Ukubaluleka kwePalati njengengxenye yePhysical Exam
Ukuthabatha kuthetha ukuthatha uvavanyo lwezokwelapha usebenzisa iminwe kunye neentende ukuze ukhangele nayiphi na imiqondiso yesifo. Uhlobo lubhekiselele kuvavanyo olwenziwe nguthintelo, njengalokhu "kulungiswa kwesisu."
Udidi lweMithi kunye neMpilo
Uyazi kakuhle ukubethelwa kwebele, kodwa iindawo ezithile zomzimba ziyingxenye ebaluleke kakhulu yokuhlolwa ngokomzimba eyenziwa ngugqirha okanye ukugcina iso lakho kwimpilo.
Kwabo abanomdla ngokuyinhloko ekufundeni malunga neentloko zokubamba, siya kuqala khona. Okanye unganqabana ngezansi ukufunda malunga nendima yokudlala inxaxheba kumayeza, kunye nezinye iindlela ezisebenzise ngayo lo buchule.
Uphulo lwebele
Kukho ukuphikisana malunga nokwenza uvavanyo lwamazinyo kwiminyaka yamuva nje, kodwa ukuba uthetha nabahlobo kunye nabathandekayo kukho ithuba lokuva malunga nomntu ofumene umdlavuza wabo webele ngenxa yokuba, okanye ugqirha wabo, bavavanya isifuba. Kukho amaxesha apho iimviwo zibaluleke kakhulu. Ngokuqhelekileyo, abasetyhini abangenayo ingozi yomhlaza wesibeleko banomdla wokuqala phakathi kweminyaka engama-35 no-40. Kodwa siyazi ukuba umdlavuza webele unokwenzeka kwaye uyenzeka ngaphambi kwaloo minyaka. Le yilezi zizathu ezi-5 kuphela ezenza ukuba amabhinqa amancinci ayenze ukuhlolwa kwebele.
Ewe, ukuba uvavanyo lwebele lubonelele ngolwazi esikulindeleyo, kufuneka luyenze ngokufanelekileyo.
Izifundo zisitshela ukuba ekuzihloleni, okanye nakwiimvavanyo zesikhumba se-clinic, asiyikuyifumanisa isifuba ngendlela ekwazi ukukhangela ngokwaneleyo nayiphi na into engafanelekanga. Qinisekisa ukuba uhlolisise isi sikhokelo esichazwe ngokucacileyo malunga nendlela yokwenza ukuhlolwa kwebhere ngokucophelela.
Njengoko kunokubonwa kule khokhelo eboniswayo, umfanekiso ufanele amazwi angamawaka, kodwa ngamanye amaxesha ividiyo ixabisa ezili-10 000.
Lapha ungabuka ugqirha uchaza indlela yokuhlola isondo kunye neendlela zokuzihlola, okanye nokuba wenze njani ukuhlola kwakho okubonakalayo kwebele.
Njengengxelo yokugqibela malunga nokunyamezela kwebele, sivame ukulibala ukuba abantu banokufumana umdlavuza webele . Enyanisweni, umhlaza wesifuba emadodeni uthambekele ukufumaneka emva kwexesha kwaye usasaze phambili. Funda indlela yokwenza ukuhlolwa kwesifuba somntu.
Iimpawu zoPhicotho oluPhezulu lweMviwo
Abafundi bezonyango bayakhunjuzwa ngokuphindaphindiweyo ukuba ezininzi iingxaki zenziwa ngokusekelwe kwimbali epheleleyo kunye nomzimba wedwa (ngamanye amagama, ngaphambi kokuba nayiphi na iilabhu eyenziwe okanye nayiphi na i-ray-ray okanye ezinye izifundo ziqhutyelwa.) Kukho iingxenye ezi-4 ezibalulekileyo ekuhloleni ngokomzimba. Ezi azinjalo rhoqo kwiindawo zonke zomzimba, kodwa zibandakanya:
- Uhlolo: ukujonga ngokubonakalayo emzimbeni.
- Ubume: iindawo ezichaphazelayo zomzimba.
- Ukuxubusha: ukuthabatha ummandla womzimba ophulaphule umgangatho ozwakalayo.
- Ukuqulunqa: ukuphulaphula nge-stethoscope yeentsimbi zentliziyo okanye izandi.
Kubaluleka kwePalati
Kuzo zonke izicwangciso zamagqirha asetyenziswayo, i-palpation yenye yeyona nto ibaluleke kakhulu. Ukongezelela, abantu abaninzi babona ugqirha emva kokuba baqale baqaphele isitenxo okanye inhlamba emzimbeni wabo ngokwawo.
Ziziphi iNgxenye zeBhunga ezixhomekeke kwiPhysical Exam?
Wonke uviwo luyahlukahlukileyo, kodwa ngoogqirha boogqirha obubanzi:
- Iingalo nemilenze: oogqirha banokuqwalasela ngokugqithiseleyo nayiphi na into engafanelekanga.
- Isifuba kunye ne-thorax: oku kubandakanya ukuhlolwa kwebele kubo bobabini nabasetyhini.
- Umgudu: ukungaqhelekanga okufana ne-scoliosis inokuthi ifunyenwe ngophupho lomlenze.
- Isisu: i-palpation iyakwazi ukubona abantu kodwa nayo ingasetyenziselwa ukujonga ipeni ekhulisiweyo okanye isibindi esandisiweyo.
Ukungavumelekanga kwiNqanaba
Ngokuqinisekileyo ukuphonononga izifundo kunokunceda ukuphonononga iziphumo ezingavamile kwiimviwo, kodwa i-palpation ihlala yindlela apho kufuneka khona okokufunwa nayiphi na enye yezi zifundo.
Ukubizwa: I- PAL-pate
Kwakhona Uyaziwa: Uziva, umnwe, uthinte, ukuhlola okuchanileyo
Iimpazamo eziqhelekileyo: i- palpait, pallpate
Imizekelo: Ngethuba lokuhlolwa kwesifuba sakho, ugqirha wakho uya kufaka izicubu zakho zebele, ukuze ufumane ingqiqo yezinto zakho ezinamafutha kunye nezigulane. Unokwenza isilathiso xa wenza isifuba sakho seenyanga sesifuba sakho. Uluhlu luyimviwo ngokuthintela, kungekhona ukudideka kunye neepilpitations- okuyiyo intliziyo engavumelekanga okanye enamandla.
Imithombo:
Metkus, T. Ukuhlolwa kweMvelo kunye neFifth Maneuver. Umbhalo we-American College of Cardiology . 2015. 66 (18): 2048051.
Verghese, A., Charlton, A., Kassierer, J., Ramsey, M., noJoooidis. Ukungafuneki kweMviwo yePhysical As a Cause of Errors Medical and Events: A Collection of Vignettes. I-American Journal of Medicine . 2015. 128 (12): 1322-1324.