Straight groin grill. Physiotherapy of rheumatoid arthritis and methods of treatment

A quick transition on the road

Pakhov's grill- it is itself often set up in the middle of small stanis, localized in black empty... Vona є vipinnyam organs in the prom, approvals in the form of shaping the queue of leaves in the groin.

See the groin grills, the specialties of Budovi

The little grizzly bear is small, shyku, the bottom and the arm. Win will be remembered by the internal organs, for example: a part of the small intestine, sigmoid, wormlike appendage, a great omentum, or some of them.

The groin canal is at the end of the gates, so that through the new organs it is possible to see the organs, as in the norm it is not guilty not to overwhelm the empty spaces.

At the choloviks of the groin's groin, they develop more often - it is tied to the anatomy - the canal with wide muzzles on the abdomens in women ma bolsh vuzke і Dovgaste Budova, And also mіtsnu structure.

The groin grizzly may have a number of different types, they will follow a number of different criteria. Due to the anatomical features of the grizzly, they are oblique and straight, in some form of combination.

Development of 4 stages of development of the groin grill:

• At the first stage of vipinnya to be felt at severe cough for napruzi crank press.
• Another stage, which is characterized by canal vipinanny of the groin shchilini.
• At the 3rd stage, a scythe of a gryzha is formed with rosters along the canal.
• At the 4th stage, instead of the grizzly, it descends into the scrotum.

For pryazhennyam podіlyayut vrodzhenu and podbanu groin grill.

Most often, the scythe is developed unilaterally and manifests itself in people only in the young and older than the age. With a straight beveled edge, the gates of the grizzly mash only with the growth of the ailment. In an hour, the openings in the muzzle expand to the bik.

A scythe of a grizzly can be a vrodzhenoy. Establish when the yag is lowered into the shkirno-m'yazovuyu.

If it’s not reaching the bottom of the scrotum at any time, and behind it there are zakrytiy vykhid, then the shape of the congenital groin ridge of the oblique type will be seen. At the same time, parts of the organs can penetrate into the passage without curling up.

Straight grizzly has only nabutia character. Prior to it, lead the injection on the organism to provoke (take off) the factors. The stench is tied with a grip in the middle of a black empty. The grizzly bear is localized in the groin, do not stick out the little cord.

Pakhova's grill at the choloviks photo and rostashuvannya

When combining inguinal grids, grizzly mice are created of different localization, form. The stench can be a lot.

The groin's grill is also classified according to localization. The people of the country can have two-way localization. Tse means that it is characterized by the same size along the side of the scrotal or groin area.

Side-by-side localization of the grizzly is established in accordance with the peculiarities of the anatomical budov and the given area. The stench is screwed up to more frequent accidents.

In case of right-handed localization of a pathological process є an inherited imbalance, an internal vise is repaired with this reserve, which can be a vitrimati colony, not leading to organ prolapse.

Causes of the incidence of groin gris

There are a number of reasons that can lead to the setting of a groin in the groin. Їх adopted for two groups - friendly factories (є advancing risky development of grizzly) and provoking (taking development of illnesses, as well as є skill).

Before the first ones to be knitted (tied with an internal vise):

• The importance of the physical robot.
• Prolonged cough.
• damaged function shlunkovo-intestinal tract.
• Covering sechovipuskannya.

To others, include:

• Anomalies in the back of the groin canal.
• Abdominal trauma.
• Weak m'yazi of the queue.
• Pathology of the prostate.

People who are advancing with a rizik stick to people, whose relatives have a small groin.
Deyakі medical stan, for example, mucoviscidosis. On aphids of a frequent unproductive cough, the grip on the side of the organs, localized in the black empty spaces, moves.

Obesity is strong, or even at a level, which can lead to an increase in the vice in a black empty space.

Pakhova gryzha can be for professional illnesses, if the robot is tied with a permanent static camp or important physical features.

Premature babies in a mature age may be very susceptible to such a pathology, such as the groin scrotal hernia in choloviks. Tse will explain the unfinished form of the queue up to 37 times. In the case of a bag, the resistance is reduced, screwing it up until the grill is diagnosed.

Operatively lіkuvannya, carrying out from the drive of a one-sided barnacle in the groin, doesn’t change the urge to appear from the side. The patients who are operated on are followed by specific recommendations.

Khvoroba is easy on, specific symptomatology, її easy to confuse with інshiye ailments. Signs of the groin grizzly at the choloviks є:

1. Osvita vipinnya, which supervises discomfort and pain syndrome.
2. Improved coverage of coughs and physical options, for example, in the case of a cough.
3. Chronic fixation, often supportive to grizzlies through impaired intestinal function.

Symptoms of the groin grizzly in choloviks photo infringement

Even the groin grizzly in the choloviks, the symptoms of such a description of the viscera, led to the amalgamation of the organs - additional help is needed. Coming signs to speak about this country:

• There is a shelter at the style.
• There are signs of intestinal obstruction.
• Bluish and boring.
• Bil in the groin area, which can be continued without interruption.
• The grizzly cannot be adjusted to the position of the bed.

for diagnostics pathology vikoristovyutsya such methods, such as:

• Irigoscopy - X-ray, which is the transfer of contrast to the intestine (to be used in the middle).
• Gernography is an X-ray method of advancement, when a contrasting speech is introduced for advanced education.
• Defended by the surgeon.
• Ultrasound scan of the groin and scrotum.

heritage

If you are on the grill in the groin, it turns out to be a little bit inaccurate and in a general order, and it’s quicker to bring it to serious stanis. The groin's groin at the choloviks, the inheritance - tse:

• Filling the box abo gryzhі.
• Jumping into pinching options. Tsey Stan to wear unfailing character and in some cases produce fatal results.
• Serious legacy of an unfortunate habit of gryzha and intestinal imperfections.
• If a part of the intestine can become obstructed in case of intercourse grizzly, it can become a part of the necrosis of the tissue (intestinal necrosis).

