Abdominal syndrome. What robiti, what is Vinnik abdominal syndrome? Orintovna localization will attack and organizations, as they could provoke them.

E. P. Yakovenko
D. Doctor of Medical Sciences, Professor

abdominal pain syndromeє we will spend more time in the classroom
poisoning organs of etching. Bіl - tse spontaneously sub'єktivno vіdchuttya,
scho vinikє innaslіdok nadhodzhennya in the central nervous system of pathological
impulses from the periphery
circumstantial, for example, with palpation). Type of pain, її character do not lie down
from the intensity of the mental stimuli. organ black wastes chime
insensitive to pathological stimuli, such as when injected into
shkіru viklikayut strong bіl. Rosriv, rozrіz abo rozchavlyuvannya internal organs
do not be supervised by these views. At the same hour, tension and tension
the walls of the hollow organ puff up the pain receptor. So, the tightness of the queue
(Pukhlini), stretching out an empty organ (for example, zhovchna kolka) or nadmіrne
fast m'yaz_v wikklikyut b_l in the belly. More receptors of empty organs
worms (stravohid, shlunok, intestines, zhovchny mikhur, Zhovchni i
pancreatic ducts) are localized in the mucous membrane of the walls. analogue
receptor є in the capsule of parenchymal organs, such as pechinka, nirka,
spleen, and їх stretching also leads to pain. Briza i parietal
the spine is sensitive to painful stimuli, at that hour the spine is visceral and
a great omentum to relieve painful sensitivity.

Bіl in the belly podіlyayutsya on hospitality, how to develop, yak
as a rule, quickly, abo, rіdshe, step-by-step and a little triviality
(Khvilini, rіdko kіlka godin), as well as chronic, for those who are
the build-up step. You can save more or relapse with a stretch
tizhnіv і mіsyatsіv. Ethiological classification of abdominal pains is presented
to tab. 1.

According to the mechanism of the diagnosis of pain in the black empty
visceral, parietal (somatic), visualized (radiating) and
psychogenic.

Visceral bile of vinikє with the presence of pathological stimuli in the internal
organs and are carried out by pretty fibers. The main impulses for її
vinyknennya є rapid adjustment of the grip in the old organ and expansion
thighs (the most common reason), stretching the capsule of parenchymal
organs, tightness of the brigade, damages.

There is a somatic range of reflections on the manifestation of pathological processes in
parietal vertices and tissues, which may end sensitive spinal
nerves.

The main impulses for її ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї і
i queue.

Differential and diagnostic signs of visceral and somatic pain
presented in table. 2.

The radiating bill is localized in different regions, in all
pathological vognisch. Vona vinikє in quiet vipadki, as an impulse visceral
the pain is superficially intense (for example, passing the stone) or with anatomical
pozhkozhennі organ (for example, obmezhennya intestine). The irradiating bill is transmitted to
dilyanki of the surface of the floor, which may lead the Korintsev's innervations to the battle
organ of the celiac region. So, for example, when the grip in the intestine
with a sprinkle of visceral beads, the yak is slightly radiated to the back, when
bіlіarnoї rings - in the back, in the right scapula or shoulder.

Psychogenic beat of vinikє with the presence of peripheral inflow abo
if there is a remaining role of a triggering or predisposing factor. singular
role in the її ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї ї who was from was was. had to be depressed. Ostannya is often confused
and not be learned by the patients themselves. The strongest link to chronic depression
Abdominal pain is explained by the out-of-the-box biochemical processes, in Persha
Chergu, lack of monoaminergic (serotoninergic) mechanisms.
Tse pidverzhuet high efficiency of antidepressants, especially Ingibitoriv
revitalization of serotonin, in the treatment of pain syndrome. nature of psychogenic
more visibility is due to the peculiarities of the specialty, in the infusion of emotional, cognitive,
social factors, psychological stability of a sick person and we will pass
"Bolovim dosvіdom". The main signs of these pains and trivialities,
monotony, diffuse character and additional localization (head
bіl, bіl in the back, in all tіlі). Frequently psychogenic pain can develop with
the largest, meaning types of pain and loss of pain,
It is quite transformative in character, but it is necessary to use it during therapy.

One of the types of pain of central genesis є abdominal
mіgren. Remain more often to learn in to a young person, Wear intensive
spilled character, but it can be local in the paraumbilical area.
Characteristics of nudota, bloating, carrying and vegetative problems
(Blindness and coldness of the pictures, disruption of the rhythm of the heart, arterial
vice and ін.), as well as migraine cephalgia and characteristic for her
provoke і supernatural factors. For an hour paroxysm is meant
improvement of the fluidity of the line blood flow in the cranial aorta. most important
mechanisms for the control of pain syndrome and endogenous opiate systems.
Opiate receptors are localized in the ends of sensitive nerves, in neurons
spinal cord, in stovbur nuclei, in thalamus and limbic structures head
brain. The binding of these receptors to low neuropeptides, such as endorphins and
enkephalini, I will summarize morphine-like effects. Opiate system of practice for
offensive scheme: the activation of the sensitive end to bring
substance P, wiklikє I will appear peripheral and central
low nociceptive (painful) impulses. Remain active
endorphins and enkephalin, which block the vision of substance R and reduce
more visibility.

The most significant in the form of pain syndrome may be serotonin and
norepinephrine. The structures of the brain have a great number of
serotonergic and noradrenergic receptors, and
antinosceptive (protibolic) structures include serotoninergic and
noradrenergic fibers. Reduce the level of serotonin to a decrease
pain threshold and pain relief. Norepinephrine prioritized improvement in activity
anti-notion systems.

Evidence of abdominal pain syndrome
ailing to clarify the mechanisms of their development and the choice of tactics.
Overwhelming great ailments in reality somatic pains, as a rule,
necessary surgical treatment... Visceral pains
frankly organic exercise etching organs, so without them, є
a lot of deterioration, in pershu cherga, motor functions of the remains. As a result
in the empty organs, the vice is moving і / or to prevent the stretching of this wall, і
find out to formulate nociceptive nociceptive impulses.

motor function shlunkovo-intestinal tract start activity
smooth stem cells, which are in direct proportion to the
concentration of cytosolic Ca 2+. Ioni calcium, active
internal bioenergetic processes (phosphorylation of bile,
ATP in cAMP and in.)
I will take care of the fast meat fiber. One of the minds needed for
speed of meat fiber, є temporal activity of phosphodiesterase,
to take care of the fate of the split cAMP and unprotected energy processes
actin with myosin.

A number of neurogenic mediators play a role in regulating the transport of calcium ions:
acetylcholine, catecholamine (norepinephrine), serotonin, cholecystokinin, motilin and
ін. Linkage to acetylcholine with M-cholinergic receptors in the bloodstream
natrіevih channels and input of ionіv natrіyu in the clitina. I will keep lowering
the electrical potential of the cell membrane (depolarization phase)
open calcite canals, through the calcite pass into the cell,
viklikayuchi m'yazove fast.

