Auscultation - Ko ... palpation, percussion, auscultation

Palpation, percussion, auscultation - he tikanga whakamātautau tinana whakamahia e ngā tākuta katoa i runga i te ao i roto i te tukanga o te tātaritanga o ngā mate. E whakamahia ana ēnei tikanga i roto i te taha ki te momo matüora me ētahi atu o tätari, tūhuratanga mauhaa, whakamahia te hangarau, i reira e he maha nui. Ko reira ngā e te whakamātautau whāinga whai wāhi tino hira i roto i te tātaritanga.

Auscultation - Ko te tikanga tino whānui, me te mōhiohio. Kei te whakamahia te reira i hoki tātaritanga i roto i te pokanga, rongoā ā-, obstetrics, Fale-. Ki tenei tikanga, whakarongo ki te mokowhiti o te kukune, whakatau i te aroaro o te kakā, Bronchitis, hē cardiac me maha atu disorders i roto i ngā tamariki me ngā pakeke.

Auscultation o te ngakau pakeke

Me ki tino kōrero, ko reira ano hoki te ara uaua tino o te whakamātautau tinana. titau e ia he taringa tino, tikanga o te manawataki me te mahi tamau, rite te tokomaha nui o onäianei kua reira. Tātaritanga tikanga auscultation hauora ki te whakatau mate ngakau, me te mate pūkahukahu i te wā wawe o te whanaketanga.

kawea whakarongo ki te ngakau i roto i roto i te tūranga teka tu ranei. No te tahi mau mate, āhuatanga e te huringa o te auau ngakau i muri i mahi, na te tahi mau taime, no te tātaritanga tika, mawehe atu te manawanui kei i te āhua o te okiokinga tinana. titau tikanga auscultation pipiki ki etahi ture:

• faatea i te reo ambient;
• kawea auscultation o te ngakau i roto i te manawa-mau (ki te taea), me te motuhake i runga i te inhalation me launoa;
• titau te whakamahi o te pūoko whakaroto me te pūoko whakaroto mo auskultirovaniya reo tiketike, me te iti;
• te tuatahi o katoa whakatau te aroaro me te pū o te oro i ngā rerekē, me ka whakarongo ki te haruru whaiaroaro pathological ranei.

percussion ngakau

Kei te whakamahia te reira ki te whakatau i nga rohe o te tinana, me te pakeke, cardiac. Aita i maoro a'e, e tenei tikanga te nohoanga hoki. tino whakarere i te reira te tahi mau tohunga, no te mea kahore e tika rawa nga hua o te percussion me whai he ōrau nui o subjectivity. I roto i te wahi o tenei tikanga ka haere mai Radiography me ultrasound, e hoatu i te pikitia tino o te rahi me te tūranga o te tinana.

palpation ngakau

Whānui e whakamahia ana i roto i te tātaritanga. kawea Palpation o te ngakau i roto i ki te tautuhi i pai ake te tūnga, me te kaha o te hihiko apical mā te pēhi i te maihao ki te rohe e tika ana. I roto i te tahi mau mate āhuatanga e tremors pai o te pouaka, ranei "purr syndrome o ngeru."

Te āhei ki te whakarongo me te whakarongo

E kore te ngakau e whakarongo i roto i te tikanga huru. He haurangi o vaolo cardiac i runga i te pouaka. wha katoa o ratou.

1. Mitral - IV rara ki runga ki te maui o te whaturei.
2. Pūtahi o - III mata, ki te matau o te whaturei.
3. Ko te piha pūkahukahu - III wāhi intercostal mahue.
4. Tricuspid - IV wāhi intercostal i runga i te tika.

Otiia, he paku rerekē i te ngä tika te mata o te auscultation, no te mea te tangi i roto i enei wahi atu mārama, me te mārama.

1. I te tihi o te ngakau - piha mitral.
2. wāhi II intercostal i te taha ki matau o te whaturei - te pūtahi o.

He tohu nui o te mate nui, ko te haruru cardiac, e ai kia tamau ranei puta i muri i te tetahi kawenga. Me e taea ki te rongo rawa pai, ka whakarongo te manawataki ngakau rerekē katoa matou. He mea nui ki te whakatau i te reo e kore e anake, engari ano hoki i te huru, me te wahi o tona hanganga. Ka taea e puta te reira i roto i te systole me diastole.

