Crepitus - ndi chiyani ichi?

Mu mankhwala, pali mawu osiyanasiyana amene bwino ndi madokotala. Ngati samvera munthu zosagwirizana choncho dokotala, sanamvetse zimene zinali kuchitika. Chimodzi mwa mawu ambiri ndi "chochititsa mantha". mawu awa angamvele zosiyanasiyana madokotala pa potuluka. Kodi chochititsa mantha? Izi m'nkhani ino.

Crepitus: ofotokoza ndi mitundu ya chizindikiro

Mawu akuti a zachipatala amatanthauza phokoso osiyana ndi a khirisipi, wapezeka ndi palpation (palpation) kapena auscultation (kumvetsera).

Pali mitundu ingapo crepitations:

• Bone. Khirisipi phokoso kumachitika chifukwa akusisita pamodzi ndi makombo fupa, amene ali nawo. mtundu uwu wapezeka ndi kusanthulasanthula ndi kumvetsera, monga yeniyeni chizindikiro fupa wovulala. Thiabendazole angagwiritsidwe ntchito matenda fractures pa nthawi ya kuona loyamba wovulalayo.
• Subcutaneous crepitus. Chizindikiro chimenechi kumachitika pamene palpation kapena auscultation pa mphindi pamene pali mutu kukanikiza pa malo nembanemba wa thupi, ndi minofu subcutaneous mu kudzikundikira thovu mpweya. Zizindikiro khalidwe la ndiko kumayambitsa subcutaneous , kapena matenda anaerobic.
• Alveolar crepitus. Ichi ndi chizindikiro kumatanthauza pa kumvetsera mosavuta. Izo akufanana phokoso kumachitika pamene tsitsi mikangano, amene sandwiched pakati pa zala. Izi chizindikiro makamaka amapezeka chibayo pamene pachimake. Iwo limodzi ndi magawo a maonekedwe ndi resorption wa madzimadzi mu alveoli lapansi. Auscultated alveolar crepitus monga mndandanda wa kudina mu inspiratory gawo apamwamba.

Mukhozanso kusankha mtundu wa tendon crepitus akuwuka pa palpation a kutupa pa malo tendon chimene chakhudzidwa tenosynovitis.

Pa gululi mu malo akhoza kudzali crunch phokoso. Articular crepitus - khalidwe chizindikiro cha nyamakazi. matenda china chotchedwa nyamakazi. Pamene zimakhudzidwira pamalo chichereŵechereŵe zimfundo ndi mankhwala zimatenga nthawi yaitali.

Crepitus: chifukwa cha chizindikiro cha

chifukwa chachikulu - ndi mikangano ya minofu thupi kosaoneka mwakale.

Alveolar crepitus auka kwa "razlipaniya" pa mphindi inspiratory makoma alveolar amene glued pa mpweya chifukwa cha kukhalapo mu alveoli transudate, exudate kapena magazi. Izi crepitations mtundu auscultated milandu zotsatirazi:

• Pa magawo 1 ndi 3 cha chibayo lobar.
• Pankhani ya infarction m'mapapo mwanga.
• Pamene stagnation mu mapapo.

Komanso chizindikiro akhoza auscultated mu mapapo mu zotupa alveolar amene amayamba ndi matenda zokhudza zonse.

crepitations Subcutaneous mtundu opezeka pa:

• Pamene subcutaneous ndiko kumayambitsa.
• Kupezeka kwa tizilombo toyambitsa matenda anaerobic.

Ndi zotheka kudziwa mtundu wa oyamba mpweya ziwalo zosiyanasiyana za thupi matenda kapena chithandizo.

Crepitus akuwuka mu mafupa, anati:

• Mu nyamakazi.
• Nyamakazi.
• Kukanika kwa ziyangoyango bondo.

zizindikiro crepitations

Ngati pali crunch, n'zotheka kuti ndi chizindikiro cha matenda, zimene moyo pangozi. Paokha kudziwa crepitus zovuta. Zizindikiro zina zimene zigwirizana pamodzi ndi izo, zimadalira zimayambitsa ndi kutanthauzira.

Crackles mu phapo akhoza limodzi ndi khungu bluish ndi milomo, mofulumira kupuma, kufupika kwa mpweya ndi chifuwa, nseru kapena kusanza, kumverera kwa kuthamanga kapena kupweteka pachifuwa.

Zizindikiro zotsatirazi komanso nzotheka, malingana ndi matenda:

• Khalidwe chimbudzi.
• Thukuta.
• Hemoptysis.
• Kupuma movutikira.
• Imfa ya chikumbumtima.

The chizindikiro chachikulu cha subcutaneous crepitation - pamaso pa kutupa kwa minofu subcutaneous.

Crepitus makombo fupa akhozanso kukopeka ndi kukanika, kupweteka kwa pabala, kutupa ndi kufinya omwe angagwe pambuyo.

Articular crepitus limodzi ndi ululu molumikiza odwala kuti kumawonjezera ndi katundu, edema, sayenda osauka. Ndi zotheka malungo m'dera ndi redness.

diagnostics

The chizindikiro ambiri m'mapapo kumvetsera. Phokoso amakhala ngati wheezing ndi crunch kuti kusintha kukula mu mphindi wa kukhosomola.

Komanso, crepitus angasonyeze ngati phokoso chifukwa cha mikangano ya pleura, amene kuvutika. Phokoso akhoza kukhala wautali nthawi ndi anamva kudzoza ndi pa atapita.

Bone chizindikiro ndi wapezeka ndi kumverera fupa lothyoka malo, Phokoso kawirikawiri anamva, ngakhale patali.

Subcutaneous crepitus komanso matenda ndi palpation.

Articular anatsimikiza mtima palpation wa olowa wodwalayo. Izi amaganizira madandaulo wodwalayo. chifukwa udzakhazikitsidwe ntchito X-ray.

crepitations chithandizo

Popeza chizindikiro, si matenda, sikutheka kuchiza. crepitus A adzachotsa kokha pamene mankhwala a matenda anayambitsa izo. Malinga ndi matenda zosavuta zokha ndi dokotala mankhwala mankhwalawa chifukwa cha zomwe kutha ndi chizindikiro.