Physiotherapy of rheumatoid arthritis and methods of treatment -. This is also the braid of the groin groin. The main minus of this technique

Straight і braid groin gryzha - tse affirmation, which is in black empty, As a result, it’s a good idea to go. Most often it is given an ailment to develop in choloviks. All the symptoms of straight inguinal grizzly can be divided into two groups, which can be easily found at the stage of development of pathology.

In case of coughs, chkhanna, rukhs of the inguinal grizzly (according to ICD-10 maє code K40), do not go out of the way; The grill is oval-shaped, and you can look over the groin. The presence of a small liver and discomfort in the groin. When rusі, there is more painful character. In most people, the groin of the groin's grill does not appear for a trivial hour, so it’s a lot of people who don’t think about it.

cause

The groin's grizzly, according to ICD 10, the code is K40, is a pathological transfer of organs of the vole empty from the anatomical space occupied by them into the inguinal canal. Dane became ill most often among the choloviks, without self-awareness is a big round bump. It is also a matter of fact that people are most likely to see them young vik, And straight z'yavayutsya in a link with vіkovy zmenіny.

The appearance of grizzly supravodzhutsya with a sharp pain in the lower form of a black emptying. Cause the oblique і straight groin gryzhі:

Genetic skill.
Intrauterine maladjustment of intrauterine organs.
Weakness of meat fibers of black empty.
Nadlishkova masa tila.
Chronic infections viral zvoryuvannya.
ailments shlunkovo-intestinal tract.
Post-physical re-entanglement.
Lack of defecation.
The earliest ear of patrimonial activity.
Cryptorchidism.

The braid of the groin grill at the choloviks grows faster when severe cough for the gravity of them. Usunion of this disease is carried out overwhelmingly in a surgical way.

Symptoms of oblique grizzly in choloviks

It is necessary to quickly recognize the symptoms of inguinal grids in choloviks. Likuvannya in a wide variety of drugs can be considered the most effective. Zvoryuvannya showing such signs:

Pukhlinopodіbnі vipinennya in supravodzhuvanі pain. Strong bіl can be manifested in case of physical changes.
The unlawful temptation of the little rope.
Constipation і bіl at the bottom of the black emptying, yak go to the area of kryzhіv.

Symptoms of oblique grizzly in women

For women, the following symptoms are characteristic:

At the lower part of the abdomen, more important items are seen, after a dozen hour (after finishing) it will pass.
Pid hour menstrual cycle For a couple of days before the new one, you can see it.

Symptoms of straight grizzly in cholovikiv

Symptoms of straight inguinal grids for choloviks:

Tinged bile and chinnya in the groin.
Abdominal health in the groin area, which can change in the fallowness from the position of the body.
Seeing discomfort when walking and walking.

Symptoms of straight grin in women

For the recognition of inguinal grids in women, the symptoms are of the same type, but it is necessary to take into this category:

Vipinnya at viglyadi poohlini, how to get better at straight stitches, physical problems, for an hour or so a cough.
There was a lot of growth and intensiveness, as it went down through the black light, across and across the river.
flatulence, often sechovipuskannya, Constipation.
Severe pain in case of secular depression.

Symptoms of grizzly hair

With an oblique oblique and straight inguinal grizzly, the following symptoms are observed:

Riska і strong bіl in the regionі gryzhі;
Significant weakness, blues and tediousness;
Whenever the position is in place, the grill should not be adjusted.

Seems straight and oblique inguinal grizzly

The anatomical connotation of the field between the field grids is that it is possible to go straight from the gutted empty into the middle groin depression, which is located in the middle. It is a demand of the nobility for an hour of operative engagement, if they carry out differential diagnostics of straight and oblique inguinal grids.

Three folds, such as rosettes on the back surfaces of the anterior cranial walls, only one vvazhaetsya a formal artery, and іnshі - overgrown light. After an hour of operation, if you open a doctor, there is a chance to slip your finger into the empty womb and slip the back surface. If you have a finger with a pulsation, then you can put it on those that are right with the groin grill. As soon as the pulsation is seen in the middle, when there is a chuck of a grill, then there is a groin, depressions, or groin depressions, or if you open up the groin canals, so that groin groves.

Straight groin grids should lie medially more than family cords, as they are isolated from small grids and only lie down to them. Balls of straight inguinal ridges vvazhayutsya shkіrny curvature, pіdshkіrna klіtkovina, superficial fascias, aponeurosis znіshnіkh oblique muses of the abdomen.

diagnostics

It is easy to carry out the diagnostics of the groin grizzly, as it can be seen with a physical examination. When taking the patient's anamnesis, it will be clarified the exact hour of the appearance of the diagnosis, the appearance of a cough, or constipation. And also bureaucrats were in trouble, as they could provoke the development of the fire. For example, important physical options.

