Point Mayo-Robson: zone pancreatic

isifo pancreatic bungabonakala le amaphuzu ezibuhlungu. Ucwaningo olwenziwe yi-udokotela abanolwazi kalula ukuthola izinqubo sokugembula emzimbeni. Namuhla sizoxoxa liyini iphuzu Mayo-Robson yini izifo bangalindela ihlonzwe ngemva palpation.

Isakhiwo kwamanyikwe

Lesi sitho ezinkulu esisogwini udonga emuva esiswini ngemva kwesisu. Siqukethe amagatsha amathathu;

1. Inhloko lesi sijame njengebhoksi ngengwegwe.
2. Umzimba lifana nezibhebhe ehlukanisa anemifantu ekhanda.
3. amanyikwe umsila ekupheleni umzimba, kancane ibheke phezulu.

Kwamanyikwe linendima ebalulekile ekuqinisekiseni impilo umzimba, kanye lababukene nekwetfulwa of zangaphakathi nezangaphandle secretory umsebenzi. Ngezinye lesion yayo futhi khona isifo ukuvuvukala kuphakama ezifana pancreatitis. Ngokubukeka ke sibi noma ezingamahlalakhona. Ukuvuvukala amanyikwe kungaba imbangela nezinye izifo.

Ngokuvamile iziguli ukuba ubuhlungu ngaphansi izimbambo ngakwesokunxele. Ezinye izici isifo pancreatic kungenzeka ngemuva kwesikhathi esithile. Lokhu okukhulu kwesisindo, ukungakuthandi ukudla, ukuhlanza, ukukhishwa isisu. Isiguli bangase bangaqapheli ukuthi ukuvuvukala. Ngakho-ke, lapho ubuhlungu gqwa ngaphansi izimbambo ngakwesokunxele kumele uxhumane isikhungo sokwelapha ukucacisa imbangela yayo. umonakalo pancreatic kungaholela emiphumeleni engathí sina.

iphuzu pancreatic

Ubuhlungu ezindaweni ezikhethekile ukuthi zitholakala kule ndawo pancreatic zibukeke ukunquma ukuvuvukala yayo. Uma iphuzu washaya umsila kwamanyikwe, kuba uphawu pancreatitis oyingozi noma ezingamahlalakhona. Lapho isiqinisekiso uphethwe lokuqoka izinyathelo esibanzi: ukuhlolwa, imisindo ephansi,-X-ray, tomography ngekhompyutha.

amaphuzu Palpated ekhethekile:

• Desjardins (etholakala 3 cm ngakwesokudla umbilicus, kancane ngenhla ke).
• Point Mayo-Robson itholakala waya engxenyeni kwesokunxele esiswini, lesi sifo sihlasela umsila kwamanyikwe.
• Kacha Iphuzu liwukuthi ekupheleni imisipha rectus abdominis, ubuhlungu okusolwa ilimaze wendlala phakathi umzimba kanye nomsila.
• Owesilisa-AmaKh ingaphansi izimbambo ngakwesokunxele imisipha rectus abdominis.
• Gubergrits Desjardins kuyinto okuphambene iphuzu, kodwa kuphela ngakwesokunxele.

Nokho, esolwa isifo pancreatic kufanele uqinisekise ukuhlolwa laboratory kanye luhlolo wezinsimbi.

pancreatic zone

Nge palpation kungathola endaweni ubuhlungu pancreatic. Bona zihlukaniswe izinhlobo ezintathu:

• Chauffard (etholakala phakathi inkaba kanye ikhwapha kwesokudla).
• Yanover (esisogwini umugqa ovundlile futhi inkaba 4 cm kwesokunxele ke).
• Gubergrits-Skulsky (wathola njengoba Chauffard zone, kuphela kwesokunxele).

Ngenxa pre-wokuhlola ungenza isithombe lesi sifo. Ocwaningweni ezinye izindlela ezilula zokwenza uphethwe yini futhi ukwelashwa okuphumelelayo.

Kangakanani inhlolovo

Ukwandisa ubukhulu kwamanyikwe libhekisela ukuvuvukala. Ukuze wenze ithole ukuxilongwa okufanele, olwenziwa palpation. Sekwenzekile ekuseni esiswini esingenalutho noma ngemva wokuhlanza enema wamathumbu. Isiguli amanga emhlane wakhe. umsebenzi yezokwelapha - ukuthola ingxenye engezansi esiswini. Isandla sakhe sobunxele esiyitholayo isikhumba esiswini sami endaweni ethile 2-3 cm on engxenyeni engezansi esiswini, ngaleyo ndlela ukuguquguquka zayiqeda. Khona-ke, ukuphumula yabezindaba, okuyinto eyenzeka ngesikhathi awumoya okhishwa ngamakhala, bacwilisa iminwe yakhe kuze posterior udonga besisu. Hhayi luwathathe, pussycat isikhumba kusukela phezulu kuya phansi. Udokotela onguchwepheshe angakwazi ukubona ngokushesha uphawula ukwanda kwamanyikwe.

