Uphawu Kocher. Iimpawu uphawu appendicitis.

Kunzima ukuba ayikhulise ukubaluleka loxilongo ngexesha appendicitis ahlekise. Emva ngoyaba yeempawu kunokubangela peritonitis kwaye ibangele ukufa. Omnye kubo a uphawu Kocher. Kodwa ke, ngelishwa, oko anayenza kuzo zonke izigulane.

semeiography

Kukho imiqondiso emininzi ukuba ogulayo kukukrala isihlomelo. Kodwa omnye uphawu lokuqala ubonakala elandelayo. Okokuqala, kukho intlungu kummandla epigastric. Kwakhona, ibizwa ngokuba emhadini. Kubhaliwe ebekwe nangoko ngezantsi inkqubo xiphoid - inxenye imfutshane kwentamo, leyo idibane phambi ubambo.

Uphawu Kocher-Volkovich kukuba emva kweeyure 1-3 emva kokuqala intlungu umntu uthi ukuba sihambe ngendlela kummandla iliac. Ngenxa umthetho, ukuba abekiwe emazantsi kwicala lasekunene kodonga esiswini.

Ukuze kudanjiswe imeko, izigulane kuthatha indawo, baya kulala phantsi ngasekunene kwakhe, imilenze bagoba emadolweni kwaye nsinya ku esiswini.

Iimpawu uphawu appendicitis

Kumanqanaba okuqala, asingabo bonke abakwazi ukuba ukrokrela kuvele ukudumba appendix. Amaxesha amaninzi iingxaki ziqala ubuhlungu kwi lokugaya. Imbonakalo iintlungu epigastric, ngamanye abekiwe kwindawo luwise inkaba. Le sisphumo Kocher appendicitis. Ezininzi ziye zaphawula imvakalelo kwesisu, ukuqumba neemvakalelo nenzaliseko. Emva kokuphuma igesi okanye imeko defecation na ngokufutshane ukuba iphuculwe.

Kodwa intlungu enomfutho emva kweeyure 1-3. njengokungathi Paroxysmal athathelwa indawo esisigxina. Iintlungu ukuba ivelise nesimilo etyeni. Kuyaphela isusiwe phantsi esiswini. Kulo mzekelo, nayiphi na intshukumo kunye nomthwalo ziya kuphela meko. Pain nzima ukuphefumla nzulu, ukukhohlela, ehamba, ukuqhuba iindlela zothutho (ungcangcazelise). Oku kwenzeka ngokufanayo kuzo zombini abadala kunye nabantwana.

Eli lizwe ye isihlomelo asha

Ukwazi ukuba Kocher uphawu iqatshelwe appendicitis etsolo, kunokwenzeka ukuba ukuhlola kokuqala kwesi sifo. Kwakhona kwi lethu ngentlungu uqonde ngqo na apho lo mzimba. Kwilungiselelo ibhanile version zakudala, yena uya kuba kwicala lasekunene. Kodwa ukuba iintlungu yenzelwe kwindawo ezahlukeneyo, ngoko kusenokwenzeka ukuba ibekwe ngendlela eyahlukileyo. Oku kufuneka kukhunjulwa xa uqala uxilongo.

Ngoko ke, ukuba ugqaliselo iintlungu kwindawo esizalweni esisu esezantsi ekunene, ukuma zangasese welungu asha singabonakala. Xa indawo yayo kwindawo medial (avareji) lomgca emzimbeni, le nto iza eyendayo inkaba.

Maxa wambi intlungu zicukene kummandla empontshwa, nasemiphakathweni zangasese. Oku kubonisa ukuba isihlomelo eso esemva cecum. Noko ke, kule meko, kubalulekile ukwenza isifo umahluko nokuba ukwahlula isifo sezintso okanye konzakale le ureter.

Akuvamile waphawula intlungu osesiswini ekhohlo. Oku kuthetha ukuba isihlomelo eso ibekwe ngaphandle ibhokisi. Yena, kunye cecum ukuya ekhohlo.

ekuxilongweni

Ukuze ukumisela appendicitis, akwanelanga ukuba ukwazi kuphela uphawu Kocher. Kukho iqela ezinye iimpawu, owosindiswa ngawo wena ungenza ukuxilongwa. Ngenxa yoko, isigulana akakwazi ukuhlala ukusuka kwindawo elele ngaphandle uncedo. Le uphawu kuthiwa Bailey.

Intlungu namandla xa itsheke ekhohlo isigulane. Kananjalo phawu uphawu ekuthiwa uphawu Volkovich. Condition kubi kwimeko, xa uzama ukuzisa esiswini umlenze wasekunene.

Mendel uphawu kukuba xa iminwe effleurage kwi phambi nesisu esibuhlungu mandundu kwicala lasekunene-lesandla iliac sakhe. Lowo ujika ube HIV ngo-80% yamatyala.

Ukuze ubone ekuqaleni peritonitis iya kwahluka diagnosis eziliqela. Uphawu Kocher uzimisele kuphela kwi sikwinqanaba lokuqala sifo. Ngophuhliso ukudumba, yena engasekho waphawula. Ukuba isigulane ukutyhalela phambili kummandla ekunene iliac kwaye wavele ndasibuyisayo isandla sakhe, ngoko emveni ukuba ukunyuka intlungu. Olu phawu kuthiwa uphawu Shchetkina-Blumberg. It elifana neli-98% ezigulane kunye peritonitis incipient.

Okulandelayo imithi

Ugqirha Swiss Kocher kuqala kumiselwa ukuba ukudumba appendicitis luqala intlungu kummandla epigastric phantsi inkqubo xiphoid. Wayehlala kwi XIX- ekuqaleni kwenkulungwane XX. It onobuhandiba waza igama umqondiso inkqubo ekuqaleni na ukudumba cecum.

Uphawu Kocher saphawula exacerbation of appendicitis. Kubalulekile ke ngoko diagnosis ebalulekileyo ngexesha elifanelekileyo. Nokusuka ubuhlungu epigastric kwingingqi ekunene iliac kuthiwa uphawu Kocher-Volkovich.

Kodwa imbeko ugqirha ukuba kwathiwa igama kuphela lesiphumo ekhankanyiweyo. Kwakhona yaziwa phakathi endocrinologists uphawu Kocher. Ihlala yokuba xa ukhangela intshukumo lweliso lakho ngasemva isantya intshukumo ijwabu eliphezulu. Ngaloo phakathi ngohlangothi esisemantla iris kunye ngesondo ulusu uba sclera ebonakalayo. Kuyinto uphawu ayingozi kwentamo goiter.

Kocher nayo eyaziwa ngokuba Umsunguli eziliqela izixhobo ezikhethekileyo yotyando. Ngoko ke, umzekelo, Ukugunda imithambo yegazi, isisu, ixhokonxa, ekuthe nokusebenza olwenziwe amalungu zokugaya, iityhubhu yamanzi eyenziwe zeglasi ezisetyenzisiweyo kunye amagqirha yelo xesha.