Cishe uke wabhekana nalokhu noma nini lapho uya kudokotela. Udokotela uthatha leyo divayisi encane edeskini lakhe noma entanyeni yakhe, abeke ingxenye yayo epholile, eyindilinga esifubeni sakho, bese elalela ngokucophelela. Ngezinye izikhathi uyibeka emhlane wakho. Lokhu yilokho esikubiza ngokuthi
i-auscultation kwezokwelapha. Kalula nje, ukulalela imisindo evela ngaphakathi emzimbeni wakho. Nakuba kuyivivinyo elula kakhulu, litshela udokotela ulwazi oluningi olumangalisayo mayelana nempilo yakho.
Kuyini ngempela i-auscultation?
Odokotela bebelokhu belalele imisindo yemizimba yethu kusukela ngaphambi kokusungulwa kwe-stethoscope. Kodwa ngaleso sikhathi, babengenayo i-stethoscope. Babelalela le misindo ngokubeka izindlebe zabo ngqo esifubeni noma esiswini sesiguli. Cabanga, akukubi lokho? Ngisho noDkt. René Laennec, owasungula i-stethoscope, wayengathandi ukubeka izindlebe zakhe esifubeni sesiguli ngale ndlela. Waqala ngokugoqa iphepha walibumba laba yi-funnel walibeka esifubeni. Wabe eseqaphela ukuthi imisindo esesifubeni yayikhuliswa kakhulu (ikhuliswa) lapho bedlula kuyo. Lowo mbono wathuthukiswa futhi i-stethoscope oyibonayo namuhla yadalwa. Lapho elalela ngale ndlela, udokotela unaka amaphuzu amaningana abalulekile.
| Okufanele ukunake | Kalula nje... |
|---|
| Imvamisa | Kungakhathaliseki ukuthi umsindo owuzwayo uphakeme noma uphansi. |
| Ukuqina | Umsindo ukhulu kangakanani? |
| Ubude besikhathi | Umsindo owodwa uhlala isikhathi esingakanani? |
| Inombolo | Uyawuzwa umsindo ngokuphindaphindiwe? |
| Ikhwalithi | Umsindo uzwakala kanjani? (isb., ukushaya ikhwela, ukukhala) |
Ukuhlolwa kwe-Auscultation kuyindlela
ephephile kakhulu futhi engangenisi umdlavuza . Kungenziwa ngokushesha futhi kalula nganoma yisiphi isikhathi, ngoba udokotela ngamunye une-stethoscope eduze.
Ungalalela kanjani inhliziyo yakho?
Cishe uke wezwa inhliziyo yakho ishaya. "
Lub-dub " "Lub-dub"... Lona umsindo oyisisekelo wenhliziyo enempilo. Umsindo "lub" (S1) ufika lapho ama-valve amabili enhliziyo (ama-valve e-mitral nama-tricuspid) evala. Umsindo "dub" (S2) ufika lapho amanye ama-valve amabili (ama-valve e-aortic nama-pulmonary) evala. Udokotela uzobeka i-stethoscope ezindaweni ezine eziyinhloko zesifuba sakho. Lokhu kungenxa yokuthi umsindo we-valve ethile yenhliziyo ungezwa kahle kuzo zonke lezo zindawo. Ngaphezu kwale misindo yokuvala ama-valve,
udokotela uzozwa nemisindo yokugeleza kwegazi kanye nokudlidliza kwezicubu zenhliziyo. Umsebenzi wakhe ukuhlukanisa phakathi kwemisindo evamile, enempilo kanye nemisindo engavamile ekhombisa isifo.
Isibonelo, uma uzwa umsindo othi "s... whiz..." uvela enhliziyweni yakho, kungaba ukububula kwenhliziyo. Nakuba okunye kwalokhu kungeyona ingozi, okunye kungaba uphawu lwesimo esibucayi. Ngokufanayo, uma uzwa umsindo ofana nezingcezu ezimbili zesikhumba zihlikihlana, kungaba ukuvuvukala kolwelwesi oluzungeze inhliziyo ( pericarditis ).
Yini oyibhekayo uma ulalele amaphaphu?
