Auscultation - Ua ... palpation, percussion, auscultation

Palpation, percussion, auscultation - he physical ka ninaninau 'ana i kūpono i hoʻohanaʻia kauka a pau ma luna o ka honua i loko o ke kaʻina hana o kaʻike, a maʻi likeʻole. e hoʻohana 'ia kēia mau epekema ma ka huipūʻana me ka biochemical a me nā' ano o nā kālailai, vocal 'ana, ka' ike loea hoʻohana, aia nō he helu nui. He hana hoihoi i ka Pahuhopu keia hookolokolo ana i kekahiʻano nui kūlana i loko o kaʻike, Radio.

Auscultation - o ka 'oi kelakela, a informative hana. Ua Ua hoʻohana 'ia no kaʻike, ma kaʻoki kino, maloko lāʻau lapaʻau, obstetrics, pediatrics. Me keia hana, e hoolohe mai i ka Kal o ka fetus, hoʻoholo i ke alo o ka pneumonia, bronchitis, cardiac mā a me na mea he nui 'ē aʻe kāna hana i loko o nā keiki a me nā mākua.

Auscultation o ka makua naau

A me ka nui informative, ia mea no hoi i ka loa pilikia ala o physical ninaninau. He pono i ka pepeiao hemolele, ano o ka pāpana a me ka ikaika hana, e like me ka mea i he nui helu o nuances. ʻike, 'inikua auscultation papa hana, e hooholo naau maʻi a me ka akemāmā maʻi ma ka kakahiaka kahua o ka? Acaeoey.

E hoolohe ana i ka naʻau ua lawe mai ia ma ka wahahee a ku kūlana. No kekahi maʻi, wehewehe aku ma ka loli o ka naau ana ma hope o hoʻokō ', no laila, i kekahi manawa, no ka pololeiʻike, ka hoʻomanawanui ua haalele iho mai o ka moku'āina o physical koena. auscultation hana pono adherence i kekahi mau rula:

• kaʻawale mai ka Ambient uwalaau;
• auscultation o ka naau ua lawe mai i ka hanu-paa (ina he mea hiki), e like me ka pono i kaawale ma ka inhalation a me ka exhalation;
• pono i ke ano o ka stethoscope a me ka stethoscope no auskultirovaniya kiʻekiʻe a me ka haahaa leo;
• mua o nā mea a pau e hoʻoholo i ke alo a me ka specificity o ka mea kani-ma kekahi kumu, a laila, e hoolohe i ka physiological a pathological leo.

naau percussion

Ua Ua hoʻohana 'ia e ho oholo i ka palena o ke kino a me ka cardiac dullness. Nei, i kēia iaoia i ka noho hoʻi. Kekahi poe akamai loa haalele ia, no ka mea, o ka hopena o ka percussion mea,ʻaʻole he pololei, a i ka nui pakeneka o ka subjectivity. Ma wahi o keia iaoia hele mai radiography a me ka ultrasound, a haawi aku i ka piha kiʻi o ka nui a me kaʻoihana o ke kino.

naau palpation

Hoʻomano hoʻohana 'ia i loko o kaʻike,. Palpation o ka naau ua lawe mai i ka pono hoakaka i ka oihana a me ka ikaika o ka apical impulse ma ka ua e i ka manamana lima i ka wahi kūpono. I ka maʻi kekahi wehewehe aku ma ke olonā i tremors o ka pahu, a me "popoki ka purr maʻi pale."

Hiki, e hoolohe mai, a lohe

Ka naau Aʻole i hoolohe mai i loko o ka chaotic ano. Aia nō nā wānana waiwai o cardiac kiwikā ma luna o ka pahu. A pau eha o lakou.

1. Mitral - IV iwiʻaoʻao ma ka hema o ka sternum.
2. Aortic - III kae, ma ka akau o ka sternum.
3. Na pulmonary kiwikā - III intercostal pokole i koe.
4. Tricuspid - IV intercostal ka lewa ma ka akau.

Aka hoi, e iki okoa mai ka pololei wānana i ka wahi o ka auscultation, no ka mea, i ke kaniʻana i loko o kēia mau wahi hou akaka a maopopo.

1. Ma ka apex o ka naau - mitral kiwikā.
2. II intercostal makahiki ma kaʻaoʻao'ākau o ka sternum - aortic.

An nui ka hoailona o ka mea maʻi mea cardiac leo, a hiki e ikaika paha i hoʻomaka ai ma hope o ka kekahi haawe ana. e hiki ke hoolohe loa maikaʻi a me ka hoolohe i ka'āno'ē naau pāpana mākou pono. He nui ke hooholo ole wale i ke kani akā, i ke ano, a me ka wahi o kona ho okumu. Ua hiki ke hana ma ka systole a me ka diastole.