Serotonin maє suttuviy infusion on the motility of the intestinal
tract, activating a number of receptors, localize on the effector cells.
Seeing a few of the type of receptors (5-МТ1-4), however, the most suitable type of 5-МТ3
і 5-МТ4. Linkage to serotonin from 5-MT3 with a decrease in weakening, and from 5-MT4 -
fast meat fiber. At the same hour, the mechanics of the serotoninu on
myazov fibers of the slunk-intestinal tract are not established until the end. є
deprived of the preparation for the preparation of acetylcholine in the process.

Takhikinov, three types of peptides (substance P,
neurokinin A and B), which interact with the receptors of myocytes,
Their motor activity is not only as a result of direct activation, but rather
seeing acetylcholine. The main role in the regulation of the motor function of the intestine
Play endogenous opiates. In case of zyzuvanny їх with μ- and δ-opioid receptors
myocytes receive stimulation, and with κ-receptors - increase motility
herbal tract.

The main ways to relieve abdominal pain syndrome include:
a) ethiological and pathogenetic treatment of the main disease; b)
normalization of motor drives; c) lower visceral sensitivity; G)
correction of pain relief mechanisms.

Disruption of the rucous function of the organs in the shlunkovo-intestinal tract
I mean the role in the formulated not only pain syndrome, ale and a large
dyspeptic dislocations (including re-placement in a slunker, cutting, stove,
nudota, bloating, flatulence, carry, constipate). Most of the significant foods
symptoms can occur in mothers with hypocritical conditions, as well as for
hyperkinetic type of dyskinesia, and only who are lost until allowed
clarify the nature and vibrate adequate therapy.

One of the most frequent functional breakdowns, Including and with obviousness
organ pathology of etching organs, є spastic (hyperkinematic)
dyskinesia. So, with spastic dyskinesia, be it from a herbal
the path is made to promote the intraluminal grip and the deterioration of the penetration
vm_stu on an empty organ, I will change my mind for the diagnosis of pain.
With a wide swiftness of the build-up of a vice in the organs of the proportional intensity
I am in pain.

Spastic dyskinesia of the muscular sheath of the wall of a hollow organ or sphincters
is the most common mechanism for the development of pain syndrome in
esophageal spasm, dysfunction of the sphincter of Oddi and the ducts of mykhura, syndromes
gutted intestines.

In this hour for the relief of pain syndrome in complex treatment
vishchevkazanikh vikoryuvan vikoristovuyutsya relaxanti smooth muscles, yak
include a group of drugs. Antiholinergichni to reduce
concentration of intracellular ions of calcium, which can be produced to the point of muscular relaxation.
It is important to note that the steps of relaxation are in direct contact with
in frontal tone parasympathetic nervous system... Stay
furnishings for the sutta of the individual efficiency
drugs in the group. Yak spasmolytic vikoristovyt yak nonselective
(Preparations beladoni, metacin, platifilin, buscopan and in.)
(Gastrocepin and in.). However, to achieve low efficiency and a wide range of
side effects should be flanked to reduce pain syndrome in
significant part of the ailments.

Mechanism for myotropic spasmolytics in the endoscopic bag should be produced before
accumulated in cAMP cells and a decrease in the concentration of ions in calcium,
z'єdnannya actin with myosin. The efficiency can be reached by the young people
phosphodiesterase, or activation of adenylate cyclase, or blockade of adenosine
receptors, or else combination. The main representatives of the group
drug_v є drotaverin (no-shpa, no-shpa forte, spazmol), bencyclan (galidor),
otylonia bromide (spasmomen), meteospasm і ін. With vicorystannі mіogennyh
spasmolytic, so it is itself and M-cholinergic blockers, it is necessary to
іstotnі indivіdualі vіdminnostі іkh efficacy, visibility of selectivity
effective (practical for all smooth muscles, including
secular system, blood vessels and inn.), development of hypomotor
discines and hypotonia of the sphinkter apparatus of the herbal tract, especially
with trivial stasis. Give the preparation a short period of time (vid
one-time reception of up to two or three types) to stop the spasm, and
from the same, pain syndrome.

In a series of myotropic spasmolytics, the drug mebeverin (duspatolin),
the mechanism of the process is built up to the blockade of the natric canals
cell membrane of myocytes
the processes of depolarization and blocking of calcium input into the cell through the supply channels.
As a result, the phosphorylation of myosin is increased and the day is fast
meat fiber. Seemingly it is also the case that the source of the calcium from the internal
depot as a result of activation of α 1 -adrenergic receptors to produce
large channels, the flow of energy from cells, hyperpolarization and daytime
meazovogo fast-food, which can last for a trivial hour
the cause of myazovaya hypotonia. On the basis of myotropic spasmolytics
mebeverin pereshkodzhaє upgrade of internal calciner depots, which are in
for a kintsevo bag to make a deprivation before a short hour
її hypo-polarization. Stay poperezha
for the hypotony of myazovaya clitini. Otzhe, the sign of mebeverin (duspatolin)
to produce a spasm without the development of hypotonia of smooth muscles, i.e.
That is, I will not interfere with the motility of the gastrointestinal tract. drug viyavivya
effective for abdominal pain relief and discomfort,
overwhelmed by the syndrome of teased bowels, as well as being diagnosed with aphids
organic diseases.

I also respect the drug for myotropic spasmolytics.
gimekromon (odeston). Odeston (7-hydroxy-4-methylcumarin) nada
vibrate spasmolitichnu diyu on the sphinkter Odd and sphinkter zhovnoy
mikhura, zabechuє vіdtіk zhovchі in the gut,
bilary systems and, as inherited, assimilated biliar pain syndrome. odeston
not volodya direct zhovchoginu diyu, Ale will fall asleep in
herbal tract, by ourselves, enterohepatic recirculation
gum acids, which take part in the first phase of the establishment of gum. perevaga
Odeston in the context of the other spasmolytic polyagi in the fact that he is
practically not pouring on іnshі smooth ointment, zokrem,
circulatory system and intestinal muscles.

Highly promising straightforward in the development of motor drives
є vikoristannya selective blockers Calcium channels. In Denmark
an hour from a group of groups is wider by trimming pinaverium bromide (dicetel).
Dicetel blocking potential calcification of the intestinal myocyte canal,
lowering the hope in the client extracellular ion in calcium and by ourselves
zapobіgaє m'yazove fast. To the merits of the diacetele, one must admit
(Intra-intestinal) drug, tissue selectivity, visibility
side effects, including cardiovascular effects. The drug can be stored in
Stretching for a trivial hour, do not be afraid of the development of intestinal hypotonia.
Clinical preliminaries showed the high efficiency of the dycetel in the disease
irritated bowel syndrome and others who become ill, with which
spastic dyskinesia of the intestine.

In the relief of pain syndrome, a special role is given to drugs that are injected into
visceral sensitivity and pain relief mechanisms. Tse embrace, in
Perchu cherga, ailments with functional congestion shlunkovo-intestinal
tract (functional dyspepsia, teething bowel syndrome,
functional abdominal pain and in.) and psychogenic abdominal pain.

In the Danish hour, there is a wide discussion
antidepressants, 5-HT3 antagonists, κ-opioid receptor agonists, analogs
somatostatin (octreotide). They are the best antidepressants,
implement an anti-common effect with two paths: 1) for a change
depressive symptoms, such as the fact that chronic illness can be
a mask of depression; 2) for the activation of antinociceptive serotoninergic and
noradrenergic systems. Antidepressants are recognized in therapeutic (or not
in low) doses (amitriptyline 50-75 mg / day, mianserin 30-60 mg / day, etc.),
The triviality of the recipient is guilty of becoming not less than 4-6 tendencies. preparations
effective in complex therapy.

