Auscultation na zuciya

Hanyoyin fasaha da kuma tsinkayyiya sune halayen likita, amma yawancin mu ba ma tsammani yadda suke da muhimmanci! Yin sauraron murjin mai haƙuri zai ba mu damar ƙayyade cututtuka da ƙwayar cututtuka kawai, amma har da ciwon zuciya na zuciya. Kuskuren zuciya shine daya daga cikin hanyoyin da aka saba amfani da ita wajen bincikar rashin zuciya, ciwon zuciya, tachycardia, angina pectoris da sauran cututtuka.

Sauran sauraro da fasaha na zuciya

Domin su ji motsin zuciyar zuciya, sautinsu, sautin zuciyar zuciya da kuma ventricles, ya kamata a gudanar da hanya a cikin sauti. Bugu da ƙari, yana da muhimmanci a daidaita ƙayyadaddun wuraren sauraro. Canji na ko da marar kaɗan kaɗan zai iya haifar da kuskure a cikin ganewar asali. Don haka, akwai maki 5 na asali na zuciya:

1. Abu na farko shine a cikin sashin zuciya na zuciya. Zaka iya ƙayyade wuri tare da taimakon palpation. Idan baza ku ji motsi ba, likita yana lissafin iyakar ƙananan zuciya ta hanyar taimakon ƙuƙwalwa a kan kirji. Dole ne a shigar da hoton waya daidai a gefen ɓoye a cikin tashe tashe.
2. Hanya na biyu shine a gefen dama na sternum a cikin sararin intercostal na biyu. Har ila yau, mafi sauki don ƙayyade ta hanyar taɓawa. Mafi sau da yawa, likita yana nazarin yankin tare da hannun hagunsa, hannun dama na sakon waya zuwa bangon katako.
3. Matsayi na uku yana da sauƙi don ƙayyade, an samo shi a wuri na biyu na intercostal da alama ta biyu, amma ba a gefen dama na sternum ba, amma zuwa hagu.
4. Batu na hudu ba koyaushe mai sauki ba. Ya kasance a gefen dama na ƙananan na uku na sternum a gindin tsari na xiphoid.
5. Abu na biyar, na ƙarshe, shigar da hadaddun da ake bukata, yana cikin wuri na uku na intercostal kusa da gefen hagu na sternum. Yana, kamar waɗanda suka rigaya, za a iya bayyana ta hanyar ƙuƙwalwar ƙwayoyin cuta a cikin marasa lafiya da rubutu mai tsanani da kiba, ko kuma ta hanyar kwantar da hankali.

Idan sashin zuciya ya nuna al'ada, wannan binciken ya ƙare. In ba haka ba, ana sauraron mai haƙuri a ƙari, kwance a gefen hagu, ko yin amfani da motsa jiki.

Mene ne dalilin dalili na zuciya?

A cikin tafarkin hanya yana da ikon zuciyar don samar da halayyar halayyar yayin aiki. Wannan - abin da ake kira sautin zuciya, ƙwarewa yana ba ka damar ƙayyade ƙananan ƙetare a cikin ji. A cikin yara, akwai sauti uku, mutane fiye da shekaru 20 suna jin sauti 2. Domin jin su, likita ya ba da shawarar cewa mai yin numfashi yana numfashi cikin kuma fita ya riƙe numfashinsa. Sauti na farko, wanda ya gyara, kuma zai zama sautin farko na zuciya. Na biyu, bi da bi, na biyu. A wurare daban-daban na sauraro zasu iya samun ƙarfin murya da ƙarfi, bisa ga waɗannan bayanai da kuma ganewar asali. Ya faru cewa ƙwarewa yana gano ƙirar zuciya. Wannan yana nufin cewa sauti ba sauti mai tsabta, ƙuƙwalwar ba ta rhythmic, nutsar, akwai wasu sauti dabam dabam. Dukkan wannan - hujjoji na cin zarafin zuciya da na jini.

Amma don yin ganewar asali, likita ya kamata ya kwatanta karar. Don haka, ana aiwatar da wadannan ayyuka:

1. Ƙayyade wane lokaci (systolic, ko diastolic) akwai amo.
2. Zabi ma'anar sauraron sauraronsa mafi kyau don gano ƙwaƙwalwar.
3. Ƙayyade mafi kyawun sauraren saurare a waje da manyan mahimman bayanai.
4. Yi bincike mai kyau a cikin matsayi, a kwance, a cikin kwance a gefen dama.
5. Ƙayyade matsayi na ƙararrakin motsa jiki, lokacinta, tsawon lokaci da canje-canje a cikin ƙwaƙwalwa.

Duk waɗannan bayanai suna buƙatar bincike, bayan haka za'a iya yin hukunci na ƙarshe.