Hei hi doctor i pan apiangin i chungah a thleng tawh ngei ang. Doctor chuan a desk atang chuan device te tak te chu a la a, a kawngah a dah a. Chutah a hmun zungbun leh vawt tak chu i rilruah a dah a, "Thawk la rawh... thawk chhuak zauh zauh rawh..." Chutianga i tih lai chuan doctor chuan ngun takin a ngaithla a. A chang chuan a lu a bu nghat a, test dang a pan leh thin. A châng dangah chuan rei lo tê a ngaihtuah a, thil dang a en a ngai tih a rilruah a dah ṭhîn. Hei hi hmuhnawm tak a ni lo maw?
Chuti a nih chuan, stethoscope hian eng nge a tih tak tak?
A awlsam zawngin sawi ila, stethoscope hi hmanraw hlu tak a ni a, chu chuan doctor, nurse leh emergency room-a thawktute chu i taksa chhungril atanga thawm lo chhuakte chu ngaithla turin a pui a ni. Heng aw te hian i hriselna kawng hrang hrang, i thinlung leh lung hnathawh dan leh i thisen kaltlangin thisen a luang tha em tih te pawh a hrilh thei che a ni.
Damdawi lamah chuan heng taksa chhungril ri te hi ngaihthlak hi ``auscultation'' an ti a.Doctor chuan stethoscope hi a hmang ber a:
- I thinlungah: I thinlung thawk dan leh a rhythmic dan te ngaithla rawh.
- I lung tan: I thawk chhuah leh chhuah laia i thawm ri te chu ngaithla rawh.
- I intestines tan: Digestive process a kal zel angin i intestines atanga aw lo chhuak te chu ngaithla rawh.
- I thisen kalna kawngte hnenah: Thisen kalna kawng lian thenkhat atanga thisen luang ri chu ngaithla rawh.
Ngaihtuah teh, i taksa chhungah hian orchestra te tak te a awm a. Organ tin hian an hnathawh laiin an ri danglam bik, an rhythm an nei vek a. Entirnan, thinlung "lub-dub" ri. Hengte hi aw pangngai an ni.
Mahse a chang chuan heng aw pangngai zingah hian thawm danglam tak tak kan hre thei bawk. Chu aw danglam tak takte chu hriselna lama harsatna a awm tih hriat theihna hmasa ber a ni.
Entirnan, doctor chuan stethoscope hmangin heng ang aw danglam tak takte hi a hmu thei a ni:
- Thinlung ri pangngai lo: Thinlung ri ang maia ri .
- Lung ri pangngai lo: Thâwk chhuah laiin thawk hah emaw stridor (a ri na tak) emaw .
- Abnormal bowel sounds: Pum atanga "gurgling" ri pangngai aia ri ring zawk emaw, a ri sang zawk emaw.
- Thisen kalna kawnga aw pangngai lo: Thisen kalna kawng thenkhata thisen a kal laia a khar huna hriat tur thawm bik, entirnan, carotid arteries atanga aw hriat (`carotid bruit`)
Doctorin hetiang thawm danglam tak a hriat hian thil dik lo a awm tih a hre chiang hle. Mahse stethoscope ringawt hian eng nge a nih leh engtiang chiahin nge a pawi tih a hril thei lo. Mahse hei hi natna pakhat hriatchhuahna atana hmalakna hmasa ber leh pawimawh ber a ni . He clue hmang hian i doctor chuan test dang neih belh turin a refer thei che a, thil awmdan dik tak a hre thei a, a tul anga enkawlna tur a ruahman thei bawk.
Stethoscope chi hrang hrang a awm em?
Ni e, doctor-te hman thin stethoscope chi hrang hrang a awm. A chi hrang hrang hi han thlir ila.
| Stethoscope chi hrang hrang | Eng thil nge a danglam bik? |
|---|---|
| Traditional Stethoscope (Analogue Stethoscope) hmanga hman theih a ni. | Hei hi kan hmuh tawh zawng zawng zingah chuan hman tlanglawn ber a ni. Hetah hian taksa chhung lam atanga thawm lo chhuak chu tube hmangin doctor beng bulah direct-in a kal a, electronic puihna engmah a awm lo. Hemi hnuaiah hian thil chi hrang hrang a awm bawk a, chu chu naupang tê tête tana hman ṭhin stethoscope te te a ni. |
| Electronic Stethoscope hmanga siam a ni | Hei hi a hmasawn deuh deuh a ni. Taksa ri a tichak thei a, a chiang zawk bawk. Chuvangin hei hi aw fiah lo tak tak, reh tak tak (e.g. thinlung murmur thenkhat) hriat theihna atan a tangkai hle. Environment-a thawm ri tul lo tihziaawmna tur leh a tul anga thawm chauh hriat theihna turin a pui bawk. |
| Digital Stethoscope hmanga siam a ni | Hei hi technology hmasawn zawk a ni. Amplifying sounds bakah hian heng sound te hi record theih a ni a, a hnuah ngaihthlak theih a ni a, doctor dang hnenah pawh share theih a ni bawk. Heng sound data te hi graph ang chi thilah te pawh a chantir thei a, computer hmangin kan zirchiang thei bawk. |
Tunah hian Sri Lanka leh khawvel hmun hrang hrangah stethoscope hman tlanglawn ber chu traditional stethoscope a ni. Chu hmanrua awlsam tak hmang chuan doctor chuan thu pawimawh tam tak a hmu thei a ni.
