Auscultation daga cikin huhu - shi ne wani muhimmin bincike Hanyar

A zamanin yau, akwai m bincike hanyoyin, wadda ake bisa tsawon lokaci ci gaba da kuma Multi-miliyan dollar zuba jari. Duk da haka, da kyau likita ba ya shagala da mafi sauki, amma quite m hanyoyin da za a gane munanan kamar huhu auscultation, feat. Irfan zuciya ko palpation na ciki. Dauke da fitar da wadannan jan ne na bayar da muhimmanci a cikin ganewar asali da cututtuka.

Details so su zauna a kan hanya, wanda fassara a matsayin "sauraron", kuma an kira auscultation. An yi tare da stethoscope (tube) ko stethoscope. A baya can, likitocin sun yi kokari su kasa kunne ga kirji da ake ji da sauki kunne ga jiki, amma da zarar Rene Laennec iya ba ji wani abu daga cikin matasa haƙuri tare da babban nauyi, sa'an nan ya yi birgima cikin wani bututu takardar takardar, ya sa daya karshen kirji na wata yarinya da sauran - to masa kunne. Likita ya mamakin, audibility ya mafi alhẽri daga abada.

The hanyar dogara ne a kan kama daga sauti da cewa an kafa a makogwaro da kuma huhu, sa'an nan daukar kwayar cutar da surface daga cikin kirji.

Auscultation daga cikin huhu, da janar dokoki

• Dadi matsayin likita.
• A matsayi na haƙuri Sitting kõ kuwa a tsaye.
• A dakin inda hanya ake yi, shi ya kamata dumi da kuma m, ana gani cewa bayan minti 5 ciyar a boye, ji m.
• A bu mai kyau don sauraron surface ne bã tãre da gashi, t. Don. Su samar da gogayya da zargin extraneous amo.
• Stethoscope ko wani stethoscope kararrawa amfani da surface na jiki tam, amma ba tare da karin kokarin.
• A likita dole ne da basira da sauraro da kuma stethoscope, to wanda ya aka saba.
• Huhu ake ji da farko a gaban, sa'an nan - baya da kuma fitar - a kan fikafikan, daga sama zuwa kasa da kuma bangarorin biyu.

Kayyade da irin numfashi

• Vesicular - al'ada, jin inhalation da daya bisa uku na exhalation kama da sauti na "f".
• M - da sauti na "f" da aka ji a kan wahayi da kuma karewa, irin wannan halayyar al'ada yara har zuwa shekaru 6.
• Bronchial - kamar sauti na "x".
• Amforicheskoe - wannan sauti za a iya samu idan a cikin kunkuntar wuyansa na komai ganga duka iska. Auscultatory Wannan tsarin da ake dangantawa da wani rami (rami, ƙurji) a cikin huhu.
• Saccadic - auscultated intermittent, kunsha da dama bulan na numfashi da ake dangantawa da kasashen waje jiki da kuma babban ƙari a cikin trachea ko bronchi.

Auscultation daga cikin huhu, mahaukaci noises

Dukan su suna hade da cututtuka na numfashi tsarin.

• Wheezing iya zama a bushe (wheezing, shẽwa, buzzing) - wannan abu ya faru a lokacin da takaita na lumen na bronchi, ko jari na gamsai a gare su. Har ila yau, wheezing iya zama rigar (kananan, matsakaici, krupnopuzyrchatymi), su saurare, idan akwai ruwa a cikin huhu na phlegm.
• Crepitus - wani irin crunch, wanda ya auku a kan inspiratory lokaci da kuma nuna pathological tsari a cikin Alveoli.
• Pleural goga - wannan shi ne ma da crunch, duk da haka, ya aka saurari sha taba da kuma exhale. Yana faruwa a lokacin da pleural Pathology.

A rarrabe wheezing shi ne cewa su iya bace idan akwai wani haske tsaftacewa na sputum, cewa shi ne. E. Bayan tari. Wheezing kuma crepitus yiwuwa a ji idan hanci da bakinsa a rufe, kuma ciki ne a tashin, alhãli kuwa shi ne a cikin wadannan yanayi da aka saurari pleural goga.

Auscultation daga cikin huhu, a kwatanta cikin gida da kuma kasashen yammaci makarantu

Biyu sukayi fassara da amo a pathologies na numfashi tsarin a yara da wasu bambance-bambance. Kamar wancan ne, da rabo daga wheezing a Turai adabi Sauki hali wheezes bai fadada, kuma a cikin bayanin irin rigar akwai wani ra'ayi "srednepuzyrchatye". A wani musamman gudanar da bincike, likitoci Zaikov, Katilovym Dmitriev kuma an gano cewa, mu likitoci daina bi zuwa yamma model na ganewar asali, omitting cikakken bayanin auscultation hoto. A mawallafa da shawara gyaggyarawa, kuma suka gyãra data kasance rarrabuwa. Wannan dole ne a yi domin a mafi fahimtar tsakanin likita abokan aiki daga kasashe daban-daban da kuma jihohi.