I-Auscultation

-Delile

• Kungani kusetshenziswa ubuhlakani?
• Kwenziwa kanjani ukuhlolwa?
• Inhliziyo
• Isisu
• Amaphaphu
• Ihunyushwa kanjani imiphumela?
• Inhliziyo
• Isisu
• Amaphaphu
• Yiziphi ezinye izindlela ezingasetshenziswa ekunciphiseni ubuholi?
• Ukubamba
• Isigubhu
• Kungani ukubukwa kwezemvelo kubalulekile?
• Q:
• A:

Kuyini ukukhwabanisa?

I-Auscultation yigama lezokwelapha lokusebenzisa i-stethoscope ukulalela imisindo engaphakathi komzimba wakho. Lokhu kuhlolwa okulula akubeki bungozi noma imiphumela emibi.

Kungani kusetshenziswa ubuhlakani?

Imisindo engajwayelekile ingakhombisa izinkinga kulezi zindawo:

• amaphaphu
• isisu
• inhliziyo
• imithambo yegazi emikhulu

Izinkinga ezingabakhona zingafaka:

• ukushaya kwenhliziyo okungajwayelekile
• Isifo sikaCrohn
• i-phlegm noma i-fluid buildup emaphashini akho

Udokotela wakho angasebenzisa futhi umshini obizwa nge-Doppler ultrasound ukuthola usizo. Lo mshini usebenzisa amagagasi omsindo ahlasela izitho zakho zangaphakathi ukwakha izithombe. Lokhu kusetshenziselwa ukulalela ukushaya kwenhliziyo yengane yakho uma ukhulelwe.

Kwenziwa kanjani ukuhlolwa?

Udokotela wakho ubeka i-stethoscope phezu kwesikhumba sakho esingenalutho futhi ulalele indawo ngayinye yomzimba wakho. Kunezinto ezithile udokotela wakho azolalela endaweni ngayinye.

Inhliziyo

Ukuze uzwe inhliziyo yakho, udokotela wakho ulalela izifunda ezine eziyinhloko lapho imisindo ye-valve yenhliziyo ikhala kakhulu. Lezi yizindawo zesifuba sakho ngenhla nangaphansi kwesifuba sakho sobunxele. Eminye imisindo yenhliziyo nayo izwakala kangcono uma uphendukela ohlangothini lwakho lwesobunxele. Enhliziyweni yakho, udokotela wakho ulalela:

• ukuthi inhliziyo yakho izwakala kanjani
• umsindo ngamunye uvela kaningi kangakanani
• umsindo uphezulu kangakanani

Isisu

Udokotela wakho ulalela isifunda esisodwa noma eziningi zesisu sakho ngokuhlukile ukuze ulalele imisindo yamathumbu akho. Bangase bezwe ukugeleza, ukugigitheka, noma lutho. Umsindo ngamunye wazisa udokotela wakho ngokwenzeka emathunjini akho.

Amaphaphu

Lapho ulalele amaphaphu akho, udokotela wakho uqhathanisa uhlangothi nolunye bese eqhathanisa ingaphambili lesifuba sakho nangemuva kwesifuba sakho. Ukuhamba komoya kuzwakala ngokuhlukile lapho imigwaqo yomoya ivinjiwe, incishisiwe, noma igcwele uketshezi. Bazolalela nemisindo engajwayelekile njengokufuthelana. Funda kabanzi ngemisindo yokuphefumula.

Ihunyushwa kanjani imiphumela?

I-Auscultation ingatshela udokotela wakho okuningi ngalokho okwenzeka ngaphakathi komzimba wakho.

Inhliziyo

Imisindo yenhliziyo yendabuko inesigqi. Ukuhluka kungakhombisa udokotela wakho ukuthi ezinye izindawo kungenzeka ukuthi azitholi igazi elanele noma ukuthi une-valve evuzayo. Udokotela wakho angalalela ukuhlolwa okwengeziwe uma ezwa okuthile okungavamile.

Isisu

Udokotela wakho kufanele akwazi ukuzwa imisindo kuzo zonke izindawo zesisu sakho. Izinto ezigaywayo zingahlala zinamathele noma ithumbu lakho lingahlanekezeleka uma indawo yesisu sakho ingenayo imisindo. Womabili amathuba angaba mabi kakhulu.

