Oku mhlawumbi kuye kwenzeka kuwe nanini na xa uye kugqirha. Ugqirha uthatha isixhobo esincinci edesikeni yakhe asibeke entanyeni yakhe. Emva koko ubeka inxalenye yaso ejikelezayo, ebandayo esifubeni sakho, esithi, "Phefumla nzulu... phefumla kancinci..." Ugqirha umamele ngenyameko njengoko usenza njalo. Ngamanye amaxesha uyanqwala aze aqhubeke novavanyo olulandelayo. Ngamanye amaxesha, ucinga okomzuzwana aze agqibe kwelokuba kufuneka ajonge enye into. Asingombono oqhelekileyo lo?
Ngoko ke, yintoni kanye kanye eyenziwa yi-stethoscope?
Ngamafutshane, i-stethoscope sisixhobo esibalulekileyo esinceda oogqirha, abahlengikazi, kunye nabasebenzi begumbi longxamiseko ukuba bamamele izandi ezivela ngaphakathi emzimbeni wakho. Ezi zandi zinokukuxelela ulwazi olubalulekileyo malunga nemiba eyahlukeneyo yempilo yakho, kubandakanya indlela intliziyo yakho kunye nemiphunga esebenza ngayo kunye nokuba igazi lihamba kakuhle na ngemithambo yakho.
Kwizonyango, ukumamela ezi zandi zomzimba wangaphakathi kubizwa ngokuba yi-"auscultation." Ugqirha usebenzisa i-stethoscope ikakhulu ukumamela:
- Entliziyweni yakho: Mamela ukubetha kwentliziyo yakho nendlela ehambelana ngayo nesingqisho.
- Kwimiphunga yakho: Mamela izandi ozenzayo xa uphefumlela ngaphakathi nangaphandle.
- Ngamathumbu akho: Mamela izandi ezivela emathunjini akho njengoko inkqubo yokugaya ukutya iqhubeka.
- Kwimithambo yakho yegazi: Mamela isandi segazi elihamba ngemithambo yegazi emikhulu.
Khawuthelekelele, ngaphakathi emzimbeni wakho, kukho i-orchestra encinci. Ilungu ngalinye linesandi salo esahlukileyo, isingqisho salo, xa lisebenza. Umzekelo, isandi sentliziyo esithi "lub-dub". Ezi zizandi eziqhelekileyo.
Kodwa ngamanye amaxesha, phakathi kwezi zandi ziqhelekileyo, sinokuva nezandi ezingaqhelekanga. Ezo zandi zingaqhelekanga ziyindlela yokuqala yokubonisa ingxaki yempilo.
Umzekelo, ugqirha angabona izandi ezingaqhelekanga ezifana nezi nge-stethoscope:
- Izandi zentliziyo ezingaqhelekanga: Izinto ezivakala ngathi yintliziyo ekhalayo .
- Izandi zemiphunga ezingaqhelekanga: Ukuphefumla okanye i-stridor (isandi esirhabaxa) xa uphefumla.
- Izandi zamathumbu ezingaqhelekanga: Izandi ezivakala kakhulu okanye ezinesandi esiphezulu, ezahlukileyo kwizandi eziqhelekileyo "zokugquma" ezivela esiswini.
- Izandi ezingaqhelekanga kwimithambo yegazi: Izandi ezithile ezivakalayo xa igazi lihamba ngemithambo yegazi ethile xa ivaliwe, umzekelo, isandi esivakalayo kwimithambo yegazi ye-carotid entanyeni (`carotid bruit`) .
Xa ugqirha esiva isandi esingaqhelekanga esinje, uyazi ukuba kukho into engalunganga. Kodwa i-stethoscope yodwa ayinakukuxelela ukuba yintoni na okanye inzulu kangakanani. Kodwa le yinyathelo lokuqala nelibalulekileyo ekuxilongeni imeko . Esebenzisa esi sikhokelo, ugqirha wakho unokukuthumela kwiimvavanyo ezongezelelweyo, afumanise ukuba kwenzeka ntoni kanye kanye, aze acebe unyango olufunekayo.
Ngaba kukho iintlobo ezahlukeneyo ze-stethoscopes?
Ewe, kukho iintlobo ezahlukeneyo ze-stethoscopes ezisetyenziswa ngoogqirha. Makhe sijonge iintlobo eziphambili.
