Uphawu Kera kunye Ortner cholecystitis. Ekuqaleni iimpawu kunye nendawo eyendawo yazo

Izinto ezibangela cholecystitis ngobuqu angenza iintlobo zezifo ezingapheliyo, okanye ukutshintsha isakhiwo ezinye iimpahla phecana biliary. Kwakhona ukuphuhlisa ngenxa yezifo esiswini (kuphela ukuba zihamba diskholiey). Ireferensi iphambili kwenkcazo sifo a uphawu Kera.

Iimpawu Common of cholecystitis

Kuxhomekeka lizwe ngenxa yokukrala okanye ezinemigca utshintsho isakhiwo kunye iphecana biliary, iyayahlula iimpawu ezininzi:

• intlungu buthuntu kwi hypochondrium ekunene, elisuke phezulu - kummandla lo scapula ekunene, clavicle negxalaba; kunye nophuhliso sifo iintlungu uba yondele kakhulu kwaye namandla;
• nezisu kunye nokugabha, leyo kudale iintlungu;
• incasa ukrakra emlonyeni;
• phambi ubumdaka vomitus enyongweni;
• ulwimi camera nebhodi kwaye kome kakhulu;
• mhlawumbi umkhuhlane kunye Ukugodola;
• xa ukuqhubela phambili kwesifo ibanjiwe tachycardia, kunye noxinzelelo lwegazi;
• ukuba kugqitywe iyabhlokwa bile duct (phambi yamatye kulo), ngoko ke umntu uba senyongo zomlomo wakhe;
• ubuhlungu Ngokucofa kwi hypochondrium ekunene.

Ngaphandle koku kungasentla, iphambili esi sifo a uphawu Kera. Lubonakaliswa iintlungu Ngokucofa kwi nokubekwa emzimbeni wakhe. iintlungu siyakhula kwaye luqhubeke ubuncinane kunye nophuhliso sifo zezasekhaya.

Iimpawu ezithile cholecystitis

Yi wabonakala ezizodwa zesifo impawu Kerala kunye Ortner. olunye uvavanyo kwenzeka emva isiqinisekiso phambi kwezi mpawu. Ukuze ayinakubhaqa uphawu lokuqala, oko kwanele Ngokucofa enzulu ikota yesangqa eliphezulu ekunene, kulo mzekelo, intlungu nomonde kakhulu ahlekise ibonakala.

Uphawu Ortner ibonwe evunyelwe arch costal kwicala lasekunene-lesandla esandleni sakhe. Phambi sifo, zonke zazo ziya kukhatshwa ubuhlungu ezingafani, kuxhomekeke bebeye kude kangakanani esi sifo, yaye yintoni na ubudala nempilo jikelele ngamnye.

Ukongeza apho, kuthi kananjalo kwahlule phakathi:

• uphawu Obraztsova - xa umntu ephefumlayo ngexesha Ngokucofa kunye neentlungu kwandisa;
• Murphy uphawu - kukungakwazi uphefumlele Ngokucofa nzulu hypochondrium sokunene;
• De Musset i-sign-Georgievka - Ngokucofa sternocleidomastoid kwezihlunu (emlenzeni wayo) isigulana njengokubonisa intlungu.

Kuvavanyo lwegazi yemigaqo kufumaneka neutrophilia, lymphopenia kunye leukocytosis.

Xa kuvela iimpawu

Ukusebenzisa uphawu Kera, ungenza ukufumanisa ubukho cholecystitis acalculous. Phambi amatye senyongo okanye iphecana biliary bahlule ukubonakaliswa nomqondiso.

Kera uphawu ngenxa cholecystitis etsolo yi ukuvela iintlungu esinyini inyongo ngexesha Ngokucofa nzulu kwi kwindawo indawo yomzimba nomonde.

kuphakanyiswa izifo

cholecystitis Acute kungenziwa umahluko kusuka isilonda duodenal okanye isisu, ngokunjalo pancreatitis etsolo, appendicitis okanye yokulunywa kwezintso. Ukuze ukudida ezi zifo, kubalulekile ukuba ukwazi ukwahlula phakathi kwabo.

Xa nesisu esibuhlungu isilonda kwenzeka kabukhali, koko, oko kakhulu elibukhali, ngelixa cholecystitis intlungu isibindi buthuntu yaye ekugqibeleni ngcono kancinci. Kwakhona kukho ubushushu kufutshane degrees 38 inyongo ukugabha.

Xa pancreatitis etsolo, iintlungu yenzelwe ikota yesangqa ephezulu ekhohlo, nako sikhatshwe ukugabha oluqhubekayo.

appendicitis Acute akanayo nemiqondiso yayo intlungu, obaneleyo egxalabeni kunye scapula, yaye akafuni kubonakala ubuqhophololo. Appendicitis kwi isigulane akukho iliphawu Kerala kunye Musso.

Xa yokulunywa sezintso nto waphawula ukunyuka kwamaqondo obushushu kunye nobukho leukocytosis kwegazi. Le ntlungu yenzelwe ikakhulu kummandla empontshwa kwaye ubonakalisa esinqeni kunye namaziko zangasese.

unyango cholecystitis

unyango cholecystitis kufuneka uqale phambi kokuba nokulaliswa esibhedlele. Yegazi ilawulwa iziyobisi ukunciphisa intlungu (ezininzi eziqhele ukusetyenziswa isitofu "shpy") yaye kuncitshiswe uxinzelelo kwi nencindi senyongo inyongo ngenxa kukuphuculwa emathunjini amancinci.

Uphawu Kera cholecystitis kudala esibhedlele ngoko nangoko, kulandele ungenelelo utyando okanye endala ngakwicala labasebenzi zonyango.

Ixesha eboniswe ingqalelo phambi ezi mpawu zixelwe kwaye ukukwazi ukwahlula kwizifo zahlula kuphucula ithuba sokubuyisela ekhawulezayo ngaphandle uqhaqho.