Pulse - isibopho

I-pulse eboshelwayo ukuzwa okunamandla okuzwakala ngaphezulu komunye wemithambo emzimbeni. Kungenxa yokushaya kwenhliziyo okunamandla.

Ukushaya kwenhliziyo nokushaya kwenhliziyo okusheshayo kwenzeka kulezi zimo noma imicimbi elandelayo:

• Isigqi senhliziyo esingajwayelekile noma esisheshayo
• Ukushoda kwegazi
• Ukukhathazeka
• Isifo sezinso sesikhathi eside (esingapheli)
• Imfiva
• Ukwehluleka kwenhliziyo
• Inkinga ye-valve yenhliziyo ebizwa nge-aortic regurgitation
• Ukuzivocavoca umzimba kanzima
• Indlala yegilo eyeqile (hyperthyroidism)
• Ukukhulelwa, ngenxa yokwanda koketshezi negazi emzimbeni

Shayela umhlinzeki wakho wezokunakekelwa kwempilo uma umfutho noma izinga lokushaya kwenhliziyo yakho likhuphuka ngokuzumayo futhi lingapheli. Lokhu kubaluleke kakhulu lapho:

• Unezinye izimpawu kanye nokwanda kwenhliziyo, okufana nobuhlungu besifuba, ukuphefumula okuncane, ukuzwa ukuquleka, noma ukulahlekelwa ukwazi.
• Ushintsho ekushayeni kwakho alupheli lapho uphumula imizuzu embalwa.
• Usuvele utholwe unenkinga yenhliziyo.

Umhlinzeki wakho uzokwenza ukuhlolwa komzimba okubandakanya ukuhlola izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi. Inhliziyo yakho nokujikeleza kwegazi nakho kuzohlolwa.

Umhlinzeki wakho uzobuza imibuzo efana nale:

• Ingabe lesi yisikhathi sokuqala lapho uzizwa ushaya ngamandla?
• Ingabe yathuthuka ngokuzumayo noma kancane kancane? Ngabe ihlala ikhona noma iyafika idlule?
• Ngabe kwenzeka kuphela nezinye izimpawu, njengokushaywa yizibiliboco? Yiziphi ezinye izimpawu onazo?
• Ingabe kuba ngcono uma uphumula?
• Ngabe ukhulelwe?
• Wake waba nemfiva?
• Ingabe ukhathazeke kakhulu noma wacindezelwa?
• Ingabe unezinye izinkinga zenhliziyo, njengesifo se-valve senhliziyo, umfutho wegazi ophakeme, noma ukwehluleka kwenhliziyo okucinana?
• Ingabe unokwehluleka kwezinso?

Ukuhlolwa kokuxilongwa okulandelayo kungenziwa:

• Izifundo zegazi (i-CBC noma ukubalwa kwegazi)
• I-x-ray yesifuba
• I-ECG (electrocardiogram)
• I-Echocardiogram

Ukushaya kwenhliziyo

• Ukuthatha ishayela lakho le-carotid

UFang JC, u-O'Gara PT. Umlando nokuhlolwa komzimba: indlela esekwe ebufakazini. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Izifo Zenhliziyo zeBraunwald: Incwadi Yemithi Yezinhliziyo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 10.

UMcGrath JL, uBachmann DJ. Isilinganiso sezimpawu ezibalulekile. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 1.

AmaMills NL, Japp AG, uRobson J. Uhlelo lwezinhliziyo. Ku: Innes JA, Dover AR, Fairhurst K, eds. Ukuhlolwa Kwemitholampilo iMacleod. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2018: isahluko 4.