Zochita matenda, aliyense zaumoyo luso yoyamba imene dokotala amaweruza alili ndi kudziwa ndi matenda kuyambirira sizachilendo mafunso zoona, komanso zofunikila pa mchitidwe uliwonse wa thupi, auscultation ya mtima ndi mapapo, palpation ndi percussion. Zimenezi ndi zoona makamaka mankhwala Kulembetsa, amene aliyense wodwala allocated nthawi yochepa kwambiri, ndi mphindi ngati iye abwera modzipereka, ndiye ndi angapo. Nthawi chizindikiro zabwino Shchetkina-Blumberg matenda wodwalayo zizindikiro za peritonitis ndi kusamutsa mwamsanga kuti dipatimenti opaleshoni. Mu njira palpation kusiyanitsa kungotengeka ndi yakuya, yomwe mwachindunji kuwunika boma la ziwalo. Kugwiritsidwa ntchito njira imeneyi makamaka kwa matenda amaganiziridwa thirakiti m'mimba ndi thirakiti mkodzo, m'mimba malo ambiri yoti sanali olanda, koma nthawi chowawa, kafukufuku amenewa.
Ena njira palpation
Mwachitsanzo, imodzi mwa njira zikuluzikulu ndi chizindikiro-Shchetkina Blumberg, Kera, Murphy, Chauffard, Mayo-Robson, ndi ena diaphragmatic projecting kwa mayikidwe a minofu sternocleidomastoid kuti clavicle lapansi. njira imeneyi ikusonyeza mwachikondi pa mfundo ina amene amasonyeza matenda payekha. Nthawi zambiri pali chisonyezo zabwino Shchetkina-Blumberg appendicitis, peritonitis asilikali, perforation ziwalo dzenje; Kera ndi Murphy - matenda yotupa ya ndulu ndi kuchititsa ake njira. ululu A mu mfundo Chauffard ndi Mayo-Robson (ziyerekezo mutu ndi mchira wa kapamba) anati pachimake gawo la kapamba. Komabe, zofunika kwambiri izi ndi mwina ndi chizindikiro cha Shchetkina-Blumberg, chifukwa zosinthika ake abwino limasonyeza peritoneal kuyabwa interoceptors, kotero - kwa magazi mkati kapena kufalitsa serosa izi zoyambirira za yotupa ndondomeko ndi thupi la zonse m'mimba. Ndipo boma Mulimonsemo ndi mwadzidzidzi.
A chizindikiro cha mkwiyo wa peritoneum ndi
Bwino fufuzani chizindikiro Shchetkina-Blumberg mu mtima ayenera kupatsidwa burashi wopindidwa mwa zimfundo interphalangeal wa zinthu (monga ngati atagwira m'dzanja lake mpira zing'onozing'ono) ndipo unachitikira zitatu zala ntchito (index, pakati ndi mphete) kuti pamimba. Kenaka funsani wodwalayo kupuma kwambiri (pa nthawi imeneyi muyenera kusonkhanitsa khola khungu ndi kugwetsa), kutulutsa (kuzamitsa zala zanu pa masentimita 3-4), ndipo awo zikuchepa kugwedeza. Zabwino chizindikiro Shchetkina-Blumberg ankaona ngati omaliza mwachikondi malowa kumawonjezera zikuchepa. Zingakhalenso zoipa ndi wofooka. Nthawi zambiri cheke wapangidwa ngati wodwalayo akadzafika mu chipinda mwadzidzidzi kapena chipatala ndi matenda pachimake pamimba ndipo amadandaula za vutoli ululu yaitali. Nthawi zambiri, ndi chizindikiro Shchetkina-Blumberg zabwino pa kusodza peritonitis ndi appendicitis. Pankhaniyi amenewa wodwala n'kukhala opaleshoni owonjezera akatswiri kale Mukalongosola chifukwa cha mawonetseredwe khalidwe.