Wetin di dɔktɔ kin lisin to wit stetɔskɔp? Lɛ wi lan di rayt tin bɔt aw fɔ yɛri!

Yu go mɔs dɔn si dɔktɔ we yu go to dɔktɔ, ɛn dɛn kin put da smɔl kol inschrumɛnt de na yu chɛst, bak, ɔ bɛlɛ ɛn lisin fɔ sɔm tɛm. Wi kin kɔl am stetɔskɔp. Bɔt yu dɔn ɛva wɔnda wetin mek dɛn de du dat, wetin dɛn de yɛri, wetin dɛn de fɛn aut frɔm dɛn sawnd dɛn de? Na dat wi go tok abaut tide. Insay mɛrɛsin, dɛn kɔl dis ``Auscultation.'' Fɔ tɔk am simpul wan, na fɔ lisin to di sawnd dɛm we de kɔmɔt insay di bɔdi.

Wetin rili min fɔ lisin to di bɔdi? (Oskulteshɔn) .

Fɔ tɔk am simpul wan, ``(Auscultation)`` na we dɔktɔ de yuz stetɔskɔp fɔ lisin to di difrɛn sawnd dɛm we de kɔmɔt insay yu at , yu lɔng , big blɔd vesel dɛm (arteries), ɛn bɛlɛ. Dɔktɔ kin lisin to dɛn sawnd ya bay we i de put di stetɔskɔp dairekt pan yu chɛst, nɛk, bak, ɛn bɛlɛ. Dɛn kin pe atɛnshɔn to bɔku tin dɛn lɛk di difrɛn sawnd dɛn, aw dɛn tan, aw dɛn lawd, ɛn ustɛm dɛn kin apin.

Imajin, dis na tin we rili izi we nɔ de ambɔg di bɔdi ɛni we . Infakt, dis na wan we we rili ol, bɔt we rili wok, we dɔktɔ dɛn stil de yuz tide fɔ no bɔt yu wɛlbɔdi biznɛs. dis na tεst we dεn kin du we dεn nכ put εnitin insay di bכdi (non-invasive).

Us tɛm dɔktɔ kin lisin lɛk dis?

Bɔku tɛm, dɛn kin du ɔskulteshɔn as pat pan di rutin fyzikal ɛgzam, ilɛksɛf yu kin go to yu dɔktɔ ɛvri ia ɔ fɔ ɛni ɔda mɛrɛsin. Dɔktɔ dɛn want fɔ yɛri sawnd frɔm yu blɔd sistɛm , respiratory system , ɛn gastrointestinal system fɔ mek shɔ se dɛn de wok fayn. Dis kin ɛp dɛn fɔ ɔndastand yu ɔl yu wɛl bɔdi, fɔ no ɛni ɔndalayn mɛdikal kɔndishɔn, ɔr fɔ kɔnfirm se yu gɛt sik.

Bɔku we dɛn de fɔ lisin to difrɛn pat dɛn na di bɔdi, nɔto so?

Yes, di we aw dכkta de du dis ``(Auscultation)`` kin difrεn dipכnt pan di bכdi sistεm we i de lisin to. Lɛ wi luk di men we dɛn fɔ du am.

Fɔ lisin to di at (Hat Ɔskulteshɔn) .

Insay dis tɛst, di dɔktɔ kin lisin to di sawnd dɛn we de kɔmɔt na yu at. Dɛn kin kɔl dis bak ``Cardiac Auscultation''. Bɔku tɛm, dɛn kin du dis bay we dɛn mek yu sidɔm stret na chia ɔ ledɔm na bed we yu de 45 digri. Sɔntɛnde, dɛn kin aks yu fɔ tɔn smɔl na di lɛft say, so dat yu go yɛri di at sawnd dɛn klia wan.

Di dɔktɔ go put stetɔskɔp na yu chɛst ɛn lisin to yu at sawnd. 5 patikyula ples dεm de na yu chεst usay di sawnd dεm we de kכmכt na di at valv dεm de mכst yεri. Dɛn go put di stetɔskɔp na ɛni wan pan dɛn ples ya wan bay wan. Dɛn ples ya kin de ɔp di lɛft say na yu chɛst.

We dɔktɔ lisin to pɔsin we in at de grɔmbul, dɛn kin luk fɔ dɛn tin ya:

• Taym: Aw ɔltɛm yu at kin bit ( hat rit ).
• Intensity: Aw di at de bit lawd wan.
• Frikyuɛnsi: Di ​​shap we di sawnd de shap, ɔ aw dɛn kɔl am ``pitch''.
• Aw lɔng wan at bit kin las ?

