Percussion chiedza - nzira huru kunotoda kurapwa ongororo

Percussion chiedza, pamwe auscultation, runoonekwa nzira inokosha kunotoda kurapwa kuongorora varwere zvirwere zvokufema. Percussion Kusvikira zvinowanzoshandiswa kurapwa tsika, pasinei chidzoke idzva chirwere nzira ose paku zvidzidzo.

percussion kana percussion nzira yakanga dzataurwa nokuda yeAustria chiremba auenbrugger muna 1761 uye chakaunzwa kurapwa tsika nachiremba French Corvisart. Percussion pakati mumapapu, uyewo mamwe miviri, vakabata maoko, hakurevi kushandisa mamwe maturusi nyore uye zvikuru anodzidzisa.

Nzira inobva pakuti wechipfuwo zviremera kupa zvakasiyana nokukwirira percussion kurira. Kunaka mazwi aya, anonzi percussion, kuvimba kugutsikana uye arambe achirema kuti zvinyama kwemiviri. Panguva percussion nhengo dzomuviri, kwete rine mhepo, vakaumba patainzwa percussion inzwi. kurira kwakadaro rinobudiswa Somuenzaniso, percussion chiropa. Kana percussion Nhengo, ine yakawanda mhepo, inzwi kurira. Saka, kushandura mataurire percussion anogona kutongwa pamusoro kuchinja zvomukati vavo nzvimbo.

Kazhinji, pamusoro pepasi mumapapu nokuda guru mhepo kugutsikana akatsunga vataura inzwi. mutinhiro uyu anonzi pulmonary zvakajeka. With pokumuka nezvirwere zvakasiyana siyana dzekudenga tigutsikane mumapapu vanogona hwakawedzera kana yadzikira ukuwo, uye anochinja percussion ruzha.

Kuchinja kuitika mune percussion kuridza Kuuraya divi kana kurutivi bloat, kureva kuwedzera sonority. Character ruzha kunoenderana uwandu mhepo arambe achirema uye pane nyama.

Dullness zvinoitika munguva kuunganidzwa exudate mu ari pleural mhango, kuderedza uwandu mhepo iri zvemapapu rinenge nokuda pulmonary fibrosis, kuzvimba kukura siyana mavambo, bundu overgrowth.

Kuwedzera voicedness percussion vakachengeta apo pulmonary kuzara mune zvakawandisa chitsama mhepo kuti emphysema kana asima. High percussion kurira pamusoro guru in rinorondedzerwa mumapapu vakazadzwa mhepo (tiibhii nemakomba rakapinda pute , pneumothorax).

Topographic percussion zvemapapu rinoshandiswa kureva kuziva zvemapapu miganhu. Chokutanga, tsanangura miganhu misoro mumapapu. Kazhinji, kureba misoro nzvimbo iri pakutsvaga kumusoro pakati clavicles maviri 3-5 cm. Zvadaro kuwana yakaderera akasungwa, kutangira kubva kurudyi hafu. Pakukumbira chiedza rezasi akasungwa Haatauri uye padunhu imire pamusoro diaphragm, zvinoitika panguva pamuviri, ascites, flatulence nekusiyana, rinobuda. Topographic percussion zvemapapu kunoita tinosarudza kufema zvemapapu karwendo, kureva avo vanoshingaira mufambo, inova musiyano pakati rezasi panogumira mumapapu panguva kunonyanyisa rakafuridzirwa uye kuregedza kushanda. In vanhu utano, mapapu rwokuparidza ndiyo 4-8 cm. In kwazvo anogumbura pezvakaitwa ari zvemapapu, emphysema, pleurisy, zvemapapu pnevmoskleroze karwendo ipfupi. Izvi kunoitika pamusana kuderedza elasticity pamusoro zvemapapu rinenge uye mano cracking walnut panguva inhalation.

Okufananidza chiedza percussion zvinobudirira kushandiswa rokuongorora pathological pezvakaitwa chero chikamu mitumbi izvi. Panguva percussion matauriro zvichienzaniswa kwomuzvarirwo zvakafanana, ichibata nzvimbo. In vanhu utano, zviri rworudyi uye rworuboshwe divi chipfuva zvakafanana.

Saka, chiedza percussion, zvinoitiswa pachiimbwa dzimwe zvinhu nzira kunotoda kurapwa kuzviongorora murwere, anobvumira kuti nokukurumidza kuziva zvachinja zvemapapu rinenge uye kuita rokutanga chirwere chirwere chacho.