Tohumate mo Kera ko Ortner cholecystitis. Tīmatanga o tohu, me te wahi o to ratou localization

kia hanga i te take o te cholecystitis tangata i roto i te momo o mate mau, huringa o te hanganga o te tahi mau oko wahi biliary ranei. Ka taea hoki te whakawhanake te reira i rite ki te hua o mate o te puku (nga mea anake e kua haere tahi diskholiey). Ko te tohutoro matua i roto i te whakamāramatanga o te mate ko te tohumate mo Kera.

tohu noa o te cholecystitis

Tei runga i te localization o mumura iaia hanganga huringa ranei me wahi biliary, titore maha tohu:

• mamae puhoi i roto i te hypochondrium tika, e toro whakarunga - i roto i te rohe o te scapula matau, āhei me te peke; ki te whanaketanga o te mate riro te mamae atu whakapeka, me te kaha;
• whakapairuaki me te ruaki, e whakaoho mamae;
• reka kawa i roto i te mangai;
• i roto i te aroaro o poke vomitus ate;
• arero pani tohu, me te maroke rawa;
• kirika pea me Chills;
• i roto i te take o te mate haereraa kitea te tachycardia, ka nui haere te pēhanga toto;
• ki te āraia te waere te aerodynamics ate (i roto i te aroaro o te kohatu i roto i reira), na te tangata kua he jaundice korerotia;
• mamae i runga i palpation i roto i te hypochondrium tika.

Haunga te runga ake, te āhuatanga matua o te mate ko te tohumate mo Kera. Kei te whakahuatia te reira i roto i te mamae i runga i palpation i roto i te türanga tinana o te manawanui. Kei te tipu haere te mamae, me te toro i te iti rawa me te whanaketanga o te mate paetata.

tohu motuhake o te cholecystitis

E nga faaiteraa motuhake o te mate, he tohu o Kerala me Ortner. puta aromatawai atu i muri i te haamauraa o te aroaro o teie mau faaiteraa. Ki te kitea te tohu tuatahi, he reira rawaka ki palpation hohonu o te hautahi runga tika, i roto i tenei take, puta te mamae whakapeka nui manawanui.

Tohumate Ortner kitea e mirimiri i te kikorangi costal i te taha ki matau-ringa o tona ringa. I roto i te aroaro o te mate, ka kia haere tahi whawhe katoa e sensations fakamamahi taumata, i runga i te āhua o tawhiti i whakawhanakehia te mate rānei, me aha te tau me te hauora whānui o te takitahi.

I tua atu te wehewehe i hoki ratou i waenganui:

• tohu Obraztsova - ina hopoi te tangata i roto i piki palpation me te mamae;
• Murphy tohumate - te ngoikore ki te manawa i runga i palpation hohonu i roto i te hypochondrium tika;
• sternocleidomastoid palpation uaua (i roto i tona waewae) te manawanui ko te faaiteraa o te mamae - De Musset o tohu-Georgievka.

I roto i te whakamātautau taiwhanga toto e taea te kitea neutrophilia, lymphopenia me leukocytosis.

A, no te puta tohu

Mā te tohumate mo Kera, ka taea e koe te whakatau i te aroaro o te cholecystitis acalculous. I roto i te aroaro o kohatu i roto i te gallbladder wahi biliary ranei te wehe atu faaiteraa symptomatic.

Mo Kera tohumate mō te cholecystitis whakapeka ko te putanga o te mamae i roto i te tōngāmimi au i roto i palpation hohonu i te pae o te wāhi tinana manawanui.

pārōnaki mate

cholecystitis whakapeka taea te rerekëtanga i whewhe duodenal ranei puku, me te pancreatitis whakapeka, whēkau ranei colic tākihi. I roto i te tikanga e kore e ki te whakapoauau enei mate, he mea nui ki te taea ki te wehewehe i waenganui ia ratou.

I puta te mamae puku whewhe koi, ano, ko reira tino koi, i cholecystitis i roto i te mamae ate puhoi, me te pae hopea paku whakarei. Hoki i reira ko te pāmahana tata 38 nekehanga, me te ruaki ate.

I roto i te pancreatitis whakapeka, paetata te mamae kei roto i te hautahi o runga maui, ano e taea te tahi e te ruaki tonu.

He whēkau whakapeka kahore tohu i roto i tona mamae, anaana ki te pokohiwi me te scapula, a e kore e puta retching. e kore he whēkau i roto i te manawanui he tohu o Kerala me Musso.

I roto i te colic tākihi kore e kitea ara i roto i te pāmahana me te aroaro o te leukocytosis toto. paetata te mamae kei te nuinga i roto i te rohe lumbar me toro ki te hope, me te okana papatoiake.

maimoatanga cholecystitis

kia timata maimoatanga cholecystitis te aroaro o te hohipera. Pâmuhia whakahaere taero e whakaiti mamae (whakamahia te nuinga nuitia werohia "shpy"), me te whakaiti i te pēhanga i roto i te matamua gallbladder ate tika ki te whakapai ake i roto i te whēkau iti.

Ko tohumate mo Kera cholecystitis he take mo te hohipera tonu, aru i te wawaotanga hāparapara momo ranei i runga i te wahi o kaimahi hauora.

Time whakaaturia whakarongo ki te aroaro o nga tohu whakaahuatia me te kaha ki te wehewehe ratou i mate pārōnaki whakarei ake te whai wāhi hoki te ora tere kahore pokanga.