1. Ikimenyetso cya Hepatojugular
Iyo kunanirwa k'umutima gutera umwijima no kubyimba, umwijima urashobora guhagarikwa n'amaboko kugirango imitsi ya jugular yaguke. Impamvu zikunze kugaragara ni ukutagira umuyaga uhagije hamwe na hepatite yuzuye.
Ikimenyetso cya Cullen
Ikizwi kandi nk'ikimenyetso cya Coulomb, ecchymose yubururu-ubururu ku ruhu ruzengurutse umbilicus cyangwa urukuta rwo mu nda ni ikimenyetso cyo kuva amaraso menshi mu nda, ibyo bikaba bikunze kugaragara cyane mu maraso ava mu nda ya retroperitoneal, acrose hemorhagic nekrotizing pancreatitis, guturika mu nda aortic aneurysm, n'ibindi.
3.Ikimenyetso cya Grey-Turner
Iyo umurwayi arwaye pancreatite ikaze, umutobe wa pancreatic urengerwa mumyanya yo munsi yumubiri wikibuno no kumpande, ugashonga ibinure byumubiri, hamwe na capillaries ugaturika kandi ukava amaraso, bikaviramo ecchymose yubururu-bwijimye ku ruhu muri utwo turere, ibyo bita ikimenyetso cya Gray-Turner.
4.Ikimenyetso cya Courvoisier
Iyo kanseri y'umutwe wa pancreas ihagaritse imiyoboro isanzwe, cyangwa kanseri yo mu gice cyo hagati no hepfo y'umuyoboro w'amaraso itera inzitizi, indwara ya jaundice igaragara. Uruhago rwabyimbye rwitwa cystic, rudafite isoko, rufite ubuso bunoze kandi rushobora kwimurwa ni palpable, ibyo bikaba byitwa ikimenyetso cya Courvoisier, bizwi kandi ko ari uguhagarika buhoro buhoro imiyoboro isanzwe. umusoro.
5.Ikimenyetso cyo kurakara
Kubaho icyarimwe ubwuzu, ubwuzu bwongeye kugaruka hamwe no guhagarika imitsi yinda munda byitwa ikimenyetso cyo kurakara peritoneal, kizwi kandi nka peritonite triad. Nikimenyetso gisanzwe cya peritonite, cyane cyane aho igikomere kibanza. Inzira yo guhagarika imitsi yo munda biterwa nimpamvu n'imiterere yumurwayi. Imiterere rusange iratandukanye, kandi kwiyongera kwinda munda nikimenyetso cyingenzi cyimiterere mibi.
6.Ikimenyetso cya Murphy
Ikimenyetso cyiza cya Murphy ni kimwe mu bimenyetso by'ingenzi mu gusuzuma indwara ya cholecystite ikaze. Mugihe cyo gukubita agace k'uruhago munsi yikiguzi gikwiye, uruhago rwabyimbye rwarakozweho maze umurwayi asabwa guhumeka cyane. Umubyimba wabyimbye kandi waka umuriro wimukiye hepfo. Umurwayi yumvise ububabare bukabije ahita ahumeka.
Ikimenyetso cya Mcburney
Ubwuzu no kugarura ubwuzu ku ngingo ya McBurney mu nda iburyo bwo hepfo (ihuriro ry'umutiba no hagati na hanze 1/3 cy'iburyo bw'imbere isumba iliac umugongo) bikunze kugaragara muri appendicite ikaze.
8.Inyabutatu
Indwara ya cholangitis ikabije yerekana ububabare bwo munda, gukonja, umuriro mwinshi, na jaundice, bizwi kandi nka Chaco's triad.
1) Ububabare bwo munda: Bibaho mugihe cya xiphoide no muri quadrant iburyo iburyo, ubusanzwe colic, hamwe nibitero bya paroxysmal cyangwa ububabare buhoraho hamwe no kwiyongera kwa paroxysme, bishobora gukwirakwira ku rutugu rwiburyo ninyuma, biherekejwe no kugira isesemi no kuruka. Bikunze gukururwa nyuma yo kurya ibiryo byamavuta.
