Auscultation yemapapu ndiyo nzira isina kujeka yezvehutano, iyo iyo stethoscope inokwana. Izvi zvinokubvumira kuti unzwe mhere uye utaridzire maitiro ekufema, inoshandiswa kushandiswa kuongorora zvirwere zvemapapu, bronchi, kufamba kwemhepo uye moyo. Chiremba anoita auscultation yemapapu, kwete chete anofanira kuziva chidzidzo chacho zvakanaka, asiwo ane kunzwa kunonzwika.
Nheyo huru dzekuburitsa kwemapapu
Kushandisa nzira yekugadzirisa mapapu, zvinokwanisika kuona zvirwere zvakadaro:
- pneumonia;
- tuberculosis;
- kuunganidzirwa kwezvinyengeri mvura;
- pulmonary edema ;
- bhendi uye zvinopisa zvinopisa;
- abscesses;
- pneumothorax;
- heart failure;
- kuparadzaniswa kwepapu uye vamwe.
Kuongororwa kunobva pakuteerera kufema pamativi akasiyana-siyana. Chryps nemisungo ine utano zvinogona kunyatsoziva kuti chii chinopesana nemhepo yekufema uye muviri wose wemunhu. Pane nzira mbiri dzekubvisa:
- Yakarurama, iyo inonziwo pakarepo (chiremba anoteerera kufema, kuisa nzeve kumurwere wevarwere);
- asinganzwisisiki, iyo inonzi mediocre (chiremba anoshandisa stethoscope, phonendoscope, kana mamwe mabatsiri anobatsira).
Muchiitiko chekutanga, matanho auscultation yemapapu akawanda zvikuru, sezvo kururama kwekunzwa kwakaderedzwa. Muchiitiko chechipiri, matanho ekutenderera anobva kune masere kusvika gumi. Munguva yekuongorora, chiremba anogara achiterera kufema mune imwe neimwe yavo, achifamba kubva pachiganda chechivicvicular kusvika kune sternum yemurwere. Zvakakosha kuenda kune imwe nzvimbo kusvika kune imwe yakasiyana.
Izvozvo zvakaitwa sei?
Kazhinji kuongororwa kunoitwa mumire kana pakagara. Kana izvi zvisingakwanisi, murwere anofanira kutendeukira. Kuti urege kudzivirirwa kwemuviri nemhepo, kufema panguva yekufambisa kunofanira kunge kwakadzika mukati, kunzwa uchitsiva-enda kune tsika yekufema. Kana zvakaoma kufema nemumhino dzako zvinyararire, zvinonzi iwe unoshandura pakufema nemuromo wako. Pasi pose, nzira yacho inosanganisira matanho mana:
- Auscultation yepfungwa huru munharaunda yakatarwa. Kunyange panguva iyi yekuongorora, zvinokwanisika kuverenga kusakanganiswa kwakadai sekuvapo kwemamota kana mvura. Kana hutano hwehutano hwakanaka, kugadzirisa kwemapapu kucharatidza kuvapo kwemashoko akanyorova nekufuridzirwa uye chekutanga chechitatu chekubuda mukati, zvakafanana nezwi re "f". Kushaya ruzha chiratidzo chokurwara.
- Kusangana nekufema zvakadzika. Chirwere chinowanzoshandiswa chemhando iyi yemapapu chinoshandiswa pineumonia. Mumamiriro ose ehurumende, inzwi rinowirirana nezwi "w" rinofanira kunzwika.
- Auscultation panguva yekukanganwa inobvumira kugadzirisa kuongororwa.
- Auscultation pachinoshandura muviri mamiriro ezvinhu inoshandiswa kuzivisa zvirwere zvakakomba mukutanga.
Kushandisa nzira yekugadzirisa, zvinokwanisika kusarudza kwete zvirwere zvepapupa chete, asiwo kukanganisa kwebhuroni. Kune murwere uyu
Vanachiremba vanofambisa nzira yacho, kune dzakawanda zvakavanzika zvekubudirira kweushuhu. Usati wasvika kumurwere, unofanirwa kupedza maminitsi mashanu mukunyarara kwakakwana. Pakati paya maitiro acho pachawo, zvisizvo zvisingadikanwi hazvishamisiwo. Izvi zvichange zvisingabatsiri kukanganwa mhere-mhere, kuvhunduka , kana kushaiwa kwavo. Nokudaro, kana iwe ukaona kuti hapana mamiriro ezvinhu akakodzera ekubudirira kwechirwere chemapapu, kumbira chiremba kuti auye kwauri zvishoma gare gare, kuitira kuti urege kukanganisa nehutachiona.