Pamwe wakasangana neizvi pese pawakaenda kuna chiremba. Chiremba anotora kamuchina kadiki kari padhesiki rake kana pamutsipa wake, oisa mugumo wakatenderera pachipfuva chako, onyatsoteerera. Dzimwe nguva anokaisawo kumusana kwako. Izvi ndizvo zvatinodaidza kuti
auscultation mukurapa. Muchidimbu, kuteerera manzwi anobva mumuviri wako. Kunyangwe iri bvunzo iri nyore kwazvo, inoudza chiremba ruzivo rwakawanda runoshamisa nezvehutano hwako.
Chii chinonzi auscultation chaizvo?
Vanachiremba vanga vachiteerera manzwi emiviri yedu kubvira pakagadzirwa stethoscope. Asi kare ikako, vakanga vasina stethoscope. Vaiteerera manzwi aya nekuisa nzeve dzavo zvakananga pachipfuva kana mudumbu memurwere. Fungidzira, hazvina kunyanyonetsa here izvozvo? Kunyangwe Dr. René Laennec, uyo akagadzira stethoscope, aisada kuisa nzeve dzake pachipfuva chemurwere nenzira iyi. Akatanga apeta bepa ndokuriumba kuita funnel ndokuriisa pachipfuva. Ipapo akaona kuti manzwi ari muchipfuva aiwedzera zvakanyanya (amplified) pavakapfuura napo. Pfungwa iyoyo yakagadzirwa uye stethoscope yaunoona nhasi yakagadzirwa. Pakuteerera nenzira iyi, chiremba anoteerera zvinhu zvakakosha zvakawanda.
| Zvekuteerera | Zvichitaurwa zviri nyore... |
|---|
| Kakawanda | Ingava ruzha rwaunonzwa rwuri pamusoro kana pasi. |
| Kusimba | Ruzha rwacho rwakanyanya sei? |
| Nguva | Ruzha rumwe runogara kwenguva yakareba sei? |
| Nhamba | Unorinzwa ruzha rwacho kakawanda here? |
| Hunhu | Ruzha rwacho runonzwika sei? (semuenzaniso, kuridza muridzo, kuchema) |
Kuongororwa kwemaziso (auscultation)
inzira yakachengeteka uye isingakuvadzi munhu . Inogonawo kuitwa nekukurumidza uye zviri nyore chero nguva, nekuti chiremba wese ane stethoscope iri pedyo.
Ungateerera sei mwoyo wako?
Pamwe wakambonzwa moyo wako uchirova. "
Lub-dub " " Lub-dub"... Iri ndiro ruzha rwemwoyo une hutano. Ruzha rwekuti "lub" (S1) runouya kana mavharuvhu maviri emoyo (mitral netricuspid valves) avhara. Ruzha rwekuti "dub" (S2) runouya kana mamwe mavharuvhu maviri (aortic nepulmonary valves) avhara. Chiremba achaisa stethoscope panzvimbo ina huru dzechipfuva chako. Izvi zvinodaro nekuti ruzha rwevharuvhu yemoyo chaiyo runogona kunzwika zvakanyanya kubva munzvimbo imwe neimwe iyoyo. Kuwedzera kune aya manzwi ekuvhara mavharuvhu,
chiremba achanzwawo manzwi eropa rinoyerera uye kudedera kwenyama yemoyo. Basa rake nderekusiyanisa pakati pemanzwi akajairwa, ane hutano uye manzwi asina kujairika anoratidza chirwere.
Semuenzaniso, kana ukanzwa ruzha rwekuti "s... whiz..." ruchibva mumoyo mako, runogona kunge rwuri kurira kwemoyo. Kunyange zvazvo zvimwe zvacho zvisingakuvadzi, zvimwe zvinogona kuva chiratidzo chechirwere chakakomba. Saizvozvowo, kana ukanzwa ruzha rwakaita sezvidimbu zviviri zveganda zvichikwizana, runogona kunge rwuri kuzvimba kweganda rakakomberedza moyo ( pericarditis ).
Chii chaunotsvaga paunoteerera mapapu?