Fɔ lisin to di lɔng dɛn (Lung Auscultation) .

Insay dis, di dɔktɔ kin lisin to di sawnd dɛn we de kɔmɔt na yu lɔng. Dɛn kin du dis bay we dɛn kin mek yu sidɔm stret, if i pɔsibul. Di dɔktɔ put di stetɔskɔp na yu chɛst ɛn aks yu fɔ tek dip briz tru yu mɔt. afta dat, dεn de muv di stεtoskop to difrεn ples dεm na yu lכng dεm we dεn kכl ``Pulmonary Auscultation Points''. Di dɔktɔ kin lisin to di sawnd dɛn we de kɔmɔt na yu lɔng dɛn ɔp, ɛn i kin kɔmpia dɛn na ɔl tu di say dɛn.

Afta yu dɔn lisin to di lɔng sawnd dɛn frɔm di fɔs pat na yu bɔdi, di dɔktɔ kin put di stetɔskɔp na yu bak. Jɔs lɛk bifo, dɛn kin lisin frɔm ɔp to dɔŋ, sayd to sayd, ɛn lisin fɔ ful briz (wan inspiratory-expiratory cycle) na wan ples. Dɔn, dɛn kin kɔmpia di sawnd dɛn we dɛn kin yɛri frɔm di fɔs pat wit di sawnd dɛn we dɛn kin yɛri frɔm di bak.

We di dɔktɔ de lisin to di sawnd dɛn we dɛn de mek na in lɔng, i go pe atɛnshɔn to dɛn tin ya:

• Di tɛm we yu fɔ tek: Na di tɛm we yu kin tek fɔ blo ɛn pul di briz.
• Frikyuɛnsi: Na di shap we di sawnd de shap (pitch).
• Amplitude: Aw lawd di briz de sawnd (lawd/intensity).
• Kwaliti: Ɛni sawnd dɛn de we nɔ kɔmɔn, fɔ ɛgzampul, we pɔsin de swɛt ?

Fɔ lisin to di big big blɔd vesel dɛm (Arteries) .

If nid de, dɔktɔ kin lisin bak to di big big blɔd vesel dɛn (arteries) we de na yu nɛk, bɛlɛ, ɛn kidni .

Na ya, di dɔktɔ kin luk dɛn tin ya:

• Bruit: Dis na rɔf, gratin sawnd we blɔd de mek we de pas na blɔd vesel. Dis min se blɔd nɔ de flɔ fayn fayn wan na di vessel, sɔntɛm na bikɔs i dɔn blok. I kin bi sayn bak fɔ se di blɔd we de go na wan pat na di bɔdi dɔn ridyus.
• Intɛnsity: Chɛk fɔ si if yu puls wik ɔ nɔ de. Dis kin min se yu gɛt wan at we dɔn blok.

Ɔskulteshɔn na di bɛlɛ

Insay dis tɛst, di dɔktɔ kin lisin to di sawnd dɛn we de kɔmɔt na yu insay. Dɛn kin du dis bay we dɛn de mek yu ledɔm fayn fayn wan na bed wit pilo ɔnda yu ed. Dɛn kin gi yu smɔl sɔpɔt bak ɔnda yu ni fɔ mek i fil fayn.

Di dɔktɔ kin put di stetɔskɔp pan yu bɛlɛ ɛn muv am to difrɛn say dɛn na yu bɛlɛ fɔ lisin to di sawnd dɛn we de kɔmɔt na yu insay.

We dɔktɔ dɛn de lisin to bɛlɛ sawnd, dɛn kin luk fɔ:

• Egzistens: If yu de yɛri sawnd frɔm di intestin ɔ yu nɔ de yɛri am.
• Kwantiti: If dɛn yɛri sawnd, aw ɔltɛm dɛn kin yɛri am.
• Kwaliti: Ilɛksɛf di sawnd gɛt ɛni patikyula kwaliti ɔ i nɔ kɔmɔn.

Wetin dɔktɔ dɛn kin ɔndastand frɔm dɛn sawnd dɛn ya?

Okay, naw lɛ wi si wetin dɔktɔ dɛn kin fɛn aut frɔm di sawnd dɛn we dɛn kin yɛri na ɛni ples.

Tin dɛn we dɛn kin tɔk tru di sawnd dɛn we de na di at

wan nכmal, hεlty hat de sawnd insay wan stedi, "lub-dub" ritm. Di fɔs sawnd dɛn kɔl am `(S1)` ɛn di sɛkɔn sawnd dɛn kɔl am `(S2)`. Dis sawnd na yu dɔktɔ de yɛri am we yu at valv dɛn lɔk.

