Yu go mɔs dɔn gɛt dis ɛnitɛm we yu dɔn go to dɔktɔ. Di dɔktɔ tek da smɔl tin de we de na in tebul ɔ rawnd in nɛk, put di kol ɛn rawnd ɛnd pan am na yu chɛst, ɛn tek tɛm lisin. Sɔntɛnde, i kin put am bak na yu bak. Dis na wetin wi kin kɔl
ɔskulteshɔn na mɛrɛsin. Fɔ tɔk am simpul wan, na fɔ lisin to di sawnd dɛn we de kɔmɔt insay yu bɔdi. Pan ɔl we na rili simpul tɛst, i kin tɛl di dɔktɔ bɔt yu wɛlbɔdi biznɛs we kin mek yu sɔprayz.
Wetin rili na ɔskulteshɔn?
Dɔktɔ dɛn dɔn de lisin to di sawnd dɛn we wi bɔdi de mek frɔm bifo dɛn mek di stetɔskɔp. Bɔt da tɛm de, dɛn nɔ bin gɛt stetɔskɔp. Dɛn bin de lisin to dɛn sawnd dɛn ya bay we dɛn bin de put dɛn yes dairekt to di pɔsin in chɛst ɔ in bɛlɛ. Imajin, yu nɔ tink se dat na sɔntin we nɔ izi fɔ du? Ivin Dɔktɔ René Laennec, we mek di stetɔskɔp, nɔ bin lɛk fɔ put in yes na di pɔsin in chɛst dis kayn we. I bin fɔs rol wan pepa ɛn shep am lɛk fɛnɛl ɛn put am na di chɛst. Dɔn i kam fɔ no se di sawnd dɛn we de na di chɛst kin big (amplify) bad bad wan we dɛn pas insay. Dɛn bin mek da aidia de ɛn dɛn mek di stetɔskɔp we yu de si tide. We dɔktɔ de lisin dis we, i kin pe atɛnshɔn to sɔm impɔtant pɔynt dɛn.
| Wetin fɔ pe atɛnshɔn to | Fɔ tɔk am simpul wan... |
|---|
| Ɔmɔs tɛm | Ilɛksɛf di sawnd we yu de yɛri ay ɔ smɔl. |
| Intensiti we pɔsin kin gɛt | Aw lawd di sawnd? |
| Ɔmɔs tɛm | Aw lɔng wan sawnd kin las? |
| Nɔmba | Yu kin yɛri di sawnd bɔku bɔku tɛm? |
| Kwaliti | Aw di sawnd de sawnd? (e.g., fɔ wispa, fɔ kray) |
Ɔskulteshɔn na tɛst
we rili sef ɛn we nɔ de ambɔg pɔsin . Dɛn kin du am bak kwik ɛn izi ɛni tɛm, bikɔs ɔl dɔktɔ gɛt stetɔskɔp nia am.
Aw fɔ lisin to yu at?
Yu go mɔs dɔn yɛri se yu at de bit. "
Lub-dub " "Lub-dub"... Dis na di besik sawnd fɔ wan wɛlbɔdi at. di "lub" sawnd (S1) de kam we tu pan di hat valv dεm (mitral εn tricuspid valv dεm) kכloz. di "dub" sawnd (S2) de kam we di כda tu valv dεm (aortic εn pulmonary valv dεm) klos. Di dɔktɔ go put di stetɔskɔp na 4 men say dɛn na yu chɛst. Dis na bikɔs dɛn kin yɛri di sawnd fɔ wan patikyula at valv fayn fayn wan frɔm ɛni wan pan dɛn say dɛn de. Apat frɔm dɛn sawnd dɛn ya we de mek di valv lɔk,
di dɔktɔ go yɛri bak di sawnd dɛn we di blɔd de flɔ ɛn di we aw di at tisu de shek. In wok na fɔ no difrɛns bitwin nɔmal, wɛlbɔdi sawnd ɛn abnɔmal sawnd we de sho se i gɛt sik.
Fɔ ɛgzampul, if yu yɛri "s... whiz..." sawnd de kɔmɔt na yu at, i kin bi at grɔmbul. Pan ɔl we sɔm pan dɛn tin ya nɔ bad, sɔm kin bi sayn fɔ se pɔsin gɛt siriɔs sik. Semweso, if yu yɛri sawnd lɛk tu pat pan di skin we de rɔb togɛda, i kin bi inflamɛns na di mɛmbran we de rawnd di at ( pericarditis ).
Wetin yu kin luk fɔ we yu de lisin to di lɔng dɛn?
