I loko o kahi honua ʻaʻohe manawa e koe no kaʻai kūpono a me ka kaulike, nā maʻi pancreatic - pancreatitis, diabetes mellitus a me nā maʻi ʻē aʻe e pili pū ana i nā hana ʻai maikaʻi ʻole i hōʻike pinepine ʻia.
Hōʻike ʻia ka pilikia o ke kino o loko o ka naʻau ma o ka ʻeha excruciating, ʻaʻole i ʻāpono ʻia i ka lāʻau me ka painkillers, i hui pū ʻia e ka luaʻi ʻana, nā kīwaha palu, a me ka indigestion.
Pili loa ka pancreas ma kahi pili me nā kino ʻē aʻe o loko. Inā hōʻemi ʻia kāna hana, pili kēia i ka hana o ke ʻano holoʻokoʻa holoʻokoʻa. Eia nō naʻe, hikiʻole ke hana i kahi maʻi ma loko o kahi keʻena hoʻokahi;
No laila, he aha nā hōʻailona hōʻeha i ka pancreatitis? E noʻonoʻo i nā hōʻailona o Shoffar, Kach, Mayo-Robson a me nā kauka hou i hoʻoholo ʻia e ka palpation.
Diagnosis a me nā loina o ka palpation i ka pancreatitis
Wahi a nā hōʻike maʻi maʻamau, ʻaʻole hiki ke hoʻopiʻi ʻia ʻo kahi hōʻino koʻikoʻi i ka mālama o ka mea maʻi e pili pono ana i ka hōʻeha ʻana i ka maʻi pancreatitis. Ma kahi o nā ʻano o ke kaʻina o ka pathological ʻano, ka ʻokoʻa like ʻole o nā ʻano maʻi pancreatic, kahi i pili ʻia me nā hopena maikaʻi ʻole o kahi ʻano ʻē aʻe.
No ka hoʻomaʻamaʻa ʻana i ka maʻi kūpono o ka mea maʻi, pono ʻoe e nānā pono. Hoʻomaʻamaʻa ka mea maʻi i nā hoʻokaʻina koko, nā hoʻāʻo ʻana i ka wai, a coprogram, ultrasound, radiography, CT, MRI e hana.
ʻO kahi hōʻike pilikino me ka hoʻomohala ʻia ʻana o ke kaʻina hana hoʻonā nā maʻi e pili ana i ka palpation e like me ke kumu paʻa. Kuhi ʻia kēia ʻano ma muli o nā ʻano o ka ʻeha i kekahi mau wahi a me ke kamaʻilio ʻana o ka ʻāina hoʻopaʻa ʻana. Loaʻa i kēlā me kēia kiʻi i kona mau hōʻailona ponoʻī.
Hoʻokaʻa ʻia nā ʻona Pancreatitis ma hope o nā mea kākau, ma hope o nā loea lapaʻau i mālama ʻia i kēia mau ʻike. No ka laʻana, kahi hōʻailona o Shoffar me ka pancreatitis, Kacha a me nā kauka hou.
ʻO ka Palpation ma ke ʻano maʻi ka hoʻomaka ʻana e hoʻohana ʻia ma ka hopena o ka kenekulia 20, inā ʻaʻohe mau mea hana pono e kōkua i ke ʻike i nā kumu o nā hōʻeha a me ka malaise ma ka mea maʻi. Ua hoʻohana nā kauka i ko lākou manamana lima i ka wā o ka hoʻokolokolo. I ka hoʻokau olakino hou, hiki i ke ʻano palpation ke hoʻohui i ka ʻenehana - ultrasound, MRI.
ʻO kona pono e me ke kōkua o ka palpation hiki iā ʻoe ke kānalua koke i ka pancreatitis hoʻonāukiuki, kēlā, ma kahi hiki ke hoʻomaka ai i ka mālama kūpono. I loko o kahi pākeke ʻaʻohe kīnā pancreatic maʻi, hiki ʻole ke palpate i kahi kolo.
