Zizindikiro Ortner-Grekov: matenda a cholecystitis

Zizindikiro Ortner-Grekova akuwonetseredwa mu matenda amene amagwirizana ndi chiwindi kapena biliary njira. Nthawi zambiri iwo anati mu cholecystitis pachimake. Iwo amakhala ndi chizindikiro cha ena soreness kumanja ndi kuwala effleurage m'mphepete mwa dzanja lake lamanja costal Chipilala. Mokakamizidwa tapotement unachitikira pa mbali zonse kuti kuyerekeza ndi kutifotokozera mwandondomeko chizindikiro Ortner-Grekov. ululu ukapezeka chifukwa chakuti dokotala akupanga concussion pang'ono ya ndulu chofuna. Pansi bwinobwino zinthu, odwala nthawi zina amamva ululu, poganiza chabe kulemera zina kuyambira kumbali yakumanja pansipa nthiti.

pachimake cholecystitis

Pachimake cholecystitis, malingana ndi kuwerengera, amawapeza 18% cha odwala amene ali ndi matenda pachimake opaleshoni ya zonse m'mimba. Mu akazi, Mwina pakuwonekera kwake katatu apamwamba. Zimayambitsa matenda ambiri, monga mwayi kuona chizindikiro zonse Ortner-Grekov. Njirazi ndi monga:

• oopsa kapepala kakuti biliary;
• matenda momwemo;
• kusintha mu zotengera thirakiti biliary;
• kuphwanya chakudya;
• cholelithiasis;
• kuchepetsa kukaniza nonspecific wa chamoyo;
• chapamimba chilonda, kumene limodzi diskholiey;
• mavuto morphological (mwachitsanzo chiwindi - chitukuko giperbilirubenimii).

Pafupifupi 90% a milandu matenda pachimake ndi zambiri chifukwa cha mavuto a matenda gallstone. 100% ya chinthu chakudya (chakudya) ndi kumayambika. Pakuti matenda zingachititse mafuta ndi zakudya zokometsera, allergens. Zonsezi akufotokozera kuphipha, yomwe ndiyo chizindikiro Ortner-Grekov. Koma matenda ayenera kuchitika kokha ndi dokotala.

Matenda kuti tifulumizane cholecystitis

Takambirana kale vuto ndi cholelithiasis ndi zakudya. Ndi kulankhula za matenda ena zingawachititse kuti mavuto ndi chikhodzodzo ndulu. Choncho, mwachitsanzo, gastritis, kumene limodzi ndi kuchepa kwa ulimi wa madzi chapamimba, ndipo makamaka - acid amathiridwa, nthawi zina zimabweretsa chakuti akuchita ntchito matenda wapezeka zabwino chizindikiro-Grekova Ortner, nthawi zina zimabweretsa matenda pachithunzichi.

Tanthauzo la matenda ndi mmene ake

Siteji ya chitukuko cha matenda zimatengera Pamlingo waukulu wotani kusintha mu ndulu, monga ndondomeko ndi anayamba, kaya mavuto kuwonetseredwa. Pankhani ya iwowa amakhala ndi zizindikiro zabwino Ortner-Grekov osati pali walitsa ululu mu phewa, tsamba phewa, supraclavicular dera.

zizindikiro zina

Mwa zizindikiro m'munsili wa cholecystitis pachimake anati nseru, kusanza, ndi pamaso pa ya ndulu, kuwawa m'kamwa, kuwawa ogontha siteji koyamba za kupitilira ake ndi chitukuko cha matenda. Thupi kutentha kukwera kwa madigiri 38 ndi pamaso pa kuzizira. Zimakwaniritsidwa chinawonjezeka kugunda kwa mtima, ndi zina pali tachycardia. Matenda a chikasu ndiyo akhoza zimachitika. Language amakhala ouma ndi furred. mankhwala onse ayenera zotchulidwa dokotala. Anapezerapo cholecystitis zikhoza comorbidities akutsatiridwa ndi kulephera kwa ziwalo bwanji.