Palpation we indlala yegilo: Imithetho kanye Izinsiza kusebenza

Palpation we indlala yegilo - kuyinto esigabeni sokuqala uphethwe, ukuvumela ukukhomba khona isifo. Ngalezi izenzakalo Uchwepheshe inquma ubukhulu isifo, bese esabela ucwaningo olwengeziwe.

Okufingqiwe

Thyroid palpation bazenza zonke kwiziguli i endocrinology. Ukuthola Isikhathi esijwayelekile izifo ezithile ivumela uchwepheshe ukuba linqume ukwelashwa ngoludala ukuthi umuntu akanayo iphendukele ukuhlinzwa.

Kancane mayelana umzimba

Uyini indlala yegilo? Ngokusho ochwepheshe, lokhu kuyinto indlala endocrine ukuthi kuyisici esihlupha bonke ezilwaneni ezinomgogodla. It igcina iodine futhi hormone iodine-equkethe ukhiqiza ukukhiqizwa (ie iodothyronines), kuhileleke nezinye izinkinga okuyinto kuseli ukukhula umzimba iyonke, kanye ukulawulwa umzimba.

Palpation we indlala yegilo kulula futhi elula. Itholakala phambi kuqhoqhoqho entanyeni, ngaphansi emphinjeni. Ngokuvamile abantu unomzimba onjalo has ukuma uvemvane.

Palpation we indlala yegilo. Izinga izithelo zawo

Into edingekayo inqubo? Iqiniso liwukuthi kusukela lesi sifo emzimbeni sihlasela abantu abaningi kangaka. Izifo ezihlala singenzeka ngemuva azizange zishintshe, anda noma, Ngakolunye uhlangothi, ongaphakeme endocrine umsebenzi. Okwenzeka kezinye iindawo iodine ukuntula ngokuvamile kuholela ukuthuthukiswa cretinism futhi goiter sekuphenduke umkhuba.

Thyroid palpation lembula nokuthi le nkinga futhi kutholakale umsuka wendaba yesihluku sifo:

0. Ubukhulu yomzimba kubhekwe kuze kube sezingeni lokuba zemvelo. Ngakho shchitovidka cishe hhayi selitholakala, futhi kuhlolwe ngamehlo kungukuthi echaziwe. Phela, abantu mncane ngesikhathi sokuhlolwa komzimba kungase kungabi palpable nhlobo.

1. Mayelana nalesi degree of uyothi ngalolo icala, uma isiguli azizwa Isthmus onguchwepheshe, lapho Swallows kuqala.

2. lesi sinyathelo, lesi siqephu iba esikufezile. Kulokhu, inani umdlavuza liphinyiselwe futhi kakhulu lakhulisiwe.

3. Lapho kangangokuthi bobabili iyizingxenye yendlala anda. Ngisho ne-luhlolo ezibukwayo isiguli udokotela kalula ukuqaphela inkinga. Ngemva kumba umzimba cishe ngokushesha ikhomba zonke ukuqina etholakalayo.

4. Lesi sinyathelo sisibi kakhulu. Ukwanda yegilo iba sigqamile ukuze okuthiwa kwezitshalo siqala ukuba usayizi nemvelo. Futhi, webele asymmetry Kuyaqapheleka futhi Isthmus of izinti ezinhle. Ngo inqubo ukuhlola isiguli wembula kokucindezelwa kwezitho ezizungezile nezicubu entanyeni. Ubuhlungu ku palpation we indlala yegilo kuqala ukuba wazizwa ngayo ingcindezi ukukhanya. Futhi, kulesigaba kwezwi lesiguli iba hoshozela. It kukhona umuzwa njalo kokucindezelwa entanyeni lingabi nomuzwa wokuthi kwaba into ukuvimbela singagwinyi.

5. In the isinyathelo sokugcina selitfutfukise usayizi goiter ukuthi udlula zonke izindinganiso ezamukelekayo.

Palpation we indlala yegilo: Imishini

Ukuzizwa yegilo lesiguli kufanele kuphela endocrinology, ngesikhathi esifanayo ihambisana isu elikhethekile. Ekuhloleni udokotela lesiguli kungathatha ukuma ehluke ngokuphelele, yisize ukuba ihlole isiguli ngokunembe ngangokunokwenzeka, futhi ukunquma degree of ukwanda emzimbeni yangaphakathi.

