Kupuma ulendo wa chifuwa: chimene icho chiri, mmene kuyeza, mlingo wa

Kuti kusonkhanitsa bwino mbiriyakale, ophunzira kuphunzira mmene kuphunzira kwa zaka alankhule, kufufuza ndi obmeryat mtima. Ndi luso - msanga molondola kumaliza khadi chachikulu, chotero kuti ngakhale dokotala amene asanakumanepo ndi mtima wanu, zinali yomweyo bwino. Imodzi mwa magawo a kusonkhanitsa mbiri kuphunzira anthropometric, kuphatikizapo mtima wa kukula kwa chifuwa, buku kayendedwe kupuma, chosokonekera awo ndi pafupipafupi nawo mchitidwewo minofu kupuma.

Mawonekedwe a chifuwa

Kodi dokotala amamuchititsa ntchito yoyendera? Woyamba ndi kuzindikira makhalidwe a chifuwa pa mpumulo ndi pa zoyenda pamodzi ndi zizindikiro spirometry Mwachitsanzo, monga buku osefukira, mlingo ndi buku la ena expiratory ndi ambiri. ubwenzi wawo chingatithandize kusiyanitsa kudwala m'mapapo mwanga a ubongo, ku choipa kapena edema m'mapapo mwanga.

Choyamba ndi kuyendera masomphenya, ife tikhoza kuwona mawonekedwe a chifuwa. Kusiyanitsa zonse kapena osasamba kusintha. Kenako, yang'anani chosokonekera wa amachepetsa awiri yunifolomu ake ndi kayendedwe kupuma.

Lembani chifuwa

The thunthu matenda ndi zitsanzo zotheka:

1. Normostenichesky pamene chiŵerengero cha m'lifupi akuya zolondola, subclavian fossa supra- ndi amtengo mbamuikha, ndi nthiti obliquely, mtunda therebetween mukusungira wabwinobwino, tsamba mwamphamvu unkagunda thorax, ndi mzere ngodya epigastrium.
2. Asthenic mtundu ndi zambiri zilili ndi anthu ang'ono. Kukula woimira akuya chifuwa kumbuyo potero kulenga kuganiza kuti ali ndi mawonekedwe elongated. Nthawi zambiri dzenje pafupi phewa lofotokozedwa zikuchepa, khungu pa iwo limalephera. Nthiti imakonzedwa vertically osati pa cham'mbali, mbali anapanga ndi ndondomeko xiphoid, ndi pachimake. Anthu amenewa nthawi zambiri bwino anayamba minofu ya phewa ndi kumbuyo, ndipo m'munsi m'mphepete mwa nthiti ndi mosavuta zimadziŵika ndi palpation.
3. Hypersthenic mtundu limafanana ndi zimene yomweyo thupi mtundu. The thorax ndi pang'ono ofanana yamphamvu, ndi kuya ndipo m'lifupi ndinu yemweyo, Ndikuchepetsa mipata pakati pa nthiti, iwo zayamba ikufanana. Supra- ndi subclavian fossa allocated ofooka epigastric obtuse njingayo.
4. Emphysematous pachifuwa ndi wofala odwala COPD ndi mphumu. Ndi yofanana ndi giperstenicheskom, koma ali ndi malo mwachilungamo lonse intercostal, kusuntha m'mbali yopingasa, ndi otsetsereka pang'ono kapena ayi, masamba poyerekezera ndi nthiti imakonzedwa ku kumbuyo, palibe kulekana bwino pa ndi subclavian maenje.
5. Manjenje pachifuwa ndi maonekedwe awo ndi ofanana asthenic. Kumachitika mu odwala TB, matenda aakulu m'mapapo, pleural, akhala zatha, kaheksichnyh anthu ndi kudwala majini - Morthal syndrome.
6. Rachitic, kapena njiwa chifuwa - kumachitika makamaka ana. mbali kanukanu - ndi ophatikizidwa m'chigawo chapakati mu ndondomeko xiphoid wa sternum lapansi. Komanso, pamaso pa zizindikiro mikanda, bulges pa kusintha nthiti gawo la fupa chichereŵechereŵe chifukwa osteogenesis zosayenera.

njira kupuma

Pachifuwa ulendowu kumadalira osati kokha pa mtundu wake ndi mawonekedwe, komanso pa mmene munthuyo kupuma: pakamwa kapena mphuno. Pa nkhani imeneyi, kusiyanitsa mitundu yosiyanasiyana ya kupuma.

