Cutar fitsari ita ce mafi mahimmancin sashin jiki wanda aikin aikin gaba daya ya dogara da shi. Amma duk da ci gaba a cikin magani, ƙwayar ƙwayar cuta ta kasance asirin ta hanyoyi da yawa. Yana da matukar wahala a gano canje-canje mara kyau a cikin wannan sashin cikin lokaci. Kusan ba zai yiwu a yi shi da kanka ba, dole ne mara lafiya ya nemi taimakon likita koyaushe. Tana ƙarƙashin cokali na hagu hypochondrium. Ya haɗu da jiki, kai da wutsiya.
Sai kawai a lokuta masu wuya, palpation na iya jin ciwon huhu. Kashi ɗaya bisa ɗari na maza suna da palpable, gland lafiya. A cikin yin jima'i na adalci, an ɗora shi a cikin kashi huɗu na maganganu.
Likitoci suna amfani da wannan hanyar ganewar asali don tantance ainihin yanayin ƙungiyar. An bayyana ma'anar ƙarfe ne kawai a lokuta na cuta, canje-canje na tsarin, kumburi. Zai fi sauƙi jin idan mai haƙuri yana da ƙananan nauyin jiki, don haka akwai ƙarin damar zuwa maki. Ba shi da wahala likita ƙwarewa ya gano ciwan kansa, ko kuma wasu canje-canje.
Palpation na pancreas ne da za'ayi domin a tantance ta wurin. Game da karkacewa ga al'ada, ana gudanar da bincike mai dacewa. Lokacin da aka gano yankin da ke da mallaki, ya kamata a ba da alama.
Kafin bugun jini, likita za ta gudanar da bincike kan mara lafiya, a yayin da ya bayyana:
- wurin bayyanuwar rashin jin daɗi;
- kasancewar jin zafi cikin bayyananniyar rashin gamsuwa;
- lokacin mafi tsananin zafi.
Dole ne a yi aikin koyaushe a kan komai a ciki. Don bugun cikin jiki ya kasance mai ƙarfin gaske, an bada shawarar mai haƙuri don kurkura ciki kuma ku bayar da laxatives. Idan akwai kumburi, to palpation yana da wahala. Gaskiyar ita ce cewa tarin ƙwayoyin ciki na ciki yana sa ya zama da wuya a rarrabe ƙwayar cutar tare da sauran gabobin maƙwabta.
Jiki yana jin daɗin kawai a farkon matakin farkon mai kumburi, to zai zama da wahala sosai a ji shi. Palpation daga cikin mafi girma na ciki da ciki da kuma transverse rim mallaka ana yi. An ƙaddara wurin su kaɗan a baya, don kada su rikice tare da gland shine yake a nan gaba.
Paarfafa aiki na gland na iya haifar da canji a launi fata, raguwa a cikin nauyin jikin mutum, kuma ƙashin kitsen mai zai ragu sosai.
Gwajin jiki ya ƙunshi tsinkaye, ana tantance shi da tsinkaye. Idan gland shine yake da ƙoshin lafiya, to, ba za a sami sakamako mai mahimmanci a cikin gwaji ta amfani da wannan hanyar ba. Wannan gaskiyar ma tana da mahimmanci a yi la'akari lokacin da ake yin bincike.
Yawancin lokaci ana gudanar da bugun jikin mutum yayin da wasu keɓaɓɓun fasahohi suke.
Akwai manyan hanyoyi guda biyu na aikin.
Dabarar itace takamaiman aikin da likita yayi biyayya gareshi.
Algorithm na ayyukan ya dogara da hanyar palpation kuma ya ƙunshi abubuwa masu zuwa:
- Palpation bisa ga Grotto ya ƙunshi jarrabawa, ta amfani da dabaru na jin zafi. Mai haƙuri a yayin jarrabawar ya kamata ya kasance a cikin ɗayan supine, a gefen dama. Ya kamata a lanƙwasa ƙananan ƙafa. Hannun dama na baya. Kwararren mashin yana kwance hagu na ciki, yana zuwa tsotsar dubura. Mai haƙuri ya bugu, yatsun ya kamata su nitse bango na ciki. Idan jin ya ji rauni a gefen dama na cibiya, wannan yana nuna cewa kai ya mutu ga cutar. Jin zafi a cikin yanki na epistragal yana nufin cewa jiki ya shafa. Ana jin zafin wutsiya idan an sami ciwo a ƙarƙashin haƙar hagun. Za'a iya jin ciwo wanda zai rufe dukkanin bayan bayan idan yana jin danshi. Ana amfani da wannan hanyar a aikace a mafi yawan lokuta.
