Respiratoria karwendo pechipfuva: chii, sei kuyera, mwero

Kuti zvakanaka kuunganidza nhoroondo, vadzidzi kudzidza kudzidza kwemakore kubvunzurudza, ongorora uye obmeryat murwere. It unyanzvi - kuti nokukurumidza uye zvakarurama kupedza kadhi chikuru, zvokuti kunyange chiremba asina akasangana murwere wako, zvaiva pakarepo pachena. Mumwe nzendo nekunhonga kare chiri anthropometric kudzidza, kusanganisira kutsunga ukuru mubhokisi, bhuku iri kufema kufamba, avo symmetry uye kakawanda kuita chiito kufema netsandanyama.

Maumbirwe pechipfuva

Chii chiremba ruchigona Kuedzwa kunoenderera? The rokutanga nderokuziva zvinoitwa pechipfuva pa zororo uye panguva inofamba pamwe zviratidzi spirometry Somuenzaniso, akadai naTidhari vhoriyamu, mwero uye bhuku expiratory uye vazhinji nevamwe. ukama hwavo zvichakubatsira kusiyanisa pulmonary zvokurwara pamusoro chetsinga, pakukuvara kana pulmonary edema.

Chekutanga nokuda kuona rokuongorora, tinogona kuona chimiro pechipfuva. Kusiyanisa dzose kana kutadza kushanduka. Next, tarisai symmetry pakati sezvikamu vake vaviri yunifomu kufema kufamba.

Nyorai chipfuva

The kunotoda anatomi ndivo zvinotevera zvichibvira:

1. Normostenichesky kana nhamba upamhi kuti kudzika kwakarurama, subclavian fossa supra- uye zvine mwero chakatsikirirwa, mbabvu vari obliquely, daro therebetween anochengeterwa dzose, chipande zvakasimba rikazvisundira pamusoro thorax, uye pakona epigastrium mutsetse.
2. Asthenic mhando zvinokonzerwa zvazviri tetepa vanhu. Size vaimiririra kudzika pechipfuva shure pakudaro kusika pfungwa kuti ane elongated chimiro. Kakawanda gomba pedyo bondo akaratidza hasha, ganda pamusoro pavo rinonyura. Mbabvu vanosarudzirwa vertically pane necheparutivi, pakona yakaumbwa parutivi xiphoid muitiro, ndizvo chakasimba. vanhu vakadaro kakawanda havaratidzi dzakabudirira tsandanyama pamusoro pamafudzi uye shure, uye rezasi kumucheto nerumbabvu iri nyore detectable nokuda palpation.
3. Hypersthenic mhando anoenderana izvo chete muviri mhando. The thorax iri zvishoma rakafanana humburumbira, ongorora uye upamhi akafanana rakatetepa nemaburi mbabvu, ivo substantially kuenderana. Supra- uye subclavian fossa dzinounzwa zvakaneta epigastric obtuse angled.
4. Emphysematous bhokisi anowanika varwere COPD uye asima. Wakafanana giperstenicheskom, asi ane kumbonyanya paupamhi intercostal dzezvimwe, kufambisa chinjikira micheto, zvishomanana kana pasina Nemikwidza, zvipande pachinhu mbabvu vanosarudzirwa kudzokera shure, hapana kuparadzana zvakajeka pamusoro-uye subclavian Makomba.
5. Mitezo bhokisi chitarisiko chavo yakafanana asthenic. It unowanikwa varwere neTB, chirwere zvemapapu chirwere, pleural, kunge zvakanyanya kwezvinoshandiswa, kaheksichnyh vanhu uye majini zvokurwara - Morthal syndrome.
6. Rachitic, kana hangaiwa mazamu - kunoitika zvikurukuru vana. Its hunomusiyanisa nevamwe zvinhu - zviri midzi nechepakati chikamu mune xiphoid muitiro yacho sternum. Uyewo, kuvapo zviratidzo marozari, bulges panguva yezwi rumbabvu mugove mapfupa ari shwashwa nokuda osteogenesis kukodzera.

kufema nzira

Chest karwendo hakubvi chete zvayo mhando uye chimiro, asiwo kuti munhu ari kufema: muromo kana mhuno. Panyaya iyi, kusiyanisa pakati mhando dzakasiyana kufema.

Zamu - kunoitika kunyanya vakadzi. With kwakadai chikuru mutoro weveta intercostal tsandanyama uye diaphragm. Abdominal kufema kuri zvinowanzoitika kuvanhu. Vari kuita kufema kuri kushingaira zvinobatanidzwa Anterior abdominal rusvingo.

