Mgbaàmà Ortner-Grekov: nchoputa nke cholecystitis

Mgbaàmà Ortner-Grekova gosi na ọrịa nke na-metụtara imeju ma ọ bụ biliary ụzọ. Ọtụtụ mgbe ọ na-hụrụ na nnukwu cholecystitis. Ọ e ji a mgbaàmà nke ụfọdụ soreness n'akụkụ aka nri na ìhè effleurage ọnu aka-ya na nri costal njiko. Manye tapotement ẹkenịmde na abụọ iji tụnyere ma kọwaa na nkenke mgbaàmà Ortner-Grekov. Ihe mgbu na-ebilite n'ihi na eziokwu na dọkịta na-eme ka a nta uburu mgbaka nke nanị ire ọkụ gallbladder. N'okpuru nkịtị ọnọdụ, ọrịa mgbe ụfọdụ nwere ike ọ bụghị obi mgbu, na-eche naanị a ụfọdụ ibu si n'akụkụ aka nri n'okpuru ọgiriga.

nnukwu cholecystitis

Nnukwu cholecystitis, dị ka ọnụ ọgụgụ, na-chọpụtara na 18% nke ndị ọrịa nwere nnukwu ịwa ahụ ọrịa nke abdominal uji eze. Na ndị inyom, ihe gbasara nke puru nke ya omume bụ ugboro atọ elu. Na-akpata ọrịa a dị ọtụtụ, dị ka ohere iji na-enweta zuru mgbaàmà Ortner-Grekov. Ndị a gụnyere:

• ọbara mgbali na biliary tract;
• ọrịa na ha bụ;
• mgbanwe biliary tract arịa;
• mebiri nke nri;
• cholelithiasis;
• Mbelata nonspecific eguzogide nke organism;
• gastric ọnyá afọ, nke nwere ike so diskholiey;
• morphological nsogbu (e.g. imeju - giperbilirubenimii development).

Fọrọ nke nta 90% nke ikpe nke nnukwu ọrịa bụ Ọtụtụ ndị n'ihi nsogbu nke gallstone ọrịa. 100% nke nri na-akpata (nri) na-triggered. N'ihi na ndị dị otú ahụ ọrịa nwere ike ime ka abụba na oseose oriri, allergens. All a na-amalite spasm, nke na-ekpebi ihe mgbaàmà Ortner-Grekov. Ma nchoputa ga-rụrụ naanị site a dibịa.

Ọrịa na akpasu cholecystitis

Anyị na-ama tụlere nsogbu na cholelithiasis na nri. Ọ bụ ikwu okwu banyere ụfọdụ ọrịa ndị ọzọ na-eduga nsogbu na ńsí eriri afo. N'ihi ya, n'ihi na ihe atụ, mgbu, nke nwere ike so ọnụ nke mmepụta nke gastric ihe ọṅụṅụ, na karịsịa - hydrochloric acid, na-mgbe ụfọdụ na-eduga ná eziokwu na na-eduzi na-achọpụta ọrịa eme achọpụtara mma mgbaàmà-Grekova Ortner, nke na mgbe ụfọdụ na-eduga ná ekwesịghị ịdị na nchoputa.

Definition nke ọrịa na ya ruo n'ókè

Na ogbo nke mmepe nke ọrịa na-adabere ruo n'ókè dị ukwuu ụdị mgbanwe gallbladder, dị ka usoro a malitere, ma na-egosipụta nsogbu. Na ikpe nke ikpeazụ e ji bụghị naanị mma mgbaàmà Ortner-Grekov, ma e nwere irradiation nke mgbu na ubu, ubu, supraclavicular mpaghara.

mgbaàmà ndị ọzọ

N'etiti soro mgbaàmà nke nnukwu cholecystitis hụrụ ọgbụgbọ, vomiting, na ọnụnọ nke bile, obi ilu dị n'ọnụ, dull mgbu na mbụ ogbo nke ya progression na mmepe nke ọrịa. Ahu okpomọkụ nwere ike ebili ka 38 degrees na ọnụnọ nke akpata oyi. Abịa na ụba obi ọnụego, na ụfọdụ e nwere a tachycardia. Jaundice nwekwara ike ime. Language aghọ akọrọ na furred. All omume ga-kenyere onye dọkịta. Agbam onya cholecystitis nwere ike ime ka comorbidities sochiri odida nke na-emetụta akụkụ.