- Hanyar Obraztsov-Strazhesku an gabatar dashi a cikin magani a cikin karni na 19. Yana ƙayyade matsayin sashin jiki, da kuma yadda sassaucin huhu, baƙin ciki, hanta. Ya kamata a sanya yatsu a wasu centan santimita a saman cibiya. An ninka fatar jiki, mai haƙuri yana ɗaukar numfashi ta amfani da ciki. Bayan shayin farko, kuna buƙatar nutsar da yatsunsu a hankali, akan na biyu, yatsunsu suna zamewa ƙasa. Don haka, ana iya ƙaddara shugaban. Idan tana cikin ƙoshin lafiya, to ba a lura da nemanta. Tare da kumburi, an palpated a sarari. Observedara yawan jijiyoyin jiki ana lura da su tare da cututtukan ƙwayar ƙwayar cuta.
Akwai wasu wurare na musamman na kumburi, don ingantaccen tsarin ƙwayar cuta. Idan akwai cutar kansa ta kansa, to zai yi rauni a wurin Desjardins. Don ƙayyade shi, a alamu kuna buƙatar zana layi madaidaiciya daga cibiya zuwa madaidaicin dama. A cikin shugabanci na kogon daga cibiya shine santimita shida kuma za'a sami ma'ana.
Idan kumburi ya shafi shugaban sashin jiki, jin zafi ya ratsa matakin Shoffar. An samo shi a gefen dama na midline na ciki, wanda yakai santimita biyar daga cibiya. Matsayi na Mayo-Robson ma'ana shine ƙaddara lalacewar wutsiyar ƙwayar ƙwayar ƙwayar cuta.
Ana iya ƙaddara ta hanyar haɗaɗɗar da katako na haƙarƙarin tare da cibiya. An rarraba layin kwasa-kwasa sharadi gida uku. Iyakar tsakiya da ta waje za su zama wannan batun.
A kan al'aura, ana ba da kulawa ta musamman ga matakin ƙwarewar fata a cikin tsinkayen ƙwayar. Hakanan ana jawo hankali ga tashin hankali.
Mutumin da ke da lafiya ba ya yin korafi game da jin zafi a wannan fannin na jiki. Farfaɗar bugun zuciya a inda farjin yake ba ciwo ba idan ƙwayoyin jikin na cikin koshin lafiya.
Raunin yana kasancewa a cikin nau'ikan nau'ikan cututtukan cututtukan cututtukan cututtukan fata. Hanya yadda tsokoki na cikin mahaifa ke ɓacin rai yana nuna matsayin matakin kumburi a cikin farji. Damuwa bazai kasance farkon farkon cutar tsari ba.
Idan mai haƙuri ya sha wahala daga cututtukan ƙwayar ƙwayar cuta na ƙwayar cuta, ƙananan ƙwayoyin mai mai launin fata sun zama mai bakin ciki. Kan aiwatar faruwa a gefen hagu. Idan akwai wani mummunan hari, zaku iya tantance alamun cutar ta Voskresensky. Alamar Voskresensky a cikin cututtukan pancreatitis an san shi ta hanyar motsa motsi na aorta a cikin rami na ciki. Hakanan ana saninsa ta hanyar haɓaka ta hanta da kuma ƙwayar ciki.
Ainihin, yayin binciken, mara lafiya yana kwance a bayansa, wani lokacin akan dama ko hagunsa, da wuya ya tsaya.
Shugabannin gabobin lafiya suna da rauni a jikinsu ba wuya, wannan mai yiwuwa ne kawai idan:
- rauni bango na ciki;
- karancin abinci mai gina jiki;
- fanko ciki.
Tsawon shugaban farjin shine kusan santimita uku, mai laushi da taushi. Fuskarta tayi lebur kuma bata motsi. Ya bambanta a wasu yanayi ta hanyar hankali na musamman. Jikin yana a kwance a kwance shida santimita a saman cibiya. Tsallake jikin mutum yayin tashin palpation, jinkirin da kwantar da hankula. Ana yin wannan ne don a bincika shi cikakke ta cikin ciki. Tashin farjin ba ya yiwuwa ne saboda yana cikin inda ba za'a iya shiga ba.
Dole ne a aiwatar da wannan hanyar ta hanyar kwararrun kwararru, kawai ƙwararren likita ne wanda yasan sashin kula da cutar kansa. Wannan ya kamata ya zama ƙwararren masani ne a cikin dukkanin ɓarna na hanyar. Rashin kwarewa na iya haifar da mummunan sakamako. Palpation kadai yana barazanar matsala mai girma. Dole ne a tuna cewa taimakon da ya cancanci kawai zai iya warkar da cutar.
Yaya ake nazarin tsarin narkewa a cikin bidiyon a wannan labarin.
