He aha ngā mea e whakarongohia ana e te tākuta mā te stethoscope? Me kōrero tātou mō te whakarongo!

Kua pā pea tēnei ki a koe i ngā wā katoa i haere koe ki te tākuta. Ka mau te tākuta i taua taputapu iti kei runga i tana tēpu, kei tōna kaki rānei, ka whakatakotoria te pito matao, porotaka ki tō uma, ā, ka whakarongo pai. I ētahi wā ka whakatakotoria hoki e ia ki tō tuara. Koinei te mea e kiia nei e tātou ko te whakarongo i roto i te rongoā. He kupu ngāwari, ko te whakarongo ki ngā oro e puta mai ana i roto i tō tinana. Ahakoa he whakamātautau tino māmā, ka hoatu e ia ki te tākuta he nui ngā mōhiohio whakamiharo mō tō hauora.

He aha tonu te whakarongo?

Kua whakarongo ngā tākuta ki ngā oro o ō tātou tinana mai anō i mua i te hanganga o te stethoscope. Engari i taua wā, kāore i a rātou he stethoscope. I whakarongo rātou ki ēnei oro mā te whakapiri tika i ō rātou taringa ki te uma, ki te puku rānei o te tūroro. Whakaarohia, kāore ianei i te ahua whakamā? Ahakoa a Tākuta René Laennec, te kaihanga o te stethoscope, kāore i pai ki te whakapiri i ōna taringa ki te uma o te tūroro pēnei. I te tuatahi ka hurihia e ia tētahi pepa ka hangaia hei tauera ka whakatakotoria ki runga i te uma. Kātahi ka mōhio ia ka tino whakanuia (ka whakanuia) ngā oro i roto i te uma ina puta atu i roto. I whakawhanakehia taua whakaaro, ā, i hangaia te stethoscope e kitea ana e koe i ēnei rā. I te whakarongo pēnei, ka aro te tākuta ki ētahi kōrero matua. He whakamātautau tino haumaru, kāore hoki e pokanoa te whakarongo. Ka taea hoki te mahi tere me te ngāwari i ngā wā katoa, nā te mea he stethoscope kei ia tākuta.

Me pēhea te whakarongo ki tō ngākau?

Kua rongo pea koe i tō manawa e pā ana. " Lub-dub " "Lub-dub"... Koinei te tangi taketake o te manawa hauora. Ka puta te tangi "lub" (S1) ina kati ngā takirere e rua o te manawa (ngā takirere mitral me te tricuspid). Ka puta te tangi "dub" (S2) ina kati ngā takirere e rua atu (ngā takirere aortic me te pulmonary). Ka whakanohoia e te tākuta te stethoscope ki ngā wāhi matua e whā o tō uma. Nā te mea ka rangona pai te tangi o tētahi takirere manawa motuhake mai i ia wāhi. Haunga ēnei tangi kati takirere, ka rongo anō hoki te tākuta i ngā tangi o te toto e rere ana me ngā wiri o te kiko manawa. Ko tāna mahi he wehewehe i waenga i ngā tangi noa, hauora me ngā tangi rerekē e tohu ana i tētahi mate.

He aha tāu e rapu ana ina whakarongo koe ki ngā pūkahukahu?

I muri i te whakarongo ki tō ngākau, ka whakarongo tō tākuta ki ō pūkahukahu. I te nuinga o te wā ka tīmata ia i te taha kotahi o tō uma, ka nekehia te stethoscope ki raro. Kātahi ka nekehia te stethoscope ki tērā taha i te ara kotahi. Kātahi ka whakatakotoria e ia te stethoscope ki runga i tō tuara, ka mahi anō hoki. I a ia e mahi ana i tēnei, ka whakataurite ia i ngā oro mai i ngā pūkahukahu e rua. I ētahi wā, ka tono tō tākuta kia piko whakamua koe, kia whiti ō ringa ki runga i tō uma . Mā tēnei ka āwhina i ō uaua o muri kia wātea, kia nui ake ai te horapa o ō pūkahukahu (tapatoru o te whakarongo). Mā tēnei ka āwhina i a koe kia mārama ake te whakarongo ki ngā oro. Ka āta whakarongo ia ki ngā oro e puta ana i a koe e manawa ana (whakaoho) me te manawa (paunga). Haunga ngā oro manawa noa, ki te mea he mate hauora tōu, tera pea ka rongo koe i ēnei oro rerekē:

He aha koe ka whakatakoto ai i te stethoscope ki tō puku?

Āe, ka whakanohoia hoki e te tākuta he stethoscope ki tō puku, ā, ka whakarongo ia. E mōhio ana koe he aha? Whakarongo ki ngā oro e puta mai ana i ō whekau. Ina nakunaku te kai e kainga ana e tātou, ā, ka neke ki raro hei para, ka puta he oro i roto i ngā whekau. Mena kāore ēnei oro, he ngoikore rawa rānei, tera pea he tohu mō te mate puku, te aukati rānei o te puku (ileus). Mena he nui rawa, he nui hoki te haruru o ēnei oro, tera pea he tohu mō tētahi mate pēnei i te mate korere. I ētahi wā, ka tohu pea ēnei oro i te aukati o te puku.

Kua tawhito tēnei tikanga ināianei?

Tērā pea ētahi e whakaaro ana, nā te hangarau matatau katoa pēnei i te matawai CT me te matawai MRI, kua tawhito te whakarongo me tēnei stethoscope i ēnei rā. He pono, he maha ngā raruraru o te stethoscope tuku iho. He tino ngawari te tangi, he uaua ki te whakarongo i te wāhi haruru, ā, kāore e taea te tuku i tētahi atu kia rongo i tāu e rongo nei. Engari i ēnei rā, kua tae mai ngā otinga mō tēnei.Ka taea e ngā stethoscope hiko te whakanui ake i ngā oro, me te whakamārama ake. Ka taea hoki e rātou te tuhi i ngā oro hei kōnae matihiko, ka tukuna atu ki tētahi atu tākuta hei arotake. He mea tino nui tēnei i roto i te rongoā tawhiti. Mā ētahi taputapu ka taea e koe te tiro i te EKG (Electrocardiogram) e whakaatu ana i te tere o te ngakau i a koe e whakarongo ana ki te ngakau i te wā kotahi. Heoi, kāore te whakarongo puku e tawhito. Mā tēnei ka taea e te tākuta te whiwhi whakaaro taketake mō tō āhua. I runga i taua whakaaro, ka taea e ia te whakatau ko ēhea ngā whakamātautau hei mahi i muri mai. Mā tēnei ka karohia hoki ngā whakamātautau koretake me te utu nui. Heoi, ko te angitu o tēnei mea e whakawhirinaki katoa ana ki te pūkenga, te wheako, me te hiahia o te tākuta ki te whakarongo pai . Whakarongo, stethoscope, whakamātautau hauora, oro o te ngākau, oro o te pukahukahu, oro o te puku, tākuta