Nesigubhu ukukhanya - indlela eyinhloko luhlolo emitholampilo

Nesigubhu ukukhanya, kanye auscultation, kubhekwa indlela ebaluleke kakhulu luhlolo emitholampilo iziguli nezifo zokuphefumula. Nesigubhu Kusukela ngaleso sikhathi kuqhubeke kabanzi umkhuba emtholampilo, naphezu obhekwe entsha izindlela zokuxilonga izifundo wezinsimbi.

eshaywayo noma eshaywayo indlela kwahlongozwa ngu Austrian udokotela auenbrugger e 1761 kanye busuka umkhuba emtholampilo udokotela French Corvisart. Nesigubhu kwamaphaphu, kanye neminye imigwamanda, izandla labetibambile, akudingi ukusetshenziswa amathuluzi ezengeziwe, elula kakhulu ulwazi.

Indlela kusekelwe yokuthi iziphathimandla yasekhaya ukunikeza ukuphakama ezahlukene eshaywayo imisindo. Ikhwalithi lezi imisindo, ngokuthi eshaywayo, ancike okuqukethwe kanye kwabantu izidumbu izicubu. Phakathi eshaywayo izingxenye zomzimba, hhayi equkethe emoyeni, bakha zibuthuntu eshaywayo umsindo. umsindo okunjalo ikhiqizwa, isibonelo, eshaywayo isibindi. Lapho eshaywayo sitho, eliqukethe okuningi emoyeni, umsindo ukukhala. Ngakho, ukushintsha ithoni yomculo eshaywayo kungenziwa bahlulelwe izinguquko izibilini indawo yabo.

Ngokuvamile, phezu bonke ubuso emaphashini ngenxa okuqukethwe enkulu emoyeni kunqunywa lizwakalise umsindo. Lokhu umsindo kubizwa ngokuthi ecacile yamaphaphu. With ukuthuthukiswa izifo ezihlukahlukene okuqukethwe emoyeni emaphashini kungenzeka ukuthi kunyuke noma kwehle, ngokulandelana, futhi sishintsha eshaywayo umsindo.

Izinguquko zenzeka eshaywayo umsindo ohlangothini ukubulala noma eceleni bloat, ie nokwanda kokungabi sonority. Uhlamvu umsindo incike inani emoyeni ukuminyana nezicubu iyini imbangela yalokho.

Onokuqundeka kwenzeka ngesikhathi ukuqoqwa exudate e ngalo ingaphakathi pleural, kuncishiswe inani emoyeni izicubu wamaphaphu ngenxa cystic yamaphaphu, ukuvuvukala ekuthuthukiseni Lokudabuka ahlukahlukene, isimila overgrowth.

Ukwandisa eshaywayo voicedness abona othile ewunikela ngesikhathi ukuminyana yamaphaphu isamba ngokweqile umoya okungukuthi emphysema noma somoya. High eshaywayo umsindo phezu izimbotshana ezinkulu kuchaziwe emaphashini nomoya (sofuba imigede lwangena ithumba , pneumothorax).

Elicacisa ngesimo sendawo eshaywayo wamaphaphu isetshenziswa ngokuyinhloko ukunquma kwemingcele wamaphaphu. Okokuqala, chaza imingcele iziqongo emaphashini. Ngokuvamile, ukuphakama eziqongweni indawo kunqunywa ephakeme clavicles ezimbili 3-5 cm. Khona-ke ukuthola lesibopho ephansi, kusukela isigamu kwesokudla. Lapho uhlehlise ukukhanya lesibopho aphansi sokususwa, futhi ukuma okusezingeni eliphezulu diaphragm, kwenzeka ngesikhathi sokukhulelwa, ascites, ukubuyisa, ngokuphambene nalokho, liphume. Elicacisa ngesimo sendawo eshaywayo wamaphaphu kusivumela ukucacisa zokuphefumula wamaphaphu uhambo, ie ukuhamba kwabo esebenzayo, okuyinto umehluko phakathi umkhawulo engezansi yamaphaphu ngesikhathi ugqozi esiphezulu lokuphelelwa kwalo isikhathi. Ngo abantu abayimiqemane, amaphaphu tour 4-8 cm. Ngo izinqubo ezinzima ukuvuvukala kule wamaphaphu, emphysema, pleurisy, iphaphu pnevmoskleroze uhambo sinciphile. Lokhu kwenzeka ngenxa ekunciphiseni kuyaqina ijwabu wamaphaphu ikhono ngokuhlaziya ngesikhathi lapho ephefumula.

Ngokuqhathanisa ukukhanya eshaywayo esetshenziswa ngempumelelo ukuxilonga izinqubo sokugembula kunoma iyiphi ingxenye lezi zindikimba. Ngesikhathi esifanayo eshaywayo ithoni kuqhathaniswa nama-site evamile izinhlangothi zazo ziyalingana. Ngo abantu abayimiqemane, kuba ohlangothini sokunene nesobunxele kwesifuba okufanayo.

Ngakho, eshaywayo ukukhanya, olwenziwa ngokuhlanganyela nezinye izindlela eziyisisekelo luhlolo basemtholampilo isiguli, ikuvumela ukuba ngokushesha ukukhomba izinguquko nezicubu wamaphaphu lokwenza ukuxilongwa owandulelayo isifo.