Uphawu Kera futhi Ortner cholecystitis. Lapho kuqala izimpawu nendawo kwasendaweni yabo

Izimbangela cholecystitis e umuntu angafaka ezihlukahlukene isifo esingalapheki noma ushintsho isakhiwo ezinye izitsha ipheshana biliary. Ingase futhi ukuthuthukisa ngenxa yezifo isisu (yibo kuphela ukuthi ahambisana diskholiey). Isethenjwa main ekuchazweni lesi sifo singumbulali Kera uphawu.

izimpawu ezivamile cholecystitis

Kuye kwasendaweni yisihlungu noma awe semithambo izinguquko isakhiwo kanye ipheshana biliary, ihlukanisa izimpawu eziningi:

• ubuhlungu buthuntu le hypochondrium kwesokudla, ezisabalele phezulu - esifundeni ilungelo scapula, clavicle nesiphanga; ukuthuthukiswa sifo ubuhlungu iba acute ngaphezulu futhi okukhulu;
• isicanucanu nokuhlanza, okuyinto kuphakamisa ubuhlungu;
• ukunambitheka ababayo emlonyeni;
• ebukhoneni vomitus Bile ukungcola;
• ulimi camera-plaque kanye eyomile khulu;
• mhlawumbe imfiva kanye Ukugodola;
• uma ukuqhubekela phambili kwesifo itholwa tachycardia, anda umfutho wegazi;
• uma imvume ivinjelwe Bile Amapayipi (ebukhoneni amatshe kuwo), khona-ke umuntu unalo jaundice liphinyiselwe;
• ubuhlungu palpation ku hypochondrium kwesokudla.

Ngaphandle kwezinto ezibalwe ngenhla, isici esiyinhloko lesi sifo singumbulali uphawu Kera. Lubonakaliswa ubuhlungu palpation e lesiguli umzimba ukubekwa. ubuhlungu lukhula luqhubeke okungenani ukuthuthukiswa isifo zendawo.

izimpawu ezithile okufanele cholecystitis

Ngu ukubonakaliswa esikhethekile yilesi sifo manje izimpawu saseKerala futhi Ortner. ukuhlolwa okuthe xaxa kwenzeka emva isiqinisekiso khona lokhu kubonakaliswa. Ukuthola uphawu lokuqala, kwanele ukuba palpation ezijulile ilungelo quadrant engenhla, kulesi simo, isiguli ezinzima ahlekise livela.

Uphawu Ortner Kutholwe evunyelwe lwaleli costal ngakwesokudla olusesandleni esandleni sakhe. Phambi lesi sifo, zonke manipulations uzobe ephelezelwa emizweni ubuhlungu ntshashintshe kuye ku kude kangakanani lesi sifo bebeye, futhi lokho ubudala noma impilo yabo jikelele yomuntu.

Ngaphezu kwalokho nabo ukuhlukanisa phakathi:

• Obraztsova uphawu - lapho umuntu uphefumula phakathi palpation nobuhlungu inyuka;
• Murphy uphawu - ukungakwazi ukushaya futhi sakwazi ukuphefumula palpation ekujuleni hypochondrium kwesokudla;
• De Musset lokungena ngemvume Georgievka - palpation sternocleidomastoid kwemisipha (emlenzeni wakhe) isiguli siwukubonakaliswa ubuhlungu.

Ngo ukuhlolwa igazi laboratory zingatholakala neutrophilia, lymphopenia futhi leukocytosis.

Lapho avele izimpawu

Ukusebenzisa uphawu Kera, ungakwazi ukunquma khona cholecystitis acalculous. Ephambi kwezinduna amatshe e-gallbladder noma ipheshana biliary ukuhlukanisa kwezinye izimpawu, ukubona lingaze.

Kera uphawu for cholecystitis acute kuyinto ukuvela ubuhlungu esinyeni nenyongo ngesikhathi palpation ezijulile endaweni indawo emzimbeni nesineke.

isifo kwamangqamuzana

cholecystitis olunamandla kungenziwa umahluko kusuka isilonda duodenal noma esiswini, kanye pancreatitis acute, appendicitis noma colic kwezinso. Ukuze ukudida lezi zifo, kubalulekile ukwazi ukuhlukanisa phakathi kwazo.

At ubuhlungu esiswini kwenzeka ngqo, ngaphezu kwalokho, kuba impela abukhali, kuyilapho cholecystitis in ubuhlungu isibindi buthuntu futhi ekugcineni kancane ngcono. Futhi kukhona lokushisa eduze degrees 38 futhi ukuhlanza Bile.

Ngo pancreatitis acute, ubuhlungu itholakala kwesokunxele quadrant engenhla, ungase futhi sihambisane ukuhlanza okuqhubekayo.

appendicitis olunamandla asinazo izimpawu e yayo ubuhlungu, imbuthuma ehlombe futhi scapula, futhi akubonakali retching. Appendicitis e isiguli akuyona uphawu Kerala futhi Musso.

Ngo colic kwezinso is hhayi waphawula ukunyuka kwezinga lokushisa futhi khona igazi leukocytosis. Ubuhlungu itholakala ngokuyinhloko esifundeni lumbar luqhubeke okhalweni futhi izitho okhalo.

ukwelashwa cholecystitis

ukwelashwa cholecystitis kufanele aqale phambi esibhedlela. Ngemithambo yegazi iqondiswa izidakamizwa ukuthi ukunciphisa ubuhlungu (ngokuvamile ezisetshenziswa umjovo "shpy") bese wehlise kwengcindezi outflow gallbladder Bile ngenxa ngcono emathunjini amancane.

Uphawu Kera cholecystitis kuyonilethela esibhedlela ngokushesha, kulandele kokungenela kuhlinzwa noma olandelanayo phezu ingxenye nabezokwelapha.

Isikhathi ebabonisa yokubakhona izimpawu ezichazwa futhi ikhono lokuhlukanisa ezifweni umehluko sithuthukisa nethuba ukululama okusheshayo ngaphandle ukuhlinzwa.