Alama Kocher. Halayyar ãyõyin appendicitis.

Yana da wuya a overstate muhimmancin dace ganewar asali m appendicitis. Bayan kyalewa halayyar siffofin zai iya sa peritonitis da kuma haifar da mutuwa. Daya daga cikinsu shi ne wani alama Kocher. Amma, abin takaici, shi ne ba lura a dukan marasa lafiya.

semeiography

Akwai alamu masu yawa da cewa haƙuri yana da wani kumburi da appendix. Amma daya daga cikin na farko alama bayyana gaba. Da farko, akwai wani zafi a cikin epigastric yankin. Har ila yau, shi ne ake kira da rami. An located nan da nan a kasa da xiphoid tsari - guntu rabo daga sternum, wanda converge a gaban haƙarƙari.

Alama Kocher-Volkovich ne cewa bayan 1-3 hours bayan farko na zafi da mutum ya ce su motsa a cikin iliac yankin. Matsayin mai mulkin, suna sarrafa a kasa na gefen dama na ciki bango.

Domin rage yanayin, marasa lafiya sau da yawa dauki matsayi: suka kwanta a kan gefen dama, kafafu tankwasa a gwiwoyinku da ƙara ja da ciki.

Halayyar ãyõyin appendicitis

A matakin farko, ba duka ne iya zargin fito kumburi da appendix. Sau da yawa matsalolin da fara tare da rashin jin daɗi a cikin narkewa kamar fili. Bayyana epigastric zafi, wani lokacin su sarrafa a cikin cibiya yankin. Wannan shi ne wani alama Kocher appendicitis. Mutane da yawa sun lura da ji na colic, bloating da kuma ji na cikar abu. Bayan exiting gas ko defecation yanayin iya taƙaice a inganta.

Amma da zafi tsananta bayan 1-3 hours. Paroxysmal majiyai an maye gurbinsu da m. A sha raɗaɗin ake bursting da kuma azzaluman hali. Unci yana motsa saukar da ciki. A wannan yanayin, wani motsi da kuma kaya kawai worsen da halin da ake ciki. Pain aggravated da mai zurfi numfashi, tari, tafiya, tuki kai wajen (tare da girgiza). Yana faruwa a daidai a duka biyu manya da yara.

A sarrafawa na inflamed appendix

Sanin cewa Kocher alama lura a m appendicitis, yana yiwuwa don gane asali farko na cutar. Har ila yau, a kan sarrafawa daga cikin zafi za ka iya fahimtar daidai inda wannan jiki. A misali tsari na classic version, ya za a yi a gefen dama. Amma idan zafi da aka sarrafa a cikin wani daban-daban wuri, to, shi ne zai yiwu cewa an sanya daban. Wannan ya kamata a haifa tuna lokacin dauke da fitar da ganewar asali.

Saboda haka, idan mayar da hankali da zafi a yankin na mahaifa da kuma ƙananan dama ciki, da pelvic matsayi na inflamed sashin jiki za a iya lura. By wurinta a tsakiya yanki (talakawan) na jiki line, da rashin jin daɗi za a sarrafa a cikin cibiya.

Wani lokaci ciwo mai karfi a cikin lumbar yankin, makwancin gwaiwa da al'aurar. Wannan na iya nuna cewa appendix aka located bayan da cecum. Duk da haka, a wannan yanayin, yana da muhimmanci yin bambanci ganewar asali da kuma ware koda cuta ko rauni na ureter.

Infrequently kiyaye zafi a cikin bar ƙananan ciki. Wannan yana nufin cewa appendix aka located waje cikin akwatin. Ya, tare da cecum zuwa hagu.

bincikowa da

A don ƙayyade appendicitis, bai isa ya san kawai wani alama Kocher. Akwai da dama sauran siffofin da wanda za ka iya yin wani cikakken ganewar asali. Saboda haka, haƙuri ba zai iya zama a sama daga kwance matsayi ba tare da taimako. Wannan alama an kira Bailey.

The zafi ya tsananta a lokacin da tilted zuwa hagu na haƙuri. Shi ne kuma halayyar siffa da ake kira alama Volkovich. Yanayin worsens a cikin al'amarin, idan ka yi kokarin kawo su a ciki dama kafa.

Mendel alama ne cewa a lokacin da effleurage yatsunsu a gaban ciki zafi aggravated a iliac dama-hannu gefe. Ya dai itace ya zama tabbatacce a 80% na lokuta.

Domin sanin farkon peritonitis zai zama da dama daban-daban ganewar asali. Alama Kocher aka ƙaddara kawai a matakin farko na cutar. Tare da ci gaban kumburi, ya yanzu ba a lura. Idan da mãsu haƙuri ga latsa a dama iliac yankin da kuma abruptly tsallake hannunsa, sa'an nan bayan da cewa zafi ƙaruwa. Wannan yanayin da aka kira alama Shchetkina-Blumberg. An lura a 98% na marasa lafiya da incipient peritonitis.

Next a magani

A Swiss likita Kocher farko m cewa kumburi appendicitis fara da zafi a cikin epigastric yankin karkashin xiphoid tsari. Ya rayu a cikin XIX- farkon XX karni. Yana da yake cikin girmamawa da kuma aka mai suna alamar farko aiwatar da kumburi da cecum.

Alama Kocher lura da wani exacerbation na appendicitis. Saboda haka muhimmanci dace ganewar asali. Motsi daga epigastric zafi a dama iliac yankin da aka kira wani alama Kocher-Volkovich.

Amma a cikin girmamawa ga likita da shi da aka mai suna ba kawai kayyade sifa. Kuma aka sani da tsakanin endocrinologists alama Kocher. Shi ya ta'allaka ne da cewa lokacin da ka duba sama da motsi na da eyeball bayan gudun motsi daga cikin manya fatar ido. Kamar wancan ne tsakanin babba baki na Iris da fata Musulunci zama a bayyane sclera. Yana da wata ãyã daga mai guba yaxuwa goiter.

Kocher kuma aka sani da ya kirkiro a yawan musamman m kida. Saboda haka, misali, shirye-shiryen bidiyo don jini, ciki, bincike, ta hanyar abin da na aiki ne da za'ayi a kan narkewa kamar gabobin, magudanun ruwa shambura sanya daga gilashi amfani da zamani likitoci.