Kuyaphawuleka ukuthi amanyikwe yomuntu ephile kahle nzima kakhulu ukuba kuphenywe. Palpation kusiza wenze ukusazi ngokunembile isifo esikuphethe, kuphela pancreatitis, kule ndawo, okuyinto iphuzu Mayo-Robson, kakhulu libuhlungu. Ngesikhathi sokuqala isifo anda amanyikwe kungabonwa ongaboni. Ngo pancreatitis okungamahlalakhona, kancane kancane kuyancipha. Ngakho-ke, ngaphezu ukuhlolwa kufanele sigcwaliswe ukuhlolisisa egcwele. Leli qoqo ndlovu,-X-ray noma ultrasound.

Izindlela ngihlolwa e pancreatitis okungamahlalakhona

Lapho kuphakama izimpawu Mayo-Robson nesineke emizweni spasmodic kusukela lwesokunxele onqenqemeni-vertebral engela. On palpation kukhona ubuhlungu lapho ngokucindezela phezu amaphuzu athile:

• Uma ushaya kokuqala kwamanyikwe, ukuthi, ikhanda, kuphakama ukuzwa ezingemnandi at Desjardins. Ukuze sithole lokhu, cindezela phansi ngomunwe iphuzu esandleni kuya kwesokudla umbilicus kuya ku-7 cm ngenhla umugqa ovundlile we ikhwapha.
• Ukucindezelwa umzimba indlala we zone unxantathu Chauffard-Rivet kubangela ubuhlungu.
• Mayo-Robson iphuzu unesibopho iphuzu umsila kwamanyikwe. It ichazwa kanje. Kukhona umugqa kusukela inkaba ukuba phakathi lwaleli costal. It wahlukanise izingxenye ezintathu. Ngakho, nanti iphuzu lokuqala inkaba.

Uphawu Mayo-Robson itholakala 45% yesizwe sonkana. Ezinye ukudida ke nezinye izifo kwamanyikwe kanye ipheshana emathunjini. Ngokuvamile, kokutshelwa ngokukhubazeka kwengane kubonisa khona pancreatitis oyingozi noma ezingamahlalakhona. Kukhona ubuhlungu obuhlabayo ohlangothini lwesobunxele ngezansi izimbambo, njengoba kukhona umsila kwamanyikwe. Ukucindezela iminwe kule sayithi ngeke kakhulu ubuhlungu. ukunquma Ngakho khona isifo. Lapho acute pancreatitis obukhulu kwesokunxele umnyango costovertebral. Ngaphandle pancreatitis angagcina nezinye izifo.

Ukuxilongwa izilonda kwamanyikwe

Ngaphezu kokuqinisekisa izimpawu isiguli ngamazwi, palpation amaphuzu kanye zigaba, Uzodlula ukuhlaziywa kwamakhemikhali kwegazi ukuhlola ibhalansi amanzi-electrolyte. Ingabe ngidinga isampula umchamo. Ukuze uqinisekise uphethwe kudinga amasu nowezinsimbi kuzosiza umzimba bacele ukuba ahlole futhi ukukhomba izinqubo sokugembula. Khomba kokuxilongwa ultrasound. Ukuze ugweme kumiswa amatshe, siqondiswe ze-X ray. Kuyasita kunika zihlolisisa isimo yesithombe zithwetshulwa isifo CT, Endoscopy. Kubalulekile ukusheshe welashwe.

isiphetho

zone pancreatic, e iphuzu elithile Mayo-Robson, sisize ekuhlaleni wokuhlola ezibukwayo futhi palpation embule khona ukuvuvukala. Ngezinye ngisezinhlungwini e izimbambo ngakwesokunxele, ukuhlanza, izigqiki okuxekethile, futhi ezinqala kwesisindo kuyadingeka ukuba kulungiswe kuze owelapha. Ngesikhathi besanda kuqala lesi sifo, ethwele izincomo kadokotela, kulandela olukhethekile lokudla kungavimbela ukuthuthukiswa isifo futhi ushintsho yayo ifomu ezingamahlalakhona. Amanyikwe - umzimba omkhulu, esiza ukugaya amafutha, amaphrotheni kanye carbohydrate. Ngakho-ke kubalulekile ukuba silondoloze zisesimweni esihle futhi khona zokugula - ukwelapha. Uma une obukhulu ngakwesokunxele, isicanucanu eziphikelelayo nezinye izimpawu umkhuhlane - kufanele ngokushesha afune usizo lwezokwelapha.

Hlala uphilile!