2) Gukonjesha no kugira umuriro: Nyuma yo guhagarika imiyoboro y'amazi, umuvuduko uri mu muyoboro w'inda wiyongera, akenshi bikaviramo kwandura kabiri. Indwara ya bagiteri n'uburozi birashobora gusubira mu maraso binyuze mu miyoboro ya capillary bile hamwe na sinusoide ya hepatike, bikaviramo umwijima wo mu mwijima wa biliary, sepsis, septique septique, DIC, n'ibindi, muri rusange bigaragarira nk'umuriro ukabije, hamwe n'ubushyuhe bw'umubiri bugera kuri 39 kugeza kuri 40 ° C.
3) Indwara ya Jaundice: Amabuye amaze guhagarika umuyoboro w'inda, abarwayi barashobora kugira inkari z'umuhondo zijimye n'umuhondo wijimye uruhu na sclera, kandi abarwayi bamwe bashobora kurwara uruhu.
9.Reynolds (Renault) ibimenyetso bitanu
Gufungwa amabuye ntabwo byorohewe, gutwika kurushaho kwiyongera, kandi umurwayi agira uburwayi bwo mu mutwe no guhungabana ashingiye ku butatu bwa Charcot, bwitwa pentologiya ya Raynaud.
10.Ikimenyetso cya Kehr
Amaraso mu cyuho cy'inda atera diafragma y'ibumoso, atera ububabare bw'igitugu cy'ibumoso, bukunze kugaragara mu guturika.
11. Ikimenyetso cya Obturator (obturator internus imitsi)
Umurwayi yari mu mwanya wa supine, hamwe n'ikibero cy'iburyo n'ibibero byahindutse hanyuma bikazunguruka imbere, bigatera ububabare bwo mu nda bwo hepfo, bigaragara muri appendicite (umugereka uri hafi y'imitsi ya obturator internus).
12. Ikimenyetso cya Rovsing (ikizamini cyo guta ifaranga)
Umurwayi ari mu mwanya mwiza, ukuboko kwe kw'iburyo gukanda inda y'ibumoso yo hepfo ndetse n'ukuboko kwe kw'ibumoso kunyunyuza imitsi yegeranye, bigatera ububabare mu nda yo hepfo y'iburyo, bigaragara muri appendicite.
13.X-ray barum ikimenyetso cyo kurakara
Barium yerekana ibimenyetso byo kurakara mugice cyo munda kirwaye, hamwe no gusiba vuba no kuzura nabi, mugihe kuzura ari byiza mubice byo hejuru no hepfo. Ibi byitwa X-ray barium irritation ikimenyetso, gikunze kugaragara kubarwayi barwaye igituntu cyo mu nda. .
14. Ikimenyetso cya kabiri cya halo / ikimenyetso cyintego
Mugihe cyibikorwa byindwara ya Crohn, uburyo bwiza bwa CT enterografiya (CTE) bwerekana ko urukuta rwamara rwabyimbye cyane, mucosa yo munda yongerewe cyane, igice cyurukuta rw amara kiratondekanye, kandi impeta yimbere yimbere nimpeta ya serosa yo hanze byongerewe cyane, byerekana halo ebyiri. ikimenyetso cyangwa ikimenyetso.
15. Ikimenyetso cyibiti
Mugihe cyibikorwa byindwara ya Crohn, CT enterografiya (CTE) yerekana ubwiyongere bwimitsi yamaraso ya mesenteric, bikongerera ubwinshi bwamavuta ya mesenteric no kuvangavanga, hamwe no kwaguka kwa lymph node, byerekana "ikimenyetso cyibiti".
16. Azotemiya ya Enterogenic
Nyuma yo kuva amaraso menshi mu gice cyo hejuru cya gastrointestinal, ibikomoka ku igogora rya poroteyine zo mu maraso byinjira mu mara, kandi intungamubiri za azote ya urea mu maraso zishobora kwiyongera by'agateganyo, ibyo bita azotemiya ya enterogene.
