I-phonendoscope kunye ne-stethoscope ziyimpawu ezibalulekileyo zoogqirha, kodwa abaninzi bethu abakucinge ukuba kubaluleke kangakanani! Ukuphulaphula isifuba sesiguli kusenza sikwazi ukufumana izifo zokuphefumula kunye ne-bronchitis, kodwa kunye nokusebenza kakubi kwenhliziyo. Ukuhluthwa kwentliziyo yenye yeendlela eziqhelekileyo zokufumanisa ukungaphumeleli kwintliziyo , ukukhubazeka kwentliziyo, i-tachycardia, i- angina pectoris nezinye izifo.
Amaphuzu okuphulaphula ngeendlela zokukhupha intliziyo
Ukuze kuvezwe isigqi seentliziyo, ithoni yabo, izandi zentliziyo yevilve kunye ne-ventricles, inkqubo kufuneka iqhutywe ngokuthula. Ukongezelela, kubalulekile ukuchonga ngokuchanekileyo amanqaku okuphulaphula. Ukutshintshwa kwee-centimeters ezimbalwa kunokukhokelela kwisiphumo ekuxilongweni. Ngoko, kukho iinqununu ezi-5 ezisisiseko zokukhupha intliziyo:
- Iphuzu lokuqala likwinqanaba le-apical impulse yentliziyo. Unokumisela indawo ngokuncediswa kwesohlwayo. Ukuba awukwazi ukuvakalelwa, ugqirha ubala umda ophezulu wokunyaniseka kwentliziyo ngoncedo lweengcambu kwisifuba somguli. I-phonendoscope imele ifakwe ngokuthe ngqo kwinqanaba lezithulu kwindawo yokutshatyalaliswa.
- Iphuzu lesibini likwinqanaba elungileyo le-sternum kwisithuba sesibini se-intercostal. Kwakhona kulula kakhulu ukucacisa ngokuthintela. Ngokuqhelekileyo, ugqirha uyayicinga ngendawo esesandleni sakhe sokunxele, ehambisa ngokufanelekileyo i-phonendoscope eludongeni lwesifuba.
- Iphuzu lesithathu lilula ukuyichaza, lifumaneka kwindawo yesibini ye-intercostal kumlinganiselo wesibini, kodwa kungekhona kumda osekunene we-sternum, kodwa ngakwesobunxele.
- Iphuzu lesine alisoloko lifikeleleka lula. Lilele emgceni ochanekileyo wesithathu esezantsi sternum kwisiseko senkqubo ye-xiphoid.
- Isihlanu, iphuzu lokugqibela, ukungena kwiinkqubo ezinyanzelekileyo, kwisithuba sesithathu se-intercostal kufuphi nomda osekhohlo we-sternum. Oko, njengamandulo, kunokuchazwa yindlela yokuhamba ngegulane kwizigulane ezine-edem ezinzima kunye nokukhuluphala, okanye nge-palpation.
Ukuba ukukhwabanisa kwentliziyo kubonise umgangatho, olu cwaningo luphela. Ngaphandle koko, isigulane siphulaphulephula ngaphezu koko, silele kwicala lesobunxele, okanye sisebenzise ukusebenza ngokomzimba.
Iyintoni isiseko sokwenyuka kwentliziyo?
Kwintliziyo yendlela ikwazi ukwenza intliziyo ukuba ivelise izandi eziqhelekileyo ngexesha lokusebenza. Oku-okubizwa ngokuba yintliziyo yeentliziyo, ukukhwabanisa kukuvumela ukuba uqaphele nokuba kukho ukuphambukiswa okuncinci kwintetho. Kubantwana, kukho iitoni ezintathu, abantu abangaphezu kweminyaka engama-20 ubudala banokuva iitoni ezi-2. Ukuze uvaphule, ugqirha ubonisa ukuba isigulane siphefumula ngaphakathi kwaye siphefumle. Isandi sokuqala, esilungiselela ngaso, kwaye siya kuba yintetho yokuqala yentliziyo. Okwesibini, ngokulandelanayo, okwesibini. Kwimiba eyahlukeneyo yokuphulaphula banokuba nokuphakama okukhulu kunye namandla, ngesiseko sale data kunye nokuxilongwa. Kwenzeka ukuba ukuhlaziywa kukufumanisa izandi zentliziyo. Oku kuthetha ukuba ithoni ayizwakala ihlambulukile, ukuqhutywa akuyiyo isigqi, kugxinyiweyo, kukho izandi ezingaphandle. Konke oku - ubungqina bokuphulaphula iintliziyo kunye nemithambo yegazi.
Kodwa ukwenza uvavanyo oluchanekileyo, ugqirha kufuneka achaze ngokuchanekileyo ingxolo. Ngenxa yoko, oku kulandelayo kwenziwa:
- Qinisekisa ukuba yeyiphi isigaba (i-systolic, okanye i-diastolic) kukho isandi.
- Khetha iphuzu lokuphulaphula kwakhe ukufumana indawo.
- Qinisekisa indawo efanelekileyo yokuphulaphula ngaphandle kweengongoma eziphambili zokukhupha.
- Yenza uphando oluvakalayo kwisigxina, esinqamlekileyo, kwindawo yokuma elele ngakwesokudla.
- Cacisa iqondo lokuvakala kwengxolo, isithintelo, ubude kunye noshintsho kwimimoya yokusebenza.
Yonke le datha idinga ukuhlalutya, emva koko isigqibo sokugqibela singenziwa.