Uphawu Murphy. Izimpawu holitsestit

izifo ezihlukahlukene emelelwa izimpawu ezihlukahlukene. Futhi sibonga nalezi zindlela zokusabela lomzimba udokotela kunqunywa nge uphethwe. Ubani ofuna ukubona izimpawu Ortner, Murphy lapho ocushiwe futhi mayelana nezinkinga emzimbeni ubufakazi.

Okuncane izifo

Ekuqaleni, kufanele kuphawulwe ukuthi ukusabela Murphy - uphawu ukuthi avame kuyinto inkomba izifo ezifana cholecystitis (lokhu ukuvuvukala esinyeni nenyongo). Nokho, kungase futhi ukuzibonakalisa e ukuvuvukala isithasiselo saleli Bhayibheli. Nalapha futhi, inkinga itholakala lapho ngemva palpation of endaweni ethile emzimbeni womuntu, okuholela ngendlela ekhethekile isiguli iphendula ngokucindezelwa kudokotela.

Uyini uphawu Murphy

Kufanele futhi ukubhekana ethemini uqobo. Yethiwa okunjena yomzimba ngemva usosayensi Murphy. A uphawu okufanayo kuboniswa ngenxa yezenzo udokotela, okungukuthi palpation ezindaweni ezithile emzimbeni.

1. udokotela cholecystitis odlulela kancane ngakwesokudla hypochondrium nesineke. isandla udokotela kufanele kahle ukuze thumb ngezansi nje lwaleli costal, okungukuthi mayelana nokubekwa endaweni kwesinye nenyongo. Enye iminwe ezibekwe eduze onqenqemeni lwaleli costal. Udokotela ubuza isiguli sengidonsa umoya. Uma kuba buhlungu noma kungenzeki nhlobo - singasho ukuthi Murphy uphawu - omuhle. Okungukuthi, umuntu esolwa cholecystitis.
2. Uma sikhuluma appendicitis futhi peritonitis ngisho kuqalile, iyokwenzeka onokuqundeka ohlangothini kwesokudla umzimba.

Yini izibalo zibonisa?

Ekhuluma uphawu Murphy Kumelwe kuphawulwe futhi ukuthi leli nani kungaqali manifest in iziguli cholecystitis njalo. Lokhu kwenzeka kuphela cishe ingxenye yesithathu yabantu iziguli. Yingakho kubalulekile ukwazi ukuthi uphethwe ngesisekelo kuphela uphawu - kuwubuwula. Ikakhulukazi kusukela kungcono inkomba eqondile.

Non-classical indlela yokunquma uphawu Murphy

Ngo izichazamazwi yezokwelapha kungatholakala ngisho indlela ukuhluka sokunquma uphawu lesi sifo ngokuvumelana Murphy. Kulokhu, isiguli kwakungeke kudingeke ukuba ulale emhlane wakhe. Ngakho, lo dokotela kuyodingeka ukuba bamukele umzimba lesiguli kanye isandla sobunxele ukuze isithupha ibekwa endaweni hypochondrium kwesokudla. Ngokulandelayo, isiguli uzodinga exhale, okubangela umunwe kuyodingeka ungene shí umzimba. Ngemva isidingo sokungenisa umoya. Uma njengamanje noma ibuphi ubuhlungu, odokotela bavame ukusho ukuthi Murphy uphawu - omuhle. Kodwa kulokhu kufanele kuphawulwe ukuthi le ndlela yokuthola yokusabela omuhle kusebenza abantu ezincane noma izingane. Nge iziguli enjalo krupnotelymi indlela Kuhlolisisa ngempela shu.

A amazwi ambalwa mayelana uphawu Ortner

Kuba yisikhathi futhi lapho uphawu ukuthi kungase kubonise inkinga kuphela ngenxa ubuhlungu. Ngokusekelwe zokuxilonga indlela effleurage onqenqemeni lwaleli costal isiguli (ohlangothini lwesokudla). Uma manje bahlangabezana ubuhlungu, uphawu Ortner kubhekwa omuhle. Kodwa-ke kukhona isikhathi ukuhlolwa. Ngakho-ke, ukunemba zokukhwabanisa enjalo kuyadingeka ukuze afeze futhi ohlangothini lwesobunxele umzimba. Uma-ke kukhona ubuhlungu, akusiyo mayelana cholecystitis. Kufanele ufune kuvele inkinga ehlukile. Noma, kungenjalo, ukuze kutholwe uhlangothi ukuba yiqiniso kwale ndaba. amazwi isiguli.

Okunye nezimpawu ezifanayo uma izinkinga nge esinyeni nenyongo

Akekho bangase baphikise ngokuthi uphawu cholecystitis Murphy - akulona nje olubonisa ukuthi isifo. Ngakho, kubalulekile ukuba acabangele ezinye umehluko wemisindo nemiqondo yamagama. Kuyathakazelisa ukuphawula ukuthi lo okuthiwa izimpawu fibrosis kukhona impela eningi. It izibalo ukuthi uzathwala amabizo izazi ezinjengo Vasilenko (uphawu kuwusizo kusaqalwa zesifo), Kerala (ubuhlungu ekukhuseleni) Musso kaGeorge (ubuhlungu palpation kwemisipha), Riesman (evunyelwe onqenqemeni lwaleli costal ngempela ngesikhathi ukubambezeleka umoya), Boas futhi Lepena.