The First Period - Painful, Or The Shock,

The first period - painful, or the shock, second period - imaginary well-being, the third period - the poured peritonitis. For the first period the sharpest pain which causes the shock phenomena is characteristic. Pulse weak frequent, arterial pressure is lowered, breath becomes frequent and superficial. This period happens is expressed at to the infringement form. In imaginary well-being there is a reduction of a pain which was before very intensive. It can mislead the doctor and the patient accepting reduction or disappearance of a pain for improvement of a current of disease-. It is possible to explain pain reduction the restrained - loop of a gut. However local displays of infringement of a hernia remain. If patient do not operate, its condition quickly worsens, there comes the third period of the poured peritonitis. The body temperature - raises, pulse becomes frequent. The stomach swelling increases, - there is a vomiting. Puffiness in the field of hernial increases, appears skin, the - phlegmon develops-.

Big A Tumour, The Bleeding Is Possible-. A

Big a tumour, the bleeding is possible-. a gullet can . Owing to having handed over-livanija to a tumour of bodies - (tracheas, bronchial tubes, the hearts-, wandering nerves) - can arise cough, a short wind, , palpitation, pains in the field of heart, and - other frustration. Probably malignant regeneration of good-quality tumours and a gullet. The diagnosis of a good-quality tumour of a gullet put on the basis of the analysis of a clinical - picture of disease, the - data of radiological - research and . For good-quality tumours of a gullet following - radiological - signs are characteristic--: accurate equal contours of defect of the filling which is settling down on one of walls of a gullet, a relief of a mucous membrane and elasticity - of walls of a gullet in the field of defect, an accurate corner between a wall of a gullet and tumour edge ("a peak" symptom). At - cinema research good-quality formation - of a gullet at swallowing is displaced up together with a gullet wall. For an exception a gullet from the outside a new growth which is starting with , or it is abnormal the located large - arterial vessel use and .

Reflex Pressure Of Muscles Comes Out Irritation -

Reflex pressure of muscles comes out irritation - of the termination of intercostal nerves in and intestines. The patient avoids movement as - position change - strengthens a pain. At the morbidity zone, pressure of muscles of a belly wall, is defined by corresponding intercostal nerves. Concussion of a belly wall causes morbidity. Transition pains in somatic is the disturbing sign specifying in transition of inflammatory process from one of an internal on . Transition example pains in somatic - is the acute appendicitis current. In the disease beginning when the inflammation is limited to a shoot, the patient - feels the poured dull ache round a navel, at this time there is no pressure of muscles of a belly wall. At inflammation transition on a shoot and the pain is localised in right areas, becomes sharp, there is a pressure of muscles and morbidity at in right areas. At inquiry of the patient about a belly-ache it is recommended to put questions and to receive on them answers in such sequence: what? Where? When? Why? Question "that disturbs?" Find out character of a pain on which - it is possible to judge the amazed layers of a wall of body.

A Disease Current Slow, Without - Essential Progressing.

A disease current slow, without - essential progressing. Tsenkerovsky can become complicated development which in turn can become the reason - of a phlegmon of a neck, , developments a fistula, a sepsis. and contents lead to a chronic bronchitis, to a repeated pneumonia, abscesses of lungs Are possible a bleeding from a mucous membrane -, development in it of polyps, its walls. At a long delay of food weights in and there can be complications: , an abscess with break in a bronchial tube, a gullet, a pericardium and other bodies , the massive bleeding Chronic contributes to cancer occurrence. Glotochno-pishchevodnye sometimes it is possible to find out at survey and necks. The basic method of diagnostics - a gullet is the contrast radiological - research establishing presence , width of a neck, duration of a delay in it of barium, degree of infringement of passableness - of a gullet, development signs in a polyp and a cancer, formation pishchevodno-bronchial and fistulas. Endoskopichesky research gives the chance to establish presence , to find out its mucous membrane-, bleeding presence, to diagnose a polyp or a cancer in -.