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Gastric pathology as ulcer risk factor in patients on chronic hemodialysis of various duration

Two groups of patients with chronic renal failure under­went chronic hemodialysis within 1976—1990, Acute ul­cerogenic situation in them, arose during month 1 — 3 of the treatment. Formation of ulcers was closely related to the acid-peptic factor. Hemodialysis procedure was found to contribute to ulcerogenesis, chronic hemodialysis being some­what an iatrogenic risk factor in such patients. Modern policy of managing duodenal ulcers in hemodialysis patients is discussed.

(A summary from Terapevtichesky Arkhiv)clinical prognostication of peptic ulcer complications by acute hemorrhage

Clinical parameters have been studied in 45 peptic ulcer patients without and 47 ones with acute hemorrhage. Fac­tors of acute hemorrhage risk in ulcer patients have been specified (old age, long history of the disease, previous hemorrhages, duodenal ulcer localization at the back and upper walls and gastric ulcer localization at the middle and upper thirds of the lesser curvature of the stomach, size of ulcer, penetration). Combined existance of the factors is conductive to acute hemorrhage.

(A summary from Terapevtichesky Arkhiv)

The course of reparative process in patients with gastroduodenal ulcer (clinicostatistical study)

Clinicostatistical evaluation of reparative process in 332 gastric ulcer and 294 duodenal ulcer patients revealed fac­tors of objective value to its course. In order of significance the factors rank as follows: area of ulcer, localization, combi­nation with certain mucosal erosions, total fasting acidity, free fasting hydrochloric acid, basal gastric secretion, cardial function, duodenogastric reflux, sex, age, number of cigarettes smoked daily. When studying treatment effects on regene­ration in ulcer patients it is necessary to take into conside­ration basal clinicoendoscopic parameters.

(A summary from Terapevtichesky Arkhiv)

Task 10. Make brief statements of the above given articles and summaries. Use the expressions from Unit 1 and Unit 2 for the purpose.

Task 11. Add the missing part of the clinical terms pertaining to the pathology of stomach:

1. Gastro... (an instrument inserted through the mouth for visually inspecting the inside of the stomach). 2. Gastr... (the surgical removal of all, or especially part of the stom­ach). 3. Gastro...itis (an inflammation of the stomach and the intestines). 4. Gastro... (a stony concretion formed in the stomach). 5. Gastro... (a bleeding from the blood vessels and the stomach lining). 6. Gastro... (a process of softening of stomach lining because of poor blood supply or an inflammation). 7. Gastro... (a prolapse, falling of the stomach downwards because of weakening of some muscles).

  1. Gastroentero... (the branch of medicine that is concerned with disorders of the digestive system). 9. Gastr... (inflam­mation of the stomach lining). 10. Gastro ... (surgical in­cision into the stomach).

(a — ...tomy; b,—. ...logy; c — lith; d — ...ectomy;

e — ...rrhagia; f — ...ptosis; g — ...scope; h — ...itis; i — ...malacia; j — ...enter...)

Task 12. Choose the proper terms for the definitions:

1. Yellow coloration of skin and tissues. 2. Lack of hydrochloric acid. 3. Lesion of the mucous membrane when it is injured and necrosed. 4. Collection of bile (calculi) which forms in the gallbladder and bile ducts. 5. Protru­sion of an organ or part of it through the wall of the cavity which contains it. 6. Binding or twisting of the intestine upon itself. 7. Removal of the gallbladder. 8. Inflamma­tion of the pancreas. 9. Incision of the esophagus. 10. Visual examination of the stomach.

(a — gallstones; b — hernia; c — volvulus; d — gastros­copy; e — ulcer; f — achlorhydria; g — pancreatitis; h — cholecystectomy; i — esophagotomy; j — jaundice)

Task 13. Choose the words that correctly complete' each of the following sentences. Consult the dictionary if necessary:

1. Alimentary canal begins at the (mouse, mouth) arid ends at the anus. 2. The (rough, roof, ruff) of the mouth is called palate. 3. By the movements of the (tan, tang, tongue, ton, tone) and cheek the food is turned about and chewed.

  1. The (leaps, lips) form the opening to the oral Cavity. 5. The pancreatic juice is (reach, rich) in enzymes which digest proteins, fats and carbohydrates. 6. A soft tissue which hangs from the soft palate is (cold, called) uvula. 7. The tongue has papilae which contain (sells, seals, cells, seels) sensitive to the chemical nature of food. 8. Pharynx is a passegeway for (ear, air, are) from the nasal cavity to the larynx (voice box) and for food going from the mouth to esophagus. 9. Scientists continue the research (work, walk, woke) over the (spear, spare, speer) parts for the human body such as kid­neys, pancreas, etc. 10. The muscular soft palate (lies, lays)

  2. posterior to the hard palate. 11. Ulcer and cirrhosis are not (rare, rear) diseases among those who are prone to alcohol­ism. 12. The gastric juice in the stomach acts on (meets, meats). 13. Artificial pancreas is a portable pump (warn, worn) on a patient’s belt. 14. The long- (soot, sot, sought, thought) synthesis of human insulin has become a reality. 15. The animal insulin can (course, cause, cose, corse) aller­gic reactions.

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