Chiratidzo Kumuka uye zvimwe zviratidzo rikwanise pfungwa nomuviri zvemwana asati

Various nzira kuongororwa kuziva yakarurama zvikuru zvokuongorora kunoita kuti tigumise pamusoro zvinokonzera mhirizhonga mitambo muviri. Mumwe zvakafanana nzira kuti vanofungidzirwa kutyora siyana nadzo pamusoro zvomudumbu ino ndiyo palpation ari mudumbu.

Chiratidzo Resurrection: zvekuchipatara kuratidzwa

Panguva abdominal palpation mu epigastrium kwatemwa kuti murwere asina kana yekudyidzana attenuated ripple abdominal chikamu uchiburuka yeropa. Ichi kuzivikanwa chiratidzo rikwanise pfungwa nomuviri zvemwana asati.

Asi kwete pathognomonic chiratidzo Yorumuko. Kureva, zvakafanana migumisiro kungava chiratidzo kwete chete rikwanise pfungwa nomuviri zvemwana asati, asi retroperitoneal hematoma, kuwedzera zvimwe node nodes, etc.

Kururamiswa pamwe topographic uye anatomical nemaonero

Zvinozivikanwa kuti rwatata iri projected padenga anterolateral abdominal pamadziro epigastrium uye akasiya subcostal nharaunda. The lowermost mugove rwatata ezasi mupendero vari projected kure anenge 5 masendimita pamusoro umbilicus urongwa nzvimbo, uye musoro - vanenge 10 masendimita pamusoro umbilicus. Location rwatata musoro - kurudyi VI-VII mbabvu, sezvo muswe - kuruboshwe yokumusoro quadrant.

Retroperitoneal nzvimbo musoro unoita kuti munhu noukama hwepedyo duodenum. Ndivo vokupedzisira pamapoka rwatata ndiwo mugove abdominal pamusoro uchiburuka yeropa.

Kana pasina zvokurwara panguva palpation zviri mudumbu iri epigastrium iri nyore pakutsvaga pulsation yacho yeropa.

Kusavapo pulsation munzvimbo abdominal nzvimbo uchiburuka yeropa pamberi rikwanise pfungwa nomuviri zvemwana asati anogona kunzi yokuti kuwedzera Simbiso uye rwatata hunoikonzera occludes wandei chikamu yeropa iri mberi, izvo kunotadzisa inoda kufunga pulsation kwayo.

Other zviratidzo pfungwa nomuviri zvemwana asati

Chiratidzo Resurrection pfungwa nomuviri zvemwana asati ndechimwe chezvinhu zvinokosha kuratidzwa ichi kunyanya chirwere.

Pfungwa nomuviri zvemwana asati - ane anogumbura-dystrophic zvirwere rwatata tishu. Kakawanda richiwanika sezvo chirwere chimiro, uye ane nokukurumidza mberi hunhu. The mukunopera kunoratidzwa kugumiswa rwatata ayo functionality.

Vakawanda zvinokonzera chirwere ichi vari:

• Kakawanda uye nokunyanyisa kunwa doro.
• Zvirwere biliary ino (kazhinji vakadzi).
• Zvokudya pakurera mapuroteni uye dzakakora.
• Nhaka zvirwere chokuita mitemo amino asidhi muviri.

The koshesa Chikamu zvichemo chokuita panowanikwa kurwadziwa-siyana localization. Chenjera pfungwa nomuviri zvemwana asati kunokonzera zvisingatsungiririki marwadzo chokumusoro mudumbu, kuripa kumashure. Marwadzo chirwere dzinoratidzwa yakaderera zvikuru, uye dzimwe nguva kurwadza nezvekufadza pamusoro myocardial afanane.

Chinangwa zviratidzo pfungwa nomuviri zvemwana asati, pakati ndicho chiratidzo Yorumuko, kwete ukama murwere marwadzo chikumbaridzo, saka izvi zvinhu vari iyi, chikuru chokuratidza kuziva zviratidzo. Kunosanganisirawo munhu yellowing zvakajeka sclera meso; murwere ruvara rweganda zvakachinja kubvira rakachenuruka kusvikira ndewevhu; ziso nezvigadziko kuva raidudzwa; pane chitarisiko ne makwapa mudumbu uye panosangana makumbo; rurimi akafukidza tsvuku unhani; kufema zvazvingava kunowandawo; pane kurwadziwa simba pamusoro palpation.

Nzira kuongorora vanofungidzirwa rikwanise appendicitis

In vamiririri munhukadzi rikwanise appendicitis zvinoitika zvikuru kupfuura vanhu. Zvinoita sokuti, sezvo mutemo, pakarepo. Zvichikonzera zvakakomba epigastric marwadzo, kuipa uye anoparadzira yose mudumbu. Ipapo localization kurwadziwa zvakarurama iliac nharaunda (Kocher kuti chiratidzo). Kazhinji anogona kuitika kuroorwa kurutsa, kunonoka chetsoka. Mune zvimwe zviitiko, zvinoita uye manyoka, izvo kunowedzerwa kana zvomoto okuwedzera ari mupasi mune pelvic munharaunda. Possible irradiation kurwadziwa ari lumbar nharaunda uye rorudyi, unonzi "chiratidzo dzokubatanidza shangu."

Kana pane chimiro dzinoparadza, vaine kwakaderera kurwadziwa uye chitarisiko nefivhiri; wakawedzera kwemwoyo uye zvishomanana fivha. Saka pane nyota, apo mudumbu anoramba akarurama chimiro. Ongororo rokuongorora lag mu afemeruke munzvimbo rworudyi ezasi dumbu. Pane hypersensitivity ganda zvakarurama iliac nharaunda, iyo inozivikanwa se chiratidzo Razdolsky. Uyewo, kurapwa zviratidzo muka Crimean wakaumbwa soreness panguva inoda kufunga zvakanaka mhete inguinal

Retrotsekalnoe nzvimbo kwacho panyaya rikwanise appendicitis chinokurwadzai kuti activation kuti tsandanyama kudzivirira kuti lumbar Triangle (Petitova chiratidzo).

Chiratidzo pitikoti (Voskresenskiy) mu rikwanise appendicitis

The chiratidzo ndechokuti chiremba ari kurudyi murwere, rwake rworuboshwe kuminyuka pasi hembe yake, uye kodzero zvinyoronyoro glides minwe yake pamusoro kutungamirirwa gomba dumbu kurudyi iliac. Zvakakosha, panguva pakuguma pitikoti hakubvisi zvakarurama minwe kubva abdominal parusvingo. Chokwadi kuti zvakanga pakupera zvishoma nezvishoma mumatope murwere anonzwa ane marwadzo. Saka, apo zvishoma nezvishoma mumatope ari negwara kurwadziwa unomuka.

Chiratidzo hembe - ndiwo zita rinowanzoshandiswa iyi. Asi zviri zvishoma zvisiri. More zvechokwadi kushandisa shoko rokuti "pitikoti chirwere".

Mune zvimwe zviitiko, chiratidzo ichi zvakanaka?

Saka, maonero chiratidzo Yorumuko, kana murwere ane rikwanise pfungwa nomuviri zvemwana asati. A pitikoti chiratidzo uyewo kurivhura nyanzvi, akacherechedza panyaya rikwanise appendicitis.