Rozanov symptom (symptom o "Roly-Poly"): Description, 'ehaʻeha ka a me kaʻike,

Russian lapaau hou aku la i ka hoʻoikaikaʻana o nā kānakaʻepekema, a lapaau. Ke'ī mai, ma ka Soviet Union i poʻokela 'inikua nä känaka' epekema Rozanovym Vladimirom Nikolaevichem, ka mea i hānauʻia ma ka makahiki 1872, i haawiia mai ka mea like inoa o ka 'inikua hua'ōlelo - he symptom o Rozanov.

Ua loaa i ka inoa lua o causal hoike ana mai o ka maʻi ia: he symptom o "Roly-Poly".

Aha keia

Symptom Rozanov - o ka hoike ana o ka na peritoneal accumulations o ke koko ma nā nā'aʻaʻa o spleen rupture mai ai. Aia nā'ōuli o keia symptom wale nō i loko o kaʻoki kino.

Rozanov symptom (symptom o "Roly-Poly"): na hoailona

• ka hoʻoneʻe o ke kino - na mau loli o ke kulana.
• Yellowness a lenalena ili. Nui ae kahe ana ke koko, hoʻomāhuahua ana o ke koko i loko o ka abdominal lua haawi aku i ka helehelena i ka haikea yellow kala like 'ole, e hoike ana i ke kahe o ke koko.
• Ke hoomanawanui ua pinepine mālama he mahuahua i ana wela i loko o ka aina o 37-38 degere.
• Abdominal eha oaio, me ka hoʻolaʻaʻana i loko o ka wahi o ka spleen.

E hoomanawanui i ka poe i diagnosed a kamaʻilio, mau malama ka kēia wahi: e moe ana ma kona mauʻaoʻao, wale haʻalele i ikaika loa o Paulo ma kaʻanuʻu abdomen me nā wāwae. A hiki aku ia ma ka hoʻomanawanui ho'āʻo e hoʻololi i ka oihana ka mea, i loko o kekona hou kuhi i ka oihana, e moe ana ma konaʻaoʻao hema a me nā wāwae i hopu ai ma luna o ka wahi o ka abdomen.

Kekahi kīnā o symptoms ana i kona ua kapaia symptom o "Roly-Poly" - o ka oolea o ka hanu. Initially, i ka hoʻomanawanui me ka loa pokole o ka hanu ho'āʻo nei e noho ai, a ua hoʻoikaika i kona mau lima i kona'ōpū, akā, i ka diaphragm'ōpā ia oi pilikia i ka hanu. A laila, i ka hoʻomanawanui kū mai, a UOAAaOON e hele. Akā, i kēia kahua ua hoi e hoomaka ana e lawe mai he leo.

Alaila, alaila e kaili i ka papamoe kulana, no ka mea, o ka eha ana ma ka peritoneum, e moe ana ma luna o kona kua. Ma na hoopii, pokole o ka hanu, a me ka ia iʻia listen. Kēia mauʻano loaʻa hou i loko o ke kino kulana, a ua alakai aku i ka inoa - he symptom o Rozanov ( "Roly-Poly").

I mau pahi neʻe, loa ina ke ahonui o ka noho ana, a laila, loaʻa mai, oia malama lightheadedness. 'O kēia kekahi kumu o kona hele hou. Koho ma kaʻaoʻao hema ma muli o ka wahi o ka spleen i loko o ka abdominal lua.

Rozanov symptom (symptom o "Roly-Poly"): 'ehaʻeha ka

E like me ka olelo ma luna, Rozanov symptom - na hopena o ka ruptured spleen, akā, pono e disassembled, a ma lalo o ka noho ana e ana nei:

- eha mai ana ulia kaʻa ulia. Specificity o ke kaʻa he ulia pakalaki ka wā i Keaukaha mokomoko ana i abdominal lua o ke kōmike hoʻokele huila, e kaili aku ia mai ka Kalaiaina, etc.

- Sports nā palapū. Great exertion physical iloko o haʻuki hana ke alakai i ka rupture o na nā loko.

- Weight punohu, e hoʻoikaika ana i nā incompatible me ke kino i ka waiwai no hoi e alakai ai i ka rupture o na nā loko

- stab, a okioki eha o ka abdomen i alakai i ka rupture o ka spleen.

Ua haawiia i ke specificity o ka poino, i ka loiloi mua e hoʻohuoiʻia akaka ma hope o ka hoʻomanawanui leo o na ole o ka mea i lilo aku ai. Eia, ma lalo o ka hooponopono ana o ke kauka. Nō hoʻi, ināʻaʻole i ka mea'ē aʻe nā palapū, i ka hoʻomanawanui i ike i ke kauka i ka iki ma hope, no ka laʻana, he gastroenterologist no ka mea, o ka eha ana ma ka abdomen.

