Ukuqonda iPulsus Paradoxus

-Delile

• Ingabe i-asthma ibangela i-pulsus paradoxus?
• Yini enye ebangela i-pulsus paradoxus?
• Izimo zenhliziyo:
• I-pericarditis ecindezelayo
• I-pericardial tamponade
• Izimo zamaphaphu:
• Ukukhushulwa kwe-COPD
• I-embolism enkulu yamaphaphu
• I-apnea yokulala evimbela
• I-Pectus excavatum
• Ukukhishwa okukhulu kwe-pleural
• Ngabe i-pulsus paradoxus ilinganiswa kanjani?
• Okubalulekile

Yini i-pulsus paradoxus?

Uma udonsa umoya, ungathola ukwehla okuncane, okufushane komfutho wegazi okungabonakali. I-Pulsus paradoxus, kwesinye isikhathi ibizwa ngokuthi i-paradoxic pulse, ibhekisa ekwehleni kwengcindezi yegazi okungenani eyi-10 mm Hg ngokuphefumula ngakunye. Lokhu kwanele umehluko ukudala ushintsho olubonakalayo emandleni we-pulse yakho.

Izinto eziningana zingadala i-pulsus paradoxus, ikakhulukazi izimo ezihlobene nenhliziyo noma amaphaphu.

Ingabe i-asthma ibangela i-pulsus paradoxus?

Lapho umuntu ehlaselwa yisifuba somoya kanzima, izingxenye zomoya wabo ziqala ukuqina futhi zivuvuke. Amaphaphu aqala ukwedlula ngokweqile ekuphenduleni, okufaka ingcindezi eyengeziwe emithanjeni ethwala igazi eline-enegengen kusuka enhliziyweni kuya emaphashini.

Ngenxa yalokhu, igazi liyabuyela emuva ku-ventricle efanele, okuyingxenye engezansi kwesokudla senhliziyo. Lokhu kudala ingcindezi eyengeziwe yokwakha ohlangothini lokunene lwenhliziyo, olucindezela ohlangothini lwesobunxele lwenhliziyo. Konke lokhu kuphumela ku-pulsus paradoxus.

Ngaphezu kwalokho, isifuba somoya sandisa ingcindezi engemihle emaphashini. Lokhu kubeka ingcindezi eyengeziwe ku-ventricle wesobunxele, nawo ongadala ukuphazamiseka kwepulsus.

Yini enye ebangela i-pulsus paradoxus?

Ngaphezu kokuhlaselwa yisifuba somoya, izimo zenhliziyo nezamaphaphu eziningana zingadala ukuphazamiseka kwepulsus. I-Hypovolemia nayo ingadala i-pulsus paradoxus ezimweni lapho inzima khona. Lokhu kwenzeka lapho umuntu engenalo igazi elanele emzimbeni wakhe, imvamisa ngenxa yokwehla emzimbeni, ukuhlinzwa, noma ukulimala.

Okulandelayo yizimo zenhliziyo namaphaphu ezingadala i-pulsus paradoxus:

Izimo zenhliziyo:

I-pericarditis ecindezelayo

I-consticive pericarditis yenzeka lapho ulwelwesi oluzungeze inhliziyo, olubizwa nge-pericardium, luqala ukuqina. Ngenxa yalokho, lapho umuntu edonsa umoya, inhliziyo ayikwazi ukuvula kakhulu njengoba ijwayele ukwenza.

I-pericardial tamponade

Lesi simo, esaziwa nangokuthi i-tamponade yenhliziyo, senza umuntu akhe uketshezi oluthe xaxa ku-pericardium. Izimpawu zayo zifaka umfutho wegazi ophansi kanye nemithambo emikhulu, ebonakalayo yentamo. Lesi yisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha.

Izimo zamaphaphu:

Ukukhushulwa kwe-COPD

Isifo esingapheliyo sokuvimbela kwamaphaphu (COPD) yisimo esilimaza amaphaphu. Lapho okuthile, okufana nokubhema osikilidi, kubangela ukuthi izimpawu zaso zivele zibe zimbi ngokuzumayo, kubizwa ngokuthi yi-COPD exacerbation. Ukwanda kwe-COPD kunemiphumela efana naleyo ye-asthma.

I-embolism enkulu yamaphaphu

I-embolism ye-pulmonary iyi-clot yegazi emaphashini akho. Lesi yisimo esisongela impilo esingathinta ikhono lomuntu lokuphefumula.

I-apnea yokulala evimbela

Ukuphefumula kokulala kubangela abanye abantu ukuthi bayeke ukuphefumula lapho belele. Ukuvimbela ukuphefumula kokulala kuhilela imigwaqo yomoya evinjiwe ngenxa yemisipha yomphimbo ekhululekile.

I-Pectus excavatum

UPectus excavatum yigama lesiLatini elisho “isifuba esinezimbobo.” Lesi simo senza ukuthi isifuba sesifuba somuntu sicwile ngaphakathi, okungakhuphula ingcindezi emaphashini nasenhliziyweni.

Ukukhishwa okukhulu kwe-pleural

Kuyinto evamile ukuba noketshezi oluncane kulwelwesi oluzungeze amaphaphu akho. Kodwa-ke, abantu abane-pleural effusion bane-fluid eyengeziwe, engenza ukuphefumula kube nzima.

Ngabe i-pulsus paradoxus ilinganiswa kanjani?

Kunezindlela eziningana zokukala i-pulsus paradoxus, kanti ezinye zazo ziyahlasela kakhulu kunezinye.

Indlela elula yokuyihlola ifaka phakathi ukusebenzisa inkomishi yegazi elinamandla ukuze ulalele umehluko obalulekile emisindweni yenhliziyo ngenkathi ikhafula lincipha. Hlala wazi ukuthi lokhu ngeke kusebenze ngenkomishi yegazi ezenzakalelayo.

Enye indlela ifaka ukufaka ipayipi lomthambo emthanjeni, imvamisa umthambo osabalalayo esihlakaleni noma emthanjeni wabesifazane emgodini. Lapho ixhunywe emshinini obizwa ngokuthi i-transducer, i-catheter ingalinganisa ukushaya kwengcindezi yegazi ukushaya. Lokhu kuvumela udokotela wakho ukuthi abone ukuthi kukhona yini umehluko kwingcindezi yegazi lakho lapho uphefumula noma uphuma.

Ezimweni zokuxakaniseka okukhulu kwe-pulsus, udokotela wakho angakwazi ukuzwa umehluko kumfutho wegazi ngokuzwa nje ukushaya komthambo we-radial wakho, ngezansi nje kwesithupha sakho. Uma bezwa okuthile okungajwayelekile, bangakucela ukuthi uphefumule kancane, ujule ukubona ukuthi ukushaya kwenhliziyo kubuthakathaka yini uma uhogela.

Okubalulekile

Izinto eziningi zingadala i-pulsus paradoxus, okucwilisa umfutho wegazi ngesikhathi sokuhogela. Yize imvamisa kungenxa yesimo senhliziyo noma samaphaphu, esifana nesifuba somoya, kungaba futhi umphumela wokulahleka kwegazi okunzima.

Uma udokotela wakho abona izimpawu ze-pulsus paradoxus, bangahle benze ezinye izivivinyo ezengeziwe, njenge-echocardiogram, ukubheka noma yiziphi izimo ezingabangela lokho.