Percussion malamalama - i ka papa kuhikuhi hana o ka lapaʻau ninaninau

Percussion malamalama, a me ka auscultation, ua noʻonoʻo i ka loa nui iaoiaeii o lapaʻau ninaninau ana o nā mea maʻi me ka ÷ naehana hanu maʻi. Percussion Ma mua, i lohe nui ia i loko o lapaʻau hana, hoʻowahāwahā i ka muli o hou PalekanaEND_LINK ano o vocal haʻawina.

percussion a percussion hana i manaoia e ka'Aukekulia kauka auenbrugger i ka 1761 a me ka wahahee i loko o lapaʻau hana maʻamau ma ka Palani kauka Corvisart. Percussion o na maʻiʻaʻai, e like me nā kino, paʻa lima, 'aʻole e koi i ka hoʻohana' ana i nā hana, noonoo ole a me ka hoomaikai informative.

Ka papa hana ua ma muli o ka mea i na wahi lulu Aupuni haawi okoa kiʻekiʻe me ka percussion leo. Ka mea e like ai no kēia mau mea kani-, i kapaia o percussion, hilinaʻi ma ka maʻiʻo, a me ka pa apŘ o ke'aʻaʻa kino. Ma percussion māhele o ke kino,ʻaʻole i loaʻa ka makani, i hana i ka hoopaa percussion kani. Oia ke kani ua hua mai, no ka laʻana, percussion akepaʻa. I ka percussion hui, i loaʻa i ka hailona o ka lewa, i ka leo o ka ringing. Pela, e hoʻololi i ka leo o ka percussion hiki e hookolokoloiaʻi e au, ma luna o nā hoʻololi i loko o ka na nā loko, a me ko lakou wahi.

Maʻamau, ma ka holoʻokoʻa ili o na maʻiʻaʻai aie a hiki i ka nui ea maʻiʻo ua nānā 'Kupanaha kani. Kēia kani ua kapaia pulmonary kālaʻe. hiki e hoomahuahua ia me ka hooulu ana o ka maʻi likeʻole o ka ea maʻiʻo ma na maʻiʻaʻai a ua hoʻemi, niioaaonoaaiii, a me ka hoʻololi percussion kani.

Loli ana i loko o ka percussion kani deadeningʻaoʻao a ma kaʻaoʻao o ka bloat, oa ka hoomahuahua ana o sonority. Pūʻulu kani hilinaʻi nui ma luna o ka nui o ka lewa, a pa apŘ hp'pnphp nā'aʻaʻa.

Dullness ka hana i ka ohi ana o exudate i loko o ka pleural lua, hoemi i ka nui o ka lewa i loko o ka akemāmā'aʻaʻa ma muli o ke pulmonary fibrosis, li nui i loko o ke ana o nā kumu,ʻeho overgrowth.

Mahuahua voicedness percussion malama wā pulmonary congestion i loko o ka oi na dala o ka lewa i mea emphysema paha asthma. High percussion kani ma luna nui cavities ho'ākāka 'ia i loko o ka maʻiʻaʻai piha me ka lewa (tuberculosis caverns komo iloko abscess , pneumothorax).

Hi ona percussion akemāmā ua hoʻohana 'kuhikuhi e ho oholo i ka akemāmā palena. Mua, hoakaka i ka palena o na piko o na ia maʻiʻaʻai. Maʻamau, i ke kiekie o ka piko o ka wahi me ka nānā 'ia e ka luna o na clavicles elua 3-5 knm. A laila, huli i lalo paʻa, e hoʻomaka ana mai o ka hapa akau. I ka holo ana o ka malamalama o ka lalo, ua nakiiia ma ua hōʻike pū 'ana, a ma ke ku ana kiʻekiʻe o ka diaphragm, ka mea hana i hāpai keiki, ascites, flatulence, ma ka mea ku ole, ala. Hi ona percussion akemāmā e leie aku mākou, e hooholo i ka ÷ naehana hanu akemāmā hele, oa lākouʻeleu ka hoʻoneʻe, a mea i ka likeʻole o ka haahaa palena o na maʻiʻaʻai i kā mākou ka hoʻoulu a me ka pau. I ola kanaka, ia maʻiʻaʻai huakaʻi mea 4-8 knm. I loa hoʻoʻino keʻano o ka hanaʻana i loko o ka akemāmā, emphysema, pleurisy, akemāmā pnevmoskleroze hele ua hoemiia. Kēia ia lŘlŘ like me ka hopena o ka hoemi i ka elasticity o ke akemāmā'aʻaʻa, a me ka hiki ana o ńlua i inhalation.

Me nā kukui percussion ana hoʻohana e diagnose pathological keʻano o ka hanaʻana i loko o kekahi wahi o kēia mau kino. Ma ka Ia percussion leo hoʻohālikelike me ka maʻamau symmetrical hoʻopunipuni. I ola kanaka, ia mea ma kaʻaoʻao'ākau, a me ka hema o ka pahu i ka ia.

Penei, malamalama percussion, mālama 'ia i loko o ka huipūʻana me nā walaʻauʻana ano o ka lapaʻau ninaninau o ka hoomanawanui, e leie aku oe e koke kuhikuhi loli ma ka akemāmā'aʻaʻa, a e i ka muaʻike, o ka mea maʻi.