Point Mayo-Robson: pancreatic zone

matenda Pancreatic tingaone ndi mfundo chopweteka. Kafukufuku amene anachitika ndi dotolo odziwa mosavuta kudziwa njira pathological mu thupi. Today tikambirana chiyani mfundo Mayo-Robson ndi matenda akhoza matenda pambuyo palpation.

Kapangidwe ka kapamba

Chiwalo chachikulu ili pa khoma kumbuyo kwa pamimba kumbuyo m'mimba. Amakhala ndi nthambi zitatu:

1. mutu kumaoneka ngati mbedza.
2. thupi liri ngati prism alekanitsa grooves mutu.
3. kapamba mchira mapeto a thupi, pang'ono akunga oposa.

Kapamba amagwira ntchito yofunika kwambiri mu kuonetsetsa moyo wa chamoyo, komanso udindo kukhazikitsa ntchito mkati ndi kunja secretory. Pa chotupa ake ndi kukhalapo kwa matenda yotupa ukapezeka monga kapamba. Maonekedwe ndi yopweteka kwambiri kapena yokhalitsa. Kutupa kapamba zikhoza kukhala chifukwa cha matenda ena.

Nthawi zambiri odwala ndi ululu pansi pa nthiti kumanzere. Other mbali pancreatic matenda angagwe pambuyo nthawi zina. Izi modabwitsa kuwonda, kusowa chilakolako, kusanza, kutsekula m'mimba. Wodwala akhoza kukhala kuti sakudziwa za ndondomeko yotupa. Choncho, pamene ululu zodziwitsa pansi pa nthiti kumanzere lankhulani malo zachipatala kudziwa chifukwa chake. kuwonongeka Pancreatic kungayambitse mavuto aakulu.

Pancreatic mfundo

Ululu pa mfundo zapadera zimene m'dera pancreatic zowoneka kudziwa kutupa ake. Ngati mfundoyo anakantha mchira wa kapamba, ndi chizindikiro cha kapamba yopweteka kwambiri kapena yokhalitsa. Pa chitsimikiziro cha matenda anaika njira zina mwatsatanetsatane: mayesero, ultrasound, X-ray, yopangidwa tomography.

Palpated mfundo zapadera:

• Desjardins (ili 3 cm kudzanja lamanja la umbilicus ndi, pamwamba pake pang'ono).
• Point Mayo-Robson lili nusu kumanzere wa pamimba, matendawa amakhudza mchira wa kapamba.
• Kacha mfundo ndi kumapeto kwa minofu rectus abdominis, ululu ndi achifwamba kuwononga Prostate pakati pa thupi ndi mchira.
• Male-Maf ndi pansi pa nthiti kumanzere kwa minofu rectus abdominis.
• Gubergrits Desjardins popenyana ndi mfundoyi, koma kumanzere.

Komabe, amaganiziridwa matenda pancreatic ayenera kutsimikizira mayesero zasayansi ndi Kupenda malangizo.

zone Pancreatic

Ndi palpation angazindikire chowawa pancreatic m'deralo. Iwo agawidwa mu mitundu itatu:

• Chauffard (ili pakati Mchombo ndi armpit kumanja).
• Yanover (ili pa mzere yopingasa ndi Mchombo 4 cm kumanzere kwa iwo).
• Gubergrits-Skulsky (napeza monga Chauffard zone okha kumanzere).

Chifukwa chisanadze anayendera akhoza kupanga chithunzi cha matenda. Mu kuphunzira njira zina zosavuta kuti matenda lolondola ndi mankhwala.

Kodi kafukufuku

Kukula kukula kwa kapamba anatchula za ntchito yotupa. Kuti matenda zolondola, anachititsa palpation. Chachitika m'mawa pa chopanda kanthu m'mimba kapena pambuyo kukonza mankhwala matumbo. Wodwala lagona pa nsana wake. zachipatala ntchito - kupeza mmunsi mwa mimba. dzanja lake lamanzere ndi ndinamverera khungu pa mimba yanga penapake masentimita 2-3 pa mmunsi m'mimba, motero kusuntha izo. Ndiye, zosangalatsa wa atolankhani omwe zidzachitika mpweya, choviikidwa zala zake mpaka zapambuyo khoma m'mimba. Osati kutenga iwo, n'kumupukuta khungu kuchokera pamwamba mpaka pansi. A dokotala wodziwa athanso zindikirani kuwonjezeka mu kapamba.