Amaphaphu

Imisindo yamaphaphu ingahluka kakhulu njengokuzwakala kwenhliziyo. Amasondo angaba phezulu noma aphansi futhi angakhombisa ukuthi amafinyila avimbela amaphaphu akho ukuthi ande kahle. Uhlobo olulodwa lomsindo udokotela wakho angalalela lubizwa ngokuthi yi-rub. Ama-Rubs azwakala njengezingcezu ezimbili ze-sandpaper ezihlikihla ndawonye futhi zingakhombisa izindawo ezicasukile ezizungeze amaphaphu akho.

Yiziphi ezinye izindlela ezingasetshenziswa ekunciphiseni ubuholi?

Ezinye izindlela udokotela ongazisebenzisa ukunquma ukuthi kwenzekani ngaphakathi komzimba wakho ukushaya ngamandla nokushaya ngamandla.

Ukubamba

Udokotela wakho angenza i-palpation ngokumane abeke iminwe phezu komunye wemithambo yakho ukukala ukucindezelwa kwe-systolic. Odokotela bavame ukubheka iphuzu lomthelela omkhulu (PMI) ezungeze inhliziyo yakho.

Uma udokotela wakho ezwa okuthile okungavamile, bangakwazi ukubona izingqinamba ezingenzeka ezihlobene nenhliziyo yakho. Ukungajwayelekile kungafaka i-PMI enkulu noma ukuthakazelisa. Isasasa ukudlidliza okubangelwa inhliziyo yakho ezwakala esikhunjeni.

Isigubhu

Ukushaya ngamandla kufaka udokotela wakho ngokuthepha iminwe ezingxenyeni ezahlukahlukene zesisu sakho. Udokotela wakho usebenzisa ukushaya ngamandla ukulalela imisindo esekwe ezithweni noma ezingxenyeni zomzimba ngaphansi kwesikhumba sakho.

Uzozwa imisindo engenalutho lapho udokotela wakho eshaya izingxenye zomzimba ezigcwele umoya nemisindo eminingi engazwakali kahle lapho udokotela wakho eshaya ngaphezu koketshezi lomzimba noma isitho esithile, njengesibindi sakho.

Ukushaya ngamandla kuvumela udokotela wakho ukuthi abone izingqinamba eziningi ezihlobene nenhliziyo ngokususelwa ebutofotheni bemisindo. Izimo ezingabonakala kusetshenziswa ukushaya zihlanganisa:

• inhliziyo ekhulisiwe, ebizwa nge-cardiomegaly
• uketshezi olwedlulele oluzungeze inhliziyo, olubizwa ngokuthi yi-pericardial effusion
• emphysema

Kungani ukubukwa kwezemvelo kubalulekile?

I-Auscultation inika udokotela wakho umbono oyisisekelo mayelana nokuthi kwenzekani emzimbeni wakho. Inhliziyo yakho, amaphaphu, nezinye izitho esiswini sakho kungavivinywa kusetshenziswa i-auscultation nezinye izindlela ezifanayo.

Isibonelo, uma udokotela wakho engayiboni indawo elingana nesibhakela yobumpofu osele kwi-sternum yakho, ungahlolwa i-emphysema. Futhi, uma udokotela wakho ezwa lokho okubizwa nge- "open snap" lapho ulalele inhliziyo yakho, ungahlolwa i-mitral stenosis. Ungadinga izivivinyo ezengeziwe zokuxilongwa ngokuya ngemisindo udokotela wakho ayizwayo.

I-Auscultation nezindlela ezihlobene nazo ziyindlela enhle yokuthi udokotela wakho azi ukuthi ngabe udinga ukunakekelwa okuseduze yini noma cha. I-Auscultation ingaba yindlela enhle kakhulu yokuzivikela ezimweni ezithile. Cela udokotela wakho ukuthi enze lezi zinqubo noma kunini lapho uhlolwa khona ngokomzimba.

Q:

Ngingakwazi yini ukuzithokozisa ekhaya? Uma kunjalo, yiziphi izindlela ezingcono kakhulu zokwenza lokhu ngempumelelo nangendlela eyiyo?

A:

Ngokuvamile, i-auscultation kufanele yenziwe kuphela ngudokotela oqeqeshiwe, njengodokotela, umhlengikazi, i-EMT, noma umuthi. Isizathu salokhu kungenxa yokuthi ama-nuances wokwenza i-auscultation enembile ye-stethoscope ayinkimbinkimbi. Lapho ulalele inhliziyo, amaphaphu, noma isisu, indlebe engaqeqeshiwe ngeke ikwazi ukuhlukanisa phakathi kwemisindo enempilo, ejwayelekile uma kuqhathaniswa nemisindo engakhombisa inkinga.