Point Mayo-Robson: pancreatic zone

Pancreatic cutar za a iya gano da azãba mai maki. A binciken da aka gudanar da wani gogaggen likita wanda ya iya gane pathological tafiyar matakai a cikin jiki. Yau za mu yi magana game da abin da yake cikin aya Mayo-Robson da kuma abin da cututtuka za a iya bincikar lafiya bayan palpation.

A tsarin da pancreas

Wannan manyan sashin jiki located a kan mayar da bango na ciki baya da ciki. Ya kunshi rassa uku:

1. The shugaban da aka dimbin yawa kamar ƙugiya.
2. The jiki ne kamar Prism rarrabe GROOVES na shugaban.
3. pancreas wutsiya karshen na jiki, dan kadan lankwasa sama.

A pancreas taka muhimmiyar rawa wajen tabbatar da rayuwar da kwayoyin, kazalika da alhakin aiwatar da ciki da kuma na waje secretory aiki. A da rauni da kuma gaban mai kumburi cuta taso kamar pancreatitis. A bayyanar shi ne m ko na kullum. Kumburi da pancreas iya zama sanadin da sauran cututtuka.

Sau da yawa marasa lafiya da ciwon zafi a karkashin hagu hakarkarinsa. Sauran siffofin pancreatic cuta na iya faruwa bayan wani lokaci. Wannan ban mamaki nauyi asara, asarar ci, amai, zawo. A haƙuri bazai sane da kumburi tsari. Saboda haka, a lokacin da lokaci-lokaci zafi karkashin karankarman ƙirji a kan hagu kamata a tuntuɓi likita da makaman sanin da hanyar. Pancreatic lalacewar zai iya kai ga tsanani sakamakon.

pancreatic batu

Pain a musamman da maki cewa suna located a cikin pancreatic yanki gani sanin da kumburi. Idan batu bugi wutsiya na pancreas, shi ne wani alama na m ko na kullum pancreatitis. A kan tabbatar da ganewar asali sanya wasu m matakan: gwaje-gwaje, duban dan tayi, X-ray, lissafta tomography.

Palpated musamman da maki:

• Desjardins (located 3 cm zuwa dama daga cikin umbilicus, dan kadan sama da shi).
• Point Mayo-Robson aka located in hagu quadrant na ciki, da cutar rinjayar da wutsiya na pancreas.
• Kacha batu ne a karshen da rectus abdominis tsoka, zafi ne da ake zargin lalata prostate tsakanin jiki da kuma wutsiya.
• Male-Ki shi ne a kasa da karankarman ƙirji a kan hagu na rectus abdominis tsoka.
• Gubergrits Desjardins ne m batu, amma kawai a kan hagu.

Duk da haka, da ake zargi da pancreatic cuta ya kamata tabbatar da dakin gwaje-gwaje gwaje-gwaje da kuma instrumental jarrabawa.

pancreatic zone

Tare da palpation iya gane mai raɗaɗi pancreatic yankin. Sun kasu kashi uku iri:

• Chauffard (dake tsakanin cibiya da dama hamata).
• Yanover (located a kan kwance line kuma cibiya 4 cm zuwa hagu na shi).
• Gubergrits-Skulsky (tarar kamar yadda Chauffard zone, kawai hagu).

Saboda da pre-dubawa iya yin wani hoto da cutar. A wani binciken da wasu hanyoyi da sauki sa daidai ganewar asali da kuma tasiri magani.

Ta yaya ne binciken

Kara girman da pancreas nufin da kumburi tsari. Don yin daidai ganewar asali, gudanar palpation. An yi da safe a kan komai a ciki ko bayan tsaftacewa enema hanji. A haƙuri ta'allaka ne a kan ya dawo. likita aiki - a sami ƙananan ɓangare na ciki. Hannunsa na hagu ne ji da fata a kan ciki wani wuri a cikin 2-3 cm a kan ƙananan ɓangare na ciki, ta haka ne canjawa shi. Sa'an nan, da shakatawa na latsa, wanda ya auku a lokacin exhalation, tsoma yatsunsu har da na baya ciki bango. Ba shan su, shafa fata daga sama zuwa kasa. A m likita zai iya nan da nan lura da karuwa a cikin pancreas.

