Momma yenhu sɛnea koma no bɔ ankasa? - a efa Apical Pulse ho nyinaa

Yɛn nyinaa nim sɛnea yɛbɛhwɛ yɛn koma a ɛbɔ denam yɛn nsateaa a yɛbɛte nka wɔ yɛn nsateaa so anaa yɛn kɔn afã abien no nyinaa so. Nanso so wunim sɛ akisikuru soronko bi wɔ hɔ a ɛma koma no dwumadi ho nsɛm a edi mu kɛse mpo, a wɔte denam afiri bi a wɔde gu koko so tẽẽ so? Ɛno ne nea yɛfrɛ no ‘Apical Pulse’. Eyi yɛ ade a ɛho hia paa, enti momma yɛnka ho asɛm nkɔ akyiri nnɛ.

Dɛn ne saa Apical Pulse yi?

Sɛ yɛbɛka no tiawa a, Apical Pulse no ne baabi a wubetumi anya wo koma bɔ ho adwene a edi mu sen biara . Wɔsan frɛ no ‘Point of Maximal Impulse’ (PMI) ne ‘Apex Beat’.

Yɛtaa hwɛ yɛn koma a ɛbɔ wɔ yɛn nsateaa so (a wɔfrɛ no ‘radial pulse’) anaa yɛn kɔn no afã abien no nyinaa (a wɔfrɛ no ‘carotid pulse’), ɛnte saa? Eyinom ne ntini a ɛbɔ fa yɛn nipadua no mogya ntini mu, kyerɛ sɛ, ɛfa ‘ntini’ no ho. Ɛnyɛ den sɛ yebetumi ate saa ntini ahorow yi nka denam nsateaa abien anaa abiɛsa a yɛde bɛto so no so. Afei yebetumi ate nhyɛso asorɔkye a ɛba bere biara a koma no bɔ no nka.

Nanso saa Apical Pulse yi yɛ soronko. Eyi nyɛ koma a ɛbɔ wɔ ntini bi mu. Wonte nhyɛso asorɔkye bi nka wɔ ha. Nea wote nka, anaa nea oduruyɛfo no te, ne dan a ɛwɔ fam a ɛwɔ wo koma benkum so, ‘Benkum Ventricle’ no a ɛtwetwe. Fa no sɛ, bere biara a wo koma bɛbɔ no, ɛyɛ Benkum Ventricle yi na ɛde mogya fa mogya ntini titiriw a wɔfrɛ no ‘Aorta’ no mu kɔ nipadua no nyinaa mu.

So ɛnyɛ nwonwa sɛ yɛn ankasa tumi te nka sɛ yɛn koma rebɔ? Nanso ɛtɔ mmere bi a ebetumi ayɛ den kakra sɛ wode wo nsateaa nkutoo behu saa apical pulse yi. Sɛ woakɔ ayaresabea pɛn a, ebia woahu sɛ nnuruyɛfo no rehwɛ saa apical pulse yi.

Ɛhe na Apical Pulse no wɔ?

Saa Apical Pulse yi wɔ wo koma no atifi pɛɛ. So wunim nea koma no atifi yɛ? Ɛyɛ wo koma no fã a ɛte sɛ ano a ɛkyerɛ fam wɔ benkum so, titiriw Benkum Ventricle no ano a ɛba fam sen biara no. Nanso, wɔ nsɛm a ɛntaa nsi mu no, ebia nnipa binom koma bɛdan akɔ nifa, a yɛfrɛ no ‘dextrocardia’. Wɔ onipa a ɔte saa mu no, koma no atifi wɔ nifa so.

Enti, ɛhe ankasa na koma no atifi wɔ wɔ mpanyimfo mu?

Wɔ ɔpanyin mu no, ɛwɔ koko benkum so, wɔ mparow a ɛto so anum ne asia ntam, na wɔkan fi mpampam no atifi kɔ fam. Nnuruyɛfo frɛ eyi ‘fifth intercostal space’, a ɛyɛ ahunmu a ɛda mpampam ntam.

Ɛhe na mmofra nkumaa no wɔ?

Wɔ mmofra a wonnii mfe 7 fam no, beae yi yɛ soronko kakra. Wɔn koma atifi wɔ mparow a ɛto so anan ne anum ntam. Ɛne sɛ, wɔ wɔn ‘intercostal space a ɛto so anan’ mu.

Dɛn nti na wɔsusuw apical pulse no?

Wo duruyɛfo betumi asua nsɛm a ɛsom bo pii denam saa apical pulse yi a obesusuw so. Mprempren mfiri ahorow bi wɔ hɔ a ɛyɛ adwuma ankasa a ɛsusuw sɛnea ɛbɔ no ntɛmntɛm na ɛkyerɛ sɛnea ɛbɔ no. Ɛwom sɛ wɔkyerɛ sɛnea koma no bɔ de, nanso ɛnkyerɛ sɛnea koma no bɔ anaa sɛnea ɛbɔ denneennen no pɛpɛɛpɛ. Nanso, apical pulse no betumi de saa nsɛm yi nyinaa ama ntɛmntɛm, na wɔde afiri a wɔde tie asɛm nkutoo na edi dwuma .

