Atrezija the three-folding valve there is frequency of 1-3 % from all congenital defects serdtsa.

Atrezija the three-folding valve the third on frequency among "dark blue" heart diseases after tetrady Fallo and transpositions of the main arteries. At this defect there is no message between the right auricle and right zheludochkom. To it always accompany defect mezhpredserdnoj partitions, increase in the sizes left zheludochka and reduction of the sizes right zheludochka, it nedorazvitie. All venous blood through an aperture in the right auricle arrives in the left auricle. If the aperture mezhpredserdnoj to a partition of the small size, pressure in the right auricle increases also it is stretched and gets the big sizes. The auricle muscle thin and weak therefore blood accumulates in the right auricle and the big veins which bring blood from a body. There is a venous stagnation. In the left auricle venous and arterial blood mixes up. On an organism blood with insufficient enrichment by oxygen is carried, therefore colour of a skin of patients has bluish colouring. Pump function of heart is carried out by one left zheludochek. Defect displays depend on pressure degree in a pulmonary artery.

Klassifikatsija defect switches on three types depending on position of the main vessels (an aorta and a pulmonary trunk). Stenosis presence (narrowing of a pulmonary artery) - with a stenosis or without a stenosis of a pulmonary artery. Newborns with this defect have cyanotic colouring of a skin which amplifies at shout, sosanii. With an age current tsianoz (cyanosis) amplifies. Attacks of loss of consciousness with posineniem lips, auricles are possible. Symptoms - «drum-type sticks» and «hour glasses» develop, in blood the quantity eritrotsitov and other blood cells raises. Patients lag behind in physical development. At physical activity they have a short wind. Warm insufficiency gradually develops. In the absence of surgical treatment the majority of children dies on the first year of a life though cases when patients lived to 30 are known and even 60 let.

Atrezija vaginas is the pathology of a vagina consisting in srashchenii of its walls. This status more often congenital, but can be and got as a result of traumas of a vagina or complications of unsuccessfully spent operations on him. Atrezija can be full and partial and as in various departments of a vagina - in top, average and bottom treti.

Osnovnym clinical display is absence or infringement menstrualnyh bleedings. More often congenital atrezija at girls for the first time it is diagnosed to this sign. Stagnation menstrualnoj blood above a place atrezii is called as physicians gematokolpos and gematometra - that is literally "a blood vagina" and "a blood uterus". The doctor-gynecologist can even see without special inspection gematokolpos, that depends on level atrezii. For example, at its localisation in the bottom third gematokolpos sticks out in the form of a bag in sexual shchel.

Narjadu with absence menstruatsy, other important symptom is the pain or an itch in a vagina, and as possible reddening and moknutie skin. It speaks a dysbacteriosis and infection joining from the outside as a result of absence of normal allocation of a secret of a vagina outside. At it is long existing atrezii probably rise in temperature and chronic feverish sostojanie.

Tretim the important symptom, at women living a sexual life, is painful sensations at sexual intercourse - from discomfort, to the expressed pains, - or it is completely not possible. Expressiveness of a painful syndrome and ability to sexual intercourse depends, besides, on level atrezii. And, certainly, at atrezii pregnancy and a birth of the child in the event that atrezija it was generated already against beremennosti.

Treatment atrezii

Lechenie atrezii the three-folding valve is impossible. If the status of the child the heavy can be made immediate operation. There are various techniques of carrying out of operative treatment. Is more often immediately make expansion of an exit from the right auricle. If the status of the child satisfactory operation can be postponed till 6-12 months. Death rate at operative treatment from 2 to20 %. Results of operation depend on anatomic features of defect and a status pulmonary krovotoka.

Treatment atrezii vaginas. Lechenie this disease, certainly, the operative. Other way of treatment simply does not exist, and the faster it will be spent, the better. The essence of surgical intervention consists in vagina plastic so that to restore its normal passableness. Before operation it will be necessary to pass a number of inspections - radiographic or endoskopicheskoe vagina inspection, for definition of its level atrezii and durations of a zone srashchenija walls. Besides, ultrasonic of bodies of a small basin or a belly cavity can be demanded to look features of an arrangement of internal bodies in relation to a place atrezii. It becomes especially important at high position of a place atrezii; During operation probably casual damage of a bladder, a rectum or uterus wall.

Operatsija it is spent under the general narcosis. The surgeon finds a place atrezii and cuts it. After oporozhnenija gematokolposa and careful washing by antiseptics, new walls of a vagina are formed of the cut fabrics of a site atrezii. On the mucous impose seams from ketguta. This material gets out that after operation seams were dissolved after definitive healing of a wound. After operation still some time are marked krovjanistye allocation from a vagina and as painful sensations are possible. When allocation stop, - for 4-5th day after operation, - spend gynecologic inspection on purpose to find out, whether has occurred slipanie vagina walls again. Repeated education of sites atrezii because of excessive scarring mucous, or it slipanija, is one of frequent complications. Inspections on passableness of a vagina repeat some times within first 2 weeks. The extract from a hospital is possible on 10-14th den.