Zizindikiro Rovzinga kuthandiza oterewa pachimake appendicitis

Appendicitis amakhala ndi kutukusira kwa kumapeto, yomwe ndi yaing'ono (za 9 cm) mafuta cecum. Chifukwa chikhalidwe cha thupi, iye amatha kukhala chofuna ndipo imautsa chitukuko cha matenda ambiri opaleshoni. Choncho n'kofunika kwambiri kuti yake oterewa kudwala izi.

matenda ndizosowa

Ngati pachimake appendicitis si njira yofunika kwambiri, kudwala angathe kukhala moyo pachiswe, chifukwa kumabweretsa perforation wa zakumapeto ndi purulent peritonitis.

The chizindikiro chachikulu cha appendicitis ndi zikamera chidwi za ululu m'mimba. Mmene syndrome ululu amakhala ndi zinthu zotsatirazi:

• poyamba kulimbikitsa zomverera mu epigastrium ya;
• Patapita maola 6-8 ululu chimachititsanso lamanja iliac dera;
• Patapita amalandira akakufunsani;
• ululu kumaonekera zonse, ndi amveke zodziwitsa ndi attenuation, koma palibe mphindi sabweretsa chisoni;
• ngati magulu ena kukula zowawa, kotero munthu ndi appendicitis pachimake amasuntha dzanja lake kumanja wa pamimba, yemwe ali mmodzi mwa zizindikiro khalidwe la matenda;
• mfundo pachimake zowawa purulent kutupa;
• kuchepetsa ululu mu mawonekedwe wokonda otaya limasonyeza chiyambi cha chilonda ndi imfa ya molekezera mitsempha.

mokoma matenda

Nthenda zambiri sayambitsa mavuto matenda. Appendicitis pamaziko a zochititsa khalidwe, monga zizindikiro zabwino Rovzinga, Sitkovskiy neri Al.

Motero, kudziwa otsiriza, ndi ululu ufulu iliac dera ndi nakweza pamene wodwala wagona kumbali yake ya kumanzere. Malinga ndi kuyang'anila Sitkovskiy, ululu jekeseni kugwirizana ndi mfundo yakuti cecal ndondomeko akutambasula ndi mapindikidwe ake amayambitsa kupweteka. ululu zikuchitika mavuto a mesentery ya kumapeto.

A chizindikiro cha appendicitis Rovzinga yodziwika ndi maonekedwe a ululu ufulu iliac dera, ngati dotolo umabala jerky palpation mu ziyerekezo wa njira lateral, chakumbali ya pamimba (kumanzere).

Zizindikiro zotsatirazi pakati lofunika kwambiri:

1. Zizindikiro Bartome - Michelson - zikamera wa ululu pa palpation wa cecum, ngati wodwala atagona kumbali yake ya kumanzere.
2. Psoas chizindikiro - kuwonjezeka mu ululu pamene ndikukhazikitsa kwa cecum kuthamanga, pamene imodzi poyesa kuukitsa mwendo anaweramuka.

A tinafotokoza mwatsatanetsatane chizindikiro Rovzinga

Zizindikiro Rovzinga tichipeza mu kukula kwa boma matenda pamene ndikukhazikitsa kuthamanga bwino pa sigmoid m'matumbo (ili mu anasiya inguinal dera) ndi convulsive mawonetseredwe spasms pamwamba. Kuwaona mpanda m'mimba mu kumanzere kwa dera iliac unkagunda zala za dzanja lake lamanzere, atasonkhana pamodzi, osati tikuwamana yoyenera kuchita yochepa Kankhani pa m'matumbo m'dera atagona pamwamba. Zizindikiro Rovzinga Choncho cholinga cha kusuntha mpweya pa zosagwiritsa.

Komabe, nthawi zina, mosamala mtima n'kovuta kupanga matenda zolondola, kuyambira zizindikiro mwina kwina Rovzinga. Zimakhala zovuta kwambiri makamaka kusiyanitsa ku maonekedwe a matenda anafotokoza zizindikiro chotupa cha m'mimba kung'ambika aneurysm, kufalikira magazi lamanja iliac dera.

Zizindikiro Rovzinga sizigwiritsidwa ntchito kawirikawiri kwambiri, koma, mwa njira, ndi chimodzi cha odalirika kwambiri olondola matenda a appendicitis.

Kufunika kwa kumwa mankhwala enaake

Mu mankhwala amakono, mawonekedwe ofatsa a appendicitis ndi opaleshoni laparoscopic kuti sikutanthauza chilengedwe cha ang'ambe thupilo m'mimba. Pankhaniyi, chida endoscopic ndi anaikapo mu pamimba kupyolera ang'ambe thupilo yaing'ono minofu. Njira amapewa opaleshoni, komanso kuchepetsa nthawi konzanso. Chiopsezo cha matenda oyamba postoperative pambuyo appendectomy laparoscopic ndi kochepa.

Mwatsoka, zizindikiro za appendicitis zina kusokonezedwa ndi zizindikiro za pathologies ena:

• kapamba;
• aimpso colic;
• pachimake cholecystitis;
• mmimba chilonda;
• pachimake kutukusira kwa chikhodzodzo ndi ziwalo wamkazi.

Rovzinga zizindikiro zabwino ndi zizindikiro zina mbali yofunika kwambiri mu matenda a matenda anati, koma milandu nthenda ndondomeko zinthu za chithunzi matenda mwina sawona bwinobwino. Choncho n'kofunika kwambiri nthawi kulabadira zinthu za ululu zinachitika.

Pofuna kupewa mavuto aakulu, ayenera kupeza thandizo lapadera mankhwala, mwinamwake inu mukhoza kuthetsa chisoni. Nkofunika kuzindikira kuti kudzilemekeza matenda mu Zikatero kuthana ndi woopsa kwambiri.