Percussion - ke mokhoa oo? Percussion le palpation

Phekoloa ha lefu leha e le efe ho qala ka ho ea pele ho hlahloba ka bang teng 'meleng e hlokehang ho fumana kakaretso ea mokuli, puso ea bophelo ba hae le ho theha kamano e pakeng tsa litho tsa motho ameha ka tsela e sa tloaelehang ea litho tse ling tse' meleng. Mekhoa e ka sehloohong ea phuputso e entsoeng ka tsona ke tsena: histori ho tsoela pele, ho hlahloba la mamello ea, auscultation, percussion le palpation. mekhoa ena li rutang phuputso e entsoeng, e bonolo, ka theko e tlaase le ho se nang kotsi ka ho feletseng ho ba le mamello.

Percussion - ka mokhoa e lumellang ho khetholla ditlolo ka boholo le ka phetolo ea litho tsa ka hare, fumana hore na sebaka bona. Ke tlanya holim'a 'mele le tsa tekolo tse hlahang ka utloahalla ena, e le dinama tse nyenyane tse phetseng hantle le kula utloahala e fapaneng. Haufi-ufi amanang le palpation - ka e latellanang boikutlo ba kula.

Maikemisetso percussion le palpation

Jereng percussion na maikemisetso mabeli a ka sehloohong:

- ho ithuta ka liphetoho tse ka 'mele ea dikahare moea ho tsona, le ho ba teng kapa ho ba sieo ha likarolo tiileng;

- ho fumana hore na meeli, sebopeho le boholo ba litho tsa ka hare.

Feeling thusa:

- ho fumana hore na nahanela litho le lisele le sebopeho sa naha ea bona;

- hakanya mocheso oa letlalo, vascular pulsation mala motility;

- diagnosing bronchopulmonary bolwetse;

- hlwaya sebopeho le mofuta wa deformation ea, neoplasms.

Mefuta eohle ea percussion, palpation: litsela tsa

Ho na le mefuta e 'meli e ka sehloohong ea percussion:

- ka ho toba percussion tapotement akarelletsa menoana le 'ngoe kapa ho feta' mele oa mokuli holim'a.

- e sa tobang percussion o etsoa ho sebelisoa ntho efe kapa efe khomaretse 'mele tseo' me li ho phaphatha.

Ho na le litsela tse 'maloa ho percussion ho toba:

- mokhoa oa Yanovskogo F. G., a tlang ho sebelisa makhasi ao seemelong leqheka la index kapa monoana bohareng ba letsohong le letona;

- mokhoa Obraztsova VP, eo ho eona li-index monoana, e leng e otla, li-slide theoha morao ea monoana boraro;

- Auenbryuggera mokhoa, e amanang le ho phaphatha menoana ea hae e halofo sothoe le a phuthilweng fetang sefubeng hae (ka seoelo sebelisoa kajeno);

- Hatela percussion - ke mokhoa oa ho phetha phuputso e entsoeng ho sebelisoa makhasi ao ea menoana ea 'maloa, e leng se dumella haholo ka tsela e nepahetseng beha ba boholong ba haufi le leliboho.

Tobang percussion ka boela ho phethahatsoa ka litsela tse ngata:

- monoana ka mose plessimetru;

- hamore ka plessimetru;

- mokhoa monoana-monoana.

Tobang percussion - ke atlehang ka ho fetisisa mekhoa ea kajeno ea ho hlahloba ka e sebelisa plessimetra amohetse utloahalla ba matla haholo 'me e hlakileng haholoanyane.

Ho itšetlehile ka ho teba ha ho qoelisoa ba menoana kapa matsoho ka lesela ba hlaheletseng:

- ka ntle feela palpation. Ke tsela e bontsha gore, selelekela phuputso e entsoeng. Sebediswa ho fumana mocheso, mongobo, segokanyipalo ebile a ba nahanela ya lisele tse sa. Lekanang holim stroking thuso fumana mofuta wa holim'a metsi, ho senola sebōpeho leha e le efe kapa ho tiisoa ha ea letlalo, subcutaneous dinama tse nyenyane tse, tsitsipano mesifa lemoha ka maoto le matsoho, morao, mpa. Ka ntle feela palpation ka ho phethwa ka matsoho le 'ngoe kapa tse peli. menoana ea ka tsela eo atolosa, khatello holim'a probed lokela ho ba.