In any case, it is not possible to reposition the restraint of the grill by yourself, it can lead to a lethal result.

In case of a grizzly grizzly (symptoms of a description of the appendage), it is necessary to turn into medical pledge... The ideal option is for a wedding.

bandage and іnshі options for repairing grids without surgery

One can use the method of treatment є operation. In some cases, conservative treatment is carried out, like polyagaє in ін'єкція preparations, which stimulates the transformation of the grilled mouse into fibrous tissue.

However, with such a method, it can be even more important to slow down, and to get stuck, only if it is seriously indicated before the operation.

You can also use a special bandage for groin grids, which will not allow you to get grids.

Ale tse timchasoviy zahid So yak grizzly backwards, all at once with the knowledge of the bandage. In addition, if it is possible to carry out the operation, then it is not a matter of admission.

It is important to remember, for such a pathology, such as groin barnacles in choloviks, it is practically unwise to go without surgery.

Surgery with the visualization of the groin

The operation for the visualization of the groin grizzly is called hernoplasty. I see a few of the main types of smaller ones.

1. Endoscopic hernoplastyє laparoscopic surgery, before the hour there are small punctures. Through them, special features are introduced.

With the help of this, there is a little bit of a gray bear and a small piece of empty wood. For її change there is a special net.

A larger cheap option is to change the grill mouse by the patient's hairy skin (this operation is called autodermoplasty).

In the operating period, it is necessary to transfer the patient for no more than two or three days in the hospital. In the whole hour, the bolovy syndrome of bends is insignificant. Prior to that, laparoscopy of the groin grizzly was indicated by a low relapse rate, up to 4%.

The majority of people who have gone through the operation are less likely to jump at the operational discomfort.

When carrying out endoscopic hernoplasty, it is considered that more scarring and rapid triviality of the period of rehabilitation is indicated. The operation is optimal for bilateral grids.

For example, with the help of the doctors, hernoplasty with the endoscopic method is supervised. for operational acceleration To lay down a form of technology and a confirmation of a specific surgery and a proof of evidence.

Prototype shown before the show:

• Zanadto is a great size of gryzhi.
• Descent of the bowel loops into the scrotum.
• Operative involvement in the pelvic area in the anamnesis.
• intolerance zagalny anesthesia.

2. Obturation hernoplasty. Through the shkіryаnі razrіzi 3-4 cm see a tricky gryzhі and fit into the groin canal of the groin.

To sew on a special mesh, which will be re-shaped. Discomfort in the period of operation is practically not meant.

After a few years, you can still fill the likarnya. The method is even less likely to relapse.

During the operation, Liechtenstein shy away from a height of 10-12 cm, through which the grill can be seen and adjusted. In general, the network is surgical.

The method leads to minimal pain syndrome, short stay in hospital, not more than one day, rare relapses - up to 1%.

3. Investigate the method of visualization of grids. Usunennya vipinannya is carried out behind the aid of vlast fabrics, which are pulled together by a seam.

Infection of such a way of vicorisation is rarely through a high rate of repeated approval of the pain syndrome and intensive pain syndrome in the period of renewal.

The technique is stagnant in case of ill-health of vicoristovuvati іnshі methods.

Revitalization of visualization (operations)

Rehabilitation of the appearance of the inguinal barnacle in the choloviks three times from the decile days to the decile ones in the fallowing from the operations.

Such training is only possible because of the fact that physical options taken:

• At the position of the lying person, they can see the circles with their feet, with a slight increase in the size of the scar.
• The bicycle is effective on the right, the patient lies on his back and pedals.
• An alternative is є to the right of the knives, scho the field is in the bred and bred nig nig navkhrest.
• It is also right for oblique muzzles of the abdomen. When lying on the back, the legs are bent in knees, and the hands are brought behind the head. To scamper through the try to touch, we rule the liktem to the left colony and navpaki.
• Skin right needs to be repeated 50 times.

forecast

During the operation most often the groin head is not a turbine. Deyakikh vipadkas have relapses. All to find out from the fact that the surgery was performed by a qualified surgeon using the latest techniques and medical instrumentation.

• Likewise, reduce the risk of reapproving the gryzhi vikorystannya sieve. There is also information about surgical situations, viroblenia from material similar to plastic.

Won’t be taken over by the empty, not seen and not traded by organism. With it, you can lead a normal active way of life.

Promptly lіkuvannya is characterized by a friendly prognosis. I am afraid to be self-conscious about how to get rid of groin grizzly folk methods without an operation, it can be confirmed by an incorrect gryzha.

Decrease, which is developed when there is a pathology, can lead to a lethal result.

Adding braids to groin groves are developed more often than not. Confirmation of їkh spriy, in the first place, ugliness nahil at viglyadі big, nіzh in normі, loss of a quill in the area of ​​the groin groin, which is a surplus that is not called obliterated by more Anatomy Budova the groin area, where the area is small enough to stand up to the internal grip.

Behind the step, the development is developed:

• Fixing.
• None.
• More.
• Scrotum.
• Majestic groin grids.

At samiy cob stage the development of the grill, if the grill has just started to penetrate at the inner openings of the inguinal canal, the grill of visible swelling will not be accepted, and if you cough your finger, injections into the inguinal canal, you see cough stitches.

