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  • 3. გულის აუსკულტაცია მოზრდილებში

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    Giorgi Popiashvili
    114 views19 pages
    1. The document discusses heart sounds and their components during different phases of the cardiac cycle. 2. It describes the typical sounds heard during systole and diastole, and notes that the first heart sound is caused by closure of the mitral and tricuspid valves, while the second sound is produced by closure of the aortic and pulmonic valves. 3. It also mentions some abnormal heart sounds that can occur under certain pathological conditions.

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    Original Title

    3. გულის აუსკულტაცია მოზრდილებში (1)

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    1. The document discusses heart sounds and their components during different phases of the cardiac cycle. 2. It describes the typical sounds heard during systole and diastole, and notes that the first heart sound is caused by closure of the mitral and tricuspid valves, while the second sound is produced by closure of the aortic and pulmonic valves. 3. It also mentions some abnormal heart sounds that can occur under certain pathological conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    114 views19 pages

    3. გულის აუსკულტაცია მოზრდილებში

    Uploaded by

    Giorgi Popiashvili
    1. The document discusses heart sounds and their components during different phases of the cardiac cycle. 2. It describes the typical sounds heard during systole and diastole, and notes that the first heart sound is caused by closure of the mitral and tricuspid valves, while the second sound is produced by closure of the aortic and pulmonic valves. 3. It also mentions some abnormal heart sounds that can occur under certain pathological conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 19

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    fizikaluri gamokvlevebidan yvelaze srulfasovani
    meTodia .sarqvlovani aparatis mosmena xorcieldeba
    gulmkerdis wina kedelze. Aarsebobs 5 wertili, esenia:
    mitraluri sarqvlovani aparatisTvis – gulis
    mwvervali, samkarianisaTvis – marjvniv mkerdis ZvalTan
    V neknis mimagrebasTan, aortisa – meore neknTaSua
    sivrce marjvniv mkerdis ZvalTan, filtvis arteriis
    sarqvlovani aparatisaTvis – meore neknTaSua sivrce
    marcxniv mkerdis ZvalTan, aortis mosasmeni damatebiTi
    wertilia e.w. botkin-erbis wertili – III an IV
    neknTaSua sivrceSi marcxniv mkerdis Zvlis kidesTan.

    4
    NEXT : Components of
    PREV : Heart Sounds
    Diastole

    5
    Ggulis mosmenisas normalurad ori toni
    ismis. Ppirveli toni Seesabameba gulis
    mwvervalis biZgis moments, did pauzas mosdevs,
    mwvervalze Zlieria vidre fuZeze. Ppirveli
    toni iqmneba orkariani da samkariani
    sarqvlebis TiTqmis erTdrouli daxurviT,
    parkuWTa kunTis SekumSva daZabviT, aortisa da
    filtvis arteriis sarqvlebis gaRebiT da
    maTi kedlebis daWimviT.M

    ( audio masalis demonstrireba. )

    6
    Mmeore toni iqmneba aortisa da
    filtvis arteriis sarqvlebis
    daxurva-daZabviT da parkuWis
    diastolis dasawyiss aRniSnavs.

    ( audio masalis demonstrireba. )

    7
    Mmesame toni mosdevs meores,
    normaSi ar ismis, is winagulebidan
    parkuWebSi Camosuli sisxliT
    ukanasknelTa swrafi daWimvis gamo
    viTardeba.

    meoTxe toni mosdevs mesames,


    mormaSi ar ismis, aRniSnavs
    winagulebis sistolas.
    8
    9
    Ggulis mosmenisas yuradRebas vaqcevT tonebis
    Zalas, mkafiobas, tembrs, sixSires, ritms, raodenobas,
    Suilis arsebobas da mis ZiriTad Tvisebebs.
    Ppirveli toni ufro xSirad sustdeba, vidre
    Zlierdeba. is sustdeba orkariani, samkariani da
    aortis sarqvlis naklovanebis dros. Ppirveli
    tonis Zala miT ufro metia, rac swrafad ikumSeba
    parkuWebi da rac naklebia maTSi sisxli sistolis
    dasawyisisaTvis. magaliTad, mitraluri stenozis
    dros da mas “tkacuna” toni ewodeba.

    ( audio masalis demonstrireba. )

    10
    Mmeore toni aortaze Zlierdeba did
    wreSi wnevis matebis dros, xolo sustdeba
    aortis sarqvlis naklovanebis da
    arteriuli wnevis daqveiTebis dros.
    Mmeore toni filtvis arteriaze
    Zlierdeba sisxlis mimoqcevis mcire wreSi
    wnevis matebis gamo, magaliTad mitraluri
    stenosis dros.

    11
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    sarqvlebis araerTdrouli daxurva,
    parkuWebis araerTdrouli SekumSva,
    erTiani tonis nacvlad or bgeras
    SeiZleba iZleodes, Tu maT Soris pauza
    Zneli gasarCevia, amas tonis gaxleCa
    ewodeba, Tu is garkveviT aRiniSneba, is
    tonis gaorebaa. I tonis gaxleCa-gaoreba
    mwvervalze hisis konis marjvena fexis
    blokadis dros aRiniSneba.

    15
    II tonis gaxleCa-gaoreba fuZeze aortasa
    da filtvis arteriaSi wnevaTa sxvaobiT
    aris ganpirobebuli.

    ( audio masalis demonstrireba. )


    16
    Mmitraluri stenozis dros
    mwvervalze II tonis Semdeg
    SeiZleba movisminoT damatebiTi
    III paTologiuri toni, mitraluri
    sarqvlis gaRebis xmianoba. Ees
    samwevra ritmi mwyeris ritmadaa
    cnobili.
    ( audio masalis demonstrireba. )

    17
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    arsebobs kidev sxva samwevra ritmi, romelsac cxenis
    Wenebis (galopis) ritmi ewodeba. Tu is diastolis
    dasawyisSi aRiniSneba mas protodiastoluri ritmi
    ewodeba, Tu I tonis win – presistoluri.

    ( audio masalis demonstrireba. )


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