17. Indwara ya syndrome ya Mallory-Weiss
Kugaragara kwa clinique nyamukuru yiyi syndrome ni kwiyongera gutunguranye kwumuvuduko wimbere munda bitewe no kugira isesemi ikabije, kuruka nizindi mpamvu, bitera kurira igihe kirekire mucosa na submucosa yumutima wa karidiya yumutima na esofagusi, bityo bigatuma amaraso ava gastrointestinal. Ibigaragara byingenzi ni gitunguranye Acate hematemesis, ibanzirizwa no gusubiramo inshuro nyinshi cyangwa kuruka, byitwa na esophageal na cardia mucosal amarira syndrome.
18. Indwara ya Zollinger-Ellison (gastrinoma, Zollinger-66Ellison syndrome)
Nubwoko bwikibyimba cya gastroenteropancreatic neuroendocrine kirangwa n ibisebe byinshi, ahantu hadasanzwe, kwandura ibibazo by ibisebe, no kutakira nabi imiti isanzwe irwanya ibisebe. Impiswi, gusohora aside gastricike nyinshi, hamwe no kwiyongera kwa gastrine. hejuru.
Ubusanzwe Gastrinoma ni nto, kandi hafi 80% biherereye muri mpandeshatu ya “gastrinoma” (ni ukuvuga ihuriro ry'umubyimba n'umuyoboro usanzwe, igice cya kabiri n'icya gatatu cya duodenum, n'ijosi n'umubiri bya pancreas). Muri mpandeshatu zakozwe n’isangano), ibice birenga 50% bya gastrinoma ni mbi, kandi abarwayi bamwe na bamwe bahuye na metastasize iyo bavumbuwe.
19. Indwara ya syndrome
Nyuma ya gastrectomy ya subtotal, kubera gutakaza imikorere yo kugenzura pylorus, ibirimo gastrica bisohoka vuba vuba, bikavamo urukurikirane rwibimenyetso byamavuriro bita dumping syndrome, bikunze kugaragara muri PII anastomose. Ukurikije igihe ibimenyetso bigaragara nyuma yo kurya, bigabanijwemo ubwoko bubiri: kare na nyuma.
Indwara ya syndrome yo guta hakiri kare: Ibimenyetso bya hypovolemia yigihe gito nka palpitations, ibyuya bikonje, umunaniro, hamwe n ibara ryera bigaragara nyuma yisaha imwe nyuma yo kurya. Iherekejwe no kugira isesemi no kuruka, kuribwa mu nda, no gucibwamo.
Indwara ya syndrome yatinze: ibaho nyuma yamasaha 2 kugeza kuri 4 nyuma yo kurya. Ibimenyetso nyamukuru ni ukuzunguruka, ibara ryijimye, ibyuya bikonje, umunaniro, hamwe nindwara yihuta. Uburyo bukoreshwa ni uko ibiryo bimaze kwinjira mu mara, bitera ubwinshi bwa insuline isohoka, ari nako biganisha kuri hypoglycemia idakira. Yitwa kandi syndrome ya hypoglycemia.
20. Indwara ya dystrofiya idahwitse
Ni syndrome de clinique aho intungamubiri zibura bitewe n'imikorere mibi y'amara mato mu gusya no kwinjiza intungamubiri, bigatuma intungamubiri zidashobora kwinjizwa bisanzwe kandi zisohoka mu mwanda. Mubuvuzi, bikunze kwigaragaza nkimpiswi, inanutse, iremereye, amavuta nibindi bimenyetso byo kwinjiza amavuta, bityo nanone yitwa steatorrhea.
21.PJ syndrome (syndrome ya pigmented polypose, PJS)
Ni syndrome ya autosomal yiganje yibibyimba irangwa nuruhu na mucosal pigmentation, polyps nyinshi ya hamartomatous mumyanya yigifu, hamwe no kwandura ibibyimba.
PJS ibaho kuva mu bwana. Mugihe abarwayi basaza, polyps gastrointestinal igenda yiyongera kandi ikaguka, bigatera ingorane zitandukanye, nko gutera intususception, guhagarika amara, kuva amaraso gastrointestinal, kanseri, imirire mibi, no kudindira kwiterambere mubana.
