Point Mayo-Robson: pancreatic mapazi

Pancreatic chirwere vangazivikanwa kubudikidza zvinorwadza pfungwa. Kuongorora kwakaitwa chiremba ane ruzivo anogona kuziva pathological pezvakaitwa nyore mumuviri. Nhasi tichataura pamusoro chii chiri kurehwa Mayo-Robson uye chii zvirwere zvinogona chirwere pashure palpation.

Sechivako rwatata

Izvi Nhengo guru riri seri rusvingo mudumbu shure mudumbu. Inoitwa matavi matatu:

1. The musoro yakaita chiredzo.
2. Muviri wakaita prism anotsaura grooves musoro.
3. rwatata muswe kuguma muviri, akakotama uchikwira zvishoma.

Rwatata unokosha mukuita upenyu muviri, uyewo basa Implementation yomunyika uye kwokunze secretory basa. Nechepakati lesion uye kuvapo anogumbura chirwere kuchimuka akadai pfungwa nomuviri zvemwana asati. In chitarisiko zviri chakasimba kana chirwere. Kuzvimba rwatata chingava chikonzero vamwe zvirwere.

Kazhinji varwere vane marwadzo pasi mbabvu kuruboshwe. Zvimwe zviri pancreatic chirwere zvingaitika pashure imwe nguva. Izvi zvinoshamisa uremu, kurasikirwa kudya, kurutsa, manyoka. Murwere angasava kuziva kushoma. Naizvozvo, kana periodic marwadzo pasi mbabvu kuruboshwe vanofanira kutaura zvokurapa chivako kuziva ayo chikonzero. Pancreatic kukuvara kunogona zvakakomba.

Pancreatic pfungwa

Marwadzo panguva chaiyo pfungwa kuti dziri munzvimbo pancreatic nzvimbo nemaziso kusarudza kuzvimba kwayo. Kana pfungwa akarova muswe kuti rwatata, ndizvo chiratidzo chakasimba kana chisingaperi pfungwa nomuviri zvemwana asati. Pamusoro kusimbisa nechirwere kugadza vamwe nzwisisika matanho: miedzo, Ultrasound, X-ray, computed tomography.

Palpated inokosha pfungwa:

• Desjardins (chiri 3 masendimita kurudyi yacho umbilicus, zvishoma pamusoro payo).
• Point Mayo-Robson iri mu rworuboshwe quadrant ari mudumbu, hosha kunokanganisa muswe kuti rwatata.
• Kacha ndeyekuti panguva kuguma rectus abdominis tsandanyama, marwadzo ari vakafungira kuti kukuvadza prostate pakati muviri uye muswe.
• Male-Ki riri pazasi mbabvu kuruboshwe pamusoro rectus abdominis tsandanyama.
• Gubergrits Desjardins pakatarisana pfungwa, asi chete kuruboshwe.

Zvisinei, vakafungira pancreatic chirwere vanofanira kusimbisa rabhoritari nemiedzo uye richishanda kuzviongorora.

Pancreatic mapazi

With palpation anogona kuziva zvinorwadza pancreatic nharaunda. Vari akakamurwa zvitatu mhando:

• Chauffard (iri pakati kweguvhu uye yakarurama hapwa).
• Yanover (iri chinjikira mutsetse uye guvhu 4 masendimita kuruboshwe kwayo).
• Gubergrits-Skulsky (kuwanikwa sezvo Chauffard mapazi, chete kuruboshwe).

Nokuda pre-rokuongorora anogona kuita mufananidzo chirwere. Pakuongorora dzimwe nzira nyore kuti zvakarurama zvokuongorora uye inoshanda kurapwa.

Sei kuongorora

Kuwedzera kukura rwatata rinoreva kushoma. Kuti zvakarurama nechirwere, yaiitisa palpation. It zvinoitwa mangwanani usina chawadya kana pashure rokuchenesa enema bowel. Murwere riri kumusana kwake. zvokurapa basa - kuwana rezasi chikamu mudumbu. Ruoko rwake rworuboshwe Runonzwika ganda riri padumbu rangu kumwe muna 2-3 masendimita pamusoro yepazasi chikamu mudumbu, saka ochinja naro. Zvadaro, kutandara rwokubudisa, kunoitika munguva nedzinovengwa, akarinyika minwe yake kusvikira posterior abdominal rusvingo. Tisingaomereri kwavari, Pat ganda kubva kumusoro kusvikira pasi. Chiremba anokwanisa anogona kuona pakarepo nokuwedzera rwatata.

