Kwezokwelapha, palpation - Iyini?

Palpation - yezokwelapha ucwaningo indlela sesiguli. Ikhishwa njengoba isilinganiso izifo futhi ekwelapheni. Udokotela ehlola ishayela lesiguli, ilawula indlela abasabela ngayo uthinte izitho ezihlukahlukene yangaphakathi. Lolu cwaningo enwetshiwe kusukela ngekhulu le-19. Namuhla-ke iyindlela yezokwelapha kuphela eqala phakathi isiguli kanye nodokotela contact egcwele.

Umgomo we operation

Palpation abasebenza emizweni ethintekayo sokucasuka kuthintwa, ecindezela iminwe yakhe, omunye noma ngisho odokotela ababili izandla. nendikimba nesineke ngokuchaza izici nokushiyeka integument wokuqonda Specialist isebenza ngqo, kukhona izitho okusho ngaphakathi. At palpation uchwepheshe ephezulu ezingeni iqinisekisa incazelo eqondile:

- indawo (okuyinto kubalulekile ikakhulukazi displacements deformations azalwa naso);

- ubukhulu yezitho zangaphakathi, amafomu;

- Mobility.

Palpation - indlela ebalulekile ukunquma ukuthi kubuhlungu kanjani wazizwa isitho esithile the human (kodwa hhayi kuphela) emzimbeni.

zenyathi ubuchwepheshe

Ukwabela subtypes ngaphezulu: ezijulile, ezingabalulekile.

palpation okukha phezulu - ekutadisheni iziphi izici zangaphandle. Uchwepheshe igxile emalungeni, isikhumba, kwakheka imithambo yegazi. Inqubo isebenzisa esisodwa noma zombili izandla. Basuke ezibekwe phezu kwesikhumba ingxenye onesifo yomzimba, futhi imithambo yegazi okungase kuthintwe ngeminwe yakho. Lezi zilwane isetshenziswa esinda, ngokuvamile ngesikhathi wokubonisana.

palpation Deep - inqubo edingekayo ukuze ihlolwe enemininingwane, ukuvumela ukuthola kahle ukuthi izitho zangaphakathi. Kuyinto esisemqoka uma ebusweni akakwazi ukunikeza imiphumela ukuma endaweni nesineke. Njengoba inqubo ukusakaza subtypes eziningana athuthukile kabanzi:

- Dive Deep. Kulokhu, lo dokotela e uphethwe ingamamitha iminwe ngqo ezindaweni onesifo. Ngakho ungabheka kahle indlela amalunga, imisipha, hlola isimo amathambo nezindlala adrenal.

- Deep beya. Le ndlela yokubamba izinhlanzi idinga ekutadisheni komgodi ongaphakathi kwamathumbu. Udokotela uthola ulwazi mayelana izindawo nkinga, ngihlola udonga besisu, ne amathiphu yeminwe yakhe, yena ingena khona kanye ingaphakathi. Ngokwezwi nezwi igama elithi imizuzwana yokuqala kungenzeka ukuthola impendulo yomzimba, ngesisekelo okuyinto kungenzeka ukuba ayothola ukuthi ukuxilongwa kanye umthombo le nkinga.

- iyasebenza, eyaziwa ngokuthi i- "indlela ngenxa yokushaqeka." ukuhlolwa okunjalo, palpation esisemqoka isibindi izimila besisu. Ukuphumelela indlela ngaphezu kwakho konke, uma kuziwa ascites. udonga besisu push ukunyakaza wekugcina, ukuze umzimba lisendaweni efanele. Ukugubha ukuphumelela indlela kwezinye izifo.

Izici

Nesigubhu, palpation - indlela ezimbili okwandile avumele ukusazi ngokunembile isifo esikuphethe. Bobabili ubuchwepheshe babé isisekelo sokuthuthukiswa imithi emkhakheni behlolwa.

Palpation Kwenziwa lapho isiguli elele phansi noma umile. Okokuqala olwenziwa ukuxilongwa ngokudlulisa amehlo, esiza okwasekhaya kuleyo buhlungu palpation futhi ukunquma indlela izibilini kuyavumelana. Uma wenza inqubo waqondisa ku umoya nesineke.

amasu

Uma ufuna ukuqinisekisa ukuthi ukuhlola esiswini, udokotela egoba kancane bese kubekwa iminwe yakhe ndawonye, lase ngesineke exhale maqembu phakathi komgodi ongaphakathi kwamathumbu ukuze afinyelele odongeni emuva. Uma lokhu zicindezelwa esiswini. Umzimba kufanele sehla ngaphansi iminwe. Etholwe kulolu cwaningo ulwazi uyasiza ekuboneni indlela umzimba mkhulu futhi siyini injalo. Ubuhlungu ku palpation ukuhlola umonakalo kungenzeka nokuhloma ukusazi ngokunembile isifo esikuphethe. Ngokusebenzisa indlela yokuthola khona izimila noma thola idatha ukuthi ugobile esiswini akukhona evamile. Nokho, kumelwe sikhumbule ukuthi, uma isimila ludabuka ezindaweni inhliziyo umnyango igunya ukuyithola usebenzisa palpation kuhluleka, X-ray kufanele sigcwaliswe.

Palpation: izindlela ezingavamile

Ngaphandle izinhlobo ezimbili ezichazwe ngenhla izifundo isehlane ngaphezulu ezahlukeneyo ezimbili umzimba cwaningo. Common abayithandisisi ngokuvamile Nokho, kukhona:

- bimanual;

- nomqwayiba.

Iyasebenza nomqwayiba Kwenziwa usebenzisa isibhakela. Udokotela uqhuba uchungechunge iDemo, ukunyakaza nomqwayiba okunomthelela ngokwanele. Ngosizo lobu buchwepheshe, ungakwazi ukuqonda ukuthi yini lapho esiswini, esiswini. Uma iziphathimandla phezu izinyathelo zigcwele ketshezi, wezwa sokuqala.

Lapho palpation bimanual kwenziwa ngezandla zombili kanyekanye. Le nqubo inikeza Ukusabalala ngesikhathi esisodwa endaweni enkulu. Ungathola khona izimila, uhlole yonke ingaphakathi lesisu, izinso kanyekanye.

Indlela okujwayelekile wezilwane njengoba isetshenziswa ezidalweni naphakathi. Omunye ongakhetha cwaningo: kokubili izandla ezibekwe phezu umzimba futhi ingcindezi sisetshenziswa kulolu hlangothi, kanye nezinye - okuphambene.

Kodwa uma izinkinga zempilo ezihlobene ingemuva noma ngomlomo uma uzwa ubuhlungu kwezitho zomzimba kufinyeleleke rectally, umuntu kufanele baphendukela kwangaphakathi palpation nesineke.