Anɔ eme be esia dzɔ ɖe dziwò ɣesiaɣi si nèyi ɖɔkta gbɔ kpɔ. Ðɔktaa ɖea mɔ̃ suea le eƒe kplɔ̃ dzi hetsɔnɛ blaa kɔ nɛ. Emegbe etsɔa eƒe akpa goglo si fa miamiamia la dana ɖe wò akɔta, gblɔna be, "Gbugbɔ ya sesĩe... gbɔgbɔ blewuu..." Ðɔkta la ɖoa to nyuie ne èle ewɔm. Ɣeaɖewoɣi la, eʋuʋua ta heyia dodokpɔ si kplɔe ɖo dzi. Ɣebubuɣiwo la, ebua tame vie eye wòtsoa nya me be ehiã be yealé ŋku ɖe nu bubu aɖe ŋu. Ðe esia menye nukpɔkpɔ nyanyɛ aɖe ŋutɔ oa?
Eyata nuka tututue nuƒomɔ̃ wɔna?
Kpuie ko la, nuƒomɔ̃ nye dɔwɔnu xɔasi aɖe si kpena ɖe ɖɔktawo, dɔnɔdzikpɔlawo, kple dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ ŋu be woaɖo to gbeɖiɖi siwo tso wò ŋutilã me. Gbeɖiɖi siawo ate ŋu agblɔ nyatakaka vevi siwo ku ɖe wò lãmesẽ ƒe akpa vovovowo ŋu na wò, siwo dometɔ aɖewoe nye alesi wò dzi kple lãkusi le dɔ wɔm kple nenye be ʋu le sisim nyuie to wò ʋukawo me.
Le atikewɔwɔ me la, woyɔa toɖoɖo ŋutilã ƒe gbeɖiɖi siawo siwo le ememe be ``auscultation.'' Ðɔkta zãa nuƒomɔ̃ koŋ tsɔ ɖoa to:
- Na wò dzi: Se wò dzi ƒe tsotso kple alesi wòle ɣeyiɣi ƒe didime nu.
- Le wò lãkusi gome: Se gbeɖiɖi siwo nèwɔna ne èle gbɔgbɔm hele gbɔgbɔm.
- Le wò dɔgbowo gome: Se gbeɖiɖi siwo tso wò dɔgbowo me esime nuɖuɖumeŋusẽa le edzi yim.
- Na wò ʋukawo: Se ʋu si le sisim to ʋuka vevi aɖewo me ƒe ɖiɖi.
Bu eŋu kpɔ, le wò ŋutilã me la, saŋkuƒoha sue aɖe le eme. Saŋku ɖesiaɖe kple eƒe gbeɖiɖi tɔxɛ, eƒe ɣeyiɣi ƒe didime, ne ele dɔ wɔm. Le kpɔɖeŋu me, dzi ƒe "lub-dub" gbeɖiɖi. Esiawo nye gbeɖiɖi siwo sɔ.
Gake ɣeaɖewoɣi la, le gbeɖiɖi siawo siwo sɔ dome la, míete ŋu sea gbeɖiɖi siwo mebɔ o hã. Gbeɖiɖi mawo siwo mebɔ o ye nye nu gbãtɔ si fia be lãmesẽkuxi aɖe le ame ŋu.
Le kpɔɖeŋu me, ɖɔkta ate ŋu azã nuƒomɔ̃ atsɔ ade dzesi gbeɖiɖi siwo mesɔ o abe esiawo ene:
- Dzi ƒe ɖiɖi si mesɔ o: Nusiwo ɖina abe dzi ƒe liʋiliʋilili ene .
- Gbeɖiɖi siwo mesɔ o le lãkusi me: Gbɔgbɔtsixe alo stridor (gbeɖiɖi sesẽ aɖe) ne wole gbɔgbɔm.
- Gbeɖiɖi siwo mesɔ o le dɔgbo me: Gbeɖiɖi siwo sesẽ wu alo esiwo ƒe gbeɖiɖi de dzi, si to vovo na gbeɖiɖi "gurgling" si bɔ tso dɔgbo me.
- Gbeɖiɖi siwo mesɔ o le ʋukawo me: Gbeɖiɖi tɔxɛ siwo wosena ne ʋu le sisim to ʋuka aɖewo me ne woxe wo, le kpɔɖeŋu me, gbeɖiɖi si wosena tso ʋuka siwo me ʋu sina tona me (`carotid bruit`) .
