Doctor hian stethoscope hmangin eng nge a ngaihthlak? Aucultation chungchang hi i zir chiang ang u!

Doctor i pan chuan doctor i hmu tawh ngei ang, chu instrument lum te tak te chu i rilru, i hnungzang emaw, i pum emaw ah dahin rei vak lo an ngaithla thin. Stethoscope kan ti a. Mahse, engvangin nge chutiang chu an tih, eng nge an hriat, chu aw atang chuan eng nge an hmuhchhuah tih hi i ngaihtuah ngai em? Chu chu vawiinah kan sawi dawn a ni. Damdawi lamah chuan hei hi ``Auscultation'' an ti a, a awlsam zawngin taksa chhung atanga thawm lo chhuak ngaihthlak a ni.

Taksa thusawi ngaihthlak hian eng nge a awmzia tak? (Auscultation) tih a ni.

A awlsam zawngin, ``(Auscultation)`` chu doctor-in stethoscope hmanga i thinlung chhungril , lung , thisen kalna kawng lian tak tak (arteries), leh pum chhunga aw hrang hrang lo chhuakte a ngaihthlak hian a ni. Doctor chuan heng aw te hi i rilru, i kawr, i hnungzang leh i pum chungah direct-a dahin a ngaithla thin. Thil tam tak, ri hrang hrang, an nihphung, an ri nasa zia leh engtikah nge an lo awm tih te hi an ngaihven hle.

Ngaihtuah teh, hei hi thil awlsam tak a ni a, engti kawng mahin taksa a tichhe lo . Dik tak chuan hei hi hmanraw hlui tak, mahse a hlawk hle a, tun thlengin doctor-te chuan i hriselna chungchang hriat nan an la hmang reng a ni. Hei hi taksa chhunga engmah dah lo (non-invasive) test a ni.

Engtik laiin nge doctor hian hetiang hian a ngaithla thin?

Auscultation hi taksa enfiahna pangngaia tih a ni tlangpui a, kum tin doctor i tlawh emaw, damdawi lam thil dang emaw avanga i tlawh pawh nise. Doctor-te chuan i circulatory system , respiratory system , leh gastrointestinal system atanga aw hriat chu an thawk tha em tih hriat an duh a ni. Hei hian i hriselna zawng zawng hrethiam turin a pui thei a, damdawi lam dinhmun hnuaia awm eng pawh an hmuchhuak thei a, natna rinhlelh a nih thu an nemnghet thei bawk.

Taksa peng hrang hrang ngaihthlak dan hrang hrang a awm a ni lawm ni?

Ni e, doctor-in he ``(Auscultation)`` a tih dan hi a taksa system a ngaihthlak dan azirin a danglam thei. A hmanraw pawimawh ber berte han thlir ila.

Thinlung thu ngaihthlak (Heart Auscultation) .

He test-ah hian doctor chuan i thinlung atanga thawm lo chhuak chu a ngaithla thin. Hei hi ``Cardiac Auscultation'' an ti bawk. Hei hi ṭhutphah-a ding nghet taka thut emaw, khumah 45 degree angle-a mu emaw hmanga tih a ni tlangpui. A châng chuan vei lamah tlem tal hawi turin an ti mai thei che a, chutiang chuan thinlung thawm chu chiang zawkin a hriat theih nan.

Doctor chuan i rilruah stethoscope a dah ang a, i thinlung thawm a ngaithla ang. I rilruah hian heart valve atanga thawm ri hriat theihna hmun bik 5 a awm a. Heng hmun tinah hian a hnungzuiin stethoscope hi dah a ni ang. Heng hmunte hi i rilru veilam sir chunglam ah a awm tlangpui.

Doctor-in thinlung murmur a ngaihthlak hian a hnuaia mite hi an zawng thin:

• Timing: I thinlung a na vawi engzat nge ( heart rate ).
• Intensity: Thinlung a nasat dan.
• Frequency: Aw ri nalh dan, a nih loh leh ``pitch'' an tih dan.
• Hun chhung: Lungphun pakhat hian eng chen nge a daih?