E kū'ē i ka maikaʻi o ka palpation a me ka kamaʻilio ʻana i ka pae o ka pancreas, pono ia e nānā pono i ka hoʻololi ʻana i ke ʻano o ke ʻano o ka maʻi ʻeha o ka mea maʻi.
ʻO nā hōʻailona nui
Ke hana nei i kahi maʻi, palpation kahi mahele o ke ʻano o ka maʻi, e hōʻike ana i ke ʻano o ke ʻano ʻeha hōʻeha, ko lākou hoʻololi i ke kaʻina o ke kaomi. ʻO ka hōʻailona o Voskresensky no ka pancreatitis ua ho'ākāka ʻia ʻo ka hemahema o ka hiki ʻana ke pepehi ʻia o ka paia aortic - ma kahi o ka pilina me ka pancreas.
Aia kēia kuhi he ʻelima kenimika ma luna o ka moʻo me kahi loli o ʻehā mau kenimika i loko o ka wahi o ka projection o kahi humuhumu. I mea e hoʻoholo ai i ka hōʻailona o Voskresensky pono ia e kaomi i nā manamana lima mai ka wahi epigastric a hiki i ka hoʻokuʻi ʻana o ka ate ma ka lole aʻi nāu. Ma 70% o ka maʻi pancreatitis, ua ʻike ʻia kahi hopena maikaʻi. I ka lāʻau lapaʻau, loaʻa i kēia hōʻailona kekahi inoa no ka "hōʻailona o ke kapa kūpeʻe."
Hoʻoholo ʻia ka hōʻike maʻi Mayo-Robson e ka ʻeha koʻikoʻi ma nā wahi i kū i ka projection o ke kino a me ka lae. No ka hoʻoholo ʻana i ke kiko, ua kāʻei ʻia kahi laina mai ka naele i ke waena o ka iwi hema hema. E ʻike ʻia ka ʻoluʻolu ma kahi hapakolu o kēia laina.
He manamana kēia hōʻailona i ka 50% o nā kiʻi lapaʻau. Hiki ke hoʻoholo i ka kaomi wela - ke kaumaha hoʻi e hōʻike i ka lilo ʻana o kahi hōʻeha kūʻē.
Nā hōʻailona ʻē aʻe:
- ʻĀina Shoffar. Ua ho'ākāka ʻia ka ʻokoʻa ma waena o ka laina median mua a me ka laina e hoʻopili ai i nā pusaka i ka ʻūlima ʻākau, a ua hoʻohooho ʻia ka ʻenekini i ka laina waena o Desjardins;
- ʻO kahi hōʻailona o Kerth ka ʻeha ma luna o ka palpation ma kahi wahi i hoʻopaʻa ʻia ʻo 5 mau kenimika ma luna o ka moʻo i kahi kiko waena. Loaʻa ma 65% o nā kiʻi. Eia kekahi, ua manaʻo maikaʻi ka hōʻailona inā ʻike ka luhi o nā ʻōpū o loko o ka ʻōpū o ka epigastric;
- ʻO ka mea o Kach i ka pancreatitis ka hōʻeha ʻana i ke kua o ke kīhū ʻana o ka huʻu o ka huelo o ka hana o ka hoʻoweliweli. Wahi kiko: wahi o ke kaʻina hana o ka hana i ka hekili thoracic 8th. I kekahi mau kūlana me ka maʻi pancreatitis maʻi, hiki ke hōʻike ʻia i ka nui o ka ʻili o ka ʻili i kēia wahi;
- Kuhi ʻia ka hōʻailona o Razdolsky i nā aneane āpau o ka maʻi pancreatitis maʻa. Ua hui pū ʻia me ka ʻehaʻeha nui e kū mai ana i ka wā e kamaʻilio ana i ka ʻili ma ka wahi o ka projection o ka pancreas. Hoʻokumu ʻia ia ma ke ʻano he kumu ʻano hōʻeha ʻeha o ka pūhaka.
Eia nō naʻe, ʻaʻole lawa ka palpation e hana i kahi maʻi - ke hoʻomau ʻia ka maʻi maʻamau loa, no ka mea, hiki i kahi hōʻeha ke kū'ē ʻia i nā maʻi ʻē aʻe - cholecystitis, cholelithiasis.