Pathological, whaiaroaro, kia ranei kia kore haruru anake, engari ano hoki nga wāhanga mahi. I roto i te tātaritanga o te auscultation cardiac āwhina. ira auscultation rite ki te hunga whakaahuatia ana i runga. Kia hanga III me IV o atu pepe e kitea i roto i ngā āhuatanga rerekē (wā wa, te systole hautanga tuatahi-rua o diastole ranei).

ngakau Iti - he fatongia nui

auscultation tamariki - ko te wahi tino nui o te tātaritanga tenei. Te tamaiti, rawa iti no o ratou tau e kore e taea e te pūrongo e pā ana ki to ratou mau fifi. kia whai i te taringa hiahia me te nui rawa o te reo matatini te tākuta tamariki, kia rite ki pepe ngakau o te tamaiti te huri me tona tupu. Kia whakaritea e te reo mahi rerekē ranei. He mea nui ki te kawe i roto i te whakaahuatanga whakatairite i waenganui i nga pepe tuatahi, me te tuarua o te kaha fakamamafa ranei. Tetahi ofatiraa o te taunakitanga o te maha o ngā tukanga pathological i roto i te tinana o te tamaiti.

tātaritanga pārōnaki o mate ngakau i roto i ngā tamariki te whakamahi i te tikanga o te auscultation

tangi ngakau	tuu aro	Te māuiuitanga whakakitea (whaiaroaro)
tuatahi	Ko te tihi o te ngakau	whāiti te orifice atrioventricular mahue
tuarua	haoraora	Takawhita, āhuatanga whaiaroaro o te tino e aore
tuarua	iatuku pūkahukahu	Patent arteriosus ductus, stenosis, iti hoki piha bicuspid, te koha interatrial te pakitara wehewehe interventricular ranei, pūkahukahu sclerosis iatuku, pulmofibroz, myocarditis, congestive i roto i te tohanga pūkahukahu
Ko te tuatahi, me te tuarua	I ngā katoa	ngakau hauora i muri i mahi (tinana ranei psycho-aronganui)

I tua atu ki te arotahi, kia haaparuparu pepe ngakau ratou wahia ranei. Auscultation te tautika tohu ki te mohio te tākuta me pehea ki te whakarongo.

Pregnancy me auscultation

whakatakotoria pepa cardiac te ka tīmata ki te peka ke kua i roto i te toru o wiki o te hapūtanga, ka i ono o tona rongo i roto i te US. hiahiatia tātaritanga o te whaea me te kukune te puta noa te wā, me te rawa i roto i whanau. Te rahinga me te te ihirangi kei te rerekē haere tonu pepe i roto i te ōwehenga whanaketanga fetal.

Ko te kupu Auscultation kukune te tikanga tino ngāwari, me te whai hua mō te whakatau i tona noho tuwhera tonu. Hei kawe i tenei taahiraa ohie titau pūoko whakaroto obstetric (whakaahua i raro nei). Ki te tika, te whakamahi i te pūoko whakaroto.

Ka taea te wehea te reira i te wā katoa o te hapūtanga mo te maha wā (mō te auau ngakau fetal noa, kia rite ki te pai kia rite ki te āhua o ratou e hua ana).

Ko reira ngā e i te wiki 6 i muri haputanga, te auau ngakau o te tamaiti hāngai ki te matua. kia waiho te rerekētanga he titi 3 maha whakararo ranei. ngä tua atu i roto i te maha o te tīmatanga ki te tupu. Hoatu e faarahi auau ngakau e 3 matā ia ra, he reira whakaaetia ki te whakatau i te tau o te histologically kukune.

wehea ngakau iho i muri i te rua marama o te hapūtanga e pātaki ki wha ruma - te atria me ventricles. Tenei hanganga ano he tinana pakeke. I te timatanga o te wiki 9 o te ngakau fetal e pā ana ki 175 kapakapa ki te meneti. Next, heke te auau i te rua o nga huatū, riro kukune noa 140-160 o nifó. Tetahi ine i reira tohu hypoxia me faaite tachycardia te tohu tuatahi o te hāora hē, me te bradycardia - he taahiraa taimaha, tono wawaotanga tonu.

palpation fetal

Nga korero i roto i te hawhe tuarua o te hapūtanga e taea te whakatau i te tūnga o te kukune, me ona wahi takitahi i roto i te kōpū. I tua atu, i whakaritea te tau gestational o te whaea i te tiketike o te raro e tu ana, me te matenga o te tamaiti, ki te te piri aki reira ki te tomokanga ki te peihana iti - ko nga harbingers tuatahi o te whanau enei. I roto i obstetrics whakamahia Leopold he tikanga e ngā o wha hikoinga matua.