Lung lam ngaihthlak (Lung Auscultation) .

Hetah hian doctor chuan i lung atanga thawm lo chhuak chu a ngaithla thin. Hei hi a theih chuan ding taka thut tir che a ni. Doctor chuan stethoscope chu i rilruah a dah a, i hmui atanga thawk thûk tak la turin a ti a. Tichuan, stethoscope chu i lung chhunga hmun hrang hrangah ``Pulmonary Auscultation Points'' an tihah sawn a ni. Doctor chuan i lung chunglam atanga thawm lo chhuak chu a ngaithla a, a sir lehlamah a khaikhin a.

I taksa hmalam atanga lung thawm a ngaihthlak zawh chuan doctor chuan stethoscope chu i hnungzang ah a dah a. Tun hma ang bawkin chunglam atanga hnuailam thlengin, sir lehlamah an ngaithla a, hmun khatah thawk pum (inspiratory-expiratory cycle) an ngaithla a. Tichuan, hma lam atanga thawm hriatte chu hnunglam atanga thawm hriatte nen an khaikhin a.

Lung thawm a ngaihthlak hian doctor chuan a hnuaia mite hi a ngaihven ang:

• Hun chhung: Thâwk lak leh thawk chhuah hun chhung.
• Frequency: Aw ri (pitch) nalh dan.
• Amplitude: Thâwk ri ri ring lutuk (loudness/intensity).
• Quality: Aw danglam tak tak a awm em, entirnan, wheezing ?

Thisen kalna kawng lian tak tak (Arteries) ngaihthlak .

A tul chuan doctor chuan i kawr, i pum, leh i kal chhunga thisen kalna kawng lian tak tak (arteries) te pawh a ngaithla thei bawk .

Hetah hian doctor chuan heng thilte hi a en a:

• Bruit: Hei hi thisen kalna kawng atanga thisen luang chhuak atanga ri rough, grating sound a ni. Chumi awmzia chu thisen chu thisen kalna kawng chhungah a kal tha lo tihna a ni a, hei hi a block vang pawh a ni thei. Taksa peng pakhata thisen kalna a tlahniam tih chhinchhiahna a ni thei bawk.
• Intensity: I pulse a chak lo em tih enfiah rawh. Hei hian artery block i nei tihna a ni thei.

Abdominal Auscultation tih a ni

He test-ah hian doctor chuan i intestine atanga thawm lo chhuak chu a ngaithla thin. Hei hi i lu hnuaiah pillow dahin khumah nuam taka mut tir che a ni. I khup hnuaiah pawh a nuam zawk theih nan support tlemte pek i ni thei bawk.

Doctor chuan stethoscope chu i pum chungah a dah a, i pum chhung hmun hrang hrangah a sawn a, i intestines atanga thawm lo chhuak chu a ngaithla thin.

Doctor-te chuan pum chhunga thawm an ngaihthlak hian:

• Existence: Intestine atanga aw hriat leh hriat loh.
• Quantity: Aw hriat a nih chuan engzat nge hriat a nih.
• Quality: A aw hian mizia bik a nei emaw, a danglam bik em tih emaw.

Heng aw atang hian doctor-te hian eng nge an hriatthiam?

Awle, tunah chuan hmun tina ri hriat a\angin doctor-te'n eng nge an hriat chhuah tih i en ang u.

Thinlung ri hmanga sawi thilte

Thinlung pangngai, hrisel tak chu "lub-dub" rhythm nghet takin a ri thin. A ri hmasa ber chu `(S1)` tih a ni a, a pahnihna chu `(S2)` tih a ni. He thawm hi i doctor-in i heart valve a khar hian a hre thin.