Zvinokosha kucherechedza kuti pane munhu rwatata utano Zvakaoma chaizvo kuti vachiongorora. Palpation kunobatsira kuti kuongororwa zvakarurama, chete pfungwa nomuviri zvemwana asati, mapazi ichi, icho chiri kurehwa Mayo-Robson, chinokurwadza zvakasimba. Panguva kutanga pavaipfuura chirwere yakawedzera rwatata zvinogona kuonekwa nemaziso. In chisingaperi pfungwa nomuviri zvemwana asati, zvishoma nezvishoma izvozvo kunoderedza. Saka, kuwedzera rokuongorora yaifanira kuva kuongorora zvizere. Izvi chiratidzazvizhinji muunganidzwa, X-ray kana Ultrasound.

Nzira kunzvera vezvokurapa vari chisingaperi pfungwa nomuviri zvemwana asati

Apo Zviratidzo Mayo-Robson murwere spasmodic nezvekufadza muka kubva kuruboshwe divi pamucheto-vertebral angled. On palpation pane marwadzo apo chinokutsimbirirai dzimwe pfungwa:

• Kana waguma ratanga rwatata, ndiko, musoro, kusingafadzi manzwiro kutarisirwa Desjardins. Kuti uone ichi, kutsikirira pasi nomunwe ruoko womuratidza kurudyi umbilicus kusvika 7 masendimita pamusoro chinjikira mutsara hapwa.
• Pressure pamusoro shwanu mutumbi netriangle mapazi Chauffard-Rivet zvinorwadza.
• Mayo-Robson pfungwa anokonzera pfungwa muswe kuti rwatata. It kunotsanangurwa sezvinotevera. Pane mutsetse kubva guvhu kusvikira pakati costal chematenga. It agovane migove mitatu. Saka, ichi ndicho chidzidzo guvhu wokutanga.

Chiratidzo Mayo-Robson inowanikwa 45% vemo. Vamwe tinovhiringidza pamwe nezvimwe zvirwere rwatata nemudumbu. Kazhinji, zvakadai chirwere kunoratidza kuvapo chakasimba kana chisingaperi pfungwa nomuviri zvemwana asati. Pane marwadzo kurutivi rworuboshwe pazasi mbabvu, sezvo pane muswe kuti rwatata. Kupfuurira zvigunwe panzvimbo iyi ndichazvirumbidza zvinoshamisa marwadzo. Zvanzi kuona kuvapo chirwere. Kana chenjera pfungwa nomuviri zvemwana asati hosha akasiya costovertebral dhipatimendi. Kunze pfungwa nomuviri zvemwana asati anogona kuva nezvimwe zvirwere.

Chirwere pakati maronda ose rwatata

Kuwedzera achisimbisa murwere zviratidzo nemashoko, palpation pfungwa uye zvikamu, unofanira rasai nokukanganisika kuongorora ropa kuti vaongorore mvura-electrolyte mwero. Ndinoda weti. Kuzosimbisa chirwere kunoda paku nzira ichabatsira muviri kuongorora uye kuziva pathological kwendangariro. Gadzai Ultrasound kuzviongorora. Kuti tidzivise paumbwe mabwe, anorayirwa kuti X-ray. Zvinobatsira kupa misoro Kuongorora mufananidzo chirwere CT scan, endoscopy. Zvakakosha mangwanani kurapwa.

mhedziso

pancreatic mapazi, kunyanya pfungwa Mayo-Robson, rubatsiro ari mumufananidzo rokuongorora uye palpation dzinoratidza kuvapo chokutsva. Panguva dzose kurwadziwa mbabvu kuruboshwe, kurutsa, unzenza zvituru, uye zvikuru kurasikirwa nouremu zvakakodzera kutaura kuna chiremba. Panguva kutanga pavaipfuura chirwere, akatakura chiremba dzokurumbidza, zvichitevera zvokudya chaiyo inogona kudzivirira zvirwere kukura uye ayo yezwi chirwere chimiro. Rwatata - muviri mukuru, iyo inobatsira kugaya mafuta, mapurotini uye makabhohaidhiretsi. Naizvozvo zvakafanira kuti tirambe dzichiratidzika zvakanaka uye pamberi zvokurwara - kurapa. Kana uine hosha kuruboshwe, kuramba svoto nezvimwe zviratidzo zvakawanda zvive - hwobva kwachiremba.

Stay utano!