Survey indlela palpation esiswini

Palpation - indlela ukuhlola isiguli, esebenzisa umqondo touch neminwe. Indlela sigcwalisa idatha ukuhlolwa futhi likhomba ubuhlungu, izinga lokushisa lendawo, isikhumba umswakama, ukuhamba kanye nosayizi zamanzi. Palpable ukuhlola zonke Sakhiwo sangaphandle amathambo, izicubu nemisipha, amalunga, izitsha ebusweni. Le ndlela inquma khona ukuvuvukala kanye nokulimala. Okubaluleke kakhulu e izifo has palpation we thorax nesisu. Cabangela izici inhlolovo.

Palpation esiswini - ingenye yezindlela eyinhloko izibilini besisu ingaphakathi luhlolo. Nale ndlela kungenzeka ukukhomba izinguquko ezithile sokugembula kwezitho, kanye indawo yabo. Ngo umkhuba emtholampilo, a palpation olukha phezulu bajule esiswini.

Ngaphambi palpation kuyadingeka ukuthatha ilungelo lesiguli, okungcono ezingeni ngasemaphethelweni ombhede. Isiguli Kumelwe ubeke ukucindezeleka ku umcamelo ongaphakeme, wabeka izandla zakhe kanye umzimba, imilenze ibheke emadolweni. Isandla esisodwa palpates, kufanele lizwakale linemfudumalo, ezomile, izipikili short. palpation olukha phezulu esiswini kunqunywa:

- imisipha uhlobo okuqondene anterior udonga besisu;

- indawo ubuhlungu;

- ukuvuvukala kwamathumbu odongeni, ukukhuluphala, ascites futhi ukubuyisa;

- zokuzikhukhumeza odongeni besisu futhi ngaphakathi komgodi ongaphakathi kwamathumbu ;

- yimuphi seal odongeni kwamathumbu;

- phakathi kwe imisipha rectus esiswini, umbhunu, izimpawu yokucasuka peritoneal.

Ukusebenzisa le ndlela, uthole ulwazi kwangaphambilini mayelana nesimo kwezitho zangaphakathi.

Ngaphambi kokuqala palpation isiguli omenyiwe ukhombise indawo obukhulu. Phakathi inhlolovo kubalulekile ukuba isiguli kubikwe kudokotela uma wabonakala ubuhlungu nalapho ayanyamalala. Ngokubonisa isineke okunempilo ngesikhathi palpation olukha phezulu akukho ubuhlungu akubonakali kunokwenzeka imisipha uhlobo odongeni kwamathumbu kukhona okuncane kakhulu futhi izinhlangothi zazo ziyalingana nhlangothi zombili.

Ngo peritonitis, lesisu palpation ebusweni kubangela soreness futhi imisipha ukungezwani phezu bonke ubuso ngaphakathi komgodi ongaphakathi kwamathumbu. Endabeni appendicitis oyingozi noma cholecystitis wendawo palpation kubangela ubuhlungu obukhulu, okuyinto kwandisa kakhulu lapho kusenjalo babamuka ezandleni zakhe. Ngakho, uphawu kuchazwe elaziwayo Shchetkina Blumberg. Nge palpation olukha phezulu esiswini bangathola idatha eziningi zokuxilonga ukunquma ukwanda yezitho zangaphakathi, isisu noma wamathumbu iluphu voltage, khona izimila.

palpation Deep esiswini wenziwa indlela imodeli-Strazhesko. Le ndlela kwahlongozwa ngasekupheleni XIX leminyaka Kiev owelapha V.P.Obraztsovym ngasinda futhi kamuva ngabekwa eyayihambisana umfundi Obraztsova - NDStrazhesko owelapha.

palpation Deep esiswini is ezenziwe ngokuhambisa ngendlela. Udokotela inikeza nesineke ukukhulula imisipha odongeni kwamathumbu. Phakathi awumoya okhishwa ngamakhala, udokotela ubeka isandla sakhe ngaphakathi komgodi ongaphakathi kwamathumbu ebusweni emizweni test umzimba. Khona-ke ama-slide isandla ebusweni ngeminwe yakho, wahlela perpendicular axis awo. Movement of the ingalo ilawulwa ukunyakaza zokuphefumula. Ukusebenzisa indlela palpation ezijulile bengathola idatha ezidingekayo mayelana ijamo, ubungako, ukuthungwa, ukuhamba, ukuzwela izitho zangaphakathi akhiwe ngaphakathi komgodi ongaphakathi kwamathumbu.

Methodical ezijulile palpation besisu usebenze ukulandelana ezivamile. Okokuqala palpated sigmoid ikholoni, bese izimpumputhe, isithasiselo, ilungelo kanye kwesokunxele ingxenye ikholoni, esiswini, transverse ingxenye ikholoni, isibindi, amanyikwe, ubende kanye nezinso. Ngakho esigulini ngasinye uphenywa palpation, kungakhathaliseki ukuthi isifo zazisikisele.