Chiwindi - ndi chimodzi mwa ziwalo zofunika kwambiri anthu, omwe amachita zosiyanasiyana ntchito. Thupi waukulu ntchito - ndi chitetezo ku zinthu zoipa yachilendo imene kulowa m'thupi, i.e. chiwindi ndi chotchinga yaikulu imene processing wa wothandizila "zosafunika". Komanso, mu mapangidwe mapuloteni zofunika moyo magazi chiwindi a. Iye analinso m'gulu la kugaya chakudya (yopanga ya ndulu, michere).
Mu ambiri matenda limati anakhudzidwa limba ntchito, n'zotheka kudziwa pa kafukufukuyu. zinthu zimenezi ndi monga matenda a dongosolo hematopoietic, matenda ena opatsirana, matenda a chiwindi, ndi matenda enaake ndi zina zotero. Pali njira zambiri kufufuza, mmodzi wa iwo - percussion, amene amasankha kukula kwa chiwindi Kurlov Mwachitsanzo, mawonekedwe. Chifukwa percussion angazindikire ponso kapena kuchepa kwa chiwindi kuti ndi matenda a matenda.
njira choyezera
chiwindi Kurlov miyeso anayeza pamodzi mizere itatu: sredneklyuchichnoy Kumanja, pakati ndi kumanzere intercostal danga 10, kuchokera kumanzere zapambuyo axillary mzere. Yambani pogogoda kumanja kwa wachiwiri intercostal danga kuti phokoso mochititsa mu izi chizindikiro malo chapamwamba malire a chiwindi, ndiye maganizo anagwira molunjika yopingasa mzere pa m'michombo ndi kuyamba percuss pa midclavicular mzere, pamene thupi m'munsi ali kunja. Mfundo lotsatira - ndi apakatikati, percussion anachita ku Mchombo mpaka kuoneka afiira. Otsiriza ndi mzere kukopedwa pa malo intercostal 10 malire chapamwamba. Choncho anatsimikiza kukula kwa chiwindi, mlingo wa 9, 8 ndi 7 cm (kapena mizere).
Kusintha kukula kwa pathologies chiwindi
Ngati inu kamo mu wamuyezo thupi anayamba kuchititsa matenda zina. Makulidwe a chiwindi (Kurlov iwo zosavuta kuzindikira) zingasiyane onse oposa ndi mosemphanitsa. Kuwonjezeka - hepatomegaly - anati matenda ambiri, lomwe ndi khansa owopsa aakulu chiwindi, njira neoplastic ziwalo mkati. kuchepetsa kukula Tingaone pa siteji ya matenda a chiwindi, omwe ndi osauka prognostic chizindikiro.
mbali zaka
Makanda chiwindi amatenga malo kwambiri mu zonse m'mimba kuposa wamkulu. Ichi ndi chifukwa chakuti mu utero ntchito hematopoietic izo anachita thupi la mwana wosabadwayo. Makamaka lalikulu, akafika mu makanda ndi ana kwa chaka chimodzi, kenako poyerekezera ndi pamimba pang'onopang'ono anayamba kuchepa kukula kwa chiwindi. Mwachibadwa, bwino kwa akulu, ndi kale Patapita zaka zingapo.
Ngati mukukayikira kuti matenda alionse ayenera yomweyo dokotala kwa matenda. katswiri The ayenera kuchita kufufuza zonse zimene wodwalayo, kuphatikizapo percussion. kukula kwa chiwindi Kurlov tingaone pa siteji oyambirira a matenda, koma nthawi zina m'pofunika yothandiza kuphunzira zasayansi ndi njira malangizo.