Chizindikiro cha Voskresensky mu kapamba ndi zina mawonetsedwe azachipatala ndi zizindikiritso zofunika kwambiri za matendawa. Pancreatitis ndi nthenda yotupa komanso ya dystrophic yamatenda achimimba.
Pathology imadziwika ndi njira yokhazikika komanso yomwe ikupita patsogolo. Kuperewera kwa mankhwala omwe amafunikira kumabweretsa kukanika kwa pancreatic, ndiko kuti, chiwalo chimasiya kugwira ntchito.
Pali zinthu zambiri zoyambitsa matenda. Izi zimaphatikizapo kumwa mowa kwa zaka 3 mpaka 10, matenda ena amisili (nthawi zambiri mwa azimayi), kuperewera kwa zakudya m'thupi zomwe zimakhala ndi mapuloteni ochepa komanso mafuta, chibadwa champhamvu.
Nthawi zambiri odwala amadandaula za zopweteka zosiyanasiyana kutukula. Poyerekeza ndi kuchulukana, ululu wam'mimba umakhala pachimake, osapatsa wodwalayo, amapezeka pamimba, akuwonekera kumbuyo. Munthawi yayitali, kupwetekaku sikunenedwenso.
Zizindikiro za Voskresensky
Chizindikiro cha wolemba Voskresensky chimakhala ndi dzina lina - chiwonetsero cha kuchipatala cha dzanzi labodza. The etiology ya chitukuko chake imayamba chifukwa cha kutupa kwa kulowetsedwa kwa m'mlengalenga.
Ali palpation, katswiri wa zamankhwala samva kutupika kwa msempha pamimba kudutsa malo amtsempha wamagazi ndi kapamba. Nthawi zambiri, pulsation iyenera kuonedwa masentimita asanu pamwamba pa msomali ndi mainchesi anayi kumanzere kwa axis yake.
Chithunzi chachipatalachi chimatengera kuti gawo lamkati edema limakulirakulira kukula, potero limatseka chotengera chachikulu.
Mutha kudzimva nokha. Kuti achite izi, wodwalayo wagona kumbuyo kwake, amasuntha zala zake, monga tafotokozera pamwambapa. Ngati zonse zili mwadongosolo, ndiye kuti akumva kupweteka, kapangidwe kake kapamba kamapapo.
Ndikosatheka kudalira kwathunthu chizindikiro ichi chachipatala. Nthawi zina, chizindikiro chimakhala china:
- Tumor zotupa za kapamba.
- Kukula kwa kukula kwa ma lymph node.
- Mapangidwe akulu a mpweya.
Zizindikiro malinga ndi olemba, makamaka, malinga ndi Voskresensky, sizingapereke chithunzi cha chipatala mwa odwala onenepa kwambiri. Kuzindikira koyenera kumapangidwa pambuyo poyesedwa mwamphamvu ndi ma labotale, kuyezetsa thupi sikokwanira.
Ngati apendenditis amayamba kukayikira, chizindikiro ichi chimakhala chodziwikiratu. Komabe, kutsimikizira kumachitika pogwiritsa ntchito njira ina. Muzochita zachipatala, chizindikiro chimakhala ndi dzina losiyana - chizindikiro cha malaya. Pa palpation, malaya a wodwalayo, omwe amakhala kumbuyo, amatsitsidwa ndikukutula thupi, ndipo kudzera mukuyenda kosalekeza kwa nthiti za manja kumayendetsedwa m'mimba kutengera kuchokera pamwamba mpaka pansi. Izi zikuchitika mobwerezabwereza kuchokera mbali ziwiri. Mu appendicitis pachimake, wodwalayo amamva kupweteka m'dera lamanja laac.
Kuwonetsera kumeneku kumachitika chifukwa cha kukhumudwitsa kwa peritoneum, komwe kumachitika chifukwa cha kutukusira kwa pulogalamu ya kumapeto.
Zizindikiro Zolemba
Malinga ndi code ya ICD-10, kapamba amatenda opatsirana komanso osapweteka, okhala ndi zotulukapo za puritis, subacute, hemorrhagic. K86.0 imatanthawuza matenda osachiritsika a etiology, K86.1 - mitundu ina yamatenda oyipa.
Pali mitundu itatu yokha yazosemphana ndi matenda oopsa - awa ndi opweteka
zomverera, kuchuluka kwa gasi kapangidwe, kusanza. Uku ndiye kupambananso kwa Mondor mu kapamba.
