Emgama ukukhanya - indlela engundoqo kuxilonga

ukukhanya umculo, kunye auscultation, uthathwa indlela ebaluleke kuxilonga kwizigulane kunye izifo zemiphunga. Emgama kude kakhulu asetyenziswe practice lwezonyango, nangona ukuvela ezintsha iindlela zokuxilonga izifundo zomculo.

emgama okanye zibuphekhashini, indlela yaphakanyiswa yi Austria ngugqirha auenbrugger ngo-1761 yaye yaziswa yokusebenza lwezonyango yi igqirha French Corvisart. Emgama kwemiphunga, kwakunye namanye amaqumrhu, izandla, ayifuni ukusetyenziswa izixhobo ezongezelelweyo, ilula kwaye ulwazi kakhulu.

Le ndlela isekelwe kwinto yokuba abasemagunyeni domestic ukunika ubude ezahlukeneyo kunye nezixhobo zokubetha izandi. Umgangatho ezi zandi, ekuthiwa zezihlokomiso, zixhomekeke umxholo kunye lexinene izidumbu zeethishu. Ngexesha iindawo emgama umzimba, hayi equlethe umoya, kwasekwa isandi umculo buthuntu. Loo isandi iveliswa, umzekelo, zibuphekhashini isibindi. Xa emgama zomzimba, equlethe okuninzi lomoya, isandi ukukhala. Ngenxa yoko, ukuba lokutshintsha kwithoni zibuphekhashini nga kugwetywa utshintsho amalungu angaphakathi kunye nendawo zazo.

Ngokuqhelekileyo, phezu bonke ubuso imiphunga ngenxa isiqulatho umoya omkhulu uzimisele wavakalisa isandi. Le isandi kuthiwa ngokucacileyo miphungeni. Ngophuhliso zizifo ezahlukahlukeneyo umxholo umoya emiphungeni ukuze inyuswe okanye ihliswe, ngokulandelelanayo, yaye litshintsha isandi yesandi.

Utshintsho kwenzeka zibuphekhashini sound kwicala nokubulala okanye ecaleni ezidala, okt ukwanda sonority. sound Character kuxhomekeke kwimali mninzi womoya nezihlunu nobangela.

Anozizi kwenzeka ngexesha ukuqokelelwa exudate kwi kwisisu pleural, ukunciphisa ubungakanani emoyeni inwebu imiphunga ngenxa abanesigulo yemiphunga, nangokurhala kuphuhliso imvelaphi ezahlukeneyo, ithumba imithana.

Luyanda emgama voicedness babona xa ingxinano yemiphunga isixa kwemfuneko womoya lowo emphysema okanye asthma. emgama sound High phezu nemingxuma ezinkulu ichazwa emiphungeni bazaliswa ngumoya (ezimfanteni tuberculosis singene ithumba , pneumothorax).

Ngesimo emgama lung isetyenziswa ikakhulu ukugqiba imida zemiphunga. Okokuqala, ukuchaza imida iincopho emiphungeni. Ngokwesiqhelo, ukuphakama ezincotsheni indawo emiselwe aphezulu clavicles ezimbini 3-5 cm. Koko ukufumana umda osezantsi, ukuqala ukusuka kwisiqingatha ekunene. Xa ngokwandisa ukukhanya bomda osezantsi ayiqukwanga, yaye emi ophezulu uvalo, oko kwenzeka ngexesha lokukhulelwa, ascites, flatulence, phezu koko, liphume. Ngesimo emgama lung ivumela ukuba sibone excursion lung yokuphefumla, okt ukuhamba kwazo inxaxheba, apho ukhona umahluko phakathi komda omncinci emiphungeni ngexesha iphefumlelwe ubuninzi lokuphelelwa. Kubantu abasempilweni, ukhenketho yemiphunga 4-8 cm. Xa iinkqubo ukudumba qatha umphunga, emphysema, unepleurisy, umphunga pnevmoskleroze excursion lifinyele. Oku kwenzeka ngenxa yokunciphisa okubuyela kwimo yazo inwebu kwemiphunga kunye nesakhono ngokuhlaziya ngexesha inhalation.

Ukuthelekiswa emgama ukukhanya esetyenziswa ngempumelelo ukuxilonga iinkqubo zophendlo lwezifo kuyo nayiphi na inxalenye kula maqumrhu. Xa ithowuni yesandi efanayo xa kuthelekiswa sites eziqhelekileyo macala. Kubantu abasempilweni, oku kwicala lasekunene kwaye lasekhohlo esifubeni efanayo.

Ngenxa yoko, emgama ukukhanya, olwenziwa kunye nezinye iindlela ezingundoqo kuxilonga yomguli, likuvumela ukuba ukuchonga ngokukhawuleza utshintsho inwebu wemiphunga wenze uxilongo lokuqala kwesi sifo.