Percussion kuwala - njira yaikulu ya Kupenda matenda

Percussion kuwala, pamodzi ndi auscultation, imatengedwa njira zofunika kwambiri kulipenda matenda a odwala matenda kupuma. Percussion ndigwira chimagwiritsidwa ntchito mchitidwe matenda, ngakhale zikamera wa latsopano njira yodziwira za maphunziro malangizo.

percussion kapena percussion njira anali bungwe la Austria dokotala auenbrugger mu 1761 ndipo anayambitsa mu ntchito yachipatala ndi French dokotala Corvisart. Percussion a mapapo, komanso matupi zina, manja, sikutanthauza ntchito zipangizo zina, yosavuta kwambiri nkhani.

njira zachokera chakuti akuluakulu zoweta kupereka kutalika osiyana ndi phokoso percussion. Khalidwe mawu awa, wotchedwa percussion, zimadalira zili ndi osalimba wa matupi minofu. Pa mbali percussion za thupi, osati munali mpweya, anapanga kuzimiririka percussion phokoso. mkokomo amenewa amapangidwa Mwachitsanzo, percussion chiwindi. Pamene percussion limba, munali mpweya wambiri, phokoso la akulira. Choncho, kusintha kamvekedwe ka percussion akhoza adzaweruzidwa ndi kusintha ziwalo mkati ndi malo awo.

Mwachibadwa, pa nkhope yonse ya m'mapapo chifukwa lalikulu mpweya okhutira anatsimikiza anafuulira phokoso. mkokomo umenewu amatchedwa bwino m'mapapo mwanga. Ndi chitukuko cha matenda osiyanasiyana zili mpweya m'mapapo akhoza kuchuluka kapena kuchepa motero, ndipo amasintha percussion phokoso.

Kusintha zimachitika percussion phokoso mbali mochititsa kapena mbali ya bloat, mwachitsanzo ponso sonority. Khalidwe phokoso zimadalira kuchuluka kwa mpweya kachulukidwe ndi zimakhala zakuya.

Afiira zimachitika pa mndandanda wa exudate mu M'mimbamo pleural, kuchepetsa kuchuluka kwa mpweya minofu ya m'mapapo chifukwa fibrosis m'mapapo mwanga, kutupa mu chitukuko cha magwero osiyanasiyana, chotupa overgrowth.

Kuwonjezeka voicedness percussion ananena pamene m'mapapo mwanga kuchulukana mu kuchuluka owonjezera mpweya ndi ndiko kumayambitsa kapena mphumu. Mkulu percussion phokoso pa cavities lalikulu kumatanthauza mu mapapo wodzazidwa ndi mpweya (caverns TB atagonjetsa abscess , pneumothorax).

Topographic percussion m'mapapo ntchito kwenikweni kudziwa malire a m'mapapo. Choyamba umakhala malire a nsonga za m'mapapo. Mwachibadwa, kutalika kwa nsonga za malo anatsimikiza ndi apamwamba kwambiri clavicles awiri 3-5 cm. Pezani m'munsi omangidwa, kuyambira theka bwino. Pamene akupereka kuwala kwa m'munsi omangidwa mulibe, ndipo ataima mkulu wa chifundamtima, chimachitika woyembekezera, ascites, flatulence M'malo mwake, limatuluka. Topographic percussion m'mapapo amatilola kudziwa kupuma m'mapapo ulendo, mwachitsanzo, sayenda awo yogwira, ndilo kusiyana pakati pa malire m'munsi ya mapapu pa kudzoza pazipita ndipo atapita. Mu anthu athanzi, mapapo ulendo ndi 4-8 cm. Mu njira aakulu yotupa mu mapapo, ndiko kumayambitsa pleurisy, m'mapapo pnevmoskleroze ulendowu yafupika. Izi zimachitika chifukwa cha kuchepetsa elasticity wa minofu ya m'mapapo ndi luso akulimbana pa inhalation.

Poyerekeza kuwala percussion bwino ntchito matenda njira pathological mu gawo lirilonse la matupi awa. Pa yemweyo percussion kamvekedwe poyerekeza ndi malo yachibadwa symmetrical. Mu anthu athanzi, ndi ku dzanja lamanja ndi lamanzere kwa chifuwa chomwecho.

Choncho, kuwala percussion Imachitika molumikizana ndi njira zina zofunika kulipenda matenda a wodwalayo, limakupatsani mwamsanga kuti kusintha mu minofu ya m'mapapo ndi kupanga matenda kuyambirira matendawa.