Anɔ eme be èto esia me kpɔ ɣesiaɣi si nèyi ɖɔkta gbɔ. Ðɔktaa tsɔa mɔ̃ sue ma si le eƒe kplɔ̃ dzi alo le kɔ nɛ, tsɔa eƒe nugbɔ fafɛ si le goglo la dana ɖe wò akɔta, eye wòɖoa to nyuie. Ɣeaɖewoɣi la, etsɔnɛ dea wò akɔta hã. Esiae nye nusi míeyɔna be
toɖoɖo le atikewɔwɔ me. Kpuie ko la, enye toɖoɖo gbeɖiɖi siwo tso wò ŋutilã me. Togbɔ be enye dodokpɔ bɔbɔe ŋutɔ hã la, egblɔa nyatakaka gbogbo aɖewo siwo wɔ nuku tso wò lãmesẽ ŋu na ɖɔktaa.
Nuka tututue nye toɖoɖo?
Ðɔktawo le to ɖom míaƒe ŋutilã ƒe gbeɖiɖiwo tso esime woto nuƒomɔ̃ vɛ. Gake ɣemaɣi la, nuƒomɔ̃ menɔ wo si o. Woɖoa to gbeɖiɖi siawo to woƒe to tsɔtsɔ ɖo dɔnɔa ƒe akɔta alo dɔme tẽ me. Bu eŋu kpɔ, ɖe ema menye nusi mebɔ o viea? Ðɔkta René Laennec, amesi to nuƒomɔ̃ vɛ gɔ̃ hã melɔ̃a eƒe to tsɔtsɔ ɖo dɔnɔa ƒe akɔta le mɔ sia nu o. Eƒo pepa aɖe nu ƒu gbã hetrɔ asi le eŋu wòzu funnel hetsɔe da ɖe akɔta. Emegbe ekpɔe be gbeɖiɖi siwo le akɔta la dzina ɖe edzi (wodoa ŋusẽe) ŋutɔ ne woto eme. Woto susu ma vɛ eye wowɔ nuƒomɔ̃ si nèkpɔna egbea. Ne ɖɔkta le to ɖom alea la, eléa ŋku ɖe nya vevi geɖe ŋu.
| Nusiwo ŋu wòle be woalé ŋku ɖo | Kpuie ko la,... |
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| Xexlẽme | Eɖanye gbeɖiɖi si nèsena la nye esi me kɔ alo esi mebɔ o. |
| Sesẽme | Aleke gbegbee gbeɖiɖia sesẽe? |
| Ɣeyiɣi didime | Ɣeyiɣi didi kae ɖeka ƒe gbeɖiɖi nɔa anyi? |
| Xexlẽdzesi | Ðe nèsea gbeɖiɖia enuenua? |
| Nyonyo | Aleke gbeɖiɖia ɖina? (e.g., kpẽkuku, hũɖeɖe) . |
Toɖoɖo nye dodokpɔ
si le dedie ŋutɔ eye womedea ame dzi o . Woate ŋu awɔe kabakaba bɔbɔe hã le ɣeyiɣi ɖesiaɖe me, elabena nuƒomɔ̃ le ɖɔkta ɖesiaɖe si te ɖe eŋu.
Aleke nàwɔ aɖo to wò dzi?
Ðewohĩ èse wò dzi ƒe tsotso kpɔ. "
Lub-dub " "Lub-dub"... Esia nye dzi si le lãmesẽ me ƒe gbeɖiɖi vevitɔ. "Lub" gbeɖiɖi (S1) va ne dzia ƒe ʋuƒo eve (mitral kple tricuspid ʋuƒo) tu. "Dub" gbeɖiɖi (S2) va ne ʋuƒo eve bubuawo (aortic kple pulmonary valves) tu. Ðɔktaa atsɔ nuƒomɔ̃a ade wò akɔta ƒe akpa vevi ene. Esia le alea elabena woate ŋu ase dzitodzito aɖe koŋ ƒe gbeɖiɖi nyuie wu tso teƒe mawo dometɔ ɖesiaɖe. Tsɔ kpe ɖe valvɔ ƒe nutsotso ƒe gbeɖiɖi siawo ŋu la,
ɖɔktaa ase ʋu ƒe sisi kple dzitodzito ƒe ʋuʋu ƒe gbeɖiɖiwo hã. Eƒe dɔe nye be wòade vovototo gbeɖiɖi siwo sɔ, siwo le lãmesẽ me kple gbeɖiɖi siwo mesɔ o siwo fia dɔléle aɖe dome.
