The expanse of Morrison in the black empty space. Ultrasound detection of black empty

doslіdzhennya black emptyі її organs are set to be fixed, so that they work in a real hour scale, equipped with line, convex, sector and special probes with scanning frequencies 2.6, 3.5, 5 and 7.5 MHz.

In this hour, you can see chotiri vidi of ultrasound dosage:

• call,
• through the crotch,
• internal traffic,
• intraoperative.

Through the availability in the completeness of the basic attachment of special probes for endocutaneous and intraoperative dosage, in practice, most often the method of calling dosage is being developed, on the next report.

Іsnuyut rіznі pіdhodi to methods zovnіshnogo ehografіchnogo doslіdzhennya cherevnoї porozhnini i її organіv against in whether Money Does vipadku slіd dotrimuvatisya Pevnyi metodologіchnі rules SSMSC dozvolyayut maximum nablizitisya to Bazhanov result: zagalny oglyadovy Glancing cherevnoї porozhnini dozvolyaє otsіniti mill i pіdshkіrnoї zhirovoї klіtkovini, viyaviti grizhі i the development of the front row, the turn of the parietal queue and the appearance of the new age in the black empty; tsіlespryamannye dlіdzhennya okremikh organs іvnogo empties allowє to assess the size of the organ, its topographic and anatomical setting to the susіdnіh organs, looseness, shape, contours, size, body, duct, stems, and also the size of the tissue a detailed sighting look allows you to play around with sickly little children, palpated approval and look around the organs for the transfer of sick people.

Ocherevina as a whole in the norm is not piloted. In some cases, on the equal frontal wall of the abdomen, it is possible to differentiate between the partial walls of the vigilance of the vuzkoy echogenicity of the abdomen. With great ascites in the viglyadi of such an echogenicity, the location of the intestinal loops of the intestinal loops is possible.

pathology

shkodzhennya queue

Self-development of the queue is very rare. Echographic interest is represented by a history of injuries or trauma to internal organs for the purpose of the nature of the disorder, the manifestation of internal bleeding, peritonitis, etc.

Bleeding in the black empty

It can be found in cases of severe injuries of internal organs, most often in cases of intestinal tears from the breech, and spleen, as well as in case of ovarian apoplexy and development of tubal vaginosity.

At the first year of injury, a rare roof appears in the black empty places of anechogenic stocks, as in the fallowness from the time of position, there can be a change in shape. During the 24-48 years of the present process of reorganization, the shelter has changed its shape and behavior. Floating growths are detected and fixed to the intestines (clots).

hematoma

Svіzha (post-traumatic or as a result of collapse of the throat), the hematoma is located as an anechogenic illumination of young growths, unassigned form and with unclear contours. The process of aging can occur in two phases: a weaklychogenic capsule is established on the periphery, and in the middle of an anechogenic round - a pomilkovo cyst, which in some cases is suppressed and transformed into an abscess. Another phase is characterized by a change in hematoma in the development and an increase in efficiency due to the appearance of elements of calcification.

ailing

ascites

The price of buying a great number of years in the black empty. frequent reasons ascites є:, pericardium, nirok, alimentary dystrophy in її nabryaku, congestion in the system of vortic veins in case of liver cirrhosis or hepatitis, ocular cancer, ovarian carcinoma іn.

Slide it means that there is a small amount of age in the normal empty space, and there is a small amount of spring in the back space and the first time before menstruation.

A clean non-ascitic ridina is located near the anechogenic zones, in the lying position it accumulates in the middle of the ear about and in the gates of the stove, in the box of the chewing mikhur. With an increase in the size of the bed, it expands to the bottom of the abdomen, the malium pelvis and the space of Morrison. For detection of small quantities of birth, the dosage should be carried out in different positions and standing. On the smallest great number of ascitic lines, they are kindly piloted to navigate small changes in the stove, floating zhovchny mikhur with enticing subliminal contours, bowel loops, peristalsis, appendicular appendix, uterus, tubes and ovaries. Often, floating ecosignals (fibrin) can be played on a single line. When the indicator changes, its behavior changes in the direction of movement, and on the other hand, the purchase of other and larger floating signals (gnii) is located.

