1. Presence Of Open Cavities With Allocation ,

1. Presence of open cavities with allocation , a containing bacterium, at failure of medicamentous treatment during 3 - 6 , menacing lives of a bleeding from cavities, constant - or repeated , the thick-walled cavities formed of cavities at which cavity scarring is impossible, constantly is available infection and relapse threat, process. 2. Presence considerable residual processes without (cavity "blocking", , extended ) Antitubercular means do not get into these centres through a fibrous fabric and do not provide their sterilisation. 3. Cicatricial bronchial tubes after tubercular - defeat. 4. Presence of the centres of the infection caused atypical by sticks as at such patients the infection is steady against medicamentous means. 5. Complication defeats pleurae and a - lung collapse (thus the resection of a lung and quite often is required). 6. Suspicion on development against a new growth tuberculosis. At a tuberculosis of lungs, besides a resection of the amazed department of a lung, under special indications can be executed , , a resection a bronchial tube, removal lymph nodes, a lung.

The Definitive Diagnosis Allows To Establish Tumours. Treatment:

the definitive diagnosis allows to establish tumours. Treatment: removal of the central tumour through do not recommend to make from for dangers of a bleeding and - possible thus . Radical intervention is the bronchial tube resection at which the tumour basis should be removed. A question on removal of a part of the lung which was a condition -, solve depending on the changes found out in it. At presence abscesses, -, a pulmonary fabric the amazed part of a lung beside to removal. In the absence of these changes depending on volume of the made resection of a bronchial tube ( or a circular - resection) defect in a bronchial tube wall take in separate seams or impose interbronchial . At the tumours growing , the clinical - semiology develops slowly, full a bronchial tube comes - seldom. The preoperative diagnosis at such tumours is extremely difficult, character of a tumour is established only during operation - which to a thicket comes to the end with a share or lung resection. The peripheral good-quality tumour usually very long anything does not show itself.

At Suspicion On Malignant Regeneration, At Neck Bodies

At suspicion on malignant regeneration, at neck bodies by the big craw operation is shown. Make a subtotal resection of a thyroid gland. After operation - treatment owing to inevitably developing - is necessary-. Chronic fibrous Ridelja. Disease - is characterised by growth in a thyroid gland of the connecting fabric replacing it , involving in process of surrounding - fabrics. The disease aetiology is not established. Clinic and diagnostics. The thyroid gland is increased, stony density, is soldered to surrounding - fabrics. Moderate signs are marked. Pressure upon a gullet, a trachea, vessels and nerves cause corresponding semiology. Treatment: before operation it is almost impossible to exclude a malignant tumour of a thyroid gland, therefore at Ridelja is shown surgical intervention. Make greatest possible fabrics with the subsequent replaceable therapy. THYROID GLAND TUMOURS Kliniko-morphological classification of tumours of a thyroid gland 1. Good-quality tumours , , , a fibroma, , , , 2.

After Operation - Even At Great Volume Of

After operation - even at great volume of a deleted part of a lung (or - lungs) at people of young age the condition quickly improves and work capacity is restored. THE LUNG a lung make from 2 to 5 % of purulent - diseases of lungs. Distinguish congenital and got, and plural . Congenital subdivide on , developed from a bronchial tree (bronchial ), and , having an alveolar structure At bronchial , - covering them from within, consists from cylindrical or - cages. Got it is necessary to distinguish from residual cavities in the lungs formed after abscesses, disintegration and other destructive processes To got carry thin-walled air -, settling down directly under a pleura ( a lung) or in an intershare furrow. They are formed owing to rupture of alveoluses directly under a pleura without damage of last. The cover such consists of a fibrous - connecting fabric and alveolar . The elements making a wall of a bronchial tube (a cartilage, muscular fibres, etc.), the wall does not contain. can be completely closed-, filled separated mucous glands, however have the message with a bronchial tree is more often.

Definitively The Diagnosis Put At Cytologic Research From

Definitively the diagnosis put at cytologic research from a nipple and histologic research remote central a mammary gland site. - a good-quality tumour - origins; settles down over a mammary gland fabric, between segments of a fabric of a mammary gland and in retromammar th space. A tumour of a soft consistence, a lobular structure-. Meets more often at older persons. On comes to light - in the form of an enlightenment with accurate equal contours against more dense ferruterous fabric. Treatment: surgical - tumour removal. MAMMARY GLAND TUMOURS Mammary gland cancer (Great Britain, Canada, Austria, Denmark, the USA) the mammary gland cancer is in many countries on the first place among - malignant new growths at women. In the USSR disease in various republics varies. The highest indicators of disease are noted in the Estonian Soviet Socialist Republic, the Latvian Soviet Socialist Republic, the Lithuanian Soviet Socialist Republic, low - in the Tadjik Soviet Socialist Republic, the Turkmen Soviet Socialist Republic.

