Frenikus-chizindikiro mbali kuwonetsera

Zizindikiro zina si dzina wamba, ndi anu. Iwo amagwirizana ndi kuwonetsera wapadera, amene anaona munthu wina. M'nkhani ino tikambirana zizindikiro frenikus ngati, kumene kungakhale zabwino matenda ambiri amene kwambiri kufulumizitsa matenda ndi machiritso ndondomeko.

mawonetseredwe matenda

Wina dzina n'chobadwa frenikus-chizindikiro - chizindikiro-Musso.

Matenda mawonetseredwe ndi:

• ululu palpation (akufufuza mpata) mu dera pakati pa miyendo sternocleidomastoid minofu motsogozedwa ziyerekezo kwa mitsempha phrenic;
• matenda kudwala zimene zili pamimba chapamwamba (zambiri anaika diagnoses amenewa: cholecystitis, matenda a chiwindi, kapamba ndi zina zotero).

Zingaoneke pa kapena dzanja lamanzere kapena lamanja malingana pamaso pa matenda.

Topographic-anatomic substantiation

Nthambi za mitsempha phrenic, ndicho lamulo kuwaphunzira kaya ndi chiwindi yokha (zimachitika kumbuyo kwa pamwamba diaphragmatic), kapena m'dera la chipata chiwindi, amene mwanjira ina, kumatanthauza mapangidwe plexus kwa chiwindi. Yotsirizira mwachindunji zokhudzana onse lamanzere ndi lamanja phrenic mitsempha. Kuti kuchita nawo innervation a chiwindi ndi ya ndulu ducts a mtundu umenewu misempha ndipo chifukwa kukhalapo ululu atamukakamiza, ngati pali kudwala.

Ngati chizindikiro chilichonse cha matenda amapereka zotsatira zabwino?

Nthawi zambiri frenikus-chizindikiro mu matenda achikazi kumasonyeza kuti matenda pamaso m'chiuno ndi zina ziwalo m'mimba. Makamaka, kungasonyeze pamaso pa matenda otsatirawa:

1. Enaake owononga n'kuwasanganiza - haemorrhage mu zonse m'mimba, mmene akusokoneza minofu okhulupirika. Mu mawu ena, yamchiberekero chophukacho, ndi kung'anima. Ngati magazi ochuluka zimawonedwa zabwino chizindikiro frenikus-pamodzi ndi kugwa mu magazi, kuchuluka kugunda kwa mtima, khungu pallor.
2. Ectopic mimba. Pamene chitoliro chotupa ululu pakati chimachokera kwa phewa, kapena mwachindunji pansi pa tsamba kuti ndi osakaniza ndi imfa ya chikumbumtima. Pankhaniyi frenikus-chizindikiro kumaonekera m'njira imeneyi.
3. Kapamba - kutupa kapamba. Pamene matenda ndi zambiri chizindikiro-frenikus kapamba ndi zabwino.
4. splenic chophukacho.
5. Pachimake cholecystitis - kutukusira kwa chikhodzodzo ndulu. Frenikus-chizindikiro kumachitika chifukwa mkwiyo wa vagus mitsempha palpation mderali.
6. Perforation zilonda za m'mimba - mapangidwe mabowo, nthawi zambiri kudzera mwa makoma a mmimba.
7. Diaphragmatic pleurisy - kutukusira kwa pleura lapansi.
8. Lobar chibayo - kutukusira kwa mapapo kapena minofu ya m'mapapo.

Zabwino frenikus chizindikiro ofotokoza Kafukufuku

Nthawi zina, chizindikiro zimenezi zingakhale zabwino, osati mu nthawi ya chitukuko cha matenda alionse, komanso mu nthawi ya kafukufukuyu, imene imachitika kulongosolerana matenda. Kwenikweni, nkhawa njira zimenezi wa kufufuza:

1. Pertubatsiya chiberekero - onani patency awo. Pankhaniyi, frenikus-chizindikiro angakhale ndi umboni zotengera malingaliridwe kuti mpweya, amene chitoliro, analowa zonse m'mimba. Ngati peristalsis wa Ukalawu m'malo aulesi, ndiye ululu adzaonetsera msanga. Ngati pali wathunthu kutsekeka kwa Ukalawu, frenikus-chizindikiro limasonyeza chifukwa negative.
2. Laparoscopy - anayendera ziwalo za zinthu zonse m'mimba kapena m'chiuno wapadera zida kuwala. chipangizo Izi anaikapo mu zonse m'mimba mwa dzenje yaing'ono khoma m'mimba pogonekedwa ndi mankhwala ambiri. Frenikus pambuyo laparoscopy-chizindikiro akupezeka ambiri odwala mu tsiku loyamba pambuyo ndondomeko ndi zambiri amachoka lokha. Ichi ndi chifukwa chakuti pa laparoscopy amagwiritsa mpweya kapena mpweya umene wina kuchuluka Zatsala pamwamba chiwindi.

Ngakhale chifukwa cha zizindikiro, pamene zikuoneka mukufuna yomweyo dokotala.