Kusukela ngo-wokuhlola kanye palpation we indlala yegilo? Uchwepheshe ithobela le mithetho elandelayo:

• Standing ubuso isiguli, ongenalwazi endocrinology izithupha yegilo uqwanga futhi lonke walala endaweni-clavicular imisipha sternomastoid. Uma ngesikhathi esinjalo idatha iphenya for uphethwe akwanele, isiguli buza fuza ungiphuzise. Imiphumela iba yinhlanganisela yokukhandleka displacement we uqwanga futhi palpate komzimba ngokugcwele. Kule ndlela kalula ukuthola palpation isiqeshana sezwe.
• Standing kuya kwesokudla okwaxoxwa, udokotela ehlola isiguli, ngimcela ukuba sitsheke ikhanda lakhe phambili. Kulesi sikhundla, umuntu Ubuningi bamahora imisipha, okusho umzimba Uphenyo kungaba lula impela. Endocrinologist kwesokunxele isandla kunesithembiso entanyeni isikhundla esisodwa, bese ngakwesokudla ngobumnene Uyaphenya bobabili share indlala.
• Simi emva isiguli, onguchwepheshe angase beka izithupha ngemuva entanyeni kanye nezinye ekhaya azokuqhubela palpation loluphelele indlala yegilo.

Ngokufeza lezi zinyathelo, udokotela kalula ukwenza isiphetho kwangaphambilini mayelana nokuba khona noma ukungabi khona okwandisa isitho yangaphakathi.

imiphumela yocwaningo

Palpation we indlala yegilo ezinganeni nakubantu abadala kusiza onguchwepheshe sifinyelela iziphetho kwangaphambilini ngesimo lesiguli. Kwezinye izimo, isiguli kufanele ukhathazeke? Uma ngesikhathi sokuhlolwa isitho yangaphakathi akuyona selitholakala, likhuluma esimweni saso esivamile (ie, inyuka sokugembula hhayi).

Ngokusho ngezigaba ezivamile, e Endocrinology setha degrees ezintathu, eyodwa kuphela okuyinto okuhlukile kuyinsakavukela. Ngokuqondene nazo zonke ezinye, basuke sebati ukukhombisa ukuthuthukiswa zokugula.

Uma ngokuhamba uphenyo salo yegilo nesineke palpable, kodwa kunalokho wavuma ke ukhulume esigabeni sokuqala lesi sifo. Izinga yokugcina isifo sitholakale lapho umonakalo kunqunywa palpation ezinhle kakhulu.

Izici cwaningo

Manje uyazi ukuthi palpation we indlala yegilo. Ngokuvamile, umzimba akufanele anda. Kufanele kuqashelwe ukuthi ucwaningo, olwenziwa udokotela ngubani esigabeni sokuqala uphethwe. Akasiniki isiqinisekiso egcwele, ngenxa yokuthi ukuthi uchwepheshe kungaba okungalungile, ikakhulukazi uma ucwaningo abantu mncane noma ikhuluphele ngokweqile. Nakuba lo mqondo sokuqala ngezimo zesiguli ngale ndlela ukuze uthole konke ongakwenza.

Ngokukhethekile ku palpation zomzimba zangaphakathi kufanele inikezwa iziguli abakhuluphele ngokweqile. Lokhu kungenxa yokuthi abantu abanjalo babe ungqimba lwamafutha kungaba bekulula ukuwuthatha yegilo, okunikela umphumela yokuphambuka esifundweni. Ngakho-ke kungenzeka ukuba usebenzise lolu hlobo inhlolovo kuyinto ndawonye kuphela nabanye.

izinzuzo palpation

Inzuzo enkulu palpation ezingokomzimba indlala yegilo wukuthi le ndlela, isiguli angasebenzisa ngokuzimela. Kodwa kufanele kube niqaphelisise ukwenza. Phela, ukungazi izici womuntu yokwakheka ungakwazi ngempela kalula nemiphumela ebuhlungu.

ukwelashwa

Ukwelashwa kwezifo yegilo kumele kuqale kuphela ngemuva zonke izinyathelo zokuxilonga, kuhlanganise ethunywe ihlaziya hormone izobanjelwa. Izinga lokuqala isifo zidinga ukwelashwa wezokwelapha. Kulokhu, lo muntu udinga ukuba baphuze ama-hormone yokufakelwa nezinye izidakamizwa kukho konke ukuphila kwakhe. Uma loku kungentiwa, le ndlala yegilo kungandisa nakakhulu.

Indlela ephumelela kunazo futhi kungase kutholakale ukwelapha umdlavuza kubhekwa yayo ngisho nokususwa okuphelele kuhlinzwa. Nokho, le ndlela futhi esiyingozi ngokwedlulele. Ngakho-ke, ukuqhuba ukusebenza ngale ndlela kufanele kwenze kuphela udokotela ohlinzayo abanolwazi. Kufanele kuqashelwe ukuthi ngaphambi kokufaka isiguli egunjini labagula kakhulu, kumelwe ibhekane ukwelashwa okukhethekile. Phakathi nale nkathi, isiguli ezinqunyiwe ezihlukahlukene izidakamizwa, kanye ukuncoma unamathele ukudla okuqinile, unothile ngamavithamini zemvelo.