In such a rank, the genesis of abdominal pains is polyetiological and
polypathogenetic. Lіkuvannya pain syndrome was guilty of being right on
normalization of structural and functional damage to the affected organ, as well as
on the normalization of the functions of the nervous system, which leads to the diagnosis of pain.

Literature.

1. Vegetative food. Kerіvnіstvo for lіkarіv. Pid ed. prof. A.M.
Wayne. M., 1998.
2. Vein A. M., Danilova O.B. Cardialgia and abdominalgia // RMZ, 1999. 7, No. 9. P.
428-32.
3. Grigor'ev P. Ya., Yakovenko A. V. Clinical gastroenterology. M.:
Medical Information Agency, 2001, p. 704.
4. Ivashkin V. T. Syndrome of subtle gut // Pic. zhurn. gastroenterol.,
hepatol., Coloproctol. 1993, vol. 2, No. 3. S. 27-31.
5. Yakovenko E. P. Grigor'ev P. Ya.
zhovchivіdnyh nobles. Diagnostics and treatment. Method. checklist for users. M.:
Medpraktika, 2000.S. 31.

Table 1. Ethiology of abdominal pain

Intra-abdominal causes

• Generalization of peritonitis, which has developed as a result of perforation of a hollow
  body, post-vaginal vaginosity or primary (bacterial and
  non-bacterial); periodic ailment
• Inflammation of the singing organs: appendicitis, cholecystitis, peptides,
  diverticulitis, gastroenteritis, pancreatitis, inflammation of the pelvic organs, colitis
  irregular and infectious, regional enteritis, polyonephritis, hepatitis,
  endometritis, lymphadenitis
• Obstruction of a hollow organ: intestinal, biliary, secular nobles,
  uterus, aorta
• Ischemic impairment: mesenteric ischemia, intestinal infarction,
  spleen, liver, twisting of organs
• Інші: syndrome of a mock bowel, retroperitoneal puffin,
  isteria, Munchausen's syndrome, drug use

Extraabdominal reasons

• Sickness of organs in the breast emptying (pneumonia, ischemia of myocardium,
  getting sick to the stravohod)
• Neurogenic (herpes zoster, ridge ailment, syphilis)
• Metabolic damage ( cuckold diabet, Porfiria)

Note. The frequency of zavoryuvan in the headings is indicated in the zvorotny
order.

Abdominal ischemic syndrome, impaired blood circulation in the cranial aorta and in unpaired visceral spines.

Through the price, there are a lot of visions and changes in the internal organs, as they get a lot of blood.

Exercise visceral gilok, pass with such a frequency:

• Verkhnya Bryzhova artery (VBA) - thirty-one vidsotok.
• Nizhnya Bryzhova Artery (NBA) - mayzhe twenty-three vidsotki.
• Cherevny stovbur (NS) - as many as twenty vidsotkiv.
• Selective artery (SA) - as many as sixteen times.

Rectal blood (product). Blood circulation is carried through the upper and lower arteries, as well as through the internal clubhouse. Right side of the intestines, we will take shelter along the upper artery, and liva - along the lower and upper rectal artery, as it comes from the upper bryzhovo artery.

The middle and lower rectal artery extends from the intrailiac artery, and also helps blood circulation in the distal regions of the rectum. The most pleasing mice of your intestine, you can call Vigin sigmoid colon and spleen. It is common for medical prescriptions, the very splenic viginum, to break down most often with a severe ischemia.

Ischemia of the rectum grows in the edge of the rim. It is well known due to the acknowledged data of the Central Scientific and Preliminary Institute of Gastroenterology (CNIIG), intestinal ischemia is on the third stage of the middle forms of the disease.

This may be due to the fact that you can be diagnosed in approximately twenty two hundred kilometers. Ischemia of the intestine appears through the blood circulation in the intestines, or dilyankas. Blood circulation in the upper and lower arteries will deteriorate, and the ischemia of the rectum will start to develop. The reason for this is to serve the deterioration of the blood circulation in the aorta of the cervix.

However, it is most common to see through the appearance of atherosclerotic plaques in the visceral veins of the abdominal aorta. Damage in the bloodstream is caused by the lack of blood in the heart of the wikid or the microcirculation.

The disease can win through the development of ischemia, filthy blood circulation, disease in the robot's heart, writing drugs... It’s possible to grow up and to develop in parallel, so that the rectum can’t get sick.

One hour from the tsim you can say that the kyubel will be cut, you will additionally help the robot, if the blood circulation in the ocherevin is damaged. Until then, also do not expect to show characteristic signs, which can lead to the syndrome of chronic abdominal ischemia.

Prikhovane chronicle on the lower brijovy artery, in the main develop without all the signs. If there are more enemies at once, there are more blood-bearing blood vessels, so it is possible to see the symptoms of development chronic ischemia herbal tract. Krym tsyogo, a lykar viyavlya, as the same changes in the whole system in patients with abdominal syndrome. Everything that is seen with the heart, vessels, blood circulation, exchange processes, to show the inheritance of ischemia.

Ischemic colitis, when an hour of illness occurs, snakes appear in the intestinal tract, and the mucus membrane of the rectum changes. On the current day, there are no symptoms of ischemic colitis.

Form the development of ischemic colitis

Krym, ischemic ailment of the herb tract, we do not care about ailments in the classification of ailments of the international plan. The ischemic colitis can form three forms of development, which in its own way can be diagnosed and used in a fashionable way:

1. Transient (necrotizing). Qia form of ailment is diagnosed most often. To appear in the period of the transitional ischemia of the rectum. At the same hour, necrosis will be repaired due to the ignition process on the mucous rectum, however, it will take a day to pass. Patients can be repaired with more symptoms, bleeding, and the whole body can be more likely to be missed. Pain syndrome in the liv_y club area of ​​the spleen, it takes about twenty hvili, or two years to go. There is a nyyuchy abo change-like bill.
2. Stenotic and structural. For the tsієї form is characteristic zvuzhennya enlightenment of the intestine, that ischemicly ill-fated trivially. It can happen during the development of the ignition processes of the mucous membrane, which can damage the submucosal tissue or tissues of the mucous membranes. This form of incapacitation is generally against, in the course of development, cicatrices appear, which are similar to endophytic cancer.
3. Gangrenous colitis. Qia form, vvazhaєtsya nayvazhchyu, yak hostile to a large area of ​​all intestinal membranes. Winikak won through thrombosis of abolition of the upper bryzhovo artery. Crimson, gangrenous colitis, there may be a great blood loss, shock, hypothermia, or even if they become stunned, as they lower the vice, hostile other judges. This form can be written by the surgical team.

symptoms

The following signs are characteristic for many ailments:

• strong gostry bil in the black empty evil.

• Bringing, as if supravodzhute blood, in deyaky vipadkah can appear clots.
• Attack the blues.
• Chills.
• Symptoms of peritonitis.

on x-ray sign it is possible to expand the intestine.

