Zizindikiro Kuuka ndi zizindikiro zina kapamba pachimake

njira zosiyanasiyana tione kudziŵa matenda zolondola kwambiri amalola kuti ajambule mapeto pa zimayambitsa chisokonezo ntchito thupi. Imodzi mwa njira wamba amaganiziridwa kuphwanya ziwalo zosiyanasiyana za dongosolo la m'mimba ndi palpation wa pamimba.

Zizindikiro Kuuka maonekedwe matenda

Pa palpation m'mimba mwa epigastrium anatsimikiza kuti wodwalayo alibe kapena kwambiri attenuated ripple gawo m'mimba mwa atsikira msempha. Ichi ndi chizindikiro wakuti kapamba pachimake.

Koma si pathognomonic chizindikiro cha kuuka kwa akufa. Ndiko kuti, amagawanika kungasonyeze osati a kapamba pachimake, koma hematoma retroperitoneal, ponso ena mwanabele, etc.

Kulungamitsidwa ndi topographic ndi anatomical amazionera

Amadziwika kuti kapamba ndi ntchito kuzibweretsa anterolateral khoma m'mimba mwa epigastrium ndipo anasiya subcostal dera. Mbali lowermost a kapamba ndi m'mphepete m'munsi muno pa mtunda wa pafupifupi 5 masentimita pamwamba malo umbilicus dongosolo, ndipo pamwamba - pa 10 cm pamwamba umbilicus lapansi. Location kapamba mutu - kudzanja lamanja la VI-VII nthiti, monga mchira - kumanzere chapamwamba nusu.

Retroperitoneal malo mutu limachititsa ubwenzi wabwino ndi duodenum ndi. Rearward a kapamba ndi gawo m'mimba mwa atsikira msempha.

Ngati palibe kudwala pa palpation wa pamimba mu epigastrium ndi mosavuta anatsimikiza ndi pulsation kwa msempha.

Pakalibe pulsation m'dera m'mimba mwa atsikira msempha pamaso pa kapamba pachimake akhoza zimachitika chakuti kuwonjezeka mu kusindikiza ndi kapamba chimachititsa izo occludes mbali yokulirapo ya msempha kutsogolo, amene kumathandiza akufufuza mpata pulsation ake.

Zizindikiro zina za kapamba

Zizindikiro Kuuka kapamba ndi chimodzi cha mawonetseredwe zofunika kwambiri za matenda makamaka.

Kapamba - ndi matenda yotupa-dystrophic a kapamba minofu. Nthawi zambiri kumachitika ngati njira aakulu, ndipo ali ndi khalidwe mofulumira pang'onopang'ono. Chomaliza amakhala ndi kuthetsedwa kwa kapamba magwiridwe ake.

The zimakonda matenda awa:

• Pafupipafupi n'kumauzana kwambiri kumwa mowa.
• Matenda a dongosolo biliary (zambiri akazi).
• Zakudya chofunika mapuloteni ndi mafuta.
• matenda otengera kugwirizana ndi kuphwanya kagayidwe kwa amino acid.

Mbali osakhala madandaulo kugwirizana ndi zosayembekezereka ya ululu wa kutanthauzira zosiyanasiyana. Pachimake kapamba amachititsa mumamva kupweteka pamimba chapamwamba, anakafika ku mmbuyo. Matenda ululu matenda yodziwika ndi mwamphamvu m'munsi, ndi zomverera zina chopweteka pa Nzoipa m'mnyewa wamtima.

Cholinga zizindikiro za kapamba, imene ndi chizindikiro kwa kuuka kwa Akufa, sizikugwirizana ndi wodwala ululu pakhomo, choncho mbali awa ali mu nkhani iyi, muyezo waukulu kudziwa matenda. Mulinso ndi chikasu bwino pamaso sclera; complexion wodwala inasintha kuchoka wotumbululuka kuti anthaka; zokhazikapo diso kukhala kutchulidwa; pali maonekedwe a mawanga wamagazi pa pamimba ndi mu groin ndi; lilime yokutidwa ndi ❖ kuyanika wachikasu; kupuma mlingo ukuwonjezeka; pali ululu kwambiri palpation.

Njira Kupenda amaganiziridwa pachimake appendicitis

Mu oimira wamkazi pachimake appendicitis zimachitika kwambiri zambiri kuposa abambo. Zikuoneka, monga ulamuliro, mwadzidzidzi. Kuchititsa aakulu epigastric ululu, zoipa ndi kufalikira mu pamimba. Ndiye kutanthauzira ululu mu lamanja iliac dera (chizindikiro Kocher a). Nthawi zambiri zimachitika kusanza wosakwatiwa, anachedwa chopondapo. Nthawi zina, zitheka ndi kutsekula m'mimba, komwe kumatheka ngati nkhani zakumapeto chofuna isanafalikire m'dera m'chiuno. N'zotheka walitsa ululu m'dera lumbar ndi mwendo wotchedwa "chizindikiro zingwe nsapato."

Ngati pali zowononga mtundu, yodziwika ndi chifooke ululu ndi maonekedwe a malungo; chinawonjezeka kugunda kwa mtima ndi malungo pang'ono. Choncho pali ludzu, pamene m'mimba amakhalabe mawonekedwe zolondola. Kudzifufuza matenda kwanthawi mu kupuma m'dera la ufulu pamimba m'munsi. Pali hypersensitivity wa khungu mu lamanja iliac dera, amene amadziwika ngati chizindikiro Razdolsky. Komanso, zizindikiro matenda uka Crimea operekedwa soreness pamene akufufuza mpata bwino inguinal mphete

Retrotsekalnoe malo ndondomeko pa nkhani ya appendicitis pachimake amakwiya kutsegula chitetezo minofu kwa lumbar makona (Petitova chizindikiro).

Zizindikiro Pepala (Voskresenskiy) mu appendicitis pachimake

The chizindikiro kuti dotolo ali kumanja kwa wodwalayo, dzanja lake lamanzere chimakakamiza pansi mkanjo wake, ndipo pang'onopang'ono glides zala zake pa chitsogozo cha dzenje la m'mimba kwa iliac bwino. Nkofunika, pa mapeto a Pepala la sikuchotsa zala bwino pa mpanda m'mimba. Popeza kuti anali kumapeto kwa kutsetsereka wodwala akumva kupweteka kwambiri. Choncho, pamene kutsetsereka zosiyana ululu kutero.

Zizindikiro malaya - ndi dzina kawirikawiri amagwiritsidwa ntchito iyi. Koma penapake yolakwika. Olondola ntchito mawu akuti "Pepala syndrome".

Nthawi zina, chizindikiro ichi ndi zabwino?

Choncho, chizindikiro zabwino kwa kuuka kwa Akufa, pamene wodwalayo pachimake kapamba. A chizindikiro Pepala komanso lotseguka kuti katswiri anati zinachitikira appendicitis pachimake.