Isibonakaliso sikaBrudzinsky liqela leempawu ezikhethekileyo ezihambelana neempawu zamadoda ezinokuvela ngenxa yokucaphuka kwamadoda. Izimpawu ze-Meningeal ziquka ukulala, ukunyamezeleka kwentloko, ukuhlanza nokutywaba. Yona kanye uphawu lukaBrudzinsky yintlambo yamadolo kunye namaqabunga ekuphenduleni isigulane sokuguqa kwentamo. Le ngenye yezona zibalulekileyo ezibalulekileyo iimpawu zezifo ezifana, umzekelo, i- subarachnoid isisu okanye i-meningitis. Ngokukodwa kufuneka kuphawulwe ukuba le ngxaki inokubonwa kwabadala kunye nabantwana, nangona izigulane ezincinci ziqheleke kakhulu kwiingxaki ze-meningeal. Ngexesha elifanayo ukuqinisekiswa kobukho bokuba uphawu lukaBrudzinsky alusebenzi kwiimviwo zonyango rhoqo.
Izizathu ezibalulekileyo zokuphuhliswa kweempawu
Ngokuphathelele izizathu eziphambili ezinokubangela ukubonakala kwayo, okokuqala, kuyimfuneko yokwabelana ngesifo sengculaza njenge- meningitis ye-bacterial. Kule meko, uphawu luya kubonwa kumntu emva kweeyure ezingamashumi amabini anesine emva kokuqala kwesi sifo. Ukongezelela, uphawu lweBrudzinsky luyakunjongwa ngendlela echaphazelekayo ye-arthritis yomgudu. Kwakhona, lo mqondiso unokumiselwa emibini ukuya kwemizuzu emithathu emva kokuqala kokuphuma kwegazi. Kule meko, kwaye kwimeko yokugqibela, kwaye kwimeko ye-meningitis, ukuphazamiseka kwamadoda kuphawulwa ngenxa yokuqokelelwa kwe-exudate okanye uxinzelelo lwegazi malunga nokuphela kweentsholongwane ezisemgodleni womgcini.
Izimpawu ezinhlanu zikaBrudzinsky
Okwangoku, iingcali zihlukanisa iimpawu ezinhlanu ezibalulekileyo zikaBrudzinsky. Okokuqala, lo mqondiso we-zygomatic, uzimisele ngokugubungela imilenze emadolweni ngokuphendulela ekutheni kwi-arch zygomatic. Uphawu oluqhelekileyo lweBrudzinsky okanye, ngendlela eyahlukileyo, uphawu lwe-pubic, lugqityiwe ngenxa yenkxalabo kwi- lonnoe. Kule meko, ugqirha uyaphonsa imilenze yesigulane emadolweni nasezihlangwini. Ukugxininisa esitratweni esingaphantsi kwesigxina se-zygomatic nokuphakamisa amahlombe isimboli somhlathi weBrudzinsky. Uphawu oluphezulu (occipital) lugqityiweyo xa imilenze yesigulane igobile kwiindawo zokuguqa kunye nelokunyakaza ngexesha elifanayo kunye nokuguqulwa kwentloko yentloko. Kwakhona kufuneka kuthiwe malunga nesifo sesihlanu (esezantsi). Yigqityiwe ngexesha apho isigulane esilala emhlane wakhe siguqule umlenze kwindawo yokudibanisa kunye nokungafihli emadolweni.
Uluhlu lwezibonakaliso zekliniki
Naluphina ukubonakaliswa kweyiphi na le mpawu kufuneka ixelwe ngokukhawuleza kugqirha. Oku kubangelwa ukuba umntu onolu hlobo lweempawu, njengomthetho, ugula kakhulu, kwaye ufuna ukubeka esweni rhoqo imiqondiso yobomi kunye nokunyanzeliswa kwengcinezelo. Ukongezelela, iimviwo ze-neurological kunye nokuhlolwa kwe-cardiovascular ziyimfuneko. Isimpawu sikaBrudzinsky sifuna nokuziphatha kweenkqubo zokuxilonga ezifana neenkcubeko zegazi, umchamo, i-sputum kunye ne- cerebrospinal fluid.