Pathological, physiological, a paha e ole wale halulu, akā, i nā kūlana hana. Ma kaʻike, o cardiac auscultation kokua. auscultation wahi like me ka poe i ho'ākāka 'ia ma luna. E hana III a me IV o nā nanahe iʻikeʻia i loko o kekahi ana (manawa wā mawaena, ka mua-lua o ka hapa iki systole ole diastole).

Small naau - he nui kuleana

Children auscultation - keia mea he mea nui loa o kaʻike,. Ke keiki, o ka oi aku uuku no ka mea, o ko lākou mau makahiki hiki ole hoike i ko lakou mau pilikia e pili ana. Ke pediatrician E i ke kilo pepeiao, a me ka degere kiʻekiʻe o kaʻike heluhelu, e like me ke keiki o ka naau nanahe hoʻololi a me kona ulu. Hiki e hooponoponoia ia mea, ma ka iaea ooieoeiiaeuiiai a'āno'ē ino. He nui ke lawe mai i kekahi me nā hōʻike ma waena o ka mua a me ka lua o ka nanahe o ka ikaika a me ka hoʻokoʻikoʻi. Kekahi 'aʻe' ana i ka hoike ana o ka helu o pathological keʻano o ka hanaʻana i loko o ke kino o ka keiki ka.

Palena pauʻike, o ka naau maʻi i loko o na keiki ka hoʻohana i ka iaoiaeii o auscultation

naau kani	ia wahi aku hoʻokoʻikoʻi	Ke hoike mai pathology (physiology)
mua	Ke apex o ka naau	Ka haʻalele atrioventricular orifice hou
lua o ka	aorta	Hypertension, a physiological ano o ka puberty
lua o ka	pulmonary artery	Palapala Sila Nui ductus arteriosus, stenosis, insufficiency bicuspid kiwikā, i ka interatrial kina ole ka interventricular septum, pulmonary artery sclerosis, pulmofibroz, myocarditis, congestive i loko o ka pulmonary holo
Ka mua a me ka lua o ka	Ma nā kumu	ola naʻau ma hope o hoʻokō '(kino ai' ole psycho-mea naʻau)

Ma waho aʻeo ia ka pulakaumaka, e hoʻonāwaliwali i naʻau nanahe a me kā lākou mahae. Auscultation ua objectively i emi iho ina ke kauka ike pehea e hoolohe mai.

Hāpai keiki, a auscultation

Cardiac kuina ua waiho, a hoʻomaka e hoole ia i loko o ka hebedoma ekolu o ka hāpai keiki, a me eono o kona lohe i loko o ka 'Amelika. ʻike, o ka makuwahine, a me ka fetus ua koi 'ia ma ka makahiki, a oi loa aku hoi i hānau. I ka nui a me ka maʻiʻo ua mau hoʻololi nanahe i like fetal ulu.

Auscultation fetus mea, ke'ōlelo mai ai ka loa noonoo ole pono a me ka papa hana no ka hoomaopopo ana kona viability. E lawe mai i kēia walaʻau ma mua pono obstetric stethoscope (kiʻi ma lalo nei). Inā pono, e hoʻohana i ka stethoscope.

Ua hiki ke maheleia i ka pau wā o ka hāpai keiki no kekahi mau manawa (no ka maʻamau fetal naʻau ana, e like me ke ano o ko lakou pomaikai hou).

He hana hoihoi 'ia ma ka hebedoma 6th ma hope o ka hapai ana, o ka naau ana o ke keiki coincides me ka makua. Ke koena unuhi paha e he kui 3 keu aku paha i lalo. Hou ho'ēmi i loko o ka helu ana o Ka hoʻomaka 'ana e ulu. Ua haawiia i ka naau i kela maoli he lā kēlā e 3 pana pua aku makou, ia mea ana e hooholo i ka makahiki o ka fetus histologically.

Heart ia ma hope o nā mahina o ka hāpai keiki ua puunaueia ma i pohā i eha keena - ka atria a me ventricles. Kēia 'ole kekahi mai kekahi kanaka makua kino. I ka hoʻomaka o ka hebedoma 9th o fetal naʻau i kahi o 175 kui iho oe a no minuke. Next, ka alapine emi mai ka lua o ka trimester, maʻamau fetus lilo 140-160 o punches. Kekahi haiahū kūmau mai ka mea hoike hypoxia a me tachycardia characterizes i ka loiloi mua degere o ka o oxygen deficiency, a me ka bradycardia - he kaumahaʻanuʻu, e noi koke 'uao.

fetal palpation

Palpable i loko o ka lua o ka hapalua o ka hāpai keiki ke ho oholo i ka kulana o ka fetus a me kona kanaka māhele i loko o ka uterus. Eia hou, ua hoʻoholo ihola i ka gestational makahiki o ka makuwahine i ke kiekie o ke ku ana lalo, e like me ke poo o ka keiki ka ina mea ua paa i kaomi ai i ka puka a hiki i ka poe liilii, pa holoi - kēia mau mea i ka mua harbingers o ka hānauʻia. Ma obstetrics Leopold hoʻohana i ka iaoia a oia no ka papa anuu eha.

