Auscultation of the heart

Phonendoscope uye stethoscope ndizvo zvinokosha zvechiremba, asi vazhinji vedu hatifungi kuti ivo vanokosha zvakadini! Kuteerera kumapfupa emurwere kunotibvumira kusarudza kwete chete kupemha kwechirwere chetachiona uye bronchitis, asiwo kukanganisa kushanda kwepfungwa. Auscultation yemwoyo ndeimwe yenzira dzakajairika dzekuongorora mwoyo kusakundikana , mwoyo urema, tachycardia, angina pectoris nezvimwe zvirwere.

Kuteerera nheyo nemhando yekugadzirisa mwoyo

Kuti vanzwe rwiyo rwekurova kwemwoyo, inzwi ravo, manzwiro emwoyo valve nemhepo, nzira inofanira kuitwa mukunyarara kwakakwana. Mukuwedzera, zvakakosha kunyatsotsanangura pfungwa dzekuterera. Kushandurwa kwemasendimita mashomanana kunogona kutungamirira kune kukanganisa mukuongororwa. Saka, pane 5 nheyo dzinokosha dzekubvisa kwemoyo:

  1. Pfungwa yekutanga iri munharaunda yepical impulse yemwoyo. Iwe unogona kutsanangurira nzvimbo yacho nekubatsira kweropa. Kana iwe usingakwanisi kunzwa kunzwa, chiremba anoverenga chikamu chepamusoro chekuora kwemoyo nemubatsiro wekuputika pamapfupa emurwere. Iyo phonendoscope inofanira kuiswa zvakananga pamucheto wekutsiva munharaunda yekutyisa.
  2. Nheyo yechipiri iri pamucheto wakarurama we sternum mune yechipiri nzvimbo inopindirana. Izvo zvinoitawo nyore kusarudza nekubata. Kazhinji kacho, chiremba anoongorora nzvimbo neruoko rwake rworuboshwe, kururamisa phonendoscope kurusvingo rwechifuva.
  3. Nharo yechitatu isinganzwisisiki, inowanikwa munzvimbo yechipiri inopindirana ichienderana nechechipiri, asi kwete kumucheto wakarurama we sternum, asi kuruboshwe.
  4. Pfungwa yechina haisi nguva dzose nyore nyore kusvika. Inorara mumuganhu wakarurama wechitatu wepasi we sternum pachitsiko cheitiro xiphoid.
  5. Yechichishanu, yekupedzisira, inopinda mumatambudziko ekumanikidzwa, iri munzvimbo yechitatu inoputika pedyo nechokumucheto kwerusvingo rwe sternum. Izvo, sezvakaitwa kare, inogona kurondedzerwa nenzira yekutengesa kune varwere vane dambudziko rakaoma reodema uye kuneta, kana nekunzwa.

Kana kukonzera kwemoyo kuchiratidza chimiro, chidzidzo ichi chinopera. Kana zvisina kudaro, murwere anoteerera kuwedzera zvakare, akarara kuruboshwe, kana kushandisa kushanda muviri.

Chii chinokonzera kugadzirisa kwemoyo?

Pamwoyo weyo nzira ndeyekwaniso yemwoyo yekubudisa maitiro akafanana panguva yekushanda. Izvi-izvo zvinonzi mwoyo unotinhira, kuburitsa kunokubvumira kuti uone kunyange zvishoma kudarika pane kunzwa. Muvana, kune matanho matatu, vanhu vanopfuura makumi maviri emakore vanowanzonzwa 2 tones. Kuti vazvinzwe, chiremba anoratidza kuti murwere anofema mukati nekunze uye anobata mweya wake. Izwi rokutanga, raanogadzirisa ipapo, uye richava izwi rokutanga remwoyo. Wechipiri, zvichienderana, wechipiri. Panzvimbo dzakasiyana dzekuteerera vanogona kuva nehukuru hwakasiyana uye simba, maererano neshoko iri uye kuongorora kunoitwa. Zvinowanzoitika kuti kunetseka kunoona hupenyu hwemwoyo. Izvi zvinoreva kuti inzwi rinonzwika risina kuchena, zvinokwikwidza hazvisi rhythmic, zvinonzwika, kune zvinyorwa zvinowanikwa. Zvose izvi - uchapupu hwekuputsa kwakasiyana-siyana kwemwoyo nemidziyo yeropa.

Asi kuti aite zvakajeka, chiremba anofanira kunyatsorondedzera mhere. Nokuda kweizvi, zviito zvinotevera zvinoitwa:

  1. Tsanangurai chikamu chei (systolic, kana diastolic) kune ruzha.
  2. Sarudza pfungwa yekunzwa kwake kwakanakisisa kuti uwane panzvimbo.
  3. Sarudza nzvimbo yakanakisisa yekuteerera kunze kwemashoko makuru ekugadzirisa.
  4. Ita tsvakurudzo yakajeka mumutsetse, nzvimbo isina kumira, mune imwe nzvimbo iri kurudyi.
  5. Rondedzera dhigirii rukuru rwemheremhere, maitiro ayo, nguva uye kuchinja kwemasimba.

Zvose izvi zvinoda kuongorora, mushure mokunge mutongo wokupedzisira unogona kuitwa.