowings of a gullet apply tests with nitroglycerine, , .

Efficiency Judge Not Only On Subjective Sensations Of

Efficiency judge not only on subjective sensations of the patient, but also according to radiological and - researches During time and in a near time after it development of complications (rupture of a gullet with development , a sharp pishchevodno-gastric bleeding), - urgent measures demanding - acceptance is possible-. To early complications carry also insufficiency with development heavy a reflux-ezofagita In the nearest terms after excellent and good results mark almost at 95 % of patients, however in some years at 30 - 70 % of patients come the relapse demanding a refresher course of treatment. Operative treatment is symptomatic and is directed on elimination of impassability of pishchevodno-gastric transition. Indications to it are 1) impossibility to spend , 2) absence of therapeutic effect after repeated courses , 3) early the diagnosed ruptures of a gullet arising during expansion -, 4) expressed , developed after a restretching and not giving in to conservative therapy and , 5) sharp expansion, a S-shaped curvature - of a gullet in a combination to cicatricial changes in .

Or A Forward Wall Of A Rectum Arises

or a forward wall of a rectum arises at a congestion in a cavity of a small basin inflammatory at a peritonitis or blood at a bleeding ". SHARP STOMACH Sharp stomach (the reasons, the basic clinical signs, - diagnostic methods at different investigation phases of the patient). The term "a sharp stomach" designate clinical , developing at damages and sharp diseases - of bodies of a belly cavity at which it is required or the urgent surgical help can be demanded. The first medical inspection of the patient is often made out of a hospital (in-home or in polyclinic). A problem of primary elementary diagnostics is recognition of a dangerous situation - and necessity of urgent surgical treatment. At a sharp stomach the forecast worsens eventually, therefore the doctor is obliged to hospitalise quickly the patient in profile establishment - where in the near future to the patient necessary diagnostic and medical actions should be carried out. Even at suspicion on a sharp stomach it is necessary to hospitalise the patient urgently-.

Forward The Hernia At Women Begins From Puzyrno-matochnogo

Forward the hernia at women begins from puzyrno-matochnogo deepenings and leaves in the big sexual lip in its central part. Back the hernia begins at men from puzyrno-prjamokishechnogo deepenings , at women from matochno-prjamokishechnogo deepenings, passes from an intersciatic line through cracks in a muscle lifting back pass, and leaves in sedalishchno-prjamokishechnoj hollows. Back a hernia, leaving in hypodermic , settles down either in front, or behind apertures. Promezhnostnye hernias are more often observed at women. The bladder, female genitals happen contents of a hernial bag. At diagnostics about-mezhnostnyh hernias localisation hernial - has essential value-. Forward the hernia at women is necessary for differentiating with a hernia which also leaves in the big sexual lip. Manual research through a vagina helps diagnostics, hernial hernias can be probed between a vagina and a sciatic bone. Sciatic hernias, can leave through the big or small sciatic apertures. Hernial it is located under the big buttock muscle, sometimes leaves from under its bottom edge.

If To 3 - To 5 Years Has

If to 3 - to 5 years has not come self-healings further independent the umbilical ring will not occur. Thus surgical treatment is shown. The indication to operation at earlier age are frequent partial infringements of a hernia, fast increase in the sizes of a hernia. Operation spend on stages: allocation and removal of a hernial bag, an umbilical ring a seam (on a method of Leksera) or the separate seams stitched for edges of defect in a longitudinal direction. At the big umbilical hernias - use a method of Sapezhko or Mayo (are described more low). During operation at children it is necessary to keep a navel as absence of a navel can put a mental trauma to the child. Umbilical hernias at adults make 5 % of all external hernias of a stomach. Development of umbilical hernias is observed at - women is more senior 40 years (80 %) more often-. The reasons of development of umbilical hernias: Congenital defects of umbilical area, repeated the pregnancy, proceeding without observance of a necessary mode, neglect physical exercises and gymnastics.

