Kudzokorodza Tenderness uye Blumberg's Sign

Zvemukati

• Chiremba anoongorora sei hunyoro hunowedzera?
• Ndezvipi zvimwe zviratidzo zvandinofanira kutarisa?
• Chii chinokonzeresa unyoro?
• Chii chandinofanira kuita zvinotevera?
• Ndeapi maonero?

Chii chinonzi chiratidzo cheBlumberg?

Kudzoreredza unyoro, unonziwo chiratidzo cheBlumberg, chinhu icho chiremba wako anogona kutarisa kana uchiongorora peritonitis.

Peritonitis iko kuzvimba kweiyo membrane mukati memadziro edumbu rako (iyo peritoneum). Inowanzokonzerwa nehutachiona, iyo inogona kuva mugumisiro wezvinhu zvakawanda.

Verenga pamusoro kuti udzidze zvakawanda nezvekuti chiremba anoongorora sei hunyoro uye izvo zvazvinoreva kune hutano hwako.

Chiremba anoongorora sei hunyoro hunowedzera?

Kuti utarise hunyoro hwakadzokororwa, chiremba anoshandisa kumanikidza kune imwe nzvimbo yemudumbu rako uchishandisa maoko avo. Ivo vanokurumidza kubvisa maoko avo uye vobvunza kana iwe uchinzwa chero kurwadziwa kana iro ganda uye munyama wakasundidzirwa pasi unodzokera kumashure munzvimbo.

Kana iwe uchinzwa kurwadziwa kana kusagadzikana, iwe une rebound unyoro. Kana iwe usinganzwe chero chinhu, zvinobatsira chiremba wako kutonga kunze kweperitonitis sechikonzero chezviratidzo zvako.

Ndezvipi zvimwe zviratidzo zvandinofanira kutarisa?

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita,

• kurwadziwa nemudumbu kana unyoro, kunyanya kana uchifamba
• manzwiro ekuzara kana kuzvimba, kunyangwe kana usati wadya chero chinhu
• kuneta
• nyota isina kujairika
• kuvimbiswa
• kuderedzwa weti
• kurasikirwa nenzara
• kusvotwa
• kurutsa
• kupindwa nechando

Ive neshuwa yekuudza iwe chiremba nezve chero eaya zviratidzo, kusanganisira pawakatanga kuzviona uye chero chinhu chinoita kuti vave nani kana zvakanyanya.

Chii chinokonzeresa unyoro?

Kudzokorodza hunyoro chiratidzo che peritonitis, chakakomba mamiriro iko kuzvimba kweperitoneum. Uku kuzvimba kunowanzoitika kubva kuhutachiona.

Zvinhu zvakawanda zvinogona kukonzera hutachiona hwepasi, kusanganisira:

• Kukanganiswa. Buri kana kuvhurika mukati memadziro emudumbu mako kunogona kurega mabhakitiriya apinde, kungave kubva munzira yako yekugaya kana kubva kunze kwemuviri wako. Izvi zvinogona kukonzeresa hutachiona hwe peritoneum yako iyo inogona kutungamira kune abscess, inova iko kuunganidzwa kwepus.
• Chirwere chinoputira chirwere. Pelvic inflammatory chirwere (PID) zvinokonzerwa nehutachiona hwenhengo dzekubereka dzevakadzi, kusanganisira chibereko, fallopian machubhu, kana mazai. Hutachiona hunobva kunhengo idzi hunogona kuenda mukati me peritoneum uye hunokonzeresa peritonitis.
• Dialysis. Iwe ungangoda catheter machubhu akaiswa mukati meitsvo dzako kuburikidza neako peritoneum kuti ubudise mvura panguva yedialysis. Utachiona hunogona kuitika kana machubhu kana nzvimbo yekurapa isina kunyatsoomeswa.
• Chiropa chirwere. Kupararira kwechiropa materu, inozivikanwa secirrhosis, kunogona kukonzera ascites, iyo inoreva kuunganidzwa kwemvura mudumbu rako. Kana yakawandisa mvura inovaka, inogona kukonzeresa mamiriro anonzi anowanzoitika bhakitiriya peritonitis.
• Kuvhiya kuomarara. Chero chero rudzi rwekuvhiya, kusanganisira munzvimbo yako yemudumbu, inotakura njodzi yekutapukirwa muronda rekuvhiya.
• Ruptured appendikisi. Appendikisi ine hutachiona kana yakakuvara inogona kuputika, ichiparadzira hutachiona mudumbu rako. Chirwere chemudumbu chinogona kukurumidza kushanduka kuita peritonitis kana apendikisi yako yakabvaruka isina kubviswa kana kurapwa ipapo ipapo.
• Dumbu dumbu. Ronda remudumbu chironda chinogona kuoneka padumbu pako. Rumwe rudzi rwe ulcer inozivikanwa seyakapetwa peptic ulcer inogona kugadzira kuvhurika mudumbu mudumbu, zvichikonzera hutachiona mudumbu mhango.
• Pancreatitis. Kuzvimba kana hutachiona hwepancreas yako inogona kupararira mukati memukati memimba yako uye kukonzeresa peritonitis. Pancreatitis inogona zvakare kukonzera fluid inonzi chyle kuti idonhe kubva kune ako lymph node kupinda mudumbu rako. Izvi zvinozivikanwa seacute chylous ascites uye zvinogona kukonzera peritonitis.
• Diverticulitis. Diverticulitis inoitika kana homwe diki mumatumbo ako, inonzi diverticula, inotsva uye hutachiona. Izvi zvinogona kukonzeresa kuita kwako kwekugaya uye kukuita iwe unonetsekana ne peritonitis.
• Kukuvara kwemudumbu. Kushungurudzika kana kukuvara padumbu rako kunogona kukuvadza madziro emimba yako, zvichiita kuti peritoneum inyanye kubatwa nekuzvimba, hutachiona, kana zvimwe zvinonetsa.

