Rozanov chiratidzo (chiratidzo "Roly-Poly"): Description, Zvinokonzera uye kuongorora chirwere

mushonga Russian nani kuvonga kuna kuitwa masayendisiti uye vanachiremba. Saka, muna Soviet Union chinoshamisa musayendisiti wezvokurapa Rozanovym Vladimirom Nikolaevichem, uyo akaberekwa muna 1872, akapiwa zita iwoyu ezvokurapa - a chiratidzo Rozanov.

Zita causal zvinoratidza chirwere chechipiri vakagamuchira akadai: chiratidzo pakati "Roly-Poly".

Chiiko ichi

Chiratidzo Rozanov - chinoratidza dzomunyika peritoneal accumulations ropa munyama pamusoro chirwatata atsamwira kwakaitika. Pane zviratidzo chiratidzo ichi chete kuvhiyiwa.

Rozanov chiratidzo (chiratidzo "Roly-Poly"): zviratidzo

• mufambo muviri - dzose kuchinja chinzvimbo.
• Yellowness uye ganda rakachenuruka. Inosimudzira ropa, kuunganidza ropa iri abdominal mhango kupa chiso ane rakachenuruka tsvuku ruvara, zvichiratidza kurasikirwa neropa.
• The murwere kazhinji kuchengetwa kuwedzera kupisa munzvimbo 37-38 inegumi.
• Abdominal kurwadziwa centre, nokuzvitsaurira munzvimbo yacho chirwatata.

Varwere vari panoonekwa uye chikarapwa, nguva dzose anoramba zvinotevera nzvimbo: norutivi rwake, chete anosara aimanikidzwa rezasi dumbu netsoka vose. Kana rakatorwa murwere kuedza kushandura woiisa mukati mumasekonzi zvakare achipfeka nzvimbo norutivi rworuboshwe pamwe makumbo waitsimbirira nzvimbo mudumbu.

Chimwe kuratidzwa zviratidzo iro anonzi chiratidzo "Roly-Poly" - ndiyo kwokuomerwa kufema. Pakutanga, murwere zvakakomba kupfupika mweya kuedza kugara pasi uye chakatsindirwa maoko ake kuti dumbu rake, asi diaphragm kudzvinya kunyanye kuoma kufema. Ipapo murwere anomuka uye anoedza kufamba. Asi izvi zvakare kutanga kuuya kuzvuzvungudza.

Zvadaro anotora chinjikira chinzvimbo, nokuda kwokurwadziwa iri peritoneum, avete shure kwake. Muzviitiko zvakadaro, kupfupika mweya, uye iye chinozadzwa yakakura. Izvi dzose kuchinja mumuviri chinzvimbo, uye kwakaita kuti zita - munhu chiratidzo Rozanov ( "Roly-Poly").

Panguva unopinza kufamba, kunyanya kana murwere pakagara, uye ipapo anosimuka, akacherechedza lightheadedness. Ichi ndicho chimwe chikonzero nei achipinda zvakare. Kusarudza kurutivi rworuboshwe nokuda nzvimbo chirwatata iri abdominal mhango.

Rozanov chiratidzo (chiratidzo "Roly-Poly"): Zvinokonzera

Sezvataurwa pamusoro apa, Rozanov chiratidzo - nemigumisiro ine ruptured chirwatata, asi anofanira disassembled uye mumamiriro api ezvinhu zvingaitika ndiko:

- Injury kunobva dzemotokari. Specificity motokari tsaona apo mutyairi anorova abdominal mhango pakati mudhiraivho, otora kubva mukati, etc.

- Sports kukuvara. Great chaiko nesimba munguva mabasa mitambo inogona kutungamirira atsamwira pamusoro zvomukati.

- Weight waigona, kuedza kuti haawirirani dzomuviri zvinhu vanotungamirirawo kuti atsamwira pamusoro zvomukati

- uchibaya uye vakatema maronda mudumbu kungaita kuti atsamwira yacho chirwatata.

Kupiwa specificity ari kukuvara, kwokutanga kunyumwira rinowanika pashure murwere inzwi ezvinhu chii chakaitika kwaari. Uyezve, pasi pokudzora chiremba. Uyewo, kana vamwe kukuvara havana, murwere anogona kuona chiremba zvishoma kwapera Somuenzaniso, imwe gastroenterologist nokuda kwokurwadziwa mudumbu.

