ʻO ka hōʻailona o Voskresensky i ka pancreatitis a me kekahi mau hōʻike e hōʻike ʻia ana he mau hōʻailona nui loa ia o kēia maʻi. ʻO ka pancreatitis kahi maʻi maʻi a me ka dystrophic maʻi pancreatic tissue.
Hōʻike ʻia ke ʻano me ke ala kūlike a me ka piʻi wikiwiki. ʻO ka nele o ka lāʻau lapaʻau e koi ʻia e alakaʻi i ka hana 'ana no ka pancreatic, ʻo ia hoʻi, ua pau ka hana o ka hana.
Aia nā kumu he nui o ka pathology. Hoʻopili kēia me ka waiʻona wai no nā makahiki he 3-10, kekahi mau maʻi o ka system biliary (ka mea maʻamau i ka wahine), ʻo ka hōʻemi me ka haʻalulu haʻahaʻa o nā mea momona a me nā momona, predisposition heredary.
Hoʻomaʻamaʻa pinepine nā mea maʻi i nā hōʻeha ʻeha o nā ʻano kūloko. E pale aku i ke kua o ka exacerbation, uaʻeha ka maʻi ʻeha, ʻaʻole i hāʻawi i ka hoʻomaha i ka mea maʻi, i hoʻopaʻa ʻia ma ka ʻōpū o luna, e ʻāwili ana i hope. I kahi papa maʻi, haʻi iki ka hopena.
Nā hōʻailona o Voskresensky
ʻO ka hōʻailona o ka mea kākau o Voskresensky kahi inoa ʻē aʻe - ʻo ka hōʻike ʻana o ka haukaʻi o ka manawaleʻa wahaheʻe. ʻO ka etiology o kona hoʻomohalaʻana ma muli o ka nūhū o ka infiltration space retroperitoneal.
I ka palpation, ʻaʻoleʻike ka mea lapaʻau i ka pulsation o ka aorta ʻōpū ma ke keʻa o ka moku o ke koko me ka pancreas. ʻO ka maʻamau, pono e nānā ʻia nā kenimika ʻelima mau kenekulia ma luna o ka moʻehā a ʻehā kenimika ma ka hema o kona koi.
Hoʻokumu ʻia kēia kiʻi kulekele kiʻi e pili ana i ka nui o ka edema kūloko i ka nui, a laila ʻae ʻia i kahi moku nui.
Hiki iā ʻoe ke manaʻo i ke kahiki iā ʻoe iho. No ka hana i kēia, ke kau ana ka mea maʻi ma kona kua, hoʻomāneʻe i kona mau manamana lima, e like me ka mea i hōʻike ʻia ma luna. Inā kūpaʻa nā mea a pau, a laila manaʻo ʻo ia i ka pulsation, me kahi ʻano nui o ka pancreatitis i ka nalo ʻana.
ʻAʻole hiki ke hilinaʻi holoʻokoʻa ma kēia hōʻailona loiloi. I kekahi mau hihia, hōʻike kēia hōʻailona i nā kūlana pathological:
- ʻO nā tumors tumors o ka pancreas.
- ʻO ka hoʻonuiʻana o ka nui o nā nīnoho lymph.
- ʻO ka hoʻonāʻana i ke kino.
Nā hōʻailona maʻi e like me nā mea kākau, ma muli hoʻi, e like me Voskresensky, ʻaʻole hiki iā ia ke hāʻawi i kahi manaʻo o ke kiʻi olakino i nā mea maʻi obese. Hana ʻia ka maʻi kūpono ma hope o nā mea hoʻokolohua a me nā hoʻopaʻa ʻana ʻo ka ʻoihana, ʻaʻole lawa ka nānā kino.
Inā kānalua ka appendicitis mākeke, ʻo kēia hōʻailona ka hōʻailona nui loa. Akā, ua hana ka hōʻoia ma ke ʻano he kaʻina ʻē aʻe. Ma nā hoʻomaʻamaʻa olakino, he hōʻailona ʻokoʻa kahi inoa - he hōʻailona kēia o ke kapa. Ma ka palpation, ke kolo ka mea maʻi, aia ma ke kua, hoʻohaʻahaʻa ʻia a huki ʻia ma ke kino, a ma ka neʻe ʻana i ka neʻe ʻana o nā iwi o nā lālani ma ke alo o ka ʻōpū mai ke kihi a mai lalo. Hana ʻia kēia hana mai nā ʻaoʻao ʻelua. Ma kahiʻeha Appendicitis, ua loaʻa ka mea maʻi i ka ʻeha iliac kūpono.
Loaʻa kēia hoʻonāʻana ma muli o ka hoʻonāukiuki o ka peritoneum, e loaʻa ana i ka hopena o nā kaʻina o ke aʻala i ka apili.
Nā Hoʻomaka o ka Mea kākau
Wahi a ke code ICD-10, he maʻiʻino a pili ka maʻi pancreatitis, me nā hoʻopiʻi purulent, subacute, hemorrhagic. ʻO ka K86.0 ka maʻi maʻamau o ka maʻi ʻalolika waiʻai, K86.1 - nā maʻi ʻē aʻe o ka maʻi maʻi.
ʻEkolu wale nō mau hōʻailona neʻe i kahi maʻi maʻi - he hōʻeha kēia
sensations, hoʻonui i ke kūkulu ʻana i ka hau, holo. ʻO kēia ka hōkē o Mondor ma ka pancreatitis.
