Nesigubhu wenhliziyo - indlela yokunquma imingcele umzimba

Nesigubhu wenhliziyo luyasetshenziswa ukuthola indawo, usayizi, ukucushwa kwe-inhliziyo. Nesigubhu kungenziwa kwenziwe ime mpo futhi ovundlile isiguli. Kumele kukhunjulwe ukuthi ubukhulu wokuzimisela inhliziyo esimweni mpo aphansi ukwedlula ovundlile. Lesi simo esiyingqayizivele sibangelwa Lihlobene nokubhekana ubuso ukuhamba elincane enhliziyweni ukunyakaza diaphragm ushintsho isikhundla umzimba.

Kumiswa umngcele kwesokudla inhliziyo phezu aphakeme vena cava futhi ATRIUM engakwesokudla ngezansi. kwakhiwa umngcele wakhe esesisele phezu lwesokunxele lwaleli yomthambo i-aorta, isiqu yamaphaphu, Onendlebe ATRIUM kwesokunxele futhi ventricle kwesokunxele. Ngaphambili ebusweni yakha i-ventricle yangakwesokudla, a ezingemuva - ventricle engakwesobunxele. Inhliziyo njengoba iyingxenye eliqukethe akukho emoyeni unika blunt eshaywayo umsindo. Kuzo zombili izinhlangothi ke kancane embozwe ukukhanya, uzimisele ngakho nobuwula isihlobo noma ngokuphelele. Isihlobo inhliziyo onokuqundeka okuhambelana yalo futhi lena kwelivi phezu ngaphambili kwesifuba, futhi ngokuphelele - ichaza kuphela phambi kobuso ukukhanya undisguised.

Nesigubhu zenhliziyo. Ukunqunywa nobuwula eliphelele

Nesigubhu umsindo phezu indawo onokuqundeka isihlobo akakhulumi kakhulu phezu ingxenye ngokuphelele. Lesi sakamuva inquma ethule inhliziyo eshaywayo. Ngokuvamile, emngceleni kwesokudla onokuqundeka inhliziyo kuvumelana emaphethelweni kwesokunxele we sternum endaweni IV ukuze VI ubambo phezulu - ngosiko engezansi kwesokunxele ubambo uqwanga kwesokunxele prigrudinnoy IV umugqa. Umngcele kwesokunxele likalwa ezingeni lesihlanu intercostal isikhala 10-15 mm kuya kwesokudla kusukela kwesokunxele umugqa midclavicular.

Ukwanda ubulima eliphelele ubukhulu nasemkhakheni kwesokudla hypertrophy ventricular, okuyinto eyenzeka ngenxa stenosis mitral, embolism yamaphaphu, pericarditis exudative. Ngo -emphysema ebizwa ngokuthi ukwehla noma ngisho ephelele ukungabi ingxenye onokuqundeka ngokuphelele.

inhliziyo eshaywayo ukucacisa onokuqundeka isihlobo

Isihlobo onokuqundeka inhliziyo kunqunywa kanje. Okokuqala, thola phezulu onqenqemeni onokuqundeka hepatic ke, ebukhali izinsiko zombili ngivuka percussing lesihlanu intercostal isikhala isiqondiso sternum kuze ukubulala umsindo edlelana ne-umngcele yangakwesokudla senhliziyo. Ngokuvamile, kuba ngokomthetho kanye onqenqemeni sternum noma 5-10 mm kuya kwesokudla ke. Khona-ke, ukuthola mkhawulo. Ngenxa yalesi percussing kusukela clavicle kwesokunxele phansi ngomugqa prigrudinnoy. Ubambo lwesithathu auscultated onokuqundeka evamile ukuthi edlelana ne phezulu umngcele inhliziyo. Ukuze ubone ukuthi umngcele kwesokunxele percussing lesihlanu intercostal isikhala, ohlangothini kusukela anterior axillary umugqa we sternum kuze umsindo imizwa. Ngokuvamile, umngcele kwesokunxele kuyinto lesihlanu intercostal isikhala 10-15 mm kuya kwesokudla kusukela kwesokunxele umugqa midclavicular.

Kwezinye yezifo ubukhulu inhliziyo zingandiswa. Ngokwesibonelo, e umfutho wegazi ophakeme, valvular umphini yomthambo i-aorta kwesokunxele uhamba umngcele ngakwesobunxele, ne myocarditis kuthiwa ekwandiseni zonke izimbotshana wenhliziyo, futhi imingcele yayo udlulele kuya kwesokunxele bese kwesokudla.

Nesigubhu futhi esetshenziselwa ukuhlola izitho kubekwe phakathi komgodi ongaphakathi kwamathumbu, nakuba kunethemba elincane ulwazi kuleli cala ngaphandle palpation. eshaywayo besisu ikakhulu kuncuma imingcele kwezitho ngabanye, ukuthi sisetshenziswa umbono kwendawo cwaningo.

Njengoba emathunjini njalo iqukethe imali eyanele emoyeni kunqunywa okusezingeni eliphezulu eshaywayo umsindo phezu komgodi ongaphakathi kwamathumbu. Nesigubhu ubende, isibindi, izinso unika umsindo buthuntu. Lezi zimo zokuma uvumele umsindo ukukhomba indawo, indawo kwendawo ye komgodi ongaphakathi kwamathumbu.