Èɖo ŋku esime nèyi ɖɔkta gbɔ eye wotsɔ nuƒomɔ̃ fafɛ ma da ɖe wò akɔta kple akɔta heɖo to nyuie dzia? Mí katã míekpɔ nuteƒekpɔkpɔ sia kpɔ. Ðe mèbia ɖokuiwò kpɔ be, "Nuka tututue ɖɔkta le sesem tso esia me oa?" Nyabiase ma ƒe ŋuɖoɖoe nye atikewɔwɔ me dodokpɔ si ŋu míele nu ƒom tsoe egbea si woyɔna be ‘Auscultation.’ Mègatsi dzi o, ele bɔbɔe ŋutɔ, vevesese aɖeke mele eme o, gake enye nu vevi aɖe si gblɔa nu geɖe na wò tso wò lãmesẽ ŋu.
Kpuie ko la, nukae nye toɖoɖo?
Toɖoɖo (si woyɔna be: "o-skul-ta-tion") nye dɔwɔwɔ bɔbɔe ŋutɔ. Ebia be nàzã nuƒomɔ̃ atsɔ ase gbeɖiɖi siwo tso wò ŋutinu ememetɔwo, abe wò dzi, lãkusi, ʋukawo, kple dɔgbowo ene me . Ðɔktaa atsɔ nuƒomɔ̃a aɖo wò akɔta, kɔ, akɔta, kple ƒodo dzi eye wòalé ŋku ɖe nuwo abe gbeɖiɖi siawo ƒe nɔnɔme, woƒe duƒuƒu, woƒe sesẽme, kple woƒe tsɔtsɔme ene ŋu.
Esia nye dodokpɔ si me afɔku mele kura o, si le dedie ŋutɔ. Enye dodokpɔ xoxotɔwo kple gɔmedzenu siwo ɖɔktawo gakpɔtɔ zãna egbea la dometɔ ɖeka hã.
Ɣekaɣie wowɔa toɖoɖo dodokpɔ?
Ne èyi ɖado wò ŋutilã kpɔ edziedzi la, anɔ eme be wò ɖɔkta awɔ dodokpɔ sia. Enaa nèkpɔa alesi wò ʋu ƒe sisi ƒe ɖoɖo , gbɔgbɔtsixe ƒe dɔwɔwɔ, kple dɔgbo ƒe dɔwɔwɔ le dɔ wɔm nyuie.
Esia fia be dodokpɔ bɔbɔe sia kpena ɖe ame ŋu ŋutɔ le wò lãmesẽ ƒe nɔnɔme bliboa gɔmesese me, eye wògaɖoa kpe atikewɔwɔ ƒe nɔnɔme ɖesiaɖe si wosusu be ele eme dzi alo egbea.
Nukawoe nye toɖoɖo ƒe mɔnu veviwo?
Woate ŋu ama dodokpɔ sia ɖe akpa vovovowo me, le ŋutinu si ɖɔktaa le to ɖom la nu. Na míakpɔ nusiwo wonye ɖa.
| Ŋutinu si doa ame kpɔ | Alesi woawɔe kple nusiwo ŋu woalé ŋku ɖo |
|---|---|
| Dzi | Ànɔ anyi alo nànɔ anyi ɖe dzogoe si nye dzidzenu 45 dzi, eye woatsɔ nuƒomɔ̃a aɖo teƒe vovovowo le wò akɔta. Le afisia la, ɖɔktaa aɖo to teƒe 5 siwo dzitodzitowo sena nyuie wu le koŋ. Woalé ŋku ɖe ɣeyiɣi si me wò dzi ƒe tsotso ŋu., gbeɖiɖia ƒe eme kɔ (Intensity) , gbeɖiɖia ƒe kɔkɔme kple eƒe ɖiɖi (Frequency/Pitch) , kple ɣeyiɣi didi si ƒoƒo ɖeka xɔna (Duration). |
| Dzitodzito | Woabia tso asiwò be nànɔ anyi dzɔdzɔe ahagbɔ ya sesĩe to wò nu me. Emegbe, woatsɔ nuƒomɔ̃a ade wò akɔta kple megbe ƒe akpa vovovowo be woatsɔ gbeɖiɖi siwo tso wò lãkusi me le akpa eveawo asɔ kple wo nɔewo. Esia akpɔ ɣeyiɣi didi si nàgbɔ kple gbɔgbɔ, gbeɖiɖia ƒe nyonyome , kple gbeɖiɖi ɖesiaɖe si mesɔ o abe kpẽkuku ene. |
| Ʋukawo (Arteries) . | Woate ŋu aɖo to ʋuka vevi siwo le kɔ, dɔgbo, kple ayiku me hã. Le afisia la, woléa ŋku ɖe gbeɖiɖi si mesɔ o si woyɔna be bruit (gbeɖiɖi si mebɔ o si nye ‘toɣliɖeɖe’ si dona ne ʋu to ʋuka me) kple ʋu ƒe sisi si gbɔdzɔ (sesẽme) ŋu. Esiawo ate ŋu akpe ɖe ame ŋu wòade dzesi mɔxenu ɖesiaɖe si le ʋu ƒe sisi me. |
| Ƒodo | Woana nàmlɔ anyi eye woatsɔ nuƒomɔ̃a aɖo wò ƒodo ƒe akpa vovovowo be wòaɖo to gbeɖiɖi siwo tso wò dɔgbowo me. Esia alé ŋku ɖe nenye be àte ŋu ase gbeɖiɖiwo tso wò dɔgbowo me alo màte ŋu ase o (Anyinɔnɔ) , zi nenie nèsenɛ (Agbɔsɔsɔ) , kple gbeɖiɖiawo ƒe nyonyome . |
Nukae gbeɖiɖi siawo fia?