Dziwani kuti mu kapamba wathanzi anthu zovuta kufufuzanso. Palpation amathandiza apange matenda zolondola, kokha mu kapamba, zone ichi, chimene ndi mfundo Mayo-Robson, mwamphamvu ukuwawa. Pa siteji yoyamba ya kapamba matenda kuchuluka Tingaone zowoneka. Mu kapamba aakulu, pang'onopang'ono amachepetsa. Choncho, kuwonjezera pa kuyendera ayenera idzachitika kufufuza zonse. Izi deta chitsanzo, X-ray kapena ultrasound.

Njira Kupenda zachipatala kapamba aakulu

Zizindikiro Mayo-Robson mtima spasmodic zomverera uka kwa kumanzere mbali m'mphepete-vertebral njingayo. Pa palpation pali ululu pamene kukanikiza pa mfundo zina:

• Ngati inu mufika chiyambi cha kapamba, yemwe ndi mutu, zosasangalatsa kutengeka tingafunse pa Desjardins. Kudziwa ichi, akanikizire pansi pa chala cha mfundo dzanja lamanja la umbilicus kuti masentimita 7 pamwamba pa mzere yopingasa wa armpit lapansi.
• Kukakamiza England thupi la zone makona Chauffard-Rivet amayambitsa kupweteka.
• Mayo-Robson mfundo ndi udindo mfundo za mchira wa kapamba. Iwo limanenedwa motere. Pali mzere ku Mchombo kuti pakati pa Chipilala costal. Ndi kugawa patatu. Kotero, ili ndi mfundo yoyamba m'michombo lapansi.

Zizindikiro Mayo-Robson opezeka mu 45% ya anthu. Ena kusokoneza ndi matenda ena a kapamba ndi kapepala m'mimba. Childs, monga matenda limasonyeza kukhalapo kwa kapamba yopweteka kwambiri kapena yokhalitsa. Pali kupweteka kwambiri kumanzere m'munsimu nthiti, ngati pali mchira wa kapamba. Kukanikiza chala pa malo adzatero kwambiri ululu. Choncho kudziwa pamaso pa matenda. Pamene pachimake kapamba zilonda kumanzere dipatimenti costovertebral. Kuwonjezera kapamba angathe matenda ena.

Matenda a zotupa za kapamba

Kuwonjezera pa kutsimikizira zizindikiro za wodwala ndi mawu, palpation mfundo sayenera, muyenera kupereka kusanthula amuzolengedwa magazi kuonanso bwino madzi-electrolyte bwino. Kodi ndifunika mkodzo nyemba. Kutsimikiza matenda pamafunika luso malangizo amene angathandize thupi kufufuza ndi kupeza njira pathological. Adzaika ultrasound bwino. Kupewa mapangidwe miyala, walangizidwa ndi X-ray. Izi zimathandiza kupereka yoyesa za chithunzi cha matenda CT jambulani, endoscopy. Nkofunika chithandizo mwamsanga.

Pomaliza

zone pancreatic, makamaka mfundo Mayo-Robson, awathandize anayendera zithunzi ndi palpation kuulula pamaso kutupa. Pa kupweteka m'thupi mu nthiti kumanzere, kusanza chimbudzi lotayirira, ndipo kwambiri kuwonda ndikofunikira kuti akonze kwa madokotala a. Pa siteji koyamba za matenda, onyamula kuimilidwa ndi dokotala, potsatira kudya zakudya zapadera chingalepheretse chitukuko matenda ndi kusintha kwake kwa mawonekedwe aakulu. Kapamba - thupi lenileni, amene amathandiza kugaya mafuta, mapuloteni ndi chakudya. Choncho ndikofunikira kukhala mu chikhalidwe chabwino ndi pamaso pa kudwala - kuchitira. Ngati muli ndi zilonda kumanzere, kulimbikira kunyansidwa ndi zizindikiro zina za malaise - mwamsanga kuchipatala.

Khalani wathanzi!