I would like to have a good respect for the good regulation (contrast and light) of the apparatus, the selection of an adequate scan of the probe, it is possible to piecemeal the illusion of the visibility or the presence of the line in the black empty.

Ascites has been differentiated among a number of other solutions, such as the great boughs of the oysters, giant mixomas, echinococcal cysts of the intestine, breeches, lipomatosis and those who can not survive all the dose internal organizations, І, unfortunately, we often attribute decompensations to such ailments. True, for the help of the expatriation, it is expected to be given a pardon. For the differentiation of the situation of the sick person in the position on the stomach through the transverse area and in the middle of the area. At any given time, it is possible to see the internal organizations and actions of the specific features of the statement, taken for ascites.

It’s an hour to stay behind for an additional expiration of time to try to separate the ascites of a good and evil proclamation, especially if it’s uncomfortable to find a place of cancer. To get involved, if in case of good (cirrhosis) ascites, the stink of the moth's michur is raised (up to 4 mm or more), with a lower contour and the appearance of cholesterol stones or a siege (however, there may be three% of these The wall of the mikhura is single, the tovshchina does not change 3 mm, the whole day or so the familiar cholestasis in the chewing mikhura. With cancerous ascites, the intestinal loops are enlarged, rigid, without visible peristalsis.

However, tsі danі will require revision on the great key material.

The preparation can be used for cytological confirmation laboratory dosage ascitic rіdini.

Zapalennya queue (peritonitis)

The zapalennya queue can be a gostre or a chronicle. Due to the nature of the broadening of the ignition process on the surface of the queue, the following forms: peritonitis is divided and diffused (discharged).

diffuse peritonitis

Diffuse peritonitis can be musculoskeletal, which occupies one anatomical region of the abdomen and grows in the immediate vicinity of dzherel infections (hospitality destructive appendicitis, host cholecystitis, pancreatitis, two-fingered intestines, Intestinal trauma), and we will enlarge, as well as occupy a part of the anatomical regions of the abdomen, so that if it is a part of infectious dzherel. Striking all the queues is called zagalny peritonitis. V CLINIC PRACTICE to detect peritonitis of unclear ethology, if the infection does not appear on the operating table.

The echographic picture of diffuse peritonitis (muscular or widened) is found at the stage of the occlusion in the ignition process. On the cob stage, the ochrevina is degraded, there is a slight increase in the appearance and the presence of a symptom of echo reflection from the cavernous stem, through which it is important to visually capture the internal organisms. Ridina (transudate abo gniy) appears in the early stages of the black emptying, the differentiation is difficult.

Peritoneal conditions (abscesses)

Echographic diagnostics of the interchangeable purchases of days in the middle of empty days are significant difficulties and in the form of a great concern about the localization and correct interpretation of the situation. For a number of steps to follow the singing rules:

• Good nobles topographic anatomy on top of the worms, peritoneal and retroperitoneal spaces - a mizts, de most often there can be a purchase of ridini.
• With the preliminaries of success, all the conditions of the people are allowed, to the extent that the state of health is allowed.
• For the polishing of the visualization of the demand, the physicists must be able to use them (stove, spleen, sečovy mihur and іn.).
• For the organization of the demand, the vicoristovuvati lay down to the head of the anatomical statement (pechinka, zhovchny michur, pidshlunkovy zloza, great judges, intestinal loops, spleen, sechovy michur, uterus and in.).

• For the correct exponential interpretation of the revealed purchase of the day, it is necessary to carry out an exhibition with the key tributes of the sick person for the day beforehand.