Engtin nge he thil nen hian aw i hriat? Stethoscope-a thil awmte chu engte nge ni?
Stethoscope hnathawh dan hi a awlsam hle. I taksa chhunga thil a kal chuan vibrations a siam thin. Heng vibrations te hian sound wave a siam thin. I rilru a stethoscope a inbun lai hian heng sound wave te hi a la a, hollow tube hmangin doctor beng ah a thawn chhuak thin. Tunnel sei tak atanga sound kal ang mai a ni.
Stethoscope-a thil pawimawh ber berte leh an thil tih dan te han thlir ila.
| Bung hrang | Eng nge a tih? (Eng nge a tih?) |
|---|---|
| Chest Piece a awm | Hei hi doctor-in i vunah a dah thin thir leh plastic zungbun chu a ni. A tlangpuiin a sir pahnih a nei. Pakhat chu a sir flat, lian tak a ni. A hming chu diaphragm . A dang chu a sir te tak te, hollow, cup ang mai a ni. Chu chu bell an ti a . Heng sir pahnih inkarah hian aw chi hrang hrang hriat theih nan i inthlak thei a ni. |
| Tubing a ni | Hei hi rubbery tube hollow, rubbery tube a ni a, chu chuan rilru atanga doctor beng thlenga aw a phur thin. Y angin pahnih ah a inthen tlangpui a, beng pahnih nen a inzawm a ni. |
| Ear Tubes leh Tips te | Hengte hi metal parts te an ni a, tube atanga sound lo chhuak chu doctor beng chhungah direct a ni. Tin, a tawp lamah pawh soft part an nei a, chu chu music ngaihthlakna atana kan hman ear phone ang chi hi a ni. Hengte hian stethoscope chu beng chhungah nghet takin a vawng tlat a, pawn lam thawm lo lut pawh a ti tlem bawk. |
He hmanrua mak tak hi tuin nge siam?
Stethoscope hi kum 1816 khan French doctor pakhat René Laennec chuan a lo siam chhuak hmasa ber a ni . Mahse Stethoscope a siam hmasak ber chu tunlaia kan hmuh ang hian a danglam hle. Thing hmanga siam tube awlsam tak mai a ni. Hun a kal zel a, doctor dang tam tak chuan zawi zawiin an siam \ha leh ta a ni. Tunlai stethoscope kan hmuh tur design bulpui ber hi kum 1960 chho vela siam a ni.American doctor pakhat David Littmann-a siam a ni.
Doctor pan i hlauhthawn lai hian heng hmanrua te hi i ngaihtuah vak lo mai thei. Mahse, stethoscope ang chi hmanraw awlsam tak chu doctor hriatna leh tawnhriat nen a inzawm chuan i hriselna humhimna atana hmanraw chak tak a nih theih dan hi hriat a tha hle.
Take-Home Thuchah a ni
- Stethoscope hi damdawi hmanraw pawimawh tak a ni a, i taksa chhunga taksa peng hrang hrang, i thinlung, i lung leh i intestines atanga aw lo chhuak ngaihthlak nan hman thin a ni.
- Doctor chuan i hriselna dinhmun chungchanga clues hlu tak tak tam tak chu i hriat thin ri pangngai leh pangngai lo atang hian a hmu thin.
- Stethoscope hmanga natna hriat theih a nih chuan, i doctor chuan test dang nei turin a refer thei che a, chu chu finfiah nan leh harsatna chu eng nge ni tih chiang takin a hriat theih nan.
- Tunlaia kan hmuh thin stethoscope pangngai bakah hian electronic leh digital stethoscope, aw ti lian thei te pawh a awm bawk.
- He hmanraw awlsam tak hi doctor thil tawn nen a inzawm chuan natna hriat hmasakna kawngah hian hmun pawimawh tak a chang a ni.
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