Ake - o kekahi o ka nui kanaka nā loko, i hanaʻia i keʻano o ka hana. I ka papa kuhikuhiE kino kuleana pili i - i ka 'ohana ka palekana mai nā palapala haole waiwai e komo i ke kino, a laila i ka ake o ka nui ke'ākeʻakeʻa mai, ma a ka aaioee o "AND" konohiki. Eia hou, i loko o ke kahua o ke akepaʻa koko nā polokina e pono ai ke ola. He ua i komo i loko o ka digestive kaʻina (? Iecaianoaaiiie o ka bile, nā'ūhū).
Ma na mea he nui mai Hawaii loli hui, papa, ia mea hiki ke kuhikuhi i loko o ka anamanaʻo. Oia na kumu nā maʻi o ka hematopoietic oihana, kekahi infectious maʻi, hepatitis, cirrhosis, a no laila, ma luna o. Ua nui ano o ka hoʻokolokolo 'ana, i kekahi o ia mau mea - percussion, a hoʻoholo i ka nui o ke akepaʻa Kurlov, no ka palupalu, shape. Manawa percussion hiki huai ae i ka hua a me ka emi ana o ke akepaʻa i mea PalekanaEND_LINK o ka maʻi.
ana 'ana i kūpono
ake Kurlov Ana ana a laina ekolu: sredneklyuchichnoy Maikaʻi, waena a me ka hema intercostal makahiki he 10, mai ka hema anterior axillary laina. Hoʻomaka 'enehana hou ma kaʻaoʻao'ākau o ka lua o ka intercostal makahiki a hiki i ke kaniʻana deadening i loko o kēia wahi mark kiekie palena o ke akepaa, a laila, mentally lawe pololei papamoe laina ma luna o ka piko, a hoʻomaka percuss ma midclavicular laina mai, oiai ka haʻahaʻa kino i wale aku no. Na kekahi laina - i ka Media, percussion hana, mai ka piko mai a hiki i keʻano o ka dullness. Ka hope o ka laina e holo ana ma luna o ka intercostal makahiki 10 a hiki i ka luna palena. Ke'ōlelo mai ka manao o ka nui o ke akepaa, o ka uku o ka 9, 8 a me 7 knm (a me ka laina).
Hoʻololi i ka nui o ke akepaʻa pathologies
Inā 'oe deviate mai ka maʻamau nui kino hoʻomaka e hoʻomaka houʻike. Ana o ke akepaʻa (Kurlov ia oluolu, e hōʻike) e ĸokoĸa ana nä pane nā luna a me ka Hope versa. Ka hua - hepatomegaly - malama i na mea he nui mai, i waena o a nō ka noho pilikia loa leukemia, maʻi hepatitis, neoplastic keʻano o ka hanaʻana o ka mea na nā loko. Ke nui ka ho'ēmiʻana hiki ke ike ma ke kahua o ka cirrhosis o ke akepaa, a mea he ilihune prognostic hōʻailona.
makahiki hiʻona
Ma na kamalii uuku ke akepaʻa lawe i nui aku ka lewa i loko o ka abdominal lua ma mua i loko o ka makua. O ke kumu ho i ka mea i loko o utero hematopoietic kuleana pili i ka mea hanaʻia i loko o ke kino o ka fetus. No nui, ka mea hiki i na kamalii uuku, a me na keiki i hiki i kekahi makahiki, a laila, ma ka pili ana i ka abdomen i nā hoʻomaka e emi i ka nui o ke akepaʻa. Maʻamau, maʻa i nā mākua, ia mea mua he mau makahiki hope.
Inā 'oe hāʻupu aʻe i kekahi maʻi e koke nīnau aku i ke kauka no kaʻike,. Ke hoʻomalu ua koiia e hoʻomaka i ka piha ninaninau o ka hoomanawanui, me percussion. ka nui o ke akepaʻa Kurlov hiki ke hōʻike 'ia ma ka kakahiaka kahua o ka maʻi, akā, i kekahi manawa, ia mea e pono ai i mea e pakuʻi ai i ke ao o ke keʻena hoʻokolohua, a vocal ki ina hana like.