At Germination By A Tumour Of Returnable Nerves

At germination by a tumour of returnable nerves at patients hoarseness of a voice, defeat of knots - of a sympathetic nerve develops-, the syndrome of Gornera is shown. a wandering - nerve can cause a bradycardia, fits of coughing, vomiting-. Germination by a tumour a nerve is accompanied - by a diaphragm paralysis on the corresponding party, and a humeral - texture - a pain, , and then a paralysis of the top finiteness. Transition of a tumour to a throat is accompanied by change - of sounding of a voice, occurrence of a short wind and breath. At (germination) of a trachea and bronchial tubes there is a cough, a short wind (at 7,2 %). Formation pishchevodno-trahealnogo or a pishchevodno-bronchial fistula is shown by cough at - liquid reception-. This complication usually comes to an end with development of a pneumonia, an abscess or a lung gangrene. Owing to transition of an infection from a gullet can develop , , -. At destruction by a tumour of a wall of a large vessel there are massive bleedings.

For A Cancer Progressing Increase Of Impassability Of

For a cancer progressing increase of impassability of a gullet which at one patients develops quickly, at others - slowly (during 1 1/2 - 2 years) is characteristic. Infringement of passableness of a gullet is connected not only with narrowing of its gleam by a tumour, but can be caused development pe-rifokalnogo inflammations, occurrence of a spasm of a gullet at defeat by a tumour nervous textures. More often the spastic phenomena mark at tumours. In a - disease initial stage arises at proglaty-vanii the dense or not enough chewed food. Patients feel as though its "sticking" to a wall of a gullet or a time - delay at certain level. The water drink usually eliminates - these phenomena. Even well chewed food further ceases to pass, and patients are compelled to accept semi-fluid - and liquid food, becomes a constant and arises even at the liquid use. Sometimes after the proof period there is an improvement of passableness of food on a gullet, connected with tumour disintegration. To occurrence can precede appearing at firm food of sensation of a foreign matter in a - gullet, feeling "" behind a breast, morbidity at defeat level.

Edges Of Hernial Gate Firm Owing To Development

Edges of hernial gate firm owing to development of a dense cicatricial fabric. External covers of a postoperative hernia are presented by a cicatricial fabric, is intimate with a hernial bag, or a skin with hypodermic and a postoperative hem in the middle. - Muscles adjoining - to hernial collars can also - be changed-. The hernial bag quite often happens multichamber, and a hernia . Recognition of postoperative hernias does not represent - difficulties. Detection in a postoperative hem hernial , appearing at , cough, is sufficient for diagnosis statement. For definition of the body which is in a hernial bag, make radiological research of a gastroenteric path. Treatment: the surgical. At the big hernias operation presents difficulties because of unions of contents of a hernia with a - hernial bag and presence of major defects of a belly wall. At small hernias probably closing of defect at the expense of soft fabrics. During operations concerning the big postoperative - hernias apply methods , and methods of the combined plasticity of defects of a belly wall.

It Is Necessary To Exclude Also A Gullet

It is necessary to exclude also a gullet pushing off from the outside tumours - back , an intrachest craw, the aortas, the increased lymph nodes, filled . The important radiological sign a gullet - is its displacement Even substantial growth of the next bodies - long time does not cause as smeshchae-most a gullet in friable connecting it is great enough. and infringement of passableness of a gullet can be caused (cicatricial change - ), arising after inflammatory - diseases of lungs and lymph nodes . In the anamnesis these patients have instructions on sharp and chronic diseases - of lungs, causeless rises in temperature of a body. at them develops quickly. At radiological research - contours of the narrowed site of a gullet equal, are more rare - wavy-, the mucous membrane relief is kept, the gullet wall at swallowing and breath is not displaced, round a gullet the shade condensed is visible. At a gullet tuberculosis a clinical and radiological picture of disease can have a strong likeness with displays of a cancer of a gullet.