Likar looked around, it was easy to adjust the print and change the appearance of the print. Palpation, evaluation of the consistency, change and thickness of the grill can be carried out. The great value of a small number of shkiri in the presence of heat and soreness during an onslaught. Groin grizzlies appear straight and braids on the ultrasound of the pelvic organs. The technique is given to vikoristovutsya with the mark of vivchennya internal zmistu of illumination. Schob shvidshe otrimati the exact diagnosis, the patient creates a number of analyzes, middle:

Zagalny blood analysis;
Zagalny analysis of the slaughter;
Analysis of blood for the throat.

Instrumental diagnostics includes diaphanoscopy (examination of the scrotum). Vaughn is carried out with the meta of the appearance of the ridini or zapalennya. All you need to go in is to confirm the appearance of the gris, if the symptomatology is similar to those of other pathologies.

operation

In men and women, the symptoms and symptoms of the groin grizzly develop, and the operation is carried out the same way.

The food about the dosage is not small of residual solution and vimag of the wide range of products that are thoroughly. There are a lot of recurrences due to the operative involvement of a lot, and not a great tendency to a decrease. Evidently, a relapse with straight groin grizzly is indicated as a relapse with an oblique. To this, it is obvious that the patients are prone to the further advancement of the anatomical and topographic relationship with different types The groin grizzly from the tim, which is given to the surgical anatomy is clear and very special. It is not skinny once there is a slight oblique appearance and a straight inguinal barn in terms of ethology, anatomy of the fabric.

Non-primed selection of methods of operative engagement is promoted, for in common practices it is impossible to “love” methods that cannot be based on the closest and most immediate result.

The surgical anatomy of the grizzly (oblique, straight, kovznoy and іnshy) has its own characteristics, that and the vibrating method, and the carrying out of additional details of the operative hand-in-hand needs to be done due to the obvious reasons. At the connection with the versatile options for the oblique inguinal grizzly (the diverticulum of the small, closed empty, enclosed gryzh and іnshi), there is an accelerated reduction of the injuries of these ropes.

The cultivation of the shyki of the gryzhechka is not very important, and if the greater vision of the shyki is not given a chance to tidy up the black funnels, the role of these in case of relapses is not the same.

The principled setting in case of operative involvement of any kind of inguinal grizzly is the obligatory development of aponeuroses of lateral oblique muzzles, in conjunction with the whole set of operations involved in the method of Ru and its options, it is not necessary to get involved. Pomilkovo is considered from the filling of mucous with plasticity of the inguinal canals.

During the operation from the visible inguinal grizzly, the period of rehabilitation, which includes the day, changes to the way of living and reducing the level of physical fitness.

Drug treatment with a scythe and straight inguinal grizzly

I will be able to finish the great relic of the methods of using the groin grizzly. Most Popular and effective ways Fight this pathology on the offensive list:

Hirurgic involvement.
drug therapy.
recipes folk medicine.
Wearing a bandage.

Crazy, the correct solutions will be an operation, protest during vaginosti or ignition processes in the body, radically come in against indications. Such a vypadku is brought to another option - the implantation of medications.

As a rule, with the appearance of a straight or oblique inguinal grizzly ailments, the following preparations are implanted:

Zneboluyuche "No-shpa".
Wearing Duphalac.

"No-shpa" is introduced before the range of antibiotic drugs. Її vzhivannya vypravdane Tim, when the patient has groin grizzly spares strong pain, Hourly intolerant, and tributes to help reduce pain in sight. Part of the drug is varied from forty to one hundred and seventy-five rubles. Varto vrahovuvati, overdosing on the medication is not safe. Overmirne the implantation of the sickly can lead to a lethal result. The normal dose for doba is one hundred and twenty grams, so three tablets each.

It seems like constipation for the inguinal grizzly power, so it clogs up with low unacceptable inheritance: intoxication, dysbacteriosis. To that, for the extraordinary incidents, it is more likely to come true. "Duphalac" can be paid by paying from three hundred to nine hundred rubles. Yak and in the first place with the first preparation, "Duphalac" cannot be implanted in great numbers. There will not be a lethal result, but it will not replace the blues, or if there is severe pain in the drain and abdominal swelling.

Folk methods of therapy

For the gryzha's liking, the yak is not accelerated by the duck, people zasobi vikoristovyutsya yak dodatkovy factor. Recommend zastosovuvati folk zasobi more views, Stream the growth of the gryzi, change the organism and so far.

