Yu mɛmba we yu bin go to dɔktɔ ɛn put da kol stetɔskɔp de na yu chɛst ɛn bak ɛn tek tɛm lisin? Wi ɔl dɔn gɛt dis ɛkspiriɛns. Yu nɔ ɛva wɔnda se, "Wetin di dɔktɔ rili de yɛri frɔm dis?" Di ansa to da kwɛstyɔn de na di mɛdikal tɛst we wi de tɔk bɔt tide we dɛn kɔl ‘Auscultation.’ Nɔ wɔri, i rili simpul, i nɔ de mek yu fil pen, bɔt na impɔtant tin we de tɛl yu bɔku tin bɔt yu wɛlbɔdi.
Fɔ tɔk am simpul wan, wetin na ɔskulteshɔn?
Ɔskulteshɔn (dɛn kin kɔl am: "o-skul-ta-tion") na wan rili simpul we fɔ du am. I min se yu fɔ yuz stetɔskɔp fɔ lisin to di sawnd dɛn we de kɔmɔt na yu insay pat dɛn lɛk yu at, yu lɔng, yu blɔd vesel, ɛn yu insay . Di dɔktɔ go put di stetɔskɔp na yu chɛst, nɛk, bak, ɛn bɛlɛ ɛn chɛk fɔ tin dɛn lɛk di kayn we aw dɛn sawnd ya tan, di spid, di vɔlyum, ɛn di ritm.
Dis na tɛst we nɔ bad atɔl, we rili sef. Na wan pan di ol ɛn bɛsis tɛst dɛn bak we dɔktɔ dɛn stil de yuz tide.
Ustɛm dɛn kin du ɔskulteshɔn tɛst?
We yu go fɔ chɛk yu bɔdi ɔltɛm, i go mɔs bi se yu dɔktɔ go du dis tɛst. I de gi yu wan rough aidia bɔt aw yu sakulayshɔn sistɛm , di we aw yu de blo , ɛn di we aw yu bɛlɛ de wok.
Dis min se dis simpul tɛst kin rili ɛp fɔ mek yu ɔndastand yu ɔl yu wɛlbɔdi biznɛs, ɛn bak fɔ kɔnfɔm ɔ ruul ɔut ɛni mɛdikal kɔndishɔn we dɛn tink se gɛt.
Wetin na di men we dɛn fɔ lisin to pɔsin?
Dɛn kin sheb dis tɛst to difrɛn pat dɛn, i kin dipen pan di ɔgan we di dɔktɔ de lisin to. Lɛ wi si wetin dɛn bi.
| Di ɔgan we de ɛgzamin | Aw fɔ du am ɛn wetin fɔ chɛk |
|---|---|
| At | Yu go sidɔm ɔ ledɔm na 45 digri angle, ɛn dɛn go put di stetɔskɔp na difrɛn say dɛn na yu chɛst. Na ya, di dɔktɔ go lisin spɛshal wan to 5 say dɛn usay di at valv dɛn kin yɛri klia wan. Dɛn go luk di tɛm we yu at de bit., di klia we aw di sawnd klia (Intensity) , di ay ɛn lɔw we di sawnd de (Frequency/Pitch) , ɛn aw lɔng wan bit de las (Duration). |
| Lɔng | Dɛn go aks yu fɔ sidɔm stret ɛn tek dip briz tru yu mɔt. Dɔn, dɛn go put di stetɔskɔp na difrɛn pat dɛn na yu chɛst ɛn bak fɔ kɔmpia di sawnd dɛn we de kɔmɔt na yu lɔng dɛn na di tu say dɛn. Dis go luk fɔ di tɛm we yu de blo ɛn pul di briz, di kwaliti fɔ di sawnd, ɛn ɛni sawnd we nɔmal lɛk fɔ wispa. |
| Blɔd vesel dɛn (Arteries) . | Dɛn kin lisin bak to di men blɔd vesel dɛn na di nɛk, bɛlɛ, ɛn kidni. na ya, dεn de chεk wan abnכmal sawnd we dεn k כl bruit (wan כnכmal ‘nois’ sawnd we dεn kin mek we bכdi de fכlכ tru bכdi vεsεl) εn wik puls rεt (intensiti) . Dɛn tin ya kin ɛp fɔ no ɛnitin we de ambɔg di blɔd flɔ. |
| Di bɛlɛ we de na di bɛlɛ | Dɛn go mek yu ledɔm ɛn dɛn go put di stetɔskɔp oba difrɛn say dɛn na yu bɛlɛ fɔ lisin to sawnd dɛn we de kɔmɔt na yu insay. Dis go luk if yu kin yɛri sawnd frɔm yu intestin ɔ yu nɔ kin yɛri (Existence) , aw ɔltɛm yu kin yɛri dɛn (Quantity) , ɛn wetin na di kwaliti fɔ di sawnd dɛn. |
Wetin dɛn sawnd dɛn ya min?
Naw lɛ wi si wetin dɛn nɔmal ɛn abnɔmal sawnd ya de tɔk bɔt yu wɛlbɔdi.
At Saund dɛn
nכmal wan, hεlty hat de prodyuz tu ritmik sawnd dεm we dεn kכl "lub-dub". Dɛn kin kɔl dɛn tin ya bak S1 ɛn S2. Dɛn sawnd ya kin kɔmɔt we di at valv dɛn lɔk.
