Survey mokhoa palpation tsa mpa ho

Palpation - le mokhoa oa ho hlahloba mokuli, e sebedisa kutloisiso ea thetsana ea menoana ea. Mokhoa complements ya data tlhahlobo le khethollang bohloko, mocheso sebakeng seo, mongobo letlalo, tsamaiso le boholo ba nodes lisele tsa mmele. Palpable hlahloba sebopeho kaofela Link tsa masapo, mesifa, manonyelletso, likepe tse holim'a. Mokhoa ona rerang ho ba teng ha ho ruruha le ho longoa. Le ea bohlokoa ho khetheha ka phumano ya mafu a na palpation tsa morpheme le mpeng. Nahana ka lintlha tsa phuputso e entsoeng ka.

Palpation tsa mpa ea - ke o mong oa mekhoa e ka sehloohong ea litho tse ka hare tsa mpeng cavity hlahloba. Ka mokhoa ona hoa khoneha ho khetholla itseng liphetoho pathological litho, hammoho le sebaka se bona. Ikatisetsa litleleniki tsa, e ka ntle feela le tebileng palpation tsa mpa ea.

Pele palpation ke ho hlokahala hore ho nka tokelo ea mokuli, ka go tlhaolega ka boemo ba bethe. Mokuli behe tlas'a khatello ea kelello ka mosamo tlaase, beha matsoho a hae hammoho 'mele, maoto a ikemiselitse ho mangoleng. Letsohong la palpates se le seng, e lokela ho ba mofuthu, e omeletseng, le lipekere tse khutšoanyane. Ka ntle feela palpation tsa mpa e laolwang ke:

- mesifa khatello bao e leng ea anterior leboteng ka mpeng;

- lefelo la bohloko;

- ho ruruha ya ka mpeng leboteng, botenya, ascites le flatulence;

- ho ruruha ea leboteng ka mpeng 'me la cavity ka mpeng ;

- Liqibi efe kapa efe ka leboteng ka mpeng;

- kganetsano pakeng tsa mesifa rectus tsa mpa, hernia, matšoao ba teneha peritoneal.

U sebelisa mokhoa ona, fumana lesedi selelekela ka boemo ba litho tsa ka hare.

Pele a qala ho palpation ba le mamello e memeloa ho bontsha mahlomoleng letheba. Nakong ea phuputso e entsoeng ho ke ke ho hlokahala hore ho ba le mamello e ile ea tlaleha hore ngaka ha a hlaha bohloko 'me ha ba nyamela. Ka mamello ka bophelo bo botle nakong palpation ka ntle feela ha ho bohloko ha hlaha khoneha mesifa khatello leboteng ka mpeng tse fokolang haholo le ditshwani ka mahlakoreng a mabeli.

Ka peritonitis, ka mpeng palpation holim bakang soreness le mesifa tsitsipano holim eohle ea cavity mpeng. Tabeng ea appendicitis hlobaetsang kapa cholecystitis ea moo palpation utloisa bohloko haholo, e leng eketsa haholo ha ka tšohanyetso re tlose matsoho a hae. Kahoo, ho hlalositswe tsebahalang letšoao Shchetkina Blumberg. Le ka ntle feela palpation tsa mpa ea ka fumana ya data tse ngata tekotshupo ho bona hore ho eketseha ha litho tse ka hare, mala kapa mantle a sekgoqetsane gagamalo, boteng ba lihlahala.

Tebileng palpation tsa mpa e etsoa ke mokhoa oa ho ea mohlala-Strazhesko. Mokhoa ona o ne a sisintsweng ho elella XIX lekholong la lilemo la Kiev phekolang V.P.Obraztsovym 'me hamorao eketswa ke thaka Obraztsova - NDStrazhesko phekolang.

Tebileng palpation tsa mpa e etsa e Sliding tsela. ngaka e fana ka mamello ho phutholoha mesifa ea leboteng ka mpeng. Nakong pululo, ngaka e beha letsoho la hae ka cavity ka mpeng ho holim 'a sensations teko' mele. Ebe-slide letsoho holim le fingertips hao, o ile a lokisetsa perpendicular ho tselaneng ea lona. Motsamao oa letsoho e laoloa mekhatlo matšoafo. U sebelisa mokhoa oa ho palpation tebileng ka fumana ya data hlokahala ka sebopeho sa, boholo, botenya, tsamaiso, nahanela litho tse ka hare teng hara cavity mpeng.

Methodical tebileng ka mpeng palpation sebetsa ka tatelano tloaelehileng. Pele palpated sigmoid mala, joale e ntan'o ba foufetseng, sehlomathiso, le letona 'me karolo e setseng ea mala, mala, ho parola karolo ya mala, sebete, manyeme, spleen le liphio. Ka tsela eo e mong le e le mamello hlahloba ke palpation, ho sa tsotellehe hore na lefu le ne a etsa tlhahiso ea.