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2.2.1 Tool methods

Tool inspection included modern diagnostic methods of research: ultrasonic of organs of an abdominal cavity and a colon, fibroezofagogastroduodenoskopija (under indications), inspection on H.pylori (under indications), an irrigoscopy, a proctosigmoidoscope (under indications), a colonoscopy (under indications).

To all children the electrocardiography in rest in 12 standard abductions on the apparatus of an electrocardiogram-system 1222-60 (Bulgaria) for definition of frequency and a regularity of warm reductions, revealings of disturbances of endocardiac conductivity and electrolytic disturbances was spent. Electrocardiogram decoding was made according to minnesotskomu to a code from 1980.

Fibroezofagogastroduodenoskopija (FEGDS)

FEGDS allows to study in details anatomic changes of organs of the top department of a digestive tube, their functional condition,
Character of morphological changes mucous (jazvenno-inflammatory changes mucous, tumours, signs of a bleeding and hemorrhages in a mucosa, the atrophy mucous), to supervise efficiency of conservative therapy of some diseases, to track dynamics of a current of pathological process, to diagnose complication, to define character motorno-evakuatornyh disturbances [45].

Research was spent on apparatus "Olympus" of models Р-20, ХР-20, XQ-20 by managing endoscopic unit of branch № 2 Morozovsky children's city hospitals of a city of Moscow k.m.n. Kvirkvelija M. A, the senior lecturer of chair of propaedeutics of children's illnesses GOU VPO RGMU Roszdrava, k.m.n. Floral Item M and doctors-endoscopists of unit of endoscopy Volkovym I.A and Krasavinym A.V.

Inspection on Helicobacter pylori

To children with clinical implications of a gastritis, gastroduodenita at gastroscopy carrying out inspection on Helicobacter pylori.В to our work we was spent used morphological research bioptata a mucosa (WITH) with a degree estimation obsemenennosti microorganism H.pylori [80] with the help immunotsitohimicheskogo a method with application of monoclonal antibodies and a complex avidin a biotin peroksidazy. Monoclonal AT selectively paint only H.pylori, that considerably facilitates diagnostics [88]. At studying bioptatov allocate three degrees obsemenennosti WITH H.pylori:1 (weak) - to 20 microbic bodies in sight (х630), 2 (average) - to 50 microbic bodies in sight, 3 (strong) - more than 50 microbic bodies in sight, designated by conventional signs (+-; ++; +++).

Ultrasonic research of organs of an abdominal cavity

Ultrasonic research of organs of an abdominal cavity is spent to all children for revealing of an accompanying pathology of a gastroenteric tract, gepatobiliarnoj systems, a pancreas in standard parametres.

Ultrasonic methods of organs of an abdominal cavity allow to study a condition sfinkternogo the apparatus, a condition of walls of abdominal department of an esophagus, a stomach and a duodenum, to estimate their motor function, to diagnose accompanying changes of a pancreas, to estimate a condition of an intestinal wall, and also parenchymatous organs, a cholic bubble and zhelchevyvodjashchih ways.

Ultrasonic research of a colon was used for the purpose of definition of a functional condition and an estimation of degree of a lesion of distal departments of a colon [19, 70]. The method allows to define with high accuracy diameter, the sizes, the form of various departments of a colon; a locating of a sigmoid intestine, quantity a loop, width of a lumen, a thickness and a level-by-level structure of a wall of an intestine, a locating and a structure of sphincters. Thus there is a possibility to estimate a condition of surrounding organs and structures of a small basin [19, 29, 69].

Ultrasonic scanning of organs of an abdominal cavity was spent on apparatus ESAOTE "Megas" konveksnym by the gauge with frequency of 3,5 MHz and HITACHI EUB-565A konveksnym the gauge with frequency of 5,5 MHz doctors of ultrasonic diagnostics of branch № 2 Morozovsky children's city hospitals Faustovoj E.V. and Martyanov G. M and doctors DGP №39 Mizievoj F.M. and Kuzminoj I.N.

Ultrasonic scanning of organs of an abdominal cavity was spent to all children with OZ and HZ.

X-ray inspection

The irrigoscopy is one of the most informative methods of diagnostics at a colon pathology. The given research is spent for reception of the information on an anatomic structure, a functional condition of a colon and allows to tap anomalies of development [10, 20].

In norm for irrigoskopicheskoj pictures hard filling of a colon after retrograde introduction of a contrast suspension through a rectum by means of apparatus Bobrova is characteristic, all its departments are located correctly, a haustration on all extent the uniform. After oporozhnenija an intestine a relief of ascending, cross-section and descending its departments usual, mucosa cords are located normally, not dilated, slime in an intestine lumen is not defined [20, 69].

At a chronic constipation the X-ray inspection allows to find out a number of the characteristic changes reflecting those functional disturbances from a colon which underlie the disease. The sigmoid intestine is subject to various deviations from norm. The greatest attention is deserved by its appreciable elongation (dolichosigma), and as, expansion of its lumen (megadolichosigma). Besides, the sigmoid intestine can be with additional one or two loops or multiloopback. Except elongation and expansion of its lumen it is possible to define a wall thinning, tonus weakening, depression of a peristalsis or a delay oporozhnenija after research with a baric suspension [10, 17]. However it is impossible to forget, that there is an age variant of a dolichosigma.

X-ray inspection of a colon at children with congenital anomalies as allows to find out places of the broken innervation of a colon - aganglionarnuju a zone and its extent shown by narrowing of its lumen and suprastenoticheskim by expansion above this place. X-ray films do in direct and lateral projections for studying of back departments of a colonic intestine [20, 35, 51].

The X-ray inspection was spent to all children with HZ for the purpose of primary diagnostics and to children with OZ which did not have clinical effect from treatment. Further researches repeated necessarily,
But not more often an once in a year. X-ray inspections were spent in unit of radial diagnostics (Martemjanova M. V managing unit)

Proctosigmoidoscope and colonoscopy

For the purpose of an exception of inflammatory changes of a mucosa of a colon and a bleeding point establishment the proctosigmoidoscope (RRS) and-or a colonoscopy was spent. Endoscopic researches were spent in branch № 2 Morozovsky children's city hospitals (managing endoscopy unit k.m.n. Kvirkvelija M. A).

2.2.2

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Scientific source IPATOV ANDREY ALEKSANDROVICH. EFFICIENCY of ACUPUNCTURE In COMPLEX TREATMENT of CHILDREN With the CONSTIPATION SYNDROME. The DISSERTATION on competition of a scientific degree of the candidate of medical sciences. Moscow - 2014. 2014

Other medical related information 2.2.1 Tool methods:

  1. CHAPTER 2. THE CHARACTERISTIC OF THE SURVEYED PATIENTS AND APPLIED METHODS OF INSPECTION
  2. laboratory methods
  3. immunologic methods of research of blood serum
  4. the Characteristic of surveyed children
  5. 2.2. The organisation of epidemiological research (ISAAC) and tayobakokurenija among teenagers, a general characteristic of the surveyed groups of teenagers, clinico-functional and laboratory methods issledovayonija
  6. the Maintenance
  7. 1.6. Mediko-social problems of chronic hepatitises at children and teenagers.
  8. 2.1. Research materials
  9. 2.2. Research methods
  10. inspection methods
  11. THE TABLE OF CONTENTS
  12. INTRODUCTION
  13. research and treatment Methods