Azɔ na míakpɔ nusi gbeɖiɖi siawo siwo sɔ kple esiwo mesɔ o gblɔ tso wò lãmesẽ ŋu ɖa.
Dzi ƒe Gbeɖiɖiwo
Zi geɖe la, dzi si le lãmesẽ me la wɔa gbeɖiɖi eve siwo le ɣeyiɣi ɖeka me si woyɔna be "lub-dub". Wogayɔa esiawo be S1 kple S2. Gbeɖiɖi siawo dona ne dzitodzitowo tu.
Gake ɣeaɖewoɣi la, àte ŋu ase gbeɖiɖi vovovo siwo mebɔ o. Gake ɖo ŋku edzi be menye gbeɖiɖi siwo mebɔ o katãe nye dɔléle sesẽ aɖe ƒe dzesi o.
| Toɣliɖeɖe si mebɔ o | Nusi wòate ŋu afia |
|---|---|
| Dzi ƒe Liʋiliʋilili | Esia nye "swishing" gbeɖiɖi, si sɔ kple ya. Ate ŋu atso ʋu ƒe sisi to dzitodzitowo me ƒe tɔtɔ gbɔ. Togbɔ be liʋiliʋilili aɖewo megblẽa nu le ame ŋu o hã la, bubuwo ate ŋu anye dzidɔ sesẽ ƒe dzesi. |
| Dzitodzito me ʋuʋudedi ƒe ʋuʋudedi | Gbeɖiɖi fafɛ aɖe si le ʋuʋum, abe ɖe ŋutigbalẽ kakɛ eve le ƒoƒom ɖe wo nɔewo ŋu ene. Esia ate ŋu atso kotoku si ƒo xlã dzia ƒe dɔdzẽ (pericaditis) gbɔ. |
| Dzi ƒe tsotso si mesɔ o | Nɔnɔmewo abe dzi ƒe tsotso si mesɔ o (atrial fibrillation), kabakaba akpa (tachycardia - ƒoƒo wu 100 le miniti ɖeka me), alo blewu akpa (bradycardia - ƒoƒo si mede 60 le miniti ɖeka me o). |
Aklã ƒe Gbeɖiɖiwo
Aɖuɖɔtoe siwo le lãmesẽ me wɔa gbeɖiɖi fafɛ si me do le ne èle gbɔgbɔm.Ke hã, ɣeaɖewoɣi la, àte ŋu ase gbeɖiɖi bubu.
| Toɣliɖeɖe si mebɔ o | Nusi wòate ŋu afia |
|---|---|
| Wheeze ƒe ʋuʋu | Eɖina abe kpẽkuku ƒe gbeɖiɖi si mebɔ o ene. Gbeɖiɖi sia dona ne nane si le abe ʋuʋudedi ene xe yaƒoƒomɔ̃awo. Wosenɛ zi geɖe le nɔnɔmewo abe asrã alo COPD ene me. |
| Rhonchi ƒe ŋkɔ | Gbeɖiɖi si le ɖiɖim sesĩe, si le ɣli dom. Ate ŋu atso ʋuʋudedi alo nu bubuwo ƒe gege ɖe yaƒoƒomɔ̃wo me gbɔ. Ate ŋu anye nɔnɔme aɖe abe aklãdɔ ene ƒe dzesi. |
| Kplɔ̃ɖoɖowo | "Chit chit" ƒe gbeɖiɖi, abe taɖa ƒe ka eve siwo le ƒoƒom ɖe wo nɔewo ŋu ene. Tsi si ƒo ƒu ɖe lãkusi me (aklãdɔ, dzi ƒe dɔmawɔmawɔ nyuie) gbɔe gbeɖiɖi sia tsona. |
| Stridor (Stridor) ƒe nya | Gbeɖiɖi sesẽ aɖe si ɖina sesĩe, si ɖina ne wole gbɔgbɔm. Etsoa ŋɔti alo yaƒoƒomɔ̃ si le etame ƒe xexe gbɔ. Esia ate ŋu anye nudzɔdzɔ kpata aɖe . |
Ƒodo ƒe Gbeɖiɖiwo
Zi geɖe la, míaƒe dɔgbowo wɔa gbeɖiɖi fafɛ aɖe si nye "bubbling" le sɛkɛnd 5-10 ɖesiaɖe me. Esia fia be nuɖuɖumeŋusẽ le dɔ wɔm nyuie.