Le kpɔɖeŋu me, ne èse "s... whiz..." gbeɖiɖi aɖe tso wò dzi me la, ate ŋu anye dzime liʋiliʋilili. Togbɔ be nusiawo dometɔ aɖewo megblẽa nu le ame ŋu o hã la, ɖewo ate ŋu anye nɔnɔme sesẽ aɖe ƒe dzesi. Nenema ke ne èse gbeɖiɖi aɖe abe ŋutigbalẽ kakɛ eve siwo le ƒoƒom ɖe wo nɔewo ŋu ene la, ate ŋu anye lãkusi si ƒo xlã dzia ( pericarditis ) ƒe dɔdzẽ.
Nukae nèdia ne èle to ɖom lãkusiwo?
Ne wò ɖɔkta ɖo to wò dzi vɔ la, aɖo to wò lãkusiwo. Zi geɖe la, adze egɔme tso wò akɔta ƒe akpa ɖeka eye wòaʋuʋu nuƒomɔ̃a ayi anyime. Emegbe atsɔ nuƒomɔ̃a ayi akpa kemɛ le mɔ ma ke nu. Emegbe atsɔ nuƒomɔ̃a aɖo wò akɔta eye wòawɔ nenema ke. Ne ele esia wɔm la, atsɔ gbeɖiɖi siwo tso lãkusi eveawo me asɔ kple wo nɔewo. Ɣeaɖewoɣi la, wò ɖɔkta abia tso asiwò
be nàbɔbɔ ɖe ŋgɔ atsɔ wò abɔwo atso wò akɔta . Esia akpe ɖe wò akɔta ƒe lãmekawo ŋu woaɖe dzi ɖi eye wò lãkusi ƒe teƒe nadzi ɖe edzi (triangle of auscultation). Esia akpe ɖe ŋuwò nàse gbeɖiɖiawo nyuie wu. Aɖo to gbeɖiɖi siwo nèwɔna ne èle gbɔgbɔm (gbɔgbɔ) kple gbɔgbɔ (gbɔgbɔ) la nyuie. Tsɔ kpe ɖe gbɔgbɔ ƒe gbeɖiɖi siwo sɔ ŋu la, ne dɔléle aɖe le ŋuwò la, àte ŋu ase gbeɖiɖi siawo siwo mebɔ o:
| Toɣliɖeɖe si mebɔ o | Numeɖeɖe kple nusiwo ate ŋu ahe esia vɛ |
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| Ʋuʋudedi | Gbeɖiɖi sesẽ aɖe si ɖina sesĩe. Zi geɖe la, asrã, COPD, alo ʋuʋudedi si ƒoa ƒu ɖe lãkusiwo me gbɔe esia tsona. |
| Kplɔ̃ɖoɖowo | Gbeɖiɖi si nye "crackling" alo "crackling". Gbeɖiɖi sia dona ne yaƒoƒomɔ̃wo yɔ fũ kple ʋuʋudedi alo tsi. Ate ŋu atso lãkusidɔ, COPD, alo dzidɔ gbɔ. |
| Pleural Rub ƒe Ʋuʋu | Eɖina abe sandpaper eve siwo le ƒoƒom ɖe wo nɔewo ŋu ene. Esia fia be kuxi aɖe le lãkusi si ƒo xlã lãkusiwo (pleura) ŋu. |
| Stridor (Stridor) ƒe nya | Gbeɖiɖi sesẽ aɖe si nu sẽ, si dona tso ŋɔti me ne wole gbɔgbɔm. Esia fia be yaƒoƒomɔ̃ si le etame (ŋɔti, lãkusi) xe mɔ. |
Nukatae nètsɔa nuƒomɔ̃ dea wò dɔgbo me?
Ẽ, ɖɔkta la atsɔ nuƒomɔ̃ hã ade wò dɔme eye wòaɖo to. Ènya nusitae? Se gbeɖiɖi siwo le dodom tso wò dɔgbowo me. Ne nuɖuɖu si míeɖuna la ɖu eye wòɖiɖi abe gbeɖuɖɔ ene la, dɔgboa wɔa gbeɖiɖi aɖe.