In addition, it is possible to carry out the classification of symptoms of the types of ischemic congestion of the rectum.

• Diskineticheskaya or transient. This form is most common, as one of the symptoms of ischemic ailment of the rectum. It is also often said by the patients that they see the severity in the epigastric and masogastric dilence. For an hour to come, you see a lot of people, protesting from it is characteristic of grumble. In addition, you feel more bloated in your belly, you get constipated, as you often shy away from it, if you want to change the menu. And the axis of the bolovy syndrome is practically out-of-the-box. All the symptoms of food, for triviality may be short and periodic, or the stench will be supravadzhuvati sick permanently. It’s also ailing to say that the symptoms can be very noticeable when you go to the toilet for the great number of gases.
• Pseudotumorous (structuring). For the whole form, it is characteristic of strong pain in the eyes, as there can be a discernment in any area, and the stench manifests itself in the main writing. Through tse, ailments, it is often easy to see that you accept the pain, so that you can help yourself out of the pain. The very fact, in ailments, for those with diagnosed abdominal ischemia, it is often referred to as thinning. Even more often the stench is evident that the painful syndrome of vinik is parallel to the tediousness and attacks of the blues. In small cases, rectal bleeding may occur. The emergence of advanced intestinal pathologies in the whole form of ailment is very rare, in the case of an inverse form. Slide it means that the ischemia of the intestine develops more often, the lower the diagnostics of medical problems. And all of this is that the symptoms can be alarming, or they are absolutely uncharacteristic for such a diagnosis. Ailments are often disguised as ailments, and recognition is not easy at all. Through those nonspecific symptoms for such a disease, and those of an underdone trimatisia, a diagnosis can only be established by means of a differential diagnosis. Symptoms appear when all are important.

Ischemic colitis manifests itself through those who have some blood circulation disturbances in the rectum, in addition, the winychia can give rise to a lot of signs.

Є three head signs, chronic pathology of visceral blood circulation:

1. more views in the belly. Qia sign is manifested absolutely in all ailments. In the main, the winners are for the reception and for the important physical navantages. The blood circulation in the organs of etching will be destroyed, if there is a great deal of pressure on them. Pain syndrome of ailments begins to be seen at the end of twenty ailments, and the pain goes away in two years. Everything can be found, because of the fact that the products themselves can be found in different ways. Yaksho talk about physical options That is, it can be vicious: seriousness, physical robots (especially, when it’s being abducted), fast walking, getting sick and getting sick. Deyakі patsієnti skarzhaet, but they bіl come at night. And all through those who are lying, shelter will be re-built in the courts. The nature of such painful syndromes is rather low, for example: in the case of attacks, afterwards, and in case of a skin attack, or not to pass.

The transient stage is characterized by the appearance of severity in the intestinal area. As blood circulation deteriorates more and more, more symptoms become cramping in nature.

The stenotic form is manifested by the last no pain, I think the trend is growing. Moreover, the intensity of the pain syndrome can appear in wide gaps.

However, it is necessary for sure that lasting bill be dumb and dull. It is possible that there is a general description of the factor, so that you can become strong, and you will appear more often.

Krim factors, at the same time, infuse and dysfunction blood flow into the intestine. The area of ​​condemnation of large witnesses will be there, de same vinnennya defeat of the blood-thirsty judge.

Thirty hundred children have a large number of children in one region, and sixty hundred in a decile region at one time. But in the main, a painful symptom manifests itself in the left club area, from the left side along the ribs, in the lower part of the abdomen and in the small drops in the area of ​​the navel and the extracranial part. More than half of the patients may be able to return to their organisms in the region. On the butt, scapula, shiyu, pylitsyu, across and іnshі.

1. Loss of intestinal function. It is also diagnosed in half of the patients. The secretion and absorption function of the rectum appear, if it breaks down. At the same time, the patient has an abdominal swelling, a cut, an attack of blues, and also a swelling of the sickness, often a minor style and is characteristic of gurgling into a slunk. Stomach ischemic colitis can be done in steps, when there are such symptoms: run-through, bloating, teasing in the abdomen.
2. Rizka vtrata massi tila. Tse vinikak, if the ailment is specially considered to accept it, then you should be afraid, you should be strong pain in the black empty. It is also a thinning out, as the secretion and absorption of the rectum through the ailment of ischemia is ruined. This is the main thing, if the affliction has reached the last stage of development.
3. Neurovegetative damage. One gets through the impaired blood circulation and suffers from pain syndrome in the black empty space. Krym, winikє zapamorochennya, head beel, unrepentant zapamorochennya, accelerated heart rate, visoka pitlivist til, negatively set to heat or chills. Ninety-three ailments of ailments skarzhivat on low pracedeity, weakness in the body, swelling stamina, as it appears immediately after a pain attack in the evening.

diagnostics of illness

Wait an hour for a sick person, I will respect the animal for such facts:

• Even more often, the children become overwhelmed, withdrawn and so far away.
• There is a change in the form of a disease, but not everyone has a problem, but it’s possible to type in a vase, but in general there will be wine metabolic processes, such as damage through ailments.
• Before an hour of palpation, the drug can be affected, the pulsating and ailous is the cranial blood-bearing vein of the mesogastric part of the body. Krym tsyogo, the ailment was seen in the rural areas of black emptying, the winter below, evil. There is also a feeling of squelching and slight flatulence.
• In case of lingering sound manifestations (auscultation), in sixty people with ailments, there is a bit systolic murmur. The very manifestation of such a noise is caused by the development of abdominal ischemic syndrome. A small vessel will increase the risk of overcrowding, so that the noise may or may not be caused by the drive, it will be possible to develop the abdominal organs.

Pid hour laboratory dosages, Vyavlyayut such changes:

• Ninety people with ailments have dyslipidemia in their blood.
• It will start the blood flow. In sixty ailments, the number of thrombocytes and erythrocytes has been increased.
• When feces are advanced, there is a lot of slime, fat, nasty digestion of meat fibers, blood vision and richness. Everything is in order for the malaise in the equations of the system. However, there are other diagnostic methods that help to diagnose development of pathology in the blood-bearing vessels of the queue. For tso you can be quick ultrasound diagnostics blood-bearing abdominal vasculature і їх visceral hylok. Likewise, on the basis of the angiographic progress of the test. In this rank, it will be possible to establish the manifestation of the sacrificed forms ischemic ailments internal organs.

Present report:

Ultrasound monitoring of blood-bearing abdominal vasculature, even for the presence of atherosclerotic plaques on the vascular walls. Х the appearance will be confirmed, if: the diameter of the judgment is more low, the greater the thickness of the wall of the judgment, internal part stinks of the blood-bearing judgment of the humpback. For the additional help of such diagnostics, the diagnosis is confirmed in sixty different types of diagnostics.

Doppler doslіdzhennya for additional ultrasound, will show all the signs of impaired blood circulation in the blood vessels of the abdomen and іх visceral hylok. An accurate diagnosis can be made in this way in about ten different types. In order to establish the appearance of the adherent form of ciches, the Doppler dosage should be carried out in parallel with the nasal samples. It is also possible to get the manifestation of the disease on the very cob of its development, if it is practically unwise to put an accurate diagnosis.