In the stage of inconsistent development of the herd, it is located in the boundaries of the inguinal canal and makes a small puffiness, visible when stressed and growing when it is pinched. We call it a gryga, the yaka came out of the last opening of the inguinal canal.

With the majestic grizzly in the grizzly bear, there can be a large part of the gut of the abdomen, and the grizzly is sometimes wrong. Even more large groin gnats sink to colons.

With the value of the grill, the grill opening is large, the inguinal canal is drawn into the shape of the canal and normally spit directly and is transformed into a wide circle. The scythe of the gryzha grows suddenly nibi. In women, groin grids, which have reached a significant size, penetrate the great lip.

Groin scythe, Razvivayuchis, slide along the inguinal canal and dal vdovzh of the sym'yanogo cord. As soon as on the whole road to develop an uncompleted reversal, then the grill, prodzhuyuyu suvaty and zbіlshuvatisya, to get out in the bik, go to chi іnshі anatomical balls of the abdomen.

Gryzhi of a genus sound inter-wall.

To serve as pereshkods: an unperturbed cell, congenital to a higher school, an unrepentant callous opening of the inguinal canal, a bandage pad. Falsely, from the height of the girdle of the girdle, it goes through the middle ball and the neckline, then the whole ball of the girdle burns out, then it penetrates between the edges of the girdle of the belly, then it goes through the girdle of the belly. Clinically, inter-wall grizzlies are characterized by a flat saucer-like shape.

At the women of the groin groin gryzhi, who are for the call of the groin openings, go to the big lip... With a lot of stench, it is not easy to reach significant sizes.

Klinichesna should be carried out in a standing and lying position of a sick person. In a standing position, grizzlies appear, they become uncomfortable in a lying position. When the grill fluff is coated, the meat is elastic and can be advanced into the empty cell at the big-mens wide low, which goes into the opening of the inguinal canal. Instead of a gryzh, you will be right.

Corrected great grids with a vuzky gryzh opening are carried out every day and with labor. Pislya to correct the opening of the inguinal canal. Reach the inguinal ring lighter on the side of the scrotum.

The postponement of the gryzhovaya chucks give a tympanic sound, when the gland is inserted into the gland and the gland or the intestinal loop with the gut is inserted into the gland, it is a dull sound.

The braid of the groin groin is clinically characterized by an oval shape, we mow the position of the groin chub, yak to grow over the middle half of the groin, and it is very strong to descend into the scrotum. The scythe of the grill is powerful to the child i. average vіkom. The groin braid is single.

The straight inguinal grill can be shaped like a groin, it can be expanded at the middle of the line, as a result of the opening of the inguinal canal. When double-sided, straight grizzly rights and liva grizzlies may be stuck. The scrotum has a straight grill, which does not go out, behind a vignette even worse than those of the old ones. The straight grill is dominated by the old man and is often double-sided.

Designation. The groin grizzly can be mistaken for dropsy of the cell. Dropsy yachka grows out of the grizzly as it drifts into the black empty nizhka, to be felt and kindly contoured the upper pole of the droplet swell. Pukhlina, with dropsy, is tightly elastic, strained, fluctuates not very much, when it is puffed, it gives a dull sound, irreducible, proves, volodya is evidently a bigger carriage, less than a grill.

The scythe of the groin gryzha is a pathology that is characterized by pathological migration of organs in the groin area. The scythe of the groin grill is involved in one of the most common pathologies of the surgical profile. The frequency of the population becomes approximately 80% of all grids.

The groin grizzly grows more often in choloviks than in females.

So, the statistics declare that the groin gryzha in women fits 5 times earlier, less in cholovikiv. In general, groin grids are carried to the class of abdominal grids.

Mechanisms for insight into groin grills

At the roots of the inguinal hernia, there are irregular mechanisms of lowering the tongue in the boy and the young in the girls. It seems that oversupply of the language is strictly determined by physiological laws. First trimester intrauterine development The internal articles of the boy's organisms are rostasovuyutsya in the empty queue. Up to the very same yєchek from the bottom there is a heavy weight, which is located in the scrotum, and from the top - a vaginal sprout of the neck.

After three months, the development of the boy's dough is repaired step by step. Nearer to the fifth month of the internal statues, they will also grow in the lumen of the inguinal canal, until the eighth stench of the step-by-step pass, descending all the lower, and only until the end of the 9th month of the cell will reach the bottom. As a rule, the price is going to be closer to the day of the boy's nation.

Even before the moment of the population, all the processes passed successfully - the inguinal canal is overgrown, as it is not, the vaginal growth itself will go down, closer to the scrotum, and the internal organisms of the abdomen or parts of it are pulled on themselves. In addition, if the canal is not overgrown, there can be a function in the area of ​​the family cord - a new establishment, which is in the middle of a serous line.

The groin in females can go to nature, the ovaries take part in the pathological lance, which can also pull the vaginal sprout of the queue from the internal organs.

Vrodzhena herringbone groin area

Slid respect, scho vrogena form to be deprived of the lads. With this form of ailment, the vaginal vaginal outgrowth plays the role of a grizzly mouse, de і take place in the internal organisms of the small pelvis or abdomen.

Often, the appearance of options is combined with the other pathologies of the organ organs: dropsy or function.

The main provocative factor is the movement of the internal vise, through which internal organisms it is easy to force itself. So, it’s anatomically infatuated with a weak muscle, and it’s the same way to see organs through new ones. It is not often in the beast to trap the intestinal loops, the great and malium omentum, and before the slunker and parts of the sechostatic system.