Auscultation a me ka hānau

Voiceless naau ana i ia he kīnā o ke pathology a me kula haʻahaʻaa pilikia lohe. Kēia ka hana i ka wā maternal abdominal paia ai hanaʻia naʻe (obesity), fetal hewa kulana (e laʻa me, he hope nānaina o ka occipital ole breech) polyhydramnios a me ka 'ole. D. He pinepine hāmauʻana nanahe naau i kela ia lŘlŘ i loko o ka nōhie manawa. ʻike, o fetal kino i keia manawa, ua nui.

Kekahi o na ki ina hana like o ka hookolokolo ana o ka wahine hapai - palpation. Ua kōkua ho oholo i ka wahi o ka fetus a me kona hōʻike. Akā,ʻo ua hopena hiki ke loaʻa ka wā no kaʻike, o fetal? Acaeoey o ka naau auscultation i hoʻohana. auscultation wahi o ke ano. Inā ke Kal ua ho'ākāka 'oi pono ma luna o ka piko makuahine, ka fetus mea breech hōʻike, ina ia mea ma lalo - poo. A keiki paha e hyperactive, haliu ae la ia "mai kēlā me kēiaʻaoʻao," ka holoʻokoʻa wā o ka hāpai keiki. E hoolohe ana i ka mōakāka kamaʻilio ma ka pae ana o ka piko hōʻike transverse kūlana.

Auscultation i loko o kaʻike, o ke akemāmā mai

Auscultation - mea he ano o ka pāʻani i keʻano nui i loko o ka hana ana i kaʻike, i loko o akemāmā maʻi. Hoomaopopo pololei (ole vesicular) a me kekahi mau ano o ka ha abnormalities. No hoi, he ano hiʻona o keʻano o ka maʻi, ua maloʻo a me nā hua rales me kekahi mau hiʻona auscultation. Auscultation wahi hoonohonoho symmetrically.

Physiological hou vesicular ka hanu nā

Inā mea maikaʻi paha, conversely, poorly ulu Muscle nuipa a he kanaka, he hypertrophied adipose'aʻaʻa, he loli ma ka hanu 'hiki e kekahi i ka olelo o ka mea hoʻonāwaliwali maoli nō, a me kona waiwai. Auscultation hoʻohana me ka stethoscope.

E hooikaika ana vesicular ka hanu nā mea ano i loko o nā keiki. Kekahi o kona inoa, a hiki ke lohe i loko o ka 'inikua kaiāulu - puerile. Aia o kekahi hanana hiʻona - ka ia hanu ma ka symmetric māhele o ka akau a me ka haʻalele aoao.

ʻike, o ka bronchitis ma auscultation

Auscultation bronchitis lawe mai i loko o kaʻike mau ano. I ka lohe ano o ka huʻi kahua o vesicular hanu paakiki type. A naoh i ka li nui a me ka hou ana o ka bronchial paipu. E kū'ē i ka backdrop o ka hanu oolea hoʻoholo maloo maʻi, a i e ka mea okoa i ka leo, e like me hoʻomaopopo i ka buzzing a me ka uwe ana. Ua hilinaʻi nui ma luna o ka nui o ka bronchi a me ke degere o ka piha ana o ko lakou malu. Ka mea, e pono lohe i loko o nā kūlana o ka hanu.

Me ka hooulu ana o ka bronchitis, mucus? Iecaianoaaiiuo i loko o ka Hawaiian Airlines, piʻi pū, a me ka auscultation hōʻike meakino ua pohā rale.

E hoolohe mai i ka ia maʻiʻaʻai mea maikaʻi loa i ka wa a ka hoʻomanawanui e ku ana. He mea pono e hoohalike i ka hanu leo a me ka maʻi i loko o ka ia nui o ka pono a me ka haʻalele kino. Aia He He kekahi kaʻina o ka Papa Hana - wahi auscultation - ia maʻiʻaʻai.

Oe E hoʻomaka me na luna, a laila, nānā i ka mua ili, a laila, i kaʻaoʻao a me ka hope. Ma protracted bronchitis e hui hou halulu, no kekahi laʻana, crepitus, i Hōʻike ka hoʻololi o ka li nui i loko o ka lalo Air.