The Duodenal Gut Before Receipt In It Of

The duodenal gut before receipt in it of a food chemical moustache - extends thanks to muscles relaxation a little. Thus, evacuation of a contained stomach is caused by sequence of reductions and changes pressure in department, pilori-cheskom the channel and in a duodenal gut. The antralnyj department and the gatekeeper provide regulation of duration of digestion of food in a stomach, are and the switching device. Thanks to the last the - reflux contained in a stomach is prevented-. Wandering nerves stimulate reductions of a stomach and lower a tone and bottom the Sympathetic nervous system has opposite an effect: brakes - and raises a tone . reduces a tone , and - cause reduction - . The basic functions of a stomach and duodenal gut consist that in a stomach the accepted food is exposed to primary digestion. Hydrochloric acid - of gastric juice has bactericidal an effect on stomach contents. Antralnyj department of a stomach, the channel, a duodenal gut. - Represent a uniform complex of motor activity.

The Somatic Pain Arises At Irritation Of Sensitive

The somatic pain arises at irritation of sensitive - fibres of intercostal nerves ( , , a small epiploon) and at a nerve, . Somatic pain cause - 1) inflammatory or tumoral , a tension, , a friction - of the surfaces changed by inflammatory process-, 2) irritation gastric, intestinal, - pancreatic juice, bile, blood, urine, bacterial toxins-, 3) damages of intercostal nerves out of (a hematoma-, , a tumour), 4) an inflammation of nervous backs Localisation of a somatic pain corresponds to an irritation place - the Pain is accurately localised in that part of a body which the same segment of a spinal cord to which belongs given intercostal or a nerve Accurate localisation of a somatic pain is connected by that - intercostal nerves have projection fields in a cerebral cortex. The somatic pain happens cutting and burning, has constant character. pains arises when the irritation grasps the terminations of intercostal nerves in to the tyre or in Knowledge of typical directions - pains which is felt sometimes far from an irritation place-, facilitates recognition of the amazed body.

By Origin Diaphragm Hernias Divide On Traumatic (the

By origin diaphragm hernias divide on traumatic (the section of "diaphragm Damage" see) and not traumatic. Among not traumatic hernias allocate: false congenital hernias (defects) of a diaphragm, true hernias of weak zones - of a diaphragm, true hernias of atypical localisation, a hernia of natural - apertures of a diaphragm ( apertures, rare hernias of natural apertures). False congenital hernias (defects) of a diaphragm are formed as a result existing in the period of messages between a chest and belly cavity. True hernias of weak zones of a diaphragm arise at - increase of intrabelly pressure and belly bodies through grudinno-costal space (a hernia of Larreja - Morgani - a hernia), the pojasnichno-costal - space (a hernia of Bohdaleka), is direct in area - diaphragm parts ( a hernia). Contents of a hernial bag can be an epiploon, cross-section a gut, fatty . True hernias of atypical localisation meet seldom and differ from a relaxation of a diaphragm presence of hernial gate, and consequently, possibility of development of infringement.

At A Dropsy Of Covers Between Leaves Of

At a dropsy of covers between leaves of own cover the liquid accumulates and as a result the sizes increase. Difference of a dropsy of covers from pahovo-moshonochnoj hernias consists that the dropsy has roundish or oval, instead of the pear-shaped form, a consistence, a smooth surface. Palpated formation cannot be delimited from and its appendage. The big dropsy of covers , reaching an external aperture the channel, it is accurate from it can be separated at . At to a hernia palpated in formation has "the leg" leaving in the channel as in a hernial bag there are the contents which have left in it from a belly cavity of Perkutornyj a sound over a dropsy stupid, over a hernia can be . yields positive result at a dropsy of covers . make in a dark room by means of a small lamp densely put to a surface -. If palpated in formation contains a - transparent liquid it at will have reddish colour. Intestinal loops being in a hernial bag, an epiploon do not pass light beams. With a hernia has similarity expansion of veins seed at which in vertical position the patient has stupid holding apart pains and - some increase in the sizes is marked.

Ranevye Surfaces Are Covered By A Dense Scab,

Ranevye surfaces are covered by a dense scab, easily bleed. Hem formation probably within last several months. In the remote terms (to 2 - 3 years) after a burn (a stage of late complications) on the first place in a clinical current act . From starvation the condition of the patient worsens ("Cicatricial narrowings of a gullet") see. Besides , development of a cancer, punching of a wall of a gullet and such complications, as a pneumonia, a lung abscess, , , pishchevodno-bronchial fistulas is possible. The URGENT HELP AT CHEMICAL BURNS of the GULLET And TREATMENT In the SHARP PERIOD the Urgent on-site assistance of incident. For removal of a pain by the patient introduction of drugs (, , etc.) is shown. For reduction and removals of a spasm of a gullet enter atropine, , . - Oral cavity washing, appointment preparations (a Dimedrol, , , etc.) is expedient. The important action directed on deducing and neutralisation of poison, washing of a stomach by means of a rubber probe is. Depending on character of the accepted substance for stomach washing use weak solutions of alkali or acid.