Chii chandinofanira kuita zvinotevera?

Kana iwe uchifunga kuti une peritonitis, ona chiremba wako ipapo ipapo.

Chirwere chemudumbu chinogona kutungamira kumatambudziko akakomba kana chikasarapwa.

Kana chiremba akaona kuti iwe une rebound unyoro, ivo vangangodaro vateedzere nemamwe mashoma mimwe bvunzo kudzikisira kuongororwa.

Iyi bvunzo inosanganisira:

• Kuchengetedza vs. kuomarara bvunzo. Kuchengetedza kunosanganisira kuzvipira kushandura mhasuru dzako dzemudumbu, kuita kuti dumbu rako rinzwe rakasimba kune rakaomarara. Rigidity kusimba kwemudumbu izvo zvisina hukama nekuchinja mhasuru. Chiremba wako anogona kuudza mutsauko nekubata zvinyoronyoro dumbu rako uye nekuona kana kusimba kuchidzikira kana iwe uchizorora.
• Percussion unyoro bvunzo. Chiremba anonyorera zvinyoro-nyoro asi akasimba padumbu rako kuti atarise kurwadziwa, kusagadzikana, kana unyoro. Kubaya nekukasira kunogona kukonzeresa kurwadziwa kana uine peritonitis.
• Kukosora bvunzo. Iwe uchazobvunzwa kukosora apo chiremba achiongorora chero kubwinya kana zvimwe zviratidzo zvekurwadziwa. Kana kukosora kuchikonzera kurwadziwa, unogona kunge uine peritonitis.

Zvichienderana nezvimwe zviratidzo zvako, chiremba anogona kuraira kumwe kuyedzwa kwerabhoritari zvakare, kusanganisira:

• kuongororwa ropa
• weti bvunzo
• imaging bvunzo
• itsvo basa rekuyedza
• chiropa chinoshanda bvunzo
• kuongororwa kwemudumbu wemudumbu

Ivo vanogona zvakare kushandisa CT scan kana MRI scan kuti vatarise matumbu ako emimba uye nhengo.

Kana chiremba akasimbisa kuti une peritonitis, pane nzira dzakasiyana dzekurapa, zvinoenderana nechikonzero chiri kukonzera. Izvi zvinosanganisira:

• mishonga inorwisa mabhakitiriya
• kuvhiyiwa kuti ubvise hutachiona hune hutachiona, apendikisi yekuwedzera, chirwere chechiropa, kana kugadzirisa nyaya dziri mudumbu kana mumatumbu
• mishonga inorwadza yechero kurwadziwa kana kusagadzikana kubva kuzvimba

Ndeapi maonero?

Kudzokorora unyoro haisi mamiriro acho pachawo. Pane kudaro, kazhinji chiratidzo cheperitonitis. Pasina kurapwa nekukurumidza, peritonitis inogona kukonzera kusagadzikana kwehutano kusagadzikana.

Tsvaga kurapwa nekukurumidza kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchidya.