Nzira huru kutsvakurudza - Auscultation mwoyo

At mwoyo pane zvakasiyana-siyana inzwi zvinokonzerwa, ayo vakadzidza ne auscultation. Auscultation mwoyo runoita kuti vawane pfungwa pamusoro pezvakaitwa kuitika mumwoyo painenge iri kumhanya. Muchidzidzo ichi, unofanira kuomerera mitemo, kuwedzera kunyatsoshanda kwayo:

- kuva nechokwadi kuteerera mwoyo iri chinjikira uye wehunyambiri nechinzvimbo, dzimwe nguva kurutivi rworuboshwe;

- cardiac auscultation zvinogona kuitwa panguva dzose kufema murwere. Kana zvakakodzera, kujekesa nhamba pfungwa nayo anoteerera uye mweya munhare ;

- munguva kunzwa zvinokosha kuramba akanyarara mumba zvinofanira kuva noushamwari;

- mavharuvhu kunonzwikwa kuitira kuti kudzikira kakawanda kukundwa kwavo.

Auscultation mwoyo rinoitwa neboka kwakajairika nzira vakateerera ane stethoscope kana stethoscope. Kushandisa midziyo izvi kunoita kuti iwe kutsanangura ruzha migumisiro akasiyana zvikamu mwoyo, izvo zvinonyanya kukosha maererano nekutumirwa kwemauto avo vadiwa. Vamwe zvinoita kana mwoyo kushanda anzwa pamusoro auscultation Nzeve pachayo nani.

For zvakakodzera kunyatsoongorora auscultation mifananidzo kuziva fungidziro munzvimbo nomwoyo mavharuvhu, zvikamu yakanakisisa yokuteerera yavo. Omumwe inzwi kwakaita panguva kushanda kwomwoyo, kunoenderana nzvimbo fungidziro mavharuvhu pakati inzwi vibrations neropa aibuda, nzvimbo bhokisi riri cardiac dhipatimendi umo nokufamba izvi anobudiswa. Izvi zvinoita kuti tiwane dzimwe nzvimbo mubhokisi, apo unogona kuteerera nani ruzha migumisiro. Lots yakanakisisa auscultation kwemoyo zvinonzi pfungwa auscultation.

Auscultation mwoyo - pfungwa yokuteerera

Heart auscultation rinoitwa mune imwe urongwa, izvo vanoomerera kwechokwadi kunyatsoongorora humboo yapihwa. Nokuti chinangwa ichi, pfungwa auscultation kwomwoyo, kureva, nzvimbo muchipfuva, apo nani kunzwa achiumbwa imwe nzvimbo mumwoyo.

The pfungwa yokutanga. First auscultated mitral vharafu. Auscultation rinoitwa mu pfungwa yokutanga, iri pamukova chakaderedzwa mutengo mwoyo.

The pfungwa yechipiri. Zvadaro kuteerera basa kutsemuka vharuvhu - yechipiri intercostal nzvimbo kurudyi sternum.

The pfungwa yechitatu. Pulmonary auscultation vharafu vakatakurwa rechipiri intercostal nzvimbo kuruboshwe yacho sternum.

The pfungwa wechina. Kuteerera basa tricuspid vharuvhu anoitwa pa mujinga sternum mecheobraznogo rikurumidze.

Ndiro huru ina-pfungwa auscultation. Kune mamwe, izvo anoshandiswa kuchenesa kunamata umboo ari kuziviswa kuchinjwa.

Kazhinji, moyo rangano iri wakateerera maviri pfupi, nguva dzose rakatumbuka inzwi, unonzi mwoyo zvenzwi.

Matauriro chokutanga achiumbwa panguva marwadzo ari ventricles, kureva, systole, uye naizvozvo anonzi systolic. Ndiye refu uye ezasi, rinowanika pashure refu kumbomira, nani auscultated pamusoro payo rinobatana pamwe arterial kufamba kweropa.

Matauriro yechipiri inonzi diastolic, sezvo kunoitika munguva cardiac kuzvivaraidza - diastole. Auscultated diastolic Matauriro pashure pfupi kumbomira, zvakanakisisa akanzwa pachishandiswa mwoyo, zviri pfupi uye refu mune ruzha.

Kumwe kuchinja kunotanga pamoyo kunotungamirira kuti mwoyo rinonzwika pasi kuchinja: kusimbisa, kuderedze, napakati, pane mamwe mavara rwechitatu norwechina. Somuenzaniso, pamwe chinokosha kwakaderera ari myocardial contractile basa, mumwe inzwi wechitatu, uye cardiac basa kunoratidzwa ne mutinhimira ari gallop, sezvo nowenyika kurira tsikwa amabhiza.

Cardiac auscultation anogona kuziva mwoyo vakan'un'una, izvo yakaumbwa pakati cardiac pasi panguva systole kana diastole. Heart kutsutsumwa kwoita intracardiac uye extracardiac uye dzichipfekeka uye Organic. Vane nyoro uye mafungu, kunyarara uye ruzha. Ruzha vari kunzwa zvakanaka panguva pfungwa auscultation mwoyo.