Angiography is meaningful when it comes to ill health, which clearly shows the area of ​​sounding to the education of a blood-bearing judge, all of its pathology and circulation of blood circulation. If you use a different method, it is possible to get sick at the early stages of development, with a whole lot of accurate diagnostics of the warehouse, ninety five times. However, it can only be stashed in foldable sleeves, which can be accelerated.

Dodatkovi diagnostic ways to help identify the development of pathological damage in any organ in the intestinal tract.

Besides, the effective ones are X-ray, endoscopy and colonoscopy. On the other hand, it is also possible to conduct a biopsy of the mucous intestine.

Pre-X-ray from the X-ray, showing the area in the spleen vugilla, in which on the second day.

Colonoscopic dosage allows the colonoscopy to lull. manifest pathological changes before the hour of the ischemic colitis to lay down from the place of birth, in the course of the development of the disease. At the early stage of the development of the transient form of ischemia, it is possible to bruise, the mucous membrane of the child is fired, ignited, fluff. Often there is a small child, nagging, burning, bleeding.

Krym tsyogo, z'yavlyayutsya vipinnya, in the middle of your gut. It’s hard to find yourself in a zanedbane camp, there can be swings of different growths, as they hunted the circumference of the intestine itself. Around them there is a change of mucus shell.

The lines and patterns in the heritage can be set with obvious black polyps with the membranes above.

This kind of light is a small size, the stench can be lonely, but it can be rich. Approximately in three months, it is possible to turn it into a vortex, or else the stench can become scarred. Only a small amount of illness can occur as a result of a change in the internal intestine.

For the additional biopsy of the mucous intestine, it is possible to develop ischemic changes and steps of its development.

Ischemic colitis on the cob shows the following signs:

• Visnazhennya mucous і pidlizovogo ball of the intestine. At the same time, only the surface of the mucous and the evil of the upper ball is seen.
• Uncharacteristically inflamed mucous and mucous ball.
• Decreased tone of the mucous membrane of the intestine, the appearance of blood clots in small vessels.
• All the symptoms that may cause on ischemic colitis in the stage of necrosis of the mucous membrane of the intestine. With more neglected camps, such changes occur in the mucous і pidlizovy ball.
• Virazki with abscesses. If there are strictures, then the strictures are gone.

viyavleni characteristic signs colitis can be used for those who are biopsies one of the most effective ways to diagnose ischemia colitis.

visnovok

Ischemia of the intestine, the most diagnosed form of abdominal ischemia.

It is important to diagnose it, it needs a comprehensive understanding. Ailments of lіtnіh people, in others in parallel є heart-damned sickness, Heritage of such - ischemia.

Do not forget to forget, but at the same time carrying out diagnostics will help you to find the disease in the early stages of development. At the end of the day, if you need therapy and early prophylaxis.

Immediately, it means that there is often no direct link to any surgical pathology, but rather to be affected by organ problems, which grow into black empty spaces, or problems with the nervous system of the patient's patient, the patient's body. Provokuvati is called a more likely ignition process in the throat, viklikaniy in a flood of toxic speech, і її we develop ailments by the body.

In some cases, abdominal syndrome develops

Abdominal pain syndrome can achieve a foldable classification. Cleverly, it is possible to bring in people who are ill, on the smallest wines and to manifest themselves.

• Tse can be ailments of organs etching - hepatitis, cirrhosis of the liver, stenosis of the collar two-fingered intestines etc.
• Named abdominal pain can also be caused by abdominal pain and pathology of the organs of the breast - pneumonia, myocardial infarction, diverticulosis, stravohode, etc.
• The manifestation of abdominal syndrome was noted in case of infectious diseases. in the worst cases- syphilis, operative herpes and in.

In a special group of pathological conditions, which form the development of the described pathology, it is necessary to bring ailments, to the wickedness of the broken words, or immune system- Succinic diabetes, rheumatism and porphyria.

Yak is manifested bіl in case of different factors

Abdominal pain syndrome develops as a result of pain. The same tsya of the sign often helps the fakhivtsyam to put correct diagnosisі identify the cause of the disease. Struggle for an additional check-up of the patient, biochemical analysis of blood, ultrasound results, as well as X-ray of the organs of the chest and black empty.

1. Rise of spastic pain, as they win and know rapt, are of the nature of a painful attack. The stench often radiates to the back area, to the shoulder blade, across or lower picturesі supravodzhuyutsya tediousness, vomiting, accepting of a certain position, etc. As a rule, іх provoke ignition processes in the black empty, cutting off or deteriorating the function of the intestinal tract.
2. As well as the syndrome of wickedness to the stretching of empty organs, it is more aging and difficult.
3. And in case of structural changes, or even posed organs, peritoneal pain occurs. In the medical stench, the most unsafe vvazhayutsya and get the name " gostry lives". Such a b_l is rapt, it is poured, supervised zalnym nezduzhannyam and strong vomiting. With a change in the position, a cough or a cough - you can do it.
4. Imagined pain is diagnosed with pneumonia, infarction, pleurisy, etc. Before an hour of such attacks, a sick organ is caused, like a bi posture of a black empty, to get alive. Until then, you are prone to admit the symptoms of becoming ill, on the smallest descriptions of the syndrome - fever (as well as infection), for example, in the slopes (with ischemic disease of the heart and rheumatism).
5. And psychogenic pains are not tied to ailments of internal organs. Smells є neurotic and suffer the most frequent stresses, shocks and depressive camp of the ailing.

I would like to admit that if pains in my stomach are to blame, it will be the cause of the brutality to the drug, for that abdominal syndrome, as you have crossed over, maybe I will get to know how you will be able to use the termine operation and I will load my life sick.

Features to exhibit chronic abdominal pain

The syndrome of abdominal pain can manifest itself as malnourished and rapidly develop by attacks, or it can be of a protracted chronic nature.

In the rest of the fall, as a rule, the build-up stepwise and recurrently stretching out decliners and naval months. First of all, the chronic form of the syndrome is mainly formed in the presence of psychological factors, and not in the step of a lusty inflow. Tobto given pathology in such a world, it ceases to represent the steps of the main ailment and begins to develop according to its own laws.

Pre-adolescents vvazhayut that chronic abdominal syndrome often appears as a provoked camp of admitted depression. Such patients, as a rule, skarzhitsya for a day different localizations most of them - for example, they can have headaches, back pains, live, etc. One can often characterize their stink in this way: “I have all soreness to hurt”.

True, not all chronic pains in the stomach are affected by mental breakdowns - the stench can occur on the smallest oncological ailments, ailments of loam, and ischemic ailments of the heart. Ale in tsyom vypadka syndrome of a swab is surrounded by localization.

Manifest an abdominal syndrome, as a result of the term hospitalization

Yak already lost earlier, the abdominal syndrome in some cases can be familiar with the serious deterioration of the functioning of the organs in the black empty or her posture. For that, for this purpose do not give yourself not safe when there is a pain in the stomach, a trace of the nobility, in any kind of vomag of the termine beast for medical aid.