Ngemva kokulalela inhliziyo yakho, udokotela wakho uzolalela amaphaphu akho. Ngokuvamile uzoqala ohlangothini olulodwa lwesifuba sakho bese ehlisa i-stethoscope. Uzobe esehambisa i-stethoscope kolunye uhlangothi ngendlela efanayo. Uzobe esebeka i-stethoscope emhlane wakho bese enza okufanayo. Njengoba enza lokhu, uzoqhathanisa imisindo evela emaphashini womabili. Ngezinye izikhathi, udokotela wakho uzokucela
ukuthi ugobe phambili bese uhlanganisa izingalo zakho esifubeni sakho . Lokhu kuzosiza imisipha yakho yangemuva ukuthi iphumule futhi kwandise indawo yamaphaphu akho (unxantathu we-auscultation). Lokhu kuzokusiza ukuthi uzwe imisindo ngokucacile. Uzolalela ngokucophelela imisindo oyenzayo lapho uphefumula (ugqozi) futhi ukhipha umoya (ukuphelelwa umoya). Ngaphezu kwemisindo evamile yokuphefumula, uma unesifo, ungase uzwe le misindo engavamile:
| Umsindo ongavamile | Incazelo kanye nezimbangela ezingaba khona |
|---|
| Ukuphefumula | Umsindo wokukhala kwekhwela ophakeme. Lokhu kuvame ukubangelwa yi-asthma, i-COPD, noma ukunqwabelana kwamafinyila emaphashini. |
| Ama-crackles | Umsindo "wokuqhekeka" noma "wokuqhekeka". Lo msindo uvela lapho imigudu yomoya igcwele umucu noma uketshezi. Ungabangelwa ukutheleleka kwamaphaphu, i-COPD, noma isifo senhliziyo. |
| Ukuhlikihla kwe-Pleural | Kuzwakala sengathi izingcezu ezimbili zephepha lesihlabathi zihlikihlana ndawonye. Lokhu kubonisa ukuthi kunenkinga nge-membrane ezungeze amaphaphu (i-pleura). |
| I-Stridor | Umsindo omkhulu, ophakeme ovela emphinjeni lapho uphefumula. Lokhu kubonisa ukuthi kukhona ukuvinjelwa kwendlela yokuphefumula ephezulu (umphimbo, i-larynx). |
Kungani ubeka i-stethoscope esiswini sakho?
Yebo, udokotela uzofaka ne-stethoscope esiswini sakho bese elalela. Uyazi ukuthi kungani? Lalela imisindo evela emathunjini akho. Lapho ukudla esikudlayo kugaywa futhi kwehla njengokungcola, amathumbu enza umsindo.
Amathumbu omuntu ophilile avame ukwenza umsindo "wokubhodla" njalo ngemizuzwana emi-5-10.
Uma le misindo ingekho noma ingabonakali kahle, ingase ibonise ukuqunjelwa noma ukuvaleka kwamathumbu (ileus). Uma le misindo iphakeme futhi inomsindo, ingaba uphawu lwesimo esifana nesifo sohudo. Ngezinye izikhathi, ngisho nokuvaleka kwamathumbu kungabonakala ngale misindo.
Ingabe le ndlela isiphelelwe yisikhathi manje?
Abanye bangase bacabange ukuthi ngobuchwepheshe obuthuthukisiwe njenge-CT scan kanye ne-MRI scan, ukulalela ngale stethoscope sekuphelelwe yisikhathi manje. Yiqiniso, kunezinkinga eziningana nge-stethoscope yendabuko. Umsindo ucashile kakhulu, kunzima ukuwuzwa endaweni enomsindo, futhi akunakwenzeka ukuvumela omunye umuntu ukuba ezwe lokho okuzwayo. Kodwa namuhla, izixazululo sezifikile nalokhu.
Ama-stethoscope e-elekthronikhi angakhulisa imisindo futhi ayenze icace. Angaqopha nemisindo njengefayela ledijithali bese eyithumela komunye udokotela ukuze ayibukeze. Lokhu kubaluleke kakhulu kwezokwelapha nge-telemedicine. Amanye amadivayisi akuvumela ukuthi ubuke ngesikhathi esisodwa i-EKG (i-Electrocardiogram) ekhombisa ukushaya kwenhliziyo ngenkathi ulalele inhliziyo. Kodwa-ke, i-auscultation ayiphelelwa yisikhathi. Lokhu kuvumela udokotela ukuthi athole ngokushesha umbono oyisisekelo wesimo sakho. Ngokusekelwe kulowo mbono, anganquma ukuthi yiziphi izivivinyo okufanele azenze ngokulandelayo. Lokhu futhi kugwema izivivinyo ezingadingekile nezibizayo. Kodwa-ke, impumelelo yalokhu incike ngokuphelele
ekhonweni likadokotela, ulwazi, kanye nokuzimisela ukulalela ngokucophelela .
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Auscultation kuyindlela elula kakhulu, ephephile, kodwa ebaluleke kakhulu eyenziwa udokotela.
- Lolu vivinyo olulula lungakutshela okuningi mayelana nokusebenza kwenhliziyo yakho, amaphaphu kanye namathumbu.
- Ngokusekelwe emisindweni ezwakala nge-stethoscope, udokotela uzokwazi ukukusiza ukuthi unqume ukuthi yikuphi ukuhlolwa okulandelayo noma ukwelashwa okudingayo.
- Lokhu ukuhlolwa kobudokotela kochwepheshe. Ngakho-ke, ungafundi ngalokhu bese uhamba uyozixilonga nge-stethoscope. Shiya lowo msebenzi kudokotela wakho.
Ukuhlolwa kwe-Auscultation, i-stethoscope, ukuhlolwa kwezokwelapha, imisindo yenhliziyo, imisindo yamaphaphu, imisindo yamathumbu, udokotela
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