Afta yu dɔn lisin to yu at, yu dɔktɔ go lisin to yu lɔng. Bɔku tɛm, i go bigin na wan say na yu chɛst ɛn muv di stetɔskɔp dɔŋ. Dɔn i go muv di stetɔskɔp to di ɔda say di sem we. Dɔn i go put di stetɔskɔp na yu bak ɛn du di sem tin. As i de du dis, i go kɔmpia di sawnd dɛn we de kɔmɔt na di tu lɔng dɛn. Sɔntɛnde, yu dɔktɔ go aks yu
fɔ ledɔm bifo ɛn krɔs yu an dɛn akɔdin to yu chɛst . dis go εp yu bak mכsul dεm fכ rilaks εn inkrεs di εria na yu lכng dεm (triangle of auscultation). Dis go ɛp yu fɔ yɛri di sawnd dɛn klia wan. I go lisin gud gud wan to di sawnd dɛm we yu de mek we yu de blo (inspɛkshɔn) ɛn pul briz (ɛkspireshɔn). Apat frɔm di nɔmal sawnd dɛm we yu de blo, if yu gɛt mɛrɛsin, yu kin yɛri dɛn sawnd ya we nɔ kɔmɔn:
| Nɔys we nɔ kɔmɔn | Diskripshɔn ɛn di tin dɛn we kin mek i apin |
|---|
| Wi de blo wisɛf | Wan ay ay sawnd we de mek pɔsin wispa. Dis kin bi bikɔs ɔf asma, COPD, ɔr di mכkus we de bɔku na di lכng. |
| Krak krak krak krak | Wan "krak krak" ɔ "krak krak" sawnd. dis sawnd de apin we di say dεm we di briz de fכm fulכp wit mכkus כ wata. I kin kam bikɔs ɔf infekshɔn na in lɔng, COPD, ɔ at sik. |
| Pleural Rub we dɛn kin yuz | I de sawnd lɛk tu pat pan sand pepa we de rɔb togɛda. dis de sho se prכblεm de wit di mεmbran we de rawnd di lכng dεm (pleura). |
| Stridor we gɛt fɔ du wit am | Wan lawd, ay-pitch sawnd we de kɔmɔt na di trot we yu de blo. dis de sho se di כp aywe (trot, larynx) de obstrכkshכn. |
Wetin mek yu kin put stetɔskɔp na yu bɛlɛ?
Yɛs, di dɔktɔ go put stetɔskɔp bak na yu bɛlɛ ɛn lisin. Yu no wetin mek? Lisin to di sawnd dɛn we de kɔmɔt na yu insay. We di it we wi de it dɔn dayjɛst ɛn muf dɔŋ as west, di insay de mek sawnd.
di hεlty pכsin in intestin dεm kin mek "gurgling" sawnd εvri 5-10 sekכnd.
If dɛn sawnd ya nɔ de ɔ dɛn rili fayn, dɛn kin sho se yu gɛt kɔnstipɛshɔn ɔ yu intestinal ɔbstrukshɔn (ileus). If dɛn sawnd ya pasmak ɛn lawd, dɛn kin bi sayn fɔ wan sik lɛk dayarɛa. Sɔntɛnde, dɛn kin no ivin di tin we de ambɔg di intestinal bay dɛn sawnd ya.
Yu tink se dis we aw dɛn de du tin dɔn ol naw?
Sɔm pipul dɛn kin tink se wit ɔl di advans tɛknɔlɔji lɛk CT skan ɛn MRI skan, fɔ lisin wit dis stetɔskɔp na ol tin naw. Na tru se bɔku prɔblɛm dɛn de wit di tradishɔnal stetɔskɔp. Di sawnd nɔ kin rili klia, i nɔ kin izi fɔ yɛri na say we nɔys de, ɛn i nɔ pɔsibul fɔ mek ɔda pɔsin yɛri wetin yu yɛri. Bɔt tide, sɔlv dɛn dɔn kam fɔ dis bak.
Ilɛktronik stetɔskɔp dɛn kin mek di sawnd dɛn big ɛn mek dɛn klia. Dɛn kin rikodɔ di sawnd dɛn bak lɛk dijital fayl ɛn sɛn dɛn to ɔda dɔktɔ fɔ mek i luk am bak. Dis na tin we rili impɔtant pan tɛlimɛdisin. Sɔm divays dɛn kin mek yu ebul fɔ si EKG (Electrocardiogram) wan tɛm we de sho aw yu at de bit we yu de lisin to di at. Bɔt, fɔ lisin to pɔsin nɔ kin ɛva ol. Dis kin mek di dɔktɔ no wantɛm wantɛm bɔt di sik we yu gɛt. Frɔm da aidia de, i kin disayd ustɛm tɛst dɛn fɔ du nɛks. Dis kin mek bak dɛn nɔ du tɛst dɛn we nɔ nid fɔ du ɛn we kin dia. Bɔt di sakrifays fɔ dis kin dipen ɔl pan
di dɔktɔ in skil, ɛkspiriɛns, ɛn rɛdi fɔ lisin gud gud wan .
Mɛsej we dɛn kin kɛr go na os
- Ɔskulteshɔn na wan tɛst we rili besik, we sef, bɔt we rili impɔtant we dɔktɔ kin du.
- Dis simpul tɛst kin tɛl yu bɔku tin bɔt aw yu at, yu lɔng , ɛn yu bɔdi de wok.
- Bay di sawnd dɛm we yu kin yɛri tru di stetɔskɔp, di dɔktɔ go ebul fɔ ɛp yu fɔ disayd us nɛks tɛst ɔ tritmɛnt yu nid.
- Dis na profeshɔnal mɛdikal ɛgzam. So, nɔ rid bɔt dis ɛn go ɛn chɛk yusɛf wit stetɔskɔp. Lɛf da wok de to yu dɔktɔ.
Ɔskulteshɔn, stetɔskɔp, mɛdikal ɛgzamin, at sawnd, lɔng sawnd, bɔdi sawnd, dɔktɔ
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