Izimpawu zikaVoskresensky nezinye izibonakaliso ze-pancreatitis enzima

Izindlela ezihlukahlukene zokuhlola ekunqumeni ukuxilongwa kuvumela isiphetho esinembile kakhulu mayelana nezimbangela zemisebenzi yomzimba ekhubazekile. Enye yezindlela ezivame kakhulu zokusola ukukhubazeka kwezitho ezihlukahlukene zesimiso sokugaya ukudla yisisu esiswini.

Ukuvuswa kwesimanga: ukubonakaliswa kwemitholampilo

Uma kwenziwa ukugaya kwesisu esiswini se-epigastrum, kunqunywa ukuthi isiguli asinalo noma senze buthakathaka kakhulu ukungena kwe-pulsation yengxenye ye-aorta ehla. Isibonakaliso esinjalo yisibonakaliso sokwehluka kwe-pancreatitis.

Kodwa isibonakaliso sikaVoskresensky asiyena pathognomonic. Yilokho, izenzakalo ezifanayo zingaba ubufakazi bokuthi kune-pancreatitis ephawulekayo, kodwa futhi ne-retroperitoneal hematoma, ukwanda kwamanye ama-lymph nodes, njll.

Ukulungiswa kusuka ekubukeni kwe-topographic-anatomical view

Kuyaziwa ukuthi ama-pancreas ahlongozwa odongeni lwe-anterolateral esiswini kwesigodi se-epigastric nakwesokunxele kwe-subcostal endaweni. Ingxenye esezansi kunazo zonke ze-pancre kanye nomngcele ophansi uhlolwe ibanga elingaba ngu-5 cm ngaphezu kwenkaba yendawo, futhi phezulu - cishe 10 cm ngaphezu kwenkaba. Indawo yenhloko ye-pancreas ingakwesokudla kwembambo ye-VI-VII, nomsila kuyi-hypochondrium engakwesokunxele.

Ukuhlelwa kabusha kwethempelini yesikhala kubangela ukuxhumana okukude ne-duodenum. Ngaphandle kwe-pancreas yingxenye yesisu ye-aorta ehla.

Uma kungekho-pathology, lapho kusetshenziselwa isisu kwesiguli, i-pulsation ye-aorta inqunywa kalula.

Ukungabi khona kwe-pulsation endaweni yesisu yokuhlaselwa kwe-aorta phambi kwe-pancreatitis ephawulekayo kungachazwa ukuthi ukukhuliswa nokuhlanganiswa kwe-pancreas kubangelwa ukuthi kuvimbela ingxenye ebalulekile ye-aorta ebusweni, okuvimbela ukukhanya kwe-pulsation yayo.

Ezinye izimpawu nge-pancreatitis

Uphawu lweVoskresensky nge-pancreatitis ngenye yezinkomba ezibaluleke kakhulu zalesi sifo.

I-Pancreatitis iyisifo sokuvuvukala-dystrophic sezincuba ze-pancreatic. Ngokuvamile kubonakala njengefomu elingapheli futhi linomphumela oqhubekayo ngokushesha. Isigaba sokugcina sibonakala ekupheleni kokusebenza kwamaphakethe ngokusebenza kwayo.

Izimbangela ezivame kakhulu zalesi sifo yizi:

• Ukuphuza utshwala njalo futhi ngokweqile.
• Izifo ze-bile excretory system (ngokuvamile kubabesifazane).
• Yidla ngamaprotheni namanoni anganele.
• I-Hereditary pathologies ehlobene nokukhubazeka kwe-amino acid metabolism.

Ingxenye enkulu yezikhalazo ihlotshaniswa nokuvela kwezinhlungu ezinzima zendawo ehlukene. I-pancreatitis enhle idala ubuhlungu obungenakubekezeleka esiswini esisenhla, ukunikeza ngemuva. I-syndrome yezinhlungu ezingapheli ibonakala ngokuncane futhi ngezinye izikhathi, ebuhlungu, ifana nokuhlaselwa kwenhliziyo.