ʻO ka loaʻa ʻana o nā hōʻailona i hōʻike ʻia ke kumu no ka loaʻa ʻana o nā maʻi maʻi i ka mea maʻi no ke kumu hou o ka hoʻokolokolo hou ʻana i loko o kahi haukapila.
Nā hōʻailona ma ka palpation
Ma kahi o nā mea i hōʻike ʻia ma luna nei, hiki iā ʻoe ke kapa i nā hōʻailona ʻē aʻe i kapa ʻia ma hope o nā kauka a hoʻoholo ʻia e ka palpation. ʻO nā mea i hōʻike ʻia, ʻo ia ka mea maʻamau, kēlā me kēia mea e hoʻohana pinepine ʻia e ko lākou kōkua.
Hōʻike ʻia ka hōʻike o Mondor, e like me nā kauka, i aneane āpau i nā hihia āpau a me ka maʻi pancreatitis akene. Hoʻopili ʻia ia e ka hiʻohiʻona o nā ʻeleʻele uliuli o kahi ʻāpana polū i ka ʻili o kahi kanaka. Hōʻike lākou ma ke kino a ma ke alo. ʻO ke kumu ke komo ʻana o nā mea i nā mea hiki ke puka mai ka pancreas i loko o ka kaʻe o ka pōʻai - a ma hope o ko lākou komo ʻana i nā ʻili ʻili.
Hōʻike ʻia ka hōʻailona o Grott e ka maʻi ʻehaʻeha, ʻike ʻia i kekahi mau manawa. Nui ʻia kekahi, kēlā me kēia inoa ponoʻī, e kōkua i ka hōʻoia ʻana i ke kaʻina ʻeha i ka huelo, ke kino a i ʻole ke poʻo o ka humuhumu.
Ke alakaʻi ʻia nei ka palpation e kēia mau hōʻailona:
- Nā Desjardins. Hōʻike ka ʻeha iā ia iho ma kahi kikoʻī e loaʻa ana he 4 kenimika ma luna o ka piko ma ka laina e pili ana iā ia me ka lima. Pōhono i ka 71%, kū'ē kū'ē i ke kua o kahi maʻi luku.
- I loko o ke kaʻina hana hoʻonā, a ʻike pinepine ʻia kahi hopena maikaʻi me ka pume ma ka wahi e kū ana i ka fossa o ka sternocleidomastoid. ʻO ka inoa o ka hōʻailona, he hōʻailona ia Mussie-Georgievsky. Ma muli ia o ka huhū nui o ka pā o ka ʻōpū, hoʻonāukiuki i ka hopena o nā nerve.
He mea pono ia e ʻike ai he maikaʻi ka hōʻailona o Mussie-Georgievsky ʻaʻole wale e kū i ka mea i kū mua o ka pancreatitis, akā pū kekahi me ka uha o ka palaki, a me ka hoʻomohala ʻana o ka ʻōpala. No laila, ʻaʻole kahi hopena hopena ma mua o kona hele ʻana.
ʻO kahi hōʻailona o Tuzhilin e hele pū me ka ʻike o nā ʻulaʻula ʻulaʻula ma ka ʻili, ka nui o ka nui a hiki i 4 ʻāpana. I hoʻoholo ʻia me ka hoʻihoʻi ʻana o ka mumū hakakā.
Ke lawe ʻia nei ka hana ʻana me kahi hoʻouka kūpaʻa ma kahi haukapila. Ma hope o ka hoʻokuʻu ʻana, pono ʻoe e hahai i kahi pāʻina, lawe i nā lāʻau lapaʻau i kauoha ʻia e ke kauka. Hoʻopili ʻia, nā ʻano kuʻuna a me nā kuʻuna kuʻuna - ka mīkini pail, acupuncture, decoction herbal, etc.
Hāʻawi ka ʻikepili e pili ana i nā hōʻailona o ka pancreatitis i ke wikiō ma kēia ʻatikala.