Call and see how to look in the statistics, follow the help of a cool student. One of the easiest methods, which can help you to start the ignition process, is to use a compress with a lot of grass. To prepare the compress, it is necessary to put some fresh herbs into the steamer. Then you need trim over hot water stretching out ten chilines, sending a lot of detail and attachment to the point, the grill was set. On top, fix a bandage and leukoplast, so that the compress doesn’t change. The zastosovuvati method is required once a day for two lengths. Compress trim forty hilin.

Gryzhnik zasosovuyut for preparing a compress for inguinal grizzlies. also know ailing visionі napryak compress, dedana sprinkler. Ten middle ones for the size of the leaves of fresh sprinkles are required to be reduced and subdivided. It was taken instead of three tablespoons of warm fatty sour cream. Then smear the ailment with a small amount of money and put it on top of a cabbage leaf. Zafiksuvati we clean with a bavovnyam towel, the compressor has not been put over, fill it with nothing. Repeat the session with a stretch of chotiroh tizhn_v.

It is also possible to use a compress with a green cabbage leaf. Pass two or three great leaves of cabbage through a meat grinder, or fine-tune it with a blender, so the syk appears. Let's put the mask on until the sick moment and fix it with a bandage.

prophylaxis

Naiposhirenіsha type of groin - groin. In the case of pathology, it is necessary to see a complex of physical rights. Beforehand, take out a consultation for confirmation of strength or renewal, so that you will be healthy.

The emphasis of the robot on the front end of the black light:

Take a horizontal position, push your legs at once before a straight cut 10 times.
At the same time, it’s supposed to be good hands. Move your legs along a straight kut along the bottom, often lowering them down. Viconite to the right 10 times.
Zignit legs, push the torso, wrap your hands around the knee. Viconite to the right 10 times.
At the same time, the visitor's hands are supposed to be used to ride the bike. Through the skin 3-4, the legs are lowered to the pidlog. Viconite to the right 10 times.
Pull 10 times in the knees of the legs to the breasts.

Corrosiveness in the prevention of pathology will bring trivial walks of food on a fresh day, in the interim of 1 year. Get ready for an hour of sleep, as if you didn’t go out to sleep on your own, get angry for the signs of special medicinal preparations, so that you would be prompted to renew the body's rhythm.

Significance here is maє suvore vikonannya regime eating. Sit through the skin for 3 years, 5 times a day. Pick up from the menu gostru and fatty food, alcohol, liquorice and boroshnia virobi. Give the fermentation to vegetables, ribs, meat.

There are absolutely no traces of straight and oblique inguinal grits (for the mind of a successful surgical engagement). If you don't get used to it, then the pathology will block the health and the life of the sick.

The groin grids call the name of one abo decilkoh organs break through, scho settled in the groin canal. Take the vipinannya zalishaєtsya shkіroyu, and in the middle of yo roztashuvannya old mіzhm'yazovoy space.

Pahovi grits are stored from:

Gryzhovi gate - enlightens in the groin part of the queue.
Gryzhovoy mіshok is a part of the black wall, to be called.
Vm_st of the inguinal mouse - internal organizations, We were given a groin mishhok.

See the groin grills and the differences between them

Umovna classification of groin grids is as follows:

straight
scythe
Combined.

Braid i straight

Cardinal visibility between straight lines and oblique marshes in the offensive:

A straight grill is a pathological condition, and a braid can be a natural one.
The scythe of the grill with the traversed edge of the grill, the gates, will start the hardened cord, and the straight line will go into the bypass.
Before the hour of the operation, the straight grill can be identified by the pulsation of the action artery of the ring of the grill, and by the oblique - in the middle of the grill.
Gryzhovoy mіshok of direct vipinnya often has a shape in a viglyadі kulі, and an oblique - to a dovgastu shape.

The appearance of an oblique groin grill from a straight line

Causes of the blame

92-95% of all types of diagnostics of groin grills are brought to choloviks. It will be explained to them that the choloviks in the mice of the most successful establishment of the gryzovyi vorit will have a new channel. The whole canal does not have sufficient muscle and tendon power, but the internal organs were pressed against the onslaught. In women, in this area, there is a uterine ulcer, which leads to strong muscles. Itself won’t let a gryzha bear break through the gate.

Due to the fact that a straight groin grill can only be stuffed up, її the main reasons are:

Anatomical features of the black emptying.
Nadlishkova vag.
Overwhelming physical stress and injuries, such as inheritance.
Vinoshuvannya ditini.
Ailments, tied with a persistent cough.
Tastes of operations.
Zakvoryuvannya shlunkovo-intestinal tract, which is supervised by the tightness and hardness of the style.
Pohiliy vik.

