Apical turu. Palpation na zuciya

Mene ne wani cardiac turu? Ma'aikatan kiwon lafiya ne da ya saba da wannan ra'ayi. Ga waɗanda suka ba da suka shafi kiwon lafiya da ayyukan, wannan definition ba kome yawa. Yadda za a yi palpation don gane da wuri daga cikin cardiac turu, kazalika da wasu daga cikin nuances wannan hanya za ta zama ban sha'awa ga kowa da kowa, tare da bayanai gabatar a wannan labarin zai zama da amfani ga waɗanda suka kawai so su koyi da kayan yau da kullum na kiwon lafiya.

cardiac turu

Cardiac turu - a ripple rabo daga cikin agara kirji bango, wanda ya yi daidai da zuciya contractions. Ana iya gani a lokacin da kyan gani, daga mãsu haƙuri. Ko da yake a wasu lokuta, apical turu ba zai iya ganin:

• kiba.
• kunkuntar intercostal sarari;
• suka ci gaba tsokoki.
• manyan ƙirãza.

Mafi alhħrin shi ne m, a mutane da asthenic tsarin mulki. Don samun shi, wanin dubawa palpated atrial yankin da kuma sanin wurin da cardiac turu, kimanta da kaddarorin don ƙarin bayani.

palpation dabara

Dama da hannunka a cikin wani aikin zargin da tura, tsakanin 3 da 6 a wani gefe koli na zuciya. Ƙayyade da ripple fadin surface na dabino, sa'an nan localize da shi tare da tip na index yatsa. Yana dole ne a shigar perpendicular zuwa kirji. A cikin mafi kowa pulsation sanin da hagu da kuma ƙananan yankin. Wannan batu ne da shafin na cardiac turu. Ba zato ba tsammani, da aka zaɓa wuri, inda aka ƙaddara protrusion kirji ɓangaren litattafan almara m phalanx tausa yatsa, da kuma gefen saman na shi.

Idan koli na zuciya don jin wani goyon baya saboda da yanayin da kirji da wuya, shi aka yi tare da palpation tilted gaba kirji, ko da haƙuri da aka sanya a gefen hagu. A tsoka na zuciya a wadannan wurare tam shigeba, ga kirji da Firaministan gefen hagu huhu.

A bar kaikaice matsayi, cardiac turu shi ne a kasa da kuma a hagu 2 cm, don haka da dirka dauki wuri da intercostal sarari, wanda aka bayyana raguwa, amma ga 2 cm tsakiya zuwa dirka yankin. Palpation apical turu yi exhale qara chances na kayyade wurinta, domin a wannan lokacin na dagawa da diaphragm, zuciya, yin Pendulum motsi zuwa hagu da kuma up, da ke shiga a kwance matsayi, turawa gefen hagu huhu.

Doctors m wasu kaddarorin cardiac turu:

• wuri;
• juriya;
• ruwan dare;
• tsawo.

Location cardiac turu

Rage cardiac koli kafa cardiac turu. A saman ne dan kadan tsakiya zuwa tsakiyar clavicular line a cikin 5th intercostal sarari a kan hagu. An located in mun gwada yardar kaina da kuma sa Pendulum-kamar motsi. Idan ka canza wuri na jiki, motsa da kuma tura sarrafawa. Wasu embodiments na wani tura kawar da aka bayyana a sama.

Lokacin da wani mutum a gefen dama bi da bi bayyana kawar da filin atrial pulsation ba ya faruwa, da kuma bar huhu, a wannan lokacin, da ciyar da zuciya, iya cikakken motsa shi daga cikin kirji bango. Saboda haka, kullum, a gefen dama, atrial pulsation iya kusan bace.

Pathological hijirar na zuciya pulsation

A biya diyya ripple kasu iri biyu:

1. A biya diyya ba a hade tare da cututtukan zuciya da (pneumothorax, hydrothorax, huhu scarring, na huhu emphysema, bata ne matakin na tsaye diaphragm - ascites, ciki, flatulence, emaciation)
2. Pathological pulsation hade da cutar zuciya.

