Zizindikiro Kocher. Zizindikiro khalidwe la appendicitis.

N'zovuta overstate kufunika matenda yake ya appendicitis pachimake. Pambuyo kunyalanyaza zinthu khalidwe zingachititse peritonitis ndi amafa. Mmodzi wa iwo ndi chizindikiro Kocher. Koma, mwatsoka, si anati odwala onse.

semeiography

Pali zizindikiro zambiri kuti wodwalayo ali ndi kutukusira kwa kumapeto. Koma mmodzi wa chizindikiro koyamba lotsatira. Choyamba, pali ululu mu dera epigastric. Komanso, umatchedwa dzenje. Malowa ali pamtunda yomweyo m'munsimu ndondomeko xiphoid - gawo yayifupi wa sternum, amene converge kutsogolo kwa nthitiyo.

Zizindikiro Kocher-Volkovich ndi kuti pambuyo maola 1-3 pambuyo isanayambike ululu munthu amanena asamukire ku dera iliac. Monga ulamuliro, iwo isanafalikire pansi pa dzanja lamanja la pakhoma m'mimba.

Pofuna kuthetsa vutoli, odwala zambiri kutenga udindo: pogona pa mbali lake lamanja, miyendo ndichotse pa mawondo ndi kumangitsa kuti pamimba.

Zizindikiro khalidwe la appendicitis

Mu magawo oyambirira, onse sangakwanitse kuganiza anatuluka kutupa kumapeto. Nthawi zambiri mavuto kuyamba ndi kusapeza kapepala kakuti m'mimba. Kupezeka ululu epigastric, nthawizina iwo isanafalikire m'dera m'michombo. Ichi ndi chizindikiro Kocher appendicitis. Ambiri aona kumverera kwa colic, bloating ndi maganizo a chidzalo. Pambuyo exiting mpweya kapena chikhalidwe defecation akhoza mwachidule bwino.

Koma ululu itakula pambuyo maola 1-3. Paroxysmal zomverera m'malo mwa okhazikika. zowawa akuphulikira ndi khalidwe wopondereza. Kusapeza anawamvera pansi pamimba. Pankhaniyi, gulu lililonse ndi katundu yekha kuvutika zinthu. Ululu kukula ndi mpweya kwambiri, kutsokomola, kuyenda, galimoto zoyendera njira (ndi kugwedeza). Zimachitika mofanana akuluakulu komanso ana.

The kutanthauzira kwa zakumapeto chofuna

Podziwa kuti Kocher chizindikiro anati mu appendicitis pachimake, n'zotheka oterewa isanayambike matenda. Komanso pa kutanthauzira ululu mungamvetsetse chimodzimodzi pamene thupi ili. Mu muyezo makonzedwe a Baibulo tingachipeze powerenga, adzakhala kumanja. Koma ngati ululu isanafalikire mu malo osiyana, ndiye n'zotheka kuti aikidwa mosiyana. Izi ayenera adzanyamula kukumbukira pamene tikugwira matenda.

Choncho, ngati cholinga cha ululu m'dera la m'mimba ndipo m'munsi bwino pamimba, ndi m'chiuno udindo wa limba chofuna zingaoneke. Ndi malo ake m'dera medial (pafupifupi) za mzere thupi, kusapeza adzakhala isanafalikire mu m'michombo lapansi.

Nthawi zina ululu anaikira mu lumbar dera, groin ndi kumaliseche. Zimenezi zikusonyeza kuti kumapeto ili kumbuyo cecum lapansi. Komabe, mu nkhani iyi, nkofunika kuti akudwala matenda masiyanidwe ndi kuti achotse matenda aimpso kapena kuvulala kwa ureter lapansi.

Infrequently anati ululu anachoka pamimba m'munsi. Izi zikutanthauza kuti kumapeto ili kunja bokosi. Iye, pamodzi ndi cecum lamanzere.

diagnostics

Pofuna kudziwa appendicitis, sikokwanira tikudziwa chizindikiro Kocher. Pali zinthu zingapo zochititsa zina zomwe mungathe matenda zolondola. Choncho wodwala tsonga pamalo atagona popanda thandizo. Chizindikiro chimenechi amatchedwa Bailey.

ululu kwambiri pamene linapendekeka kumanzere kwa wodwala. Ndi mbali khalidwe otchedwa chizindikiro Volkovich. Ulili worsens mu mulanduwo, ngati inu kuyesa kubweretsa kwa m'mimba mwendo.

Mendel chizindikiro kuti pamene zala effleurage kutsogolo kwa kupweteka kwa m'mimba kukula mu iliac mbali yake lamanja. Iye likukhalira kukhala abwino 80% ya milandu.

Kudziwa chiyambi cha peritonitis adzakhala angapo matenda osiyana. Zizindikiro Kocher anatsimikiza yekha pa magawo koyamba matenda. Ndi chitukuko cha kutupa, iye salinso anati. Ngati wodwala kupitiriza lamanja iliac dera ndipo mwadzidzidzi anachoka dzanja lake, ndiye, zitatha izo kumawonjezera ululu. Mbali imeneyi imatchedwa chizindikiro Shchetkina-Blumberg. Iwo anati mu 98% odwala ndi peritonitis incipient.

Kenako mankhwala

Dokotalayo Swiss Kocher loyamba anatsimikiza kuti kutupa appendicitis akuyamba ndi ululu m'dera epigastric pansi pa ndondomeko xiphoid. Anakhala XIX- chiyambi cha XX atumwi. Ndi ulemu wake ndipo anapatsidwa dzina chizindikiro cha ndondomeko chiyambi cha kutupa cecum ndi.

Zizindikiro Kocher anaona kuti exacerbation wa appendicitis. Choncho n'kofunika matenda yake. Kupita ku ululu epigastric mu lamanja iliac derali likutchedwa chizindikiro Kocher-Volkovich.

Koma polemekeza dokotala izo dzina lake osati mwachindunji lingaliro. Imatchedwanso mwa endocrinologists chizindikiro Kocher. Iwo kwagona kuti pamene inu kuyang'ana kayendedwe ka diso kumbuyo liwiro kuyenda mwa chikope chapamwamba. Choncho pakati m'mphepete chapamwamba Iris ndi khola khungu zionekera sclera. Ndi chizindikiro cha poizoni akakufunsani Chotupa chija.

Kocher imatchedwanso anayambitsa angapo zida wapadera opaleshoni. Choncho, mwachitsanzo, tatifupi kuti mitsempha, m'mimba, probes, amene opaleshoni ikuchitika ziwalo m'mimba, machubu ngalande zopangidwa ntchito galasi ndi madokotala ano.