Ma lapaʻau hana, i kekahi ola kino mālama pūnaewele mua mākaukau me a ke kauka assesses ka hoʻomanawanui ka ana a me ka hooholo i ka muaʻike, he mau hana nīnau a me ka ninaninau, e like me ka 'ike piha ma luna o nā'ōnaehana o ke kino, auscultation o ka naau a me ka ia maʻiʻaʻai, palpation a me ka percussion. He mea oi loa aku hoi oiaio 'inikua noi komo', a no kela a me keia hoomanawanui ua anao? Aou mea uuku manawa, a ina e hele mai urgently, laila, he mau minuke. No laila, pinepine i ka maikaʻi symptom Shchetkina-Blumberg e diagnose i ke ahonui o ka symptoms o peritonitis , a hoolilo ia koke i kaʻoki lāʻau lapaʻau 'Oihana. Ma ke'ano o ka palpation e ho'oka'awale i waena o ka papakū a me ka hohonu, e nānā pono i ke'ano o nā'ōpū o loko. Ho'ohana'ia kēia'ano me ka ho'oheno'ana i nā ma'i o ka'āpana o nā mea'ele'ele a me ka pūnaha genitourinary, no ka mea,'o ka'ao'ao o ka'ōpū ka mea kūpono loa no ke alaka'i'ana i ka mea e like'ole me ka hopena, akā he nui ka'eha, ke a'o.
'O kekahi mau'ano palpation
Eia kekahi la'ana,'o kekahi o nā'ano kumu nui,'o ia ka hō'ailona o Shchetkin-Blumberg, Kera, Murphy, Schoffar, Mayo-Robson, a me kekahi mau hua'ōlelo diaphragmatic e ho'okomo ana i kahi o ka mea hilina'i o ka'i'o o ka sternocleidomastoid i ka ko'i. Hō'ike kēia mau mea i ka nui ma kekahi mau helu, i hō'ike'ia i kekahi mau ma'i. No laila, he pinepine maika'i kahi o Shchetkin-Blumberg me ka appendicitis, ka'eha o ke ahi, ka pehu'ana o nā kino kūlohelohe; Kera a me Murphy - me nā ma'i inflammatory o ka gallbladder a me kona ala. A'o ka ma'i nui i nā po'o o Shoffar a me Mayo-Robson (kuhikuhi o ke po'o a me ka huelo o ka pancreas) e hō'ike i kahi lālā nui o pancreatitis. Akā,'o ka mea ko'iko'i o lākou paha ka hō'ailona Shchetkin-Blumberg, no ka mea,'o kona'ano like'ole he mea hō'ailona o ka pahū o ka peritoneal interoreceptors,'o ia ho'i, ka hemorrhage ākea a i'ole ka palahalaha'ana o kēia ka'ina hana inflammatory mai ka lua o ka'ōpū i kēia membrane ma'amau. A'o kēia'ano ma kekahi hihia he mea wikiwiki.
Ka hō'ike o ka pahū o peritoneum
No ka nānā pono'ana i ka hō'ailona o Shchetkin-Blumberg i ka mea ma'i, pono pono e hā'awi i ka lima i kahi kūku'u i kahi o nā hui āpau (e like me ka pa'a'ana i kahi pōpō iki ma kona lima) a ho'okomo i'ekolu manamana lima (index, middle and unknownony) i ka mākau. A laila e noi i ka mea ma'i e ho'omaha hohonu (i kēia manawa pono'oe e'oki i ka'ili'ili a huki i lalo), exhale (e ho'oloho i nā manamana 3-4 cm) a huki mai iā lākou. Ke nānā'ia nei kahi ma'i maika'i o Schetke-Blumberg, inā ma ka hana hope loa, ua pi'i nui ka ma'i o kēia wahi. Hiki iā ia ke lilo i mea'ole a pili'ole paha. Loa pinepine he ponopono ua i ina ka hoʻomanawanui hōʻea i loko o ka pilikia lumi 'ole? Aaieou me ka huʻi abdomen maʻi pale a complains e pili ana i ka lōʻihi-makahiki e holumua ai eha. 'O ka hapanui pinepine,'o ka hō'ailona o Schetkina-Blumberg he mea kūpono ia no ka'eha o ke aho a me ka appendicitis. I kēia hihia, ho'ohuli pinepine'ia ka mea ma'i i ka hana'ana, no laila ua hō'ike mua nā luna i ke kumu o ka hō'ailona o kēia hō'ailona.