Mahse, a châng chuan hetiang ri danglam tak hi i hre mai thei:

• Murmurs: Hengte hi thinlung na tak laia hriat theih thawm danglam tak tak a ni. Tui luang zawi zawia luang chhuak ``swishing sound'' ang mai an ni. Thinlung valve kaltlanga thisen a luang chhuak thin turbulent blood flow avanga lo awm an ni. ``Murmur'' chi hrang hrang a awm a, thenkhat chu thinlung natna khirh tak chhinchhiahna a ni thei bawk.
• Pericardial Friction Rub: Hei hi aw sang tak, grating tak a ni. Savun pahnih inzawm khawm ang maiin a ri. Hei hi thinlung natna ``pericarditis'' an tih chhinchhiahna a ni thei.
• Heartbeat pangngai lo: Entirna atan `(Atrial Fibrillation)` (rilru thawk mumal lo), `(Tachycardia)` (minute khatah beat 100 aia tam), leh `(Bradycardia)` (minute khatah beat 60 aia tlem) te hi a ni.

Lung ri chungchanga sawi tur awm

I lung hmun hrang hrang atanga aw pangngai hriat thin pawh hi a danglam deuh hlek bawk. Mahse, a tlangpuiin, lung hrisel tak takte hian aw nêm, hrual (hollow sound) an nei a. I doctor chuan i thawk chhuah hunah he thawm hi a hre mai ang.

Mahse, hetiang ri danglam tak takte pawh i hre mai thei:

• Stridor: He aw hi i thawkna kawng chunglam a block a awm chuan a lo chhuak thin. Ri ring tak, ri sang tak, na tak tak a ni. Epiglottitis, anaphylaxis (allergy na tak) emaw, vocal cord dysfunction vang emaw a ni thei.
• Wheeze chu:He whistling sound hi i thawkna kawng a zim deuh hian a lo awm thin. A ri sang tak, whistling ri a ni. Mucus ang chi thil vangin i lung chu boruak a khat vek lo tihna a ni thei. Hei hi `(Asthma)` (asthma), `(Chronic Obstructive Pulmonary Disease - COPD)` (pulmonary edema)` (lung chhunga tui awm) ang chi dinhmunah hriat theih a ni.
• Rhonchi: He thawm hi thawkna kawng inkharkhip vang a ni. Hruihrual nen a inang. `(Pneumonia)` (Pneumonia), `(COPD)`, `(Cystic Fibrosis)` ang chi dinhmunah hriat a ni.
• Crackles/Rales: Hengte hi sam zung pahnih inzawm khawm ang maiin a ri. Lung infection, pneumonia ang chi, emaw, congestive heart failure ang chi heart condition avanga thawkna kawngah tui a punkhawm hian an awm thin.
• Pleural Rub: Hei hi sandpaper inhnim khawm ang maiin a ri. Hei hian i lung chhehvel tissue te chu a ti na tihna a ni thei. Pleurisy, pneumothorax, emaw pleural effusion ang chi natna chhinchhiahna a ni thei.
• Squawk: Hei hi short whistling emaw croaking sound emaw an ti bawk. He aw hi i thawkna kawng inthlak danglam vang a ni thei. Wheezing leh crackling inzawmkhawm ang maiin a ri. `(Pulmonary Fibrosis)`, `(Bronchiolitis)`, `(Pneumonia)` ang chi natna lan chhuahna a ni thei.

Ngaihtuah teh, heng aw zawng zawng hi i taksa chhunga musical ensemble-a instrument hrang hrang atanga thawm lo chhuak ang mai a ni. A châng chuan, chutiang instrument pakhat chu bug a ni thei bawk. Chu bug chu doctor in a khawih chu a ni.

Pum ri hmanga sawi thin thil

Bowel sound pangngai, hrisel tak chu a hniam, rumbling sound a ni. He thawm hi second 5 atanga 10 danah a ri tlangpui. Chaw ei chu i intestines kaltlangin a kal a, i digestive system (GI Tract) a thawk tha tihna a ni.

