Percussion - o ia hana? Percussion a me ka palpation

Lapaau ana i kekahi maʻi hoʻomaka me ka loiloi mua physical ninaninau koi 'ia e loaa i ka hōʻuluʻulu manaʻo o ka hoomanawanui, me ka moku'āina o kona ola kino a me ka hookupaa aku i ka loulou ma waena o ke kanaka loli nā loko me abnormalities o nā nā loko i loko o ke kino. O ka papa kuhikuhi ano o ke anamanaʻo i: mōʻaukala ana, ninaninau o ka hoomanawanui, auscultation, percussion a me ka palpation. Mau 'ana i kūpono i informative anamanaʻo, alodio, affordable a me ka loa e noho malie hoi i ka hoʻomanawanui.

Percussion - he papa hana e leie aku e kuhikuhi aʻe 'ana i loko o ka nui a me ka hoʻonohonohoʻia o ka mea na nā loko, hooholo i ko lakou wahi. Mea i ka 'enehana hou ma luna o kaʻili kino a me ka helu i kupu mai ma keia leo, e like me ka mea ola a me ka maÿi'aʻaʻa puhi okoa. Pili loa aku i ka palpation - ma ka mea i hahai ana ka mea mamuli o kekahi aloha mai no ia.

Nä Pahuhopu percussion a me ka palpation

E hali ana i percussion i ka papa kuhikuhiE Pahuhopu elua:

- e aʻo e pili ana i loli i loko o na kino o ka ea maʻiʻo i loko o ia mau mea, a me ke alo a me ka wa e kaawale aku o ka paa oihana mua;

- e hooholo i ka palena, shape a me ka nui o nā loko.

KOU MANAʻO E kokua:

- e hooholo i ka pā lonoaʻili o nā loko, a nā'aʻaʻa a me kā lākou mau 'äina;

- manaʻo i ka wela o ka ili, vascular pulsation intestinal motility;

- diagnosing bronchopulmonary pathology;

- kuhikuhi i ke kinona a me ka ano o ka deformation, neoplasms.

Ano o ka percussion, palpation: aoao o

Aia i mau kumu nui ke ano o na percussion:

- kauoha percussion tapotement komo ai hoʻokahi a oi manamana lima ma luna o ka hoʻomanawanui ka kino ili honua.

-ʻauhau'ēʻaʻe percussion ua hana ka hoʻohana 'ana i kekahi mea pili i ke kino ma i i hua mai, a' enehana hou.

Aia i kekahi mau aoao i pololei percussion:

- hana o Yanovskogo F. G., i mea e hoʻohana i kaʻiʻo pepa maʻi phalanx o ka 'inideka a mawaena konu manamana o ka lima'ākau;

- hana Obraztsova la, ma i ka 'inideka manamana lima, a ua hitting, ho one ei aku i ka hope o ke kolu o ka manamana lima;

- Auenbryuggera hana, ke komo pū 'enehana hou i kona mau lima hapalua-manao, a pelupelu ia ma kona umauma (kākaʻikahi hoʻohana i kēia lā);

- e neʻe percussion - mea he ano o ka hooko ana mai i ka anamanaʻo ka hoʻohana i kaʻiʻo pepa o kekahi mau manamana lima, e leie loa pololei ho oholo i ka mokuna Aupuni.

ʻauhau'ēʻaʻe percussion i hiki ke lawe mai i loko o kekahi mau aoao:

- manamana lima ma plessimetru;

- hāmare ma plessimetru;

- manamana lima-manamana lima hana.

ʻauhau'ēʻaʻe percussion - o ka loa ka hoʻokō laekahi 'ano o ka hoike, e like me ka hoʻohana plessimetra loaa kani nui a me clearer.

