Video: Koj Auscultate ib tug yws qhov twg?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Qhov chaw Auscultation
| Aortic Valve Cheeb Tsam | Thib ob txoj cai intercostal chaw (ICS), txoj cai sternal ciam teb |
|---|---|
| Erb's Point | Thib peb sab laug ICS, sab laug sternal ciam teb |
| Tricuspid Valve Area | Plaub sab laug ICS, sab laug sternal ciam teb |
| Mitral Valve Area | Thib tsib ICS, sab laug kab nruab nrab-clavicular |
Tsis tas li ntawd, qhov twg yog qhov kev yws yws zoo tshaj plaws?
Cov yws ntawm aortic regurgitation yog ib qho mos, siab-siab, ntxov diastolic, decrescendo yws yws feem ntau hnov zoo tshaj ntawm qhov chaw thib peb intercostal ntawm sab laug (Erb's point) thaum kawg tas sijhawm nrog tus neeg mob zaum thiab sawv ntsug rau pem hauv ntej.
Ib sab saum toj, dab tsi yog qhov zoo ntawm Qib II lub plawv yws? Murmurs raug cais ("qib") nyob ntawm seb lub suab nrov npaum li cas yws suab nrog lub stethoscope. Cov qib yog nyob rau teev. Qib Kuv nyuam qhuav hnov. Piv txwv ntawm a yws piav qhia yog " qib II /VI yws yws ” (Qhov no txhais tau tias yws yog qib 2 ntawm qhov ntsuas ntawm 1 txog 6).
Kuj nug tias, koj tso lub stethoscope rau qhov twg kom hnov lub suab nrov?
Qhov chaw diaphragm ntawm stethoscope hauv 5th ua intercostal qhov chaw, mid-clavicular kab (tib thaj tsam li lub apex ntaus). Qhov no yog qhov cim thaj chaw rau lub mitral valve. Mloog tsawg kawg yog 5 sec rau thawj zaug lub plawv suab , uas sawv cev rau lub mitral valve kaw.
Yuav ua li cas koj paub yog hais tias ib tug yws yws yog systolic los yog diastolic?
Systolic yws tshwm sim nruab nrab ntawm thawj lub suab suab (S1) thiab lub suab lub plawv thib ob (S2). Diastolic yws tshwm sim ntawm S2 thiab S1. Tsis tas li ntawd, lub sijhawm yog siv los piav txog thaum twg yws tshwm sim hauv systole los yog diastole.
Pom zoo:
Aortic stenosis yws yws mus rau qhov twg?
Cov hluav taws xob. Thaum yws yws feem ntau mob siab rau ntawm ib qho kev mloog tshwj xeeb, lawv feem ntau xa mus rau lwm qhov kev mloog lus lossis thaj chaw ntawm lub cev. Piv txwv li, yws ntawm aortic stenosis nquag tawg mus rau cov hlab ntsha carotid thiab yws ntawm mitral regurgitation radiates mus rau thaj tsam axillary sab laug
Lub plawv yws yws hauv cov menyuam mos yug los yog dab tsi?
Lub plawv dhia yog lub suab ntawm lub li qub kaw. Lub plawv yws yws yog lub suab ntxiv uas tau hnov thaum kws kho mob mloog nrog lub mloog pob ntseg. Qhov no cov ntshav ib txwm yog hu ua ib tug dawb huv, los yog ib txwm, yws yws. Ntau tshaj 66 feem pua ntawm tag nrho cov me nyuam, thiab kwv yees li 75 feem pua ntawm tag nrho cov me nyuam mos, muaj lub plawv yws yws
Lub plawv yws yws li cas?
Systolic yws raug muab qhab nia los ntawm kev siv zog (nrov nrov) los ntawm 1 txog 6, nrog lub mloog pob ntseg tshem tawm me ntsis hauv siab. Ib qib 1 ntawm 6 yog qaug zog, hnov tsuas yog siv zog tshwj xeeb. Qib 6 ntawm 6 (6/6) nrov heev, thiab tuaj yeem hnov nrog lub stethoscope txawm tias me ntsis tshem tawm ntawm lub hauv siab
Puas yog systolic yws yws txaus ntshai?
Lub plawv valve uas ua haujlwm tsis raug feem ntau ua rau lub suab tsis zoo. Lub plawv yws yws raug cais raws li "dawb huv" lossis "txawv txav." Lub plawv dawb huv yws tsis txaus ntshai thiab feem ntau yuav tsum tsis muaj kev kho mob. Lawv tuaj yeem tshwm sim los ntawm anemia, kub taub hau lossis hyperthyroidism, ntawm lwm yam
Dab tsi yog lub plawv yws yws?
Lub plawv palpation thiab kuaj mob… tuaj yeem xav tias yog qhov zoo siab los ntawm lub teeb palpation hla lub hauv siab ntawm phab ntsa. Kev zoo siab yog qhov ua rau hnov ntawm daim tawv nqaij ua rau thaj tsam muaj kev kub ntxhov thiab qhia tias lub plawv yws yws feem ntau tshwm sim los ntawm lub plawv tsis muaj peev xwm