Izvi zvingangodaro zvakaitika kwauri pese pawakaenda kuna chiremba. Chiremba anotora kamuchina kadiki kubva padhesiki rake okaisa pamutsipa wake. Anobva aisa chikamu chayo chakatenderera, chinotonhora pachipfuva chako, achiti, "Fema zvakadzama... fema zvishoma nezvishoma..." Chiremba anoteerera zvakanyanya paunenge uchidaro. Dzimwe nguva anogutsurira musoro oenderera mberi nebvunzo rinotevera. Dzimwe nguva, anofunga kwechinguva obva asarudza kuti anofanira kutarisa chimwe chinhu. Izvi hazvisi zvinhu zvinozivikanwa here?
Saka, chii chaizvo chinoita stethoscope?
Muchidimbu, stethoscope chishandiso chinokosha chinobatsira vanachiremba, vanamukoti, nevashandi vemukamuri rekukurumidzira kuteerera manzwi anobva mumuviri wako. Manzwi aya anogona kukuudza ruzivo rwakakosha nezvezvinhu zvakasiyana-siyana zvehutano hwako, kusanganisira mashandiro emwoyo wako nemapapu uye kana ropa riri kuyerera zvakanaka mutsinga dzako.
Mukurapa, kuteerera manzwi aya emukati memuviri kunonzi "auscultation." Chiremba anoshandisa stethoscope kunyanya kuteerera:
- Kumwoyo wako: Teerera kurova kwemoyo wako uye kuti kunorira sei.
- Kumapapu ako: Teerera manzwi aunoburitsa paunenge uchifema uchipinda nekubuda.
- Kumatumbu ako: Teerera manzwi anobva mudumbu mako sezvo kugaya chikafu kuchiitika.
- Kutsinga dzeropa rako: Teerera ruzha rweropa richiyerera kuburikidza nedzimwe dzetsinga huru dzeropa.
Fungidzira, mukati memuviri wako, mune orchestra diki. Nhengo yega yega ine ruzha rwayo rwakasiyana, mutinhimira wayo, painoshanda. Semuenzaniso, ruzha rwemoyo rwekuti "lub-dub". Aya ndiwo manzwi akajairika.
Asi dzimwe nguva, pakati pemanzwi aya akajairika, tinogonawo kunzwa manzwi asina kujairika. Manzwi iwayo asina kujairika ndiwo chiratidzo chekutanga chedambudziko rehutano.
Semuenzaniso, chiremba anogona kuona manzwi asina kujairika akadai ne stethoscope:
- Kurira kwemoyo kusina kujairika: Zvinhu zvinonzwika sekunge mwoyo unogunun'una .
- Kurira kwemapapu kusingajairika: Kufema kana kurira kwe stridor (ruzha rwakaoma) kana uchifema.
- Manzwi asina kujairika emudumbu: Manzwi ane ruzha rukuru kana kuti ane ruzha rwakakwirira, rwakasiyana neruzha rwe "gurgling" rwemudumbu.
- Manzwi asina kujairika mutsinga dzeropa: Manzwi chaiwo anonzwika kana ropa richiyerera nemutsinga dzeropa padzinenge dzavharika, semuenzaniso, ruzha runonzwika kubva mutsinga dzeropa dziri mumutsipa (`carotid bruit`) .
Kana chiremba akanzwa ruzha rusina kujairika seruno, anoziva kuti pane chakaipa. Asi stethoscope chete haigone kukuudza kuti chii kana kuti chakakomba sei. Asi iyi ndiyo nhanho yekutanga uye yakakosha pakuongorora chirwere . Uchishandisa nzira iyi, chiremba wako anogona kukutumira kuti unoongororwazve, kuwana chaizvo zviri kuitika, uye kuronga kurapwa kwakakodzera.
Kune mhando dzakasiyana dzemastethoscope here?
Ehe, kune mhando dzakasiyana dzema stethoscopes anoshandiswa navanachiremba. Ngatitarisei mhando huru.
