Mhlawumbi ukhe wakubona oku nanini na xa uye kugqirha. Ugqirha uthatha eso sixhobo sincinci esisedesikeni yakhe okanye entanyeni yakhe, abeke isiphelo saso esipholileyo, esijikelezileyo esifubeni sakho, aze amamele ngononophelo. Ngamanye amaxesha usibeka emqolo wakho. Oku sikubiza ngokuba
yi-auscultation kwezonyango. Ngamafutshane, kukumamela izandi ezivela ngaphakathi emzimbeni wakho. Nangona luvavanyo olulula kakhulu, luxelela ugqirha ulwazi oluninzi olumangalisayo malunga nempilo yakho.
Yintoni kanye kanye i-auscultation?
Oogqirha bebesoloko bemamela izandi zemizimba yethu ukususela ngaphambi kokuveliswa kwe-stethoscope. Kodwa ngelo xesha, babengenayo i-stethoscope. Babemamela ezi zandi ngokubeka iindlebe zabo ngqo esifubeni okanye esiswini sesigulana. Khawucinge nje, ayisiyonto imbi kangako loo nto? KwanoGqr. René Laennec, owasungula i-stethoscope, wayengathandi ukubeka iindlebe zakhe esifubeni sesigulana ngale ndlela. Waqala wasonga iphepha waza walibumba laba yi-funnel waza walibeka esifubeni. Emva koko waqonda ukuba izandi esifubeni zanda kakhulu (zanda) xa zidlula kuso. Loo ngcinga yaphuhliswa kwaye i-stethoscope oyibonayo namhlanje yenziwa. Xa umamela ngale ndlela, ugqirha unika ingqalelo kwiingongoma ezibalulekileyo ezininzi.
| Yintoni ekufuneka uyiqwalasele | Kalula nje... |
|---|
| Izihlandlo | Nokuba isandi osivayo siphezulu okanye siphantsi. |
| Ubunzulu | Ingxolo ingakanani? |
| Ubude bexesha | Isandi esinye sihlala ixesha elingakanani? |
| Inombolo | Ngaba uyasiva isandi ngokuphindaphindiweyo? |
| Umgangatho | Isandi sivakala njani? (umz., ukubethela umlozi, ukukhala) |
Uvavanyo lwe-Auscultation luvavanyo
olukhuselekileyo nolungangenisi gazi . Lungenziwa ngokukhawuleza nangokulula nangaliphi na ixesha, kuba ugqirha ngamnye une-stethoscope ekufutshane.
Ungayimamela njani intliziyo yakho?
Mhlawumbi ukhe wayiva intliziyo yakho ibetha. "
Lub-dub " " Lub-dub"... Esi sisandi esisisiseko sentliziyo ephilileyo. Isandi esithi "lub" (S1) sifika xa iivalvu ezimbini zentliziyo (iivalvu zemitral kunye ne-tricuspid) zivala. Isandi esithi "dub" (S2) sifika xa ezinye iivalvu ezimbini (iivalvu ze-aortic kunye neepulmonary) zivala. Ugqirha uza kubeka i-stethoscope kwiindawo ezine eziphambili zesifuba sakho. Oku kungenxa yokuba isandi sevalvu ethile yentliziyo sinokuviwa ngcono kuzo zonke ezo ndawo. Ukongeza kwezi zandi zokuvala iivalvu,
ugqirha uya kuva nezandi zokuhamba kwegazi kunye nokungcangcazela kwezicubu zentliziyo. Umsebenzi wakhe kukwahlula phakathi kwezandi eziqhelekileyo, ezisempilweni kunye nezandi ezingaqhelekanga ezibonisa isifo.
Umzekelo, ukuba uva isandi esithi "s... whiz..." siphuma entliziyweni yakho, sinokuba kukugquma kwentliziyo. Nangona ezinye zezi zingenabungozi, ezinye zinokuba luphawu lwesifo esinzulu. Ngokufanayo, ukuba uva isandi esifana neziqwenga ezibini zesikhumba zikhuhlana, sinokuba kukudumba kwenwebu ejikeleze intliziyo ( pericarditis ).
Ukhangela ntoni xa umamele imiphunga?