A karshen harka, hagu shift auku saboda da karuwa daga hagu ventricle, wani lokacin ga agara axillary line, da kuma saukar zuwa 6,7,8 intercostal sarari. The fadada dama ventricle ma ya ba da biya diyya ga bar iyaka da zuciya, amma da tura ne 5 intercostal sarari.

Yaduwar na cardiac pulsation

Square protrusions cardiac turu ne game da 2 cm². Idan shi ya fi girma, sa'an nan muka yi magana da yaxuwa ko yada tsabta da kuma jerk. A wani m yanki shi yana da iyaka.

Common pulsation faruwa a lokacin da zuciya na mafi yawan surface ne m ga kirji bango. Yana lura:

• tare da mai zurfi numfashi.
• ciki;
• a marurai na mediastinum da sauransu.

A cikin rashi daga cikin wadannan yanayi da zub da buga iya zama sakamakon fadada daga cikin zuciya (na duk ko wani daga cikin sassa).

Limited cardiac turu faruwa a lokacin da zuciya ne da karami yanki ne m ga kirji. A dalilin wannan zai iya zama:

• emphysema.
• low tsaye diaphragm.
• pericardial effusion .
• hydro, pnevmoperikard.

A tsawo na cardiac turu

Cardiac turu tsawo - amplitude na pulsating rabo daga kirji. Rarrabe high, low kuma al'ada cardiac turu. Sa low ne guda kamar yadda na da iyaka. Haka kuma, da Sanadin yaxuwa form high apical turu. Yana kuma na faruwa a lokacin tachycardia saboda thyrotoxicosis, zazzabi, smokers, a karkashin babban ƙarfin lantarki.

Resistant cardiac turu - pulsation, wanda ya bada ji na lokacin farin ciki, m tsoka palpation, matsin lamba ne ba sauki mika. Saboda haka, idan shi ne har yanzu yaxuwa, karfi da hali, to, shi yana a tsare a matsayin Dome-dimbin yawa apical turu. Yadda aka saba, shi ne ba m, amma da aka kafa tare da hauhawar jini ko aortic lahani a lokacin da bunkasa hagu na ramin zuciya hypertrophy.

Korau cardiac turu

Karyata daga cikin kirji bango a yankin na cardiac turu a lokacin systole - wani mummunan apical turu. Ya bayyana tare da kar- tsawo na dama ventricle, wanda Firaministan da na baya tip na hagu ventricle. Systolic ƙanƙancewa shi zai iya samar da irin wannan sabon abu.

Karyata daga intercostal sarari faruwa a lokacin da m pericarditis.

sauran pulsation

Diagnostically gagarumin hawa da sauka ne pulsation na lakã, na huhu jijiya da kuma epigastrium ripple. A farko daga cikinsu shi ne ganuwa zuwa al'ada. Pathological guda ripple bayyana a cikin II intercostal sarari a daidai gefen sternum. A dalilan da ya faru sun hada da:

• hakkin huhu scarring.
• fadada lakã (syphilis, aneurysm na hawa lakã, aortic bawul lahani).

Pulsation na huhu jijiya (II intercostal sarari to hagu na sternum) - sakamakon huhu hauhawar jini a mitral bawul lahani.

Epigastric pulsation aka gano a cikin epigastric fossa. A dalilan da ya faru:

• ptosis na dama ventricle.
• ciki aortic aneurysm.

ƙarshe

A sama-ya bayyana hanyoyin da bincike ne mai muhimmanci ga likitoci, amma dangane da ci gaban da hardware ganowa, likitoci sadaukar da fassara Pathology ta gani dubawa da kuma palpation ƙarnin ya rage muhimmanci.

A daidai wannan lokaci, da bukatar ci gaba da sama yi ne sosai high. Kwararru ƙayyade apical turu da palpation, ya kamata a karfafa da kuma rayayye watsa ƙarin bayani a kan aikace-aikace na wannan Hanyar in magani.

A lokuta da dama, da yin amfani da palpation kai ga sakamako mai kyau, ciki har da farkon ganewar asali na cutar. Zaba gwani apical turu (a al'ada da kuma daban-daban pathologies) ne mai muhimmanci siga ga kafa hanyoyin da zalunta marasa lafiya.