Zizindikiro Kera ndi Ortner cholecystitis. Isanayambike zizindikiro ndi malo kutanthauzira awo

Zimayambitsa cholecystitis munthu akhoza kupanga zosiyanasiyana matenda aakulu, kapena kusintha kapangidwe ka ena ziwiya thirakiti biliary. Kukhoza kukhala chifukwa cha matenda a m'mimba (okhawo amene anatsagana diskholiey). Kutchulidwa waukulu mu tanthauzo la matenda ndi chizindikiro Kera.

zizindikiro zosonyeza cholecystitis

Malinga ndi kutanthauzira kutupa kapena mtima kusintha kapangidwe ndi kapepala biliary, chimasiyanitsa zizindikiro zambiri:

• ululu kuzimiririka mu hypochondrium chabwino chimene chimafika oposa - m'chigawo cha ufulu scapula, clavicle ndi phewa; ndi chitukuko cha matenda ululu umakhala pachimake ndipo kwambiri;
• kunyansidwa ndi kusanza, amene amakwiya kuwawa;
• kulawa zowawa mkamwa;
• pamaso zosafunika vomitus ya ndulu;
• lilime TACHIMATA zolengeza ndi kouma kwambiri;
• mwina malungo ndi kuzizira;
• ngati kupitilira matenda ndi wapezeka tachycardia, ndi kuthamanga magazi;
• ngati chilolezo ali oletsedwa ya ndulu ducts (pamaso pa miyala izo), ndiye munthu ali ndi matenda a chikasu ndiyo kutchulidwa;
• ululu pa palpation mu hypochondrium bwino.

Kuwonjezera pa pamwamba, mbali yaikulu ya matenda ndi chizindikiro Kera. Tisonyeza zimenezo mwa ululu pa palpation m'thupi wodwala Kusinthaku. ululu ikukula ndipo amawachitira osachepera ndi chitukuko cha matenda isanafalikire.

zizindikiro zosonyeza cholecystitis

Ndi mawonetseredwe wapadera wa matenda ndi zizindikiro za Kerala ndi Ortner. kuwerengetsa Komanso zikadzatha chitsimikiziro cha kukhalapo maonekedwe awa. Kudziwa ndi chizindikiro choyamba, ndi okwanira palpation zozama za ufulu nusu chapamwamba, mu nkhani iyi, wodwalayo aakulu pachimake ululu akuwonekera.

Zizindikiro Ortner wapezeka pogogoda ndi Chipilala costal pa mbali ya dzanja lamanja ya dzanja lake. Pamaso pa matenda, mwai onse Adzatsagana ndi zomverera chowawa amawasonyeza mosiyanasiyana malingana momwe matenda anali akupangidwa ndi zimene msinkhu ndi umoyo wa munthu.

Komanso iwonso kusiyanitsa:

• Obraztsova chizindikiro - pamene munthu amapuma pa palpation ndi ululu umachuluka;
• Murphy chizindikiro - kulephera kupuma palpation kwambiri mu hypochondrium bwino;
• De Musset chizindikiro-Georgievka - palpation sternocleidomastoid minofu (mu mwendo) wodwala kumasonyeza ululu.

Mu yopimira magazi angapezeke neutrophilia, lymphopenia ndi leukocytosis.

Zizindikiro kuonekera

Kugwiritsa ntchito chizindikiro Kera, mukhoza kudziwa pamaso pa cholecystitis acalculous. Pamaso pa miyala ndulu kapena kapepala biliary kusiyanitsa zinthu zina symptomatic.

Kera chizindikiro kwa cholecystitis pachimake ndi zikamera wa kupweteka kwa chikhodzodzo ndulu pa palpation kwambiri pa malo a thupi mtima malo.

matenda zosiyanasiyana

Pachimake cholecystitis angathe kusiyanitsidwa ndi mmatumbo chilonda kapena m'mimba, komanso pachimake kapamba, appendicitis kapena colic aimpso. Pofuna kusokoneza matenda amenewa, m'pofunika kuti azitha kusiyanitsa pakati pawo.

Pa kupweteka m'mimba chilonda amapezeka mofulumira Komanso ndi lakuthwa ndithu, pamene cholecystitis mu ululu chiwindi kuzimiririka ndipo patapita pang'ono umalimba. Komanso pali kutentha pafupi madigiri 38 kusanza ya ndulu.

Mu kapamba pachimake, ululu isanafalikire lamanzere nusu chapamwamba, nawonso limodzi ndi kusanza mosalekeza.

Pachimake appendicitis alibe zizindikiro chake ululu, yochokera kwa phewa ndi scapula, ndipo sizimawoneka retching. Appendicitis wodwalayo si chizindikiro cha Kerala ndi Musso.

Mu colic aimpso si anati adzauka pa kutentha ndi kukhalapo kwa leukocytosis magazi. ululu isanafalikire makamaka m'dera lumbar ndipo amawachitira m'chuuno ndi ziwalo m'chiuno.

cholecystitis chithandizo

cholecystitis chithandizo ayenera kuyamba pamaso m'chipatala cha. M'nsinga kutumikiridwa mankhwala amene amachepetsa ululu (zambiri ntchito jekeseni "shpy") ndi kuchepa kuthamanga mu ndulu ya ndulu outflow chifukwa kusintha mu intestine yaing'ono.

Zizindikiro Kera cholecystitis ndi chifukwa hospitalization yomweyo, kenako alowererepo opaleshoni kapena ndiwofatsa ya ogwira ntchito kuchipatala.

Nthawi wasonyeza chidwi kukhalapo kwa zizindikiro anafotokoza ndi luso kusiyanitsa kumatenda masiyanidwe timapitiriza mwayi kwa kusintha mwamsanga popanda opaleshoni.