Frenikus-chiratidzo zvinoitwa ratidza

Vamwe zviratidzo havasi vakawanda zita, uye kwako. Rinobatanidzwa dzakasiyana kuratidzwa, iyewo akaona mumwe munhu. Munyaya ino tichataura pamusoro frenikus-kufanana zviratidzo, izvo zvingava zvakanaka kuti zvirwere zvakawanda kuti yekudyidzana anogona rikurumidze nechirwere uye apore.

zvekuchipatara kuratidzwa

Chimwe zita kuti tinoberekwa frenikus-chiratidzo - chiratidzo-Musso.

Clinical kuratidzwa ndiwo:

• marwadzo panguva palpation (inoda kufunga) munzvimbo pakati makumbo sternocleidomastoid tsandanyama nenzira fungidziro of phrenic etsinga;
• chirwere zvokurwara izvo dziri munzvimbo yepamusoro mudumbu (kazhinji akaisa diagnoses dzakadaro: cholecystitis, hepatitis, pfungwa nomuviri zvemwana asati nezvimwewo).

Zvinogona kutaridzika pamusoro kana ruoko rworuboshwe kana kodzero zvichienderana pamberi chirwere.

Topographic-anatomic substantiation

Mapazi phrenic etsinga, kureva, mutemo unogona kuswedera kana kubudikidza chiropa pachayo (zvinoitika kubva seri diaphragmatic pamusoro), kana munzvimbo chesuwo chiropa, iyo, mumwe nzira kana imwe, munyaya paumbwe hepatic plexus. The yokupedzisira wakabatana zvakananga zvose kuruboshwe uye kurudyi phrenic etsinga. Kuti kusangana innervation chiropa uye bile ducts kwaiita tsinga uye imhaka pamberi marwadzo kana achingomutambudza, kana pane zvokurwara.

Kana chiratidzo hosha rinopa yakanaka mugumisiro?

Kakawanda frenikus-chiratidzo muna Gynecology kunoratidza chirwere pamberi pelvic uye dzimwe abdominal nhengo. Zvikurukuru, izvozvo zvingaratidza kuvapo zvinotevera zvirwere:

1. Apoplexy ovary - chokubuda ari abdominal mhango, sezvamakaropafadzwa kwakakanganiswa tishu kuvimbika. Mune mamwe manzwi, izvozvo ovarian atsamwira, uye nokupenya. Kana ropa rakawanda riri kuchengetwa zvakanaka chiratidzo frenikus-pamwe kuwa BP, wakawedzera kwemwoyo, ganda pallor.
2. Ectopic pamuviri. Kana nenyere atsamwira pamuviri marwadzo anoratidza kuti bandauko, kana zvakananga pasi chipande iri pamwe nokurasikirwa chavanoziva. Muchiitiko ichi frenikus-chiratidzo kunooneka pacharo saizvozvi.
3. Pfungwa nomuviri zvemwana asati - kuzvimba rwatata. Kana chirwere kazhinji chiratidzo-frenikus pfungwa nomuviri zvemwana asati akanaka.
4. splenic atsamwira.
5. Chenjera cholecystitis - kuzvimba nduru dundira. Frenikus-chiratidzo kunoitika nokuda kutsamwa ari vagus etsinga palpation munharaunda iyi.
6. Perforation mudumbu nemaronda - paumbwe mumakomba, kakawanda kuburikidza pamadziro mudumbu.
7. Diaphragmatic pleurisy - ane kuzvimba pleura.
8. Lobar nemabayo - ane kuzvimba mapapu kana zvemapapu tishu.

Positive frenikus chiratidzo anotsanangura kuongorora

Mune zvimwe zviitiko, chiratidzo ichi kunogona kuva akanaka, kwete chete munguva kukura upi chirwere, asi panguva yacho muongororo, iyo inoitwa kujekesa zviratidzo. Zvikurukuru, nezvezvitadzo nzira kuongorora kwakadaro:

1. Pertubatsiya fallopian sepombi - tarisa patency yavo. Muchiitiko chino, frenikus-chiratidzo chingava kuzviitira chinoratidza kuti gasi, iyo mutopota, vakapinda abdominal mhango. Kana peristalsis ari fallopian sepombi asi usimbe, ipapo marwadzo vacharatidza nokukurumidza. Kana paine kwakakwana mhingaidzo pamusoro fallopian sepombi, frenikus-chiratidzo rinoratidza kunaka mugumisiro.
2. Laparoscopy - rokuongorora nhengo of abdominal mhango kana Manyiminya zviridzwa inokosha pelvic. mudziyo uyu akaiswa munzvimbo abdominal mhango kuburikidza buri diki iri abdominal rusvingo pasi zvavo yokutindivadza. Frenikus pashure laparoscopy-chiratidzo rikaitika vakawanda varwere rokutanga zuva pashure nzira uye kazhinji anoenda pamusoro wayo. Izvi imhaka yokuti munguva laparoscopy anoshandisa mhepo kana gasi chinganzi imwe mari yasara pamusoro pechiropa.

Pasinei mhaka zviratidzo, kana zvichiratidzika uchida pakarepo chiremba.