Survey njira palpation wa pamimba

Palpation - njira ya Kuphunzira mtima, lomwe lili ndi mphamvu ya zowawa za zala. Njira likugwirizana deta anayendera ndipo amayenera ululu, kutentha m'deralo, chinyezi khungu, sayenda ndiponso kukula kwa mwanabele. Palpable kufufuza kapangidwe onse akunja a mafupa, minofu, mafupa, ziwiya pamwamba. njira Kudziwa pamaso pa kutupa ndi kufinya. Wa zinthu zofunika kwambiri mu matenda a matenda ali palpation wa thorax ndi pamimba. Taganizirani mbali ya kafukufukuyu.

Palpation wa pamimba - ndi imodzi mwa njira zikuluzikulu za ziwalo za m'mimba M'mimbamo bwino. Njira imeneyi n'zotheka kuti amadziwa kusintha pathological ziwalo, komanso malo awo. Zochita matenda, chabe ndiponso palpation wa pamimba.

Pamaso pa palpation m'pofunika kutenga lamanja la mtima, makamaka pa mlingo wa mphasa. Wodwala aike maganizo pa pilo otsika, ndi kuyika manja ake pamodzi thupi, miyendo ndichotse pa mawondo. Dzanja la palpates limodzi, ayenera kukhala ofunda, wouma ndi misomali yochepa. Zachiphamaso palpation wa pamimba anatsimikiza mtima:

- minofu mavuto a zapambuyo khoma m'mimba;

- malo a ululu;

- kutupa kwa m'mimba khoma, kunenepa, ascites ndi flatulence;

- kutupa kwa mpanda m'mimba ndi zonse m'mimba ;

- zisindikizo mu khoma m'mimba;

- zikusiyana pakati minofu rectus wa pamimba, chophukacho, zizindikiro za kukhumudwa peritoneal.

Pogwiritsa ntchito njirayi, infomeshoni kuyambirira za udindo wa ziwalo mkati.

Musanayambe palpation wodwalayo akuitanidwa amasonyeza owawa. Pa kafukufukuyu m'pofunika kuti wodwalayo kukauza dotolo pamene anaonekera ululu ndipo pamene iwo anadza kamala. Wodwalayo wathanzi nthawi palpation zachiphamaso kupweteka sizimawoneka zotheka minofu mavuto mpanda m'mimba ndi pang'ono kwambiri ndi symmetrical mbali zonse.

Mu peritonitis, m'mimba palpation pamwamba amachititsa soreness ndi minofu mavuto padziko lonse la zinthu zonse m'mimba. Pankhani ya appendicitis pachimake kapena cholecystitis m'dera palpation amayambitsa kupweteka kwambiri, amene kumawonjezera kwambiri pamene mwadzidzidzi kuchotsa manja ake. Choncho, kumatanthauza odziwika chizindikiro Shchetkina Blumberg. Ndi kungotengeka palpation wa pamimba angalandire deta ambiri matenda kudziwa kuchuluka kwa ziwalo, m'mimba kapena matumbo kuzungulira voteji, pamaso pa zotupa.

Nato palpation wa pamimba imagwiridwa ndi njira chitsanzo-Strazhesko. Njira imeneyi anali akufuna mu mochedwa XIX m'ma Kiev dokotala V.P.Obraztsovym ndipo kenako wodzilemekeza ndi mwana Obraztsova - NDStrazhesko dokotala.

Nato palpation wa pamimba imagwiridwa kutsetsereka unsembe. dokotala amapereka mtima kumasuka minofu ya khoma m'mimba. Pa mpweya, dokotala amaika dzanja lake mu zonse m'mimba ndi pamwamba pa zomverera mayeso thupi. Ndiye zithunzi dzanja pamwamba ndi mosavuta, anakonza perpendicular kwa nguli. Movement wa mkono ukulamulidwa kayendedwe kupuma. Kugwiritsa ntchito njira palpation kwambiri mungapeze deta zofunika za mawonekedwe, ndi kukula, kapangidwe, zoyendayenda, tilinazo ziwalo ili mkati zonse m'mimba.

Methodical kwambiri m'mimba palpation ntchito mu ndondomeko zinazi. Choyamba palpated sigmoid m'matumbo, ndiye wakhungu, zakumapeto, lamanja ndi mbali yakumanzere ya m'matumbo, m'mimba, yopingasa mbali ya m'matumbo, chiwindi, kapamba, ndulu ndi impso. Choncho wodwala aliyense kuyezedwa ndi palpation, ziribe kanthu chimene matenda ananena.