Prydbana groin groin

The qia form is the result of pouring in all decile internal or external factors. Some additional options for groin grills are developed on the smallest and successful growth of the groin canal. Ale іsnu a number of changes in mind, scho provoke a sickly camp.

In front of them you see:

1. Early pregnancy If the mother's body does not supply a number of necessary resources to the child.
2. prematurity baby ... Prematurity vzagalі - the reason for the even more ill-gotten sickness of the baby. In an immature organism, powerless systems and processes ( with the resulting fabrics, M'yazovy corset, nerve regulation) are not yet є blamed, that childish organism is brought to "grow up" being already a nation.
3. Genetic skill. In some cases, the key role is low. As soon as the fathers have a grizzly ball, then we can let it go, but in this child's life it will be like that.
4. Vrodzheniye singularities m'yaziv , And the very weakness of the meat system.
5. Nadlichkov massa tila, which sprays the growth of the intracranial vise through the growth of the omentum with adipose tissue.
6. Rizke and stronger thinning of the body ... Not only excess fat is a pathological role. Shvidka vrata adipose tissue to produce up to the formation of empty "reserves" in the middle of the abdomen, where you can change a lot of the balls of the black stink.
7. Posttraumatic abdominal trauma (Hit, fall, hurt).
8. In females, a common reason for the establishment of groin grids is vagina. The development of the fetus in the stomach is the strongest factor in the development of the internal vise.
9. A sedentary way of life, when there is a large amount of muscle in an hour, they consume their tone, and even do not vikonuyu function of the regulator in a vice of a proper rank.
10. Strong physical support for just people. It is especially true that people are quiet, whose life in a be-like form is tied with power navanazhenny. So, most often athletes are hungry, awake workers and vantage workers.
11. A number of background illnesses, de head symptoms appear: cough, changnya, gas supply, Lock up - keys provocatori vise in the black empty.

Rіzvodydi gryzhі in the groin area

There are no symptoms of local ailments, however, most often they see two: a braid and a straight groin groin.

Straight groin grill. Tsey option to create a little more, lower braid groin groin. Straight groin groin buva With a wide variety of options, the gates are located without the middle in the middle area of ​​the inguinal canal. With straight groin grooves, the size of the groove is directly proportional to the diameter of the groove opening.

Often not only organics fall into the empty teddy bear herbal tract, And the first part of the cross-state system.

Groin braid. The qia form is characterized by the fact that the gryzhovoy mice pass across the entire inguinal canal. Frequently there is a small trick from within the reach of the bottom of the scrotum. At the top of the front, in this view, there are two types of oblique inguinal ridges: inclinations and embankments. In the first case, the vaginal outgrowth of the queue does not overgrow, the canal does not close. In a gryzhoy mishka, the most often roztashovuyutsya yaka or around the intestine loops. As a rule, the form is given in the main character for children, ale to develop and grow up, ale to nabagato grower.

Qia gryzha go through a chain of stages of development:

1. Pochatkova.
2. Canal.
3. Kanatikovaya.
4. Scrotal.

The skin of the cich stages shows the pathological process of the descent of the mushroom mouse along the inguinal canal, in the final stage, reaching the bottom of the scrotum.

Already, the head of the mind is oblique and the straight lines are glaring in the specifics of the migration and the way of finding the little one, kind of like and on the water.

Likewise, Gryzhy Razrіznyayut for the month їх roztashuvannya:

• bilateral process - the appearance of viping on the side of the groin;
• free process (Surrounded by the anatomical peculiarities of the black empty);
• right-handed process - most often it takes a lot of damage to the balance between the grip on the side of the muscle and internal organs.

symptoms

Ailment ma virazhenu cool picture:

1. In the groin zone there is a fluffy affirmation ... In the first hour, it does not cause discomfort, the protest in the world of growing pathological vipinenny declares itself to be a pain. Throughout the years, the pain syndrome becomes more and more variable, it becomes more and more responsive when turning, turning the tulub. Discomfort is also delivered when walking, sleeping. Visually, the grits increase with coughs or constipation.
2. Falsely from the formation of the organs of the body can prevent constipation, pain in the lower areas of the abdomen ... There is no difficulty in severing, the act of defecation can be supervised by more symptoms.
3. At women in the period menstrual cycle the intensity of the pain is more pronounced, because the stench lasts a few days before the first blood appears.

If you are sick with a stretch of ailment, you may be quickened by those around you. By the term, it may be on the rise and on the rappelling of the organs, so to be found in the grizzly bear with the most serious damages of its functions.

Significantly, with statistics, at the first glance at the sick doctor, you will be treated with the signs of this acceleration.

There are two main types of intercourse: fecal and elastic. It seems about feces options, if the intestinal enlightenment is replenished feces... With such a form, development is facilitated by the gross destruction of muscle blood circulation and further away from the dead tissue of adjacent tissues.

Elasticly wrinkle the grip to form on the smallest strong movement of the intracranial grip. It is not common for such a manifestation to have a chronic cough or to pick up important objects. Such an option is accelerated on the basis of communication in the town of a great volume of organs, which can be squeezed from the back with a finger.

Slidcho, infringed on the structure, you can not go back. Organisms appear in the pasty and are susceptible to serious symptoms: in the urazheniye area, ischemia (damage to the muscular blood flow and dull hunger) and tissue necrosis are more likely to occur.