Izimpawu ezihlosiwe ze-pancreatitis, kuhlanganise nesifo seVoskresensky, azihlanganiswa nomzimba wesiguli wesiguli, ngakho-ke lezi zibonakaliso zibe yilokhu okuyisisekelo esiyinhloko ekunqumeni ukuxilongwa. Zihlanganisa nokubonakala kwe-yellowing kwe-sclera yamehlo; Ukugqama kwesiguli kuyahlukahluka kusuka emanzini kuya emhlabathini; Isigxobo esicacile sisho; Ukubonakala kokuphawula esiswini nasendleleni yokuphumula; Ulimi luba luphuzi; Ukuphefumula kuyaba ngokushesha; Kukhona ubuhlungu obunzima phakathi nesifo.

Izindlela zokuhlolwa ezisolakala ukuthi ziyi-appendicitis enamandla

Kubammeli besifazane, i-appendicitis enzima ivame kakhulu kunamadoda. Kubonakala, njengomthetho, ngokuzumayo. Kukhona ubuhlungu obunzima esifundeni se-epigastric, ukuqinisa nokusabalalisa kulo lonke isisu. Khona-ke kukhona indawo yangakini yobuhlungu esifundeni se- ileal esifanele (uphawu lwe-Kocher). Ngokuvamile kungase kube nokuhlanza okulodwa, ukugcinwa kwesitokisi. Kwezinye izimo, isifo sohudo sinakwenzeka, esiye siphuthumayo uma isithasiselo sesi-vermiform esivuliwe sitholakala endaweni yesigodi. Ukwehliswa ubuhlungu esifundeni se-lumbar noma umlenze wesokudla kungenzeka, okuthiwa "uphawu lokubopha isihlangu."

Uma kukhona amafomu okubhubhisa, khona-ke ukunciphisa ubuhlungu nokubukeka kwezibungu kuyizici; Ukwandisa izinga lenhliziyo nokunyuka okuncane kokushisa. Kulokhu, ukoma, futhi isisu sisalokhu ifomu elifanele. Ukuhlola kukuvumela ukuthi uhlolwe ukugaya emoyeni endaweni yesisu esingaphansi kwesisu. Kukhona i-hyperesthesia yesikhumba esifundeni esifanele sase-iliac, esibizwa ngokuthi uphawu lukaRazdolsky. Kukhona nemibonakaliso yemitholampilo yesifo seCrimea, esinobuhlungu obuningi ekusetshenzisweni kwensimbi yokugcoba efanele

Indawo ye-Retrocecal ye-appendix uma kwenzeka i-appendicitis ephuthumayo yenza ukuba kusebenze ukuvikelwa kwemisipha kunxantathu lumbar (uphawu lukaPettitov).

Isibonakaliso sokusakaza (i-Voskresensky) nge-appendicitis enzima

Isimpawu ukuthi udokotela, ohlangothini lwesokudla kwesiguli, udonsa ihembe lakhe ngesandla sakhe sokunxele, futhi ilungelo libeke kancane izinyathelo eziqondeni ukusuka esifundeni se-epigastric ukuya kwesokudla. Kubalulekile, ekupheleni kwesibhamu, hhayi ukususa masinya iminwe kusuka emdongeni wesisu. Iqiniso liwukuthi ekupheleni kokususa isiguli uzizwa ubuhlungu obunzima. Ngesikhathi esifanayo, lapho uhamba ngesinye isinye, ukuzwa ubuhlungu akuvuki.

Isibonakaliso sehembe yigama elivame ukusetshenziswa kulokhu. Kodwa akuyona into engalungile. Kuhle kakhulu ukusebenzisa igama elithi "slip syndrome".

Ngabe iziphi izimo ukuthi lesi sibonakaliso sihle?

Ngakho-ke, uphawu lukaVoskresensky luyakha, lapho isiguli sinokucindezeleka okunamandla. Isibonakaliso slip, esitholwa yile ososayensi, sibonakala esimweni se-appendicitis esiyingozi.