Infringement of inguinal hernia - a condition in which a hernia is stuck in the hernial ring (the hole in the abdominal wall). Strangulated inguinal hernia can lead to poor circulation in the part of the intestine or, rarely, another body, forming a hernia. If this happens, the tissue that lack nutrients start to die.

Although inguinal hernias are much more common among men than among women, denial of inguinal hernia in men Inguinal hernia in men - at any age   It occurs less often than women; reasons for this are unclear.

Symptoms infringement of inguinal hernia

On the infringement of an inguinal hernia may indicate the following symptoms:

• Acute pain in the groin;
• The increase hernia and / or swelling around her;
• Irreducible hernia (hernia can usually hands to push through the hernial ring, but the infringement becomes impossible to do it);
• Soreness or swelling of the lower abdomen. In unilateral inguinal hernia, this symptom may be more pronounced on the left or right side;
• Swelling of the testicles;
• Redness of the skin over the hernia;
• Heat;
• Lack of appetite;
• Constipation;
• Nausea;
• Vomiting;
• General malaise.

If you notice at any signs of infringement of inguinal hernia, seek immediate medical attention.

Danger Do pinched inguinal hernia?

This disorder is extremely dangerous, and if left untreated can lead to death of the patient. If a person goes to a doctor in time, the probability of death is small - an experienced doctor will be able to quickly remove it, but it is better not to go to a situation in which required urgent surgery. When you delete an uncomplicated inguinal hernia patient's risk of death is virtually absent - it is less than one-hundredth of a percent; death in such cases could be the result of medical errors, or, for example, very poor health of the patient. When urgent surgical treatment of strangulated inguinal hernia increases the chance of death by 7 times, and if in the course of operation make bowel resection - 20 times. The risk is still small, but when it comes to human life, it is impossible not to take into account.

Causes

In most cases, the infringement of inguinal hernia is caused by intense exercise. When a person is trained or engaged in physical labor (particularly if it raises the gravity), the pressure inside the abdomen increases hernial become larger, and through them begins to bulge relatively large fragment bowel or omentum. When a person is at rest, hernial reduced to its previous size and the hernia is outside, and can not get back into the abdominal cavity without surgical intervention.

Allocate and a variety of disorders, like fecal infringement of inguinal hernia. This fragment of the intestine that is outside the abdominal cavity, fills, and it becomes too large for the hernial ring. The result in both cases: because of impaired blood flow tissues do not get enough nutrients, and if left untreated it leads to necrosis.

Treatment

Patients who have found strangulated inguinal hernia Inguinal hernia - dangerous or not? Assigned emergency surgery that can be performed using spinal or general anesthesia. Laparoscopy in the treatment of strangulated hernia is not usually used.

Once the surgeon makes an incision in the lower abdomen, it mainly detects the jammed part of the bowel or omentum. When dissection of the hernia sac (the serous membrane of the abdomen, which comes out through the abdominal wall with a hernia) Take special care that the liquid contained in it was not included in the cut. Then the surgeon makes an incision hernia gate, to expand them, and eliminate jamming of hernia. Strangulated omentum or bowel fragment carefully inspected. If there are no signs of necrosis hernia returned to the abdominal cavity, and then sew the hernial ring, in the ordinary course herniorrhaphy. Otherwise part of the damaged organ has to be removed.

Forecast

The prognosis depends mainly on how much time elapsed between the infringement and hernia surgery. The most favorable prognosis for patients who have operated no more than six hours after the infringement, and those who fall on the operation after two days or more, often develop severe complications, and likely death.

If you suspect an infringement of inguinal hernia in any case it can not engage in self - it never gives positive results, and because of it the patient can only lose time, which at the same violation in the truest sense affects their lives.

Ureaplasma - is a kind of Mycoplasma, which exists in nature, are many. One subspecies is Ureaplasma Ureaplasma urealitikum, which in turn is a subspecies - a ureaplasma parvum. Both types ureaplasmas can cause inflammation of the urogenital organs - ureaplasmosis.

What is ureaplasma urealitikum

Ureaplasma urealitikum was first isolated in 1958 from a scraping of the urethra of men with urethritis Urethritis - a very male disease . Numerous studies have shown that the ureaplasma urealitikum can be isolated as in patients with inflammatory diseases of the urinary organs, and in healthy people, so she was referred to the pathogenic microflora, which can cause disease only under certain conditions.

In the future, it has been allocated 14 serotypes ureaplasmas urealitikum, which by their genetic characteristics were divided into two subspecies (biovar). Today, these two biovar considered separate species - ureaplasma This insidious ureaplasma - often too late   urealitikum and Ureaplasma parvum Ureaplasma parvum - intracellular parasite . In practice, both of these types of ureaplasmas often found together, so there is a common, unifying their name - ureaplasma spetsies.

Ureaplasma urealitikum - small bacteria, viruses is bigger but less bacteria. The cell membrane have expressed enough. This allows the bacteria introduced into the cells of the mucous membranes of the urinary organs and cause disease. But good local immunity ureaplasma urealitikum can not overcome the barrier and just lives in the mucous membranes, feeding mainly urea.

Ureaplasma urealitikum can actively join (adhere) to a variety of cells, including the cells of the mucous membranes of the urogenital organs, blood cells and sperm, contributing to their destruction. Furthermore, Ureaplasma urealitikum secrete enzymes which break down proteins, including immunoglobulin A (IgA), which is an antibody in mucous membranes, and are the basis of local immunity.

What diseases can cause ureaplasma urealitikum

In adult patients with infection of Ureaplasma urealitikum it is sexually transmitted. During pregnancy can urealitikum ureaplasma from the genital tract of women through the membranes enter the body of the fetus, to settle in his airways, causing inflammation, ie, intrauterine infection.

The infection may not occur during pregnancy, but then the infection can get into the child's body as it passes through the birth canal during delivery. The risk of infection during the birth of girls is much higher than that of boys. Ureaplasma thus reaches the mucous membranes of the nose, throat and genital organs, causing inflammation. This leads to low birth weight, not adapted to the environment of children suffering from various types of inflammatory diseases. During pregnancy ureaplasmosis Ureaplasmosis - inflammation of the urogenital system   can also cause miscarriage, premature birth, postpartum inflammation of the uterus (postpartum endometritis).

In adults infected through sexual contact, ureaplasma urealitikum can cause inflammation in the urinary organs. The inflammatory process begins with the external genitalia and lower segments of the urinary tract, and then can spread to the internal reproductive organs and kidneys.

A feature of inflammation caused by ureaplasma urealitikum is their imperceptible current. Very often, these processes are random finding during examination for infertility. Infertility at ureaplasmosis can develop in both men and women. In women, it is mainly the result of adhesions in the uterus, fallopian tubes and ovaries, and the man - a consequence of reducing the number of sperm and motor activity.

How can you identify a ureaplasma urealitikum

To do this, use different methods of laboratory diagnostics. To identify ureaplazmennoj infection using microbiological methods (crop secretions or scrapings from the walls of the urinary organs in the culture media in order to identify the causative agent and its sensitivity to antibiotics), polymerase chain reaction (PCR - reveals the DNA of the infectious agent), enzyme-linked immunosorbent assay (ELISA - detected antibodies to infectious agents).

To identify the pathological processes in the internal organs of the urogenital carried ultrasound of the pelvic organs. If necessary, wires and other studies.

Ureaplasma urealitikum refers to the pathogenic microflora, but under certain conditions it can cause inflammation grade.

Galina Romanenko