Auscultation me te whanau

kia auau ngakau reokore te faaiteraa o te māuiuitanga me te rongo uaua pūmotu. Tenei tupu ka whaea thickening puku taiepa (mōmona), tūranga he fetal (hei tauira, he tirohanga muri o te kōpako kōaro ranei) polyhydramnios me t. D. Tino maha puta auau pepe ngakau ngū i roto i te wā whānui. He ariki tātaritanga o te tinana fetal i tenei wa.

Ko tētahi o nga tikanga o te whakamātautau o te wahine hapu - palpation. E tauturu te reira te whakatau i te wāhi o te kukune me tona whakaaturanga. Ko te hua taua kia tutuki ai ka hoki te tātaritanga o te whanaketanga fetal o te auscultation ngakau whakamahia. wāhi auscultation o te āhuatanga. Ki te tautuhia te mokowhiti te mārama ake ki runga ake i te whaea pito, te kukune he kōaro whakaaturanga, ki te he te reira i raro - matenga. kia pahara, te tamaiti, tahuri "i te taha ki te taha," te wā katoa o te hapūtanga. Whakarongo ki te reo mārama i te taumata o te pito whakaatu tūranga hake.

Auscultation i roto i te tātaritanga o te pūkahukahu mate

Auscultation - Ko te tikanga o te tākaro i te faufaa i roto i te hanga i te tātaritanga i roto i te pukapuka mate. Te wehe tika (ranei vesicular) me ngā momo o te kupukupu tonu abnormalities. Ano, he āhuatanga huru o te momo o mate he rales maroke hou ranei he etahi āhuatanga auscultation. whakaritea wāhi Auscultation symmetrically.

huringa whaiaroaro tukupūngao vesicular

Ki te he pai ranei, hei kōrero, papatipu uaua painga whakawhanakehia he tangata, he kiko adipose hypertrophied, he huringa i roto i te manawa e taea e rānei i te aronga o te vaivai, me tona taonga. Auscultation whakamahia ki te pūoko whakaroto.

Te whakapakari i respiration vesicular he āhuatanga i roto i ngā tamariki. Tetahi o tona ingoa, e taea te rongo i roto i te hapori hauora - puerile. He he kotahi āhuatanga ahurei - te manawa ano i runga i nga wahi hangarite o te matau, ka mahue taha.

Tātaritanga o te Bronchitis i auscultation

kawea Auscultation Bronchitis i roto i te tikanga tikanga. A, no te whakarongo āhuatanga o te atamira whakapeka o vesicular manawa pakeke momo. He tauhohenga ki te mumura me te whāiti o te korere arahau. Ki whakaritea te puipuitua o manawa pakeke wheezing maroke, a kia waiho ratou rerekē i roto i te reo, me te whakamahara i te rorohū, me te whakatangi. Tei te reira i runga i te rahi o te bronchi me te tohu o te tini o ratou ngaro. E pai te rongo ratou i roto i ngā wāhanga e rua o te manawa.

Ki te whanaketanga o te Bronchitis, hūpē production i roto i nga piki Airways, me auscultation whakakitea rale koropupū reo.

Hei whakarongo ki te pūkahukahu, ko te pai ka te tu i te manawanui. He mea tika ki te whakarite i te tangi manawa, me te wheezing i roto i te taua ngā o te matau, ka mahue te tinana. He he he tetahi raupapa o whakarongo - ira auscultation - pūkahukahu.

kia timata koe ki te tihi, me ka tirotiro i te mata mua, a ka te taha, me te muri. I roto i te Bronchitis e tautohetia ana kia uru haruru atu, hei tauira, crepitus, e tohu te whakawhitinga o te mumura i roto i nga Airways raro.

kawea Auscultation o te pūkahukahu i roto i roto i te maha ngā wāhanga: i te hohonu mua, me te manawa i muri i te maremare. Rawa i roto i taipitopito tirohia te mata o te auscultation, e ko te nuinga "tūpato" mo te tākuta.

