Izvozvo zvinoshandiswa pakufungidzira. Chikamu chemwoyo nzvimbo

Chii chinorwadza mwoyo? Nyanzvi dzezvoutano dzinoziva nepfungwa iyi. Avo vasina kusiyanana nemabasa ekurapa, tsanangudzo iyi haina zvishomanana. Nzira yekuita kuti palpation kuwana nzvimbo yekurohwa kwemwoyo, pamwe nemamwe mavara maitiro aya achava anofarira kune wese, asi ruzivo rwunowanikwa munyaya ino ruchabatsira kune avo vanongoda kudzidza zvidzidzo zvezvechiremba.

Heart Shove

Kushanda kwemwoyo ndiko kuputika kwerusvingo rwechifuva chekare, izvo zvinowirirana nezvipikiso zvemoyo. Inogona kuonekwa pachitarisa murwere. Kunyangwe mune dzimwe nguva, mafungiro ezvinyorwa haagoni kuonekwa:

• Nekuneta;
• Narrow intercostal nzvimbo;
• Yakagadzirwa musculature;
• Makuru mammary glands.

Zvinonyatsoonekwa kune vanhu vane chimiro che asthenic. Kuti uzvione, kunze kwekuongororwa, palpation yenharaunda yechipfuva uye kutsanangura nzvimbo yekurohwa kwemwoyo, kuongorora zvinhu zvayo kuti uwane mamwe mashoko.

Tsika ye palpation

Ruoko rwerudyi rwuri muhutano hwehutano hwakarongwa, pakati pemakwenzi matatu ne6 munharaunda yepamusoro yemwoyo. Sarudza kutsvaira kwemuti wose wemichindwe, uye uone nzvimbo yacho nechomukati che index index. Inofanirwa kuiswa yakagadziriswa kumatare. Nehuwandu hwepulsation, nzvimbo dzakasara uye dzakaderera dzakatemwa. Iyi pfungwa ndiyo nzvimbo yekubata mwoyo. Nenzira, sarudza nzvimbo iyo kushandiswa kwegwenzi, nyama yechipfuva phalanx yemunwe unobata inogadziriswa, uye kwete iyo inowanikwa.

Kana zvakaoma kunzwa manzwiro ezvinyorwa zvemwoyo nekuda kwezviitiko zvehuturo, ipapo chirwere chinoshandiswa nebhokisi rakaiswa mberi, kana murwere akaiswa kuruboshwe. Mutsipa wemwoyo mune izvi zvigaro zvakasimba zvakanamatira kubhokisi uye inosundira pamucheto weboshwe mapapu.

Pachigaro kune rumwe rutivi rworuboshwe, kurohwa kwemwoyo kunowira pasi uye kuruboshwe 2 cm, saka nzvimbo yekutyisidzirwa inoendeswa kune imwe nzvimbo, iyo inoshandurwa, asi 2 cm mukati memunharaunda yekutya. Nhengo yemafungiro ezvinyorwa pamhepo inowedzera kuwedzera mikana yekugadzirisa nzvimbo yayo, nokuti panguva yekusimudza mutsara, mwoyo, kuita pendulum kufamba kuruboshwe uye zvichikwira, kuchinja kune imwe nzvimbo yakasvibiswa, kushiva kumucheto kweboshwe mapapu.

Vanachiremba vanosarudza zvimwe zvivako zve mwoyo beat:

• Nzvimbo;
• Kurwisana;
• Prevalence;
• Kureba.

Nzvimbo yekurova kwemoyo

Izvo zvipfeko zvemukati wemoyo zvinoumba chido chemoyo. Nyaya yacho inorara zvishoma kusvika pakati pechikamu chechivicvicular, munzvimbo yechishanu iri mukati-kati kune kuruboshwe. Icho rusununguko uye inoita pendulum kufamba. Kana chinzvimbo chemuviri chichichinja, kushamiswa kunowanikwa munzvimbo uye kunzvimbo. Vamwe vanozunungusa kusarudzwa kwekushandura kwakatsanangurwa pamusoro apa.

Kana munhu wacho achitendeukira kurudyi rwokuti kutumidzwa kwenyika kunenge kusati kwaitika, uye kuruboshwe, panguva ino, kuenda kumwoyo, kunogona kuisundira kure kubva pachidziro chechipfuva. Nokudaro, muchimiro, kune rumwe rutivi rworudyi, chirwere cheperesi chinogona kupera.

Kutenda kwekushanduka kwepfungwa yepulsation

Ikusimuka kwepulsation yakakamurwa kuva mhando mbiri:

1. Kusiyana hakubatanidzi nemwoyo wepachimbuzi (pneumothorax, hydrothorax, wrinkling yepapu, emphysema, kuchinjwa kwemafupa akamira-ascites, pamuviri, flatulence, emaciation)
2. Kutenda kwepulsation inobatanidza nemoyo wepachiviri.