Chiremba anobvunza murwere kutanga dzinosanganisira abdominal tsandanyama, ipapo faranuka. Kana Rozanov (chiratidzo "Roly-Poly") chiratidzo, murwere zvakaitika kurwadziwa nokuda zvinokonzerwa pamusoro mudumbu.

Basic nzira nechirwere

The chiratidzo "Roly-Poly" kunokwanisa kuonekwa sezvinotevera:

• murwere kuongorora.
• Visual rokuongorora, palpation ari mudumbu kunze.
• Rectal uye kusangana nekutsi kwemukadzi kuzviongorora.
• Abdominal Ultrasound.
• Kuidzwa ropa.
• Kudzidza mumarabhoritari nemiedzo.

Basic mitemo chiremba kuziva Rozanov zviratidzo

Regai kubvunza mibvunzo yakananga, kuona zviratidzo. Somuenzaniso, mubvunzo: "Uri unopinza kurwadziwa rezasi mudumbu aone?" Zviri nani kuti, "Chii chauri kunzwa iye zvino?" Zvinokosha kunzwa zvakawanda tsanangudzo kwavari ruzivo nezvekufadza murwere.

Palpation pakati mudumbu anogara chaizvo zvinorwadza muzviitiko izvi. Saka, zviri nani kutanga nzvimbo dzakapoteredza chezvinhu zvinorwadza pfungwa, zvishoma nezvishoma akananga kwaari.

On kuongorora mudumbu zvinokosha kumanikidza pamusoro wayo yose mukomberedzo kuongorora pakatarisana uye okumusoro kuti rezasi abdominal rusvingo.

Mushure ongororo, chirwere uye chiratidzo Rozanov ( "Roly-Poly"), nokuratidzwa chikuru abvisa nokuda mishonga unonyaradza marwadzo. Danho rechipiri - abdominal kuvhiyiwa.

Related pfungwa

The chiratidzo "Roly-Poly" runozivisa intra-abdominal ropa nokuda munhu ruptured chirwatata. Kakawanda, nokuti dzimwe zvirwere Rozanov chiratidzo pacharo splenic atsamwira rakaoma kuona. Panguva chirwatata anogona atsamwira uye kubvarura chirwere zvinyama vamwe nhengo yacho abdominal nzvimbo. Somuenzaniso, kuvadza chiropa, muura, gastric, uye vamwe.

Kukuvara izvi zvinogona kukonzera ropa, kuunganidza ropa iri abdominal munharaunda. Kutonga vamwe zvirwere zvidzidzo zvakawanda revatema Diagnostics.

Patient kuongorora uwandu vanachiremba:

• Chiremba - akabvunza kuti zvimwe unyanzvi.
• Gayinakorojisiti - kuti asava ovarian atsamwira, izvo zvinogona kukonzera abdominal svota
• Proctologist - kuti asava intestinal chirwere pamwe zvomusejari zviratidzo: ari paura, mugaranhoko.
• Chiremba wezvedundira - kuti vadzivise kuvadza genitourinary hurongwa.
• Gastroenterologist kuti haabatanidzi chokwadi kuti gastric kubuda ropa.

Murwere inoenda kuburikidza dzakatevedzana kuongorora yakatarwa chiremba, uye ipapo vakaisa kurumbidzwaka uku kunorapwa kana chirwere akanaka chiratidzo "Roly-Poly".

Pakutanga, panguva kuongorora achishandisa Ultrasound nechirwere huru kuunganidza ropa iri abdominal viscera havaratidzi mufanidziro, izvo zvinoomesa ari kurwara nacho muitiro. Maererano nezviito izvi pamusoro nedanho kuchaitwa uye kuongorora mumwe nhengo nomumwe.

Nemhaka murabhoritari uye kurapwa miedzo ropa kuona kushoma mumuviri.

pambiru kuvhiya

Pashure kuvhiya nokuda pakurapa chiratidzo chechimwe ruptured chirwatata Rozanov asina kuoneka. Murwere haasi kuwana nezvekufadza avo, izvo vakamumanikidza kuti achinje chinzvimbo nguva dzose.

Pashure pokuvhiyiwa murwere waakaudzwa mishonga. Rongera nhamba inorwisa mabhakitiriya uye mishonga kuti vawedzere padanho kutapata. Nonsteroidal inonyaradza marwadzo omusoro sezvakarayirwa. Ipa mazano utano nokudya kuti imwe mhando zvataidya.