Emva kokumamela intliziyo yakho, ugqirha wakho uza kumamela imiphunga yakho. Uhlala eqala kwelinye icala lesifuba sakho aze ahambise i-stethoscope ezantsi. Emva koko uza kuyihambisa i-stethoscope kwelinye icala ngendlela efanayo. Emva koko uza kuyibeka emqolo wakho aze enze okufanayo. Njengoko esenza oku, uza kuthelekisa izandi ezivela kwimiphunga yomibini. Ngamanye amaxesha, ugqirha wakho uza kukucela
ukuba ugobe phambili kwaye unqamleze iingalo zakho esifubeni sakho . Oku kuya kunceda izihlunu zakho zangasemva ziphumle kwaye zonyuse indawo yemiphunga yakho (unxantathu we-auscultation). Oku kuya kukunceda uve izandi ngokucacileyo. Uza kumamela ngononophelo izandi ozenzayo xa uphefumla (uphefumlo) kwaye ukhupha umoya (ukuphelelwa ngumoya). Ukongeza kwizandi zokuphefumla eziqhelekileyo, ukuba unesifo, unokuva ezi zandi zingaqhelekanga:
| Ingxolo engaqhelekanga | Inkcazo kunye nezizathu ezinokubakho |
|---|
| Ukuphefumla | Isandi somlozi ovakala phezulu. Oku kudla ngokubangelwa sisifo sombefu, i-COPD, okanye ukwakheka kwe-mucus emiphungeni. |
| Iikrakhrakhi | Isandi "esirhawuzelayo", njengesandi esirhawuzelayo. Esi sandi senziwa xa iindlela zomoya zizaliswe yi-mucus okanye ulwelo. Sinokubangelwa lusulelo lwemiphunga, i-COPD, okanye iingxaki zentliziyo. |
| I-Pleural Rub | Kuvakala ngathi ziingceba ezimbini zephepha lokusila zikhuhlana. Oku kubonisa ukuba kukho ingxaki kwi-membrane ejikeleze imiphunga (pleura). |
| IStridor | Isandi esikhulu nesiphezulu esivela emqaleni xa uphefumla. Oku kubonisa ukuvaleka kwendlela yomoya ephezulu (umphimbo, i-larynx). |
Kutheni ubeka i-stethoscope esiswini sakho?
Ewe, ugqirha uza kubeka i-stethoscope esiswini sakho aze amamele. Uyazi ukuba kutheni? Mamela izandi ezivela emathunjini akho. Xa ukutya esikutyayo kugaywa kwaye kuhamba njengenkunkuma, amathumbu enza isandi.
Amathumbu omntu ophilileyo adla ngokwenza isandi esithi "gurgling" rhoqo emva kwemizuzwana emi-5 ukuya kweli-10.
Ukuba ezi zandi azikho okanye azibonakali kakuhle, zinokubonisa ukuqhinwa okanye ukuvaleka kwamathumbu (ileus). Ukuba ezi zandi zigqithisile kwaye ziphezulu, zinokuba luphawu lwemeko efana norhudo. Ngamanye amaxesha, ezi zandi zinokubonisa ukuvaleka kwamathumbu.
Ingaba le ndlela iphelelwe lixesha ngoku?
Abanye banokucinga ukuba ngenxa yobuchwepheshe obuphezulu obufana ne-CT scan kunye ne-MRI scan, ukumamela ngale stethoscope sele kuphelelwe lixesha ngoku. Liyinyaniso elokuba kukho iingxaki ezininzi nge-stethoscope yendabuko. Isandi sincinci kakhulu, kunzima ukuva kwindawo enengxolo, kwaye akunakwenzeka ukuba omnye umntu akuve oko ukuvayo. Kodwa namhlanje, izisombululo zifikile nakule nto.
Ii-stethoscopes ze-elektroniki zinokwandisa izandi kwaye zizenze zicace ngakumbi. Zinokurekhoda izandi njengefayile yedijithali kwaye zizithumele komnye ugqirha ukuze zihlolwe. Oku kubaluleke kakhulu kwi-telemedicine. Ezinye izixhobo zikuvumela ukuba ujonge ngaxeshanye i-EKG (i-Electrocardiogram) ebonisa isantya sentliziyo ngelixa umamele intliziyo. Nangona kunjalo, i-auscultation ayiphelelwa lixesha. Oku kuvumela ugqirha ukuba afumane ngoko nangoko umbono osisiseko wemeko yakho. Ngokusekelwe kuloo ngcamango, unokugqiba ukuba zeziphi iimvavanyo ekufuneka zenziwe ngokulandelayo. Oku kuthintela novavanyo olungeyomfuneko nolubizayo. Nangona kunjalo, impumelelo yoku ixhomekeke ngokupheleleyo
kwisakhono sikagqirha, amava, kunye nokuzimisela kwakhe ukumamela ngononophelo .
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-Auscultation luvavanyo olulula kakhulu, olukhuselekileyo, kodwa olubaluleke kakhulu olwenziwa ngugqirha.
- Olu vavanyo lulula lunokukuxelela okuninzi malunga nokusebenza kwentliziyo yakho, imiphunga kunye namathumbu.
- Ngokusekelwe kwizandi eziviwa nge-stethoscope, ugqirha uya kukwazi ukukunceda ukuba wenze isigqibo sokuba loluphi uvavanyo olulandelayo okanye unyango olufunayo.
- Olu luvavanyo lobuchwephesha lwezonyango. Ngoko ke, musa ukufunda ngale nto uze uye kuzixilonga nge-stethoscope. Shiya loo msebenzi kugqirha wakho.
Uvavanyo lwe-Auscultation, i-stethoscope, uvavanyo lwezonyango, izandi zentliziyo, izandi zemiphunga, izandi zamathumbu, ugqirha
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