Rebound Tenderness a me Blumberg's Sign

Anter

• Pehea e nānā ai ke kauka no ka palupalu o ke aloha?
• He aha nā hōʻailona ʻē aʻe aʻu e makaʻala ai?
• He aha ke kumu o ka palupalu o ke aloha?
• He aha kaʻu e hana ai ma hope?
• He aha ke kuanaʻike?

He aha ka hōʻailona o Blumberg?

ʻO ke aloha palupalu, i kapa ʻia hoʻi ka hōʻailona o Blumberg, kahi mea a kāu kauka e nānā ai i ka manawa e hōʻike ana i ka peritonitis.

ʻO Peritonitis ka hoʻā o ka membrane ma loko o kou paia o kou ʻōpū (ka peritoneum). Hoʻokumu pinepine ʻia e kahi maʻi, a ʻo ia ka hopena o nā mea he nui.

E heluhelu e aʻo hou e pili ana i ka nānā ʻana o ke kauka no ka palupalu o ke aloha a me ke ʻano o kou olakino.

Pehea e nānā ai ke kauka no ka palupalu o ke aloha?

No ka nānā ʻana i ka palupalu o ke aloha, hoʻopili ka kauka i kahi ʻāpana o kou ʻōpū e hoʻohana ana i ko lākou mau lima. Lawe koke lākou i ko lākou mau lima a nīnau inā ʻoe e ʻeha i ka wā e neʻe ai ka ʻili a me ke kino i lalo i kahi.

Inā ʻoe e ʻeha a hōʻoluʻolu ʻole paha, loaʻa hou iā ʻoe ka palupalu. Inā ʻaʻohe ou manaʻo i kekahi mea, kōkua ia i kāu kauka e kāpae i ka peritonitis ma ke kumu o kāu mau hōʻailona.

He aha nā hōʻailona ʻē aʻe aʻu e makaʻala ai?

Inā ʻike ʻoe i ke aloha palupalu, loaʻa paha iā ʻoe kekahi o nā ʻōuli aʻe.

• ʻeha o ka ʻōpū a palupalu paha, ke neʻe ʻoe
• nā manaʻo o ka piha a bloating paha, ʻoiai inā ʻaʻole ʻoe i ʻai i kekahi mea
• luhi
• make wai ʻokoʻa
• kōpaʻa
• hoemi urination
• nalo ʻai ʻole
• nausea
• ka luaʻi
• fiva

E ʻike pono e haʻi aku iā ʻoe i ke kauka e pili ana i kekahi o kēia mau ʻōuli, e like me ka manawa āu i ʻike ai iā lākou a me nā mea āpau e hoʻomaikaʻi ai a maikaʻi ʻole ai hoʻi.

He aha ke kumu o ka palupalu o ke aloha?

ʻO ka palupalu Rebound kahi hōʻailona o ka peritonitis, kahi ʻano koʻikoʻi ʻo ia ka mumū o ka peritoneum. Loaʻa pinepine kēia mumū mai kahi maʻi.

Hiki i nā mea he nui ke kumu i ka maʻi maʻi, me:

• Perforation. Hiki i kahi puka a wehe paha i loko o kou paia ʻōpū ke hoʻokuʻu i ka bacteria i loko, a i ʻole ma kāu wahi digestive a mai waho paha o kou kino. Hiki i kēia ke kumu i kahi maʻi o kāu peritoneum i hiki ke alakaʻi i kahi abscess, kahi hōʻiliʻili o ka pus.
• Maʻi maʻi pelvic. ʻO nā maʻi Pelvic inflammatory (PID) nā hopena mai kahi maʻi o nā wahine hānau hānau, e like me ka pūpū, nā tuba fallopian, a me nā ovaries. Hiki i nā bacteria mai kēia mau lālā ke neʻe i loko o ka peritoneum a hoʻomaka i ka peritonitis.
• Dialysis. Pono ʻoe e hoʻokomo i nā paipu catheter i loko o kāu mau puʻupaʻa ma o kāu peritoneum e hoʻokahe i ka wai i ka manawa o ka dialysis. Hiki i kahi maʻi ke loaʻa inā ʻaʻole i wili pono nā paipu a i ʻole nā ​​wahi olakino.
• Maʻi maʻi ate. ʻO ka scarring o ke akepaʻa akepa, i ʻike ʻia ʻo cirrhosis, hiki ke hana i nā ascites, kahi e pili ana i ke kūkulu ʻia ʻana o ka wai i loko o kou ʻōpū. Inā kūkulu ka nui o ka wai, hiki iā ia ke kumu i kahi ʻano i kapa ʻia he peritonitis bacterial spontaneous.
• Hoʻopilikia ʻoki kino. ʻO kēlā me kēia ʻano o ke kaha ʻana, e komo pū me kāu wahi o kou ʻōpū, halihali i kahi maʻi o ka maʻi ma ka ʻeha ʻoki.
• Pākuʻi i wāwahi ʻia. Hiki i kahi āpau maʻi a i ʻole ʻeha paha ke hū, e hohola ana i nā maʻi bacteria i loko o kou ʻōpū. Hiki ke hoʻololi koke i kahi maʻi ʻōpū i peritonitis inā ʻaʻole lawe ʻia a hoʻopili koke ʻia kāu hoʻopili āpau.
• Ulcer ʻōpū. ʻO ka ulcer ʻōpū kahi ʻeha e hiki ke hōʻike ʻia ma ka uhi o kou ʻōpū. ʻO kekahi ʻano ulcer i ʻike ʻia ma ke ʻano he ulcer peptic perforated hiki ke hana i kahi hāmama i ka pale o ka ʻōpū, e hoʻoulu ana i ka maʻi ma ka ʻōpū o ka ʻōpū.
• ʻO Pancreatitis. Hiki ke pālahalaha a maʻi paha i kāu pancreas i loko o kou ʻōpū a hana i ka peritonitis. Hiki i ka Pancreatitis ke kumu i kahi wai i kapa ʻia ʻo chyle e kulu mai kāu mau lymph node i loko o kou ʻōpū. ʻIke ʻia kēia ʻo ascites chylous huehue a hiki ke kumu i ka peritonitis.
• ʻO Diverticulitis. Hana ʻia ʻo Diverticulitis ke loaʻa nā pou liʻiliʻi i loko o kou ʻōpū, i kapa ʻia he diverticula, e hoʻomāhuahua a maʻi ʻia. Hiki i kēia ke kumu i nā perforations i kāu wahi digestive a hoʻoweliweli iā ʻoe i ka peritonitis.
• ʻEha ʻōpū. Hiki i ka hōʻeha a i ʻole ʻeha i kou ʻōpū ke hōʻeha i kou paia o kou ʻōpū, e maʻalahi ai i ka peritoneum i ka mumū, ka maʻi, a i ʻole nā ​​pilikia ʻē aʻe.

