Kuthokoza

Zamkati

• Nchifukwa chiani kugwiritsira ntchito matsenga kumagwiritsidwa ntchito?
• Kodi mayesowa amachitika bwanji?
• Mtima
• Mimba
• Mapapo
• Kodi zotsatira zimamasuliridwa bwanji?
• Mtima
• Mimba
• Mapapo
• Kodi ndi njira ziti zina m'malo mokomera zamatsenga?
• Mgwirizano
• Zovuta
• Nchifukwa chiyani kutsogolera kuli kofunika?
• Funso:
• Yankho:

Kodi kutamanda ndi chiyani?

Auscultation ndi njira yachipatala yogwiritsa ntchito stethoscope kuti mumvetsere mkatikati mwa thupi lanu. Kuyesa kosavuta kumeneku sikungabweretse mavuto kapena zovuta zina.

Nchifukwa chiani kugwiritsira ntchito matsenga kumagwiritsidwa ntchito?

Phokoso losazolowereka limatha kuwonetsa zovuta m'malo awa:

• mapapo
• pamimba
• mtima
• mitsempha yayikulu yamagazi

Zowonjezera zitha kukhala:

• kugunda kwamtima kosasinthasintha
• Matenda a Crohn
• phlegm kapena madzi am'mapapu anu

Dokotala wanu amathanso kugwiritsa ntchito makina otchedwa Doppler ultrasound kuti athandizire. Makinawa amagwiritsa ntchito mafunde omveka omwe amatulutsa ziwalo zanu zamkati kuti apange zithunzi. Izi zimagwiritsidwanso ntchito kumvera kugunda kwa mtima wa mwana wanu mukakhala ndi pakati.

Kodi mayesowa amachitika bwanji?

Dokotala wanu amaika stethoscope pakhungu lanu lopanda kanthu ndikumvetsera gawo lililonse la thupi lanu. Pali zinthu zomwe dokotala wanu amamvera mdera lililonse.

Mtima

Kuti mumve mtima wanu, dokotala wanu amamvetsera zigawo zinayi zikuluzikulu komwe kumveka kwa ma valavu amtima ndikumveka kwambiri. Awa ndi magawo pachifuwa chanu pamwambapa komanso pansi pachifuwa chanu chakumanzere. Nyimbo zina zamumtima zimamvekanso bwino mukatembenukira mbali yakumanzere. Mumtima mwanu, dokotala amamvera:

• momwe mtima wako umamvekera
• kangati phokoso lililonse limachitika
• ndikumveka kwakumveka

Mimba

Dokotala wanu amamvera gawo limodzi kapena angapo am'mimba mwanu padera kuti mumvetsere matumbo anu. Amatha kumva kusambira, kugundana, kapena kusowa kalikonse. Phokoso lililonse limadziwitsa dokotala wanu zomwe zikuchitika m'matumbo mwanu.

Mapapo

Mukamamvetsera m'mapapu anu, dokotala wanu amayerekezera mbali imodzi ndi inayo ndikufanizira kutsogolo kwa chifuwa chanu ndi kumbuyo kwa chifuwa chanu. Kutuluka kwa mpweya kumamveka mosiyana pomwe njira zampweya zimatsekedwa, kuchepetsedwa, kapena kudzazidwa ndi madzi. Amamveranso kumveka kosazolowereka monga kupumira. Dziwani zambiri zakumveka kwa mpweya.

Kodi zotsatira zimamasuliridwa bwanji?

Auscultation imatha kuuza dokotala wanu zambiri za zomwe zikuchitika mkati mwa thupi lanu.

Mtima

Kumveka kwamitima yachikhalidwe kumakhala kosavuta. Kusiyanasiyana kumatha kuwonetsa dokotala wanu kuti madera ena sangakhale akupeza magazi okwanira kapena kuti muli ndi valavu yotayikira. Dokotala wanu akhoza kuyitanitsa kuyesedwa kowonjezera ngati amva china chake chachilendo.

Mimba

Dokotala wanu ayenera kuti amve mawu m'malo onse amimba mwanu. Zinthu zokugayidwa zitha kumata kapena matumbo anu atha kupindika ngati gawo lamimba lanu silimveka. Zonsezi zingakhale zovuta kwambiri.

