Chiratidzo Kocher. Mamirire zviratidzo appendicitis.

Zvakaoma angawedzeredza kukosha nenguva nechirwere kuti rikwanise appendicitis. Mushure kucherechedza hunhu zvinhu zvinogona kukonzera peritonitis uye kuguma rufu. Mumwe wavo ari chiratidzo Kocher. Asi zvinosuwisa, hazvina kuchengetwa Varwere zvose.

semeiography

Pane zvizhinji nezviratidzo kuti murwere ane kuzvimba okuwedzera. Asi mumwe wokutanga chiratidzo anooneka inotevera. Chokutanga, pane kurwadziwa iri epigastric nharaunda. Uyewo, inonzi gomba. Riri pakarepo pazasi xiphoid muitiro - pfupi mugove sternum, izvo wekuita pamberi rumbabvu.

Chiratidzo Kocher-Volkovich ndechokuti pashure maawa 1-3 mushure kutanga marwadzo munhu anoti vachifambira vari iliac nharaunda. Kazhinji, vari mupasi pazasi kurudyi riri abdominal rusvingo.

Kuti kuderedza mamiriro, kazhinji varwere kutora chinzvimbo; vanovata pasi parutivi rwake rworudyi, makumbo hwakakungwa pamabvi nekusunga kuti mudumbu.

Mamirire zviratidzo appendicitis

In kwokutanga matanho, kwete zvose vanokwanisa vazondifungira yakabuda kuzvimba okuwedzera. Kazhinji matambudziko kutange kusagadzikana mune zvomudumbu turakiti. Aionekwa epigastric marwadzo, dzimwe nguva vari vemunyika vari guvhu nzvimbo. Ichi chiratidzo Kocher appendicitis. Vakawanda vakaona kunzwa colic, bloating uye kunzwa nokuzara. Pashure exiting magasi kana defecation ezvinhu zvishoma kunogona kunatsiridzwa.

Asi kurwadziwa awedzera pashure pemaawa 1-3. Paroxysmal nezvekufadza inotsiviwa zvachose. Kurwadza anobuda uye vanodzvinyirirwa hunhu. Kusagadzikana inodedera pasi mudumbu. Muchiitiko chino, chero kufamba uye mutoro chete achiipa zvinhu. Marwadzo kuwedzerwa befu, vangakosora, achifamba, nokudzinga chokufambisa zvinoreva (pamwe ichidedera). It kunoitika zvakafanana mune vakuru nevana.

The localization of zvomoto okuwedzera

Kuziva kuti Kocher chiratidzo kuchengetwa rikwanise appendicitis, zvinokwanisika rokuongorora pakatanga chirwere. Uyewo pamusoro localization kurwadziwa unogona kunzwisisa chaiyo apo muviri ichi. In mureza urongwa of zimbabwe shanduro, achava kurutivi rworudyi. Asi kana kurwadziwa iri mupasi nenzira yakasiyana nzvimbo, saka zvinoita kuti anoiswa zvakasiyana. Izvi zvinofanira kurangarirwa kana kuita zviratidzo.

Saka, kana chinangwa marwadzo munharaunda chechizvaro ezasi rworudyi dumbu, ari pelvic nzvimbo zvomoto nhengo inogona kuchengetwa. By kwayo nzvimbo iri medial nzvimbo (paavhareji) muviri mutsetse, kunetseka chichange vemunyika vari guvhu.

Dzimwe nguva marwadzo pfungwa iri lumbar nharaunda, groin uye sikarudzi. Izvi zvingaratidza kuti okuwedzera riri seri cecum. Zvisinei, muchiitiko ichi, zvakakosha kuti differential chirwere uye kuti asava renal chirwere kana kukuvadzwa yacho ureter.

Kazhinji kuchengetwa marwadzo ari kuruboshwe nechepasi dumbu. Izvi zvinoreva kuti okuwedzera riri kunze bhokisi. Iye, pamwe chete cecum kuruboshwe.

Diagnostics

Kuti aone appendicitis, kwete zvakakwana kuziva chete chiratidzo Kocher. Pane zvimwe zvinhu nawo unogona kuita kuongororwa zvakarurama. Saka, murwere anogona kugara kubva chinzvimbo nhema pasina rubatsiro. chiratidzo ichi anonzi Bailey.

Kurwadziwa yakawedzera apo tilted kuruboshwe murwere. Zviri zvakare maitiro chepfungwa inonzi chiratidzo Volkovich. Condition Zvinoipisisa kuna, kana ukaedza kuunza mudumbu rokurudyi.

Mendel chiratidzo ndechokuti kana effleurage minwe iri pamberi mudumbu marwadzo zvinowedzerwa yake iliac kurudyi divi. Munhu uyu anonga abuda kuva akanaka muna 80% nyaya.

Kuti tizive kutanga peritonitis achava dzakasiyana kuongorora chirwere. Chiratidzo Kocher atsunga chete panguva kwokutanga nzendo chirwere. With kukura kuzvimba, iye haasisina kuchengetwa. Kana murwere kushingirira kurudyi iliac nharaunda uye pakarepo akabva rwake, shure kuti marwadzo inowedzerawo. Nyaya iyi inonzi chiratidzo Shchetkina-Blumberg. Zvinonzi kuchengetwa 98% varwere incipient peritonitis.

Next mukurapa

The chiremba Swiss Kocher kutanga vakatsunga kuti kuzvimba appendicitis chinotanga kurwadziwa epigastric nharaunda pasi xiphoid muitiro. Akagara XIX- pakutanga XX remakore. It anokudzwa ake uye akanzi chiratidzo kutanga basa kuzvimba cecum.

Chiratidzo Kocher vakacherechedza ane exacerbation kuti appendicitis. Saka zvakakosha nenguva kuongorora chirwere. Kufambira kubva epigastric marwadzo zvakarurama iliac nharaunda inonzi chiratidzo Kocher-Volkovich.

Asi kukudzwa chiremba zvakanga zita kwete yamunenge chizenga. Aizivikanwawo pakati endocrinologists chiratidzo Kocher. It iri chokwadi kuti kana iwe kutsvaga sangano yeziso shure kumhanya kufamba rokumusoro fungiro. Saka pakati yokumusoro pamucheto Iris uye ganda nedanga anova rinooneka sclera. Ndicho chiratidzo chepfu diffuse goiter.

Kocher inonziwo ivo vakatanga dzinoverengeka pakuvhiya inokosha. Saka, Somuenzaniso, clip midziyo ropa, dumbu, Yatanga Kuongorora, kuburikidza iyo oparesheni rinoitwa pasi zvomudumbu zvomukati, abudise sepombi zvakagadzirwa negirazi kushandiswa uye n'anga panguva.