Ukonwabisa

Umxholo

• Kutheni le nto kusetyenzwa?
• Lwenziwa njani uvavanyo?
• Intliziyo
• Isisu
• Amaphaphu
• Zitolikwa njani iziphumo?
• Intliziyo
• Isisu
• Amaphaphu
• Zeziphi ezinye iindlela zokuzonwabisa?
• Ngokucofa
• Isandi
• Kutheni le nto kubaluleke kangaka?
• Q:
• A:

Yintoni ukonwatyiswa?

I-Auscultation ligama lonyango lokusebenzisa i-stethoscope ukumamela izandi ngaphakathi komzimba wakho. Olu vavanyo lulula alubeki mngcipheko okanye ziziphumo ebezingalindelekanga.

Kutheni le nto kusetyenzwa?

Izandi ezingaqhelekanga zingabonisa iingxaki kwezi ndawo:

• imiphunga
• isisu
• Intliziyo
• imithambo yegazi emikhulu

Imiba enokubakho inokubandakanya:

• ukubetha kwentliziyo ngendlela engaqhelekanga
• Isifo sikaCrohn
• i-phlegm okanye i-fluid buildup kwimiphunga yakho

Ugqirha wakho unokusebenzisa umatshini obizwa ngokuba yi-Doppler ultrasound ukulungiselela ukuzonwabisa. Lo matshini usebenzisa amaza esandi akhupha amalungu akho angaphakathi ukwenza imifanekiso. Oku kukwasetyenziselwa ukumamela ukubetha kwentliziyo yomntwana wakho xa ukhulelwe.

Lwenziwa njani uvavanyo?

Ugqirha wakho ubeka i-stethoscope ngaphezulu kwesikhumba sakho uze umamele indawo nganye yomzimba wakho. Kukho izinto ezithile ugqirha oya kuzimamela kwindawo nganye.

Intliziyo

Ukuva intliziyo yakho, ugqirha wakho umamele imimandla emine ephambili apho izandi zentliziyo yevalve zingxola kakhulu. Ezi ziindawo zesifuba sakho ngasentla kwaye ngaphantsi kwebele lakho lasekhohlo. Ezinye izandi zentliziyo zivakala ngcono xa ujika kwicala lasekhohlo. Entliziyweni yakho, ugqirha wakho umamela:

• ivakala njani intliziyo yakho
• kwenzeka kangaphi isandi
• singxola kangakanani

Isisu

Ugqirha wakho umamela indawo enye okanye engaphezulu yesisu sakho ngokwahlukeneyo ukumamela izandi zamathumbu akho. Banokuva ukuntywila, ukugcuma, okanye ukungabikho kwanto. Isandi ngasinye sazisa ugqirha wakho malunga nento eyenzekayo emathunjini akho.

Amaphaphu

Xa umamele imiphunga yakho, ugqirha wakho uthelekisa icala elinye nelinye aze athelekise umphambili wesifuba sakho kunye nesifuba sakho. Ukuhamba komoya kuvakala ngokwahlukileyo xa umoya uvaliwe, uncitshisiwe, okanye uzaliswe lulwelo. Kananjalo baya kumamela izandi ezingaqhelekanga ezifana nokuvutha. Funda ngakumbi malunga nezandi zomoya.

Zitolikwa njani iziphumo?

I-Auscultation inokuxelela ugqirha wakho okuninzi malunga nokwenzeka ngaphakathi komzimba wakho.

Intliziyo

Izandi zentliziyo yemveli zinesingqi. Utshintsho lunokubonisa ugqirha wakho ukuba ezinye iindawo zinokungafumani gazi laneleyo okanye ukuba unevalvu evuzayo. Ugqirha wakho unokuyalela uvavanyo olongezelelweyo ukuba uve into engaqhelekanga.

Isisu

Ugqirha wakho kufuneka akwazi ukuva izandi kuzo zonke iindawo zesisu sakho. Izinto ezetyisiweyo zinokubambeka okanye amathumbu akho anokujijeka ukuba indawo yesisu sakho ayinasandi. Zombini ezi zinto zinokwenzeka zinokuba nzulu kakhulu.