They are unimportant on the folding, with the obviousness of the knowledge of the presenter of the ekhograph є by one method, which allows without any special problems to diagnose the abscess of the empty. More beautifully, the right half of the black empty and the left lower quadrant is visible. Diagnostics of the abscess upper quadrant of the spine is twisted, the transverse colon and the slurry are inserted, especially if it is possible to revenge the data, as well as the spleen in times of improvement.

Intermediate abscesses of the worms are increased by key interruption on hospitality and chronicle; on rostashuvannyu on the sub-phragmatic and pendulum - rostasovuyutsya at the upper edge of the black empty; mіzhkishkovі - їх localization can be like; the small pelvis is localized: in choloviks in the rectum-michurovo, in females - in the rectal-uterine depressions (Douglas space).

The echographic picture is polymorphic and it is abundant in what to lie down for whatever reason, to lead to the development of an abscess, the first evolutionary stage.

gostry abscess

Independently of the localization process, the oval-podvzhenie of the non-negligible ones with the irregular kutas, with the weakly corrugated periphery (contours) and the lesser echogenicity in the middle. In some cases, it is possible to fly into small-point floating small-point switching-on (gn_y). Gostry abscess can end up with more rosmoktuvannyam or go to the chronic stage.

chronic abscess

In the process of evolution, the evolutionary process changes in the context of evolution. To establish itself as a very efficient capsule, instead of polyechogenically, so that the presence of high and low efficiency, and only one and one calcification.

Right subphrenic abscess

In the classic version, it grows between the echogenicity of the male diaphragm and the capsule of the liver.

Slid differentiation:

- as an abscess, rosted in the oven without a capsule. At the same time, the irregularity of the contours of the capsule is located, when the position of the body changes, it does not change its shape;

- as the manifestation of the line in the sinus pleural emptying... Staying when changing the position of the body, especially in the standing position of the sick person, changing its shape and position;

- from non-releasing simple or echinococcal cysts - from the day of the gostra klinika;

- the kind of fluff, rosted on the diaphragmatic surface of the stove, and in.

Livy subphrenic abscess

It is even more difficult to develop and are great diagnostic difficulties.

For further development, you can use different options for scanning. Most often it is possible to get through with intercostal scan.

Slid differentiation:

- from the slunker with the appearance of a small one. After the filling of water supply (2 bottles of water) instead of the slurry, it is brought into the ruck, so that the abscess does not change its position and shape;

- from widened intestinal loops with high obstruction, especially if there is a peristalsis;

- type of cyst and intestinal diverticulum;

- from a high-growth cysts of a egg when the spleen is out.

In all cases, additional information is provided about the possible reason for the information and the state standard.

mіzhkishkovі abscesses

.Echographic diagnosis of intestinal abscesses is even more twisted due to the presence of low factors (a large number of intertwining loops of the small intestine, intestinal paresis, which can lead to uneven enlarged intestinal loops, reflecting gas in the intestines)

In some cases, with an active onslaught, one can know a malignant localization of an abscess. Ensuring the slid to be carried out in the new positions of the body and using different methods scanned. Brush the results and get rid of the multi-hertz probe and repeated dosages.

Abscess of rectal-uterine death (Douglas space)

Disease often, the reasons for the destructive form of a gastric appendicitis, ginny gynecological illness and transfer of ginny raslitiy peritonitis. Echography is used as a highly effective method of detecting and differentiating different types of markets in the whole region.

I, unaffected by the price, is a dietary differentiation from stanivs similar to abscesses, such as:

- cutting the pipe with post-vaginal vaginosity,

- cutting follicular brush,

- brush information,

- apoplexy of the yachnik,

- pyosalpinx,

- ureterocele, reference and unjustified diverticulum of the cuticle michur,

- the appearance of a small amount of blood due to injuries,

- the appearance of a small amount of birth before the menstrual period.

Skin z tsikh stanіv maє pevnu cool picture, And їх ekhokartіni are described in the general distributions.

