Unoyeuka here pawakaenda kunoona chiremba ukaisa stethoscope inotonhora pachipfuva chako nemusana wako ndokuteerera nokungwarira? Tose takambosangana nedambudziko iri. Hausati wambozvibvunza here kuti, "Chiremba ari kunzwa chii chaizvo kubva pane izvi?" Mhinduro yemubvunzo iwoyo ndiyo bvunzo yekurapa yatiri kutaura nezvayo nhasi inonzi 'Auscultation.' Usazvidya moyo, iri nyore kwazvo, hairwadzi, asi chinhu chakakosha chinokuudza zvakawanda nezvehutano hwako.
Zvichitaurwa zviri nyore, chii chinonzi auscultation?
Kunzwa ruzha (kunonzi "o-skul-ta-tion") inzira iri nyore kwazvo. Inosanganisira kushandisa stethoscope kuteerera ruzha runobva munhengo dzemukati, dzakadai semwoyo , mapapu, mitsipa yeropa, uye ura . Chiremba achaisa stethoscope pachipfuva chako, mutsipa, musana, nedumbu uye oongorora zvinhu zvakaita semhando, kumhanya, vhoriyamu, uye mutinhimira wemanzwi aya.
Iyi bvunzo haina njodzi zvachose, yakachengeteka zvikuru. Ndiyo imwe yeongororo dzekare uye dziri nyore dzichiri kushandiswa navanachiremba nanhasi.
Kuedzwa kwe auscultation kunoitwa rini?
Kana uchienda kunoongororwa muviri nguva dzose, chiremba wako angangoita bvunzo iyi. Izvi zvinokupa pfungwa yakajeka yekuti hurongwa hweropa rako, hurongwa hwekufema , uye hurongwa hwekugaya zviri kushanda sei.
Izvi zvinoreva kuti bvunzo iyi iri nyore inobatsira zvikuru pakunzwisisa hutano hwako hwese, pamwe nekusimbisa kana kubvisa chero chirwere chaunofungidzira kuti hauna.
Ndedzipi nzira huru dzekushandisa auscultation?
Bvunzo iyi inogona kukamurwa kuita zvikamu zvakasiyana-siyana, zvichienderana nenhengo iri kuteererwa nachiremba. Ngationei kuti ndedzipi.
| Nhengo yekuongorora | Maitiro ekuzviita uye zvekutarisa |
|---|---|
| Mwoyo | Uchagara kana kuti wakarara pakona ye45-degree, uye stethoscope ichaiswa panzvimbo dzakasiyana-siyana pachipfuva chako. Pano, chiremba achateerera zvakananga nzvimbo shanu apo mavharuvhu emwoyo anonyatsonzwika. Vachatarisa nguva yekurova kwemoyo wako., kujeka kweruzha (Kusimba) , kukwira nekudzika kweruzha (Frequency/Pitch) , uye kuti kurova kamwe chete kunogara kwenguva yakareba sei (Nguva). |
| Mapapu | Uchakumbirwa kugara wakatwasuka wofema zvakadzama nemuromo wako. Zvadaro, stethoscope ichaiswa pazvikamu zvakasiyana zvechipfuva chako nemusana kuti ienzanise ruzha rwunobva mumapapu ako kumativi ese. Izvi zvichatarisa nguva yekufema kwako nekufema kwako, mhando yeruzha, uye chero ruzha rusina kujairika rwakadai sekuridza muridzo. |
| Mitsipa yeropa (Tsitsi) | Mitsipa mikuru yeropa iri mumutsipa, mudumbu, uye muitsvo inogonawo kuteererwa. Pano, ruzha rusina kujairika runonzi bruit (ruzha rusina kujairika 'rune ruzha' runobuda ropa parinoyerera mutsinga yeropa) uye kurova kwemwoyo kusina kusimba (simba) zvinotariswa. Izvi zvinogona kubatsira kuona chero chipingamupinyi pakuyerera kweropa. |
| Dumbu | Uchaitwa kuti urare pasi uye stethoscope ichaiswa panzvimbo dzakasiyana dzedumbu rako kuti unzwe manzwi anobva muura hwako. Izvi zvichatarisa kana uchikwanisa kunzwa manzwi anobva muura hwako (Kuvapo) , kuti unonzwa kangani (Huwandu) , uye kuti manzwi acho akanaka sei. |
Zvinorevei manzwi aya?
Iye zvino ngationei kuti manzwi aya akajairika neasina kujairika anotii nezvehutano hwako.
Manzwi emwoyo
Kazhinji, moyo une hutano unoita manzwi maviri ane mutinhimira unonzi "lub-dub". Aya anonziwo S1 naS2. Manzwi aya anobuda kana mavharuvhu emwoyo avhara.