Straight groin gryges are most often used by curts. The reason for this is a persistent cough, such as a supernatant, and a negative infusion of nicotine resins on Sudin system people.

Pererakhovani cause the blame for the disease to form a group of people who have been confined to the new:

People of the kidnapped vik.
Children.
Vagіtni women.
More people.
Curts.

Symptoms in men and women

On the first pores, the straight groin groin is asymptomatic. About the ill-health of a person, you may be aware of the lack of physical pressure for an hour - in the area of the groin of a new person, you can feel a small amount of damage. Able to get a good idea of the sickness itself - to fill it in the position of the bed. Every year, without any definite treatment of the grill, an attempt has been made to bring all the greater discomfort, at the viglyad uncommon views, Baking and stretching in the galuze of the gryzhovykh vorit.

In choloviks, there may be problems with defecation (constipation) and secular problems (parts of the affirmation, catching the slaughter).

At women with singing conditions sectional mikhura, Uterus, yєchnikiv) can spasterize sickness in menstruation - a ruptured cycle, even sicker months. Similarly, the straight groin grizzly is characteristic of the deterioration of the process of sewing.

With more neglected forms of sickness, patients may suffer from:

Boli, scho see across, krizhi, internal part quilted,
Nudota and blues,
Parts of the belly
Nabryak in mіsci vipinnya,
It is not a matter of self-determination to fix the gryzh,
Curves follow in the style,
tachycardia,
Zagalne nezduzhannya.

accelerating

One of the most frequent quick fixes of the inguinal grizzly is intercourse. The shape of the groin is characterized by the reduction of groin ring in place of the grizzly bear. The obstruction of the straight groin gryzha is pulling behind itself the jam of blood-bearing vessels, scho є in the edge poor camp and can lead to tissue necrosis.

Folded pinched inguinal grids can also be:

Ignition process in vipinanni.
Filling the bin.
Intestinal laxity.
Firing the queue.
Fecal mass.
Gostry appendicitis.

All pererakhovani accelerated vvazayutsya risikovannyh camps, through imovirnіst of a lethal result.

diagnostics

Diagnostics of the straight groin groin is not є twisted. The doctor is a resident of the sick person's belongings, the experience and the banal palpation of the patient to find the grizzly. Some of the patient's views are carried out in a vertical position, and then in a horizontal position. If you look around the choloviki, then the doctor has the opportunity to slide your finger over the grizzly gates and grizzly bears, setting it into the empty hole. For the singing signs, the doctor can find the identification of the organi, refueled in the grill bears.

If the patient is a woman, then the lykar is unlikely to penetrate the groin canal.

In both cases, the most important diagnostic method is used ultrasound dosage organs of the stem and small pelvis. The given obsozhennya is allowed to be significant, as the organisms themselves are placed in the grizzly bears.

The main staff in the process of deciding the diagnostics є differentiation among such ailments, such as:

Cyst of a round uterine ligament in women
varicocele
hydrocele
stegnova grill
lymphadenopathy
Lipoma of the family cord
Cryptorchidism.

Differential diagnostics of the field in the molded state organs of the cholovik. The appearance of such an instrumental diagnostic method can be used, such as diaphanoscopy - the luminescence of the scrotum by means of light exchanges.

To determine the diagnosis of a sick person, you can also use the signs of analysis:

zagalny analiz blood,
zagalny analysis of the sech,
electrocardiogram heart,
analysis of blood on the throat,
іnshі analysis for ailments, but є contraindicated before the operation.

lykuvannya

It has been brought, in one way, the inguinal vipinnya є promptly involved... Earlier, the disease was diagnosed and an operation was performed, more than a small legacy. Until then, running grizzly operuvaty skladnіshe.

Prototypes shown before the operation may include the following:

availability,
Pohiliy vik,
ailing circulatory system(Hemophilia),
Heart-shaped ailments,
immunodeficiency,
Ignition processes in the body,
Інші heavy stays.

Before such ailments, we have to get stuck in a radical direction of therapy:

Welcome to the Vitamin complexes.
Schodenne vikorystannya of a bandage.

Straight groin bandage /

Fence on the power train.
Dotrimannya special children.
lykuvannya fellow sickness.
Special right, floating.

Brutal respect!

In the case of a pinched straight inguinal grizzly, the operation is performed in a single way.

For a visible straight inguinal grizzly, the following methods are used:

Bobrov-Girard technique
Bassini method
Kimbarovsky seam
Kukudzhanov method
Spasokukotsky method
method of Postempsky
Sholdyce Method
Liechtenstein operation
endoscopic hernoplasty
laparoscopic hernoplasty

To the view of the groin groin according to the Bassini method

All of the methods are based on how to put the gray bear into the black empty and change the style of the gray hair, how to remove the repeated copying. Riznitsya in methods of polarity in the way of closing the door and penetrating into the neck.