Chizindikiro cha Mayo Robson cha pancreatitis chimatsimikizika ndikumverera kwapweteka pamalo a pancreas. Ili ndi mbali yakumanzere kwa nthiti ya nthiti. Chizindikiro ichi chimawonedwa mu 45% ya zithunzi zamankhwala. Chizindikiro chimatsimikiziridwa ndikudina mopepuka pamfundoyi. Ngati pali kuwonjezeka kwa ululu, izi zikuwonetsa kutupa mkati.
Zizindikiro za pancreatitis pachimake ndi olemba:
- Chizindikiro cha Kerth. Chizindikiro chachikulu ndikupweteka palpation m'deralo, yomwe ili pamwamba pa msomali mainchesi asanu kuchokera pamzere wapakati. Nthawi zambiri amapezeka mu 65% ya matenda onse amisala. Kuphatikiza apo, chizindikiro cha wolemba uyu chimakhala chothandiza pakuwona kusokonezeka kwa minofu mu gawo la epigastric.
- Chizindikiro cha Kach chimafotokozedwa ngati kupweteka kwambiri poyesa kubwezeretsa tsamba mwatsatanetsatane wa mchira wa kapamba. Malo amalo amenewo ndi gawo la njira yodutsamo ya 8 ya thoracic vertebra. Nthawi zambiri, chizindikirocho chimakhala chotsimikizika pambuyo pa matendawo. Zojambula zina, zimawonedwa ngati khungu pakadali pano.
- Chizindikiro cha Razdolsky chimapezeka pamatenda owopsa a matendawa. Amadziwika ndi ululu wowopsa, womwe umayamba nthawi yamkati pakhungu m'dera la ziwalo zamkati. Zimatengera njira yotupa mu peritoneum.
Zizindikiro Chukhrienko wapezeka mu 38% ya zojambulazo. Amakhala ndi kupezeka kwa ululu panthawi yovutikira yam'mimba khoma ndi burashi poyambira kuchokera pansi kupita m'mwamba.
Zizindikiro zowonjezera
Kuphatikiza pa zomwe zili pamwambazi, ndikotheka kuwunikira zizindikiro zina zapadera zomwe zimakhala ndi mayina a adotolo. Chizindikiro cha Mondor chimapezeka mu zovuta pachimake matenda. Ndi chifukwa chosintha pakhungu la wodwalayo. Mabala abuluu amawoneka thupi la wodwalayo. Kutero kumakhazikika pakulowerera kwa poizoni yemwe amapangidwa ndi gland.
Chizindikiro cha Grott. Chizindikiro ichi chimadziwika ndi zowawa nthawi zina, chilichonse chomwe chimakhala ndi dzina lake, chikuwoneka kuti chikutsimikizira kupezeka kwa njira yotupa mu gawo linalake la chiwalo chamkati.
Chizindikiro cha Desjardins chimayamba chifukwa cha kupweteka m'deralo, komwe kuli masentimita anayi pamwamba pa msomali pamodzi ndi mzere wolumikizana ndi mbali yakumanja. Mwanjira yamatendawa matenda amapezeka 70% ya milandu.
Zizindikiro zodziwika bwino za kapamba zimayamba mwadzidzidzi. Nthawi zambiri, njira yotupa imakwiya chifukwa chakumwa mafuta ochulukirapo komanso zakudya zolemera, mowa, komanso kusuta. Mothandizidwa ndi zinthuzi, wodwalayo ali ndi mawonetseredwe azachipatala:
- Ululu waukulu kwambiri m'chigawo cha epigastric.
- Kuwonjezeka kwa kutentha kwa thupi.
- Kuzindikira khungu (osati zonse).
- Kuukira mseru, kusanza.
- Mimba imachulukanso.
- M'mimba timasokoneza.
Nthawi zambiri pamakhala zizindikiro zakusatsuka. Izi zimaphatikizapo ulesi, kuthamanga kwa magazi, tachycardia, bradycardia, kupuma movutikira, kupuma movutikira, khungu, ndi zina zambiri. Zizindikirozi sizisonyeza kutulutsa kapamba chifukwa zimatha kuonetsa matenda ena. Komabe, mawonekedwe awo ndi nthawi yoyitanitsa gulu lazachipatala. Nthawi zambiri, limodzi ndi kapamba, cholecystitis imapezeka.
Mankhwala, mankhwalawa amagwiritsidwa ntchito, zakudya zapadera zimayikidwa. Nthawi zina, chithandizo cha opaleshoni chimafunika. Opaleshoni imakumananso pamaso pa zovuta za matendawa, kuti muchepetse ululu.
Kodi Voskresensky akuwonetsa chiyani muvidiyo iyi.
