Percussion - Ko e tikanga? Percussion me palpation

Maimoatanga o tetahi mate haamata ki te whakamātautau tinana tuatahi hiahiatia ki te whiwhi i te tirohanga whānui o te manawanui, te āhua o tona hauora me te ki te whakatū i tētahi hono i waenganui i te okana pāngia takitahi ki abnormalities o ētahi atu whēkau i roto i te tinana. Ko te tikanga matua o te rangahau ko: tango hītori, whakamātautau o te manawanui, auscultation, percussion me te palpation. Enei tikanga he rangahau kōrero, ohie, utu, me te tino mahaki ki te manawanui.

Percussion - he tikanga e taea ana ki te tāutu i maumaui i roto i te rahi me te whirihoranga o nga whekau, whakatau ratou wāhi. He he patopato i runga i te mata tinana me te aromatawai puta i roto i tenei haruru, rite te kiko hauora, me te mate tangi rerekē. whanaunga tata ki te palpation - i te mate mana'o ngā.

Whāinga percussion me palpation

E rua ngā whāinga matua e mau ana percussion:

- ki te ako e pā ana ki ngā rerekētanga i roto i te tinana o te ihirangi rangi i roto i a ratou, me te aroaro ngaro ranei o ngā huānga totoka;

- ki te whakatau i nga rohe, āhua me te rahi o whēkau.

āwhina mana'o:

- ki te whakatau i te tūtohutanga o whēkau me te kopa, me o ratou mahere whenua;

- whakatau tata i te pāmahana o te kiri, otu'itu'iraa iaia motility intestinal;

- Tātarihia te māuiuitanga bronchopulmonary;

- te tāutu i te āhua me te āhua o te deformation, neoplasms.

Momo o te percussion, palpation: ara o

E rua ngā momo matua o te percussion:

- tapotement percussion hāngai kotahi, nui ake ranei maihao i runga i te mata te tinana o te manawanui.

- whakamana percussion autaki te whakamahi i tetahi ahanoa piri ki te tinana i runga i nei e hua me te mirimiri.

He maha ngā huarahi ki te percussion hāngai:

- tikanga o Yanovskogo F. G., e ko ki te whakamahi i te phalanx penupenu kāpeka o te taupū maihao waenganui o te ringa matau ranei;

- tikanga Obraztsova VP, i roto i nei te maihao taupū, e patu nei, kiriata atu te hoki o te toru o nga maihao;

- Auenbryuggera tikanga, whai wāhi mirimiri ana maihao hawhe-piko, ka takai ki runga i tona uma (uaua whakamahia tenei ra);

- Moving percussion - ko te tikanga o te whakahaere i te rangahau mā te whakamahi i te penupenu o te maha maihao, e taea te tino tika te whakatau i te mana rohe.

taea hoki te kawea percussion autaki i roto i roto i te maha ngā huarahi:

- maihao puta noa plessimetru;

- hama i runga i plessimetru;

- tikanga maihao-ringa.

percussion autaki - ko te tikanga hou whai hua te nuinga o te whakamātautau rite te whakamahi i plessimetra riro tangi nui me mārama.

Tei runga i te hohonu o rumaki o te maihao ranei ringa e taiea i roto i te papanga:

- palpation ausia. Ko he ara tohu, rangahau tuatahi. Whakamahia ki te whakatau i te pāmahana, haumākū, mātotoru me te tūtohutanga o nga kopa. mata hangarite stroking awhina whakatau i te āhua o te mata, ki te whakakite i tetahi hanganga ranei taatiraa o te kiri, kiko subcutaneous, uaua mānukanuka kitea i roto i wahi, hoki, puku. taea palpation ausia te whakamana rānei ringa kotahi e rua ranei. Ko te maihao kupu whakawhānui, te pēhanga ki runga ki te mata Kua whakamatauria e kore e waiho.

- whakamahia palpation hohonu te ki te aromatawai i te āhua o whēkau me te kopa kei hohonu i roto i te tinana.

Hoki nga mana'o o ngā uaua, hononga, me ētahi atu wāhi e whakamahia ana e te rerekē rerekē o palpation hohonu:

• Hoki te ako o uaua, wheua i raro i te kahu uaua o te wāhi tahi ko palpation whakamahia o te matamata rumaki hohonu o tetahi atu ranei maihao.
• Whēkau o te kōhao puku ako e te tikanga o te palpation awhiowhio hohonu.
• I roto i te ako o te ate, puku puku me ascites whakamahia rere tuketuke te palpation ranei.
• Ki te kitea whakaeminga inu i roto i te tākuta turi taea te whakamahi i maihao maha pēhanga ka tuketuke te.
• Te tūhura i te kōpū, ovaries, puku papatoiake, ringa, turi, me hononga tuke te āwhina palpation bimanual kawea i roto i te ringa e rua.

Ko te kaha o te pānga o percussion: momo percussion

Ko te kaha o te titi percussion pānga te tohatoha o nekehanga vibrational i te mata, me te i roto i te hohonu i runga i te kaha reo me te nui o te rangi e aia nei te i roto i te nekehanga oscillatory. Kei te wehea hoatu e katoa percussion ki:

- hohonu (kaha ranei nui);

- mata (ngoikore puku ranei).

whakarato hohonu (nui) kiko percussion oscillation o te mata ki te 5 cm i roto i te hohonu -. 6 cm Acoustic mata ao (ngoikore) percussion rua iti atu i kaha. I runga anō i rōrahi lesion, hōhonu me te wāhi o te whakamātautau ūnga taea te rata te whakamahi rānei ake, iti iho kaha ranei percussion.