Mapapo

Phokoso lamapapu limatha kusiyanasiyana mofanana ndi kumveka kwa mtima. Mawilo amatha kukhala okwera kwambiri kapena otsika ndipo amatha kuwonetsa kuti ntchofu imalepheretsa mapapu anu kukula bwino. Mtundu wina wamawu omwe dokotala angamvere amatchedwa rub. Mafupa amamveka ngati zidutswa ziwiri za sandpaper zomwe zikupukutira palimodzi ndipo zimatha kuwonetsa malo okwiyitsa m'mapapu anu.

Kodi ndi njira ziti zina m'malo mokomera zamatsenga?

Njira zina zomwe dokotala angazigwiritse ntchito kuti mudziwe zomwe zikuchitika mkati mwa thupi lanu ndizopindika komanso kumenya.

Mgwirizano

Dokotala wanu amatha kugwedeza pokhapokha atayika zala zawo pamitsempha yanu imodzi kuti muyese kupanikizika kwa systolic. Madokotala nthawi zambiri amayang'ana pamfundo yayikulu (PMI) mozungulira mtima wanu.

Ngati dokotala akumva china chake chachilendo, amatha kuzindikira zovuta zomwe zingakhudze mtima wanu. Zovuta zimatha kuphatikizira PMI yayikulu kapena chisangalalo. Chokondweretsa ndikutengeka komwe kumachitika chifukwa cha mtima wanu womwe umamveka pakhungu.

Zovuta

Kuyenda kumakhudza dokotala wanu pogogoda zala zawo kumadera osiyanasiyana amimba. Dokotala wanu amagwiritsa ntchito phokoso kuti amvetsere phokoso lochokera ku ziwalo kapena ziwalo za thupi pansi pa khungu lanu.

Mukumva kulira kopanda pake pamene dokotala wanu akugwedeza ziwalo za thupi zodzazidwa ndi mpweya ndikumveka kocheperako pomwe dokotala wanu amagogoda pamwamba pa madzi amthupi kapena chiwalo, monga chiwindi chanu.

Percussion amalola dokotala wanu kuti azindikire zinthu zambiri zokhudzana ndi mtima kutengera mamvekedwe ochepa amawu. Zomwe zitha kuzindikirika pogwiritsa ntchito zovuta zimaphatikizapo:

• kukulitsa mtima, womwe umatchedwa cardiomegaly
• madzimadzi ochulukirapo pamtima, omwe amatchedwa pericardial effusion
• emphysema

Nchifukwa chiyani kutsogolera kuli kofunika?

Kuthokoza kumamupatsa dokotala malingaliro oyambira pazomwe zikuchitika mthupi lanu. Mtima wanu, mapapo anu, ndi ziwalo zina m'mimba mwanu zonse zimatha kuyesedwa pogwiritsa ntchito chisangalalo ndi njira zina zofananira.

Mwachitsanzo, ngati dokotala sanazindikire malo okhala ndi nkhonya otsalira a sternum yanu, mutha kuyesedwa ndi emphysema. Komanso, ngati dokotala atamva zomwe zimatchedwa "kutsegula mwachidule" pomvera mtima wanu, mutha kuyesedwa ndi mitral stenosis. Mungafunike kuyesedwa kowonjezera kuti mupeze matenda kutengera phokoso lomwe dokotala amva.

Kuthokoza ndi njira zina zokhudzana ndi izi ndi njira yabwino kuti dokotala adziwe ngati mukusowa chithandizo chamankhwala pafupi kapena ayi. Kuthokoza kungakhale njira yabwino kwambiri yodzitetezera kuzinthu zina. Funsani dokotala wanu kuti azichita izi mukamayesedwa.

Funso:

Kodi nditha kudzilimbitsa ndekha kunyumba? Ngati ndi choncho, ndi njira ziti zabwino kwambiri zopangira izi moyenera komanso molondola?

Yankho:

Mwambiri, kusangalatsa kuyenera kuchitidwa ndi akatswiri azachipatala, monga dokotala, namwino, EMT, kapena mankhwala. Chifukwa cha ichi ndi chifukwa ma nuances ochita bwino a stethoscope auscultation ndi ovuta. Mukamamvetsera pamtima, m'mapapo, kapena m'mimba, khutu losaphunzitsidwa silingathe kusiyanitsa pakati pa mawu abwinobwino, oyenera motsutsana ndi mawu omwe angawonetse vuto.