- Gbeɖiɖi aɖeke meli o: Ne womese gbeɖiɖi aɖeke wu miniti eve o la, ate ŋu anye nɔnɔme aɖe si woyɔna be ileus ƒe dzesi.
- Gbeɖiɖi si dzi ɖe kpɔtɔ: Ne gbeɖiɖiawo ƒe tsɔtsɔme le sue alo gbeɖiɖia fa ŋutɔ la, ate ŋu atso nɔnɔme aɖe abe dɔmeɖui ene gbɔ.
- Toɣliɖeɖe si dzina ɖe edzi: Ne èse gbeɖiɖi geɖe, siwo nu sẽ wu tsã la, ate ŋu anye nɔnɔme aɖe abe aɖuɖɔtoe ene ƒe dzesi.
- Gbeɖiɖi siwo le ɣli dom alo esiwo le ɖiɖim sesĩe: Ne èse gbeɖiɖi siwo mebɔ o siwo le ɣli dom alo gbeɖiɖi siwo mebɔ o tso wò dɔgbo me la, ate ŋu anye dzesi be dɔgboa xe mɔ na wò.
Ðe teƒe aɖewo li siwo ɖɔktawo ɖoa to etɔxɛea?
Ẽ, ele eme ya.
Teƒe tɔxɛ aɖe le wò akɔta ƒe akpa si le etame, le wò abɔtaƒuwo dome, si woyɔna be "triangle of auscultation." Lãmetsi siwo le teƒe sia le sue, eyata gbeɖiɖi siwo tso lãkusiwo me la te ŋu sena nyuie ŋutɔ.
Azɔ hã, ne èle to ɖom dzia la, teƒe 5 koŋ le akɔta si dzia ƒe ʋuƒo ƒe gbeɖiɖiwo ɖina le wu. Ðɔktaa atsɔ nuƒomɔ̃a ade teƒe siawo godoo eye wòado wo kpɔ.
Mèkpɔe dze sii o la, wò ŋutilã le gbeɖiɖi vovovowo wɔm ɣesiaɣi. Ele abe haƒoha aɖe ene. Toɖoɖo nye mɔnukpɔkpɔ na ɖɔkta be wòabia nenye be haƒonu siwo le haƒoha sia me dometɔ aɖe le safui si mesɔ o ƒom hã.
Eyata ɣebubuɣi si wò ɖɔkta atsɔ eƒe nuƒomɔ̃a aɖo toe la, mègavɔ̃ o. Ate ŋu aɖe wò lãmesẽ ŋuti nyatakaka vevi geɖe afia. Ne èse nya aɖe si mebɔ o la, mègahe ɖe megbe gbeɖe be yeabia wò ɖɔkta tso eŋu o.
Gbedasi si Wotsɔ Yi Aƒeme
- Toɖoɖo nye gbeɖiɖi siwo dona tso wò dzi, lãkusi, kple dɔgbo me to nuƒomɔ̃ zazã me. Esia nye dodokpɔ bɔbɔe ŋutɔ, si le dedie, eye vevesese aɖeke mele eŋu o.
- Esia nye dodokpɔ vevi aɖe si wowɔna godoo le atikewɔwɔ me dodokpɔ si wowɔna edziedzi me.
- Togbɔ be gbeɖiɖi siawo siwo mebɔ o ate ŋu ana míanya atikewɔwɔ ƒe nɔnɔme vovovowo hã la, menye gbeɖiɖi ɖesiaɖe si mebɔ o ye nye dɔléle sesẽ aɖe ƒe dzesi o.
- Dɔwɔnu ɖeka si ɖɔktaa zãna koe nye esia. Ne ɖikeke aɖe li la, woagawɔ dodokpɔ bubuwo be woakpɔ dɔlélea nyuie.
- Mègavɔ̃ gbeɖe be yeabia nya tso nya siwo wò ɖɔkta se kple nusi wòfia ŋu o. Enye wò gome be woana nànya nu tso wò lãmesẽ ŋu.
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