Ehografіya Je visokoіnformativnim method dіagnostiki bіlshostі pіslyaoperatsіynih rіdinnih (abstsesіv) i schіlnih (іnfіltratіv) utvoren cherevnoї porozhnini, daє mozhlivіst viznachiti їh lokalіzatsіyu, stezhiti for dinamіkoyu їh rozvitku, zdіysnyuvati control vklyuchayuchi punktsіynu bіopsіyu, dopomogti hіrurgu at viborі pravilnoї tactics lіkuvannya (conservative abo hіrurgіchne ).

The cosmogonic myth of representations in Morrison is arranged through the eschatology and ambivalence of symbolism, zokrem, water. The images of the water literally flood the text of the space: the whole archetype of the sea, the river, the ocean, the coast, from one side, and the bathtub, the beach - from the other. In the mythological tradition, the water behind its sutta is tied both to death, and from the vital: beyond the sea lies the kingdom of the dead, from the sea and the vicinities of life. “Let's drink until the month / Let's go for a walk at high tide / let's check the lights / see the shore ... / Don't go to the hour / We entered the river / In our monthly walk ... / Let's take a ride / Down to the ocean / Down, down, down "".

“I know the inner intelligence of the descriptions, how to talk about the links with archetypes; the scene of the sea and the land can be seen as an important admission to the experience of the cordon, the threshold between the endless and the endless ones. " The first way, the core of the symbolism of the sea and the development of Morrison's, is the image of the field: "I want to die in a clean field / I see a snake." This phrase is a quintessence of the mythological poetry of Morrice. Mythologemi "poly-sea" may be a spilny banner-bezdezhzha, sense of which - drawing into the original plan of the butty. In this way, it is possible to transmit the image to Chaos, reflections in the very differences in the traditions of dressing with the water element, and articulating the theme of death and dreaming, as if a transcendental vitality, to what people see the sea. The thread stretches to the figure of the God of the Earth, who was revered as the ruler of the sea. "Nichny" accent is due to the symbolism of the month, which is to the detachments of the earthly light and one of the hypostases of the God of the Earth (among some peoples, the month and the serpent are represented). Otzhe, the transcript of the phrase "Let's drink until the month" sounds like "Let's drink to God Pekla": "I call the dark / pricked up crooked gods."

In the neolithic cults, the sea respected to be found on the Sunset, apparently, the semantic connection between the disciples "sea" and "Zakhid" was established, thus entering the abode of the God of the Earth was sent to the Sunset: "I was sent according to the King ... / .. / More beautiful - on Zakhid "(in the mythology of the Bagatykh of Indian tribes on the Entry of the Bula land to mourn the spirits). In the last rows, the author identifies himself with an ancient god: “I am a guide in the labyrinth of the Monarch in the little palaces / On a ts'omu kam'yaniy pidlozi”.

Morrison's mythology has two ways to relive the myth:

transpersonal memory, the gift and technology of self-development, as we can roam the beast to the power of turns;

a special apparatus of perception, which is connected with the archaic structures of the psyche.

Like a myth, Morrison's misnomer on a sensitively-metaphorical opera, concrete and personal: “My flesh is alive / My hands are like a stench to crumble / Spritny and nasty ones are like demons / My hair is like a dream / My vognanny language is a sword / spread out with words-іskri. " For the manifestation of Morrison, the archaic aspects of cult systems, zokrem, the spiritualization of the navkolishny middle are especially characteristic. So, for example, vin is systematically living in English stagnate to deprive people; all the inspirational or the unspiritualized about the guilt is conceived as "it". Morrison's mythological ear is not only amassed by cultural traditions, but by the power of his psychophysics, who self-identifies with nature: “... Those who are called organic mythology. The clarity of the mythological model of light is not only and not the style in the critical layers of the leaf, but in the pictorial text, to talk about the visibility of the mythology as a matter of fact. The "mischievous" poet of the other half of the 20th century has an image of a place like such a practical day. It’s a big deal, but Morrison is a product of urbanized civilization. The space in the texts begins to grow, and the structure is grounded on the images of elements (water, fire), mythologems of lisu and crossing.

