Alama Kera da Ortner cholecystitis. Farko na bayyanar cututtuka da kuma wuri na sarrafawa

A Sanadin cholecystitis a mutum na iya yin wata iri-iri na kullum cututtuka, ko canji na tsarin wasu tasoshin biliary fili. Yana kuma iya ci gaba a sakamakon cututtuka na ciki (kawai suke cewa suna tare diskholiey). Babban tunani a cikin definition da cuta ne mai alama Kera.

Common bayyanar cututtuka na cholecystitis

Dangane da sarrafawa da kumburi ko jijiyoyin bugun gini canje-canje tsarin da kuma biliary fili, ya bambanta da yawa cututtuka:

• maras ban sha'awa zafi a dama hypochondrium, wanda kara zuwa sama - a cikin yankin na dama scapula, clavicle da kafada; tare da ci gaba da cutar da zafi zama mafi m, kuma m.
• tashin zuciya da kuma amai, wanda tsokani zafi.
• m iyawa a bakin.
• a gaban vomitus bile impurities.
• harshe mai rufi plaque da kuma bushe.
• yiwu zazzabi da kuma jin sanyi.
• idan akwai cuta ci gaban da aka gano tachycardia, kuma Ya ƙãra jini;
• idan yarda ana katange bile ducts (a gaban duwatsu a gare shi), sa'an nan da mutum yana da wani furta jaundice.
• zafi a kan palpation a dama hypochondrium.

Bayan sama, babban alama da cuta ne mai alama Kera. An bayyana a cikin zafi a kan palpation a cikin haƙuri ta jiki jeri. zafi da aka girma da kuma kara a kalla tare da ci gaban sarrafa cutar.

Specific bayyanar cututtuka na cholecystitis

By da musamman manifestations da cutar ne bayyanar cututtuka na Kerala da Ortner. Bugu da ari kima auku bayan tabbatar da gaban wadannan manifestations. Don gane da farko alama, shi ya ishe su zurfin palpation na dama sama quadrant, a cikin wannan yanayin, da haƙuri mai tsanani m zafi bayyana.

Alama Ortner gano da tapping da costal baka a dama-hand gefe guda da hannunsa. A gaban da cutar, duk jan za a tare da m majiyai sãɓãwar launukansa digiri, dangane da yadda ya zuwa yanzu cutar ya ci gaba, da kuma abin da shekaru da kuma janar kiwon lafiya na mutum.

Bugu da kari sun kuma rarrabe tsakanin:

• Obraztsova alamar - a lokacin da wani mutum numfasawa a lokacin palpation da zafi ƙaruwa.
• Murphy alama - da rashin iyawa numfasawa a kan zurfin palpation a dama hypochondrium.
• De Musset ta ãyã-Georgievka - palpation sternocleidomastoid tsoka (a cikin ta kafa) da haƙuri shi ne wata alama ce ta zafi.

A wani dakin gwaje-gwaje jini gwajin za a iya samu neutrophilia, lymphopenia da leukocytosis.

Lokacin da cututtuka bayyana

Amfani da alama Kera, za ka iya sanin ko gaban acalculous cholecystitis. A gaban duwatsu a cikin gallbladder ko biliary fili bambanta da sauran symptomatic manifestations.

Kera alama ga m cholecystitis ne fitowan da zafi a cikin gall mafitsara a lokacin zurfin palpation a shafin na wani haƙuri jiki wuri.

cuta bambantawa

M cholecystitis za a iya bambanta daga duodenal miki ko ciki, kazalika da m pancreatitis, appendicitis ko na koda colic. Domin kada ya rudar da wadannan cututtuka, shi ne muhimmanci a iya rarrabe tsakanin su.

A wani ciki miki ciwo ya auku sharply, haka ma, shi ne quite kaifi, yayin da cholecystitis a cikin hanta zafi maras ban sha'awa da kuma ƙarshe dan kadan inganta. Har ila yau, akwai zazzabi kusa 38 darajõji, kuma amai bile.

A m pancreatitis, da zafi da aka sarrafa a hagu na sama quadrant, kuma za a iya ci gaba da tare da amai.

M appendicitis yana da wani cututtuka a zafi, haskakawa da kafada da scapula, kuma ba ya bayyana retching. Appendicitis a wani haƙuri ba a alama na Kerala da Musso.

A koda colic ba ya lura Yunƙurin a yawan zafin jiki da kuma gaban da jini leukocytosis. A zafi da aka sarrafa, yafi a cikin lumbar yankin da kuma kara da kwatangwalo, kuma pelvic gabobin.

cholecystitis magani

cholecystitis magani ya kamata a fara kafin asibiti. Intravenously gudanar da kwayoyi da rage zafi (fi amfani da allura "shpy") da kuma rage matsa lamba a cikin gallbladder bile outflow saboda da kyautata a cikin kananan hanji.

Alama Kera cholecystitis ne dalilin nan da nan asibiti, bi da m ko ra'ayin mazan jiya shiga tsakani a kan wani ɓangare na kiwon lafiya.

Lokaci nuna hankali ga gaban da aka bayyana cututtuka da kuma ikon rarrabe su daga cututtuka bambanci kara habaka da dama ga wani mai sauri dawo ba tare da tiyata.