In A Hernial Bag Of Bodies Occurs Outside.

In a hernial bag of bodies occurs outside. The kalovoe infringement arises at easing intestines, is more often observed at people of advanced age. Following-tvie congestions of a considerable quantity intestinal contained in a gut which is in a hernial bag, occurs a - departing loop of this gut, then pressure of hernial gate upon contents of a hernia amplifies and to joins , thus there is a mixed form of infringement. Pathological anatomy: a development principal cause changes in the restrained body is infringement krovo - and . At infringement of a gut owing to venous occurs in a gut wall, in its gleam and in a cavity of a hernial bag. A liquid in a hernial bag name "hernial water". At fast simultaneous a restraining ring of veins and arteries a gut which are in a hernial bag, "hernial water" is not formed, develops "a dry gangrene" restrained gut. In the beginning of infringement the gut gets colouring, "hernial water" the transparent. Nekrotichesky changes in a gut wall begin with a mucous membrane.

Stomach Survey. In Vertical Position Of The Patient

Stomach survey. In vertical position of the patient a normal - configuration of a stomach characterises moderated areas and some the bottom half of stomach. On a back at not corpulent patient level of a forward wall of a stomach is in a prone position below breast level. Uniform - a stomach observe at adiposity, intestines-, a liquid congestion in a belly cavity . Non-uniform - a belly wall can be at - stomach hernias-, at impassability of intestines, at , abscesses - of a belly wall and localised in a belly cavity, at the tumours which are starting with a belly wall and bodies of a belly - cavity. Change of a configuration of a belly wall observe at excessive strengthening a stomach and an intestines. Gathered in the - stomach happens at the exhausted patients, at sharp pressure of muscles of a belly wall (a symptom of muscular protection - a reflex at irritation ). In the presence of - postoperative hems their localisation, the sizes, defects in a belly wall in the field of hems (- postoperative hernias) should be noted-.

Congenital (insufficiency) - A Consequence - The Nervously-muscular

Congenital (insufficiency) - a consequence - the nervously-muscular device physiological or straightening of a corner of Gisa. The clinical picture is similar to displays of a congenital short gullet. Congenital short gullet. At this developmental anomaly the stomach part appears located above a diaphragm. The - clinical picture is caused by insufficiency , - accompanied zheludochno-pishchevodnym a reflux. After feeding at children arise , vomiting sometimes with an impurity of blood as a result of development . Complications of developmental anomalies of a gullet. The most frequent - complication at congenital , stenoses, pishchevodno-respiratory fistulas is the pneumonia. a gullet can lead to starvation of the child, at stenoses develops - stagnant . bronchial tubes the increasing doubled gullet causes a repeated pneumonia, development , the suppuration and break in respiratory ways or a pleural cavity is possible. from a stomach mucous membrane can be exposed with bleeding and punching development.