Bɔt sɔntɛnde yu kin yɛri sawnd dɛn we nɔ kɔmɔn lɛk dis:

• Murmurs: Dis na sawnd dɛm we nɔ kɔmɔn we yu kin yɛri we di at de bit. Dɛn tan lɛk ``swishing sound'' we wata we de flɔ sloslo de mek. Dɛn kin kam bikɔs di blɔd de flɔ we nɔ fayn as di blɔd de pas na di at in valv dɛn. Bɔrku kayn ``murmur'' de, ɛn sɔm kin bi sayn fɔ siriɔs at sik.
• Pericardial Friction Rub: Dis na ay-pitch, gratin sawnd. I de mek lɛk se tu lɛda dɛn de rɔb togɛda. dis kin bi sayn fכ wan hat kכndyushכn we dεn kכl ``pεrikarditis.''
• Abnכmal At bit: εgzampl dεm na `(Atrial Fibrillation)` (hat bit we nכ de bit), `(Tachycardia)` (mכr dan 100 bit pan minit), εn `(Bradycardia)` (less dan 60 bit pan minit).

Tin dɛm fɔ tɔk bɔt di lɔng sawnd dɛm

Di nɔmal sawnd dɛm we yu kin yɛri frɔm difrɛn pat dɛm na yu lɔng dɛnsɛf difrɛn smɔl. Bɔt, in jɛnɛral, wɛlbɔdi lɔng dɛn gɛt sɔft, ɔlo sawnd. Yu dɔktɔ go yɛri dis sawnd we yu de blo.

Bɔt yu kin yɛri bak sawnd dɛn we nɔ kɔmɔn lɛk dis:

• Stridor: Dis sawnd de apin we blok de na yu ɔpa respiratory tract. Na lawd sawnd we gɛt ay ay vɔys ɛn we shap. I kin kam bikɔs ɔf di epiglotaytis, anafylaksis (wan bad bad alɛji), ɔ di vokal kɔd nɔ de wok fayn.
• Wiz: .Dis sawnd we yu de blo kin apin we yu aywe dɛn kin smɔl. Na ay-pitch, wispal sawnd. I kin min se yu lכng dεm nכ de fulכp wit briz kכmplit wan biכs fכ sכmtin lεk mכkus. dis kin yεri pan kכndishכn dεm lεk `(Asma)` (asma), `(Krכnik Obstrכktiv Pulmonary Disease - COPD)` (pulmonary edema)` (fluid in di lכng dεm).
• Rhonchi: Dis sawnd de kam bikɔs di say dɛn we di briz de blo nɔ de. I tan lɛk we pɔsin de snor. Dɛn kin yɛri am na kɔndishɔn dɛn lɛk `(Nimonia)` (Nimonia), `(COPD)`, `(Sistik Faybrosis)`.
• Krak/Rales: Dɛn tin ya de sawnd lɛk tu strɛch ia we de rɔb togɛda. Dɛn kin apin we wata kin gɛda na di say dɛn we di briz de blo bikɔs ɔf wan infεkshɔn na di lכng, lɛk nyumonia, ɔr at kכndyushכn lεk kכnjestiv at fεil.
• Pleural Rub: Dis kin sawnd lɛk we sandpepa de rɔb togɛda. Dis kin min se di tisu dɛn we de rawnd yu lɔng dɛn kin vɛks. I kin bi sayn fɔ wan sik lɛk pleurisy, nyumothorax, ɔ pleura effusion.
• Squawk: Dɛn kin kɔl dis bak shɔt wisl ɔ krok sawnd. Dis sawnd kin kam bikɔs di say dɛn we yu de blo chenj. I kin tan lɛk se na wan kɔmbaynshɔn fɔ wis ɛn krak krak. I kin bi wan sayn fɔ di kɔndishɔn dɛn lɛk `(Pulmonary Fibrosis)`, `(Bronchiolitis)`, `(Nimonia)`.

Imajin, ɔl dɛn sawnd ya tan lɛk di sawnd dɛn we de kɔmɔt frɔm difrɛn inschrumɛnt dɛn we de insay wan myuzik ɛnsambl insay yu bɔdi. Sɔntɛnde, wan pan dɛn inschrumɛnt dɛn de kin bi bɔg. Dat bɔg na wetin di dɔktɔ de tɔch.

Tin dɛn we dɛn kin tɔk tru bɛlɛ sawnd

Nɔmal, wɛlbɔdi bɔdi sawnd na smɔl, rumbling sawnd. Bɔku tɛm, dɛn kin yɛri dis sawnd ɛvri 5 to 10 sɛkɔn. i min se it de muv tru yu intestinal dεm εn yu dijestiv sistεm (GI Tract) de wok fayn fayn wan.