Ne ɖɔkta se gbeɖiɖi si mebɔ o abe esia ene la, enya be nane gblẽ. Gake nuƒomɔ̃ ɖeɖe mate ŋu agblɔ nusi wònye alo alesi gbegbe wòsesẽe na wò o. Gake esiae nye afɔɖeɖe gbãtɔ kple vevitɔ kekeake si woawɔ le dɔléle aɖe didi me . Ne èzã kpeɖodzinya sia la, wò ɖɔkta ate ŋu aɖo wò ɖe dodokpɔ bubuwo wɔwɔ me, anya nusi tututu le edzi yim, eye wòawɔ ɖoɖo ɖe atikewɔwɔ si hiã ŋu.
Ðe nuƒomɔ̃ ƒomevi vovovowo li?
Ẽ, nuƒomɔ̃ ƒomevi vovovowo li siwo ɖɔktawo zãna. Mina míalé ŋku ɖe ƒomevi veviawo ŋu.
| Nuƒomɔ̃ ƒomevi | Nukae le etɔxɛ le eŋu? |
|---|---|
| Nuƒomɔ̃ si wozãna le blema (Analogue Stethoscope) . | Esiae nye ƒomevi si wozãna wu si mí katã míekpɔ kpɔ. Le afisia la, gbeɖiɖi siwo tso ŋutilãa me la toa mɔ̃ aɖe me yia ɖɔktaa ƒe to me tẽ, elektrɔnik kpekpeɖeŋu aɖeke manɔmee. Nu vovovowo hã le hatsotso sia te, abe nuƒomɔ̃ sue siwo wozãna na ɖevi suewo ene. |
| Elektrɔnik Nuƒomɔ̃ | Esia nye ƒomevi si de ŋgɔ vie wu. Ate ŋu ana ŋutilã ƒe gbeɖiɖiwo nadzi ɖe edzi eye wòana eme nakɔ wu. Eyata esia ɖea vi ŋutɔ le dzesidede gbeɖiɖi siwo menya kpɔna dzea sii bɔbɔe ŋutɔ, siwo me ɖoɖoezizi le (e.g. dzi ƒe liʋiliʋilili aɖewo). Ekpena ɖe ame ŋu hã be toɣliɖeɖe si mehiã o dzi ɖena kpɔtɔna le nutoa me eye gbeɖiɖi siwo hiã ko sena. |
| Digitál Nuƒomɔ̃ | Esia nye mɔ̃ɖaŋununya si de ŋgɔ wu gɔ̃ hã. Tsɔ kpe ɖe gbeɖiɖi sesẽwo ŋu la, woate ŋu alé gbeɖiɖi siawo ɖe mɔ̃ dzi, aɖo to wo emegbe, eye woagblɔe na ɖɔkta bubu. Woate ŋu atrɔ gbeɖiɖi ŋuti nyatakaka siawo hã woazu nuwo abe nɔnɔmetatawo ene eye woaku wo me le kɔmpiuta dzi. |
Fifia la, nuƒomɔ̃ si wozãna wu le Sri Lanka kple xexeame ƒe akpa bubu geɖee nye nuƒomɔ̃ si wozãna tsã. To dɔwɔnu bɔbɔe ma dzi la, ɖɔkta ate ŋu akpɔ nyatakaka gbogbo aɖewo siwo hiã.
Aleke nèsena gbeɖiɖi kple esia? Nukawoe nye nuƒomɔ̃ ƒe akpa aɖewo?
Alesi nuƒomɔ̃ wɔa dɔe le bɔbɔe ŋutɔ. Ne nane le ʋuʋum le wò ŋutilã me la, ewɔa ʋuʋudedi. Ʋuʋudedi siawo hea gbeɖiɖi ƒe ƒutsotsoewo vɛ. Nuƒomɔ̃a ƒe akpa si wotsɔ bla wò akɔta la fɔa gbeɖiɖi ƒe ƒutsotsoe siawo heɖoa wo to mɔ̃ si me do le me yia ɖɔktaa ƒe to me. Ele abe gbeɖiɖi si le zɔzɔm to mɔ didi aɖe me ene.