In the classic picture of a rough acceleration, there are some basic signs:

1. Strong і fast bіl, but do not know the zealous odors ... Yak rule more views expand to the entire abdomen. It is not uncommon for a severe pain syndrome to cause shock or collapse in a sick person.
2. The unfitness to fix the grizzly is not a direct sign, you should take it all the time.
3. Ear of ignition processes : The temperature rises, the ailment rises for severity in the morning head b_l... Also, there is a strong nudota, blues, spraga and unacceptable dryness in the mouth.
4. Negative symptom of cough discharge.

lykuvannya

Possibly only for additional surgery. The operation allows not only to put down a key picture, but a number of reasons for the development of ailments. The efficiency of this method reaches 95% -100%. Modern operative techniques allow you to get involved with minimal traumatization and low immobilization of children.

We will expand it with the option of treatment є endoscopic access - laparoscopy.

Vaughn is shown to be more important for all stuns, crim:

• old viku;
• important fellow sickness;
• vaginosti;
• vyrazhennyh forms visnazhennya organizmu.

So, the essence of laparoscopy is in the fact that surgery is to rob three small punctures in the affected area, at which time tubes are inserted, on which cameras and lichtarians are installed. The main employees є outside the view of the grizzly bear, the fabrics and the setting of the organs. Straight groin grill can also be used for this kind of treatment.

V period of operation It is recommended to the patient to strictly follow the rules for children and women.

Lіkuvalnaya fіzkultury spriє to change the muscles of the abdomen and groin. More permanent training is going to showcase the body.

The groin grizzly is accepted as a pathology, which is characterized by the displacement of organs in the black emptying and the small pelvis towards the side of the groin. It’s given zsuv to see the groin canal, which, due to its structure, can slightly stretch the power.

Statistics are growing, so that 70% of all grids can be found in the groin localization. Among the children, pathologies develop more often, approximately 5.5 times, less in the female half of the people. The reason for this is the structure of the cholovic inguinal canal.

The groin canal is a wide gap, which is a partition at the top and in front of the belly area, from the side to the bottom - with a ringing groin, and at the back - with a transverse function.

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The cholovik groin canal is larger and shortened, there itself is located in the same duct. Women have a round uterine ligament there;

To get involved, most often the grill in the groin area is on the right, but it is not visible and bilateral.

You can instead of the groin grill:

• zhinochiy yachnik;
• oil seal;
• fallopian tube;
• a loop of the small intestine.

Classification

symptoms

See the inguinal grizzly scythe

obmezhennya

With great respect, it is necessary to put yourself to your own health and self-esteem, since you have diagnosed a braid of a groin grill. In case of pinching, it is necessary to turn around for help.

Symptoms of gryzhi nashennia:

• zagalnaya weakness to the body;
• tediousness and bloating;
• sharp bile in the lower abdomen;
• swelling of the abdomen;
• as long as it is nasty on the spot, the grill cannot be adjusted;
• people do not see gas and at a new day of the day there is a style.

As soon as you don’t turn for help, when you see critical acceleration. Peritonitis or sepsis may develop.

diagnostics

If a lyudin turns to death with symptoms that are overwhelmed by the viscera, then the diagnosis is not made immediately. Fakhivtsyu need to include such pathologies, such as:

• dropsy in choloviks;
• the grill is quilted;
• lymphadenopathy;
• cryptorchidism;
• lipoma of the synovial cord;
• cyst of a round uterine ligament in women.

In chihvoryuvan є similar symptoms, ale additional indications for an additional complex key signs, Typical for gryzhі, obov'yazkovo sort out the diagnosis.

As soon as diagnostics will be complicated, it is more possible to use instrumental techniques.

Reinstate the appearance of the groin grizzly not in principle, for that all the vidy of the surgical engagement. The І residual type is possible even before the hour of the operation.

lykuvannya

Why do you get a groin braid without surgery? Unfortunately, the opinion is negative. єdino good method lykuvannya - surgical involvement... It will be aimed at restoring the integrity and springiness of the black style.

If the patient turns around for help with the symptoms of pinching, then the operation is carried out extraordinarily.

prophylaxis

the foundation preventive visits- a change in the queue. It is necessary to put down all the factors that reduce the tone of the mucous and move the inner vise.

To please the patient:

• engaging in physical culture or sports, ale to viklyuchiti to take important objects;
• to lay the rational mind and dotrimuvatisya її rules by stretching out life;
• to include in the race a large number of cells for the prevention of constipation;
• do not bear gravity in the haunted life;
• taken from tyutyun and alcohol;
• Women should wear a special bandage during the period of vaginosti.

As soon as it was carried out promptly in hand, then a day (like the same - say a likar) will need to be unique for any important objects.

Surgery for the operation will provide you with additional recommendations to help you improve your health and lead an extraordinary way of life.

Service in the army

Article 60 of the Rosklad of ailments (hereinafter the RF PP "On the solidification of the provision for Vyskovo-lykarsky examination" dated February 25, 2003), it should be said that in the event of a successful result of the operation on the treatment of young people, they are serving as prize winners to women who come to

As soon as it is diagnosed to expand the groin without the obviousness of the appearance of the physical type, then such a prizewinner can also be accustomed to.

Leads for attaching accessibility:

• vidmova vid prompt engagement for a contraindication to the yogo vikonannya;
• grizzly vimag of post-stream streaming with a bandage;
• grisha has a relapsing character;
• great size of vipinannya;
• as vipinannya vidbuvatsya in an upright position with weak physical nascent or coughs;
• the grizzly is weak to the point of being restrained by the visnov's surgeon.

