Ukuziqhelisa lwezonyango, nawuphi na umboneleli wezempilo ubuchule lokuqala apho ugqirha ayivavanyi imeko yomguli aze amisele unxilongo preliminary na imibuzo okuqhelekileyo iimviwo, kwakunye njengoko kuchaziwe kwi zonke inkqubo yomzimba, auscultation yentliziyo nemiphunga, Ngokucofa yesandi. Oku kunjalo ikakhulu yezonyango lokwamkelwa, nalapho isigulane ngasinye yabelwa ixesha elincinane kakhulu, kunye nemizuzu ukuba afike ngokukhawuleza, ngoko ezimbalwa. Ngoko ukuba uphawu entle Shchetkina-Blumberg ukufumanisa yomguli iimpawu peritonitis kunye nokudlulisela ngokukhawuleza kwisebe yotyando. Kule ndlela Ngokucofa ukwahlula phezulu yaye zinzulu, okuhlola ngqo imo nezibilini. It isicelo le ndlela ikakhulu ngenxa izifo ekucingwa ukuba eli phecana zesisu kunye womchamo, njengoko indawo isisu zifaneleke ukuba non-invasive test, kodwa ibuhlungu, uphando olo.
Ezinye iindlela Ngokucofa
Ngokomzekelo, enye yeendlela eziphambili zezi uphawu-Shchetkina Blumberg, Kera, Murphy, Chauffard, Mayo-Robson, kunye diaphragmatic nezivelayo ukuba kufakelwe esihlunwini sternocleidomastoid ukuya clavicle. Le ndlela ibonisa isisa kwiindawo ezithile, apho kubonakala izifo ngamnye. Kaninzi kukho uphawu entle Shchetkina-Blumberg appendicitis, uyilo peritonitis, perforation amalungu emgongxweni; Kera and Murphy - izifo yokukrala senyongo kunye iindlela zayo nokuqhuba. A intlungu amanqaku Chauffard kunye Mayo-Robson (intloko nomsila zepancreas projektha) Wathi Isigaba nokoyika pancreatitis. Noko ke, eyona ibaluleke ngakumbi kuzo, mhlawumbi, kodwa iliphawu Shchetkina-Blumberg, ngokuba lobeko yayo onguphozithivu ibonisa interoceptors nokurhawuzela peritoneal, ngoko - kuba yophela ngaphakathi okanye ukuhanjiswa kwalo serosa esisiseko inkqubo yokukrala kunye umzimba kwisisu. Kwaye lo ngurhulumente nayiphi na imeko kaxakeka.
A uphawu aphazamiseke le peritoneum
Ukuze ngokufanelekileyo khangela uphawu Shchetkina-Blumberg kwi isigulane kufuneka banikwe i-kruthu brush kwamalunga interphalangeal imeko (ngokungathi esandleni sakhe ibhola encinane) yaye yabamba yiminwe ezintathu zomsebenzi (isalathiso, phakathi kunye isanqa) ukuya esiswini. Emva koko ke cela isigulane ukuba uphefumle (ngeli xesha kufuneka uqokelele likriwa ulusu, baludiliza phantsi), uwukhuphe (yokomeleza iminwe yakho phezu 3-4 cm), kwaye jerk kabukhali zabo. uphawu Positive Shchetkina-Blumberg ingqalelo ukuba isenzo yokugqibela nesisa kule ndawo kwandisa kabukhali. Kwakhona kuba ezimbi yaye kuyathandabuzeka. Amaninzi itsheki senziwa ukuba isigulane ifika kwigumbi zonxunguphalo okanye ekliniki acute isisu syndrome kwaye ekungxolisa ngento intlungu oluqhubekayo ixesha elide. Amaninzi, uphawu Shchetkina-Blumberg HIV kwi idrafti peritonitis kunye appendicitis. Kwimeko enjalo isigulane iguqulelwa utyando ngakumbi iingcali sele ecacisa unobangela kubonakaliswa isici.