Muchipatara chechirongwa chekurapa chero kupi zvako kwehutano, hutano hukuru hunoshandiswa nachiremba kuongorora mamiriro ehutano uye kuronga kusarudzwa kutsvaga mubvunzo mukuru pamwe nekuongororwa, pamwe nekunyatsorongeka pamusoro pegadziriro yega yega yega, kukonzerwa kwemwoyo nemapapu, marpation uye kukakavara. Kunyanya inosangana nechiremba weimba yekugamuchira, iyo inenge isina nguva shoma kune murwere mumwe nomumwe, uye kana ikaiita nokukurumidza, ipapo mune imwe nyaya maminitsi. Saka kazhinji chiratidzo chakanaka cheShchetkin-Blumberg chinokubvumira kuti uongorore zviratidzo zvevarwere zve peritonitis uye uzviendese kune dhipatimendi rinoshandiswa nokukurumidza. Mune nzira ye palpation inosiyanisa pakati pechiratidzo uye yakadzika, iyo inonyatsoongorora mamiriro ezvinhu emukati. Iyi nzira inoshandiswa kunyanya nekufungidzirwa kwezvirwere zvemuviri wepamuviri uye ye genitourinary system, sezvo dumbu remuviri rakakodzeresa kuita zvisiri izvo, asi zvinowanzova zvinorwadza, kudzidza.
Mimwe nzira dzekutarisa
Somuenzaniso, imwe yenzira huru ndiyo chiratidzo cheSchchetkin-Blumberg, Kera, Murphy, Schoffar, Mayo-Robson, uyewo mamwe maitiro ekufuratira anofungidzira munzvimbo yekubatanidza sternocleidomastoid muscle kusvika kumakorone. Aya maitiro anoratidza kusuruvara pane dzimwe nhu, iyo inoratidzwa mune dzimwe zvirwere. Saka, kazhinji pane chiratidzo chakanaka cheShchetkin-Blumberg ne appendicitis, kuparadzanisa peritonitis, kuputika kwezvikamu zvisina; Kera naMurphy - vane zvirwere zvinoputika zveguruvladder uye nzira dzayo. Uye kusuruvara mumashoko aShoffar naMayo-Robson (kuongororwa kwe musoro nomuswe wepakreas) zvinoratidza chikamu chakaoma chepachicreatitis. Zvisinei, zvakakosha kwavari ndezvimwe chiratidzo cheSchchetkin-Blumberg, sezvo kusiyana kwayo kwakanaka kunoratidza kukanganisa kwepiritoneal interoreceptors, zvinoreva kuti mukati mekushaya ropa kana kupararira kwekuvhiringidza kwemukati kubva mudumbu remuviri kune iyi inonzi serous membrane. Uye izvi zviri mumamiriro ose ezvinhu zvinokurumidza.
Chiratidzo chekutsamwa kwe peritoneum
Kuti uone zvakajeka zviratidzo zveShchetkin-Blumberg mune murwere, zvinokosha kupa ruoko rutivi rwakakoshesa muzvikamu zve interphalangeal (sekunge akabata bhora duku muruoko rwake) uye kubatanidza katatu kashanda (index, pakati uye asingazivikanwi) kumudumbu. Zvadaro kumbira murwere kuti atore mweya wakawanda (panguva ino unoda kuunganidza ganda uiburusire pasi), chengeta (kuvhara minwe 3-4 cm) uye kuvabvisa zvakanyanya. Chiratidzo chakanaka chaSiktkina-Blumberg chinofungidzirwa, kana pane chiito chekupedzisira kusuruvara munzvimbo ino kwakanyanya kuwedzera. Inogonawo kuva isina kunaka uye isina chokwadi. Kazhinji kacho, cheki iyi inogadzirwa kana murwere achipinda muimba yepamhanho kana polyclinic ane chirwere chemuviri wakaoma uye anonyunyutira kurwadziwa kwenguva refu. Kazhinji kazhinji, chiratidzo cheSiktkina-Blumberg chine simba pakupararira kwe peritonitis uye appendicitis. Muchiitiko ichi, murwere anokurumidza kuendeswa kuvhiya, kuitira kuti nyanzvi dzatove dzataura chikonzero chekuratidzwa kwechiratidzo ichi.