Ngo umkhuba emtholampilo, noma yikuphi ukunakekelwa kwezempilo umhlinzeki amakhono lokuqala ngawo udokotela Uhlaziya isimo lesiguli kanye kudagnosi kwangaphambilini kukhona ephenywa ngemibuzo evamile neluhlolo, kanye ezinemininingwane kuwo wonke simiso umzimba, auscultation wenhliziyo namaphaphu, palpation kanye eshaywayo. Lokhu kuyiqiniso ikakhulu kwezokwelapha wokwamukela, okwakusho esigulini ngasinye lwabelwe isikhathi esincane kakhulu, futhi imizuzu uma efika ngokushesha, bese ezimbalwa. Ngakho ngokuvamile uphawu omuhle Shchetkina-Blumberg ukuxilonga lesiguli izimpawu of peritonitis futhi ulithumele ngokushesha emnyangweni kuhlinzwa. Ngo inqubo palpation ukuhlukanisa olukha phezulu futhi ijulile, okuyinto ngqo ukuhlola isimo izitho zangaphakathi. It isicelo kule nqubo ikakhulu ngoba izifo esolwa pheshana emathunjini bese ngomgudu womchamo, njengoba isisu endaweni bufaneleke kakhulu non-koda, kodwa ngokuvamile okubuhlungu, ucwaningo olunjalo.
Ezinye izinqubo palpation
Ngokwesibonelo, eyodwa yezindlela eziyinhloko uphawu-Shchetkina Blumberg, Kera, Murphy, Chauffard, Mayo-Robson, futhi abanye diaphragmatic projecting ukuze kufakwe imisipha sternocleidomastoid kuya clavicle. Lezi zindlela zembula ngesisa ezindaweni ezithile, okuyinto kubonakala izifo ngabanye. Ngakho ngokuvamile kukhona uphawu omuhle Shchetkina-Blumberg appendicitis, peritonitis okusalungiswa, perforation kwezitho eziyize; Kera futhi Murphy - Izifo ukuvuvukala we gallbladder kanye nokuqhuba yayo izindlela. A ubuhlungu bukhomba Chauffard futhi Mayo-Robson (projector ikhanda nomsila kwamanyikwe) wathi isigaba okukhulu pancreatitis. Nokho, okubaluleke kakhulu konke lokhu, mhlawumbe, kuba uphawu Shchetkina-Blumberg, ngoba okufana yayo omuhle ubonisa peritoneal ukucasuka interoceptors, ngakho - I-ukopha zangaphakathi noma ukusatshalaliswa kwale serosa eziyisisekelo ukuvuvukala nendikimba komgodi ongaphakathi kwamathumbu. Futhi lokhu isimo noma kunjalo esiphuthumayo.
A uphawu yokucasuka we peritoneum
Ukuze kahle hlola uphawu Shchetkina-Blumberg Isiguli kufanele banikezwe izimisele ibhulashi emalungeni interphalangeal ka isimo (bekunjengokungathi esandleni sakhe ibhola elincane) futhi aphethwe iminwe emithathu besebenza (Inkomba, maphakathi kanye tetifundvo) esiswini. Yibe isiguli sengidonsa umoya (ngalesi sikhathi udinga ukuqoqa esibayeni isikhumba futhi idonsele phansi), exhale (ukuba sijulise iminwe yakho phezu 3-4 cm), futhi ngqo yabo iyadluthula. uphawu Positive Shchetkina-Blumberg kubhekwe uma isenzo lokugcina ngesisa kule ndawo kwandisa ngokucijile. Kungaba into emhlabeni ingalungile futhi kungabi ngokwahlulela ngezizindlo. Ngokuvamile isheke kwenziwa uma isiguli ifika egunjini labadinga usizo oluphuthumayo noma umtholampilo nge acute esiswini syndrome futhi ekhononda eside ubuhlungu ezithuthukayo. Ngokuvamile, uphawu Shchetkina-Blumberg elihle okusalungiswa peritonitis futhi appendicitis. Esimweni esinjalo isiguli ibe ukuhlinzwa esengeziwe ochwepheshe kakade elicwengwé imbangela ukubonakaliswa isici.