I-Apical Pulse

-Delile

• Ukubuka konke
• Inhloso
• Itholakala kanjani i-apical pulse?
• Amanani akhokhelwe
• Ukushoda kwepulse
• Ukudla okudlela endlini

Ukubuka konke

Ukushaya kwenhliziyo yakho ukudlidlizela kwegazi njengoba inhliziyo yakho ilimpompa ngemithambo yakho. Ungakuzwa ukushaya kwenhliziyo ngokubeka iminwe yakho phezu komthambo omkhulu olele eduze kwesikhumba sakho.

Ukushaya kwenhliziyo kwe-apical kungelinye lamasayithi ayisishiyagalombili ajwayelekile wokushaya kwenhliziyo. Ingatholakala enkabeni yesobunxele sesifuba sakho, ngezansi nje kwengono. Lesi sikhundla sicishe sifane nendawo engezansi (ekhonjisiwe) yenhliziyo yakho. Bheka umdwebo oningiliziwe wohlelo lokujikeleza kwegazi.

Inhloso

Ukulalela ukushaya kwe-apical ngokuyisisekelo kulalela ngqo inhliziyo. Kuyindlela enokwethenjelwa kakhulu futhi engahlaseli yokuhlola ukusebenza kwenhliziyo. Futhi kuyindlela ekhethwayo yokulinganisa isilinganiso senhliziyo ezinganeni.

Itholakala kanjani i-apical pulse?

I-stethoscope isetshenziselwa ukukala i-apical pulse. Iwashi noma iwashi lesihlakala elinemizuzwana liyadingeka.

Ukushaya kwenhliziyo kwe-apical kuhlolwe kangcono lapho uhleli noma ulele phansi.

Udokotela wakho uzosebenzisa uchungechunge "lwezimpawu zomhlaba" emzimbeni wakho ukukhomba lokho okubizwa ngokuthi iphuzu le-maximal impulse (PMI). Lezi zimpawu zomhlaba zibandakanya:

• iphuzu le-bony le-sternum yakho (isifuba sesifuba)
• izikhala ze-intercostal (izikhala eziphakathi kwezimbambo zakho)
• umugqa we-midclavicular (umugqa wokucabanga ohambisa phansi umzimba wakho kusuka maphakathi nokhololo lwakho)

Kusukela endaweni yamathambo yesifuba sakho, udokotela wakho uzothola indawo yesibili phakathi kwezimbambo zakho. Bazobe sebehambisa iminwe yabo phansi esikhaleni sesihlanu phakathi kwezimbambo zakho bese beyislayida baye kulayini ophakathi nendawo. I-PMI kufanele itholakale lapha.

Lapho i-PMI isitholakele, udokotela wakho uzosebenzisa i-stethoscope ukuze alalele ukushaya kwenhliziyo yakho ngomzuzu ogcwele ukuze uthole isilinganiso sakho se-apical pulse rate. Umsindo ngamunye we- "lub-dub" inhliziyo yakho yenza ukubalwa njengokushaya okukodwa.

Amanani akhokhelwe

Izinga le-apical pulse rate libhekwa njengokungajwayelekile kumuntu omdala uma lingaphezu kwama-beats ayi-100 ngomzuzu (bpm) noma ngaphansi kuka-60 bpm. Ukushaya kwenhliziyo yakho ekahle ngesikhathi sokuphumula nangesikhathi sokuvivinya umzimba kuhluke kakhulu.

Izingane zinezinga eliphezulu lokushaya kwenhliziyo kunabantu abadala. Ububanzi obujwayelekile bokuphumula kwezingane bumi kanje:

• osanda kuzalwa: 100-170 bpm
• Izinyanga eziyisithupha kuya onyakeni owodwa: 90-130 bpm
• Iminyaka emi-2 kuya kwemi-3: 80-120 bpm
• Iminyaka emi-4 kuya kwemi-5: 70-110 bpm
• Iminyaka eyi-10 nangaphezulu: 60-100 bpm

Lapho ukushaya kwe-apical kuphakeme kunalokho obekulindelwe, udokotela wakho uzokuhlola ngezinto ezilandelayo:

• ukwesaba noma ukukhathazeka
• imfiva
• umsebenzi wakamuva womzimba
• ubuhlungu
• i-hypotension (umfutho wegazi ophansi)
• ukulahleka kwegazi
• ukudla okwanele kwe-oxygen

Ukwengeza, ukushaya kwenhliziyo okungaphezulu kakhulu kunokujwayelekile kungaba uphawu lwesifo senhliziyo, ukwehluleka kwenhliziyo, noma indlala yegilo eyeqile.

Lapho i-apical pulse iphansi kunalokho obekulindelwe, udokotela wakho uzohlola imithi engathinta ukushaya kwenhliziyo yakho. Imithi enjalo ifaka i-beta-blockers enikezwe umfutho wegazi ophakeme noma imishanguzo elwa nesifo sokuqaqamba komzimba enikezwa ukushaya kwenhliziyo okungajwayelekile.

Ukushoda kwepulse

Uma udokotela wakho ethola ukuthi i-apical pulse yakho ayilungile, cishe bazohlola ubukhona bokusilela kwenhliziyo. Udokotela wakho futhi angacela ukuthi une-electrocardiogram.

Kudingeka abantu ababili ukuhlola ukushaya kwenhliziyo. Umuntu oyedwa ulinganisa i-apical pulse kanti omunye umuntu ulinganisa i-peripheral pulse, njengaleyo esihlakaleni sakho. La mapulse azobalwa ngasikhathi sinye umzuzu owodwa ogcwele, umuntu oyedwa anikeze isinali omunye ukuthi aqale ukubala.

Lapho nje amazinga wokushaya kwenhliziyo etholakele, isilinganiso se-peripheral pulse rate sisuswa esilinganisweni se-apical pulse rate. Izinga le-apical pulse rate alisoze lehla kunenani lokushaya kwenhliziyo ngomgwaqo. Inombolo evelayo ukushoda kwenhliziyo. Imvamisa, izinombolo ezimbili bezizofana, kuholele umehluko weqanda. Kodwa-ke, lapho kunomehluko, kubizwa ngokuthi ukushoda kwe-pulse.

Ukuba khona kokushoda kwenhliziyo kubonisa ukuthi kungahle kube nenkinga ngokusebenza kwenhliziyo noma ukusebenza kahle. Lapho kutholakala ukushoda kwenhliziyo, kusho ukuthi ivolumu yegazi elikhishwe enhliziyweni lingase linganeli ukuhlangabezana nezidingo zezicubu zomzimba wakho.

Ukudla okudlela endlini

Ukulalela ukushaya kwe-apical kulalela ngqo inhliziyo yakho. Kuyindlela ephumelela kunazo zonke yokuhlola ukusebenza kwenhliziyo.

Uma ukushaya kwakho kungaphandle kwebanga elijwayelekile noma unesifo senhliziyo esingajwayelekile, udokotela wakho uzokuhlola ngokuqhubekayo.