• as at once in pain there is a strong weakness, spoiled and apathy;
• there are many pediatric hematomas on those;
• torment a sick person with bagatoraz blues;
• abdominal muscles tension;
• at once with pain the tachycardia and the arterial grip decrease;
• the sick turbulent is a feverish woman who is unclear;
• obsyag abdomen strongly zbіlshuєtsya, suprovodzhuyuchis swerve with pain;
• gases do not come in, but peristaltic noises in the daytime;
• women have clear vision for bleeding.

Kozhen z tsikh is a sign (and more than one day) of a general consultation of a fahivtsya, so that I can appear as a manifestation of a life that is not safe for life.

Abdominal pain syndrome in children

Children are a special group behind the development of abdominal syndrome. This is tied to the child's body in a mind-boggling way to react to whatever factor is in order to ear.

So, in the early name of the name, the syndrome can appear to provoke supraworm gas solutions, which can cause intestinal coli in a baby. And the disease in the form of a cause can be a disease and inflammation (type of obstruction) of the intestine, as a result of a negligent hospitalization, or even in the presence of anomalies of organs in the black waste.

Abdominal syndrome in children of schoolchildren is most often known to be familiar with chronic gastroduodenitis or impaired functions of the fatigue. It is not common for the syndrome to develop on aphids or chronic pathologies of any type of abnormality. In children-pidlіtkіv wіn can be manifested when becoming menstrual cycle... Before the speech, in such a way, when I feel pain, I can see the familiarity of the cysts of yachniks.

Difficult diagnosis for abdominal syndrome in children

Abdominal syndrome in children with severe illness in the diagnosis of pathology, which became the cause of the onset of pain. It’s tied together, but a child is most often not in a snake to accurately characterize its perception, its localization, strength and manifestation of its radiance.

Mіzh іnshim, pedіatri sturdzhuyut, how babies often endure, whether it’s unsuccessful and because of discomfort they describe how much in the belly. We give a description of those who want to navigate in quiet vipadkas, if the child is clearly seeming to be spoiled, ill-feeling in vuhah, heads, or nudotu.

Ways to fight the abdominal syndrome in children, so that in older adults, it’s easy to stay out of the main anxiety, but we strongly recommend that fathers don’t take self-reliance on children who don’t antibiotic drugs. On the right, in the case of some kind of child, you can create a picture of how to see a child, to develop even more importance and without that it is important to diagnose and by yourself to diagnose serious inheritances.

And that means, when your child has a scarg for a beating in the stomach, and they are signs of an abdominal syndrome, it is necessary to turn into a drug. In the whole vipadku it is more beautiful to play it safe!

Manifesting the syndrome with GDVI

Frequently pediatric patients are susceptible to GDVI with abdominal syndrome. In children, the process is also tied to the special reaction of the body to the factor that makes us feel better.

Have such symptoms up to severe symptoms viral infections- sore throat, undead, cough, weakness and increased temperature - a little patient may have a positive feeling for bloating and pain in the abdomen. Alle the name, it can manifest itself as a special reaction to the organism of the child on infection, so, for example, I became aware of the chronic pathology of the organs of the black waste.

That is why the diagnosis "GDVI with abdominal syndrome" in medical stakes is imprecise and routine. Vin does not give a specific explanation, but to be seen in the body of a sick person at a given moment, but the patient with manifestations is indicative of the guessed syndrome of vimag of obovazkovy additional obstruction for the prevention of surgical reasons for the diagnosis of pain in the animal.

Like abdominal syndrome

At the point of time, how to describe the camp є we will not condemn the ailments, but deprive them of a complex of symptoms, struggling with the abdominal syndrome of slid, assimilating, in the first place, the cause, which has wicked ailment. Chimalu has a role in the general development of also the reduction of motor dislocations of the intestinal tract and the normalization of pain relief in the patient.

For usunennya discomfort, scho appearing on a number of problems with the shlunkovo-intestinal tract, as a rule, it means myotropic antispasmodics. Most popular among them є the drug "Drotaverin" cardiovascular system. Daniy zasib nada not only spasmolytic action, but additional help to reduce the viscosity of blood, so that it is not only possible for the dyskinesis of young people, swirling ailments a shlunk or a twelve-fingered intestine, and with ischemic ailments of the intestine.

There are no less drugs that appear to be used to blockers of muscarinic receptors (you can smell the stench for muscle relaxation and heart spasms) or to selective and nonselective cholinoblockers (Gastrocepeta). ...

Also abdominal ischemic syndrome

From the description of the visce small pains in the abdomen, in medicine, the syndrome of abdominal chronic ischemia is accepted. Wine is to develop for a trivial hour, the lack of blood flow in the small aorta as a result of:

• important heart-vindicators;
• arteries;
• vasculitis;
• anomalies in the development and health of the vessels;
• as well as the appearance of cicatricial stenosis due to injuries and operations.

Such a camp is littered with deaths (necrotization) of dalyanoks, or organs that do not fit in a sufficient world of water and do not produce a drop.

Cycavo, abdominal ischemic syndrome most often occurs in people aged 45 years. I manifest guilt, as a rule, a triadic sign - oppressive, uneasy, attack-like pain in the abdomen, intestinal dysfunction, and also progressive decrease in mass.

Yak struggling with abdominal ischemic syndrome

Bіl zyvichay to appear approximately through the first year of the year, and maybe even more until the next year. Innocent vona irradiation in the back or in the left part of the breast cage and superfluous flatulence, swelling, boredom, blues, right as a result of the accepted health.

Provokuvati may not be just a little, ale and physically stressful, but walking is fast, but it’s a bit of a calm self-help, however, only for some people who need to take an anti-stress risk.

When diagnosing "abdominal ischemic syndrome", treatment, such as in some types, is directed at the main disease. Affected people are encouraged to use the process of blood circulation, anticoagulation, and in cases of intestinal dysbacteriosis - to get rid of the microflora.

We are sick to admit that we recommend you to drink shot with other portions for rough ones, and in case of a heavy interruption, you may be shown promptly involved for renewal of blood circulation in abdominal aortic tubes.

Compartment syndrome

If the patient, as a result of the acceleration, suffering from injuries or surgical entrapments, the internal vise is moving, then such a standard is diagnosed as an abdominal compartment syndrome. It’s not safe to finish it, and it’s also because I’m suffering from pain in my stomach because of strength and localization, because I’m lying down and out of sight at the patient’s, and when I’m going out of bed.

Prior to speech, specific symptoms, such as talking about internal hypertension, it is not necessary to establish the named diagnosis of a lack of physical method of abdominal obstruction classic paintings getting sick. In a more precise way to identify hypertension in a given context, as to keep the fakhivtsi, є vimіryuvannya vise in the slash, as it і can serve as a point of reference for the recognition of the term adequate lyuvannya.

As you already spoke, the compartment syndrome is not a safe camp. Without a special treatment, it can lead not only to serious damage to the functions of organs of a black empty, but it can lead to a lethal result. As a rule, you have found the best way to deal with the guessing of abdominal syndrome є surgical involvement- this is the name of decompression, as a result of which the level of the internal vise is reduced and the blood circulation in the region is renewed.

Respiratory infections are affected by the most widespread ailments. In those chi іnshіy forms, they stick to the skin. Ale inodi of ailment is superseded by atypical signs that accelerate diagnostics. There is already, melodiously, a feeling about such a camp, like GDVI with an abdominal syndrome, but for a bagatech the diagnosis becomes a novelty. The daddy is especially turbulent, having felt a little more from the pediatric theater, looking at the child. Anyone who has a chance will have a chance to go on a trip, characteristic rice and diagnostic criteria.

