Nā hōʻailona o Kernig, Brudzinski a me Lasègue: he aha lākou a no ke aha lākou
Anter
- Pehea e ʻike ai i nā hōʻailona meningeal
- 1. Kernig hōʻailona
- 2. ʻO kā Brudzinski hōʻailona
- 3. Hōʻailona Lasègue
ʻO nā hōʻailona o Kernig, Brudzinski a me Lasègue he mau hōʻailona ia e hāʻawi ai ke kino ke hana ʻia kekahi mau neʻe, e ʻae ai i ka loaʻa ʻana o ka meningitis a, no laila, hoʻohana ʻia e nā ʻoihana olakino e kōkua i ka ʻike ʻana i ka maʻi.
Hoʻohālikelike ʻia ka meneningitis e ka nui o ka mumū o nā meninges, ʻo ia nā membrane e laina ana i ka lolo a me ka iwi kuamoo, i hiki ke kumu ʻia e nā maʻi ʻino, bacteria, fungi a i ʻole nā parasites, e alakaʻi aku ana i nā hiʻohiʻona e like me ka ʻeha poʻo, ke kuni, kaho ʻāʻī. ʻIke pehea e ʻike ai i nā ʻōuli o ka meningitis.
Pehea e ʻike ai i nā hōʻailona meningeal
Pono e ʻimi ʻia nā hōʻailona meningeal e kahi ʻoihana olakino, ke hana ʻia penei:
1. Kernig hōʻailona
Me ke kanaka i ke kūlana supine (e moe ana i kona ʻōpū), paʻa ka ʻoihana olakino i ka ʻūhā o ka mea maʻi, ke kau nei ma luna o ka ʻūhā a laila hoʻolōʻihi ʻia i luna, ʻoiai e hoʻomau ana nā mea ʻē aʻe a laila hana like me ka wāwae ʻē aʻe.
Inā i ka neʻe ʻana o ka wāwae i luna, kūleʻa ʻole ke poʻo o ke poʻo a i ʻole ʻeha ke kanaka i ka ʻeha a i ʻole nā palena e hana i kēia neʻe, manaʻo paha ia he meningitis lākou.
2. ʻO kā Brudzinski hōʻailona
Eia pū me ke kanaka i ke kūlana supine, me nā lima a me nā wāwae i hohola ʻia, kau ka ʻoihana olakino i hoʻokahi lima ma ka umauma a me ka mea ʻē aʻe e hoʻāʻo i ke poʻo o ke kanaka i ka umauma.
Inā, i ka wā e hana nei i kēia neʻe, ka hele ʻana o ka wāwae aniani ʻole a, i kekahi mau hihia, ʻeha ka ʻeha, pili paha ia i ka meningitis o ke kanaka, ma muli o ka kaomi kaomi i hoʻokumu ʻia e ka maʻi.
3. Hōʻailona Lasègue
Me ke kanaka i ke kūlana supine a me nā lima a me nā wāwae i kīkoʻo, hana ka ʻoihana olakino i ka flexion o ka ʻūhā ma luna o ka pelvis.
He maikaʻi ka hōʻailona inā ʻike ke kanaka i ka ʻeha ma ke kua o ka lālā e nānā ʻia (ma hope o ka wāwae).
Kūpono kēia mau ʻōuli no kekahi neʻe ʻana, ma muli o ke ʻano o ka hoʻohaunaele i ke ʻano o ka meningitis, ka mea e alakaʻi ʻia ai i ka spasms o nā mākala paravertebral, no laila, he ala maikaʻi ia no ka hōʻailona. Ma waho o ka noiʻi ʻana i kēia mau hōʻailona, loiloi pū ke kauka i nā ʻōuli i loaʻa a hōʻike ʻia e ke kanaka, e like me ka ʻeha o ka ʻāʻī, ʻāʻī o ka ʻāʻī, ka ʻike i ka lā, ke kuni, ka ʻeha a me ka luaʻi.