Symptom Kera a me Ortner cholecystitis. Hoouka kaua ana o symptoms a me ka wahi o ko lākou IIeEeAIEUAA

Nā kumu o ka cholecystitis i ka kanaka e hana i kekahiʻano o ka maʻi mai, a me ka loli o ka 'ole o kekahi mau moku biliary'āpana. Ua hiki no hoi hoʻomōhala i ka hopena o ka maʻi o ka opu (ka wale kamalii i ua mā diskholiey). O ka papa kuhikuhi pili i loko o ka wehewehena o ka maʻi o ka symptom Kera.

Common symptoms o cholecystitis

Ke kaumaha ma muli o ka IIeEeAIEUAA o ka li nui a vascular loli 'ole a me ka biliary'āpana, distinguishes nui symptoms:

• hoopaa hoi iʻeha ma ka hypochondrium akau, i kŰlń ao iluna - i loko o ka'āina o ka akau scapula, clavicle a me ka'ūhā mua; me ka hooulu ana o ka maʻi i ka eha lilo hou huʻi a me ka pili;
• nausea a me ka luaʻi, i ka hoʻonāukiukiʻana eha;
• awaawa ho'āʻoʻana i loko o ka waha;
• ma ke alo o ka vomitus bile impurities;
• elelo lole komoʻuʻuku nona plaque, a ua maloo;
• malama o hiki mai kuni, a me ka ole;
• ma ka hihia o ka maʻi Holomua ua 'akomi i tachycardia, a ua mahuahua ke koko;
• ina o kaʻae ua wahi bile ducts (i loko o ke alo o nā pōhaku i loko o ia), alaila, i ke kanaka i ka'ōlelo ai jaundice;
• eha ma palpation i loko o ka hypochondrium akau.

Ma waho o ka luna, me ka nui hiʻona o ka maʻi o ka symptom Kera. Ua Ua kāheaʻia ma ka eha ma palpation i loko o ka hoʻomanawanui ka kino i hoʻokomo '. eha ua ulu a kŰlń ao me ka hooulu ana o ka IIeEeAIEUIeXAIIUE maʻi ma ka liʻiliʻi loa.

I Kekahi Mau symptoms o cholecystitis

Ma ka kūikawā hoike ana mai o ka maʻi, he symptoms o Kerala a me Ortner. E möakäka hou helu ia lŘlŘ ma hope e hooiaio ai o ka alo ana o kēia mau hoikeana. E huai ae i ka symptom mua, ka mea, Ua lawa i ka hohonu palpation o ka pono maluna quadrant, ma keia hihia, i ka hoʻomanawanui loa huʻi eha i Konakele.

Symptom Ortner ia akulla 'ma ka' enehana hou i ka costal e pio mai ma kaʻaoʻao o kona lima ma ka akau-lima. Ma ke alo o ka maʻi, a pau manipulations e e ukali e ola ka waiʻona ma ke loli iki degere, ke kaumaha ma muli i ka mamao o ka maʻi i ulu, a me ka mea o ka makahiki a me ka nui ola o ke kanaka.

Ma waho aʻeo ka mea, i maopopo ma waena o:

• Obraztsova hoailona - ka wā i kekahi kanaka ke hanu i palpation a me ka eha, piʻi pū;
• Murphy symptom - ka hikiʻole, e hanu ma hohonu palpation i loko o ka hypochondrium akau;
• De Musset ka hoailona-Georgievka - palpation sternocleidomastoid Muscle (i loko o kona wāwae) ka hoʻomanawanui mea he kīnā o ka eha.

Ma kekahi keʻena hoʻokolohua koko ho'āʻo hiki ke loaʻa neutrophilia, lymphopenia a me ka leukocytosis.

I ka symptoms hōʻike

E ho ohana i symptom Kera, e hiki ke hoʻoholo i ke alo o acalculous cholecystitis. Ma ke alo o nā pōhaku i loko o ka gallbladder a biliary'āpana maopopo'ē aʻe symptomatic hoike ana.

Kera symptom no ka huʻi cholecystitis o ka muli o ka eha i loko o ke au bladder iloko o ka hiamoe nui palpation ma ke kahua o ka hoʻomanawanui kino wahi.

maʻi differentiation

Huʻi cholecystitis hiki ke differentiated mai duodenal ulcer paha opu, e like me huʻi pancreatitis, appendicitis aʻaʻa puʻuwai colic. I mea ole, e hookahuli ai i kēia mau maʻi, ia mea nui ia e hiki ke maopopo ma waena o lākou.

Ma ka'ōpū ulcer eha ia lŘlŘ ikaika, eia hoi, ka mea, Ua lena, oiai cholecystitis ma ke ake eha hoopaa, a ho'ōla iki hoʻokāʻoi. No hoi he mea he wela kokoke 38 degere a me ka luaʻi bile.

I ka huʻi pancreatitis, ka eha ua IIeEeAIEUIeXAIIUE ma ka hema maluna quadrant, hiki ke ukali no hoi e ana ka luaʻi.

Huʻi appendicitisʻAʻohe symptoms i loko o kona ʻeha, houʻia i ka'ūhā mua a me ka scapula, a 'aʻole i hōʻike retching. Appendicitis i loko o ka hoomanawanui mea,ʻaʻole he symptom o Kerala a me Musso.

I kaʻaʻa puʻuwai colic ua i mālama ala i loko o ana wela a me ke alo o ke koko leukocytosis. Ka ehaeha ua IIeEeAIEUIeXAIIUEʻano nui i loko o ka lumbar'āina, a kŰlń ao i na puhaka, a me ka pelvic nā loko.

cholecystitis lapaʻau

cholecystitis lapaʻau e hoʻomaka mua o ka hospitalization. Intravenously lawelawe ai 'e ho'ēmi i ka eha (ka hapanui mau hoʻohana ka pahu kui "shpy"), a emi iho i ka puʻe i loko o ka gallbladder bile outflow aie i ka hana i loko o ka uuku liʻiliʻi.

Symptom Kera cholecystitis mea he mea no koke hospitalization, i ukali ia eʻoki lāʻau lapaʻau a makeʻe kulana uao ma ka aoao o ka 'inikua nā limahana.

Manawa hōʻike noonoo ana i ke alo o ka mea i hoakakaia symptoms, a me ka hiki, e maopopo ia lakou, mai nā maʻi palena pau hoʻokāʻoi aʻe ana i ka manawa no ka poe ola, ke ola me kaʻoki kino.