Ke Kauka noi i ka hoʻomanawanui i ka pū mua i ka abdominal nāʻiʻo, laila hoʻonānea. Inā loaʻa Rozanov (symptom o "Roly-Poly") symptom, i ka hoʻomanawanui i ka hoao ana huʻiʻeha aie i ka ona ma luna o ka'ōpū.

Walaʻauʻana ano o kaʻike,

Ua diagnosed ke symptom o "Roly-Poly" like penei:

• hoʻomanawanui ana manaʻo.
• Ke kākoʻo nana, palpation o ka abdomen waho.
• Rectal a vaginal ninaninau.
• Abdominal ultrasound.
• Ikea ai ke koko.
• I ka like o ke keʻena hoʻokolohua ho'āʻo ma.

XIX. Lula no ke kauka i ka hoomaopopo ana Rozanov symptoms

Mai noi mai ala nīnau, hooholo na symptoms. No ka laʻana, o ka ninau: "He oe i kaʻoi kaʻeha ma ka lalo abdomen manaʻo nei ke?" Ua mea maikaʻi, e ninau aku, "He aha ka oe e manao pono manawa?" He mea nui, e lohe mai i ka hoʻomanawanui ka piha ano o ia ka hoao ana i ka waiʻona ma ke.

Palpation o ka abdomen mea mau loa ola i loko o kēia mau hihia. Nolaila, ia mea maikaʻi, e hoʻomaka ana me ka puni ana o ka mea ola wahi, lohi e neʻe aku nei ia ia.

Ma ka ninaninau ana i ka abdomen mea pono e puʻe ma luna o kona anapuni holoʻokoʻa, e makaikai i na e ku pono ana, a me ka luna i ka lalo abdominal pa.

Ma hope o ka hookolokolo,ʻike, a me ka symptom Rozanov ( "Roly-Poly"), ka iniiaiie hoike ana wehe 'ia ma muli o ke analgesic ka lapaʻauʻia. Ka lua o ke kahua - abdominalʻoki kino.

Related kumu

Ka symptom o "Roly-Poly" Ua ano o ke kūʻai '-abdominal hemorrhage ku i ka ruptured spleen. Pinepine, no ka mea, no nā maʻi Rozanov symptom iho splenic rupture mea pilikia e hooholo. Ma ka spleen hiki rupture a haehae diagnosed'aʻaʻa o nā nā loko o ka abdominal wahi. No ka laʻana, pōʻino i ke akepaa, AeXIeAaOIePEAaI, gastric, a me na mea e ae.

hiki i kēia nā palapū i kahe ana ke koko, hoʻomāhuahua ana o ke koko i loko o ka abdominal wahi. E noho alii mai 'ē mai' ana i mālama nui noniakahi lapaʻau 'ana.

Hoʻomanawanui ana i ka helu o ke kauka:

• Kino - no kaʻaoʻao i ka helu o nā hoʻomalu.
• Gynecologist - e hookaawale ia ovarian rupture, a hiki no hoi i abdominal kahe ana ke koko
• Proctologist - e hookaawale ia intestinal maʻi me kaʻoki lāʻau lapaʻau symptoms: i loko o ka naʻau liʻiliʻi, rectum.
• Urologist - i mea e pale aku ai i ka hewa o ka genitourinary nenoaiu.
• Gastroenterologist e hookaawale ia i ka mea i gastric kahe ana ke koko.

Ke hoomanawanui hele ma ka moʻo o ana i hoonoho kauka, a laila, kau mai i ka hoike no kaʻoki kino ina diagnosed maikaʻi symptom o "Roly-Poly".

Initially, i ka hookolokolo ana ma ka mea o ka ultrasoundʻike, o ka hoʻomāhuahua nui o ke koko i loko o ka abdominal viscera poorly visualized, a complicates ka PalekanaEND_LINK kaʻina. Ma pili ana i kēia hana ma luna o ke kaʻina hana o ka hoʻopau a me na hoike o kēlā me kēia hui, pākahi.

Mahalo i ke keʻena hoʻokolohua a me ka lapaʻau koko ho'āʻo ma ka hoʻoholo 'ana i ka hoʻoʻino kaʻina hana i loko o ke kino.

lāʻau kūʻoki kino

Ma hope o kaʻoki lāʻau lapaʻau kaʻina hana no ka iapaau ana o ka symptom o ka ruptured spleen Rozanov i hoike ia. Ke hoomanawanui UaʻAʻoleʻike piʻi mau ka waiʻona ma ke, i puʻe wale akula kēlā iā ia i ka hoʻololi 'ana i wahi mau.

Ma hope oʻoki kino i ka hoʻomanawanui ua hoakakaia ka lapaʻauʻia. Hāʻawi i ka helu ana o antibiotics a me na laau e hoomahuahua i ka nui o ka e hoʻonele. Nonsteroidal painkillers like i hoakakaia. E haawi mai aʻo i ola ai no i kekahiʻano o kaʻai.