| Rudzi rwe stethoscope | Chii chakakosha nezvazvo? |
|---|---|
| Stethoscope Yechinyakare (Stethoscope yeAnalogue) | Urwu ndirwo rudzi runonyanya kushandiswa rwatakamboona tese. Pano, ruzha rwunobva mumuviri runoenda zvakananga munzeve yachiremba kuburikidza nechubhu, pasina rubatsiro rwemagetsi. Kunewo zvinhu zvakasiyana-siyana pasi pechikamu ichi, zvakaita sema stethoscopes madiki anoshandiswa kuvana vadiki. |
| Stethoscope yemagetsi | Rudzi urwu rwakatonyanya kukwira. Runogona kuwedzera ruzha rwemuviri uye kuita kuti rwuve rwakajeka. Saka izvi zvinobatsira zvikuru pakuona ruzha rwakadzikama, rwakanyarara (semuenzaniso kurira kwemoyo). Zvinobatsirawo kuderedza ruzha rusina basa munharaunda uye kunzwa chete ruzha rwakakosha. |
| Stethoscope yedhijitari | Iyi tekinoroji yepamusoro-soro. Pamusoro pekuwedzera ruzha, ruzha urwu runogona kurekodhwa, kuteererwa gare gare, uye kugovaniswa nemumwe chiremba. Ruzivo urwu runogonawo kushandurwa kuita zvinhu zvakaita semagirafu uye kuongororwa pakombuta. |
Parizvino, stethoscope inonyanya kushandiswa muSri Lanka nedzimwe nzvimbo dzakawanda pasi rose ndiyo stethoscope yechinyakare. Nechishandiso ichocho chiri nyore, chiremba anogona kuwana ruzivo rwakawanda rwakakosha.
Unonzwa sei ruzha neizvi? Ndezvipi zvikamu zve stethoscope?
Mashandiro anoita stethoscope ari nyore kwazvo. Kana chimwe chinhu chichifamba mumuviri wako, chinoita kuti pave nekudedera. Kudedera uku kunogadzira mafungu eruzha. Chikamu chestethoscope chakabatana nechipfuva chako chinotora mafungu aya eruzha uye chinoatumira nepachubhu isina chinhu kuenda kunzeve yachiremba. Zvakafanana neruzha rwunofamba nemumugero murefu.
Ngatitarisei zvikamu zvikuru zve stethoscope uye zvavanoita.
| Chikamu | Chii chinoita? (Chii chinoita?) |
|---|---|
| Chidimbu chechipfuva | Ichi chidimbu chesimbi nepurasitiki chakatenderera chinoiswa nachiremba paganda rako. Chinowanzova nemativi maviri. Rimwe divi rakati sandara, rakakura. Rinonzi diaphragm . Rimwe divi diki, risina chinhu, rakaita sekapu. Rinonzi bhero . Unogona kuchinja pakati pemativi maviri aya kuti unzwe mhando dzakasiyana dzemanzwi. |
| Kuisa machubhu | Iyi ichubhu ine gomba, yakaita serabha inotakura ruzha kubva pachipfuva kuenda kunzeve yachiremba. Inowanzo patsanurwa kuita maviri muchimiro cheY, ichibatana nenzeve dzese. |
| Machubhu Enzeve & Mazano | Idzi ndidzo simbi dzinotungamira ruzha kubva muchubhu zvakananga munzeve yachiremba. Dzinewo zvidimbu zvakapfava kumagumo, senge maearphone atinoshandisa kuteerera mimhanzi. Izvi zvinochengetedza stethoscope zvakasimba munzeve uye zvinoderedza huwandu hweruzha rwekunze rwunopinda. |
Ndiani akagadzira mudziyo uyu unoshamisa?
Stethoscope yakatanga kugadzirwa muna 1816 nachiremba wekuFrance ainzi René Laennec . Asi stethoscope yekutanga yaakaita yakanga yakasiyana zvikuru neyatinoona nhasi. Yaingova chubhu yakapfava yakagadzirwa nematanda. Nekufamba kwenguva, vamwe vanachiremba vakawanda vakaivandudza zvishoma nezvishoma. Dhizaini yekutanga yestethoscope yemazuva ano yatinoona nhasi yakagadzirwa muma1960.Yakagadzirwa nachiremba wekuAmerica anonzi David Littmann.
Ungasanyanya kufunga nezvezvishandiso izvi kana uchitya kuenda kuna chiremba. Asi zvakakosha kuziva kuti mudziyo uri nyore sestethoscope, kana ukabatanidzwa neruzivo neruzivo rwachiremba, unogona kuva chishandiso chine simba mukudzivirira hutano hwako.
Mharidzo Yekuenda Nayo Kumba
- Stethoscope chishandiso chakakosha chekurapa chinoshandiswa kuteerera manzwi anobva munhengo dziri mukati memuviri wako, dzakadai semwoyo wako, mapapu, uye ura.
- Chiremba anowana zviratidzo zvakawanda zvinokosha nezvehutano hwako kubva mumanzwi akajairika uye asina kujairika aunonzwa.
- Kana stethoscope ikaratidza kuti pane chirwere, chiremba wako anogona kukutumira kuti uongororwe zvimwe kuti zviongororwe uye kuti azive kuti dambudziko racho nderei chaizvo.
- Pamusoro pe stethoscope yakajairika yatinoona nhasi, kunewo stethoscopes dzemagetsi nedzedhijitari dzinokudza ruzha.
- Mudziyo uyu uri nyore, kana ukabatanidzwa neruzivo rwachiremba, unoita basa rakakosha mukuona chirwere nekukurumidza.
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