Diaphragm Blood Supply Carry Out Top And Bottom

Diaphragm blood supply carry out top and bottom the arteries departing from an aorta, myshechno-diafragmalnaja and perikardo-diafragmalnaja the arteries departing from internal chest, and also six bottom intercostal arteries. Blue blood outflow occurs on the veins with the same name, on unpaired and - semiunpaired veins, and also on gullet veins. Lymphatic vessels of a diaphragm form some networks: , pleural, intrapleural, , . On the lymphatic - vessels located along a gullet, an aorta, the bottom hollow vein and other vessels and the nerves passing through a diaphragm, inflammatory process can extend from a belly cavity in pleural and on the contrary. - Lymphatic vessels take away a lymph from above through and back knots, from below - through and . diaphragms carry out and intercostal nerves. Allocate static and dynamic functions of a diaphragm. Statistical function of a diaphragm consists in maintenance of a difference of pressure in chest both belly cavities and normal mutual relations between their bodies.

Further Comes - Tumours And Development Inflammations. Supras-Tenotichesky

Further comes - tumours and development inflammations. Supras-Tenotichesky expansion of a gullet at a cancer seldom happens - considerable as the tumour develops in rather short period of time. Distribution of a cancer of a gullet occurs by direct - germination, and . The tumour can extend on a gullet upwards and downwards, to sprout all layers of its wall, to squeeze the next bodies. Rather late complication is tumour germination in the next bodies which can lead to fistula formation between a gullet and a trachea or a bronchial tube, to development of a pneumonia, a gangrene and processes in lungs and a pleura, to a deadly - bleeding at tumour germination in an aorta. cancer cages on lymphatic vessels in a gullet wall can occur on 10 - 15 sm from visible - border of a tumour. Such "cancer " meets at process localisation in the top and average third of gullet is more often. Along with distribution of a tumour to process - superficial and deep lymph nodes are involved-. The tumours - located in cervical and departments of a gullet, mainly in , over - and lymph nodes.

Diagnostics Hernias At Women Is Based On Survey

Diagnostics hernias at women is based on survey and as finger introduction in an external aperture - the channel is impossible. At women a hernia differentiate with a round sheaf of the uterus which is passing in the channel. a round sheaf of a uterus unlike a hernia does not change the sizes at horizontal position of the patient, - a sound over it always stupid, and over a hernia can be . Treatment a round sheaf of a uterus, as well as hernias, surgical. Operation consists at a distance with a subsequent plasticity the channel. Differential diagnostics between hernias and a femoral hernia is resulted at the description of a femoral hernia. Table 4: Differentsialno-diagnostic signs a plait and a straight line hernias of PriznakiKosaja a hernia Forms and an arrangement hernial Back wall the channel Direction a push The relation of a hernial bag to seed to a congenital Thicket happens in children's and middle age of the Oblong form at plumpness on a course the channel Often the - unilateral falls in - to the Thicket It is expressed in an initial stage of formation of a hernia The kashlevoj push in an initial stage of formation of a hernia is felt sideways from outside a deep aperture the channel The thickening seed on the party happens at elderly and old people The roundish form a swelling at a medial part sheaves Seldom falls in to the Thicket bilateral (especially at elderly patients) It is always weakened The kashlevoj push is felt directly against an external aperture the channel The hernial bag is located from seed pahovo-moshonochnaja a hernia, the increase in the sizes , gets similarity to a dropsy of covers .