In the iconic-mythological complex of Morrison, the axial parameter of spacious semantics is to include “in the minds of people”, “civilization is nature”: “Let's leave the rotten world / For the good forest”. (in the dualistic mythology of the greater number of peoples, the "settlement - the forest" is opposed by one of the main ones.) "For the people of tradition, the characteristic is the pragmatic virubati lis, the" okulturiti "of the tree in the log for the everyday life.

To Morrison, the power is absolutely ringing tendencies. The image of the "good fox" of the new one against the "neon gaiu rotten mist".

The apotheosis of Morrison's religious eskhatology is the text Blood in the streets: “Shelter on the streets / Reaching the ankles / Shelter on the streets / Reaching the shia / Shelter on the streets / Mista Chicago .. / Shelter on the streets / passing through me . ". Here, the semantic unit of the skin row is the image of blood, but the" trim "is the regular pulsation of the rhythm of the entire score. The cycle repeats itself. ”The whole motive is to adapt to the figure of the stake - one of the key units of Morrison's sacred geometry.

Єremєєva O.V., m-kultura.ru

The patient is guilty of lying on his back, at the same time all life is in place, while in the abducted position, or in the position on the right or on the right side, there is a skin bik. In case of manifestation of meteorism, the patient's position is observed. At the jokes of the line of scanuvati, the most low-rise belly dies in all projections. Ridina is seen at the sight of anechogenic zones.

Small numbers of days will be picked up in two moments in the stomach:

1. In women in the back space (in the space of Douglas).
2. The choloviks are in hepatorenal death (in the Morrison's colony).

Ultrasound є by an accurate method of determining the age in the black empty

In the presence of a large number of lateral colonies (death between the parietal queue and the intestine), it will be memorized by the lateral colon. If a little bit of a line grows, you will be able to fill up all the empty stuff. The intestinal loops will float in the back, while the gas in the intestinal lumen will be collected from the anterior cervical wall and move when the patient's position changes. If the breeches are swept up as a result of the swollen infiltration, the inflamed intestine will be less crumbling, and at the same time, there will be a small amount of empty stomach and intestinal loops.

Ultrasound cannot develop ascites, shelter, zhovch, gn_y and I cut. Needed fine-needle aspiration for the character of the birth

The spike process in the intermittent emptying can give an illumination of the partitions, while at the same time it can be shielded by the gas in the middle of the intestine or by the gas. It may be worthwhile to carry out additional education in different conditions.

Great bones can simulate ascites. Doslidzhute all life on the subject of the appearance of a new age, especially in the lateral canals and the small pelvis.

Under ultrasound control, it is possible to aspirate small amounts of time, but for the aspiration of the necessary changes

intestinal health

1. Solid illumination in the intestines can be plump, fiery (for example, amoebic) or approved for ascariasis. Allow the intestines to develop the form of nirka. With ultrasound, there is a draining of the wall, irregularity, swelling and uncleanness of the contours. Firing abnormally inflamed infiltration can lead to intestinal fixation, and the appearance of a small amount of inflammation as a result of perforation or bleeding. Clarification of organisation can be foldable.

In case of intestinal swelling, it is necessary to prevent metastases in the liver, as well as to improve anechogenic lymph nodes in the liver. Normal lymphatic universities are very susceptible to ultrasound detection.

1. Solid insight into the bowel posture. Lots of people often get angry and hypoechogenic educate themselves on the appearance of lymphoma or the growth of lymph universities. Children in the paths can see the appearance of Berkitt's lymphoma, at the same time it is necessary for children to be aware of the same fluff. Ultrasonic differentiation of lymphadenitis and tuberculous lymphadenitis can be even more collapsible.

