Uphawu Ortner-Grekov: ukuxilongwa cholecystitis

Uphawu Ortner-Grekova ebonakaliswa izifo okuyizinto ezihlobene isibindi noma izindlela biliary. Ivame ukutholakala ebonwe cholecystitis oyingozi. It libhekene uphawu ezinye soreness ngakwesokudla nokukhanya onqenqemeni effleurage esandleni sakhe ngakwesokudla lwaleli costal. tapotement okuyimpoqo labetibambile nhlangothi zombili ukuze uqhathanise kanye nokuchaza ngobuciko uphawu Ortner-Grekov. kuphakama Ubuhlungu ngenxa yokuthi ukuthi udokotela kwenza ukuxukuzeka okuncane we gallbladder avuvukele. Ngaphansi kwezimo ezivamile, iziguli ngezinye izikhathi Angeke ubuhlungu, uzizwa kuphela isisindo ezithile kusukela ngasohlangothini lwesokunene ngezansi izimbambo.

cholecystitis acute

cholecystitis olunamandla, ngokusho izibalo, sitholakale 18% iziguli izifo sibi kuhlinzwa we komgodi ongaphakathi kwamathumbu. Ngo abesifazane, ematfuba lapho ivela khona lingaphezulu kathathu. Izimbangela yalesi sifo ziningi, njengoba ithuba babone uphawu umnyuziki Ortner-Grekov. Lezi zihlanganisa:

• nomfutho wegazi ophezulu esiqeshini biliary;
• ukutheleleka okukukho;
• izinguquko ezitsheni ipheshana biliary;
• ukwephulwa yokudla;
• cholelithiasis;
• nokwehlisa ukumelana nonspecific umzimba;
• isilonda esiswini, lapho kungase kuhambisane diskholiey;
• izinkinga morphological (isb isibindi - ukuthuthukiswa giperbilirubenimii).

Cishe u-90% amacala ukugula acute ngokuvamile kakhulu ngenxa yobunzima yesifo gallstone. 100% we ukudla isici (Ukudla) libangelwa. Ukuze izifo ezifana kungabangela okunamafutha ukudla okunezinongo, nomzimba. Konke lokhu eba spasm, okuyinto inquma uphawu Ortner-Grekov. Kodwa uphethwe yini kufanele kwenziwe kuphela udokotela.

Izifo ukuthi kumkhathaze cholecystitis

Sesixoxile kakade ngemibhalo inkinga nge cholelithiasis nokudla. Kuyinto ukuthi akhulume nezinye izifo eziholela ezinkingeni nge esinyeni nenyongo. Ngakho, ngokwesibonelo, kolwelwesi, okuyinto kungase kuhambisane ukwehla zokukhiqiza of juice esiswini, futhi ikakhulukazi - hydrochloric acid, futhi ngezinye izikhathi kuholela yokuthi ekuqhubeni imisebenzi zokuxilonga Kutholwe omuhle uphawu-Grekova Ortner, ngezinye izikhathi kuholela uphethwe ayilungile.

Incazelo lesi sifo kanye nobungako yayo

Isigaba yentuthuko isifo kuxhomeke ngokwezinga elikhulu onjani izinguquko gallbladder, njengoba inqubo iqalisiwe, kungakhathaliseki yezinkinga kubonakala khona. Endabeni le yokugcina libhekene hhayi nje izimpawu omuhle Ortner-Grekov, kodwa kukhona ngemisebe yobuhlungu ehlombe, isiphanga, esifundeni supraclavicular.

nezinye izimpawu

Phakathi izimpawu ohambisana ka cholecystitis acute waphawula ukucanuzela kwenhliziyo, ukuhlanza, nokuba khona Bile, umunyu emlonyeni, ubuhlungu buthuntu esigabeni sokuqala inchubekelembili yayo kanye nokuthuthukiswa isifo. lokushisa umzimba ongama-degrees 38 nokuba khona Ukugodola. Iza kwenhliziyo, futhi kwezinye izimo kukhona tachycardia. Jaundice Ungase futhi zenzeka. Ulimi iba elomile furred. Konke ukwelashwa kufanele udokotela. cholecystitis Yethulwe kungadala comorbidities kulandele ukwehluleka kwezitho abathintekayo.