Mushure mekuteerera mwoyo wako, chiremba wako achateerera mapapu ako. Anowanzo tanga nerutivi rumwe rwechipfuva chako ofambisa stethoscope pasi. Achabva afambisa stethoscope kune rumwe rutivi nenzira imwecheteyo. Achaisa stethoscope kumusana wako oita zvimwe chete. Paanenge achiita izvi, achaenzanisa manzwi anobva mumapapu ese ari maviri. Dzimwe nguva, chiremba wako achakukumbira
kuti urerekere mberi woyambuka maoko ako pachipfuva chako . Izvi zvichabatsira tsandanyama dzako dzemusana kuzorora uye kuwedzera nzvimbo yemapapu ako (triangle of auscultation). Izvi zvichakubatsira kunzwa manzwi acho zvakajeka. Achanyatsoteerera manzwi aunoita paunofema (inspiration) uye uchiburitsa (expiration). Kuwedzera kune manzwi ekufema akajairika, kana uine chirwere, unogona kunzwa manzwi aya asina kujairika:
| Ruzha rusina kujairika | Tsananguro uye zvikonzero zvinogona kukonzera |
|---|
| Mafinya | Kurira kwemuridzo kunonzwika zvakanyanya. Izvi zvinowanzokonzerwa neasthma, COPD, kana kuungana kwemate mumapapu. |
| Kutsemuka | Ruzha rwekuti "kutsemuka", seruzha rwekuti "kutsemuka". Ruzha urwu runogadzirwa kana nzira dzekufema dzakazara netsvina kana mvura. Runogona kukonzerwa nehutachiona hwemapapu, COPD, kana matambudziko emwoyo. |
| Kukwesha kwePleural | Zvinonzwika semapepa maviri ejecha ari kukweshana. Izvi zvinoratidza kuti pane dambudziko neganda rakakomberedza mapapu (pleura). |
| Stridor | Ruzha rukuru, rwakakwirira runobva pahuro kana munhu achifema. Izvi zvinoratidza kuti pane kuvharika kwenzira yekufema yepamusoro (huro, larynx). |
Sei uchiisa stethoscope padumbu rako?
Ehe, chiremba achaisawo stethoscope padumbu rako oteerera. Unoziva here chikonzero? Teerera manzwi anobva mudumbu rako. Kana chikafu chatinodya chikagayiwa uye chikafamba pasi semarara, ura hunoita ruzha.
Ura hwemunhu ane hutano hunowanzoita ruzha rwekuti "gurgling" masekondi mashanu kusvika gumi ega ega.
Kana manzwi aya asipo kana kuti asina kusimba zvakanyanya, anogona kuratidza kuvimbiwa kana kuvharika kwemudumbu (ileus). Kana manzwi aya akawandisa uye ane ruzha, anogona kunge ari chiratidzo chechirwere chakadai semanyoka. Dzimwe nguva, manzwi aya anogonawo kuratidza kuvharika kwemudumbu.
Nzira iyi yave yechinyakare here?
Vamwe vangafunga kuti neruzivo rwepamusoro-soro rwakadai seCT scan neMRI scan, kuteerera nestethoscope iyi kwava kwechinyakare. Ichokwadi kuti kune matambudziko akati wandei nestethoscope yechinyakare. Ruzha rwacho rwakanyanya kuderera, rwakaoma kunzwa munzvimbo ine ruzha, uye hazvigoneke kuti mumwe munhu anzwe zvaunonzwa. Asi nhasi, mhinduro dzasvikawo pane izvi.
Ma stethoscope emagetsi anogona kuwedzera ruzha uye kuita kuti ruve rwakajeka. Anogona zvakare kurekodha ruzha sefaira redhijitari uye kuatumira kune mumwe chiremba kuti aongororwe. Izvi zvakakosha zvikuru mukurapa nefoni. Mimwe michina inokutendera kuti utarise panguva imwe chete EKG (Electrocardiogram) inoratidza kurova kwemoyo uchiteerera mwoyo. Zvisinei, auscultation haimbofi yapera. Izvi zvinobvumira chiremba kuti awane pfungwa huru yemamiriro ako ezvinhu. Zvichibva pane izvozvo, anogona kusarudza chaizvo bvunzo dzekuti aite sei zvinotevera. Izvi zvinodzivirirawo bvunzo dzisina basa uye dzinodhura. Zvisinei, kubudirira kweizvi kunoenderana
nehunyanzvi hwachiremba, ruzivo, uye kuda kwake kuteerera nokungwarira .
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kwemaziso (Auscultation) bvunzo iri nyore, yakachengeteka, asi inokosha zvikuru inoitiswa nachiremba.
- Bvunzo iri nyore rinogona kukuudza zvakawanda nezvekushanda kwemoyo wako, mapapu , uye ura.
- Zvichibva pamanzwi anonzwikwa kuburikidza ne stethoscope, chiremba achakwanisa kukubatsira kusarudza kuti ndeipi bvunzo inotevera kana kurapwa kwaunoda.
- Uku kuongororwa kwechiremba kwenyanzvi. Saka, usaverenge nezvazvo woenda kunoongororwa ne stethoscope. Siya basa iroro kuna chiremba wako.
Kunzwa kwemaziso, stethoscope, kuongororwa kwechiremba, manzwi emwoyo, manzwi emapapu, manzwi emudumbu, chiremba
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