During laparoscopic and endoscopic hernoplasty, there is no risk of loosening at the stem of the stem, but two or three small incisions are made to insert the chamber and the instruments into the empty chamber.

All of the other techniques, behind a vignette to Lichtenstein's method, are runting on the tension plastic: the opening in the groin canal is crooked over the shell of the abdominal mucosa.

Video

Bassini groin herd repair.

Liechtenstein first proponuvav robiti on the gryzhovy gates of a small spatula made of synthetic material, not wicked by human organism. The net should be applied to the groin openings and sewn with small stitches in the decals. This technique is the most popular among surgeries, since the risk of relapses is practical.

An important step in the development of straight groin grids is the period of operation. As a result of the patient's confirmation of all the attributions of the doctor to lie down for an hour of renewal and in the absence of a relapse.

Bagato paciєntіv pomilkovo vvazhayut groin gryzh to unserious ailments. With the first signs of yours, secretly hunt for the qualified help. Self-control and reduction of the grill can only destroy the situation and lead to undesirable inheritance and lethal results.

(Total 2 241, season 1)

Anatomy of the groin area. When you look at the anterior cranial wall in the middle from the side of the black empty, you can poke five folds of the quill and the debris (pits), with the help of the motions of the crank. The name of the inguinal fossa is the internal opening of the inguinal canal, it is designed approximately above the middle of the inguinal (pupartovoy) ligament 1 - 1.5 cm behind it. In the norm, the inguinal canal is a slit-like space, it is stored in choloviks with a cord, in females - a round uterus. The groin canal pass through the groin down to the groin and end with the opening. In choloviks, the size of the groin is 4-4.5 cm. The sides of the inguinal canal are set: the anterior aponeurosis of the lateral oblique meat of the abdomen, the lower one - the inguinal ridge, the posterior - the transverse fascia of the abdomen, the upper one - with the vertical edges of the inner oblique stomach ulcers.

The zovnishn (superficial) opening of the inguinal canal is closed by the aponeurosis of the lateral oblique abdominal meat, one of them is attached to the pubic hump, іnsha - to the pubic growth. The size of the opening of the inguinal canal is different. The transverse diameter of the jog should be 1, 2 - 3 cm. In females, the openings of the inguinal canal have a smaller trochi, lower in choloviks.

Internal oblique and transverse abdominal ligament, spreading into groin groin ligaments, going up to the gray cord and sling over the new one, small form and the size of the groin gap. Between the inguinal gaps: below - the inguinal gland, above - the edge of the inner oblique and transverse abdominal joints, from the medial side - the last edge of the straight belly meat. The groin area can be wide, spindle-like or triangular in shape. The triangular shape of the inguinal area is indicative of the weakness of the inguinal area.

At the point of the inner opening of the inguinal canal, the transverse fascia funnels into the inner cord, fixing the vaginal sheath of the family cord and yachka.

The round ligament of the uterus at the root opening of the inguinal canal grows into fibers, some of which end on the pubic cyst, and is lost in the adipose tissue of the pubic region.

Razrіznyayut braid groin і straight. The braid of the groin groin passes through the groin fossa, straight through the inner groin. In the case of canal form, the bottom of the grill mouse reaches the final opening of the inguinal canal.

The braid of the groin gryzha is sloping straight only in the cob stages of becoming ill. In the world of improvement, the inner openings of the inguinal canal expand medially, extending the supracranial judgment to the middle. More medially, the grizzly collar expands, less than an age is the posterior wall of the inguinal canal. With advanced inguinal-scrotal grids, the inguinal canal swells straight straight, and the surface of the openings is located at one level with the internal opening (the braid of the grill with a straight course). With great grizzlies, the scrotum is signified to grow in size, the member of the body is able to get away from it, instead of the gryzh, it is not necessary to set itself into the empty space on its own. When reduced, rumble is heard in the intestines.

Directly the inguinal gryge goes from the transverse emptying through the medial fossa, transverse to the fascia (posterior wall of the inguinal canal). Having passed through the opening of the inguinal canal, the root of the scrotum grows over the groin at the viglyad of the rounded illumination. Transverse fascia of the pereshkojaє descent of the straight inguinal grizzly into the scrotum. The groin groin is often straight, double-sided.

Vrodzheni groin grids. If the vaginal sprout of the queue is too much of an empty spine, then when it is empty it will be natural to get from the empty spine. The groin's groin should be shaped, with a vaginal growth a grizzly bear. Vrodzheni groin grizzlies store the main mass of grids in children (90%), a little stench in older adults (close to 10-12%).

