Survey usoro palpation nke afo

Palpation - a usoro nke ule nke ọrịa, nke na-eji echiche nke aka nke mkpịsị aka. Method complements nnyocha data na-egosipụta ihe mgbu, obodo okpomọkụ, anụ iru mmiri, agagharị na size nke Lymph. Palpable inyocha niile mpụga Ọdịdị nke ọkpụkpụ, uru ahụ, njikọ, n'elu arịa. Nke a na usoro-ekpebi ọnụnọ nke ọkọ na ichihịa. Of otu dị mkpa na nchoputa nke ọrịa nwere palpation nke ǹgụ na afo. Tụlee atụmatụ nke nnyocha e mere.

Palpation nke afo - bụ otu n'ime ndị isi na usoro nke esịtidem akụkụ nke abdominal oghere nyochaa. Na usoro a ọ bụ ike mata ụfọdụ enweghị nchịkwa mgbanwe nke akụkụ, nakwa dị ka ha na ọnọdụ. Na-adakarị omume, a elu elu na nke miri emi palpation nke afo.

Tupu palpation dị mkpa na-nri nke onye ọrịa, ọkacha mma na larịị nke bed. Onye ọrịa ahụ ga-ebikwasị nchegbu na a ala ohiri isi, na-etinye aka ya, tinyere ndị ahụ, ụkwụ kpudo n'ụkwụ. N'aka otu palpates, kwesịrị na-ekpo ọkụ, akọrọ, na obere mbọ. Na -edozi palpation nke afo na-ekpebisi ike site na:

- muscle nje bụ ndị ihu abdominal mgbidi;

- ọnọdụ nke ihe mgbu;

- ọzịza nke abdominal mgbidi, ibu oké ibu, ascites na flatulence;

- ọzịza nke abdominal mgbidi na ndị abdominal oghere ;

- ọ bụla akàrà na abdominal mgbidi;

- ndiiche n'etiti rectus uru nke afo, hainia, mgbaàmà nke peritoneal iyatesịt.

Iji usoro a, na-mbido ọmụma banyere ọnọdụ nke esịtidem akụkụ.

Tupu ịmalite na palpation onye ọrịa na-kpọrọ na-egosi sore ntụpọ. N'oge nnyocha e mere na ọ dị mkpa na-enwe ndidi kọọrọ ndị dọkịta mgbe ọ pụtara mgbu na mgbe ha na-apụ n'anya. Na a ike ndidi n'oge elu elu palpation ihe mgbu na-adịghị apụta na o kwere omume muscle nje na abdominal mgbidi dị nnọọ nta na symmetrical na abụọ.

Na peritonitis, abdominal palpation n'elu-akpata soreness na muscle erughị ala n'elu ofụri elu nke abdominal uji eze. N'ihe banyere nnukwu appendicitis ma ọ bụ cholecystitis obodo palpation akpata oké ihe mgbu, nke na-eme nnọọ mgbe a na mberede-ewepụ ya aka. N'ihi ya, kọwaa maara mgbaàmà Shchetkina Blumberg. Na elu elu palpation nke afo nwere ike inweta ọtụtụ na-achọpụta ọrịa data iji chọpụta na-abawanye nke esịtidem akụkụ, afọ ma ọ bụ bowel loop voltaji, ọnụnọ nke etuto ahụ.

Deep palpation nke afo a rụrụ site na usoro nke nlereanya-Strazhesko. Nke a na usoro e obụp mi ke mbubreyo XIX narị afọ Kiev therapist V.P.Obraztsovym na e mesịrị gbakwunyere site a nwa akwụkwọ Obraztsova - NDStrazhesko therapist.

Deep palpation nke afo na-rụrụ eji n'ụzọ. The dọkịta na-enye onye ọrịa iji zuru uru nke abdominal mgbidi. N'oge ume e kupụrụ ekupụ, dọkịta na-ewepụta aka ya abdominal oghere n'elu nke ule ahụ sensations. Mgbe ahụ n'aka slide n'elu na gị fingertips, mere ndokwa perpendicular ya axis. Movement nke ogwe-aka-na-achịkwa akụkụ okuku ume na mmegharị. Iji usoro nke miri emi palpation nwere ike inweta ihe ndị dị mkpa data banyere udi, size, udidi, agagharị, uche esịtidem akụkụ odude n'ime abdominal oghere.

Methodical miri abdominal palpation rụọ ọrụ na ot usoro. First palpated sigmoid colon, mgbe ndị ìsì, ihe odide ntụkwasị, nri na n'aka ekpe nke colon, afo, transverse akụkụ nke colon, imeju, pancreas, splin na akụrụ. N'ihi ya ọ bụla ndidi na-enyocha site palpation, n'agbanyeghị ihe ọrịa ahụ na-atụ aro.