Vipinnya of all organs, which are stacked empty, behind the boundaries of the anatomical growth through the inguinal canal in the medical name is inguinal grizzly. The groin grizzly appears in choloviks with puffy vibrations in the groin, pains, discomfort when walking.

In operative gastroenterology of the groin grizzly, it is 75% more likely to develop for the other types of abdominal grids. People are hungry for getting sick more often, not women (7: 1). It will explain the anatomy of the female inguinal canal and the canal. The groin channel of the cholovik is stored from the groin band, from the bottom, transverse and from the inner oblique band, from the top, and from the inner outer fabrics. Cholovik canal is shorter, shorter than і ukrіpleniy with woven fabricsі tendon ball.

Grija can pretend to be in childish... The peak of sickness in people of the seizure is 40-45 years. According to the statistics: in children - in 90% of vipadkіv the groin groin was found; in the middle of the week there is a scythe of the grill, in the summer season - the straight and the braid of the groin.

The reasons for the establishment of the groin grygia in the choloviks

At the connection with the peculiarities of the Budov canal, the grizzlies at the choloviks are played more often. In the middle of the inguinal canal, the loosening of the cord, due to early childhood, is lowered into the scrotum from the cellulose emptying. In addition, the entrance to the channel of extensions and the channel extension does not overgrow. With a small growth of the child, and with the presence of a provocative factor, the organ of the abdomen goes into the wilderness.

For older people, the canal becomes weak for such reasons. Before the congenital factor, the rizik will have to come to grips, when it’s weakening the throat of the cartilage, setting the tone of the gryzi.

The groin's grill can be built in and out. It is likely that when the lads are lowered their testicles, they have a black emptying in the scrotum area. Prydbana z'appear with a weak ointment and tendinous ball of the cranial wall of the inguinal canal.

Acceptable factors for the development of discomfort: destruction of the resulting tissues (vikov), disruptive muscles, provoked by systemic and frequent discomforts, displacement of the internal vise - with chronic obesity, constipation, severe The officials step by step lead to the defect - the approval of the gryzhovy gates in the groin canal and the distance to the approval of the pathology in the cholovik.

One of the pathologies can be developed during the operation, carried out in the area of ​​black emptying: resection of the duodenal intestine, resection of the slunk, seen in the gut, hysterectomy, visible appendicitis, adnexctomy, etc.

Classification of groin grids

Anatomical features see the onset of the appearance: braids, combinations and straight lines. The scythe can be yak vrodzhenoy, so i nabut. In this case, all the elements, warehouses in the city center, go through the groin rings into the canal, and the bridged middle of the structures of the family cord grows.

Vrodzhena - to grow up in that kind of, like a black growth in a child, that is in the groin canal, not overgrowing and when empty, it is only possible to get out of the black one.

Pridbana - to appear at older people and to grow up on the offensive see:

• Straight and inner - the go is short, the head is not tied with the statuette system, the shape is always attached. Volodya is characteristic of the vipinnyam of the queue through the groin gland, through the groin cord, into the inguinal canal.
• Scythe abo zovnishnya - a gryzhok mishhok of dressing with a cord, with a sheath yaєchka, which can be brought to an accelerated state of the head organs.

The grooves of the grooves can be divided into several types:

• To fix it - you can feel the gryzhovoi if you do not have a groin at the entrance to the groin canal;
• Canal - when the bottom of the rye mouse is located, the canal is removed from the bottom of the rye opening and the canal is located in the groin canal, and the beads do not flow into the black wall and appear in case of strong pressure.
• Rope - the bottom of the mouse is roasted in the canals on the lower troughs of the family rope and the grizzly mouse goes down along the small rope towards the scrotum.
• The inguinal-scrotal is one of the most important types of oblique grizzly, but it is not easy to reach it often. Gryzhovy mіshok z vmіstom (intestinal loops, internal organs and gullet), descend into the area of ​​the scrotum and increase in size in a number of times.

This is also the case with the following gryzh:

• Combined - foldable lighting, which are stored from decilkoh mishkiv, moreover, grilled mice do not appear one for one and go through different grill openings. Combined grills can be folded from decilkoh straight groin or slanting grills,
• The wrong - the soldering of the grill mouse and the grill instead of the unrepentant self-knowledge and usunenia,
• Zminna pakhova - an insight into the grill mouse with a parietal queue and a visceral leaflet,
• Recurrent - is known to have been performed after the operation. Multiple recurrent grids are encountered, provoked by the wrong vibration to the method of hernoplasty, as well as technical delicate surgery,
• can be done
• The groin is awkward,
• The pathology has been resolved.

Symptoms of the groin grizzly in cholovikiv

on early stage Illness can be lost due to the appearance of symptoms. If you have an important navantazhennya, a strong cough, press a sickness to fix it. The groin can be developed rapt, stepwise and gostro.

The groin's grill in choloviks is overwhelmed by the onset of symptoms:

• Pukhlin-like puffiness in the groin - swelling of the small swelling, which grows with physical pressure, severe cough and deadening, also diffuse in the supine position. Pukhlin-like approval wicks post or periodically stupid b_l Low intensity and localization in the groin and lower abdomen, as well as in the transverse region.

Pakhov's grill great razmіrіv leading to lack of handiness during physical exercise and walking. When the intestines enter the gristle, intestinal pain and constipation occur.

Kovznі gryzhі v cuttings provoke physical breakdown: cut in the urethra, quickening of the cut, overlap of the cut (in lithium ailments), over the pubis. at state of appendicitis- burning of a worm-like outgrowth, such as, pain in the abdominal area, nudity, bloating, I will adjust the temperature and tachycardia.

