Esophageal stenosis. Part One
In case of chemical burns, along with the treatment of general disorders and early complications, the doctor faces an equally difficult task — the treatment of burnt areas of the wall of the digestive tract, mainly the esophagus, which is most often affected, and the prevention of the formation of stenosing scars in it. Back in 1887, Gersuni, in an effort to maintain a normal lumen in the burned esophagus, decided to carry out prolonged mechanical dilation using a rubber tube. A little later, in 1900, Johansen proposed inserting a rubber probe into the esophagus daily for many days for a short time. This method of treatment was called early bougie and in subsequent years found a large number of supporters. The disadvantages of early bougie treatment are the need for daily bougie treatment, which negatively affects epithelial regeneration, supports the inflammatory process, and prolongs the duration of treatment. Passing through the esophagus, the bug causes tears in the inflamed and edematous mucous membrane, creates a risk of perforation of the esophageal wall, injures the recovering epithelium, which contributes to the penetration of infection into the tissues and increases inflammation. Ulcers present in the esophagus epithelize slowly, forming scars. In the last 15-20 years, many works have appeared recommending the use of the pituitary gland drug ACTH, the adrenal cortex cortisone, hydrocortisone and their synthetic analogues prednisone and prednisolone in the treatment of chemical burns of the esophagus.
The use of corticosteroids is based on their ability to have anti-inflammatory, anti-shock and antitoxic effects. Based on this, in the initial period of chemical burns, glucocorticosteroids are prescribed in terms of replacement therapy due to their relative insufficiency in the body caused by a stressful situation to normalize neurohumoral processes. In the following days of the disease, glucocorticosteroids are used to weaken the inflammatory response and hinder the development of granulations and scarring in the esophagus. At the same time, evidence has accumulated that corticosteroids also have a negative effect: they reduce the body's ability to form protective antibodies and suppress phagocytosis. Watch USA online porn https://mat6tube.com teens, milfs, matures!