- palpation tebileng e sebediswa ho hlahloba boemo ba litho tsa ka hare le dinama tse nyenyane teng tebileng 'meleng.

Bakeng sa maikutlo a mesifa a sa tšoaneng, manonyeletso, 'me libakeng tse ling tse sebelisoang ke variants e fapaneng ya palpation tebileng:

• Bakeng sa ho ithuta mesifa, masapo tlasa mesifa lera ea sebaka e kopanetsweng ke e sebediswa palpation ea tebileng ho qoelisoa keletso ea menoana ea le 'ngoe kapa ho feta.
• Litho tsa ka hare ea cavity ka mpeng e ile a ithuta ka tsela ya tebileng phikolosetsa palpation.
• Ka ho ithuta sebete, hlahala ka mpeng le ascites sebediswa jerky mathang, kapa palpation.
• Ho lemoha bokella mokelikeli ka ngaka lengole ka sebelisa menoana multiple khatello ea jerky.
• Hlahloba popelo, mae a bomme, pelvic hlahala, wrist, lengole le litsoeng manonyeletso thusa bimanual palpation etsoa ka matsoho ka bobeli.

Tiisetso ya tshusumetso ya percussion: percussion mefuta

Matla a Pin percussion ama kabo ea mekhatlo vibrational ka holim'a metsi le ho ka botebo ka molumo matla le chelete ea moea eo e khannoang ka tshisinyo oscillatory. Fanoeng percussion hore tsohle e arotsoe:

- tebileng (matla kapa lerata);

- holim'a (fokola kapa khutsitseng).

Tebileng (haholo) dinama tse nyenyane tse percussion fana oscillation ya holim'a metsi ho cm, 5 ka botebo -. 6 cm, mexri boemong holim'a (fokolang) percussion habeli nyenyane ho feta matla. Ho itšetlehile ka hore lethopa bophahamo ba modumo, botebo le sebaka sa shebiloeng tlhlahlobo ngaka e ka sebelisa ka ho feta, kapa ka tlaase ho le matla haholo percussion.

Percussion utloahala mefuta

1. Hlakile matšoafo utloahalla e utloile ha ile ka kokota: ka sefubeng sa ka ho toba holim 'matšoafong.
2. The femoral, kapa lerootho utloahalla ha ile ka kokota: hlaha ka holim'a teteaneng airless makala le lisele.
3. Khabisitsoeng tympanic utloahalla ka percussion e senola makala vozduhosoderzhaschih tse kang larynx, trachea kapa mala.

Clinical tshebediso ya percussion

Ka taetsano emit mefuta e 'meli ea percussion:

- a bapisang, e akarelletsa ho sebelisa lekanang lebotho la percussion lichapo ka ditshwani likarolo ithuta sebakeng seo. Atisa ho sebelisa ka hlahloba matšoafong.

- sebopego sa naga, hlalosang meeli le litekanyo tsa 'mele ENTERPRISE tsena ho meeli ea holim' mele. Ponagalo ya naga percussion hloka tlaase holim'a percussion le ho sebelisa e khutsoanyane ne a teraekile.

Percussion ba pelo ho fumana boholo, sebopeho le boemo ba 'mele' me ea e sosobaneng vascular. Pelo e sa mesifa lekala, airless, a tletse mali, kahoo le ho hloka kelello li feletseng percussion sehlopha utloahalla e lerootho. Ka ho le letšehali le le letona la e koahela ka khanya - 'mele e nang le moea,' me ka hona ba phethahetseng ka sebakeng sena e tla blunted. Ka tloaelo ho, pelo percussion phethile ka eme kapa a lutse boemong ba ka matsoho a hae, phefumoloho ka nako e tšoanang e lokela ho ba le khutso.

