Percussion za mtima - njira kudziwa malire a thupi

Percussion mtima ntchito kudziwa malo, kukula, kasinthidwe za mtima. Percussion angathe kuchitidwa mu malo ofukula ndi yopingasa wodwala. Ziyenera adzanyamula kukumbukira kuti mukufunitsitsa kukula kwa mtima mu malo ofukula poyerekeza ndi yopingasa. zodabwitsazi amagwirizana ndi kuyenda ka mtima ndi gulu la zakulera kusintha malo thupi.

M'malire lamanja la mtima aumbike pamwamba pa aakulu vena cava ndi atrium pomwe pansipa. malire lake lamanzere aumbike pamwamba pa kumanzere kwa Chipilala kung'ambika, thunthu m'mapapo mwanga, khutu kumanzere atrium ndipo anasiya ventricle. Kutsogolo padziko ndipamene ventricle lamanja, ndi kumbuyo - kumanzere ventricle. Mtima monga chiwalo munali palibe mpweya amapereka yosamveka percussion phokoso. Mbali zonse izo pang'ono yokutidwa ndi kuunika, wofunitsitsa wachibale kapena mtheradi kupusa. Wachibale mtima afiira limafanana ndi malire ake ndipo uyu ndi ziyerekezo pa kutsogolo padziko chifuwa, ndipo mtheradi - imalongosola yekha kutsogolo padziko undisguised kuwala.

Percussion za mtima. Khama la kupusa mtheradi

Percussion phokoso pa malo afiira wachibale phokoso kuposa pa mbali ina ya mtheradi. Yotsirizira ndiyo chete mtima percussion. Mwachibadwa, malire lamanja la afiira mtima chikugwirizana ndi lupanga otsala a sternum m'dera la IV kuti VI nthiti pamwamba - ndi lupanga m'munsi mwa kumanzere nthiti chichereŵechereŵe kumanzere prigrudinnoy IV mzere. Malirewo anasiya anatsimikiza pa chachisanu intercostal malo 10-15 mamilimita lamanja kuchokera kumanzere mzere midclavicular.

Kuwonjezeka kupusa Mtheradi wa kukula anamuona pa hypertrophy bwino yamitsempha yamagazi, kumene kumachitika chifukwa cha stenosis mitral, embolism m'mapapo mwanga, exudative pericarditis. Mu ndiko kumayambitsa ndi chimafotokozera kuchepa kapena kusapezeka gawo afiira mtheradi.

mtima percussion kudziwa afiira wachibale

Wachibale mtima afiira mtima motere. Choyamba, kupeza pamwamba m'mphepete kwa chiwindi afiira, ndiye, awiri m'mbali kudzuka percussing m'mwezi wachisanu intercostal danga malangizo a sternum mpaka kupha phokoso limene limagwirizana ndi malire lamanja la mtima. Mwachibadwa, ndi malamulo Mphepete mwa sternum kapena 5-10 mamilimita kudzanja lamanja la izo. Ndiye, mukapeze malire chapamwamba. Pakuti percussing izi kuchokera kumanzere clavicle downwards ndi mzere prigrudinnoy. Nthiti lachitatu auscultated afiira yachibadwa kuti limagwirizana ndi pamwamba pa malire mtima. Kudziwa lamanzere malire percussing m'mwezi wachisanu intercostal danga, mu malangizo ochokera kwa zapambuyo axillary mzere wa sternum mpaka phokoso blunted. Mwachibadwa, malire chimene chatsalira ku wachisanu intercostal malo 10-15 mamilimita lamanja kuchokera kumanzere mzere midclavicular.

Mu matenda a kukula mtima akhoza zochuluka. Mwachitsanzo, matenda oopsa, valvular kung'ambika vavu kumanzere chimachititsanso malire lamanzere, ndi myocarditis ali yowonjezera cavities onse a mtima, ndi malire ake ankatembenukira lamanzere ndi lamanja.

Percussion ndi ntchito kufufuza ziwalo ili mkati zonse m'mimba, ngakhale zochepa nkhani Pankhaniyi kuposa palpation lapansi. percussion m'mimba makamaka ntchito kudziwa malire a ziwalo payekha, kuti umagwiritsidwa mtunda view la phunzirolo.

Kuyambira mu intestine nthawi lili okwanira kuchuluka kwa mpweya anatsimikiza ndi mkulu percussion phokoso pa zonse m'mimba. Percussion ndulu, chiwindi, impso amapereka phokoso wosasamala. makhalidwe amenewa kulola phokoso kuzindikira malo, mtunda malo zonse m'mimba.