For the diagnosis of viral infection with abdominal syndrome, eligible deprivation at the primary stage medical aid... It’s worth noting that it’s inaccurate and spreading, it’s just a little bit more verifiable, but it’s not just that, they thought about it. In addition, it is important to note that it has itself become the cause of damage to the body.

Walking of respiratory and abdominal symptoms as a result of development. Problems with the abdomen, as a rule, come through the inflamed lymph nodes (mesentery). In some cases, the process is drawn into a small group of empty organs. It is not possible to become involved in a neuro-reflexive abdominal syndrome, as the result of a rotational intoxication. The range of zbudniks, zdatnykh viclikati is a subtle range, to reach a wide range, including not only viruses. When there is a pain in the abdomen on the upper catarrh dikhalnyh nobles varto shukati pidtverzhennya for the spread of such infections:

• Enterovirusna.
• Adenovirusna.
• Mononucleosis.
• Cytomegalovirusna.
• Pseudotuberculosis.
• Hemorrhagic fever.

Yak bachimo I will not be safe They are highly infectious and an important interruption. Mesenteric ulcers can provoke influenza, angina and pneumonia. It is not obvious that one patient can have a sore throat. Toodi respirators show that they are not tied to abdominal ones, but there is a need for differential diagnostics with intestinal infections, gastroenterological and surgical pathology.

The causes of abdominal syndrome in older adults and children, which are indicative of the burning of the upper dysfunctional paths, can be caused by the development of the disease. І skin specific types of diagnostics.

symptoms

The character of the classic picture is tse persche, for the beast, uvagu likar. Analysis signifies ailments to become half of the diagnosis. A collection of information is available for the patient and details of anamnestic data. True, tsia information maє a great part sub'activities. It is possible to carry out a physical examination with an eye, palpation of the abdomen and other procedures (percussion, auscultation of legends). This will allow you to add important visual signs to the picture.

enterovirusna infection

Ailment, wiclicana enteroviruses (Koksaki, ECHO), often supervise lesions of the intestinal tract. This form of infection, as a rule, occurs among children early vikі newcomers. Ear of gostry, with fever. Then there is bloating, carrying, beating in the stomach. The intestine is swollen, grumble, the diarrhea is spasmodic up to 7-10 times for doba. Ridky style, bright, greenish or greenish vidtinku, with a slime in the house.

In children with a great post-life, catarrhal appearances appear on the side of the upper dichal nobles. When you look around, you start to see the mucous membrane of the palate, the arch, the back of the pharynx. Remaining the magranular viglyad. In a part of the patients of the enterovirus, it is a special type of infection of migdalin. The stench is covered with bulbs with a hole in the middle, as it can burst, blinding erosions. Characteristics of a sore throat Slightly increase in regional lymphatic universities(Підщелепні).

adenovirus infection

With abdominal syndrome in young children against pathology, the origin of adenovirus. Gastroenteritis є okremoyu in a classy form, Alle mozhe suprovodzhuvati and іnshі options. Infection is a burlivy ear with tediousness, blues, and a thin stile. Some children live in pain, flatulence appears, then the temperature rises to 39 degrees, watery diarrhea appears. In a large number of types, I will develop characteristic for adenoviruses, I will become:

• Faringit.
• Rinit.
• Conjunctivitis.

Yak specific accelerated can see the intestinal invagination. Vona Vinikaє anyway childish and are characterized by intense pain, abdominal swelling, swelling of style and gas. Vvazhaєtsya, scho її cause є mesenteric adenitis of internal lymph nodes.

mononucleosis

Cutting the organs of the black empty is often discouraged when infectious mononucleosis... Get caught up in the virus of Epstein-Barr, which you must show yourself, accumulate in organism and reach for a trivial hour (up to 50 dB). To fix the pathology of the intoxicating syndrome: weakness, aching in the body, headaches, decreased appetite. Then there are signs characteristic of mononucleosis:

• Lichomaniac.
• Sore throat.
• Improvement of lymph nodes.

The fiery changes in the throat can be seen by the hyperemia of the mucous membrane, the hypertrophy of the follicles (granulosa pharyngitis). Migdalini rozpushenі, zbіlshenі in size, they often show a lower deposit of a blue color. Children may have adenoiditis, through the voice of a googly-eyed vidtinok.

With mononucleosis, there are a lot of lymph nodes: shiiny, groin, groin, brijovy, parabronchial. Tse zumovlyuє appear pain in the abdomen, cough, zadishki. Children have abdominal syndrome in a simulu picture severe appendicitis. I often get to know pathology of malignant liver and spleen (hepatosplenomegaly). There is a great deal of severity and discomfort in the hypochondria. Okremikh patients have visip on shkiri (plyamista, urticarial, hemorrhagic).

Mononucleosis is trivial, close to the month, closer to the completion of the ailment, the symptoms will be eliminated. Some of the processes are stretched for a trivial period, so you can talk about protracted forms. In children up to 2 years, the clinical picture is often of a mastery of a malosymptomatic character.

Abdominal syndrome in mononucleosis is an important place in the clinical picture. Yogo pokazhennya tied with lesions of lymphoid-reticular tissue.

cytomegalovirus infection

The type of cytomegalovirus process is even more versatile: from localized and generalized forms, manifested and latent interruption. Naybilsh frequent manifestation hostile ailment vistupaє mononucleosis-like syndrome. Symptoms of intoxication with a slight turnover: periodic low-grade fever, weakness and volume. A little bit of a feverish build-up, growing up to 39 degrees. There are pains in the throat, a red mucus membrane of the pharynx, regional lymph nodes increase.

Infectious process can contradict liver lesions in vigellas hepatitis. Todi paciєntіv turbu nudota і blues, shkіrnі pokrivi zhovtіut. Ymovіrno і development of pancreatitis with pain in the abdomen. It is far from being a skin damage to internal organs, which is superficially manifested with clinical manifestations, without any symptoms. Expansion of the form of cytomegalovirus ailments are developed in case of immunodeficiency stans (including VIL-infections). The stench is characterized by urazhennya practically all organs: legends, heart, nervous system, shlunkovo-intestinal tract, eyes, nirok.

pseudotuberculosis

A clear picture of pseudotuberculosis is characterized by a special polymorphism. Incubation period in most cases, set up to 10 dB. Prior to the main syndromes, which are found in patients, they include:

• Likhomanku.
• Zagalnotoxic venom.
• Breaking the herbal tract.
• Respiratory signs.
• Show Suglobov.
• Visipannya on shkіrі.

Already on the first day, the temperature could rise to 39 degrees, moving up to 3 temperatures. Turbulent headaches, aches in til, nezduzhannya. Most of the symptoms in the meat are even more intense, in order to simulate the surgical pathology of the black emptying. A lot of slopes are seen at the sight of arthralgia, and then there are signs of fieryness: pochvoninnya, swelling, kilcepodibna eritem. Inodі urazhaєtsya kіlka zchlenuvan, including the ridge.