22. Indwara yo munda
Umuvuduko wimbere winda yumuntu usanzwe uri hafi yumuvuduko wikirere, 5 kugeza 7 mmHg.
Umuvuduko w'inda ≥12 mmHg ni hypertension yo mu nda, naho umuvuduko w'inda ≥20 mmHg uherekejwe no kunanirwa kw'ingingo zijyanye na hypertension yo mu nda ni syndrome de sima (ACS).
Kugaragara kwa Clinical: Umurwayi afite uburibwe mu gatuza, guhumeka neza, guhumeka neza, no kwihuta k'umutima. Kugabanya inda no guhagarika umutima birashobora guherekezwa no kubabara munda, amajwi yo mu nda yacitse intege cyangwa yazimiye, n'ibindi. Hypercapnia (PaCO?> 50 mmHg) na oliguria (inkari zisohoka mu isaha <0.5 mL / kg) zishobora kubaho mugihe cyambere cya ACS. Anuria, azotemia, kunanirwa guhumeka hamwe na syndrome de cardiac isohoka bibaho mugihe cyanyuma.
23. Indwara ya syndrome de mesenteric
Bizwi kandi nka benigne duodenal stasis na duodenal stasis, urukurikirane rwibimenyetso biterwa numwanya udasanzwe wimitsi yo hejuru ya mesenteric artera igabanya igice cya horizontal ya duodenum, bikaviramo guhagarika igice cyangwa cyuzuye.
Bikunze kugaragara mubagore bakuze ba astenike. Hiccups, isesemi, no kuruka birasanzwe. Ikintu kigaragara muri iyi ndwara ni uko ibimenyetso bifitanye isano n'umwanya w'umubiri. Iyo umwanya wa supine ukoreshejwe, ibimenyetso byo kwikuramo byiyongera, mugihe mugihe imyanya ikunze kugaragara, umwanya wamavi-igituza, cyangwa umwanya wibumoso, ibimenyetso birashobora kugabanuka. .
24. Indwara ihumye
Indwara ya diarrhea, anemia, malabsorption no gutakaza ibiro biterwa no guhagarara kw'ibintu bito byo mu mara no gukura kwa bagiteri mu mara. Biboneka cyane cyane muburyo bwo gukora impumyi cyangwa imifuka ihumye (ni ukuvuga amara yo mu nda) nyuma ya gastrectomy na gastrointestinal anastomose. Kandi biterwa no guhagarara.
25. Indwara ngufi
Bisobanura ko nyuma yo kwifata kwinshi mu mara cyangwa guhezwa bitewe nimpamvu zitandukanye, ahantu heza ho kwinjirira amara hagabanutse cyane, kandi amara asigaye akora ntashobora gukomeza imirire yumurwayi cyangwa ibikenerwa byo gukura k'umwana, nibimenyetso nka diyare, acide-base / amazi / indwara ya electrolyte, hamwe na syndromes yiganjemo ibibazo byo kwinjirira no guhinduranya intungamubiri zitandukanye.
26. Indwara ya Hepatorenal
Ibyingenzi byingenzi bivura ni oliguria, anuria na azotemia.
Impyiko z'umurwayi ntizigeze zikomeretsa cyane. Kubera umuvuduko ukabije wa portal hypertension hamwe na splanchnic hyperdynamic itembera, umuvuduko wamaraso wagabanutse cyane, kandi ibintu bitandukanye bya vasodilator nka prostaglandine, okiside ya nitric, glucagon, peptide natriuretic peptide, endotoxin, na peptide bifitanye isano na Kalisiyumu ntibishobora gukoreshwa numwijima wa sisitemu; ubwinshi bwamazi ya peritoneal arashobora gutera ubwiyongere bukabije bwumuvuduko wimbere munda, ushobora kugabanya umuvuduko wamaraso wimpyiko, cyane cyane impyiko cortex hypoperfusion, biganisha kunanirwa kwimpyiko.