Doctor-in pum ri a ngaihthlak hian thil dik lo an zawng a, chungte chu:

• Aw hloh: I ril atanga minute hnih aia rei i hriat loh chuan ``Ileus'' tih natna chhinchhiahna a ni thei.Hei hi i chhungril chhunga thil awmte a lo awm khawm a, hun eng emaw chen chhung chu i rilru a che a chawlhsan hun a ni.
• Aw tlahniam: Intestine atanga ri hriat chu a reh a, a hniam lutuk a nih chuan bowel function a tlahniam tihna a ni thei a, ``(Constipation)`` i nei tihna a ni thei bawk.
• Thawm a tam: I chhungril atanga thawm ri nasa tak, a tam zawk i hriat chuan i rilru a thawkrim zawk tihna a ni thei a, a nih loh leh i riltam tihna a ni thei bawk.
• Grunting emaw high-pitched sounds: I intestines atanga gurgling emaw high-pitched sound lo chhuak i hriat chuan i bowel obstruction a awm thei.

He "Triangle of Auscultation" hi eng nge ni?

Hei hi medically sound deuh a ni a, mahse hriatthiam a awlsam hle. "Triangle of Auscultation" hi i hnungzang a hmun te tak te a ni. Hei hi i hnungzang ruh pathum (trapezius, latissimus dorsi, leh scapula) inzawmkhawmna hmun a ni. I kut i rilru i cross a, hmalam i ben chuan heng ruh te hi an inzawm khawm a, an lo hring chhuak thin. Chumi hnuah chuan he triangular area hi a lang chhuak ta a ni. Hetiang dinhmunah hian doctor-in stethoscope a vawn chuan i lung atanga thawm lo chhuak chu chiang takin a hre thei a ni.

Thinlung ngaihthlakna hmunpui 5 te chu engte nge ni?

Thinlung hriselna tehna atana doctor ten stethoscope hmanga an ngaihthlakna hmunpui 5 a awm a. Chungte chu rilru hmun bik, heart valve nena inzawm a awm a ni.

Anni chu:

• Aortic Area: Hei hi i rilru ruh (sternum) dinglamah, ruh pahnihna leh pathumna inkarah a awm a.
• Pulmonic Area: Hei pawh hi dinglamah a awm a, great aorta ang bawkin, mahse veilam lamah a awm thung.
• Erb’s Point: Hei hi taksa veilam, ruh pathumna leh palina inkar hmunah a awm a. (He lai hmun atang hian `(Murmurs)` thenkhat chu hriat theih a ni.)
• Tricuspid Area: Hei hi ruh palina leh pangana inkar a awm a ni.
• Mitral Area: Hei hi thinlung apex-ah a awm a, chu chu thinlung hnuai ber a ni.

Chuti a nih chuan, hei atang hian eng nge kan zir tur?

I hre lo mai thei, mahse i taksa chuan thawm a siam reng a ni. Biological symphony ang mai a ni! Mahse, a chang chuan heng "musical instrument" thenkhat hi out of tune a ni thei. Chutiang out of tune sound, chu chu aw danglam tak takte chuan doctor hnenah i hriselna chungchang tam tak a hrilh thei a ni. A nih loh leh, test dang tih belhin damdawi lam dinhmun hriat theihna tur clues an pe thei bawk.

A pawimawh ber chu, hetiang hian doctor-in i taksa a ngaithla a, thil danglam tak a hmuchhuak a nih chuan, chumi chungchang zawhna zawt hreh suh. Eng nge a nih, engvangin nge a thlen tih leh a hnua i tih tur chungchangah chiang zawka dil hi i dikna a ni.

Chuvangin, a dawt leha doctor-in i taksaah stethoscope a dah a, a ngaihthlak hunah chuan thil pawimawh tak an ti tih i hria ang!

` Auscultation, stethoscope, thinlung ri, lung ri, pum ri, natna hriat dan, damdawi lam test, hriselna endik