In nidaamka bukaan eegida, wax bixiye daryeel caafimaad xirfad ugu horeysay oo dhakhtar qiimeeyaa xaaladda bukaanka iyo ogaado cudurka horudhac ah waa su'aalo caadi ah iyo baaritaanka, iyo sidoo faahfaahsan oo ku saabsan sida nidaamka kasta oo jidhka ah, auscultation oo ka mid ah wadnaha iyo sambabada, taataabasho iyo durbaanka. Tani waa run gaar ahaan caafimaadka ogolaanshaha, taas oo loogu talagalay bukaan kasta waxaa loo qoondeeyay waqti aad u yar, iyo haddii uu yimaado si deg deg ah, ka dibna dhowr daqiiqo. Sidaas daraaddeed marar badan calaamad wanaagsan Shchetkina-Blumberg si loo baadho bukaanka calaamadaha peritonitis oo si deg deg ah lagu wareejiyo waaxda qalliinka. In farsamo taataabasho kala saar oo qoto dheer, taas oo si toos ah loo qiimeeyo gobolka ee xubnaha gudaha. Waxaa dalbatay farsamadaa waxa ay inta badan cudurada lagu tuhunsan yahay mareenka caloosha iyo mindhicirka iyo kaadi mareenka, sida meelaha caloosha ugu haboon sida a non-invasive, laakiin inta badan xanuun badan, cilmi baarista.
Qaar ka mid ah farsamooyinka taataabasho
Tusaale ahaan, mid ka mid ah hababka ugu muhiimsan ee waa calaamad-Shchetkina Blumberg, Kera, Murphy, Chauffard, Mayo-Robson, iyo qaar ka mid ah Diaphragmatic saadaalineysa in galinta ee muruqa sternocleidomastoid in kalxanta. hababkan Muujin damqasho dhibcood gaar ah, kaas oo muujiyey in cudurada shaqsi. Sidaas daraaddeed marar badan ayuu meeshaas waa calaamad wanaagsan Shchetkina-Blumberg qabsinka, qabyo peritonitis, daloolin xubnaha godan; Kera iyo Murphy - cudurada bararka oo ka mid ah kaadi haysta iyo waddooyinkiisa qaban ay. xanuun A ee dhibcood ka Chauffard iyo Mayo-Robson (madaxa qiyaas iyo badhidii ganaca) ayaa sheegay in wajiga ba'an ee pankreatit. Si kastaba ha ahaatee, waxa ugu muhiimsan ee ka mid ah kuwan waa, laga yaabee, waa calaamad ka mid ah Shchetkina-Blumberg, sababtoo ah kala duwanaansho wanaagsan muujinaysaa interoceptors cuncun xuubka hoose, si - for dhiig-bax gudaha ama qaybinta serosa asaasiga ah ee geedi socodka bararka la jirka ah ee saabka caloosha. Iyo gobolka this kiis kasta waa xaalad deg deg ah.
calaamad ka mid ah cuncun of peritoneum ah
Si aad si sax ah u hubiso calaamadaha Shchetkina-Blumberg ee bukaanka waa in la siiyaa laaban burush kala goysyada interphalangeal xaaladda (sida haddii haysta oo gacanta ugu kubad yar) oo lagu qabtay saddex farood shaqada (index, dhexe iyo giraanta) si ay caloosha. Markaas bukaanka u sheeg inuu neef badan ku qaadato (waqtigan aad u baahan tahay si ay u ururiyaan laab maqaarka ah oo soo jiid hoos), neefta siidaysid (si qoto farahaaga ku saabsan 3-4 cm), oo ay soo maratay Jerk. calaamad wanaagsan Shchetkina-Blumberg tixgeliyo haddii fal la soo dhaafay ee danqasho ee ku yaala goobahan maratay kordhiyaa. Waxa kale oo ay noqon kartaa xun oo shaki ku jiro. Inta badan jeeg la sameeyo haddii bukaanku gaaray qolka gargaarka degdegga ama rugta caafimaadka la ba'an syndrome caloosha iyo cabasho ah oo ku saabsan xanuunka horusocod ah muddo dheer. Inta badan, ee calaamad Shchetkina-Blumberg wanaagsan at peritonitis qabyada ah iyo qabsinka. Xaaladdan oo kale bukaanka waxaa beddelay qaliin dheeraad ah si ay khubaro hore u caddeeyo sababta keentay daliilka sifo.