80% by'abarwayi bafite uburwayi bwihuta bapfa mu byumweru 2. Ubwoko bugenda butera imbere buhoro buhoro buramenyerewe mubuvuzi, akenshi bugaragaza hamwe no gukuramo inda no gutinda kunanirwa kw'impyiko.
27. Indwara ya Hepatopulmonary
Hashingiwe ku mwijima cirrhose, nyuma yo gukuramo indwara zambere zifata umutima, dyspnea nibimenyetso bya hypoxia nka cyanose hamwe no gufunga intoki (amano) bigaragara, bifitanye isano na vasodilasiyo yo mu nda ndetse na ogisijeni yo mu maraso ya arterial, kandi prognoz ni mbi.
28. Indwara ya Mirizzi
Ijosi rya Gallbladder ijosi cyangwa cystic duct amabuye, cyangwa bihujwe no gutwika gallbladder, igitutu
Bibaho mu guhatira cyangwa kugira ingaruka kumiyoboro isanzwe ya hepatike, bigatera ikwirakwizwa ryimyanya myibarukiro, gutwika cyangwa stenosis yumuyoboro rusange wa hepatike, kandi bikagaragarira mubuvuzi nkurukurikirane rwa syndromes yubuvuzi irangwa na jaundice ikumira, biliary colic cyangwa cholangitis.
Ishimikiro rya anatomique yo gushingwa ni uko umuyoboro wa cystic numuyoboro rusange wa hepatike ari muremure cyane hamwe cyangwa aho ihuriro ryumuyoboro wa cystic numuyoboro rusange wa hepatike uri hasi cyane.
29. Indwara ya Bud-Chiari
Indwara ya Bud-Chiari, izwi kandi ku izina rya syndrome ya Bud-Chiari, yerekeza ku itsinda rya hypertension portal cyangwa portal na hypertension ya vena cava iterwa no guhagarika imitsi ya hepatike cyangwa vena cava ntoya hejuru yo gufungura. indwara.
30. Indwara ya Karoli
Kwiyongera kwa cystic kwaguka kwimyanya ndangagitsina. Uburyo ntibusobanutse. Birashobora kuba bisa na choledochal cyst. Indwara ya cholangiocarcinoma iruta iy'abaturage muri rusange. Kugaragara kwa muganga hakiri kare ni hepatomegaly nububabare bwo munda, cyane nka biliary colic, bigoye nindwara ya bagiteri. Indwara ya jundice rimwe na rimwe ibaho mugihe cyo gutwika, kandi urugero rwa jaundice ni rworoheje.
31. Indwara ya syndrome
Nindwara yo kwandura iterwa no guhagarika igorofa yo hasi kubera spasm cyangwa hypertrophy yimitsi ya puborectalis.
32. Indwara ya pelvic hasi
Yerekeza ku itsinda rya syndromes iterwa na neuromuscular idasanzwe mu nyubako zo hasi zirimo urukiramende, imitsi ya levator ani, na sphincter yo hanze. Ibyingenzi byingenzi bivura ni ingorane zo kwiyuhagira cyangwa kudacika intege, kimwe n'umuvuduko w'ububabare n'ububabare. Iyi mikorere idahwitse rimwe na rimwe irimo ingorane zo kwandura, ndetse rimwe na rimwe no kutagira fecal. Mu bihe bikomeye, birababaza cyane.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., Ni uruganda mu Bushinwa ruzobereye mu gukoresha endoskopi, nkabiopsy imbaraga, hemoclip, umutego,inshinge, spray catheter, cytology, kuyobora,igitebo cyo kugarura amabuye, izuru rya biliary drainage catheternibindi bikoreshwa cyane muriEMR,ESD, ERCP. Ibicuruzwa byacu byemewe na CE, kandi ibihingwa byacu byemewe na ISO. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika y'Amajyaruguru, Uburasirazuba bwo hagati ndetse no muri Aziya, kandi bigera ku bakiriya bamenyekana kandi bashimwe!
Igihe cyo kohereza: Nzeri-06-2024