Klinichna picture and diagnostics. The design was not very good for the groin gryzh. Typically є anamnesis: rapid diagnosis of a grizzly at the time of physical stress or steps of development of a gryzh vipinnya, showing vipinnyya when stressed in a vertical position of a sick person and in a horizontal position. There is a problem with pain in the area of the grizzly, in the stomach, feeling of lack of grip when walking.

Inspection of the sick person in the vertical position gives evidence of the asymmetry of the groin areas. In the presence of a clear cut, it is possible to determine its shape. Finger until the last opening of the inguinal canal is violated in horizontal position a bad song to replace the grill mouse. Likar with a sticky finger, the hollow surface of the groin is turned up to the back of the inguinal canal, for that purpose it is necessary to increase the size of the back, invaginating the scrotal skin, eating in the surface of the groin canal, rooting up to the middle and most of the mountain. In the norm, on the top of the openings of the inguinal canal, in the choloviks, the tip of the finger is missing. With a weakened posterior wall of the inguinal canal, it is possible to bring the tip of the finger behind the horizontal branch of the pubic brush, so that the growth does not protrude when the posterior wall is well rotated, the transverse fascia of the abdomen is established. Visualize a symptom of a cough. Doslidzhuyut offense to the groin canal. Obov'yazkovyu є to the end of the organs of the scrotum (palpation of the sympathetic cords, the testicle and the appendages of the yauchok).

Diagnosis of inguinal hernia in females is grounded on the look around and palpation, so it is practically unwise to insert a finger into the opening of the inguinal canal. In women, the groin grizzly differentiates from the bone of the round uterine ligament, which is in the groin canal. At the sight of the grill, there is no change in its size when the ailments are horizontally placed, the percussion sound above it is stupid, but above the grill there is a moody tympanic.

The braid of the groin gryzha to be seen from the straight part is to be seen in the childish and middle age; won’t let you go down into the scrotum, but one-sided. With an oblique inguinal groin, the posterior wall of the inguinal canal is kindly turned, right across the cough posture is seen from the side of the groin canal. Gryzhovy mіshok pass in the elements of the gryzhi rope, which, with an active observance, means the dragging of the grizzly rope on the sides of the gryzhі.

Straight groin gryzha is often used by people with a kidney disease. Gryzhogovypinnya rounded form, roztashovuyutsya at the medial part of the inguinal ligament. The grizzly descends into the scrotum, call it double-sided; when ob'ktivnuyu obstezhennі the back wall of the inguinal canal is weakened. Cough pockets are seen directly opposite the opening of the inguinal canal. Gryzhovy mіshok grows up to the middle of the sіm'yanogo rope.

Kovzna groin groin of ma pathognomonic signs. Zazvychay tse is a large gryzh with wide grizzly gates. Beginning in the main as a kidnapped or an old man. Diagnostics of the small grids of the intestine will be supplemented by the іrіgoscopia.

In case of griffon grizzly ailments, ailments can be divided into two stages: a grizzly grizzly grips, and then, when an onslaught on gryzhovy, there is a new opportunity to come. In case of suspicion on the coffin of the cuticle, it is necessary to conduct a catheterization and cystography. You can stay in the shape and size of the grill of the chaff, the appearance in the new stones.

Differential diagnosis. The groin gryzha has been differentiated from hydrocele, varicocele, from stegnova gryzhi, zbіlshennya lymphatic universities, Cyst of a round uterine ligament.

Irregular groin grizzly, swelling of the scrotum, swelling similarity to the hydrocele (dropsy sheath of the scrotum). When there is a large amount of sheets of the hairy shell of the cell, there is accumulation of ridin and, as a result, the size of the scrotum grows. The visibility of the hydrocele is caused by an irregular groin-scrotal grizzly pole in the fact that it is round or oval, and not pear-shaped, with a dense-elastic consistency, a smooth surface. Palpable illumination cannot be seen between the cell and its appendage. hydrocele great razmіrіv, Reachable from the opening of the inguinal canal, can be clearly seen when palpated. The percussion sound over the gidrocele is dull, over the gryse it can be tympanic. important method differential diagnosticsє diaphanoscopy (education). To shy away from the dark room behind the help of the lichtarik, who is placed close to the surface of the scrotum. If the palpable illumination is to avenge the hole in the middle, then it is in the case of the illumination of the red color. It is located in the gut gut loop, the gland does not pass the light exchanges.