He aha kaʻu e hana ai ma hope?

Inā manaʻo ʻoe he peritonitis kāu, e ʻike koke i kāu kauka.

Hiki i kahi maʻi ʻōpū ke alakaʻi i nā pilikia koʻikoʻi inā haʻalele ʻole ʻia.

Inā ʻike kahi kauka he palupalu kou, e ukali paha lākou me kekahi mau hoʻokolohua ʻē aʻe e hōʻemi i kahi kuhi.

Aia kēia mau hoʻāʻo:

• ʻO ka hoʻāʻo vs. vs. rigidity test. ʻO ke kiaʻi ʻana e hoʻopili manawaleʻa i kou mau ʻōpū ʻōpū, e paʻa paʻa ai kou ʻōpū i nā mea paʻakikī. ʻO ka ʻoʻoleʻa ka paʻa o ka ʻōpū i pili ʻole i nā mākala flexing. Hiki i kāu kauka ke haʻi i ka ʻokoʻa ma ka hoʻopili mālie ʻana i kou ʻōpū a ʻike inā hoʻemi ke kūpaʻa ke hoʻomaha ʻoe.
• Hōʻike palupalu Percussion. E paʻi mālie ke kauka i kou ʻōpū e nānā no ka ʻeha, hōʻoluʻolu, a palupalu paha. ʻO ke kuʻi pinepine ʻana paha ke ʻeha inā loaʻa ʻoe i ka peritonitis.
• Hōʻike maʻa. E noi ʻia ʻoe e moe i ka wā e nānā ai ke kauka no kekahi flinching a i ʻole nā ​​hōʻailona ʻē aʻe o ka ʻeha. Inā hōʻeha ka ʻeha i ka ʻeha, loaʻa paha ʻoe i ka peritonitis.

Kaukaʻi ʻia i kāu mau ʻōuli ʻē aʻe, kauoha paha ke kauka i kekahi mau hoʻokolohua keʻena hoʻokolohua pū, e like me:

• hoʻāʻo koko
• hoʻāʻo mimi
• nā hoʻāʻo kiʻi
• nā hoʻāʻo ʻana o ka hakuʻala
• nā hoʻāʻo hana ate
• Ka Ikepili o ka ʻōpū o ka ʻōpū

Hiki iā lākou ke hoʻohana i kahi scan CT a i ʻole MRI scan e nānā i kāu ʻōpū a me nā ʻōpū.

Inā hōʻoia kahi kauka he peritonitis kāu, aia kekahi mau koho lapaʻau, e like me ke kumu kumu. Pākuʻi ʻia kēia mau mea:

• antibiotics no nā maʻi bacteria
• ʻoki e hoʻoneʻe i nā maʻi i loaʻa i ka maʻi, he appendix naha, nā maʻi o ke ake maʻi, a i ʻole e hoʻoponopono i nā pilikia i loko o kou ʻōpū a i ʻole nā ​​ʻōpū
• lāʻau lapaʻau ʻeha no kekahi ʻeha a hōʻoluʻolu ʻole paha mai ka mumū

He aha ke kuanaʻike?

ʻO ka palupalu Rebound ʻaʻole ia he kūlana ponoʻī. Akā, he hōʻailona maʻamau ia no ka peritonitis. Me ka mālama ʻole ʻana, hiki i ka peritonitis ke hana i nā pilikia olakino mau.

E ʻimi i ka lāʻau lapaʻau koke inā ʻike ʻoe i ka ʻōpū o ka ʻōpū a me ka ʻeha ʻole, keu hoʻi inā ʻaʻole ʻoe e ʻai i kekahi mea i kēia manawa.