Percussion sebete e le 'mele o le letšo-letšo, fana lerootho utloahalla ha percussion. Percuss e lokela ho ba ka holimo, moo molumo e hlakile 'me re latele fatše ho fihlela molumo hlabang. Audio ka mpha ke hobane sebete e karolo e 'ngoe le patiloeng ke leseli. Percussion sebete hakaalo ho phethahatsoa maemong tshekaletseng. lifika sebopego sa naga ke likhopo le mela paatsepama meeli morpheme. Mora percussion lokela palpation, kapa 'mele boikutlo bo, e leng lumella ho fumana hore na liphetoho tse ka tumellano, sebopeho le holim' a sebete, e leng sebaka bohloko, o dumella ho fumana 'mele e ka tlaase ea moeli.

Beha boemo ba matšoafo ka sefubeng 'me mabapi le litho tsa ka hare tse ling tse tla a ponagalo ya naga percussion tsa matšoafong. Norma percussion utloahalla fetela ho dinama tse nyenyane tse ea matšoafo - utloahalla hlakileng. Sena ke sebaka seo le percussion utloahala ho clearest meleng lohle. Palpation ea sefubeng sa ho fumana hore na sebopeho lona, sebaka le bohloko, ho hanyetsa le tremor lentsoe. Feeling e entsoeng ka matsoho ka bobeli ka nako. A senola sebakeng bohloko probed ho feletseng. Ha sefuba ke ho fumana ho hanyetsa habonolo a petetswa, ho svidetelstveut degradability lona le elasticity, e nkoa e le ntho e tloaelehileng. O ka pepeta bobeli ka pele le ka morao, ba symmetrically beha matsoho a hae, 'me ka mahlakoreng, moo sefuba ho feta tenyetseha.

Haholo-holo bana percussion

Percussion ka bana, haholo-holo selemo sa pele sa bophelo, ho hloka ho nepahala ngaka joaloka 'mele ea bakuli tse nyenyane, tse tšesaane sefubeng leboteng le letlalo ke tiea haholo.

Ka ho ithuta ba leseli ke ho hlokahala hore ho lefa lebisa tlhokomelo e khethehileng ho boemo ba ngoana eo, eo ho eona sefubeng e hantle symmetrically. Tobang percussion e sebediswa ha hlahloba bana ba baholoanyane, bana ba banyenyane le boetse le sebelisoa ka ho toba. Backrest phaphatha eme kapa a lutse le maoto a tšela, le lateral holim 'a sefuba - ba le boemong bo lutseng, ka matsoho a atoloswa ka pel'a kapa boitsebiso bo khutla,' me ea matsoele - maemong a supine.

Percussion ka feela ba khutsitseng: monoana, monoana kapa haufi. Phahameng le e hlakileng percussion a utloahalang a ho bana ba banyenyane ba ke ntho e tloaelehileng. e ka 'na ea fetola ka tympanic le ka nako ea ho siama.

Percussion: melao kakaretso

1. Kamore e lokela ho ba e mofuthu le e khutsitseng.
2. Boemo ba ngaka - e loketseng.
3. Mokuli itšetlehile ka a le lilemo le ho tiea tsa boemo ba. Vzroly motho ea ka emang ka kapa lula ka lenyele ka boemo ba fetisisa phutholohile. Masea ka maemo a lokileng lokela ho tšoara, a tšoere mo ho 'mè oa hae.
4. Percussing 'mele hlobotse.
5. Ngaka matsoho - mofuthu, e omeletseng le e hloekileng.
6. Percussion bohloko e lokela ho ba ho le bonolo, le matla a tšoanang, مختصر rekere.
7. Monwana, conductive percussive otla ho ba khutšoanyane.

Palpation le percussion - a hlahlobe bongaka makala dithekeniki hare hore lumella leeme ho hlahloba boemo ba bona le maemo a, tse hlokang tlhokomelo le ngaka le tlhokomelo.