Apical tšusumetso e tsoang ho. Palpation ba pelo

Ke seo tšusumetso e tsoang ho cardiac? basebetsi ba tsa bophelo bo botle ba hantle tloaelane le khopolo ena. Bakeng sa ba e sa amanang le mesebetsi ea bongaka, tlhaloso ena ha e taba e ngata. Mokhoa oa ho etsa palpation ho khetholla sebakeng sa tšusumetso e tsoang ho cardiac, hammoho le ba bang ba sa makolopetso ya Tsamaiso ena e tla ba le thahasello e kholo ho mong le e mong, le boitsebiso bo fanoa ka sehlooho sena se tla ba molemo bakeng sa ba sa tsoa lakatsa ho ithuta lintho tsa motheo tsa tlhokomelo ea bophelo.

cardiac tšusumetso

Cardiac tšusumetso e tsoang ho - karolo e itseng ripple tsa anterior leboteng sefubeng, eo ketekeloang hong le pelehi pelo. E ka bone ha ba ne ba nka ho tswa ho ba le mamello. Leha maemong a mang, apical tšusumetso e tsoang ho ke ke a bona:

• botenya;
• moqotetsane libaka intercostal;
• nts'etsoa mesifa;
• Matsoele a kgolo.

Libaka tse Hloahloa tsa ho tsohle ho ke ke bonahaleng ka batho ba nang le molao wa motheo wa asthenic. Ho fumana e, tse ling tse ho feta tlhahlobo palpated atrial sebakeng le beha sebakeng sa tšusumetso e tsoang ho cardiac, lekola thepa lona bakeng sa boitsebiso bo eketsehileng.

Lewa palpation

Le letona letsoho la ka boqapi thweng push, pakeng tsa 3 le 6 ka bohale tlhorong ea pelo. Beha ripple mose ho holim 'a lifate tsa palema, ebe localize e le ntlha ea index monoana. E lokela ho hlomamisa perpendicular ho sefuba. Ka pulsation atileng ka ho fetisisa beha lona sebakeng letšehali le ka tlaase. ntlha ena ke site tšusumetso e tsoang ho cardiac. Tshohanyetso, wa kgethile sebaka, moo e ke ikemiselitse protrusion sefubeng makhasi ao seemelong leqheka palpate monoana, 'me bokaholimo lehlakoreng la eona.

Ha tlhorong ba pelo ho ikutloa matlafatsoa ka lebaka la ho sebopeho sa sefuba ke ho le thata, ho o etsoa ka palpation sekamisoa pele sefubeng, kapa mamello e beha ka lehlakoreng le letšehali. The mesifa ea pelo maemong ana ka thata-thata adherent ho sefubeng 'me sutumetsa bohale ba matšoafo setseng.

Ka setseng boemo ba lateral, cardiac tšusumetso e tsoang ho e ka tlase le ho le letšehali 2 cm, kateng, ho ba le qheletseng nka sebaka sebaka intercostal, e leng e hlalosoa phokotso, empa bakeng sa 2 cm, medial ho sebakeng le qheletseng. Palpation apical tšusumetso e tsoang ho ho exhale eketsa menyetla ea beha sebakeng sa eona, hobane ka nako ya ho phahamisa le diaphragm, pelo, a etsa pendulum mokhatlo oa ka ho le letšehali 'me a tsoha, tsoela ka boemo tshekaletseng, pushing bohale ba matšoafo setseng.

Lingaka li ikemiselitse itseng thepa tšusumetso e tsoang ho cardiac:

• sebaka;
• ho hanyetsa;
• ata;
• bophahamo.

Location cardiac tšusumetso

Fokotsa tlhorong cardiac eaba ba etsa cardiac tšusumetso e tsoang ho. Ka holimo e hanyenyane medial ho mola bohareng ba bo-clavicular ka 5th intercostal sebaka ka ho le letšehali. Ho e teng batlang e le ka bolokolohi le ka etsa pendulum-joaloka mokhatlo oa. Ha o fetola boemo ba 'mele, e susumelletsang le sutumelletsa diriswa. Ba bang ba embodiments ya push displacement di hlalositsoeng ka holimo.

Ha motho a ka le letona lehlakoreng retelehelang ho bontša displacement tšimo atrial pulsation ha li etsahale, le ho ea matšoafo le letšehali, ka nako ena, ho ntšetsa pele pelo, ka botlalo susumelletsa hōle le leboteng sefubeng. Ka hona, ka tsela e tloaelehileng, ka lehlakoreng le letona, atrial pulsation ka hoo e ka bang ka tsa nyamela.

Pathological displacement tsa pulsation pelo

The ripple koala arotsoe ka mefuta e 'meli:

1. The koala e sa amanang le lefu la pelo (pneumothorax, hydrothorax, matšoafo scarring, emphysema methapo, fetoloa boemo ba eme diaphragm - ascites, bokhachane, flatulence, emaciation)
2. Pathological pulsation amanang le lefu la pelo.