Kei te hanga hoki tātaritanga o Bronchitis i runga i raraunga auscultation me rangahau taiwhanga o ngā rauemi koiora. A, no te whakarongo pūkahukahu momo manawa vesicular whakaritea i roto i te aroaro o te roa i te launoa mārō ranei rite i roto i te wā whakapeka. I te tahi taime, e whakaoho ana Bronchitis te whanaketanga o te mate atu kino - emphysema. "Cotton" I roto i tenei take, riro te reira i te manawa. I roto i wheezing whakapeka e rongo puta noa i te mata tana pukapuka.

marama percussion

kia whakamana percussion rangahau i roto i ngā huarahi e toru: e mirimiri tika te rohe rangahau i roto i te pereti maihao ranei i runga i te ringa. I tēnei wā, ko te e hāngai ana te nuinga i te tetahi whakamutunga. e kore e tenei tikanga rapu taputapu atu i te tākuta, me i te whakamātautau o pūkahukahu ko reira tino mōhiohio.

kia whai percussion takotoranga whakatairite matawhenua ranei. Ko te whakatinanatanga tuatahi tino rongonui, whakamahia nei i roto i te tikanga ki te tāutu i pāpaka. Ko ratou he hiri, na percussion tangi i runga ia ratou ake puhoi atu o kiko pūkahukahu hauora.

He maha atarangi me pepe tangohia ka ui tangi. Tikanga, kia waiho reira nui, tōna iere, me te auroa. Ki te reira ko tetahi pakeke,, pakeke, o te reo, hue konganuku, pouaka thympanitis ranei - tohu reira te aroaro o te manawanui, i ētahi atu tukanga inflammatory ranei i te pūkahukahu, tono wawaotanga hauora.

Auscultation i roto i te tātaritanga o mate o te wahi kūnatu

whakamahia whakarongo te rite te tikanga o te tātaritanga o te maha o mate o te wahi gastrointestinal. He ako whakahaere e te tākuta te whakamahi i te pūoko whakaroto, e maka ana i tona taringa ki te taiepa puku ranei. Na roto i tenei tikanga i whakaritea e te aroaro (ngaro) o ioio i roto i te piro puku ranei.

whakamana Auscultation te i runga i te parau tumu whakatairite, e ko te ki te whiwhi hiahiatia te pikitia e tika ana o te whakarongo i ngā ngā. Me koe ki te whakahaere i tētahi rangahau i roto i te puku, me te, ki te taea, kahore te faaohiparaa i tetahi pēhanga i runga i te puku.

palpation o te puku

Ko te whakamātautau o te puku te maua e te tikanga informativeness palpation mōrahi. Kei te whakamana te reira i te pēhanga ngawari i runga i te puku. Me tīmata tatou ki te tapatapa maui ringa mahana, kia rite kore ki te meinga hūhi ki te manawanui. Ko te tika tenei ki te aukati i te mānukanuka taiepa puku pūpū.

Tuhinga haere i te tātari whakatairite o te matau, me te maui raro ake hawhe. Pēhanga ki runga ki te rohe epigastric - whakamutunga. Ki tenei tetahi raru whakaritea i roto i ngā whēkau o te mānukanuka taiepa puku, te aroaro o inu i roto i te puku (rerenga atu rerenga syndrome).

percussion puku

tikanga percussion ki te whakatau i nga rohe o te ate, me te kōateate, rite he ratou tangi tino puhoi (hip). I tua atu, te whakatairite i te thympanitis pekitīlia me intestinal, ka taea e te hanga i te tākuta he tātaritanga o te arai o tetahi o nga tari.

pakeke, ate pūmau tikanga tautuhia i te taha ki matau i roto i te IV wāhi intercostal i roto i ngā o te rārangi kōmata toharite. Ki te i roto i te whakamātautau o tenei wāhi kitea tangi tympanic te, tohu tenei perforation o whēkau, arā i roto i te kōhao i reira he wai.

Percussing kōateate e kore mahu'inga mahi: tona poschupyvaetsya mata raro ngāwari nga korero.