At All Patients With Suspicion On A Gullet

At all patients with suspicion on a gullet cancer it is shown . Depending on the anatomic form of a cancer the tumour kind happens various. Initial forms of a cancer can look - as or a polyp. At - to the form mark local the gullet walls, revealed at pressing by the end . At the further - progressing the hilly weight covered grayish or for a short while is visible to a tumour. The tumour surface - easily bleeds at a touch. There is a concentric or unilateral narrowing of a gleam of a gullet. At the ulcer form define a bleeding tumour with the rough - pitted edges. The infiltrirujushchaja form is shown a rough bleeding mucous membrane, - narrowing of a gleam of a gullet. it is easily realizable at tumours, it is more difficult to receive for research a fabric slice - at ulcer and a cancer. At the negative answer in doubtful cases it is necessary to repeat. At it is necessary to make also cytologic - research of a contained gullet and dabs from tumour area. Cytologic research in a combination with at the - majority of patients allows to confirm or reject the cancer diagnosis.

The Greatest Damages - First Of All Arise

The greatest damages - first of all arise in area furrows on a place guts a restraining ring. Eventually changes progress-. The restrained gut of sine-black colour, its serous cover dim, plural subserous hemorrhages. A gut flabby, not , vessels do not pulse. "Hernial water" muddy, character, has a smell. Nekrotichesky changes are accompanied by a gangrene of a wall of a gut, punching, development so-called a phlegmon and a peritonitis. At infringement of a gut it is considerably broken krovo - and not only in the restrained gut, but also in - resulting department of intestines. Owing to intestinal impassability intraintestinal pressure raises, gut walls - are stretched, squeezed veins, is broken -. The congestion in a wall and in gut cavities, overflow by its intestinal contents even more is aggravated with blood circulation infringements in connection with vnutriste-night arteries. First of all the mucous membrane on a considerable extent is damaged. From visible outside of border of the changed wall of a gut mucous membrane damage extends for 20 - 30 It see it is necessary to consider at definition of level of a resection of a resulting loop.

An Operational Wound Take In. In A Method

An operational wound take in. In a method basis the principle of simultaneous - injection is put - in a zone destroyed and inflamed an antiseptic solution and this solution together with the contents accumulating in a zone of a posttraumatic purulent inflammation. There are various methods at gullet damages. - during time - it is possible at integrity preservation pleurae-. At damages cervical and gullet departments - use with hermetic . At - wounds of chest department of a gullet with damage of mediastinal th pleura it is shown access with simultaneous and a pleural cavity. Extrapleural active it is possible at damages - and gullet departments. To the Tonic-nie active tight at a - gullet allows to replace operation with carrying out in a stomach a thin-walled silicone probe for feeding of the patient. The resection of the damaged gullet is shown only at - tumours or at its sharp cicatricial change during the first hours after punching at people young and middle age. GULLET FOREIGN MATTERS The reasons of hit of foreign matters in a gullet can be: a habit to hold various subjects in a mouth (at small children, at workers of some trades), Negligence in cooking and hasty meal, deliberate various - subjects mentally sick.

Pains Behind A Breast And In A Back

Pains behind a breast and in a back amplify, the short wind and a tachycardia accrues, the body temperature gets character, are replaced by down-pour sweats, formation of a hypodermic emphysema, cough occurrence at reception of liquid food is possible. , arisen in the sharp period, it can be shown by symptoms sharp , a pneumonia, a lung abscess. In hard cases in the presence of extensive surfaces on gullet walls probably development of a sepsis. The latent period is characterised by function infringement bodies that is caused by dystrophic - changes, albuminous starvation. By the end of month (a formation stage ) under the influence of treatment the burnt sites of a gullet heal. At 10 - 15 % of patients at radiological research find out absence longitudinal a mucous membrane, single or plural sites of narrowings of a gullet of various - extent. At 20 % of patients by the end of month of the phenomenon "alternating-" increase. At mark various extent the sites which healing - occurs inertly.