Na míalé ŋku ɖe nuƒomɔ̃ ƒe akpa veviwo kple nusi wowɔna ŋu.
| Akpa | Nukae wòwɔna? (Nukae wòwɔna?) |
|---|---|
| Akɔta ƒe Akpa | Esiae nye ga kple aŋe goglo si ɖɔktaa tsɔna dana ɖe wò ŋutigbalẽ dzi. Zi geɖe la, axa eve nɔa eŋu. Ðeka nye axa gbadza si lolo. Woyɔa esia be diaphragm . Bubu nye axa sue aɖe si me do le, si le abe kplu ene. Woyɔa esia be gaƒoɖokui . Àte ŋu atrɔ ɖe akpa eve siawo dome be nàse gbeɖiɖi ƒomevi vovovowo. |
| Tubing ƒe dɔwɔwɔ | Esiae nye mɔ̃ si me do le si le abe rababa ene si tsɔa gbeɖiɖi tso akɔta yia ɖɔkta ƒe to me. Zi geɖe la, ema ɖe eve me le Y ƒe nɔnɔme me, eye wòdoa ka kple to eveawo. |
| To Tubes & Aɖaŋuɖoɖowo | Esiawoe nye ga ƒe akpa siwo fiaa mɔ gbeɖiɖi si tso mɔ̃a me yia ɖɔkta ƒe to me tẽ. Woƒe akpa siwo fa miamiamia hã le woƒe nuwuwu, abe tomeka siwo míezãna tsɔ sea haƒoƒo ene. Esiawo nana nuƒomɔ̃a nɔa to me sesĩe eye woɖea gotagome toɣliɖeɖe si gena ɖe eme la dzi kpɔtɔna. |
Amekae wɔ mɔ̃ wɔnuku sia?
Franseawo ƒe atikewɔla aɖe si ŋkɔe nye René Laennec ye to nuƒomɔ̃a vɛ zi gbãtɔ le ƒe 1816 me . Gake nuƒomɔ̃ gbãtɔ si wòwɔ la to vovo kura tso esi míekpɔna egbea gbɔ. Tube bɔbɔe aɖe si wotsɔ ati wɔ koe wònye. Le ɣeyiɣi aɖe megbe la, ɖɔkta bubu geɖewo va nyo ɖe edzi vivivi. Woto egbegbe nuƒomɔ̃ si míekpɔna egbea ƒe nɔnɔme vevitɔ vɛ le ƒe 1960-awo me.Amerikatɔ ɖɔkta aɖe si ŋkɔe nye David Littmann ye to esia vɛ.
Ðewohĩ màbu mɔ̃ siawo ŋu boo ne èle vɔvɔ̃m be yeayi ɖɔkta gbɔ o. Gake enyo be nàde dzesi alesi mɔ̃ bɔbɔe aɖe abe nuƒomɔ̃ ene, ne wotsɔe kpe ɖe ɖɔkta ƒe sidzedze kple nuteƒekpɔkpɔ ŋu la, ate ŋu anye dɔwɔnu sẽŋu aɖe le wò lãmesẽ takpɔkpɔ me.
Gbedasi si Wotsɔ Yi Aƒeme
- Nuƒomɔ̃ nye atikewɔnu vevi aɖe si wozãna tsɔ sea gbeɖiɖi siwo tso ŋutinu siwo le wò ŋutilã me, abe wò dzi, lãkusi, kple dɔgbo ene me.
- Ðɔktaa kpɔa kpeɖodzi vevi geɖe tso wò lãmesẽ ƒe nɔnɔme ŋu tso gbeɖiɖi siwo sɔ kple esiwo mesɔ o siwo nèsena me.
- Ne nuƒomɔ̃ aɖe na wòdze le dɔléle aɖe ŋu la, wò ɖɔkta ate ŋu aɖo wò be woagawɔ dodokpɔ bubuwo atsɔ aɖo kpe edzi ahanya nusi tututu kuxia nye.
- Tsɔ kpe ɖe nuƒomɔ̃ si míekpɔna egbea ŋu la, elektrɔnik kple dijitaal nuƒomɔ̃ siwo doa gbeɖiɖiwo ɖe ŋgɔ hã li.
- Mɔ̃ bɔbɔe sia, ne wotsɔe kpe ɖe ɖɔkta ƒe nuteƒekpɔkpɔ ŋu la, ewɔa akpa vevi aɖe ŋutɔ le dɔléle aɖe didi kaba me.
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