Kufunika kwa Kugawanika Monga Mbali Yophunzirira Thupi
Kuchepa kumatanthauza kuchita kafukufuku wamankhwala pogwiritsa ntchito zala ndi mitengo ya palmu kuti ayang'ane zizindikiro za matenda. Kuphatikizana kumatanthawuza kuyezetsa kochitidwa ndi kukhudzidwa, monga "kumapweteka mimba."
Kulumikizana mu Medicine ndi Health
Mwinamwake mumadziŵa bwino mawere a m'mawere, koma kumadera ena a thupi ndi mbali yofunika kwambiri ya kuunika kwa thupi kumene dokotala amadziyesa, kapena kukhala ndi thanzi labwino.
Kwa iwo omwe ali ndi chidwi chachikulu makamaka podziwa za mawere a m'mawere, tiyambira pamenepo. Kapena mungathe kudumpha pansi kuti mudziwe za momwe palpation imawonera mu mankhwala, ndi njira zina zomwe lusoli likugwiritsiridwa ntchito.
Matenda a Chifuwa
Pakhala pali kutsutsana pankhani ya kuyesa mawere m'zaka zaposachedwapa, komabe ngati mumalankhula ndi anzanu ndi okondedwa anu mumakhala ndi mwayi woti mumve za munthu wina amene anapeza khansa ya m'mawere oyambirira chifukwa iwo, kapena dokotala wawo, anayezetsa mawere. Pali nthawi pamene kudziyesa n'kofunika kwambiri. Kawirikawiri, amayi omwe alibe chiopsezo cha khansa ya m'mawere ali ndi chifuwa chawo choyamba pakati pa zaka zapakati pa 35 ndi 40. Komabe timadziwa kuti khansa ya m'mawere imatha ndipo isanafike zaka zimenezi. Ichi ndi chimodzi mwa zifukwa zisanu zokha zomwe atsikana ayenera kudziyesa okha.
Inde, kuti mayeso a m'mawere apereke zomwe tikuyembekezera, ayenera kuchita bwino.
Zofufuza zimatiuza kuti pakuyesera, kapena ngakhale kuchipatala, sitimayika pamtambo m'njira yomwe ingathe kufufuza zolakwika zilizonse. Onetsetsani kuti muwone momwe mungapangire kudziyesa bwino.
Monga momwe tikuonera mu bukhuli, chithunzi chili ndi mawu chikwi, koma nthawizina vidiyo ndi yofunikira 10,000.
Pano mungathe kuona dokotala akufotokozera njira yodziyendera yodzitetezera komanso njira yodzipangira yekha, kapena momwe mungayang'anire mawere anu.
Monga chitsimikizo chomaliza cha mawere a m'mawere, timakonda kuiwala kuti anthu akhoza kutenga khansa ya m'mawere . Ndipotu, khansa ya m'mawere mwa amuna nthawi zambiri imapezeka mochedwa ndikufalikira msanga. Phunzirani momwe mungayankhire mawere a m'mawere.
Zomwe Zimapangitsa Kufufuza Kwambiri Thupi
Ophunzira azachipatala amakumbutsidwa mobwerezabwereza kuti matenda ambiri amatengedwa malinga ndi mbiri yakale komanso thupi lokha. (Mwachidule, mababu asanachitike kapena ma x-rays kapena maphunziro ena akuchitidwa.) Pali zigawo 4 zofunikira kuunika kwa thupi. Izi sizichitika nthawi zonse pambali ya thupi, koma ndizo:
- Kuyendera: kuyang'anitsitsa pang'onopang'ono thupi.
- Kuphatikiza: zigawo zowawa za thupi.
- Kukambirana: kugwiritsira ntchito dera la thupi lomvera khalidwe labwino.
- Kuchulukitsa: kumvetsera ndi stethoscope kwa kumveka kwa mtima kapena kumveka.
Kufunika kwa Kugawa
Mwa njira zonse madokotala amagwiritsira ntchito, palpation ndi imodzi mwa zofunika kwambiri. Kuonjezera apo, anthu ambiri amamuwona dokotala atangoyamba kutchula zolakwika kapena thupi pamthupi pawokha.
Ndi mbali ziti za thupi zomwe zimaphatikizidwa pa zofufuza za thupi?
Kuyesedwa kulikonse kumakhala kosiyana, koma mu madokotala ambiri a palpate:
- Mikono ndi miyendo: madokotala amanyalanyaza kwambiri zovuta zilizonse.
- Chifuwa ndi thorax: izi zinaphatikizapo kufufuza kwa abambo amuna ndi akazi.
- Msana: Zovuta monga scoliosis zimatha kupezeka ndi msana wa msana.
- Mimba: palpation ikhoza kuzindikira misa koma ingagwiritsidwe ntchito kuyang'ana nthata yotukulidwa kapena chiwindi chofutukuka.
Zopweteka pa Kugawa
Zoonadi zofukufuku zazing'onoting'ono zingathandize kufufuza zotsatira zopanda nzeru pa kafukufuku, koma nthawi zambiri vutoli ndilofunika kuti maphunziro ena onse ayambe kuwunikira.
Kutchulidwa: PAL-pate
Komanso Odziwika monga: kumva, chala, kugwira, kufufuza koona
Kawirikawiri Misspellings: palpait, pallpate
Zitsanzo: Pakati pa matenda a m'mawere, dokotala wanu adzalumikiza minofu yanu, kuti mudziwe momwe thupi lanu limapangira mafuta. Muli ndi chizoloŵezi cholera pamene mukuyesa kudzipenda nokha. Kuphatikizidwa ndi kufufuza mwa kukhudzidwa, osati kusokonezeka ndi palpitations - chomwe ndi mtima wosagwirizana kapena wolimba.
Zotsatira:
Metkus, T. Kufufuza Kwathupi ndi Fifth Maneuver. Journal ya American College of Cardiology . 2015. 66 (18): 2048051.
Verghese, A., Charlton, A., Kassierer, J., Ramsey, M., ndi J. Ioannidis. Kulephera kwa Kuyezetsa Thupi Monga Chifukwa cha Zolakwa Zamankhwala ndi Zoipa: A Collection of Vignettes. The American Journal of Medicine . 2015. 128 (12): 1322-1324.