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Symptoms of disease - violation of mesenteric circulation

Violations of mesenteric circulation - diverse in their clinical manifestations of pathological conditions, varying the symptoms of minor disorders, causing the discomfortable phenomena with a paucity of clinical symptoms to severe violations of the most severe over and the highest case-fatality ratio, which, according to various authors, reaches 50-100%.

Given the demographic changes occurring in the society (population ageing), as well as the parallel process of «rejuvenation» of vascular pathology, caused by many factors, it should be stated that the problem is urgent. It is connected first of all with the increasing number of patients with this pathology, as well as the unresolved problems of diagnostics and treatment.

Referring to the historical stages of the study of this disease, it should be noted that from the end of the XIX century from the first to the anatomical observations thrombosis mesenteric artery Tiedemann in 1843, and the description of the intestinal infarction, which made Virchov in 1847, until the middle of the last century were described isolated cases of such pathology and pathological physiology occurring disorders was studied in acute experiments. In the future there is an increase in the number of exactly clinical cases, due to the increase in morbidity and progress in the diagnosis. The problem of theoretical shifted onto a practical plane.

In the force of inertia of thinking for some time they were inclined to attribute this pathology to acute bowel obstruction, considering it one of dynamic forms. However, even in 1903, A. A.. Kadian in his work «the Injuries and surgical diseases of intestines and mesenteric» drawn the attention of the doctors on the fact that, with all the clinical similarity of these pathologies blockage of the mesenteric still is an independent disease, requiring different approaches to diagnosis and treatment. At the present time this pathology is accepted as an independent disease, has its own column in the ICD 10th revision. This distinction matters, as it accentuates the attention of a doctor for vascular problem, and intervention should be made in sossoudistom with in the first place and only completed intervention in the intestinal tube.

Symptoms and course of violations of mesenteric circulation

In the early stages of the disease the patient complains of pains in the abdomen, and objective data with just a little - it is already a reason to think about acute violation of mesenteric circulation. But this symptom is expressed, sometimes described as intolerable pains in the abdomen and the soft, little painful stomach is rather frequent, according to the literature and from our own observations. It should be added that the patients often connect occurrence of pain with swallowing, sometimes with physical activity. One of the patients indicated that blinding, burning pain in the umbilical region have emerged from her when intravenously verapamila, used with the purpose of stopping of arrhythmia. The acute onset noted in the vast majority of observations, however, met and the gradual development of the pain and the (extremely rare, perhaps, because of the lack of attention polling) a two-phased development of the pain. Of the complaints we pay attention to nausea and vomiting, sometimes with an admixture of blood. In contrast to intestinal obstruction significantly more often in the patients have diarrhea. «Raspberry jello» is fairly rare, and in the later stages of the disease development (beginning with the development of a heart attack of intestinal tube).

The objective study most often the stomach is symmetrically blow, participates in the act of breathing, soft (!) and little painful. In later stages, the development of myocardial bowel, can be a symptom of Kadian-Mondor - palpable mass painful test tumor-like formation, little shimmy, caused by the swelling of the colon and the mesentery. The progression of the process leads to the appearance of the classical peritoneal symptoms.

In auscultation peristalsis sharply depressed, sometimes peristaltic noise are completely absent. Percussion defines a varied picture: areas tympanitic (which is not such a clear, as in mechanical obstruction) alternate with areas of deadening percussion sound, early enough, sometimes after 3-4 hours of onset, a blunting of the gently sloping areas of the abdomen.



Which diseases there is violation of mesenteric circulation

Causes of the violation of circulation mesenteric

The etiologic considerations and ongoing pathogenetic mechanisms in a simplified perception of acute mesenteric ischemia can be divided into three fundamentally different types:

1. Thrombotic develops as a result of acute arterial thrombosis of the proximal segment of the vessel (most often the mouth of the superior mesenteric artery) on the background of heart failure, hypercoagulable, policitemii, injury, pancreatitis, reception oral control pills or neoplastic processes.

2. Embolic develops due to the occlusion caused by the shift from the circulation of the blood emboli, initially arising proximally (on the background of predserdy, ischemic heart disease, parietal thrombosis of left ventricle of the heart after a heart attack, coagulation disorders, aneurysm of the aorta). Emboli are prone to fragmentation and bias in the distal segments of the vessel, causing segmental type of intermittent ischemia.

3. Neoocclusive more often develops on a background of sharp reduction of systemic blood flow, caused by the mesenteric atherosclerosis, low cardiac output, spasm of the mesenteric vessels, hypovolaemia (as a result of the shock, sepsis, dehydration, arrhythmia).

Is possible the combination of these factors, developing at the background of previous severe disease.

In the future, depending on the allocated three variants of flow (1 - compensated flow, 2 - with subcompensation of blood circulation, 3 - with decompensation of blood flow) are consistently the three pathogenic stage - ischemia, myocardial infarction, peritonitis. Some authors stands out stage of functional intestinal obstruction. MILFS, Matures, Teens. Best Porn Online https://mat6tube.com/ watch right now! USA, UK, Australia, South Korea, France, Germany, etc.

In the stage of ischemia completely or almost completely stops the flow of blood in the bowel wall, when the toxic products do not fall into the blood system and the clinic is mainly determined by reflexes. In the stage of a heart attack in the intestinal wall of the processes of destruction, continued to death; intestinal wall gradually loses its protective properties and begins the process of bacterial translocation of the intestinal lumen of the tube, as a result of the process moves to the third stage - peritonitis.



Which doctor should I contact if there is a violation of mesenteric circulation

  • Surgeon
  • Vascular surgeon


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Do you feel disrupted mesenteric circulation? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

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