| Uhlobo lwe-stethoscope | Yintoni ekhethekileyo ngayo? |
|---|---|
| I-Stethoscope Yendabuko (I-Analogue Stethoscope) | Olu lolona hlobo lusetyenziswa kakhulu esilubonileyo sonke. Apha, izandi ezivela ngaphakathi emzimbeni ziya ngqo endlebeni kagqirha ngetyhubhu, ngaphandle koncedo lwe-elektroniki. Kukwakho nezinto ezahlukeneyo phantsi kolu didi, ezifana nee-stethoscopes ezincinci ezisetyenziselwa abantwana abancinci. |
| I-Stethoscope ye-elektroniki | Olu luhlobo oluphucuke kancinci. Lunokwandisa izandi zomzimba kwaye luzenze zicace ngakumbi. Oku ke ngoko kuluncedo kakhulu ekuchongeni izandi ezithambileyo nezithuleyo (umz. ukumbombozela kwentliziyo). Kwakhona kunceda ukunciphisa ingxolo engeyomfuneko kwindawo ohlala kuyo nokuva kuphela izandi ezifunekayo. |
| I-Stethoscope yedijithali | Le yiteknoloji ephucuke ngakumbi. Ukongeza ekukhuliseni izandi, ezi zandi zinokurekhodwa, ziphulaphulwe kamva, kwaye zabelwane nomnye ugqirha. Ezi datha zezandi zinokuguqulwa zibe zizinto ezifana neegrafu kwaye zihlalutywe kwikhompyutha. |
Okwangoku, i-stethoscope esetyenziswa kakhulu eSri Lanka nakwezinye iindawo ezininzi zehlabathi yi-stethoscope yendabuko. Ngeso sixhobo silula, ugqirha unokufumana ulwazi oluninzi olufunekayo.
Uva njani isandi xa usenza oku? Ngawaphi amalungu e-stethoscope?
Indlela esebenza ngayo i-stethoscope ilula kakhulu. Xa into ishukuma ngaphakathi emzimbeni wakho, idala ukungcangcazela. Ezi ngcangcazela zenza amaza esandi. Inxalenye ye-stethoscope enamathele esifubeni sakho ithatha la maza esandi ize iwathumele ngetyhubhu engenanto iye endlebeni kagqirha. Kufana nesandi esihamba ngethungelwano elide.
Makhe sijonge iindawo eziphambili ze-stethoscope kunye noko zikwenzayo.
| Inxalenye | Yintoni eyenzayo? (Yenza ntoni?) |
|---|---|
| Iqhekeza lesifuba | Le yintsimbi neplastiki engqukuva ebekwa ngugqirha eluswini lwakho. Idla ngokuba namacala amabini. Elinye licala elithe tyaba, elikhulu. Libizwa ngokuba yi-diaphragm . Elinye licala elincinci, elingenanto, elifana nekomityi. Libizwa ngokuba yintsimbi . Ungatshintsha phakathi kwala macala mabini ukuze uve iintlobo ezahlukeneyo zezandi. |
| Ukuntywila ngetyhubhu | Le yityhubhu engenanto, efana nerabha ethwala isandi esisuka esifubeni ukuya endlebeni kagqirha. Idla ngokwahlulwa kabini ibe yimo ka-Y, iqhagamshela kwiindlebe zombini. |
| Iityhubhu zeendlebe kunye neengcebiso | Ezi ziindawo zesinyithi eziqondisa isandi esivela kwityhubhu ngqo endlebeni kagqirha. Zikwanazo neendawo ezithambileyo eziphelweni, njengee-earphone esizisebenzisa ukumamela umculo. Ezi zigcina i-stethoscope iqinile endlebeni kwaye zinciphisa ubungakanani bengxolo yangaphandle engena. |
Ngubani owenze esi sixhobo simangalisayo?
I-stethoscope yaqalwa ngo-1816 ngugqirha waseFransi ogama linguRené Laennec . Kodwa i-stethoscope yokuqala awayenzayo yayahluke kakhulu kuleyo siyibonayo namhlanje. Yayiyityhubhu nje elula eyenziwe ngomthi. Ekuhambeni kwexesha, oogqirha abaninzi bayiphucula kancinci kancinci. Uyilo olusisiseko lwe-stethoscope yanamhlanje esiyibonayo namhlanje lwaphuhliswa ngeminyaka yoo-1960.Yaphuhliswa ngugqirha waseMelika ogama linguDavid Littmann.
Usenokungacingi kakhulu ngezi zixhobo xa uxhalabile ngokuya kugqirha. Kodwa kubalulekile ukuqonda ukuba isixhobo esilula njenge-stethoscope, xa sidityaniswe nolwazi namava kagqirha, sinokuba sisixhobo esinamandla ekukhuseleni impilo yakho.
Umyalezo Wokuya Ekhaya
- I-stethoscope sisixhobo esibalulekileyo sezonyango esisetyenziselwa ukumamela izandi ezivela kwizitho zomzimba wakho, njengentliziyo yakho, imiphunga kunye namathumbu.
- Ugqirha ufumana imiqondiso emininzi ebalulekileyo malunga nemeko yakho yempilo kwizandi eziqhelekileyo nezingaqhelekanga ozivayo.
- Xa i-stethoscope ikunika isilumkiso sesifo, ugqirha wakho unokukuthumela kwiimvavanyo ezongezelelweyo ukuze aqinisekise ukuba yintoni kanye kanye ingxaki.
- Ukongeza kwi-stethoscope eqhelekileyo esiyibonayo namhlanje, kukwakho ne-stethoscopes ze-elektroniki nezedijithali ezikhulisa izandi.
- Esi sixhobo silula, xa sidityaniswe namava kagqirha, sidlala indima ebaluleke kakhulu kwinkqubo yokufunyaniswa kwesifo kwangethuba.
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