Kiyasta lokacin karantawa: 4 minti daya
Table of Contents
Menene matsakaicin punctum?
Matsakaicin punctumWurin da aka fi jin gunaguni na zuciya shine muhimmiyar ma'ana don tantance ko wane bawul ɗin zuciya ya shafa. Maƙallan tsinkaya don bawul ɗin zuciya daban-daban sun bambanta dangane da wurin jikinsu.
Wadanne wuraren auscultation ne inda aka fi jin sautin zuciya?
Wuraren Auscultation na Valves
1. Valve na huhu
• wuri: A gefen hagu, a cikin yankin gaba, yawanci a ƙarƙashin kafada, a cikin 3rd ko 4th intercostal space (ICR).
• Mafi Girman PunctumA cikin cututtukan bawul na huhu, ana jin gunaguni sosai a nan.
2. Aortic Valve
• wuri: A gefen hagu, kusa da bawul na huhu, a cikin 3rd ko 4th intercostal space (ICR).
• Mafi Girman PunctumA lokuta irin su jijiyar bugun jini, ana jin gunaguni a nan.
3. Mitral Valve
• wuri: A gefen hagu, mafi a baya, a koli na zuciya, a cikin 5th-7th intercostal space (ICR).
• Mafi Girman PunctumA lokuta na rashin wadatar mitral valve ko wasu cututtuka na mitral valve, ana jin gunaguni a fili a nan.
4. Tricuspid Valve
• wuri: A gefen dama, a cikin 4th intercostal sarari (ICR).
• Mafi Girman Punctum: A cikin cututtuka na tricuspid valve, ana jin gunaguni a nan.
Tukwici na Ƙwaƙwalwa: PABST
Kalmar "PABST" tana sauƙaƙa tunawa da abubuwan auscultation a cikin tsari:
• P: Bawul ɗin huhu (Hagu na gaba, 3/4 ICR)
• A: Aortic bawul (Hagu na gaba, 3/4 ICR)
• B: Bicuspid/Mitral bawul (Bayan Hagu, 5-7 ICR)
• S: Seitenwechsel (Switching sides)
• T: Tricuspid bawul (Dama, 4 ICR)
Ƙayyade matsakaicin ƙima mataki ne mai mahimmanci don ƙayyade tushen gunaguni (wanda bawul ɗin da yake hade da shi). Alamun auscultatory na jiki da aka ambata a sama suna ba da jagora don ingantaccen ganewar asali. Dokar "PABST" tana ba da damar gano sauri da inganci na madaidaitan alamomi a aikin asibiti.
Rarraba tsananin gunagunin zuciya
Zuciya tana gunaguni, gwargwadon tsananin su 6 daura Wannan rarrabuwa yana kimanta ƙarfi, ji, da fahimtar gunaguni yayin gwajin jiki. Don yin daidaitaccen rarrabuwa, yana da mahimmanci a ƙididdige yawan majinyata gwargwadon yuwuwa da samun ƙwarewa ta hanyar kwatanta ƙarfin gunaguni.
Matsalolin Tsanani
Digiri na 1st
• fasalin: Suma sosai, ana iya ji kawai a cikin yanayi mai natsuwa kuma bayan sauraro mai kyau.
• Muhimmancin asibiti: Sau da yawa yana nuna cutar farkon mataki.
Digiri na 2st
• fasalin: M, amma nan da nan ana iya gani lokacin da kuka fara sauraro.
• Muhimmancin asibiti: Yana iya zama alamar wata mahimmancin ƙwayar cuta.
Digiri na 3st
• fasalin: Madaidaicin matakin ƙarfin sauti, ana iya ji sosai.
• Muhimmancin asibitiƘarin gwaji na iya zama buƙata don tantance tsananin cutar.
Digiri na 4st
• fasalin: Wani babban gunaguni, amma ba a ji motsin jiki (jin daɗi).
• Muhimmancin asibiti: Haɗe da ci gaba da cutar bawul ko matsalar kwararar jini.
Digiri na 5st
• fasalin: Ƙaƙƙarfan gunaguni mai ƙarfi sosai, ana jin girgiza (murna) lokacin da aka taɓa bangon ƙirji da hannu.
• Muhimmancin asibiti: Yana nuna mummunan cututtukan zuciya na zuciya kuma yawanci yana buƙatar ƙarin bincike da sa baki.
Digiri na 6st
• fasalinAna iya jin ƙarar ƙarar ƙararrawa ba tare da stethoscope ba ko tuntuɓar bangon ƙirji.
• Muhimmancin asibiti: Alama ce ta cututtukan zuciya mai tsanani.
Ƙididdiga tsananin gunaguni na zuciya wani muhimmin mataki ne a cikin tsarin bincike da magani. Matsayin gunaguni yana taimakawa wajen tantance tsananin cutar da ke ciki. Musamman, Grade 3 da sama suna gunaguni, yawanci yana buƙatar ƙarin gwaje-gwaje. Kyau Kasancewar sa yana nuna cutar ta fi tsanani kuma yana iya nuna buƙatar sa baki cikin gaggawa.
Wasu Labarun Kuna iya Sha'awarsu
"Hanyar 'Hanyar' da za a iya suna ba ita ce hanya ta gaskiya ba; 'Sunan' da za a iya kira ba shine sunan gaskiya ba."
Lao Tzu (Laozi)