Ke kaumaha ma muli o ka hohonu o ke kaiapuni o nā manamana lima a me na lima i loko o ka lole e hanohano:

- superficial palpation. He He ala hōʻike, ka mua ana manaʻo. Hoʻohana 'ia e hooholo i ka wela, humidity, nuʻa a me ka pā lonoaʻili o na nā'aʻaʻa. Symmetric ili stroking kōkua ho oholo i ka ano o kaʻili kai, e hoike aku i kekahi ho okumu a hoailona iho la i o kaʻili, subcutaneous'aʻaʻa, Muscle hoʻopilikia 'akomi i ka lala, hoʻi, abdomen. Superficial palpation hiki ke hana i kekahi i kekahi a mau lima. Nā manamanalima, ke'ōlelo mai nae, puʻe ma ka probed ili honua e ole e.

- hohonu palpation ua hoʻohana 'ia e Loiloi i ka moku'āina o nā loko a me nā'aʻaʻa ke aupuni' loa i loko o ke kino.

No ka manaʻo o nā nāʻiʻo, ami, a me nā wahi i hoʻohanaʻia kekahi mau Lolina o ka hohonu palpation:

• No ka mea ao o nāʻiʻo, iwi ma lalo o ka Muscle, ahu iho o ka ami makahiki mea i hoʻohana palpation o ka hohonu kaiapuni kihi o kekahi a oi manamanalima.
• Nā loko o ka abdominal lua ua aʻo ma ka mea o ka hohonu ua hiolo palpation.
• Ma ke ao o ke akepaa, abdominalʻeho, a ascites hoʻohana jerky holo paha palpation.
• E huai ae loli hoʻomāhuahua i loko o ke kuli kauka hiki ke hoʻohana 'ia mau manamana lima jerky puʻe.
• Makaikai i ka uterus, ovaries, pelvicʻeho, na pulima oʻu, kukuli iho a me ka kuʻekuʻe aku ami kōkua bimanual palpation lawe mai i nā lima.

Ke ka nui ana o ka hopena o ka percussion: percussionʻAno

Ka ikaika o ka percussion kui e loli ai i ka puunaue ana o vibrational neʻe ma kaʻili, a me ka hohonu ma ka kamaʻilio pinepine ', a me ka nui o ka lewa i ua kipaku ia ma ka oscillatory noi. Ua haawiia a pau i percussion ua maheleia i:

- hohonu (ikaika a me ka leo nui);

- 'ilikai (nawaliwali ole hāmau).

Deep (loa)'aʻaʻa percussion hoʻolako oscillation o ka ili i ka 5 knm ma ka hohonu, -. 6 knm Acoustic poepoe 'ilikai (nawaliwali) percussionʻelua hahau uuku ma mua o ka ikaika. Ke kaumaha ma muli lesion ka leo, hohonu a me ka wahi o ka pale umauma hoʻokahi nana ke kahuna lapaau e pono ke hana i ka oi, a emi mai, pili percussion.

Percussion kani? Ueo

1. Ua lohe maopopo akemāmā kani ka wā 'enehana hou ma luna o ka pahu' ana ma luna o ka ili o na ia maʻiʻaʻai.
2. Ke femoral, a hoopaa hoi i kani ka wā 'enehana hou ia lŘlŘ ma anuanu airless nā loko a me nā'aʻaʻa.
3. Hoʻonaniʻia tympanic kani ma percussion ua hoikeia mai vozduhosoderzhaschih nā loko e like me ka larynx, trachea a me ka naʻau liʻiliʻi.

Lapaʻau 'ana o ka percussion

Ma ka manawa i oleloia ai hoʻokuʻu akula nā ano o ka percussion:

- mau, i komo ai i ka palapala noi o like ikaika percussion hahau ana no symmetrical māhele mahele. Pinepine hoʻohana 'ia i loko o ka hookolokolo ana o na ia maʻiʻaʻai.

- topographical, wā i nā palena a me nā Ana o ke kino a me nā papahana mau mea a hiki i na palena o ke kino ili honua. Hi ona percussion pono haʻahaʻaʻilikai percussion a me ka hoʻohana 'ana o kekahi pōkole hahau.

Percussion o ka naau , e hooholo i ka nui, ke kinona a me kaʻoihana o ke kino, a me ka vascular laulau. Ka naau o ka muscular hui, airless, piha i ke koko, no laila, ke kāpae stupidity o percussion bana kani mea hoopaa. Haʻalele a ua uhiia pono o ia me ka malamalama - kino i loaʻa ka lewa, a no ia mea, kani ma keia wahi, e e blunted. Nō kāu, naau percussion hana i loko o ka e ku ana paha e noho ana i nā hana me kona mau lima, hanu i ka mea ia manawa pono e mālie.