Percussion oro momo

1. rongo mārama tangi pūkahukahu te ka patapata i runga i te pouaka tika i runga i te mata o te pūkahukahu.
2. Te tangi femoral, puhoi ranei ka patapata puta i runga i okana whae mātotoru me te kopa.
3. whakakitea whakapaipai tangi tympanic i runga i percussion te whekau vozduhosoderzhaschih pērā i te paeoro, pukorokoro te paru ranei.

whakamahi haumanu o percussion

Na roto i te whakarite emit rua momo o percussion:

- Comparative, e whai wāhi te tono o rite whiu kaha percussion ia wahi hangarite rohe ako. E mea pinepine whakamahia i roto i te whakamātautau o te pūkahukahu.

- matawhenua, tautuhi i te rohe me ngā āhuatanga o te tinana, me te kaupapa i enei ki nga rohe o te mata tinana. titau percussion matawhenua percussion mata iti, me te whakamahi o te patu poto.

Percussion o te ngakau ki te whakatau i te rahi, te āhua me te tūnga o te tinana, me te paihere iaia. Ko te okana uaua, e whae, ki tonu i te toto te ngakau, na he puhoi nga wairangi tino o te tangi percussion ropu. Mahue a hipoki matau o reira te ki te marama - te tinana kei roto rangi, a na reira tangi i roto i tenei rohe, ka e kua poutoa. Tikanga, whakamana percussion ngakau i roto i te tu noho tūranga ki ona ringa ranei, manawa i te wa ano kia marino.

ate percussion rite te tinana pūrerehu, homai tangi puhoi ka percussion. kia Percuss i runga, kei hea he mārama te reo, me te whai iho tae noa te tangi puhuki. Huri Ororongo Ko no te mea kei te wahi huna te ate i te marama. tika percussion ate kia kawea atu i roto i te tūnga whakapae. tohu whenua Matawhenua He rara me rārangi poutū ãpoko herenga. I muri kia palpation percussion, mana'o ranei tinana, e taea ana ki te whakatau i te huringa i roto i te ōritetanga, āhua me te mata o te ate, wahi mamae, ka taea ki te kimi i te tinana o raro o te rohe.

Te whakatau i te tūnga o te pūkahukahu i roto i te pouaka, me te i roto i te pā ana ki ētahi atu whēkau ka matawhenua percussion o te pūkahukahu. Norma tangi percussion mo te kiko pūkahukahu - tangi mārama. Ko te rohe ki te percussion tangi te mahino i roto i te tinana katoa tenei. Palpation o te pouaka ki te whakatau i tona āhua, wahi fakamamahi, resistance me te reo faaati. hanga mana'o te ki e rua ringa te wā kotahi. Whakakitea te rohe fakamamahi Kua whakamatauria ata. Ki te ko te pouaka i roto i te whakatau ātete te ngāwari kōpeke, svidetelstveut reira tona degradability me elasticity, whakaaro e te te täkupu. Ka taea e koe te kotēhia mua, a muri, e symmetrically whakanohoia ana ringa, a ki runga ki te taha, i reira te uma atu kareao.

Rawa percussion tamariki

Percussion i roto i ngā tamariki, ina koa te tau tuatahi o te ora, e titau te tika tākuta rite tinana o tūroro e iti, taiepa pouaka kikokore, me te ko te tino whakatarapi te kiri.

I roto i te ako o te marama he tika ki te utu tokanga makehe ki te āhuatanga o te tamaiti, i roto i nei tūnga te pouaka kei te symmetrically. , Whakamahia hoki percussion tītaha te whakamahia, ka ui ki ngā tamariki pakeke tamariki taitamariki tika. Backrest mirimiri tu ranei e noho ana ki te waewae whiti, te mata lateral o te pouaka - i roto i te tūranga e noho ana, ki te ringa atu i roto i te mua o ranei i te mōhiohio hoki, me te uma - i roto i te tūranga te maungārongo.

Ka taea e anake percussion kia ata: maihao, koromatua tata ranei. tangi percussion High me mārama mō ngā tamariki taitamariki ko te täkupu. kia huri i te reira i roto i te tympanic i te wa o te tangihanga.

Percussion: ture whānui

1. kia mahana, me te ata noho te ruma.
2. Ko te tūranga o te tākuta - watea.
3. Tei te manawanui i runga i te tau, me te pakeke o te huru. tangata Vzroly taea tu noho ata i roto i te tūranga tino ngāwari ranei. Kohungahunga i roto i te tūranga tika kia mau, e pupuri ana ia ia ki tona whaea.
4. Percussing tinana tahanga.
5. ringa o Doctor - mahana, maroke me te ma.
6. kia ngāwari percussion pupuhi, te taua kaha, poto rapa.
7. Maikuku, ki conductive whiu percussive kia poto.

Palpation me te percussion - he whakamātautau hauora o ā-whēkau tikanga e tukua tautika arotake ratou mana, me te tūranga, tono tiaki o te tākuta, me te whakarongo.