• Increase in the side of the scrotum - with the scrotal groin grizzly, there is an increase in the size of the sides.
• Omezhennya gryzhі - a grizzly vstavlyuvannya vstu in the groin gates razvivaє obmezhennya. At the same time, there is tediousness, bloating, growing groin bile, inadequacy of gas and grizzly stresses, an irregular stance.
• Pinching type of vyklikє podnі accelerated: coprostasis, inflamed intestinal dilense, necrosis of the dilyanka or the other element in place of the grizzly, ischemic orchitis.
• sickly difficult to see in the groin.
• Discomfort for an hour of walking - to accommodate for an increase in new options.
• Prolonged, constipation, pardon posiv - with damaged intestines.
• Damaged sechovipuskannya - trapeze quickly, once consumed through the groin of the grain in the gryzhovoy minnow of the chaff.

provocative factors

Factories that can take in the appearance of the front worms:

• Physical importance - sports, professional,
• Zagvoryuvannya, scho provoke grip in the abdomen - bronchial asthma, Cirrhosis of the liver, chronic illness of legends, bronchitis, ailments of the intestinal tract and pneumonia,
• alcoholism,
• Kurinnya - provoking unproductive and trivial cough,
• Obesity - on the strength of adding to the front wall of the queue, and not letting the grizzly appear for an hour.

diagnostics of illness

At the first adolescents, it is necessary in a general order to get a consultation before the surgeon, who will carry out the diagnosis of the patient:

• Vivchennya skarg the ailing,
• Inspection of the groin area,
• Palpation of the region - for the assessment of the value and the shape of the vertical position, as well as in the horizontal and adjustability of the grid,
• Ultrasonic inspection of a carriage empty - allows you to look in the place of a bear, a structure, and to create it instead,
• Ultrasound examination of the scrotal organs - with the myazovaya gryzhi won the great and nagadu dropsy of the scrotum,
• іrigoskopіyu,
• cystography,
• cystoscopy,
• Ultrasonic scanning of the sectional mikhura,
• Analysis of blood, sich - it is recognized without a median before surgical operation The function of organs, systems and evidentiary indications are important.

surgical treatment

Lіkuvannya zhvoryuvannya including usunennya hirurgic path and fixing defects in the abdominal wall. Close the grizzly defect and change the integrity of the wall by means of muscle tissue - aponeurosis (hernoplasty is performed behind the help of tissue) and synthetic prostheses (hernoplasty is transferred to the installation of a mesh prosthesis).

In contemporary medical surgeons, the method of plastic surgery is performed from the graft-graft - the gates from the inner sides are replaced by a polypropylene mesh, like a frame in the base for tissue germination. A network of pereshkodzhaє to the entrance of internal organs. The stretching method changes the relapse of the disease, it is also carried out by the laparoscopic method.

Injured and great credit in 50% of the claims is recognized. Entrapment is a kind of operative operation, multiple accelerated sechostatic and shlunkovo-intestinal systems. Dovgiy period to rob a patient is unprecedented, it is trivial to produce one to a lethal result.

Tilki hirurg can be viral, in a way to eliminate pathology, to overcome the individual features of a sick person, I will become. Hirurg is also the sign of the term for conducting the treatment.

The medical gold standard for the treatment of groin grids with surgical paths is - hernoplasty according to Liechtenstein. The operation is fixed for all types of vipinny. When carrying out the operation, the plastic surgery of the inguinal canal should be damaged, with a special sieve from the polymeric material, which will prevent the development of recurrences.

Deyak vipady transfer victorious modifications of plastics:

• Gornyoplasty according to Zhirar-Spasokukotsky - stagnate in case of oblique types of pathology of malikh razmiriv, especially in ailments of a young age,
• Method Bassini abo Kukudzhanov - for straight, recurrent pathologies, oblique grids of great razmіrіv,
• With a pinched grizzly, if the operation was carried out promptly and the organ was not pinched, the operation is practically not considered as hernioplasty according to the Kukudzhanov method.

Previously, we used the same method of eliminating the pathology of the bulge of tension plastic - the grizzly gates were tightened with fabrics of the crate. ale modern technologies and innovative tricks allowed vicorists to use effective and painless methods, including the following:

Tension-free plastic according to the Liechtenstein technique- during the muscular anesthesia, the surgeons to control the injuries in the groin area and the appearance of the family cord. Grizhu s_ a little or just fix it. Dal to carry out the plasticity of the gryzhovykh grids, on the іkh place the lіkar put a polymeric sieve with an opening for the family cord and sew the sieve up to the new cloth. So as the material is synthetic, the organism of the wine does not grow. Progressively, the net is overgrown with fabrics of people and bude vistupati, which is an adaptable material. After several years of surgery, the ailments can leave the hospital. The shortage of the technique is a scar of a small size in the muscle overload.

laparoscopic surgery- for postal anesthesia, three punctures in the anterior cranial wall should be punctured. Through them, they penetrate the tools and pump carbon dioxide gas into the empty cell. The gas and the maximum tension of the stink move the greedy bear back into the empty one. Introduce the tools of surgery internal side put on the grids of the gates with a patch at the viglyadas of the net and sew the gates. Yakshho gryzh of a significant size - the technique is ineffective. Laparoscopic method is more expensive than standard surgery.

endoscopic operation- vvazhaєtsya more bakeless and effective. Vikoristovutsya mіstseva anesthesia. The scar on the til does not get stuck, the internal tissue is minimal, the operation is carried out in the preperitoneal space, and the patch is applied on the inner side of the black empty, and between the balls of the age. Danish method do not vimagaє to suture the wall, for that, you won’t be able to settle down the grip of the middle empty.

quick operation

Frequent accelerated operations include:

• Hematomi - you will be unique, if you can promptly apply ice,
• Robustness of seams,
• Informations of rani and її suppuration - schob uniknuty ignition process, I mean the course of antibiotics,
• Dropsy of the testicle - when the sheath of the testis is pooled, the size of the scrotum is reduced from one side or both. Likewise pathology with a surgical path,
• Sending a small rope - going through the negligence of the surgeon and tying the groin to the individual Buda canal. The rope will be rooted to the hand with the gryzhovy bear,
• Pulling of a quilted joint - to be seen when roughly applied seams,
• Relapse - in case of non-tampering mode,
• Poshkogennya bloody judgment - provoking atrophy of the yagka.