Amaphaphu

Izandi zemiphunga zinokwahluka ngokungathi zizandi zentliziyo. Amavili anokuphakama phezulu okanye aphantsi kwaye angabonisa ukuba i-mucus ithintela imiphunga yakho ekwandeni ngokufanelekileyo. Olunye uhlobo lwesandi ugqirha wakho angasimamela kuthiwa yi-rub. Irabha isandi njengamaqhekeza amabini esandpaper ehlikihla kunye kwaye inokubonisa indawo ecaphukisayo ejikeleze imiphunga.

Zeziphi ezinye iindlela zokuzonwabisa?

Ezinye iindlela ugqirha onokuzisebenzisa ukumisela okwenzekayo ngaphakathi emzimbeni wakho kukucofa kunye nokuxoka.

Ngokucofa

Ugqirha wakho unokwenza i-palpation ngokubeka nje iminwe phezu kweminye yemithambo yakho ukulinganisa uxinzelelo lwe-systolic. Oogqirha bahlala bejonga inqaku lempembelelo ephezulu (PMI) ejikeleze intliziyo yakho.

Ukuba ugqirha wakho uziva into engaqhelekanga, banokuchonga imiba enokwenzeka enxulumene nentliziyo yakho. Ukungaqhelekanga kunokubandakanya i-PMI enkulu okanye ukonwaba. Uvuyo kukushukuma okubangelwa yintliziyo yakho evakalelwa kulusu.

Isandi

Ukubetha kubandakanya ugqirha wakho ngokucofa iminwe yabo kwiindawo ezahlukeneyo zesisu sakho. Ugqirha wakho usebenzisa i-percussion ukumamela izandi ezisekwe kumalungu okanye kumalungu omzimba phantsi kolusu lwakho.

Uyakuva izandi ezingenanto xa ugqirha wakho ecofa amalungu omzimba azaliswe ngumoya kunye nezandi ezininzi ezingacacanga xa ugqirha wakho ethepha ngaphezulu kulwelo lomzimba okanye ilungu, njengesibindi sakho.

Isandi sivumela ugqirha wakho ukuba achonge imiba emininzi enxulumene nentliziyo esekwe kubuthathaka bezandi. Iimeko ezinokuthi zichongwe ngokusebenzisa i-percussion zibandakanya:

• yandisa intliziyo, ebizwa ngokuba yi-cardiomegaly
• ulwelo olugqithisileyo olujikeleze intliziyo, olubizwa ngokuba kukungasebenzi komzimba
• emphysema

Kutheni le nto kubaluleke kangaka?

I-Auscultation inika ugqirha wakho umbono osisiseko malunga nokwenzekayo emzimbeni wakho. Intliziyo yakho, imiphunga, kunye namanye amalungu esiswini sakho anokuvavanywa kusetyenziswa ukuzonwabisa kunye nezinye iindlela ezifanayo.

Umzekelo, ukuba ugqirha wakho akachazanga indawo enobungakanani benqindi yokuqaqadeka eseleyo kwi-sternum yakho, unokuvavanywa kwi-emphysema. Kwakhona, ukuba ugqirha wakho uva into ebizwa ngokuba yi "open snap" xa umamele intliziyo yakho, unokuvavanywa kwi-mitral stenosis. Unokufuna iimvavanyo ezongezelelweyo zokufumanisa isifo ngokuxhomekeke kwizandi ugqirha wakho azivayo.

I-Auscultation kunye neendlela ezinxulumene noko ziyindlela elungileyo yokuba ugqirha wakho azi ukuba uyafuna na okanye awuyidingi ingqwalaselo yezonyango. I-Auscultation inokuba yeyona nto ibalulekileyo yokuthintela imeko ethile. Buza ugqirha wakho ukuba enze le nkqubo nanini na kuvavanyo lomzimba.

Q:

Ngaba ndinokuzonwabisa ekhaya? Ukuba kunjalo, zeziphi iindlela ezilungileyo zokwenza oku ngempumelelo nangokuchanekileyo?

A:

Ngokubanzi, i-auscultation kufuneka yenziwe kuphela ngugqirha oqeqeshiweyo, njengogqirha, umongikazi, i-EMT, okanye amayeza. Isizathu soku kukuba i-nuances yokwenza i-stethoscope auscultation ichanekile. Xa umamele intliziyo, imiphunga, okanye isisu, indlebe engafundiswanga ayinakukwazi ukwahlula phakathi kwezandi ezinempilo, eziqhelekileyo xa kuthelekiswa nezandi ezinokubonisa ingxaki.