Percussion akepaʻa, me ke anuanu kino, oia ke hoopaa hoi i kani ka wā percussion. Percuss e ia ma luna, ma ke kani mea maopopo, a hahai ia a hiki i ka kūmūmū kani. Audio kuapo mea no ka mea, ke ake nei kekahi pee ai ma ka malamalama. Percussion ake pono e lawe mai i loko o ka papamoe kūlana. Topographical palena'āina, he mau iwi aoao a me vertical laina conditional thorax. Ma hope o percussion E palpation, a me ke kino aloha, i leie aku e hooholo i nā hoʻololi ma ka hana mau, shape a me ka ili o ke akepaʻa, ola wahi, e leie aku e huli i ka haahaa kino o ka mokuna.

Kau i ke kulana o ka ia maʻiʻaʻai i loko o ka pahu, a me ka pili ana i nā nā loko, e hi ona percussion o na ia maʻiʻaʻai. Norma percussion kani ma luna o ke akemāmā'aʻaʻa - maopopo kani. 'O kēia ka wahi me ka percussion kani ka clearest i loko o ke kino a pau. Palpation o ka pahu, e hoʻoholo kona helehelena, ola wahi, e kū'ē'ē mai a me ka leo tremor. Like ua i me nā lima ka poʻe. Hoike mai i ke ola wahi probed loa. Inā i ka pahu i loko o ka hoʻoholo 'ia'ku ua hikiwawe'opihia, ia svidetelstveut kona degradability a me ka elasticity, i ua noʻonoʻo ke kūmau. Oe ke kaomi nā alo a me ka hope, ua symmetrically hoonoho ai i kona mau lima, a ma na aoao, ma ka umauma hou maʻemaʻe.

No percussion keiki

Percussion i na keiki, ka oi aku i ka makahiki mua o ke ola, pono pololei kauka like kino o nā mea maʻi i liʻiliʻi, he wiwi, pahu pā pōhaku, a me ka ili mea maikai ke kino.

Ma ka like o ka malamalama mea pono e uku kūikawā noonoo ana i ke kahua o ke keiki, ma i ka pahu ua hoʻonoho symmetrically. ʻauhau'ēʻaʻe percussion ka wā ina hookolokolo mua keiki ua hoʻohana 'ia, i hoʻohana' ana mau keiki liilii. Backrest 'enehana hou e ku ana i' ole e noho ana me ka aoao mau wāwae, i ka kīloi paʻewa ili o ka pahu - i loko o ka noho kulana, a me na mea kaua kikooia aku ma ke alo o ka ai ma ka hope 'ike, a me ka umauma - i loko o ka supine kūlana.

Percussion hiki wale nō e noho malie: manamana lima, manamananui a kokoke. High a me ka mōakāka percussion kani no kahi mau keiki liilii o ke kūmau. ia e hoʻololi i ka tympanic i ka manawa o ke kanikau.

Percussion: mau rula

1. Ka lumi E e mehana a me ka mālie.
2. Ke kūlana o ke kauka - pono.
3. Ke hoomanawanui hilinaʻi nui ma luna o ka makahiki, a me ka oolea o keʻano. Vzroly kanaka hiki ke ku a noho malie ma ka loa nanea wale kulana. Keiki ma ka pololei kulana e paa, paa aku la ia ia i kona makuwahine.
4. Percussing poe koa ia.
5. Kauka mau lima - mahana, maloo a me ka maemae.
6. Percussion puupuu e paa maoli, o ka mea ikaika, pōkole laholio.
7. Fingernail, lawelawe percussive hahau ia e pōkole.

Palpation a percussion - he 'inikua ka ninaninau ana i na nā loko i kūpono e ae objectively loiloi i kā lākou kūlana a me ka kulana, e noi ana i ke kauka i ka malama a me ka hoolohe.