Often Disease - Is Accompanied By The Phenomena

Often disease - is accompanied by the phenomena nonspecific . Characteristic signs forms of the peripheral cancer, allowing to distinguish it from a banal abscess, - gradual development of disease, moderate rise in temperature and absence plentiful are The patient usually separates 100 - 150 ml mucous with an impurity of flavourless blood. The condition of the patient, despite branch , does not improve. Radiological features are on the big cavity with the thick walls which internal contour is corroded. As a rule, these cavities contain - not enough liquid, pulmonary sequesters are absent. Bronhoskopichesky research at a peripheral cancer before its germination in a large bronchial tube reveals only indirect signs of a tumour: displacement of bronchial branches, narrowing of their - gleam, form change. To receive histologic the diagnosis helps to a tumour, spent by a puncture - its thin needle through a chest wall. Atypical forms of a cancer of a lung. The mediastinalnaja form. A - clinical picture at this form presence of plural - metastasises in lymph nodes in the absence of distinctly defined primary centre in a lung defines the - First symptoms attracting attention of the patient: Sudden occurrence of puffiness of the person and neck, short wind, dry cough, sometimes sudden occurrence for the account a returnable - nerve.

The Analysis Of Pictures Allows To Judge The

The analysis of pictures allows to judge the form, outlines, defects of filling of channels. . The method is based on registration of infra-red radiation by means of the special device - of a thermograph . apply to differential - diagnostics at palpated formations. Skin temperature over a malignant tumour on 1,5 - 2� above in comparison with - skin temperature over good-quality formation and a symmetric site of a skin of a healthy mammary gland. - in the conditions of hyperbaric oxygenation raises - method possibilities. Ultrasonic . The method gives the chance to spend the - differential diagnosis between a cancer and good-quality - processes of a mammary gland as in malignant tumours contains more than the dense structures reflecting - sound waves, than in the good-quality. With the advent of perfect devices the method finds the increasing application. Morphological research is the basic method of diagnostics of character of new growths of a mammary gland. - Apply cytologic research tumours or - from a nipple.

At Tertiary , - Connected With Defeat And

At tertiary , - connected with defeat and production infringement TRH, level raises under the influence of TRH. a thyroid gland it is obligatory at all patients not only at suspicion on a thyroid gland cancer, but also at - any central craw. It should be made before operation by a way punctures of gland or as the result - will define volume of operative intervention and the - further treatment. it is spent at each patient with a craw even in the absence of voice changes. The latent paralysis of vocal chords caused by involving in - pathological process of returnable nerves can be revealed-. ENDEMICHESKY AND SPORADIC CRAW Endemichesky craw - the disease amazing the population in - geographical areas, which biosphere it is poor iodine. Insufficient - receipt of iodine in an organism leads - to development fall - hormones, that the clod-pensatornoj a thyroid gland is inevitably accompanied and conducts to - craw formation-. Such in the beginning compensates for the deficiency hormones. At expressed almost equal disease of men and women is characteristic.

Clinic And Diagnostics: At Break Or In The

Clinic and diagnostics: at break or in the part of a pleural cavity limited to solderings patients do not mark any infringements if the quantity of air, in a pleural cavity, does not exceed 5 - 15 % of its volume. At more significant amount of air there is a lung collapse, gas exchange is broken and develops that promoted by following factors. 1. The collapse (, fall) a lung leads - to breath frustration - as at it the volume of so-called dead respiratory space sharply increases 2. At a lung collapse open nonfunctioning shunts through which there is a dump of blood from 1 arteries in veins, passing a capillary channel where it - is enriched by oxygen. At presence the mechanism formed of - the broken off wall or , air through rupture at each breath buys in a pleural cavity, but back it does not leave. Pressure in a pleural cavity accrues. Develops strained , characterised by sharp infringements - of breath, displacement , reduction of venous return of blood in heart. If not to take the urgent measures, sick thus quickly perishes.

Sometimes Because Of A Throat Hypostasis There Is

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. Tubercular happens at people of young age is more often. At early stages of disease the lymph nodes involved in process dense, mobile, painless, are not soldered - among themselves and to surrounding fabrics, defined in the form of beads. Submaxillary lymph nodes and the lymph nodes which are settling down on a course of veins is more often are surprised. Quite often defeat happens bilateral. At disease progressing the phenomena join - - lymph nodes become painful, their mobility is limited, contours indistinct. There are abscesses and fistulas with allocation of tvorozhisto-purulent contents. Diagnostics: is based on revealing of the centres of a tuberculosis - in lungs, on the data of cytologic research from a lymph node or separated of a fistula.