Survey nzira palpation ari mudumbu

Palpation - nzira kuzviongorora murwere, iyo inoshandisa pfungwa Kumubata minwe. Nzira anotsigira Kuongorora Data uye anozivisa marwadzo, tembiricha dzeko, ganda mwando, mufambo uye kukura node nodes. Palpable kuongorora zvose kwokunze nemamiriro mapfupa, tsandanyama, majoini, pemvura midziyo. nzira iyi anosarudza pamberi pakazvimba uye kupwanywa. Of Kunyanya kukosha mune chirwere kwezvirwere ane palpation pamusoro thorax uye dumbu. Funga zviri ongororo.

Palpation of mudumbu - mumwe chikuru nzira zvomukati ari abdominal mhango kuongorora. With nzira iyi zvinokwanisika kuziva zvimwe zvinhu pathological zvomukati, uyewo yavo nzvimbo. In kurapwa tsika, kwokubatira uye rakadzika palpation pakati mudumbu.

ari palpation asati zvakafanira kutora kodzero murwere, kunyanya pachiyero pamubhedha. Murwere anofanira kuisa kukanganisa pasi mutsago, akaisa maoko ake pamwe pamuviri, makumbo hwakakungwa pamabvi. Ruoko mumwe palpates, zvinofanira kuva noushamwari, chakaoma, pamwe pfupi zvipikiri. Zvachero palpation pakati mudumbu vagara vandifungira:

- tsandanyama kugozha kungova Anterior abdominal rusvingo;

- nzvimbo kurwadziwa;

- mumatenhere abdominal rusvingo, kufutisa, ascites uye flatulence;

- mumatenhere abdominal rusvingo uye ari abdominal mhango ;

- chero zvisimbiso ari abdominal parusvingo;

- musiyano pakati rectus tsandanyama ari mudumbu, heniya, zviratidzo zviri peritoneal bundu.

Tichishandisa nzira iyi, vawane rokutanga ruzivo pamusoro mamiriro zvomukati.

Asati atanga kuti palpation murwere anodaidzwa kuratidza hosha panzvimbo. Panguva kuongorora zvakafanira kuti murwere vakaudza chiremba paakazviratidza marwadzo uye pavanenge zvapfuura. In murwere utano munguva zvachero palpation hapana marwadzo hariwaniki zvinobvira tsandanyama tisawirirane ari abdominal rusvingo vane zvishomanana uye zvakafanana, ichibata kumativi ose.

In peritonitis, abdominal palpation pemvura kunokonzera soreness uye tsandanyama kukakavadzana pamusoro pepasi ari abdominal mhango. Kana rikwanise appendicitis kana cholecystitis omunharaunda palpation kunokonzera kurwadziwa, iyo anowedzera zvikuru apo pakarepo kutora maoko ake. Saka, inorondedzerwa kuzivikanwa chiratidzo Shchetkina Blumberg. With zvachero palpation ari mudumbu anogona kugamuchira chirwere Data zhinji kuona zvibereko zvomukati, dumbu kana bowel loop voltage, kuvapo anomera.

Deep palpation pakati mudumbu iri kuteererwa nzira muenzaniso-Strazhesko. Nzira iyi wakatangwa mukupera XIX remakore Kiev chiremba V.P.Obraztsovym uye gare gare vaisanganisa neboka mudzidzi Obraztsova - NDStrazhesko chiremba.

Deep palpation pakati mudumbu rinoitwa zvishoma nezvishoma mumatope nenzira. Chiremba inopa murwere kuti Tsandanyama ari abdominal rusvingo. Panguva nedzinovengwa, chiremba anoisa ruoko rwake mukati abdominal mhango kusvikira pemvura bvunzo muviri nezvekufadza. Ipapo ruoko ifambe pemvura pamwe nyore, vakaronga perpendicular ayo akabatana. Movement of ruoko rinodzorwa kufema kufamba. Achishandisa nzira womumvuri palpation anogona kuwana zvakafanira Data pamusoro pezvakaita, kukura, magadzirirwo, mufambo, nehanya zvomukati iri mukati abdominal mhango.

Yakarongeka zvakadzama abdominal palpation ushande ari kwakajairika kutevedzana. First palpated sigmoid muura, ipapo mapofu, okuwedzera, kodzero uye rworuboshwe chikamu muura, dumbu, transverse chikamu muura, chiropa, rwatata, chirwatata neitsvo. Saka mumwe murwere ndiongororwe palpation, pasinei nechirwere zvakanga zvataurwa.