Shi ne ya kamata a lura da cewa a cikin wani m mutum pancreas ne mai wuya a bincike. Palpation taimaka sa wani cikakken ganewar asali, kawai a pancreatitis, wannan sashi, wanda shi ne batu Mayo-Robson, karfi da ciwo. A can farko da cutar ya karu pancreas za a iya gani gani. A kullum pancreatitis, shi a hankali rage-rage. Saboda haka, ban da dubawa kamata a da za'ayi cikakken jarrabawa. Wannan misali tarin, X-ray ko duban dan tayi.

Hanyoyin da likita jarrabawa a kullum pancreatitis

Lokacin da cututtuka Mayo-Robson haƙuri spasmodic majiyai tashi daga gefen hagu gefe-vertebral kwana. A palpation akwai zafi lokacin da matsi a kan wasu da maki:

• Idan ka buga farkon na pancreas, wato, shugaban, m mamaki taso a Desjardins. Don sanin wannan, latsa saukar a kan yatsa na hannu nufi da dama daga cikin umbilicus zuwa 7 cm sama da kwance line na hamata.
• Matsa lamba a kan gland shine yake jikin wani alwatika zone Chauffard-Rivet Yanã zafi.
• Mayo-Robson batu ne ke da alhakin batu na wutsiya na pancreas. An tsare kamar haka. Akwai line daga cibiya zuwa tsakiyar costal baka. Yana raba cikin sassa uku. Saboda haka, wannan shi ne batu na farko na cibiya.

Alama Mayo-Robson da aka samu a cikin 45% na al'ummar jihar. Wasu dame shi tare da sauran cututtuka na pancreas da gastrointestinal fili. Yawanci, irin wannan ganewar asali ya nuna gaban m ko na kullum pancreatitis. Akwai kaifi zafi a gefen hagu a kasa da karankarman ƙirji, kamar yadda akwai wutsiya na pancreas. Danna maɓalli yatsunsu a wannan shafin zai cika fuska zafi. Kamar wancan ƙayyade gaban cuta. Lokacin da m pancreatitis ciwon bar costovertebral sashen. Bayan pancreatitis iya samar da wasu cututtuka.

Ganewar asali da raunuka na pancreas

Bugu da kari ga gaskatãwa haƙuri ta bayyanar cututtuka da kalmomi, palpation na da maki kuma zones, dole ne ka wuce da biochemical bincike na jini don kimanta da ruwa-electrolyte balance. Ina bukatan fitsari samfurin. Don tabbatar da ganewar asali na bukatar instrumental dabarun da za su taimaka jiki don nazari da kuma gano pathological tafiyar matakai. Sanya wani duban dan tayi jarrabawa. Don kauce wa samuwar duwatsu, ne zuwa ga na X-ray. Ya taimaka wajen bayar da cikakken bincike na hoto da cutar CT scan, endoscopy. Yana da muhimmanci a farkon magani.

ƙarshe

pancreatic zone, musamman nufi Mayo-Robson, agaji a gani dubawa da kuma palpation bayyana gaban kumburi. A m zafi a cikin hakarkarinsa a kan hagu, amai, sako-sako da stools, da kuma m nauyi asara ne zama dole don magance ga ilimin. A can farko da cutar, ɗauke da likita ta shawarwarin, wadannan na musamman rage cin abinci zai iya hana cutar ci gaba da kuma ta miƙa mulki ga kullum form. Pancreas - da manyan jiki, wanda taimaka zuwa nike fats, sunadaran da carbohydrates. Saboda haka wajibi ne a kula da shi a cikin mai kyau yanayin da a gaban Pathology - mu bi. Idan kana da wani ciwon a kan hagu, m tashin zuciya da kuma sauran cututtuka da malaise - Ya kamata nan da nan nemi magani.

Zauna lafiya!