Survey palpation tikanga o te puku

Palpation - he tikanga o te whakamātautau o te manawanui, i whakamahi i te tikanga o te pa o te maihao. kīnaki Tikanga raraunga tirohanga, me te tāutu mamae, te pāmahana rohe, haumākū kiri, nekeneke, me te rahi o taikiri. Nga korero tūhura i te hanganga waho katoa o te wheua, uaua, hononga, oko mata. Tenei tikanga whakatau te aroaro o te ngawhatanga me bruising. O te faufaa ngā i roto i te tātaritanga o mate he palpation o te ãpoko me puku. A feruri i te āhuatanga o te rangahau.

Palpation o te puku - he tetahi o te tikanga matua o whekau o te whakamātautau kōhao puku. Ki tenei tikanga ko reira taea ki te tautuhi i etahi huringa pathological o whēkau, me te ratou wāhi. I roto i te mahi haumanu, he palpation ausia me hohonu o te puku.

I mua he tika te palpation ki te tango i te matau o te manawanui, arā i te taumata o te moenga. Te manawanui me takoto te ahotea i runga i te urunga iti, hoatu ana ringa me te tinana, waewae piko i te turi. Ko te ringa o tetahi palpates, kia kia mahana, maroke, ki te whao poto. whakaritea palpation ausia o te puku e:

- uaua riaka no ki te taiepa puku he mārōrō;

- wāhi o te mamae;

- ngawhatanga o te taiepa puku, te mōmona, ascites me flatulence;

- ngawhatanga o te taiepa puku, me te kōhao puku ;

- tetahi hiri i roto i te taiepa puku;

- rerekētanga i waenganui i te uaua kiri taupoki o nga puku, whaturama, tohu o ritenga peritoneal.

Mā te tenei tikanga, whiwhi mōhiohio tuatahi e pā ana ki te mana o te whekau.

I mua i te tīmata te palpation o te manawanui e karangatia ki te tohu i te wahi nui. I roto i te rangahau ko reira e tika ana e korerotia te manawanui ki te tākuta, ka puta ia mamae, me ka ngaro ratou. I roto i te manawanui hauora i roto i palpation ausia he tino iti, me te hangarite i runga i ngā taha e rua kahore mamae e kore puta taea matatu uaua i roto i te taiepa puku.

I roto i te peritonitis, mata palpation puku ai tetahi raru me te uaua mānukanuka i runga i te mata katoa o te kōhao puku. I roto i te take o te whēkau whakapeka cholecystitis rohe palpation ranei ai mamae kino, e nui faarahi ka he ohorere tango atu ona ringa. Ko te kupu, tohumate tautuhi-mohiotia Shchetkina Blumberg. Ki te taea palpation ausia o te puku riro maha raraunga tātaritanga ki te whakatau i te hua o whekau, puku whēkau koropiko ranei ngaohiko, te aroaro o te pukupuku.

whakamana palpation Deep o te puku e te tikanga o te tauira-Strazhesko. whakaarohia tenei tikanga i roto i te mutunga o te rau tau XIX Kiev kaihaumanu V.P.Obraztsovym a i muri mai i kō atu e te tauira Obraztsova - NDStrazhesko kaihaumanu.

palpation Deep o te puku kei te meatia e retireti tikanga. tuku te tākuta te manawanui ki te akaanga te uaua o te taiepa puku. I roto i launoa, te tākuta e tona ringa ki te kōhao puku ki te mata o te sensations tinana whakamātautau. Katahi nga kiriata ringa ki runga ki te mata ki a koutou matimati, whakarite hāngai ki tona tuaka. te mana Movement o te ringa te nekehanga romahā. Mā te whakamahi i te tikanga o te palpation hohonu e taea whiwhi i te raraunga e tika ana e pā ana ki te āhua, te rahi, te kakano, nekeneke, tūtohutanga whekau kei roto i te kōhao puku.

Raupapa palpation puku hohonu mahi i roto i te raupapa tikanga. Tuatahi palpated sigmoid kopirua, na te matapo, te tāpiritanga, te matau, me te wahi maui o te kopirua, puku wahi hake o te kopirua, ate, repe taiaki, kōateate me whatukuhu,. Ko te kupu ia manawanui te uiui e palpation, pe ko e hā mate i te whakaaro.