Asi dzimwe nguva unogona kunzwa manzwi akasiyana, asingawanzoitiki. Asi yeuka, haasi manzwi ese asingawanzoitiki ari chiratidzo chechirwere chakakomba.
| Ruzha rusina kujairika | Zvazvinogona kureva |
|---|---|
| Kugunun'una Kwemwoyo | Uku kurira kwe "swishing", kwakafanana nemhepo. Kunogona kukonzerwa nekukanganiswa kweropa rinoyerera kuburikidza nemavharuvhu emwoyo. Kunyange zvazvo kumwe kurira kusina njodzi, kumwe kunogona kuva chiratidzo chechirwere chemwoyo chakakomba. |
| Kukwesha kwePericardial friction | Ruzha rushoma, rune ruzha rwakaita serwekukweshana, sekunge zvidimbu zviviri zveganda zviri kukweshana. Izvi zvinogona kukonzerwa nekuzvimba kwebhegi rakatenderedza moyo (pericarditis). |
| Kurova kwemoyo kusina kujairika | Zvirwere zvakaita sekurova kwemoyo kusina kurongeka (atrial fibrillation), kukurumidza (tachycardia - kurova kunopfuura 100 paminiti), kana kunonoka zvakanyanya (bradycardia - kurova kusingasviki 60 paminiti). |
Manzwi eMapapu
Mapapu ane hutano anogadzira ruzha rwakapfava, rusina chinhu kana uchifema. Zvisinei, dzimwe nguva unogona kunzwa ruzha rwakasiyana.
| Ruzha rusina kujairika | Zvazvinogona kureva |
|---|---|
| Fema | Zvinonzwika sekurira kwemuridzo kwakaderera. Ruzha urwu runonzwika kana nzira dzekufema dzadzikira nechinhu chakaita semanyoka. Runowanzonzwika muzvirwere zvakaita seasthma kana COPD. |
| Rhonchi | Kurira kwehope kusinganzwiki. Kunogona kukonzerwa nekubatwa kwemvura kana zvimwe zvinhu mumhepo. Izvi zvinogona kuva chiratidzo chechirwere chakaita sepneumonia. |
| Kutsemuka | Ruzha rwekuti "chit chit", rwakaita sebvudzi riri kukweshana. Ruzha urwu runokonzerwa nemvura inoungana mumapapu (pneumonia, heart failure). |
| Stridor | Ruzha rwekufemera rwunonzwika zvakanyanya kana munhu achifema. Runokonzereswa nekuvharika kwehuro kana nzira yekufema yepamusoro. Izvi zvinogona kunge zviri zvekukurumidzira . |
Manzwi emudumbu
Kazhinji, ura hwedu hunoita ruzha rwakapfava, "runopupuma" masekondi mashanu kusvika gumi ega ega. Izvi zvinoreva kuti kugaya chikafu kuri kushanda zvakanaka.
- Hapana ruzha: Kana pasina ruzha rwunonzwika kwemaminitsi anopfuura maviri, zvinogona kuva chiratidzo chechirwere chinonzi ileus.
- Kuderera kweruzha: Kana ruzha ruchinzwika zvishoma kana kuti ruzha rwakanyanya kupfava, zvinogona kunge zvichikonzerwa nedambudziko rakadai sekuzvimba.
- Ruzha rwakawedzera: Kana ukanzwa ruzha rwakanyanya kupfuura rwemazuva ese, zvinogona kuva chiratidzo chechirwere chakadai semanyoka.
- Kugunun'una kana ruzha rwakakwirira: Kana ukanzwa ruzha rusina kujairika kana ruzha rwakaderera ruchibva mudumbu mako, zvinogona kuva chiratidzo chekuvharika kwedumbu.
Pane nzvimbo here apo vanachiremba vanoteerera zvakanyanya?
Ehe, zvechokwadi zviripo.
Pane nzvimbo yakakosha kumusana wako wekumusoro, pakati pemafudzi ako, inonzi "triangle of auscultation." Tsandanyama dziri munzvimbo iyi dzakatetepa, saka ruzha rwunobva mumapapu runogona kunzwika zvakajeka.
Uyewo, kana uchiteerera mwoyo, pane nzvimbo shanu dzakatarwa muchipfuva uko ruzha rwemavharuvhu emwoyo runonyanya kunzwika. Chiremba achaisa stethoscope munzvimbo idzi odziongorora.
Usingazvizivi, muviri wako unogara uchiita manzwi akasiyana. Zvakafanana neboka remimhanzi. Kunzwa kwenzwi mukana wekuti chiremba akubvunze kana paine zviridzwa zviri muboka iri zviri kurira zvisina kunaka.
Saka nguva inotevera chiremba wako paanoisa stethoscope yake oteerera, usatya. Inogona kuburitsa ruzivo rwakawanda runokosha nezvehutano hwako. Kana ukanzwa chimwe chinhu chisingawanzoitiki, usazeza kubvunza chiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Kunzwa ruzha rwemudumbu (auscultation) inzira yekuteerera ruzha rwunobva mumoyo mako, mapapu, uye ura uchishandisa stethoscope. Iyi bvunzo iri nyore kwazvo, yakachengeteka, uye isingarwadzi.
- Iyi bvunzo yekutanga inoitwa panguva yekuongororwa kwakajairika kwechiremba.
- Kunyange zvazvo ruzha urwu rusingawanzoitiki ruchigona kupa zviratidzo zvezvirwere zvakasiyana-siyana, harusi ruzha rwese rusingawanzoitiki rwuri chiratidzo chechirwere chakakomba.
- Ichi chingori chimwe chete chinoshandiswa nachiremba. Kana paine kusava nechokwadi, vachaita mimwe miedzo kuti vaone kana chirwere chacho chakarurama.
- Usatya kubvunza mibvunzo pamusoro pezvakataurwa nachiremba wako uye zvazvinoreva. Ikodzero yako kuziviswa nezvehutano hwako.
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