Outer urinary sarcoma occurs infrequently and may be represented by a great, solid structure of developmental echogenicity. At the center of the swelling, there may be a small amount of necrosis. At the same time, it is important to see a hypoechogenic or a change in echogenicity as a result of development.

Dose for appendicitis

Ultrasound diagnosis of severe appendicitis can be foldable and uncomfortable. Required singing dosvid.

With adolescence on gostry appendicitis The patient is in the position lying on the back, with a 5 MHz sensor. Place a pillow on the knee to relax the abdomen, apply the gel on the lower right side of the abdomen and repair the scan later with light pressure on the sensor. For intestinal replacement, use more pressure. If the intestinal loops are fired up, then the stench will be fixed, they will not have peristalsis: ailment can be more important than a fight.

The firing of the worm-like outgrowth is visible in the transverse view and the structure is fixed with concentric balls ("target"). Internal education can be hypoechogenic, let us isolate the hypoechogenic zone by the zone: hypoechogenic intestine is visible near the zone and the bulge. In later sprays, the same structure has a smaller tubular shape. With perforation of the appendix, it can begin with the fuzzy contours of an anechogenic or destructive echogenicity zone, which expands into the pelvis anyway.

Symptoms of intestinal discomfort in children

Ultrasound dosage even more effective with the onset of pediatric illnesses.

Hypertrophic collar stenosis

Diagnosis in a large number of cases can be delivered clinically in case of palpation of an olive-like form of collar growth. It can also be easily detected and accurately diagnosed by ultrasound detection. As a result of the growth of the nut ball of the collar, which in the standard does not change 4 mm, there will be a hypoechogenic zone. The transverse internal diameter of the pyloric canal is not guilty of overhanging 2 mm. Gastrostasis will appear in front of the child's slunk with warm liquorice water, as it is necessary to give the child to the child's later illusions.

In the later stages of the growth of the pyloric canal, the child is not guilty of overhanging 2 cm. If the change in size is stronger than the age for the manifestation of hypertrophic stenosis of the collar.

інвагінація

When a clinician is aware of the presence of an ultrasound examination of the intestine, it is possible to detect it in some types of infection in the form of a sausage: on the transverse eyes, the appearance of concentric intestines is also characteristic of the intestine, as well as There is a hypoechogenic peripheral rim with a thickness of 8 mm and a larger diameter of more than 3 cm.

Children have ultrasonic diagnostics of hypertrophy of the gateway and the diagnosis of vimaginous information and retailers' clinical correlation.

ascariasis

The appearance of illumination in any part of the intestine may result in ascariasis: in case of transverse scan, there are types of concentric cells of the intestinal wall and it is possible to find space in the enlightenment of helminths. Ascaris can be crumbling, їkh ruku can be spared when scanned in real time. It can become a perforation into the empty hole.

Infectious disease of human immunodeficiency virus

VIL-Infectious Patients are often lukewarm, however, the Infections are not necessarily based on clinical methods. Ultrasound dosage can be very useful for detecting abscesses in empty and low lymph nodes. at intestinal imperfections overstretched loops of the small intestine with pathologically changed mucous membrane can appear already at the early stages with ultrasound pre-examination.

Ultrasound pre-detection can include the onset of a standard set of methods for pre-detection of organs:

1. Pechinki.
2. Spleens.
3. Both sub-phrenic spaces.
4. Nirok.
5. Small pelvis.
6. Be-like pedagogical education from vibuhne abo sickness.
7. Para-aortic and pelvic lymph nodes.

If the patient is informed by the patient's temperature, it is necessary to carry out an ultrasound examination of the organs in the black empty and small pelvis.

Pre-detection ultrasound is not suitable for the diagnosis of bacterial and fungal infections. With the presence of gas in the abscess, the most important is the presence of bacterial infections, if there is a possibility of additional bacterial and fungal infections.