Tabeng ya moraorao tjena, e battlefield letšehali le hlaha ka lebaka la keketseho ea ventricle le letšehali, ka linako tse ling ho anterior axillary mola, 'me fatše ho 6,7,8 libaka intercostal. Ho atolosoa ha ventricle nepahetseng boetse e fana ka ea koala ho ea moeling setseng ba pelo, empa push e 5 intercostal sebaka.

Ho ata tsa pulsation cardiac

Square protrusions cardiac tšusumetso e tsoang ho e ka bang 2 cm². Haeba ho ke ke haholo, ebe re bua ka diffuse kapa jala hloekileng le jerk. Ho sebakeng se tlaase e le e fokolang.

pulsation e Tloaelehileng etsahala ha pelo ea ka ho fetisisa holim'a lona e lebagane le leboteng sefubeng. Ho ile a re:

• le phefumoloho tebileng;
• bokhachane;
• ka lihlahala tsa mediastinum le ba bang.

Ho ba sieo ha maemo ana a tšolloa makala ka ba ka lebaka la katoloso ea pelo (tsohle kapa efe kapa efe ya likarolo tsa lona).

Limited cardiac tšusumetso e tsoang ho etsahala ha pelo e leng sona sebakeng seo e nyenyane e haufi le sefubeng sa. Lebaka la sena e ka ba o reng:

• emphysema;
• tlaase kotelamaka diaphragm;
• pericardial effusion ;
• haeterojene, pnevmoperikard.

Bophahamo ba tšusumetso e tsoang ho cardiac

Cardiac tšusumetso e tsoang ho bophahamo ba - the molumo oa karolo e itseng pulsating ea sefuba. Khetholla se phahameng, le tlaase 'me ho tloaelehile cardiac tšusumetso e tsoang ho. Etsa tlase li tšoana le bakeng sa e fokolang. Ka lebaka leo, lisosa tsa diffuse foromo phahameng apical tšusumetso e tsoang ho. E boetse e ho etsahala ha tachycardia loketseng thyrotoxicosis, feberu, batho ba tsubang, tlas'a gagamalo phahameng.

Manganga cardiac tšusumetso e tsoang ho - pulsation, e fanang ka boikutlo ba e tenya, le letšo-letšo mesifa palpation, khatello ke ho se bonolo ho nehelana. Ho joalo, ha e ntse e le diffuse, botho ba matla, joale e e hlalosoa e le e Dome e bōpehileng joaloka apical tšusumetso e tsoang ho. Ka tloaelo, ho e sa ikemisetsa, empa Ho thehoa le kgatelelo ya madi kapa likoli aortic ha ho ntshetsa pele le letšehali ventricular hypertrophy.

Mpe cardiac tšusumetso

Hula mantsoe a sefubeng leboteng sebakeng tšusumetso e tsoang ho cardiac nakong systole - e mpe apical tšusumetso e tsoang ho. O bonahala le katoloso tsau tsa ventricle letona, e leng se sutumetsa le kamorao keletso ea ventricle letšehali. Systolic khutsufatso e ka hlahisa e ketsahalo e joalo.

Hula mantsoe ea libaka intercostal le hlaha ha pericarditis sekgomaretsi.

pulsation tse ling

Diagnostically liphetoho bohlokoa ke pulsation tsa aorta e, mothapo methapo le epigastrium ripple. The pele ho tsona e sa bonahaleng ho tloaelehileng. Pathological ripple tšoanang hlaha II intercostal sebaka ka bohale tokelo ea sternum ena. Mabaka a ketsahalo lona kenyeletsa:

• tokelo ea matšoafo scarring;
• atolosa aorta (mokaola, aneurysm tsa nyoloha aorta, aortic phunyang kholofalo).

Pulsation methapo mothapo (II intercostal sebaka ka ho le letsehali ea sternum le) - le ka lebaka la kgatelelo ya madi methapo ka likoli mitral belofo.

Epigastric pulsation e hlokometse ka fossa epigastric. Mabaka a ketsahalo lona:

• ptosis tsa ventricle le letona;
• mpeng aortic aneurysm.

bofello

Tse ka holimo-o ile a hlalosa mekhoa ea ho etsa lipatlisiso ke habohlokoa hore lingaka, empa ka mabapi le tsoelo-pele ea tlhathoba hardware, lingaka boitlamo hlalosang bolwetse ke tlhahlobo bonwang le palpation tsa lilemong tse leshome tse fetileng e fokotseha haholo.

Ka nako e tšoanang, ho hlokahala hore ho tsoela pele mokhoa ka holimo ke phahameng haholo. Ditsebi fumana apical tšusumetso e tsoang ho ke palpation, ba lokela ho khothalletsoa le mafolofolo disseminate boitsebiso bo eketsehileng ka ho sebelisa mokhoa ona ka moriana.

Maemong a mangata, tšebeliso ea palpation ile sa etsa hore liphello tse ntle, ho akarelletsa le phumano ea pele ea lefu lena. Kgethile nang le tsebo apical tšusumetso (ka pathologies tloaelehileng 'me tse fapa-fapaneng) ke paramethara bohlokoa la ho tiisa mekhoa ea ho phekola bakuli ba.