Auscultation o na maʻiʻaʻai ua lawe mai i loko o kekahi mau kahua o ka hoʻonaʻauao: ma ka mea mau hohonu a me ka hanu ma hope me ka puʻu. No loko au mamuli nana i ka wahi o ka auscultation, a nō ka loa "hana kupua" no ke kauka.

ʻike, o ka maʻi bronchitis ua i kūkuluʻia ma luna o auscultationʻikepili a me keʻena hoʻokolohua haʻawina o liluwelo mea. I ka lohe akemāmā vesicular hanu type hoʻoholo i loko o ke alo o ka lōʻihiʻoʻoleʻa a exhalation like i loko o ka huʻi ke kahua. I kekahi manawa, maʻi bronchitis hoʻonāukiukiʻana mai o ka hooulu ana o ka oi loa mai - emphysema. "Pulupulu" Ma keia hihia, e lilo ia i ka hanu. Ma huʻi maʻi o ka lohe ma ke akemāmā ili honua.

percussion malamalama

Percussion ana manaʻo e hanaʻia nō ia i loko o ekolu mau aoao: ma ka pololei 'enehana hou i ke anamanaʻo kahi ma ka una honua a me ka manamana lima ma ka manamana lima. Currently, i ka oi ana o ka hope kekahi. Kēia hana 'Aʻole e koi hou lako a pan ma ke kauka, a ma ka ninaninau ana ia maʻiʻaʻai ia mea he informative.

Percussion ke i mau a topographical kohoʻia. Ka loa kaulana muaʻano, a ua hoʻohana 'ia i mea e kuhikuhi lesions. Ka mea,ʻo ka hōʻailona, no laila, percussion kani ma luna o ia oi hookananuha ma mua o olakino akemāmā'aʻaʻa.

He nui malu a me ka nanahe extracted ka wā nana kani. Maʻamau, ka mea, e ia ka leo nui, a me ka shrill hooloihi ae i. Inā he ua he dullness, dullness o ka leo, mea hao hue, 'ikepili paha thympanitis - ia Hōʻike i ke alo o ka hoomanawanui, a me nā hoʻoʻino keʻano o ka hanaʻana i loko o ka maʻiʻaʻai, e noi' inikua 'uao.

Auscultation i loko o kaʻike, o ka maʻi o ka digestive'āpana

Hoʻolohe Ua hoʻohana 'ia e like me ke ano o kaʻike, a me ka helu o ka maʻi o ka gastrointestinal'āpana. A like lawelawe 'ia e kekahi kauka hoʻohana i ka stethoscope, a kau aku la i kona pepeiao i ka abdominal paia. Ma keia hana ua nānā 'ia ma ke alo (kaawale) o peristalsis i loko o ka naʻau liʻiliʻi a me ka'ōpū.

Auscultation ua hana ma luna o ka mau rula, i mea e loaa he kūpono kiʻi o ka Papa Hana ua koi 'ia ma kekahi mau wahi. Oe Pono e hoʻomaka i ke ana i loko o noho malie, a, ina he mea hiki, me ka lawe 'ana i kekahi manaʻo koikoi ma ka abdomen.

palpation o ka abdomen

Ka hookolokolo ana o ka abdomen hāpai kekahi i kā mākou informativeness palpation hana. Ua Ua hana akahai puʻe ma ka abdomen. E pono e hoʻomaka me ka hema groin mahana lima, no laila, i ole e i discomfort i ka hoʻomanawanui. He mea pono e hookaawale ia i kekahi reflex abdominal pā hoʻopilikia.

Nana māʻalo ma me nā Ikepili o ka akau a me ka hema hapalua lalo mai. Puʻe ma ka epigastric māhele - hope loa. Me keia soreness hooponoponoia ia mea, ma ka likeʻole nā loko o ka abdominal paia hoʻopilikia, i ke alo o ka loli ma ka abdomen (fluctuation maʻi pale).

abdominal percussion

percussion hana, e hooholo i ka palena o ke ake, a spleen, e like me ka mea, e pau loa ia hoopaa hoi i kani (hip-). Eia hou, ke kapakai a ka gastric a me ka intestinal thympanitis, ke kauka hiki e keʻike, no iaʻi o kekahi o na Oihana.

Loa ake dullness maʻamau hoakaka ma kaʻaoʻao'ākau ma ka IV intercostal makahiki ma ka hua'ōlelo o ka awelika nipple laina. Inā i ka hookolokolo ana o keia wahi tympanic kani ua 'akomi i, kēia Hōʻike perforation o nā loko, oa i loko o ka lua he mea wai.

Percussing spleen ka mea,ʻaʻohe mea hiki manaʻo nui: kona lalo kaʻe poschupyvaetsya hoopuni palpable.