A mutsauko kuri kufema mutinhimira (mutinhimira kana arrhythmic), kudzika (yakadzika, zvachero kana avhareji kudzika) uye kakawanda (nhamba kundosvikira paminiti).

symmetry

Respiratoria karwendo pechipfuva dzinowanzoona zvakafanana, ichibata. Kuti mumuedze chikamu ichi, unofanira kutarisa sangano repasi makona mashizha panguva kwakadzika inhalation uye nedzinovengwa. Kana mumwe mashizha haana nguva yokuti mumwe, zvinoreva kukanganisa pamusoro kufema nerevane uye angava anoratidza kuzvimba akadai pleurisy. Uyezve, asymmetry inogona kuchengetwa after zvomusejari kushanda mubhokisi, pamwe atrophy nokuda zvemapapu malignancies kana necrosis.

Imwe nyaya iri iyo karwendo pechipfuva anogona kuputswa - ndiwo pathological yakawedzera zvemapapu. Izvi zvinogona kuonekwa emphysema, bronchiectasis, kana exudative pleural effusion, pneumothorax akavharwa.

tambo chidobi

Sei kuona karwendo pechipfuva? Quite nyore, nokuyera uye nyore Masvomhu.

Examinee akakumbirwa kutarisana chiremba nokusunungura ruoko muruoko. Hazvina chinodiwa kuti rokumusoro chikamu muviri panguva iyoyo akasunungurwa kubva zvipfeko. Chiremba akabva anotora tepi chiyero uye ane kuitira kuti ichipfuura kumakona mashizha. Kuferefetwa vanokokwa ndatura befu uye kuiita. Panguva iyi, wokutanga nekuyera rinoitwa. Pashure iyo murwere anogona kufema zvakare uye kuchengeta mweya yenyu, chiremba akakwanisa kamwe zvakare kuyera chipfuva sekamufarenzi. Chaizvoizvo, izvi zvakanga tichiona pechipfuva. How kuyera kakawanda kundosvikira kana zvakadzika mu marita? Too nyore, kana pane zvimwe michina yakadai wachi pikfluometr.

Chest wakarebesa

Chest karwendo inofanira kazhinji kuva symmetric pamusoro zvikamu zvose, asi dzimwe nguva pane dzisakarurama kurwisa kuti mhepo kufurirwa masvingo aro. Zvino kuumbwa protrusion kana yokururamisa. Yokururamisa - ichi kazhinji ndiyo pamusana fibrosis kana pulmonary atelectasis. A yaitsigira divi bulging bhokisi kuzara zvingaratidza nzvimbo Urume kana mhepo.

Kutarisa symmetry ari chiremba anofanira kuisa maoko ake kuti musana murwere nedivi ari musana mbiru uye akakumbira kuita mashoma zvakadzama kundosvikira. Backlog rimwe sezvikamu anogona kuudza chiremba kuti munhu ave nemabayo kana pleurisy, uye kunyange kuderera kana kusavapo chiedza rwavakaita iuye mhiri pfungwa emphysema.

zvinoitika mumatunhu

Kutaura zvazviri, hapana nzira akajeka chii chinofanira kuva bhokisi karwendo. Norma (cm) rakanyatsojeka hama uye anoenderana nezera, muviri, chechikadzi kwevanhu. Paavhareji, anoda kubatsira kubva mumwe matatu masendimita. Chest sekamufarenzi - chete hama kukosha, nokuda vana, pane chinokosha nematafura kuti dzinoratidza simba uye kuwirirana okukura kwavo.

afemeruke zvazvingava

Kana akatora bhokisi karwendo, mumwe chiremba munyaya pasingaverengwi kundosvikira. Panguva iyi, zvakakosha kuti kuvavhiringidza murwere ari zvimwe, zvimwe kungava kukanganisa zvabuda, kufema kakawanda, kana, Ukuwo, zvinenge.

Naizvozvo, zvisingazivikanwi murwere nyanzvi ane ruoko rwake pachipfuva. Izvi zvinobatsira kuita kana uchifunga kupomba uye nhamba shamhu paminiti. Normal bhokisi karwendo kunosanganisira gumi kusvika makumi maviri kundosvikira. Kana murwere asingadi kusvika yepazasi panogumira dzose, zvingangoita nokukurumidza pachena chetsinga zviratidzo zvaachava, asi kana kakawanda iri yepamusoro zvikuru, zvimwe zvokuongorora Rinobatanidzwa pathologies kuti kupindira munhu kufema zvikuru (mvura, akaputsika mbabvu, neuralgia, etc. Nezvimwewo ) .. Uyezve, nokukurumidza kufema anogona kuchengetwa nokuda labile psycho-kunetsa, nourefu nefivhiri kana predagonii.

Chest karwendo (musiyano pakati sekamufarenzi yayo pakati inhalation uye nedzinovengwa) haisi nguva dzose mune pakutsvakurudza yokutanga amburenzi kana somatic zvipatara. Zvinonzi vaiona kuva nepurogiramu yokurovedza muviri, kunyange asina chakaipa. Pakuvamba, patakanga asati ubiquitous Ultrasound michina, MRI uye CT Scans, vanachiremba vanogona kuziva zvakavanzika pathologies, chete ruoko kuti bhokisi murwere.