Percussion o ka naau - i ke ano o ka hoomaopopo ana i ka palena o ke kino

Percussion o ka naau ua hoʻohana 'ia e hooholo i ka wahi, nui, hoʻonohonohoʻia o ka naau. Percussion hiki ke lawe mai i loko o ka vertical a me ka papamoe kulana o ka hoʻomanawanui. It E e kaʻikaʻiʻia ma ka manaʻo i ka manao o ka nui o ka naʻau i loko o ka vertical kulana haʻahaʻa ma mua o ka papamoe. O kŰia ua pili me ka uuku ka hoʻoneʻe o ka naau, a me ka holo ana o ka diaphragm kekahi loli ma ke kino kūlana.

Ka palena'ākau o ka naau ua hanaʻia ma luna o ka oi vena cava a me ka pono atrium ma lalo iho nei. Kona mokuna hema ua hanaʻia ma luna o kaʻaoʻao hema o ka aortic e pio mai, pulmonary kumu, he pepeiao haʻalele atrium, a haʻalele ventricle. Ka mua ili 'ano apau loa i ka ventricle pono, he hope - hema ventricle. Heart me ka hui, i loaʻa ka ole lewa haawi kūmūmū percussion kani. Ma na aoao elua ka mea, ua hapa 'ia' uhi i ka malamalama, no laila, ka manao o lakou pili ole loa stupidity. Pili naʻau dullness hoʻopili like me kona palena a me keia mea i ka wānana ma ka mua ili o ka pahu, a me ka piha - Ho'ākāka 'wale ka mua ili undisguised malamalama.

Percussion o ka naau. Hoʻoholo 'o ka loa stupidity

Percussion kani ma luna o ka wahi o ka pili dullness quieter ma mua ma luna o kekahi hapa o ka loa. Ka hope e hoʻoholo i ka noho malie naau percussion. Maʻamau, ka palena akau o cardiac dullness coincides me ka haʻalele maka o ka sternum i loko o ka wahi o ka IV i VI iwiaoao luna - me ka haahaa maka o ka hema o ka iwiʻaoʻao cartilage i haʻalele prigrudinnoy IV laina. Ka haʻalele palena manao ma ka lima o ka intercostal makahiki no 10-15 mm o ma ka akau, mai ka lima hema midclavicular laina.

Ka hua i loko o nā aliʻi e kāpae stupidity o ka nui ike ia ma ka akau ventricular hypertrophy, a ia lŘlŘ like me ka hopena o mitral stenosis, pulmonary embolism, exudative pericarditis. I emphysema ua ho'ākāka 'ia ma o ka emi ana a hiki loa kaawale hapa loa dullness.

naau percussion e hooholo i ka pili dullness

Pili cardiac dullness manao like penei. Mua, huli i nā luna palena hepatic dullness, laila, kauaʻoi lua nāna e ala mai percussing i loko o ka lima o ka intercostal makahiki ma ka olelo ana o ka sternum a ka leo deadening i ua ua kūponoʻia me ka palena akau o ka naau. Maʻamau, ka mea i pono ma ka maka o ka sternum paha 5-10 mm o ma ka akau o ka mea. A laila, huli ka luna palena. No keia percussing mai ka hema clavicle e kō ana ma prigrudinnoy laina. Ke kolu o ka iwiʻaoʻao auscultated maʻamau dullness i ua ua kūponoʻia me ka luna o ka naʻau palena. E hoʻoholo i ka palena hema percussing i loko o ka lima o ka intercostal makahiki, i loko o ke kuhikuhi ana mai o ka anterior axillary laina o ka sternum a ka blunted kani. Maʻamau, ka haʻalele palena mea i loko o ka lima o ka intercostal makahiki no 10-15 mm o ma ka akau, mai ka lima hema midclavicular laina.

hiki e hoomahuahua ia i loko o kekahi mau maʻi o ka naau nui. No ka laʻana, ma ka hypertension, valvular aortic kiwikā haʻalele mokuna e neʻe aku i ka hema, me ka myocarditis e hoʻonui i ka cavities o ka naau, a ua 'oni iki kona mokuna ma ka hema, a ma ka akau.

Percussion, a hoʻohana 'ia no ka ninaninau ana i nā loko aia i loko o ka abdominal lua, naʻe ka mea i emi mai informative ma keia hihia ma mua o ka palpation. abdominal percussionʻano nui hoʻohana e hoʻoholo i nā palena o kēia nā loko, i ua noi topographical nānaina o ka mahele.

Mai loko o ka naʻau liʻiliʻi mau kekahi i lawa ka nui o ka lewa me ka nānā 'ana i ke kiʻekiʻe percussion kani ma luna o ka abdominal lua. Percussion spleen, akepaa, hakuʻala haawi hoopaa hoi i kani. Mau ano ae i ka leo, e ho onoho ana i ka wahi, topographical wahi o ka abdominal lua.