Uphawu Kocher. izimpawu Isici appendicitis.

Kunzima yokugcizelela ukubaluleka uphethwe esifike appendicitis oyingozi. Ngemva indiva izici isici kungabangela peritonitis futhi kuholele ekufeni. Omunye wabo kuyinto Kocher uphawu. Kodwa, ngeshwa, it is hhayi waphawula kuzo zonke iziguli.

semeiography

Kukhona izimpawu eziningi isiguli yisishiso isithasiselo saleli Bhayibheli. Kodwa omunye uphawu lokuqala livela. Okokuqala, kukhona ubuhlungu esifundeni epigastric. Futhi, ibizwa ngokuthi emgodini. Itholakala ngokushesha ngezansi inqubo xiphoid - ingxenye emfushane kunazo zonke sternum, okuyinto bukhomba phambi ubambo.

Uphawu Kocher-Volkovich wukuthi ngemuva kwamahora 1-3 emva nokuqala kwemihelo-ubuhlungu umuntu athi ukuhambisa kule ndawo iliac. Njengomthetho, basuke yenziwe yaba yasendaweni ezansi ohlangothini lwesokunene odongeni kwamathumbu.

Ukuze kuxazululwe le isimo, iziguli kaningi ukuthatha isikhundla: baba lala ngohlangothi sakhe sokunene, imilenze ibheke emadolweni bese qinisa esiswini.

izimpawu Isici appendicitis

Ezigabeni zokuqala, akubona bonke abakwazi ukusola sekukhona ukuvuvukala isithasiselo saleli Bhayibheli. Ngokuvamile izinkinga uqale nge kabi ipheshana wokugaya ukudla. Vela ubuhlungu epigastric, ngezinye izikhathi basuke isebenza endaweni inkaba. Lokhu kuwuphawu Kocher appendicitis. Abaningi baye baphawula umuzwa colic, ukuvuvukala nemizwa ekugcwaleni. Ngemva kokuphuma amagesi noma isimo sokuzikhulula kungaba kafushane zingathuthukiswa.

Kodwa ubuhlungu kwaqina ngemuva kwamahora 1-3. Paroxysmal emizweni esikhundleni unomphela. Izinhlungu kuthiwa okuncane futhi uhlamvu ezicindezelayo. Ukungakhululeki idluliswa phansi esiswini. Kulokhu, noma iyiphi inhlangano nomthwalo isimo sibe sibi isimo kuphela. Ubuhlungu ukucasulwa umoya kakhulu, ukukhwehlela, nihamba ngezinyawo, ngemoto ezokuthutha izindlela (kunyakaze). Kwenzeka ngokulinganayo kokubili abadala kanye nezingane.

I kwasendaweni isithasiselo avuvukele

Ukwazi ukuthi Kocher uphawu ebonwe appendicitis acute, kungenzeka ukuxilonga ukuqala lesi sifo. Futhi phezu kwasendaweni yobuhlungu uqonde kahle lapho le umzimba. Elungiselelweni esezingeni version zakudala, uyoba ohlangothini lwesokudla. Kodwa uma ubuhlungu itholakala endaweni eyehlukile, bese kungenzeka ukuthi ibekwe ngendlela ehlukile. Lokhu kufanele kukhunjulwe lapho befeza uphethwe.

Ngakho, uma yilokho esigxila kukho lapho ubuhlungu endaweni sesizalo kanye esiswini kwesokudla, isikhundla okhalo isitho avuvukele kungabonakala nasemkhakheni. Ngu indawo yayo endaweni medial (isilinganiso) komugqa umzimba, ukuqaleka uzobe zendawo inkaba.

Ngezinye izikhathi ubuhlungu bagxila kule lumbar esifundeni, imbilapho nezitho zangasese. Lokhu kungase kubonise ukuthi isithasiselo itholakala ngemuva cecum. Nokho, kulesi simo, kubalulekile lokwenza ukuxilongwa umehluko futhi ekhipha isifo so-renal noma ukulimala we ureter.

Njalo waphawula ubuhlungu kwesokunxele esiswini ephansi. Lokhu kusho ukuthi i-appendix itholakala ujule. Yena, kanye cecum kwesobunxele.

ukuhlola

Ukuze ukwazi ukubona appendicitis, Akwanele ukwazi kuphela uphawu Kocher. Kunezindlela eziningana nezinye izici ngawo ungenza ukusazi ngokunembile isifo esikuphethe. Ngakho, isiguli singenakukwazi nokuhlala kusuka isikhundla amanga ngaphandle kosizo. Lokhu uphawu libizwa Bailey.

Ubuhlungu namandla lapho esitshekile ngakwesobunxele isiguli. Libuye libe yisici isici ngokuthi uphawu Volkovich. Isimo siba sibi kuleli cala, uma uzama imenze esiswini nomlenze wesokunene.

Mendel uphawu wukuthi uma iminwe effleurage ku phambi ubuhlungu esiswini kwayibhebhethekisa e iliac yakhe ngakwesokudla. Yena kuvela ukuthi omuhle e-80% amacala.

Ukuze ubone ukuthi ekuqaleni peritonitis kuyoba uphethwe eziningana ezahlukene. Uphawu Kocher kunqunywa kuphela ngesikhathi izigaba sokuqala lesi sifo. With ukuthuthukiswa ukuvuvukala, ubizwa ayisekho baphawula. Uma isiguli cindezela ngakwesokudla esifundeni iliac futhi wavele wathi isandla saso, bese ngemva kwalokho ukwanda ubuhlungu. Lesi sici sibizwa ngokuthi uphawu Shchetkina-Blumberg. It is ebonwe 98% eziguli nge peritonitis incipient.

Okulandelayo kwezokwelapha

Udokotela ohlinzayo Swiss Kocher kunqunywa yokuqala ukuvuvukala appendicitis iqala ubuhlungu esifundeni epigastric ngaphansi inqubo xiphoid. Wayehlala XIX- ekuqaleni kwekhulu XX. Kuyinto yokumbonga futhi yaqanjwa uphawu inqubo Isiqalo ukuvuvukala cecum.

Uphawu Kocher baphawula exacerbation of appendicitis. Ngakho-ke akuyona uphethwe ezibalulekile ngesikhathi esifanele. Ukuhambisa ebuhlungwini epigastric ngakwesokudla esifundeni iliac ibizwa ngokuthi uphawu Kocher-Volkovich.

Kodwa ukuze kuhlonishwe udokotela ohlinzayo wawubizwa ngokuthi hhayi kuphela imfanelo ecacisiwe. Yaziwa phakathi endocrinologists uphawu Kocher. Ihlala eqinisweni lokuthi lapho ubheka up ukunyakaza yeso ngemuva ukuthi lingakanani ijubane lokuya leso elingenhla. Ngakho phakathi emaphethelweni engenhla iris kanye isikhumba nesibaya iba sclera ebonakalayo. Liluphawu enobuthi ngokukhukhumala kwentamo goiter.

Kocher yaziwa nangokuthi umsunguli we eziningana mishini ekhethekile kuhlinzwa. Ngakho, ngokwesibonelo, Ukugunda for imithambo yegazi, esiswini, iphenya, okuyothi ngalo msebenzi wenziwa, izitho zokugaya, amanzi amashubhu ezenziwe ngengilazi esetshenziswa futhi odokotela wesimanje.