We dɔktɔ de lisin to di bɛlɛ sawnd, dɛn kin luk fɔ tin dɛn we nɔ fayn lɛk:

• Lɔs fɔ sawnd: If yu nɔ yɛri ɛni sawnd frɔm yu insay fɔ pas tu minit, i kin bi sayn fɔ wan kɔndishɔn we dɛn kɔl ``Ileus.'' Dis na we di tin dɛn we de insay di insay de gɛda ɛn di bɔdi kin stɔp fɔ muv fɔ sɔm tɛm.
• di sawnd dεm we dεn dכn dכn: If di sawnd dεm we dεn yεri frכm di intestinal dεm kwayɛt, if dεn rili lכw, i kin min se di bכdi fכnshכn dכn dכn, כ yu gεt ``(Kכnstipeshכn)``.
• Nɔys we de bɔku: If yu yɛri lawd sawnd dɛn we de kɔmɔt na yu intestinal ɔltɛm, i kin min se yu intestinal dɛn de wok tranga wan, ɔ yu gɛt dayarɛa.
• Grɔnt ɔ ay-pitch sawnd: If yu yɛri gurgling ɔ ay-pitch sawnd we de kɔmɔt na yu intestin, yu kin gɛt wan bɔdi we de ambɔg.

Wetin na dis "Triangle of Auscultation"?

Dis na tin we fayn smɔl fɔ mɛn pipul dɛn, bɔt i izi fɔ ɔndastand. Di "Triangle of Auscultation" na smɔl eria na yu bak. dis na di say we tri pan di mכsul dεm na yu bak (trapezius, latissimus dorsi, εn scapula) de mit. We yu krɔs yu an dɛn akɔdin to yu chɛst ɛn bɛn fɔ go bifo, dɛn mɔsul dɛn ya kin strɛch ɛn tan lɛk tin. Dɔn dis triangul eria kin kɔmɔt na do. We dɔktɔ ol stetɔskɔp na dis pozishɔn, di sawnd dɛn we de kɔmɔt na yu lɔng dɛn kin yɛri klia wan.

Wetin na di 5 men ples fɔ lisin to di at?

5 men ples de we dɔktɔ dɛn kin lisin to wit stetɔskɔp fɔ no if di at gɛt wɛlbɔdi. dis dεm de na spεshal εria dεm na di chεst, we riliyt to di at valv dεm.

Dɛn na:

• di Aortic Area: Dis de na di rayt say na yu chεst bon (sternum), bitwin di sεkכn εn di tכd rib dεm.
• Pulmonic Area: Dis de bak na di rayt say, lεk di big aorta, bכt na di lεft say.
• Erb in Point: Dis de na di lεft say na di bכdi, na di spεs bitwin di tכd εn di fכs rib. (Sɔm `(Murmurs)` yu kin yɛri fayn fayn wan frɔm dis eria.)
• Tricuspid Area: Dis de bitwin di fכs εn di fayv rib dεm.
• Mitral Area: Dis de na di εpiks na di at, dat na di say we di at we de dɔŋ pas ɔl.

So, wetin wi gɛt fɔ lan frɔm dis?

Sɔntɛm yu nɔ go no, bɔt yu bɔdi de mek sawnd ɔltɛm. I tan lɛk wan bayolojikal simfɔni! Bɔt sɔm tɛm sɔm pan dɛn "myuzik inschrumɛnt" ya kin kɔmɔt na di tiun. Dɛn sawnd dɛn de we nɔ fayn, dat na sawnd dɛn we nɔ kɔmɔn, kin tɛl dɔktɔ bɔku tin bɔt yu wɛlbɔdi. Ɔ, dɛn kin gi dɛn tin dɛn we go ɛp dɛn fɔ no if dɛn gɛt wan sik bay we dɛn de du ɔda tɛst dɛn.

Di tin we impɔtant pas ɔl na dat, if dɔktɔ lisin to yu bɔdi dis we ɛn si sɔntin we nɔ kɔmɔn, nɔ fred fɔ aks kwɛstyɔn bɔt am. Na yu rayt fɔ aks fɔ mek dɛn klarify wetin i bi, wetin mek i de apin, ɛn wetin fɔ du nɛks.

So, di nɛks tɛm we dɔktɔ put stetɔskɔp na yu bɔdi ɛn lisin, yu no se dɛn de du sɔntin we rili impɔtant!

` Ɔskulteshɔn, stetɔskɔp, at sawnd, lɔng sawnd, bɛlɛ sawnd, diagnosis, mɛdikal tɛst, wɛlbɔdi chɛk-ap