With the groin grill, the similarity of varicocele ( varicose veins veins of a small cord), when in the vertical position of a sick person there is a dull open ball in the scrotum and it is a sign of improvement. With palpation, it is possible to reveal a similar enlargement of the veins of the sympathetic cord. Expanded veins easily fall off when they are pressed on, or when the scrotum burns out. Slide mother on uvaz, but varicocele can be found when the testicular vein is compressed by the plump of the lower pole of the nirka.

Inguinal hernia prevention

The plan for the prevention of health problems may mean regular engagement in physical culture as a result of the development of the anterior cervical history and organisms in the brain. It is also important to fight obesity and, it is also important, because of the strong decline in thinking, as pathological conditions are created with a friendly mind for the establishment of grids. How organizing visits to virobnitsvі necessary correct preparation of pratsіvnikіv on important physical practice according to the physical abilities of that health.

Wearing bandages, belts, how to switch over to internal organs.

Step of operations:

1. Development of shkiri, pediatric cells, fascias, abdominal mucus, m. Cremaster

2. View of the grilled mouse

3. Roztin gryzhovogo mishka

4. Submitted to the

5. A shyka has a stitching gryzhok

6. Vidalennya gryzhny mіshka.

Sposib Bobrov-Girard will save the anterior wall of the inguinal canal. Sew on the edge of the inner oblique and transverse abdominal mucosa over the cord to the inguinal ring, and then with the outer sutures - the upper lining of the aponeurosis of the late oblique abdominal mass. The lower cords of the aponeurosis should be fixed with sutures on the upper cords of the aponeurosis, thus opening a duplicate of the aponeurosis of the lateral oblique meat of the abdomen.

Sposib Spasokukotskyє By modifying the Bobrov-Girard method, and by making a living out of it, before the groin one hour (with one suture) I sew the inner braid and cross the tongue of the braid at once with the upper flap of the aponeous

way of Bassini transmission of the rear wall of the inguinal canal. When you see the gryzogo mouse, the small cord is pulled up to the groin, and the lower edge of the inner oblique and transverse meat is pulled down from the transverse fascia of the abdomen to the inguinal joint. Put the nasty rope on the spotted meat wall. The imposition of glib sutures in the groin is replaced by a weakened posterior wall of the inguinal canal. The edges of the aponeurosis of the lateral oblique meat of the abdomen are sewn up edge to edge above (embryonic cord.

way to Liechtensteinє the most promising method of alloplasty of the inguinal canal. The author vvazhaє illogical zasosuvannya sewing fabrics with an interference fit. The basic principle of plastic surgery of the inguinal canal is tissue suturing without tension. When you see the grizzly mouse on all sides, they separate from the navkolishny fabrics of the cord. Then take a polypropylene sieve with a size of 8 x 6 cm and on one edge of the edge to reduce a small rise, so that two branches are made up to a close 2 cm. bosom cyst. We use a good thread to fix up to the Cooper and Pupart links, coming in the spine lateral to the inner inguinal ring. The upper edge of the mesh is sewn to the inner oblique and transverse joints. Trying to shrink the offending jaws of the prosthesis near the seven cord and sew between oneself, change the inner opening of the inguinal canal. Dalі sew "edge to edge" edge of the aponeurosis of the last oblique abdominal meat. The overhaul of this type of plastic surgery can be used to sew fabrics tightly at night, which is hard to reach with one of the gastrointestinal methods of plastic surgery of the inguinal canal. According to the author of the methodology, the frequency of recurrences of grids should not be more than 0.2%.

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The mows of groin grizzlies in the fallowness from the mowing of the grizzly bear are growing in and out.

At the core of development similar groin grills to lay the vaginal sprout of the queue not overgrown, which plays the role of the mushroom bear prepared by the nature. Smell the stench manifest itself in early childhood, or it can appear in the first place in a larger life. In older ones, the groin grizzly grows in 10% of the population.

Adding groin grids they are oblique or straight. The main reason for the adoption of inguinal hernias is the weakness of the posterior wall of the inguinal canal.

Groin scythe go through the last inguinal fossa, into the warehouses of the elements of the family cord, under the conditions of the last one, pass through the inguinal canal, go through the last opening of the inguinal canal and may drop into the mosquito. I call it a grizza inguinal and scrotal.

The braid of the groin is often one-sided. V cob stage the development of the oblique inguinal grizzly (canal gryzhi) is not very convenient. In the world of the growth of the grill mouse and the exit from the last opening of the inguinal canal, when stressed or coughing up, there is a swelling of the oval shape.

Straight sideways such a grill is small only on the cob stages of becoming ill. In a small place, in the world of improvement, the inner opening of the inguinal canal expands into the medial right, extending into the supracranial wall and even more strongly the back wall of the inguinal canal. The internal oblique and transverse muzzle flies up the hill, the cremaster hypertrophies.