Whether it’s an operation, it’s easy and safe, it can be accelerated. Hour stench z'yavayutsya for blaming the sick rehabilitation period, Inodі z viny lykar. The folding can also be recognized through the individual features of the patient's body.

2Conservative inguinal grill

Єthe method of medical knowledge conservative politics- wearing a bandage, which reduces the amount of wear on the groin of the tongue and lays down the patient's body. For singers, a special bandage does not only give positive results, but the situation is overwhelmed, leading to an acceleration.

Vikoristovuvati the bandage is allowed only when the image is set, or if it is contraindicated before the operative engagement:

• To the patients of the kidnapped vik,
• In case of problems with the throat of blood - anemia and leukemia,
• In case of heart ailments - a state of illness, an infarction, an insult, a heart failure, a hypertensive ailment,
• Legendary illnesses - pulmonary efficacy, important bronchial asthma,
• aggravated pyelonephritis chronic form, With gross hepatitis and liver cirrhosis,
• Sugar diabetics - surgical inpatients are allowed to operate patients with a quantity of 9-10 mmol / l.,
• immunodeficiency,
• Infectious process of the gastrointestinal phase.

Visiting therapy - mechanically setting the mouse into the empty space, when the patient sees it. Ale such therapy is not a panacea for pathology and engaging in such activities can only be provided by the manual. It is not recommended to self-adjust the file. Tse to produce to serious inheritance.

Likuvalny preparations

Likarski zasobi, how to get stuck with inguinal grizzlies:

• Antacid - Maalox and Phosphalugel, Almagel - alternate the mucous membrane of the herbal system,
• Antispasmodics - Papaverine and No-shpa - assimilate discomfort and peristalsis.

If there are grits of cranial stinka, do not stagnate against the fire, so as to absorb the stench ill-feeling... Beruchi ci preparations, є risik to reduce the amount of pathology, which will block the deadly insecurity.

Lіkuvannya zvoryuvannya without operation

Likuvannya becoming ill without carrying out the operation is uncomfortable, vrahoyuchi pathogenesis. The bandage also does not look like it, but when it is taken out of the way in the black emptying. On the idea of ​​\ u200b \ u200blikars, physical ones, they also do not have a problem. Ale fakhivtsi still delight with the right to move the force of the black wall, but if you do not sit, or lie on your back:

• On a black wall, lyaga vantage is carried out from one to two kilograms and is carried out with the stomach,
• at horizontal position tila - pidyom nig in a straight position pid kutom 30 degrees,
• With a horizontal position - with the shoulder girdle and shoulder blades, moreover, the hands are guilty but placed behind the head,
• At the horizontal mill, when the bends are turned, it is necessary to squeeze the premises between them.

Folk medicine

health resort folk medicine we proponate ailment to be relieved of all ailments by the cold. Patients are allowed to apply a cold compress on the vipinnya misce, wipe it with ice, or for the sake of kovtati ice cubes. If you want to keep a similar therapy, it’s so cool to produce music and grizzly music until fast.

Popular lotions, compresses and ointments:

• Dip two teaspoons of oak measles into a pint of sprinkle and boil 15-20 chilines. Cool down and storage for compressors. Trimati compress for three years.
• sik sauerkraut- vikoristovuєtsya for compress.
• Apple oset - 500 gr. lead to raise chotiri tablespoons of apple otstu і zastosovuvati for lotions.
• Zolotoy vus, onions, plantain leaves - passed through a meat grinder, pig fat is added until fine green. Otrimanu apply the ointment on the miscellaneous.

When groin gryzhі self-kuvannyam zamatisya not varto. If she is free and qualified for additional help - short way relief from the whole ailment.

To speed up the rehabilitation of the bazhano, add a race and first days to live, wipe it in small portions. After the end of chotiroh-five days, it is necessary to step-by-step to an extravagant race: to live the product, to revenge the cell and the bottle. The ratsion guilty includes:

• Varene, ale is not fatty meat (smoking or yalovich),
• Vegetables - steam or siri,
• Sire,
• Berries, fruits,
• Kashi - Greek, Pshonyana, Pearl and Vivsyana,
• Riba, seafood,
• Dried fruits, bitters.

prevention of illness

In order to get sick, it is necessary to unify the overworldly physical agendas and not to the burdensomeness. It’s time to talk about the stable function of the shlunkovo-intestinal tract, so you get constipated by the provocateurs of the groin grizzly. It is also recommended to Zayvoi Vagiі engage in physical culture, change the right side of the wall and do not lack political gymnastics.

It is important to take care of the literate mode of eating, to eat the giblets and not to live alcoholic drinks... A slid of speed with fatty і food іzhі, boroshnіanі and confectionery virobi, more meat, ribu and vegetables.