A asibiti yi, wani kiwon lafiya naka na farko fasaha da wanda likita assesses haƙuri da yanayin da kuma sanin wani na farko ganewar asali ne kowa tambayar da jarrabawa, kazalika daki-daki a kan kowane tsarin na jiki, auscultation na zuciya da kuma huhu, palpation kuma feat. Irfan. Wannan Gaskiya ne, likita shiga, wadda ga kowane haƙuri ne kasaftawa sosai kadan lokaci, kuma idan ya zo gaggawa, sa'an nan 'yan mintoci. Saboda haka sau da yawa wani m alama Shchetkina-Blumberg gane asali haƙuri ta bayyanar cututtuka na peritonitis da kuma canja wurin shi da sauri zuwa ga m sashen. A palpation dabara rarrabe na waje da kuma zurfin, wanda kai tsaye tantance Jihar ciki gabobin. Yana amfani da wannan dabara da yafi ga zargin cututtuka na gastrointestinal fili da kuma urinary fili, kamar yadda ciki yanki mafi dace domin irin wannan ba cin zali, amma sau da yawa m, bincike.
Wasu dabaru palpation
Alal misali, daya daga cikin manyan hanyoyin su ne alama-Shchetkina Blumberg, Kera, Murphy, Chauffard, Mayo-Robson, da kuma wasu diaphragmatic doguwar ga sa na sternocleidomastoid tsoka ga clavicle. Wadannan dabaru bayyanãwa tausayi a wasu maki, wanda aka bayyana a cikin mutum cututtuka. Saboda haka sau da yawa a can ne tabbatacce alama Shchetkina-Blumberg appendicitis, peritonitis daftarin, perforation na m gabobin. Kera kuma Murphy - kumburi cututtuka na gallbladder da kade-kade hanyoyi. A zafi a cikin maki Chauffard da Mayo-Robson (tsinkaya shugaban da wutsiya na pancreas) ya ce m lokaci na pancreatitis. Duk da haka, mafi muhimmanci na wadannan ne, watakila, shi ne wani alama na Shchetkina-Blumberg, saboda ta m bambance-bambancen nuna peritoneal hangula interoceptors, don haka - for ciki na jini ko rarraba wannan asali serosa na kumburi tsari da jikin kogon ciki. Kuma wannan jiha a wani hali ne gaggawa.
A alama na hangula daga cikin peritoneum
Don yadda ya kamata duba alama Shchetkina-Blumberg a cikin haƙuri ya kamata a ba da buroshi lankwasa a cikin interphalangeal gidajen abinci na halin da ake ciki (as idan rike a hannunsa a kananan ball) da kuma gudanar da uku aiki yatsunsu (index, tsakiya da kuma zobe) zuwa ciki. Sai ka tambayi mãsu haƙuri ga numfasa (a wannan lokaci kana bukatar ka tattara a fata Musulunci da kuma cire shi saukar), exhale (zurfafa yatsunsu a cikin 3-4 cm), kuma su sharply jerk. M alama Shchetkina-Blumberg gani, idan na karshe aiki na tausayi a cikin wannan yanki qara gunaguni ƙwarai. Yana kuma iya zama korau kuma m. Mafi sau da yawa wani rajistan shiga aka sanya idan haƙuri zo a cikin gaggawa dakin ko asibiti tare da m ciki ciwo da kuma tanã kai ƙãra game da dogon lokacin da m zafi. Mafi sau da yawa, da alama Shchetkina-Blumberg kyau a daftarin peritonitis da appendicitis. A irin wannan hali da haƙuri ne tuba zuwa cikin karin tiyata ga masana riga tãtacce cikin hanyar da halayyar manifestations.