Muchikamu chekupedzisira, kuparadzaniswa kunoitika kune kuruboshwe nekuda kwekuwedzera kwemaodzanyemba, dzimwe nguva kuenda kune imwe nzvimbo inonzi axillary line, uye kusvika kune 6.7.8 nzvimbo dzakasiyana-siyana. Kuwedzerwa kwekodzero yakarurama kunopawo kushanduka kwemuganhu wemwoyo kune kuruboshwe, asi pfuti inoramba iri munzvimbo 5 intercostal.

Kuwanda kwechimiro chemoyo

Nzvimbo yekudzivirira kwemwoyo kunoroka inenge 2 cm². Kana ichizoitika kuva chikuru, taura pamusoro pekupararira kwakawanda kana kupararira. Iine nzvimbo shoma, inogumira.

Kupararira kwakapararira kunoitika kana moyo wakakura kudarika kwaro kumadziro echifuva. Izvi zvinoonekwa:

• Nokufema kwakadzika;
• Kuberekwa;
• Nezviremera zvemukati, nezvimwewo.

Mukusavapo kwemamiriro aya, chirwere chinogona kuva chikonzero chekuwedzera kwemwoyo (yezvose kana chimwe chezvikamu zvaro).

Kurwadza mwoyo kushoma kunowanikwa apo mwoyo wediki madiki unosungirirwa kubhokisi. Chikonzero cheizvi chinogona kuva:

• Emphysema yemapapu;
• Low diaphragm imire;
• Exudative pericarditis ;
• Hydro-, pneumopericardium.

Kurema kwekurova mwoyo

Kukwirira kwemwoyo kunorohwa ndiko kukwirira kwemafudzi ekupfuva. Iko kune yakakwirira, yakaderera uye yakarohwa mwoyo yakarohwa. Zvinokonzera pasi zvakangofanana nechechidiki. Saizvozvowo, izvo zvinokonzera zvinokonzera hupombwe hwepamusoro. Izvo zvinoitikawo ne tachycardia, zvichienderana ne thyrotoxicosis, fivha, mune fodya, pasi pekunetseka kwakanyanya.

Kushushikana kwemwoyo kunokonzera kusuruvara, izvo zvinopa manzwiro akaoma, musurupa wakaoma panguva yechipfuva, kwete nyore kuomeswa nemaoko. Saka, kana ichiri kupararira, chimiro chakasimba, chinotsanangurwa sechimiro chakafanana nemafungiro ezvinyorwa. Kazhinji, hazvibvumirwi, asi inoumbwa neaortic zvikanganiso kana huwandu hwehutano, kana kusiyiwa kwe ventricular hypertrophy inokura .

Kushaya mwoyo kusina kunaka

Kudzorera kwerusvingo rwechifuva munharaunda yemwoyo kunorohwa panguva ye-systole chinhu chisina kunaka chekufungidzira. Inoratidzika nekutaura kwekuwedzera kwevhirikiriya yakarurama, iyo inokonzera chikamu chemuviri wekasirikiti. Kupera kwechiSyncic kunogona kuita chimwe chinhu chakafanana.

Kudzokorora kwepakati mukati kunowanikwa nekunamatira pericarditis.

Zvimwe mapurisa

Kuwana zvirwere zvakakosha zvinonzi pulsations ye aorta, pulmonary artery uye epigastric pulsation. Chokutanga chazvo chisingaoneki muchimiro. Kutenda kwepulsation kunowanikwa munzvimbo yechipiri ye-intercostal kune rumwe rutivi rworutivi rwemukati. Zvikonzero zvekuitika kwayo zvinosanganisira:

• Kurwiswa kwekodhi yakarurama;
• Kuwedzera kwe aorta (syphilis, aneurysm yekukwira aorta, aortic valve defects).

Kuputika kwemapurmita arteri (II inopindira nzvimbo kusvika kuruboshwe rwe sternum) inokonzerwa nepemmonary hypertension ne mitral valve defects.

Epigastric pulsation inowanikwa mugomba retsoka. Zvikonzero zvekuonekwa kwazvo:

• Kusiya kwe ventricle yakarurama;
• Aneurysm yemudumbu aorta.

Mhedziso

Nzira dzinotsanangurwa pamusoro apa dzakakosha kune chiremba anobudirira, zvisinei, maererano nekugadzirwa kwehutori hutano, kuzvipira kwechiremba pakusarudza kwehutano kuburikidza nekuongororwa uye kutaridzika kwemazana makumi emakore apfuura zvakaderera zvikuru.

Panguva imwecheteyo, chido chekuenderera mberi chiito chinotsanangurwa pamusoro apa chakanyanya kwazvo. Nyanzvi dzinogadzirisa mafungiro epical ne palpation inofanira kukurudzirwa nekuparidzirwa mamwe mashoko ane simba pamusoro pekushandiswa kweyi nzira mumishonga.

Muzviitiko zvakawanda, kushandiswa kwechirwere kwakaguma nemigumisiro yakanaka, kusanganisira kufungidzirwa kwechirwere ichi. Nzira yekufungidzira yakagadzirirwa neyanyanzvi (mumutambo uye mumararamiro akasiyana-siyana) inoratidza chirongwa chakasimba chekugadzira nzira dzokurapa varwere.