you are: ILLNESS the CRONE

Illnesses the Crone proves to be true with the help endoskopicheskogo, radiological and morphological researches. At carrying out endoskopicheskogo researches by a choice method is kolonoskopija, allowing to examine all thick gut as at right-hand localisation of process rektoromanoskopija can yield negative result in view of absence of changes in a rectum. In an early stage of disease in the amazed part are marked limfo-idnye follicles, aftoidnye the ulcers which are settling down on not changed mucous membrane. In process of progressing of process of an ulcer become big and deep and then the mucous membrane relief takes a "cobblestone road" form. Segmentary narrowing of a gleam of a gut, psevdodivertikulez, solderings is marked. Gaustry the gleam of the mucous is irregular, asymmetric. Alternation of sites changed by inflammatory process mucous with sites of a normal mucous membrane is characteristic.

Characteristic radiological signs are accurate borders of the amazed and healthy sites kishek, gleam narrowing, a spasm and rigidnost a thin gut. The mucous membrane relief is changed. Come to light a thickening, rigidnost, uploshchenie folds mucous, the picture of "cobblestone road" caused by characteristic distribution of barium in a gleam of a gut and between folds. Early radiological signs of defeat of a thick gut concern raised gaustratsija, presence of small roundish ulcers in a mucous membrane. At process progressing izjazvlenija deeply get into a gut wall, gleam narrowing, a thickening and rigidnost its walls is marked. Not changed sites of the mucous are stuck out in a gut gleam, forming psevdodivertikuly.

Histologic research bioptata a mucous membrane reveals strengthening plazmokletochnoj infiltratsii. In podslizistom a layer are found out epitelioidno-cellular granulemy, kruglokletochnaja infiltratsija with presence in infiltrate huge cages.

At differential diagnostics, besides nonspecific ulcer kolita, it is necessary to exclude first of all a sharp appendicitis (there are no signs of pathological process in a gut, a diarrhoeia, gemokolit) and sharp infectious diseases (the dysentery, a salmonellosis, shigellez - see В"Nonspecific ulcer kolitВ").