Percussion mwoyo - nzira dzokuziva miganhu muviri

Percussion mwoyo inoshandiswa kuona nzvimbo, kukura, configuration mwoyo. Percussion anogona kuitwa hunyambiri uye zvido zvevanhu chinzvimbo murwere. Zvinofanira kurangarirwa kuti akatsunga kukura nemwoyo wehunyambiri nzvimbo yakaderera pane chinjikira. Fani iyi chokuita chiduku mufambo mwoyo uye kwebasa diaphragm nokuchinja muviri chinzvimbo.

Muganhu rworudyi mwoyo achiumbwa pamusoro pevane vena cava nezvakarurama atrium pazasi. Muganhu wake kuruboshwe achiumbwa pamusoro kurutivi kutsemuka chematenga, pulmonary hunde, nzeve akasiya atrium uye akasiya ventricle rworuboshwe. The pamberi penyika anoumba munhu ventricle rworudyi, mumwe rwemberi - kuruboshwe ventricle. Heart ive nhengo ine hapana mhepo anopa kungopotsera percussion inzwi. Kumativi ose zviri zvishoma akafuka chiedza, saka vakatsunga hama kana mhedziso youpenzi. Hama mwoyo dullness anoenderana nemiganhu yayo uye iri fungidziro pamusoro pamberi pemvura muchipfuva, uye mhedziso - rinotsanangura chete pamberi penyika undisguised chiedza.

Percussion pamwoyo. Kutsunga Mhedziso utununu

Percussion kurira pamusoro imwe nzvimbo hama dullness yakanyarara kupfuura pamusoro chikamu Mhedziso. Yokupedzisira anosarudza wakanyarara mwoyo percussion. Kazhinji, pamuganhu rworudyi cardiac dullness rinobatana kuruboshwe pamucheto sternum munzvimbo IV kusvika VI rumbabvu pamusoro - pamwe yepazasi kumucheto kuruboshwe rumbabvu shwashwa kuruboshe prigrudinnoy IV mutsetse. The akasiya Muganhu pakuguma wechishanu intercostal nzvimbo 10-15 mm kurudyi kubva kuruboshwe midclavicular mutsetse.

Kuwedzera Mhedziso upenzi ukuru akaona zvakanaka ventricular hypertrophy, kunoitika semubairo mitral stenosis, pulmonary embolism, exudative pericarditis. In emphysema kunorondedzerwa pedyo kuderera kana mhedziso kunyange kwakakwana asipo mugove dullness.

mwoyo percussion kuona hama dullness

Hama cardiac dullness kutsunga sezvinotevera. Chokutanga, kuwana pamusoro kumucheto hepatic dullness Saka micheto maviri akamuka percussing rechishanu intercostal nzvimbo nenzira iri sternum kusvikira inzwi Kuuraya kuti dzichienderana rworudyi muganhu mwoyo. Kazhinji, zviri pamutemo pamwe kumucheto sternum kana 5-10 mm kurudyi payo. Zvadaro, kuwana yokumusoro muganhu. Nokuti percussing ichi kubva kuruboshwe clavicle downwards nokuda prigrudinnoy mutsetse. Wechitatu rumbabvu auscultated chakaipa dullness kuti dzichienderana pamusoro kumuganhu mwoyo. Kuti uone kuruboshwe muganhu percussing rechishanu intercostal nzvimbo, mune mirayiridzo kubva Anterior axillary mutsetse kubva sternum kusvikira zvokomara inzwi. Kazhinji, kuruboshwe muganhu ari wechishanu intercostal nzvimbo 10-15 mm kurudyi kubva kuruboshwe midclavicular mutsetse.

Mune zvimwe zvirwere mwoyo saizi unogona ngazviwedzerwe. Somuenzaniso, muna neBP, valvular kutsemuka vharafu akasiya muganhu inofamba kuruboshwe, pamwe myocarditis vari kuwedzera zvose in zvomwoyo, uye miganhu yaro zvava kuruboshwe uye kurudyi.

Percussion uye kushandiswa kuongorora nhengo dziri mukati abdominal mhango, kunyange zviri zvishoma idzidzise kana ichi kupfuura palpation. abdominal percussion ainyanya kushandiswa kuona miganhu munhu nhengo, kuti rinoshandisirwa topographical maonero pakudzidza.

Sezvo ari ura nguva dzose ine zvakakwana yakawanda mhepo kunotemwa nemupristi percussion kurira pamusoro abdominal mhango. Percussion chirwatata, chiropa, itsvo anopa mikukutu inzwi. maitiro aya kubvumira ruzha kuona nzvimbo, topographical nzvimbo yacho abdominal mhango.