Zviito nokuti vanofungidzirwa Rozanov chiratidzo pamba

Zvakakosha kuyeuka kuti chiratidzo "Roly-Poly" runozivisa kukuvara chirwatata. Kana murwere kusagadzikana, nguva dzose achisimuka uye anowira, kunzwa kurwadziwa abdominal nzvimbo, zvinotevera matanho anofanira kutorwa:

- Unoyera tembiricha murwere uye kuchigadzira.

- Kuitira murefu anonyaradza nokuda chinjikira chinzvimbo.

- Usapa pachako mishonga marwadzo.

- Emergency runhare amburenzi kana kutora murwere wacho zvashata mukamuri pedyo utano chivako.

Murwere anofanira kuudza chiremba zvakadzama zvakamira vakatanga kuona marwadzo rinhiko tembiricha iri kuchengeta uye chii anosangana nezvekufadza, etc.

matanho okudzivirira

Regai kusimudza makirogiramu anopfuura 15 pachavo. Zvomukati vanoziva kwazvo, uye unopinza kufamba vari muitiro kusimudza masimbi angaita kuti atsamwira. Zviri nani kumirira nguva uye kukwezva mamwe vanhu sezvo tizvidzivirire.

Kana munhu ari kuona ane uchibaya ronda iri nokuveza nzvimbo mudumbu kusvikira ronda kushandisa chena bhandeji ropa uye sokunonoka pakarepo kuitira zvifambiso yayo kurapwa. Kana totaura yemotokari vawirwa akawana Vatyairi mumugwagwa, pakarepo audze Vezvemitemo pamusoro pamberi murwere.

yamura

Sezvo Rozanova chiratidzo (chiratidzo "Roly-Poly") - wemasaini intraperitoneal ropa splenic atsamwira, zvakakodzera kufunga kuti intraabdominal ropa hworatidza pacharo pakarepo. Murwere anotanga kunzwa zvishoma kusanzwa, ipapo kunzwa bloating mudumbu. Mudumbu anobva aoma uye rinorema.

Zvadaro akatanga kuzviratidza wokutanga kudzvanya marwadzo, panguva yakapinza mapato ari mudumbu mutoro kuwedzera. Kune marwadzo ari chirwatata nharaunda, kuripa munharaunda yose mudumbu. Zvadaro, tembiricha inotanga kumuka. Rambai tembiricha chenguva munzvimbo 37-38 inegumi.

Ganda murwere kutora yellowish-rinokwanisa kucheneruka ruvara nokuda yakasimba kurasikirwa neropa. Anonzwa utera, tsandanyama kurwadziwa, kuda kurutsa uye dzungu. Dai zvishoma atadze kuziva. Inofamba yakaoma, kufambira kufamba, marwadzo rinowedzera muna vachikwira kuti.

Zvinokosha muzviitiko zvakadaro pakarepo kushandisa rubatsiro pakurapwa. Zvikasadaro, kungava kusingarapiki migumisiro, kusanganisira rufu. In zvakadzama abdominal kuzvimba uye chirwere unogona kutanga, zvinoita kuti pave nemamwe zvirwere. Mamiriro acho ezvinhu angave yakaoma, uye zviri kunonoka kunorapwa.

Panyaya iyi, kubvuma varwere vanofungidzirwa womukati ropa, vanachiremba kuitisa Kukurumidza kuziva dambudziko racho uye kuongorora chirwere. Dzimwe nguva maminitsi zvinogona unokosha. Nyaya kurapwa kwakafanana chakasimba sezvo Diagnostics. Kana zviratidzo izvi zvikaramba zviripo Rozanov chirwere uye kurapwa zvinogona kuitika munguva yenjodzi iwoyo.

Mupiro mushonga

Mupiro Rozanov zvokurapa masayendisiti zvokurapa yakakura. Vhura navo chiratidzo kuongorora nzira zvinoshanda mushonga mumazuva edu.

Kuziva uye rokuongorora munhu ruptured chirwatata, uyewo nekutambira intraperitoneal ropa uchishandisa imwe vanochengeta zviratidzo. The chiratidzo "Roly-Poly" chinorondedzerwa muna mabhuku kuti vadzidzi vezvokurapa mumakoreji uye anotanga. Uku mupiro chaizvo kuti sayenzi Russian mudzimba mushonga, uye ane ukoshi panguva.