Saturday, May 30, 2009
Indications To Surgical Intervention: A - Toxic Craw
Indications to surgical intervention: a - toxic craw of the average and heavy form, a central toxic craw ( an adenoma), the big craw squeezing bodies of a neck irrespective of weight . Before operation - it is necessary to lead to thyroid gland function to a condition. Contra-indications to surgical intervention: easy forms , at the old exhausted patients in connection with the big operational risk, at patients with irreversible - changes of a liver, kidneys, cardiovascular and mental - diseases. At and a multinodal toxic craw make bilateral subtotal a - thyroid gland resection-, at a toxic adenoma - A resection of a corresponding - share of gland. Postoperative complications. Intraoperatsionnye complications-: bleedings, air , damage of a returnable nerve, removal or damage of parathyroid glands with the - subsequent development . At damage of both returnable nerves at the patient comes - sharp and only immediate tracheas or can rescue the patient. At patients in the postoperative period the - most dangerous complication - development a crisis.
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Clinic: quickly progressing, sharp inflammatory process extends on language, a throat, cervical . Last also accepts almost black colour. The - difficulty of swallowing, a fetid smell from a mouth are observed , . Sometimes because of a throat hypostasis there is an asthma. Ludwig's quite often quinsy becomes complicated development . Treatment: surgical - deep cuts from outside oral cavities and wide external cuts in submaxillary area and on a neck. The prescription of antibiotics of a wide spectrum of action is necessary.
Approximately in 0.2 seconds, After closing, the vocal crack is reflex opens and inside Pulmonary air with force exhausts. The kashlevoj certificate has 5 components: 1 Excitation of receptors of cough, 2 centripetal impulses on To nerves, 3 centre of cough not full defined in brain structures, 4 nervous impulses, 5 muscles of executive powers and Elements. In summary it is necessary to notice that receptors Cough find everywhere - throughout all air line of bronchial tubes, in The top part , in external acoustical pass, a pericardium and a diaphragm.
In particular it is not possible to provide due scope of the population by inoculations. World experience of vaccinal prevention Yeast Infection testifies that only scope of 90-95 % of the susceptible population in terms can provide appreciable preventive success and proof results. Such scope of the population of the Earth by inoculations against a smallpox has led to liquidation of this disease at the person.
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