Uphawu Ortner-Grekov: isifo cholecystitis

Uphawu Ortner-Grekova ebonakalaliswe izifo enxulumene ne sesibindi okanye biliary iindlela. Amaninzi ngoko iqatshelwe cholecystitis oyingozi. Lubonakala yi iliphawu ethile efakwe kwicala lasekunene kunye ngohlangothi ukukhanya effleurage esandleni sakhe phezu arch ekunene costal. tapotement enyanzelekileyo egcinwe omabini ukuze bathelekise ukuchaza kunye ngqo uphawu Ortner-Grekov. Intlungu kuvela ngenxa yokuba ugqirha yenza mala kancinane lwe senyongo ebushushwini babo. Kwiimeko eziqhelekileyo, ngamanye amaxesha izigulane azikwazi va intlungu, uziva ubunzima ethile kuphela ukususela kwicala lasekunene ngezantsi ezimbanjeni.

cholecystitis yayiyazi

cholecystitis Acute, Ngokwezibalo, banesifo ngowe-18% ezigulane abaye izifo ezihlasela zosulele zoqhaqho kwisisu. Kwabasetyhini, amathuba ukwenzeka kwayo kathathu ngaphezulu. Izinto ezibangela le sifo baninzi, njengoko ithuba lokuba babone uphawu ngokupheleleyo Ortner-Grekov. Ezi ziquka:

• hypertension kwisiqwenga biliary;
• usulelo ngazo;
• utshintsho ngezitya phecana biliary;
• waphula yokudla;
• cholelithiasis;
• ukuncitshiswa ukumelana nonspecific kumzimba;
• isilonda esiswini, leyo kuhambisane diskholiey;
• iingxaki morphological (umz isibindi - uphuhliso giperbilirubenimii).

Phantse 90% amatyala zokugula etsolo isikakhulu ngenxa iingxaki isifo gallstone. 100% ye factor ukutya (ukutya) okubangelwa. Kwizifo ezinjalo kunokubangela okunamafutha kunye nokutya okuneziqholo, izakhi. Konke oku iphuhlisa spasm, nto leyo ebonisa uphawu Ortner-Grekov. Kodwa ke uphethwe kufuneka kwenziwe kuphela xa ugqirha.

Izifo evusa cholecystitis

Sele saxubusha ingxaki cholelithiasis nokutya. Kubalulekile ukuba uthethe ngezinto ezinye izifo ezikhokelela iingxaki lwesinye nenyongo. Ngoko ke, umzekelo, gastritis, enokuthi kuhambisane ukuncipha kwemveliso yejusi esiswini, yaye ngokukodwa - zehydrochloric acid, nazo ngamanye amaxesha kukhokelela ekubeni ekuqhubeni imisebenzi diagnostic elibhaqiweyo HIV uphawu-Grekova Ortner, nto leyo maxa wambi ekhokelela isifo ezingachanekanga.

Ingcaciso kwesifo kunye nobungakanani bayo

Eli nqanaba yophuhliso sifo ixhomekeke ubukhulu becala ukuba uhlobo utshintsho senyongo, njengoko iqale inkqubo, nokuba iingxaki kubonakaliswa. Kwimeko owokugqibela luphawulwa iimpawu ezintle Ortner-Grekov nje kuphela, kodwa kukho zokukhanya le intlungu kwi igxalaba, igxalaba blade, ummandla supraclavicular.

nezinye iimpawu

Phakathi iimpawu ezihamba of cholecystitis etsolo waphawula isicaphucaphu, ukugabha, kunye ubukho inyongo, ubukrakra emlonyeni, iintlungu buthuntu lokuqala progression yayo kunye nophuhliso sifo. lobushushu emzimbeni ingase ku degrees 38 kunye ubukho Ukugodola. Ifika izinga intliziyo kwanda, kwaye kwezinye iimeko kukho tachycardia. Senyongo nako ukwenzeka. Ulwimi ndomisa kunye furred. Zonke unyango kufuneka amiselwe ngugqirha. cholecystitis wasungula kunokubangela comorbidities kulandele ukusilela amalungu achaphazelekayo.