Percussion ìhè - isi usoro nke na-adakarị ule

Percussion ìhè, tinyere auscultation, a na-ewere ihe ndị kasị mkpa usoro nke na-adakarị nnyocha nke ọrịa na akụkụ okuku ume na ọrịa. Percussion mb ọtụtụ-eji na-adakarị omume, n'agbanyeghị ntoputa nke ọhụrụ na-achọpụta ọrịa ụzọ nke instrumental ọmụmụ.

percussion ma ọ bụ percussion usoro e chọrọ site Austrian dọkịta auenbrugger na 1761 na ẹkenam n'ime adakarị omume site French dibịa Corvisart. Percussion nke akpa ume, nakwa dị ka ndị ọzọ ozu, ẹkenịmde aka, ọ dịghị achọ ka ojiji nke ọzọ ngwaọrụ, dị mfe na ukwuu ọmụma.

The usoro a dabeere na eziokwu ahụ bụ na anụ ụlọ ndị ọchịchị na-enye dị iche iche elu na percussion ụda. Na àgwà nke ndị a ụda, na-akpọ percussion, na-adabere na ọdịnaya na njupụta nke anụ ahụ na ozu. N'oge percussion akụkụ ahụ, ọ bụghị nwere ikuku, kpụrụ a dull percussion ụda. Ndị dị otú ahụ a ụda na-emepụta, n'ihi ihe atụ, percussion imeju. Mgbe percussion ngwa, nwere ọtụtụ nke ikuku, ụda gbanyere mkpọrọgwụ n'obi. N'ihi ya, ịgbanwe ụda olu nke percussion nwere ike ikpe na mgbanwe na akụkụ ahụ ndị dị na ha na ọnọdụ.

Nọmalị, n'elu ofụri elu nke akpa ume n'ihi na nnukwu ikuku ọdịnaya na-ekpebisi ike kwupụtara ụda. Nke a ụda na-akpọ akpa ume doro anya. Na mmepe nke ọrịa dị iche iche nke elu-igwe ọdịnaya ngụgụ nwere ike ụba ma ọ bụ na-ebelata, karị, na-agbanwe percussion ụda.

Mgbanwe ime na percussion uda deadening n'akụkụ ma ọ bụ n'akụkụ nke bloat, ntụgharị na-abawanye nke sonority. Agwa ụda na-adabere na ego nke ikuku njupụta na-apụtaghị ìhè na arọ.

Acha ọbara ọbara na-eme n'oge collection of exudate na ndị pleural uji eze, na mbenata ego nke ikuku na akpa ume anụ ahụ ruru akpa ume fibrosis, mbufụt na mmepe nke dị iche iche si malite, akpụ overgrowth.

Ịba voicedness percussion hụrụ mgbe akpa ume mkpọchi na ngafe ego nke ikuku na bụ emphysema ma ọ bụ ụkwara ume ọkụ. High percussion ụda n'elu nnukwu cavities kọwaa ngụgụ jupụtara ikuku (ụkwara nta caverns penetrated etuto , pneumothorax).

Topographic percussion akpa ume na-eji isi chọpụta ihe na- akpa ume ala. First, kọwaa ókè nke n'elu nke ngụgụ. Nọmalị, ịdị elu n'elu ebe kpebisiri ike site elu nke abụọ clavicles 3-5 cm. Mgbe ahụ chọta a ala agbụ, malite na nri ọkara. Mgbe inyịme ìhè nke ala ibikwa omitted, na elu-eguzo nke diaphragm, ọ na-eme n'oge ime, ascites, flatulence, on Kama nke ahụ, adahade. Topographic percussion akpa ume-enye anyị ohere ikpebi akụkụ okuku ume na akpa ume njem mmụta, ntụgharị ha n'ọrụ agagharị, bụ nke ihe dị iche n'etiti ala ịgba nke ngụgụ n'oge kacha n'ike mmụọ nsọ na ngafe. Na ndị ahụ siri ike, akpa ume tour bụ 4-8 cm. Na oké mkpali Filiks ke akpa ume, emphysema, pleurisy, akpa ume pnevmoskleroze njem mmụta na-ebelata. Nke a mere dị ka a N'ihi nke mbenata ekwedo nke akpa ume anụ ahụ na ikike nke cracking n'oge inhalation.

Comparative ìhè percussion ọma mee nchọpụta enweghị nchịkwa Filiks ọ bụla nke ndị a na ozu. N'otu percussion ụda tụnyere nkịtị symmetrical saịtị. Na ndị ahụ siri ike, ọ bụ na ndị ziri ezi na n'aka ekpe nke obi otu.

N'ihi ya, ìhè percussion, duziri na njikọ na ndị ọzọ bụ isi ụzọ nke na-adakarị nnyocha ọrịa, enye gị ohere ngwa ngwa mata mgbanwe akpa ume anụ ahụ na-eme ka a nke mbido nchoputa nke ọrịa.