Crepitus - Iyini?

Kwezokwelapha, kunemibandela eziningi ezahlukene eziqondwa kuphela odokotela. Uma uzwa umuntu ezihlobene icala likadokotela, akazange aqonde ukuthi kwakwenzekani enkundleni. Omunye imigomo ezivamile kuyinto "yequbula". Leligama kuzwiwe kusukela ezihlukahlukene odokotela phakathi checkout. Yini yequbula? Lokhu kuzoxoxwa ngakho kulesi sihloko.

Crepitus: incazelo kanye nezinhlobo uphawu

Igama elithi emkhakheni wezokwelapha libhekisela umsindo esasenza omnandi, Kutsho palpation (palpation) noma auscultation (ukulalela).

Kunezinhlobo eziningana izinhlobo crepitations:

• Bone. umsindo Crisp kwenzeka ngenxa bezihlikihla ndawonye izinsalela, okuyizinto contact. Lolu hlobo ukutholwa iphenya futhi ukulalela, futhi njengoba ethize uphawu imigqa ephezulu nephansi. Ingasetshenziselwa ukuxilonga waphuka ngesikhathi luhlolo lokuqala isisulu.
• crepitus Ongama. Lokhu uphawu kwenzeka uma palpation noma auscultation at lezo zikhathi lapho kukhona ikhanda ngokucindezela ezindaweni ulwelwesi zomzimba, ukuba nezicubu ongama e ekuqongeleleni igesi Bubbles. Uphawu nobuntu emphysema ongama , noma izifo anaerobic.
• crepitus Alveolar. Lokhu kuwuphawu kuchazwe at ukulalela lula. It sifana umsindo kwenzeka uma ukungqubuzana izinwele, iziphi sandwiched phakathi kweminwe. Lokhu uphawu oluthile kwenzeka nenyumoniya lapho oyingozi. Basuke sihambisana izigaba ukubukeka resorption uketshezi kule alveoli. Auscultated crepitus alveolar njengoba uchungechunge ukuchofoza ku ephakeme isigaba inspiratory.

Ungaphinde ukhethe uhlobo umsipha crepitus okuvela phakathi nesikhathi palpation ka ukuvuvukala endaweni ka umsipha ethintwa tenosynovitis.

Phakathi ukunyakaza emalungeni futhi lesi simo singenzeka ziwe umsindo. crepitus Articular - uphawu isici osteoarthritis. Esinye isifo okuthiwa i-osteoarthritis. Uma kuthintwa evele uqwanga namalungu ukuphathwa kuthatha isikhathi eside.

Crepitus: imbangela uphawu

Isizathu esiyinhloko - kuba ukungqubuzana kwezicubu emzimbeni kungaphezu evamile.

kuphakama crepitus Alveolar kusukela "razlipaniya" ngezinye izikhathi inspiratory alveolar izindonga okuyinto ethe njo phakathi umoya ngenxa khona in the alveoli transudate, exudate noma igazi. Lolu hlobo crepitations auscultated kulezi zimo ezilandelayo:

• On the izigaba 1st futhi 3rd lobar nenyumoniya.
• Endabeni infarction yamaphaphu.
• Lapho yokujama tsi emaphashini.

Futhi kungenzeka uphawu auscultated emaphashini e izilonda alveolar okuyinto zibangelwa izifo letindzala.

Ongama uhlobo crepitations itholakala:

• emphysema Lapho ongama.
• Ukuba khona anaerobic Amagciwane.

Kungenzeka futhi ukuba ukukhomba uhlobo ukwethulwa igesi izingxenye ezihlukahlukene zomzimba ngoba kwelashwa.

Crepitus zingaveli emalungeni, wathi:

• Ngo-rheumatoid arthritis.
• Osteoarthritis.
• Dysfunction ka amadolo pads.

izimpawu crepitations

Uma kukhona ziwe, kungenzeka ukuthi lokhu kuwuphawu sifo, okungaba okuyisimo esisongela ukuphila. Ngokuzimela ukuhlonza crepitus kunzima kakhulu. Ezinye izimpawu ezihambisana ke, kuxhomeke izimbangela kanye kwasendaweni.

Crackles e iphaphu kungase kuhambisane isikhumba bluish nezindebe, ukuphefumula okusheshayo, iphika ukukhwehlela, ukucanuzela kwenhliziyo noma ukuhlanza, umuzwa ukucindezela noma ubuhlungu esifubeni.

Izimpawu ezilandelayo nazo zingaba khona, kuye ngokuthi isifo:

• izigqiki Okuxekethile.
• Ukujuluka.
• Hemoptysis.
• Ukuphelelwa ngumoya.
• Nokulahlekelwa ukwazi.

Uphawu oyinhloko crepitation ongama - khona ukuvuvukala izicubu ongama.

Crepitus of izinsalela kungase kuhambisane ukungasebenzi, ubuhlungu endaweni elimele, ukuvuvukala kanye nokulimala ukuthi kungenzeka kamuva.

crepitus Articular ephelezelwa ubuhlungu emalungeni iziguli ukuthi kwandisa nge umthwalo, edema, angahlali abampofu. Kungenzeka futhi umkhuhlane zendawo ububomvu.

ukuhlola

I oluvamile kakhulu wamaphaphu ukulalela. Umsindo zingase zifane kwesifuba futhi ziwe ukuthi ushintshe usayizi yabo izikhathi ukukhwehlela.

Futhi, crepitus kungaba ukuzibonakalisa njengoba umsindo obangelwa ngomshikisho we pleura, okuyinto abavusa. Noise ungaba isikhathi eside futhi wezwa ngesikhathi ugqozi futhi ngesikhathi ukuphela.

Bone uphawu itholwa ngokuzwa indawo ukwa, nomsindo ngokuvamile wezwa, ngisho noma ukude.

crepitus Ongama futhi watholakala palpation.

Articular kunqunywa palpation kwakunguNk lesiguli. Lokhu ucabangela izikhalazo lesiguli. Isizathu Kumiswa usebenzisa-X-ray.

ukwelashwa crepitations

Njengoba kuwuphawu, akusona isifo, akunakwenzeka ukwelapha. A crepitus uyoqeda kuphela uma ekwelapheni isifo oholele kulo. Kuye isifo eyisisekelo kuphela udokotela angakunika umuthi Ngokwelashwa okufanele, ngenxa okuyinto zinyamalale futhi uphawu.