The involvement in the infectious process of the herbal tract is in the middle of the following options:

• Pain in the club, navkolopupkovy region, epigastria.
• Bluish and boring.
• The weakening of the style (with the houses slipping).
• Abdominal swelling.
• Improvement of liver and spleen.

In some cases, you can find a way to get rid of the queues, and in some cases, you can see a lot of mesenteric lymph nodes. Ale also react to the іnshі groups: food, pahvov. The stench is crumbling, elastic consistency, painless. With manifestation of respiratory syndrome in case of pseudotuberculosis varto mean:

• Sore throat.
• Nasal congestion.
• Dry cough.

I will look at the mucous membrane of the pharynx, the lykar will grow thicker and darker, like an hour less bending character ("burning ziv"). At the back of the throat, there are some elements (enanthema), the blinks grow, become plump. characteristic zovnishniy viglyad ailing: exposing pohervonіle і puffy, sclerae of the eyes with іn'єktovanі vessels. Mova with a sprinkle of coatings with biluvati nalot, ale through a day to cleanse, float "raspberry". Practically all patients have a small-point visip on shkiri tulubs and kintzivoks.

For pseudotuberculosis, it is even more characteristic of a decrease in the herbal system and catarrhal manifestations in the upper dichny paths.

hemorrhagic fever

I am not safe to become Infectious diseases, Scho prot_kayut s hemorrhagic syndrome. A number of feisty women (Lassa, Marburg, Ebola) have come before them. It smells like a high degree of contagion (contagion) and heavy interruption, in connection with which it can end unpleasantly. Infections are affected by viruses and supervised by multiple organisms. To that, the symptomatology is very useful:

• Lichomaniac.
• Intoxication (aches in tilі, nezduzhannya).
• Pain in the throat, stomach, breast cancer, Spin.
• Cough.
• Conjunctivitis.
• Bloating and diarrhea.
• Shkirny visip (plyamisto-papulogenous, hemorrhagic).
• Bleeding (nasal, uterine, slunk, hematuria).

Through the loss of ridin with blues, fertile style and blood, dehydration develops. Vona is characterized by dryness in the rota, sprago, decreased skin tone, bland and viscerality, frequent heart rate and drop in gripe, balm. All I am looking for is a direct concern for the patient's life.

Dodatkova diagnostics

To know more accurately about the abdominal syndrome, then to carry out additional pre-treatment. Diagnostics can include laboratory tests instrumental methods, I will allow you to establish the reason and specify the nature of the damage. Before them you can add:

• Zagalny blood analysis (leukocytes, erito- and thrombocytes, SHOE).
• Zagalny analysis of the section (leukocytes, blood cells, erythrocytes and cylindri).
• Biochemistry of blood (state-phase indicators, electrolysis, pechinkovy and nirkovy probes, coagulo- and proteinogram).
• Smear from the nose and nose (microscopy, inoculation, PCR).
• Serological analysis (value of antibodies to the origin).
• Analysis of feces (coprogram, bacterial culture).
• Ultrasound examination of internal organs (liver and spleen, slurry zone, nirok).
• Fibrogastroscopy.

A complex routine should not be passed without the participation of special specialties: ENT doctor, infectious disease specialist, surgeon, gastroenterologist. It is possible to say that only during the general diagnostics it is possible to say why, at the same time, there was no pain in the stomach. And then a specific therapy is carried out in order to indicate a drug. The patient needs to remember how rich it is to lie down in the freedom of the beast for medical aid.

Organism of skin people is unique. Some people vipadayut zіvіchno nіvіtіvі nіvіvі with a small undead, who vyadayut carry an important grip on their feet. Well, it’s a good thing for the hour if ailments fall on children whose immunity isn’t so much of a disease. To navigate the most appropriate GRZ among preschool and young school children is not often opposed to serious acceleration. For example, respiratory illness is often a superficial abdominal syndrome. Let's get rid of it, as for the ailment and how I struggle with it.

What about abdominal syndrome?

When a child is diagnosed with pains in the stomach, there are a lot of fathers who simply give them a pain in their stomachs, they are too much, but the cause of the discomfort was the problem with the organs of poisoning. However, it’s not like this: he can live for ailments due to no reason, not tied either with the intestines, or with the slag. In a similar disease, there is a medical name-abdominal syndrome. The term resembles the Latin "abdomen", which in the cross-section means "live". That is, everything that is tied to the whole part of the body, is abdominal. For example, intestines, shlunka, spleen, sechovy mikhur, Nirki - tse abdominal organizations. And gastritis, cholecystitis, pancreatitis and other pathologies of the intestinal tract - abdominal discomfort.

How to draw an analogy, how old it is, what about abdominal syndrome - that's all inappropriate views in the abdomen. When a patient's scars on the severity, bile, pokolyuvannya, spasms of the patient, it is necessary to correctly differentiate the symptoms, so that the diagnosis is not pardoned. The most frequent occurrences are found among children at the GRZ.

How to manifest abdominal syndrome in children with GRD?

GDH with abdominal syndrome is most often diagnosed in children of preschool and young school age. In the children's collectives, infection will expand from bliskavichnoy shvidkistyu. Symptoms of the ailment appear on days 2-5 after infection. Children are awaiting from:

• pain in the stomach,
• blues and nudoti,
• temperature adjustment,
• diarei,
• undead and cough,
• I have a sore throat
• mlyautes and weaknesses.

In such a rank, in obviousness, i intestinal infections... When the signs appear in the edge, it is important to correctly diagnose. A child may have a presence of respiratory disease plus pathology of the intestinal tract, as well as rotavirus infection. Stay also diagnosed as GDVI with abdominal syndrome. And the axis of the method of treating the disease is developing.

What are the methods of diagnostics of the vicious lycar?

If there is a diagnosis of GRD with abdominal syndrome, children will inadvertently turn up to a drug. Self-abuse is unacceptable, and volition can be viciously delayed. To put the correct diagnosis, the doctor will carry out enzyme immunoassay, electronic microscopy, diffuse precipitation. It’s not easy to get around and without such folding messages, the cause of the ailment in key to show and based on anamnesis. With rotavirus infection, there are symptoms of cold, it is not the ENT organs that are inflamed, but the slunk-intestinal tract, mainly the intestine.

Yake lіkuvannya dopomagає?

Treatment of acute respiratory infections with abdominal syndrome in children is developed from urahuvannya clinical picture. If pain in the abdomen is affected by the products of the living of respiratory viruses, to carry out the therapy of the main ailment and rehydration of the body with sorbents. In case of rotavirus infection, indicate assets not vugilla, Sorbenti, for special children and ryasne pittya. As soon as the child has a diarrhea, he should vip the probiotics.

Most often in the complex license of the GRZ, they recognize children random drug Derinat. Volodiyuchi anti-tiering effect, we will actively fight against sickness sickness. Reparative power of the lika will be unavailable shvidke zagєnnya uzhenoj mucous and change the risk of attributing secondary infections. Derinat efficiently regulates and immune processes: it doesn’t work well, but it doesn’t pour on those that function and without that good. Winning over to the penetration of infection and to the senses of the body, as the child has been drinking all the way through the middle.

Derinat can help to overcome the ailment. Read more about the drug on the website and in the instructions. More about those, you have a license. Good luck!

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