Bɔt sɔntɛnde yu kin yɛri difrɛn sawnd dɛn we nɔ kɔmɔn. Bɔt mɛmba se nɔto ɔl di sawnd dɛn we nɔ kɔmɔn de sho se pɔsin gɛt siriɔs sik.
| Nɔys we nɔ kɔmɔn | Wetin i kin min |
|---|---|
| At Murmurs | Dis na "swishing" sawnd, we fiba briz. I kin bi bikɔs di blɔd nɔ de flɔ tru di at in valv dɛn. Pan ɔl we sɔm grɔmbul nɔ kin bad, ɔda wan dɛn kin bi sayn fɔ siriɔs at sik. |
| Pɛrikardial frikshɔn rɔb | Wan smɔl sawnd we de mek pɔsin grat, lɛk se tu pat pan di skin de rɔb togɛda. dis kin bi we di sak we de rawnd di at de inflamesh (pεrikarditis). |
| Di at we nɔ de bit | di kכndishכn dεm lεk di at ritm we nכ de rεgεl (atrial fibrillation), tu fast (tachycardia - mכr dan 100 bit pan minit), כ tu slo (bradycardia - less dan 60 bit pan minit). |
Sɔnd dɛn we de na di Lɔng
Di lɔng dɛn we gɛt wɛlbɔdi kin mek wan sawnd we saf ɛn we ol we yu de blo.Bɔt sɔntɛnde yu kin yɛri difrɛn sawnd.
| Nɔys we nɔ kɔmɔn | Wetin i kin min |
|---|---|
| Wiz wisɛf | I de mek lɛk se na sawnd we dɛn de mek we dɛn de wisɛl smɔl smɔl. dis sawnd de mek we di say dεm we di briz de fכm de sכmtεm sכmtin lεk mכkus. Dɛn kin yɛri am pan tin dɛm lɛk asma ɔr COPD. |
| Rhonchi we de na di wɔl | Wan sawnd we de mek pɔsin ala lawd wan ɛn we de snor. I kin bi bikɔs di mכkus ɔ ɔda tin dɛn kin stɔp na di say we di briz de blo. E kin bi sayn fɔ wan sik lɛk nyumonia. |
| Krak krak krak krak | Wan "chit chit" sawnd, lɛk tu strɛch ia we de rɔb togɛda. dis sawnd de kכz fכ wata we de kכmכt na di lכng dεm (nyumonia, at fεil). |
| Stridor we gɛt fɔ du wit am | Wan ay ay sawnd we de mek pɔsin blo we i de blo. I kin kam bikɔs di trot ɔ di ɔpa aywe blok. Dis kin bi imejensi . |
Sɔnd dɛn we de na di bɛlɛ
nכmal wan, wi intestכn dεm de mek sכft, "bכbbul" sawnd εvri 5-10 sekכnd. Dis min se di dijestiv sistεm de wok fayn fayn wan.
- Nɔ sawnd: If dɛn nɔ yɛri sawnd fɔ pas tu minit, i kin bi sayn fɔ wan sik we dɛn kɔl ileus.
- Sawnd we de go dɔŋ: If di frɛkuɛns fɔ sawnd nɔ bɔku ɔ di sawnd rili saf, i kin bi bikɔs ɔf wan kɔndishɔn lɛk kɔnstipɛshɔn.
- Nɔys we de bɔku: If yu yɛri mɔ, lawd sawnd pas aw yu kin yɛri, i kin bi sayn fɔ wan sik lɛk dayarɛa.
- Grɔnt ɔ ay-pitch sawnd: If yu yɛri ɔnusual gurgling ɔ low-pitched sawnd dɛn we de kɔmɔt na yu intestin, dat kin bi sayn fɔ se yu bɔdi dɔn stɔp.
Ɛni ples de we dɔktɔ dɛn kin lisin mɔ?
Yɛs, fɔ tru, i de.
wan spεshal εria de na yu כp bak, bitwin yu sכlda bled dεm, we dεn k כl "triangle of auscultation." di mכsul layεr na dis εria tכn, so yu kin yεri sawnd dεm we de kכmכt na di lכng dεm rili klia wan.
כlso, we yu de lisin to di at, 5 spεshal ples dεm de na di chεst usay di sawnd dεm na di at valv dεm de mכst yεri. Di dɔktɔ go mɔs put di stetɔskɔp na dɛn ples ya ɛn chɛk dɛn.
We yu nɔ no, yu bɔdi de mek difrɛn sawnd dɛn ɔltɛm. I tan lɛk wan myuzik ɛnsambl. Ɔskulteshɔn na chans fɔ di dɔktɔ fɔ aks if ɛni wan pan di inschrumɛnt dɛn na dis ɛnsambl de ple di rɔng ki.
So di nɛks tɛm we yu dɔktɔ put in stetɔskɔp ɛn lisin, nɔ fred. I kin sho bɔku valyu tin dɛn bɔt yu wɛlbɔdi biznɛs. If yu yɛri sɔntin we nɔ kɔmɔn, nɔ ɛva shem fɔ aks yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Ɔskulteshɔn na di we aw yu de lisin to di sawnd dɛm we de kɔmɔt na yu at, yu lɔng, ɛn yu intestinal bay we yu de yuz stetɔskɔp. Dis na tɛst we rili simpul, we sef, ɛn we nɔ de mek pɔsin fil pen.
- Dis na besik tɛst we dɛn kin rili du we dɛn de du wan rutin mɛdikal ɛgzam.
- Pan ɔl we dɛn sawnd ya we nɔ kɔmɔn kin mek wi no bɔt difrɛn kayn mɛrɛsin, nɔto ɔl di sawnd dɛn we nɔ kɔmɔn kin sho se pɔsin gɛt siriɔs sik.
- Dis na jɔs wan tin we di dɔktɔ de yuz. If ɛni dawt de, dɛn go du ɔda tɛst fɔ mek dɛn no di sik kɔrɛkt wan.
- Nɔ ɛva fred fɔ aks kwɛstyɔn bɔt wetin yu dɔktɔ yɛri ɛn wetin i min. Na yu rayt fɔ mek dɛn no bɔt yu wɛlbɔdi biznɛs.
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