Chifuwa - kumachitika makamaka akazi. Ndi mtundu uwu wa katundu waukulu imagwera pa minofu intercostal ndi zakulera. M'mimba kupuma ndi zina zambiri kwa amuna. Iwo ali mu kupuma ndi zochitika zapambuyo m'mimba khoma.

kusiyana A ndi kupuma mungoli (rhythmic kapena arrhythmic), kuya (kwambiri, zachiphamaso kapena pafupifupi mozama) ndi pafupipafupi (nambala ya mpweya pamphindi).

chosokonekera

Kupuma ulendo wa chifuwa atakhala symmetrical. Kuti ayese Mbali imeneyi, muyenera kuyang'ana pa kayendedwe ka ngodya m'munsi mwa masamba pa inhalation kwambiri ndi mpweya. Ngati mmodzi wa masamba alibe nthawi zina, zikutanthauza kuphwanya wa ntchito kupuma ndipo mwina zimasonyeza kutupa monga pleurisy. Komanso, asymmetry akhoza anati pambuyo ntchito opaleshoni ya chifuwa, ndi manja chifukwa malignancies m'mapapo kapena necrosis.

nkhani ina imene ulendowu a chifuwa lingathetsedwe - ndi kuwonjezeka pathological mu phapo. Zimenezi zingaoneke mu ndiko kumayambitsa bronchiectasis, kapena exudative pleural effusion, pneumothorax kutsekedwa.

njira choyezera

Kodi kudziwa ulendo wa chifuwa? Ndithu chabe, ndi kuyeza ndi kuwerengetsera yosavuta.

Examinee akupemphedwa maso dokotala ndi kupasuka manja. Ndi zofunika kuti kumtunda kwa thupi pa nthawi yomweyo anamasulidwa zovala. Ndiyeno adokotala amatenga tepi muyeso ndipo ali kotero kuti umadutsa m'mphambano za masamba. Mu kufufuza mukupemphedwa kutenga mpweya kwambiri ndi kuligwira. Pa nthawi imeneyi, muyeso woyamba imagwiridwa. Kenako wodwala kupuma kachiwiri ndi kukoka mpweya, dokotala anali wokhoza kuti kamodzinso kuyeza circumference pachifuwa. Kwenikweni, zimenezi zinali ulendo wa pachifuwa. Kodi kuyeza pafupipafupi mpweya kapena kwambiri malita? Kwambiri chabe, ngati pali zida zina monga ulonda ndi pikfluometr.

chifuwa chilema

Pachifuwa ulendowu ayenera bwinobwino kukhala ofananira pa mbali zonse, koma nthawi zina pali wosiyana kukana kwa mpweya wa mpanda wake. Ndiyeno anapanga protrusion kapena Anabweza. Anabweza - nthawi zambiri chifukwa cha fibrosis kapena atelectasis m'mapapo mwanga. A unilateral oumbidwa pachifuwa kuchulukana zingasonyeze malo a madzimadzi kapena mpweya.

Kufufuza chosokonekera la dokotala ayike manja ake kumbuyo kwa wodwala mbali ya ndime msana ndi kuti achite ochepa mpweya kwambiri. Backlog mmodzi wa amachepetsa akhoza kuuza dokotala kuti munthu ali ndi chibayo kapena pleurisy, ndipo ngakhale kuchepa kapena kusapezeka kwa ulendo kuwala akhoza kubwera kudutsa maganizo ndiko kumayambitsa.

mfundo yachibadwa

Ndipotu, palibe i bwino chifukwa chimene ayenera kukhala pachifuwa ulendowu. Norma (cm) ndi wachibale ndithu ndipo zimadalira m'badwo, thupi, jenda anthu. Nthawi zambiri, ranges ku masentimita wina ndi atatu. Pachifuwa circumference - yemweyo wachibale mtengo, kwa ana, pali matebulo wapadera amene amasonyeza mphamvu ndi mgwirizano wa chitukuko.

mlingo kupuma

Pamene ndinatenga pachifuwa ulendowu, dokotala nawo kuwerenga mpweya. Pa mfundo imeneyi, nkofunika kuti zimalepheretsa wodwala chinthu china, mwinamwake izo zikhoza kusokoneza zotsatira, kupuma zambiri, kapena, Tikawonetsetsa osachepera.

Choncho, mosadziwa katswiri wodwalayo ali dzanja lake pa chifuwa. Izi ndi zothandiza kuchita pamene mukuganiza kugunda kwa mtima ndi awerenge chiwerengero cha mkwapulo pa mphindi. Normal pachifuwa ulendowu kumafuna mpweya khumi ndi ziwiri. Ngati wodwala Kodi sangafikire m'munsi malire a wabwinobwino, zikuoneka Iye afuna zizindikiro posachedwa kuwonetseredwa ubongo, koma ngati pafupipafupi ndi apamwamba kwambiri, matenda ayenera amagwirizana ndi pathologies kuti kusokoneza munthu kupuma kwambiri (madzi, wosweka nthiti, neuralgia, etc. etc. ) .. Komanso, kupuma mofulumira akhoza anati chifukwa labile boma psycho-maganizo, kutalika kwa malungo kapena predagonii.

Pachifuwa ulendowu (kusiyana kwa circumference ake pakati pa inhalation ndi mpweya) si nthawi zonse m'gulu la ambulansi patsogolo kafukufuku kapena zipatala somatic. Amaona kuti ndi zolimbitsa thupi, ngakhale mpake. Poyamba, pamene sitinali koma ubiquitous ultrasound makina, Kujambula ndi CT mapanga sikani, madokotala akhoza kudziwa pathologies chobisika, dzanja chabe kwa bokosi la wodwalayo.