Hoʻoholo ka hōʻailona ʻo Mayo Robson no ka pancreatitis e nā hōʻeha hōʻeha ma ke kahua o ka projection o ka pancreas. ʻO kēia ka ʻaoʻao hema o ka ʻōpala rib-vertebral. Hoʻomaopopo kēia hōʻailona i ka 45% o nā kiʻi haukapila. Hoʻoholo ʻia ka hōʻailona ma ka kaomi mal ana i kēia manawa. Inā he mahuahua i ka eha, hōʻike kēia i ka ʻaʻa o ke kino o loko.
Nā hōʻailona o ka maʻi pancreatitis e nā mea kākau:
- Hoailona o Kerth. ʻO ka hōʻailona koʻikoʻi ka ʻeha i ka wā o ka palpation ma luna o ka wahi, kahi e kū nei ma luna o ka naʻelima mau kenimika mai ka laina waena. Hoʻolahalike ia ma 65% o nā hihia a pau o ka morbidity. Eia kekahi, pono ke hōʻailona o kēia mea kākau i ka wā e ʻike ana i ka ʻoi ʻana o ka ʻoi ʻana ma nā ʻōhua o ka epigastric.
- ʻO ka hōʻailona o Kach ka mea i hoʻākāka ʻia i ka ʻeha nui i ka wā e hoʻāʻo nei e palpate i kahi kahua ma ka hoʻokuʻi ʻia o ka huelo o ka pancreas. ʻO kahi o ka wahi e ka wahi o ke kaʻina hana hoʻoiho o ka 8th thoracic vertebra. I ka nui o nā hihia, ua kūpono ka hōʻailona e pili ana i ke kiʻi o ke ala o ka maʻi maʻamau o ka maʻi. I kekahi mau pena, ʻike ʻia ma ke ʻano o ka ʻāʻā o ka ʻili o ka ʻili ma kēia wahi.
- Kuhi ʻia ka hōʻailona o Razdolsky i ke ʻano o ke ʻano o ka maʻi. Hoʻohālikelike ʻia ia e ka ʻeha ʻeha, ulu i ka wā o ke kamaʻilio ʻana ma luna o ka ʻili ma ke ʻano o ka projection o ke kino kūloko. Hoʻokumu ʻia ia ma nā kaʻina maʻi i ka peritoneum.
Hoʻomaʻa ka hōʻailona o Chukhrienko ma 38% o nā kiʻi paʻi. Loaʻa ia ma mua o ka hōʻeha i ka manawa o ka neʻe ʻana o ka pā o ka ʻōpū ma kahi kuʻi ma ke ala mai ka lalo a lalo.
Nā hōʻailona ʻē aʻe
Ma kēia aʻe o nā mea i luna aʻe, hiki i ke kau ʻia nā hōʻailona maʻamau e hāpai i nā inoa o nā kauka. Kuhi ʻia kahi hōʻailona o Mondor i ka papa ʻoi o ka maʻi. Loaʻa ia ma kahi loli i ka ʻili o ka maʻi maʻi. Hōʻike nā ʻeleʻeleʻele i ke kino o ka mea maʻi. Hoʻokumu ʻia ka etiology ma ka komo ʻana o nā toxins e hua ʻia ana e ka hua kino.
ʻO ka hōʻailona o ka grott. Hōʻike ʻia kēia hōʻailona ma ka ʻeha ma kekahi mau kikoʻī, kēlā me kēia mea i loaʻa kona inoa ponoʻī, e hōʻoia i ka neʻe ʻana o ke kaʻina hana ma nā ʻāpana o ke kino kūloko.
Hoʻopilikia ʻia ka hōʻailona o Desjardins e ka hōʻeha ma kēlā ʻaoʻao, kahi ʻehā kenimika ma luna o ka moʻo ma ka laina e hoʻopili ai i ka pulima ma ka ʻaoʻao ʻākau. I ka hoʻohālikelikeʻana o nā maʻi, ua hōʻike ʻia ma 70% o nā hihia.
ʻO ka hōʻailona maʻamau o ka maʻi pancreatitis e ulu koke. ʻO ka maʻamau, hoʻonāukiuki ke kaʻina hana ma muli o ka ʻai ʻana i nā momona a me nā mea momona, ka waiʻona, a me ka ulaula. Ma lalo o ka hopena o kēia mau mea, loaʻa i ka mea maʻi ka maʻi like me kēia:
- Ka eha excruciating hōʻeha ma ka wahi o epigastric.
- ʻO ke hoʻonuiʻana i ke ea wela.
- ʻO Yellowness o ka ʻili (ʻaʻole i nā hihia āpau).
- Kekahi hoʻouka ʻana o ka lua, ka luaʻi.
- Hoʻonui ka ʻōpū i ka leo.
- Hoʻopilikia ʻia ka digestive tract.
Hoʻomaʻo pinepine nā hōʻailona o kahi haʻalulu. Hoʻopili kēia i ka lethargy, haʻahaʻa haʻahaʻa haʻahaʻa, tachycardia, bradycardia, paʻakikī ka hanu, ka pōkole o ka hanu, pallor o ka ʻili, a me nā mea ʻē aʻe. Eia naʻe, ʻo kā lākou hiʻohiʻona he manawa ia e kāhea i kahi pūʻulu lapaʻau. I ka manawa pinepine, me ka pancreatitis, ʻike ʻia ka cholecystitis.
No ka mālamaʻana, ua hoʻohana ʻia nā lāʻau lapaʻau, ua kī ʻia kekahi meaʻai kūikawā. I kekahi mau pilikia, pono ke mālama ʻia. Hoʻopili ʻia ka hoʻomaʻamaʻa ʻana i mua o ke koi ʻana o ka maʻi, e hoʻopau ai i ka ʻeha.
He aha ke ʻano o Voskresensky e haʻi aku i ka loea i ka wikiō ma kēia ʻatikala.
