In mushonga, palpation - chii ichi?

Palpation - zvomurwere zvokurapa tsvakurudzo nzira. Yakabudiswa kuzvidzivirira uye hunorapa nechiyero. Chiremba anoongorora murwere kupomba, anodzora sei sei kubata siyana nhengo dzomukati. Kudzidza yaibva remakore rechi19. Mazuva ano ndiro chete nzira dzokurapa kuti anotora pakati murwere uye chiremba rizere kuonana.

musimboti oparesheni

Palpation kushanda tactile nezvekufadza makatsamwisa unobatwa, kudzvinya zvigunwe ake, mumwe kana kunyange vanachiremba maviri maoko. Nyanzvi inoshanda zvakananga murwere muviri kutsanangura zvinhu nezvikanganiso integument yokuzvifungidzira, muri nhengo umo ezvinhu mukati. At mukuru-pamwero nyanzvi palpation chendangariro chaiwo tsananguro:

- nzvimbo (izvo zvinokosha kunyanya displacements vachiberekwa deformations);

- kukura zvomukati, nezvimiro;

- mufambo.

Palpation - inzira inokosha kuziva kurwadza akanzwa imwe nhengo iri munhu (asi kwete chete) muviri.

subspecies Michina

Govera zvakawanda subtypes: yakadzika, asingafungi.

Zvachero palpation - kudzidza zvimwewo zvinoitika. Nyanzvi nezvokuti majoini, ganda, nemidziyo ropa. The kwacho anoshandisa maoko mumwe kana vaviri. Vari inoiswa paganda hosha chikamu muviri, uye nemidziyo ropa rinogona kubatwa ne nyore. Mhando rinoshandiswa nepaburi, kazhinji panguva yokubvunza.

Deep palpation - munhu nzira inodiwa inonyatsoongororwa, vachibvumira kuwana sei zvakanaka zvomukati. It hunokosha kana pamusoro haisi kukwanisa kupa migumisiro Positioning murwere nzvimbo. Sezvo chidobi vakawaridza nevakawanda dzakabudirira subtypes akawanda:

- Deep Dive. Panyaya iyi, chiremba ari chirwere plunges minwe zvakananga kupinda chirwere munzvimbo. Saka unogona kutarisa sei zvakanaka majoini, tsandanyama, tarisa ezvinhu mapfupa uye adrenal mumasero.

- Deep zvishoma nezvishoma mumatope. nzira iyi kunoda kudzidza abdominal mhango. Chiremba anowana ruzivo nezvedambudziko nzvimbo, vachinzvera abdominal rusvingo, pamwe kumuromo kwematanda neminwe yake, iye ruchitedzemuka pamusoro mhango kurudyi. Chaizvoizvo mashoko masekondi kutanga zvinoita kuti vawane mhinduro womuviri, pachishandiswa izvo zvinoita kuziva chirwere uye anokonzera dambudziko.

- achimhanya, inonzi "nzira nehana." rokuongorora kwakadaro, palpation dzetsika dzemagariro chiropa uye abdominal anomera. Kubudirira nzira kupfuura zvose, kana totaura ascites. rusvingo Abdominal vanosundira akashambidzika kufamba, saka kuti muviri uri yakarurama nzvimbo. Vachipemberera kubudirira nzira dzimwe zvirwere.

Features

Percussion, palpation - nzira mbiri kwakapararira kubvumira kuongororwa zvakarurama. Both ruzivo vava hwaro kukura mushonga mumunda kuongorora chaiko.

Palpation rinoitwa kana murwere akarara pasi kana akamira. First aidzidza cursory kuongororwa, iyo inobatsira localize kurwadziwa kuti palpation uye kuti uone sei zvomukati kwezvatiri. Kana achiita kutungamirirwa nzira uri murwere mweya.

chidobi

Kana uchida kuona kuti kuongorora mudumbu, chiremba anokotama zvishoma uye anoisa zvigunwe ake pamwechete, ipapo exhale zvinyoronyoro zvinoenda abdominal mhango kuti isvike musana rusvingo. Kana ichi rikazvisundira mudumbu. Body vanofanira Vaiisa pasi minwe. Akanzwirwa kudzidza mashoko chinobatsira kuziva sei muviri mukuru uye chii chiri chimiro. Marwadzo ari palpation kuongorora zvichibvira kukuvara uye kuti asimbise kuongororwa zvakarurama. Kuburikidza nzira yokuwana kubva kuvapo namamota kana kugamuchira mashoko kuti curvature mudumbu haasi chakaipa. Zvisinei, tinofanira kuyeuka, kana bundu zvakatanga muna cardiac dhipatimendi simba kuwana achishandisa palpation zvinopera, maekisirei yaifanira.

Palpation: rova nzira

Kunze mhando mbiri pamusoro apa zvidzidzo zvepfungwa mamwe dzakasiyana mbiri dzokudzidza muviri. Common havanyanyi kacho, zvisinei, pane:

- bimanual;

- jerky.

Chiri achimhanya jerky rinoitwa vachishandisa chibhakera. Chiremba anoitisa dzinotevedzana pfupi, jerky fambisa ane zvakakwana simba zvikuru. Achibatsirwa ruzivo urwu, unogona kunzwisisa zviri mudumbu, ari dumbu. Kana zviremera pamusoro zviyero azara mura, vakanzwa achitevedzera.

Kana bimanual palpation zvinoitwa nemaoko maviri panguva imwe chete. nzira iyi inopa mawa nhau imwe nzvimbo huru. Unogona kuwana kubva kuvapo namamota, ongorora yose abdominal mhango, itsvo panguva imwe chete.

Nzira kwakapararira munzvimbo wemhuka sezvo aishanda svikiro kadikidiki venyama. Mumwe nzira kudzidza; maoko ose anoiswa pamusoro muviri pamusoro uye kumanikidza rinoshandisirwa rumwe rutivi, uye mumwe - zvakashandurwa.

Asi kana zvoutano chokuita mugaranhoko kana waiita kana achitambura marwadzo ari nhengo nyore rectally, munhu kushandisa yomukati palpation murwere.