Zi geɖe la, ame si le lãmesẽ me ƒe dɔgbowo wɔa "gurgling" gbeɖiɖi le sɛkɛnd 5-10 ɖesiaɖe me.
Ne gbeɖiɖi siawo meli o alo woɖiɖi ŋutɔ la, woate ŋu afia be dɔgbo alo dɔgbo ƒe xexe (ileus). Ne gbeɖiɖi siawo gbɔ eme eye wosesẽ la, woate ŋu anye nɔnɔme aɖe abe aɖuɖɔtoe ene ƒe dzesi. Ɣeaɖewoɣi la, woate ŋu ade dzesi dɔgbo ƒe xexe gɔ̃ hã to gbeɖiɖi siawo dzi.
Ðe mɔnu sia do xoxo fifiaa?
Ame aɖewo asusu be esi mɔ̃ɖaŋununya deŋgɔwo katã abe CT scan kple MRI scan ene li ta la, toɖoɖo kple nuƒomɔ̃ sia nye nusi do xoxo fifia. Nyateƒee, kuxi geɖe le nuƒomɔ̃ si wozãna tsã la ŋu. Gbeɖiɖia menya kpɔna dzea sii bɔbɔe o, esesẽna le teƒe si toɣliɖeɖe le, eye manya wɔ be nàna ame bubu nase nusi nèse o. Gake egbea la, egbɔkpɔnuwo va le esia hã ŋu.
Elektrɔnik nuƒomɔ̃wo ate ŋu ana gbeɖiɖiwo nadzi ɖe edzi eye woana wo me nakɔ. Woate ŋu alé gbeɖiɖiawo hã ɖe mɔ̃ dzi abe dijitaal faɛl ene eye woaɖo wo ɖe ɖɔkta bubu be wòalé ŋku ɖe wo ŋu. Esia le vevie ŋutɔ le atikewɔwɔ to didiƒe. Mɔ̃ aɖewo nana nète ŋu kpɔa EKG (Electrocardiogram) si ɖea dzi ƒe tsotso fiana ne èle to ɖom dzia le ɣeyiɣi ɖeka me. Gake toɖoɖo nu medoa xoxo gbeɖe o. Esia wɔnɛ be ɖɔktaa kpɔa wò nɔnɔmea ŋuti nukpɔsusu vevi aɖe enumake. Ate ŋu anɔ te ɖe susu ma dzi atso nya me le dodokpɔ siwo tututu wòawɔ kplɔe ɖo ŋu. Esia hã ƒoa asa na dodokpɔ siwo mehiã o eye woxɔa ga geɖe. Gake esia ƒe dzidzedzekpɔkpɔ nɔ te ɖe
ɖɔktaa ƒe aɖaŋu, nuteƒekpɔkpɔ, kple lɔlɔ̃ faa be yeaɖo to nyuie dzi bliboe .
Gbedasi si Wotsɔ Yi Aƒeme
- Toɖoɖo nye dodokpɔ vevi aɖe ŋutɔ, si le dedie, gake wòle vevie ŋutɔ, si ɖɔkta wɔna.
- Dodokpɔ bɔbɔe sia ate ŋu ana nànya nu geɖe tso wò dzi, lãkusi , kple dɔgbo ƒe dɔwɔwɔ ŋu.
- Ðɔkta la anɔ te ɖe gbeɖiɖi siwo woase to nuƒomɔ̃a dzi dzi akpe ɖe ŋuwò nàtso nya me le dodokpɔ alo atikewɔwɔ si kplɔe ɖo si nàhiã ŋu.
- Esia nye atikewɔla bibiwo ƒe dodokpɔ. Eyata mègaxlẽ nu tso esia ŋu eye nàyi aɖatsɔ nuƒomɔ̃ akpɔ dɔlélea le ɖokuiwò ŋu o. Gblẽ dɔ ma ɖe wò ɖɔkta si me.
Toɖoɖo, nuƒomɔ̃, atikewɔwɔ me dodokpɔ, dzi ƒe gbeɖiɖi, lãkusi ƒe gbeɖiɖi, dɔgbo ƒe gbeɖiɖi, ɖɔkta
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