I roto i te mahi haumanu, i tetahi kaiwhakarato tiaki hauora pūkenga tuatahi ki nei he tākuta aromatawai huru o te manawanui, me te whakatau i te tātaritanga tuatahi he pātai noa, me te whakamātautau, me te ngā i runga i nga pūnaha o te tinana, auscultation o te ngakau me te pūkahukahu, palpation me te percussion. he hauora rawa pono tenei uru, e hoki ia manawanui tohaina te iti rawa wa, a ki te haere mai ia wawe, ka he torutoru meneti. Heoi maha ki te tohumate pai Shchetkina-Blumberg te tātari o te manawanui tohu o peritonitis me whakawhiti reira hohoro ki te tari hāparapara. I roto i te tikanga palpation wehewehe papa'u me hohonu, e aromatawai tika te āhua o whekau. tono te reira i tenei tikanga te nuinga hoki mate whakapae o te wahi gastrointestinal me mimi, rite wāhi puku tino hāngai hoki taua he kore-urutomo, engari maha mamae, rangahau.
Ētahi palpation tikanga
Hei tauira, tetahi o nga tikanga matua he tohumate-Shchetkina Blumberg, mo Kera, Murphy, Chauffard, Mayo-Robson, me etahi diaphragmatic uaki ki te kōkuhu o te uaua sternocleidomastoid ki te āhei. whakakitea ēnei tikanga here i etahi ngā, whakakitea nei i roto i te mate takitahi. Heoi maha i reira he he tohumate pai Shchetkina-Blumberg whēkau, peritonitis tauira, perforation o whekau tuwhera; Mo Kera ko Murphy - mate inflammatory o te gallbladder me ona huarahi whakahaerenga. He mamae i roto i te ngā Chauffard me Mayo-Robson (upoko ngä me te hiawero o te repe taiaki) ka mea wāhanga whakapeka o pancreatitis. Heoi, ko te nui tino o enei ko te, pea, ko reira he tohumate o Shchetkina-Blumberg, no te mea tohu tona kē pai interoceptors ritenga peritoneal, pera - mo te toto ā tohatoha o tenei serosa taketake o te tukanga inflammatory ki te tinana o te kōhao puku ranei. Na tenei ahua i roto i tetahi take ko te ohotata.
He tohu o te ritenga o te peritoneum
Hei tirohia tika te tohu Shchetkina-Blumberg i te manawanui kia hoatu te piko paraihe i roto i te hononga interphalangeal o te āhuatanga (me te mea e pupuri ana i roto i tona ringa i te pōro iti), ka puritia e toru maihao mahi (taupū, waenganui, me te mowhiti) ki te puku. Na ka ui te manawanui ki te tango i te manawa hohonu (i tenei wa e hiahia ana koe ki te kohikohi i te puninga kiri, me te wahia reira iho), te exhale (ki te faahohonu i to outou maihao i runga i te 3-4 cm), me o ratou koi kahuki. tohumate pai o Shchetkina-Blumberg whakaaro ki te faarahi te mahi whakamutunga o te here i roto i tenei rohe koi. Ka taea hoki e te reira kino, me te tirengi. Nuinga o ngā wā i hanga i te haki e, ki te tae te manawanui i roto i te ruma ohorere whare hauora ranei ki syndrome puku whakapeka , me te amuamu e pā ana ki te mamae ahu whakamua wā roa-. Nuinga o ngā wā, i te tohu Shchetkina-Blumberg pai i tauira peritonitis me te whēkau. I roto i taua take e tahuri te manawanui ki te pokanga anō ki tohunga haamaramarama kua te take o te mau faaiteraa āhuatanga.