Hana no kēia Rozanov symptom ma ka hale

He nui no ka hoomanao ana i ka symptom o "Roly-Poly" Ua ano o ka spleen ka pōʻino. Inā i ka hoʻomanawanui i ke koikoi, mau ala a me ka haule ana, uaʻike piʻiʻeha i loko o ka abdominal wahi, na kēia mau ana au e laweiaʻe:

- E ana i ka wela o ke ahonui a me ke koho ia.

- No ka hōʻoia 'ahonui olioli no ka mea papamoe kulana.

- Mai Mai haawi oe iho eha ka lapaʻauʻia.

- pilikia kahea i ambulance a lawe i ka hoʻomanawanui i ka pilikia lumi kokoke ola wahi uku paha.

Ke hoomanawanui, mai hai aku i ke kauka i au mamuli o ka noho ana ma lalo i hoomaka ai i ka mahina eha, pehea la ka loihi o ka ka mahana ua mālama a me ka mea āna i hanaʻia ka waiʻona ma ke, etc.

precautionary ana

Mai hookiekie ae oi aku mamua o 15 kg ma luna o lākou iho. O na nā loko, ua loa ikepili koʻikoʻi, a uaʻoi ka neʻe 'ana i loko o ke kaʻina hana o ka poe e hookiekie ana kaumaha paona hiki i ia e rupture. Ua mea maikaʻi, e kali no ka manawa, a,ʻo nā kanaka me ke kaiapuni.

A i kekahi kanaka ua 'akomi i me ka stab eha i loko o ka ohi kahi o ka abdomen a hiki i kaʻeha e pili i ka sterile lole wili no ke koko a me ka holo koke koke e hōʻoia' kona halihali no ka mālama '. I ka wa e hele mai i kaʻa ulia i luahi loaʻa 'ē aʻe O Keaukaha ma ke alanui, koke hai i ka kānāwai mākaʻi lapaʻau nāna e pili ana i ke alo o ka hoʻomanawanui.

kokua

No ka Rozanova symptom (symptom "Roly-Poly") - kakauinoa intraperitoneal kahe ana ke koko splenic rupture, ia mea pono e noonoo i intraabdominal kahe ana ke koko hoike mai ai ia ia iho koke. Ke hoomanawanui hoʻomaka e haha aku i ka iki discomfort, alaila, o ka manao o bloating i loko o ka abdomen. Ke abdomen iʻoʻoleʻa, a ua kaumaha hoi.

A laila, hoʻomaka e hōʻike mua ua e eha, iʻoi ka neʻe 'ana ma luna o ka abdomen haawe māhuahua. Aia mau eha ma ka spleen wahi, hiki aku i ka holoʻokoʻa 'āpana o ke abdomen. Next, ka mahana hoʻomaka e ala. E mālama i ke ana wela a eia i loko o ka aina o 37-38 degere.

I ka ili o ka hoʻomanawanui e lawe i kekahi yellowish-bluish ano ku i ka lilo ikaika o ke koko. He Kahalaopuna nawaliwali, Muscle eha, nausea a me ka pōniuniu. I pokole lilo aku ike paka i. E neʻe aku me ka pilikia, ka meheu o ana, me ka eha intensifies ma ka pii pono.

He mea e pono ai ma ia mau hihia koke pili no ka 'inikua kōkua. I ole ia, ka mea e e irreversible hopena, me ka make. I ka hohonu abdominal li nui a me ka maʻiʻaʻai hiki hoʻomaka, e hiki aku ai i ke kūpono 'ana o nā maʻi. Ke kahua i e huikau, a me ka mea, 'o Hawaiʻi moku no kaʻoki kino.

Ma keia manao, i ke komo 'ana o nā mea maʻi i kēia maloko kahe ana ke koko, kauka alakai i ke akeʻike, a me kaʻike,. I kekahi manawa minuke hiki eʻano nui. Ke kahe o ka lapaʻau Ua like huʻi me lapaʻau 'ana. Inā symptoms hoomau anei Rozanovʻike, a me ka lapaʻau hiki ke lawe wahi i loko o ka pilikia i ka ia lā.

Na makana i ka lapaau

Na makana Rozanov 'inikuaʻepekema ma ke kahua o ka lapaau mea nui. E wehe i ia a me ka symptom anamanaʻo iaoia Ua pili ka lapaau i loko o kā mākou mau lā.

E kuhikuhi a diagnose i ruptured spleen, e like me ka mea hope intraperitoneal kahe ana ke koko ka hoʻohana 'ana i kekahi' ia paha o nā symptoms. Ka symptom o "Roly-Poly" ua ho'ākāka 'ia ma ka heluna o nā puke no nā haumāna o ka' inikua koleke, a me ka institutes. Kēia mea he invaluable na makana no ka Lūkini 'epekema a me ka wahi lulu lapaau, a me ka waiwai ma ka minute.