Survey Hanyar palpation na ciki

Palpation - da hanyar da jarrabawa na haƙuri, wanda yayi amfani da kayan tabi na yatsunsu. Hanyar complements dubawa data da kuma gano zafi, gida zazzabi, fata zafi, motsi da kuma size of Lymph nodes. Palpable gano duk na waje tsarin da kasũsuwa, ashe, tsokoki, da gidajen abinci, surface tasoshin. Wannan hanya kayyade gaban kumburi da bruising. Na musamman muhimmancin a cikin ganewar asali da cututtuka yana palpation na thorax da ciki. Ka yi la'akari da fasali na binciken.

Palpation na ciki - shi ne daya daga cikin manyan hanyoyin da kayan ciki daga cikin kogon ciki jarrabawa. Tare da wannan hanya shi ne mai yiwuwa a gano wasu pathological canje-canje na gabobin, kazalika da wuri. A asibiti yi, a waje da kuma zurfin palpation na ciki.

Kafin palpation wajibi ne a dauki da dama daga cikin haƙuri, zai fi dacewa a matakin na gado. A haƙuri dole ne sa danniya a kan wani low matashin kai, sa hannunsa tare da jiki, kafafu tankwasa a gurfãne. A hannun daya palpates, ya zama dumi, bushe, tare da takaice da kusoshi. Na waje palpation na ciki ne m da:

- tsoka iri na zuwa agara na ciki bango.

- wuri na zafi.

- kumburi na ciki bango, kiba, ascites da flatulence.

- kumburi na ciki bango da kogon ciki .

- wani like a ciki bango.

- hilafa tsakanin rectus tsokoki na ciki, hernia, cututtuka na peritoneal hangula.

Amfani da wannan hanya, samun na farko bayani game da halin da kayan ciki.

Kafin fara palpation na haƙuri aka gayyace don nuna ciwon tabo. A lokacin binciken da shi wajibi ne cewa haƙuri ruwaito likita lõkacin da ya bayyana zafi da a lokacin da suka bace. A wani m haƙuri a lokacin waje palpation ba ciwo ba ya bayyana yiwu tsoka iri a cikin ciki bango ne sosai kadan kuma tsakaitã a garesu.

A peritonitis, ciki palpation surface sa soreness da tsoka tashin hankali a kan dukan surface kogon ciki. A cikin hali na m appendicitis ko cholecystitis gida palpation sa ciwo mai tsanani, wanda ƙwarai qara lokacin kwatsam shan tafi hannunsa. Saboda haka, a tsare-sani alama Shchetkina Blumberg. Tare da na waje palpation na ciki zai iya samu mutane da yawa bincike data domin sanin da karuwa da kayan ciki, ciki ko hanji madauki ƙarfin lantarki, gaban siffofin maruran.

Deep palpation na ciki da aka yi da hanyar da model-Strazhesko. Wannan hanya da aka samarwa a cikin marigayi XIX karni Kiev ilimin V.P.Obraztsovym da aka daga baya kuma ru da wani almajiri Obraztsova - NDStrazhesko ilimin.

Deep palpation na ciki aka yi zamiya hanya. A likita yayi haƙuri ya shakata tsokoki na ciki bango. A lokacin exhalation, likita yana sanya hannunsa a cikin kogon ciki zuwa surface na gwajin jiki majiyai. Sa'an nan a hannun nunin faifai a kan surface tare da sauki, shirya perpendicular zuwa ta axis. Movement of hannu ne sarrafawa numfashi ƙungiyoyi. Amfani da hanyar da zurfin palpation iya samun dole data game da siffar, size, irin zane, motsi, ji na ƙwarai ciki gabobin located a cikin kogon ciki.

Methodical zurfin ciki palpation aiki a cikin al'ada jerin. Da farko palpated sigmoid ciwon, sa'an nan da makafi, da appendix, dama da hagu na ciwon, ciki, mai gangara ɓangare na ciwon, hanta, pancreas, saifa, kuma kodan. Kamar wancan kowane haƙuri nazari da palpation, ko da abin da cuta ya bada shawara.