With advanced inguinal-scrotal grids, the inguinal canal swells up in fact straight ahead (the grizzly braid with a straightened stroke), the first opening of the griffin will grow on one edge from the internal one. The scrotum with such griffins is significant in size, prikhovyuchi statues of the organ. The grizzly stops moving into the empty space, and the real threat to the development intestinal imperfections... Some people call taku gryzhu "keel".

Looking at the ailment from the inguinal grizzly, it is necessary to visualize the finger to the inguinal canal. Yogo to carry out in a horizontal position a sick song, set in place of the grill mouse. When invaginating the scrotum, it is possible to trap the upper part of the inguinal canal with a sticking finger, to remove the medial and trochaic ridge of the pubic hump. In the norm on the top of the openings of the inguinal canal, in the choloviks, the tip of the finger is missing.

When the grip is formed, you can put the tip of your finger behind the horizontal neck of the pubic brush. The violent rope starts before the middle of the river. When a sick person coughs, the finger of a cough can be seen in the groin canal; in the cob stage, the ear canal is seen from the lateral side, where the inner opening of the inguinal canal is located. Obov'yazkovo to slidzhuyut offending the inguinal canal and the organ of the scrotum. Gryzhovoy mishok after an hour of operation with the drive of the groin grizzly groin gryzha is easy to see, as it is tying with fluffy fabric with the elements of a family cord. When you shoot the rosette of the grill mouse, you can insert your finger into the empty slot and knit the back surface of the anterior cervical wall. The pulsation of the lower supracranial artery with an oblique grizzly shape starts up to the middle of the shyki of the grizzly mouse. If the grill appears like a grizzly, then on the bottom of the gryzhe a little grizzly appears.

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 fizzles 5 times earlier, less in choloviks. In general, groin grids are carried to the class of permanent grids of the abdomen.

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. In the first trimester of the intrauterine development, the internal state of the child's organisms will grow in the empty vale. To the very same yєchek from the bottom there is a heavy weight, which is located in the scrotum, and from the top - the 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, 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 incidence 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 simply vyshtovuyutsya for the first time. Thus, it is anatomically implanted in a weak person, as the groin wedge is anatomically involved - it is through a new view of organisms. It is not often in the beast to trap the intestinal loops, the great and malium omentum, and even the slunker and parts of the sechostatic system.

Prydbana groin groin

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:

Early pregnancy If your mother's body does not supply a number of necessary resources to your child.
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.
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.
Vrodzheniye singularities m'yaziv , And the very weakness of the meat system.
Nadlichkov massa tila, which sprays the growth of the intracranial vise through the growth of the omentum with adipose tissue.
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 there can be a change in the balls of the black stink.
Posttraumatic abdominal trauma (Hit, fall, hurt).
At women often the reason Insight into groin grids є vagіtnіst. The development of the fetus in the stomach is the strongest factor in the development of the internal vise.
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.
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.
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.

Straight groin grill. Tsey option to create a little more, lower braid groin gryzha. 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 mishhok passes through the entire inguinal canal. Frequently there is a small trick from within the reach of the bottom of the scrotum. As of the forefront, 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:

Pochatkova.
Canal.
Kanatikovaya.
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 line is 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 empties);
right-handed process - most often it takes place in case of damage to the balance between the grip on the side of the muses and internal organs.

symptoms

Ailment ma virazhenu cool picture:

In the groin zone there is a fluffy affirmation ... In the first hour, it does not cause discomfort, the protest in the world of growth pathologic vipinannya declares itself to be a pain. With the help of the years, the steps of the pain syndrome become 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.
Falsely from the malfunctioning organs 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.
In women in the period of the menstrual cycle, the frequency of 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 can accelerate your life. 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 the 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 damage to the muscle blood circulation and further to the deadening of the adjacent tissues.

Elasticly wick 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, as it 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 region, 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:

Strong і fast bіl, but do not know the zealous odors ... As a rule, most of the vision expands to the entire abdomen. It is not uncommon for a severe pain syndrome to cause shock or collapse in a sick person.
Failure to fix the grizzly is a part of the indirect sign, you should take it all the time.
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.
Negative symptom of cough discharge.

lykuvannya

Possibly only for additional surgery. The operation allows you not only to put down a classic picture, but also to eliminate a number of reasons for the development of ailments. The efficiency of this method reaches 95% -100%. Modern operative techniques allow the visibility to be involved with minimal traumatization and low immobility in the case of young children.

We will broaden the most advanced approach to endoscopic access - laparoscopy.

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

old vik;
important fellow-travelers;
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 lichtars 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 of the child and state the physical right.

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