Oduruyɛfo betumi asusuw wo apical pulse esiane nneɛma yi nti:

• Hwɛ w’akwahosan ne wo yiyedi nyinaa mu .
• Hwɛ wo koma akwahosan .
• Hwɛ sɛnea woreyɛ wɔ sɔhwɛ, ayaresa, anaa oprehyɛn akyi .
• Boaboa mfitiase nsɛm a wobetumi de atoto daakye pulse checks ho ano.

Ɔkwan bɛn so na wɔsusuw Apical Pulse no?

Oduruyɛfo no de afiri a wɔde tie asɛm di dwuma de susuw apical pulse. Wɔde si wo honam ani tẽẽ na ama woatie. Enti, wɔyɛ eyi bere a wɔde ntama anaa ntama akata wo so de abɔ wo kokoam nsɛm ho ban, sɛ ɛho hia a.

Mpɛn pii no, oduruyɛfo no di anammɔn yi akyi:

• Wɔbɛka akyerɛ wo sɛ da w’akyi , anaasɛ dan kɔ benkum kakra. Wɔyɛ eyi na ama woate wo koma bɔ yiye.
• Wɔde wɔn nsateaa hwehwɛ baabi a apical pulse no wɔ.
• Wɔde afiri no awiei (‘dɔn’ anaa ‘diaphragm’) no to wo moma so.
• Wɔbɛtie no yie bɛyɛ sikɔne 60. Sɛ wɔanka hwee wɔ saa bere yi mu, anaasɛ ɛte sɛ nea ɛregye bere kakra a, mma ɛnhaw wo. Eyi yɛ ade a ɛfata. Ɛsɛ sɛ oduruyɛfo no tie no yiye paa na ama wahu sɛnea koma no bɔ.
• Afei oduruyɛfo no beyi afiri no afi wo moma so.

Ɛtɔ mmere bi a, wo duruyɛfo nso betumi ahwɛ wo koma a ɛbɔ wɔ mmeae afoforo. Sɛ nhwɛso no, ebia wɔbɛpɛ sɛ wɔsusuw wo ‘apical-radial pulse’.

Dɛn ne apical-radial pulse no?

Ebia oduruyɛfo no bɛpɛ sɛ ɔsusuw wo apical pulse ne wo radial pulse a wɔsusuw wɔ wo nsateaa so no nyinaa . Eyi kyerɛ sɛnea mogya fi wo koma mu kɔ wo nipadua no fã a aka no yiye. Ebia ɛho behia nso sɛ oduruyɛfo no ma obi foforo boa wɔ eyi mu. Bere a obiako susuw apical pulse no, onipa foforo no bɛhwɛ radial pulse no wɔ sikɔne 60 mu.

Sɛnea ɛbɛyɛ yiye no, ɛsɛ sɛ wo apical pulse ne radial pulse yɛ pɛ. Nanso, sɛ wo koma yɛ mmerɛw anaasɛ wowɔ ntini mu yare a, ., ebia wo radial pulse no bɛba fam asen wo apical pulse no. Wɔfrɛ nsonsonoe a ɛda saa gyinapɛn abien yi ntam no ‘pulse deficit’ . Saa koma a ɛyɛ den yi boa wo duruyɛfo ma ohu tebea horow a ɛka wo koma ne wo mogya ntini na ɔhwɛ so.

Dɛn ne apical pulse no kwan a ɛfata?

Apical pulse range a ɛfata ma mpanyimfo dodow no ara yɛ 60 kosi 100 simma biara (bpm) . Eyi ne beae a eye a ɛsɛ sɛ wowɔ mu bere a woregye w’ahome no. Nanso, nneɛma a ɛte sɛɛ betumi ama wo koma a ɛbɔ no akɔ fam dodo:

• Sɛ woteɛteɛ w’apɔw mu a .
• Sɛ wonom nneɛma a caffeine wom (te sɛ tii, kɔfe).
• Bere a woayɛ basaa anaasɛ woayɛ basaa no .

Bere a worenyin no, ebia wo koma bɔ brɛoo kakra fi awosu mu. Afei nso, nnuru ne ayaresa tebea horow bi betumi aka wo koma bɔ. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa na woahu nea koma bɔ a ɛyɛ papa yɛ ma wo ankasa.

Ɛyɛ ade a ɛfata sɛ mmofra nkumaa koma bɔ kɛse sen mpanyimfo. Saa kwan a ɛfata yi gu ahorow gyina mfe a wɔadi so. Nkokoaa a wonnii asram abiɛsa na wɔdɔɔso sen biara (wɔbɔ 123-164 simma biara). Saa dodow yi so tew nkakrankakra bere a wɔrenyin no. Wo ne wo ba no duruyɛfo nkasa na woasua pii afa koma a ɛbɔ a ɛfata ma wo ba no wɔ mfe ahorow mu.

Dɛn na yebetumi asua afi Apical Pulse no mu?

Apical pulse no betumi ada aduruyɛ mu tebea ahorow ho sɛnkyerɛnne adi . Nea enti a ɛte saa ne sɛ ɛma oduruyɛfo no te nea ɛsen wo koma bɔ kɛkɛ. Eyinom bi ne:

• Ahoɔden a ɛwɔ koma bɔ biara mu no te dɛn ?
• Koma biara bɔ bere tenten ahe ?
• Koma no nyinaa nnyigyei te dɛn ?

Saa apical pulse yi betumi aboa wo duruyɛfo ma wahu tebea horow te sɛ:

• Koma mu yare (arrhythmias) , sɛ nhwɛso no, atiridiinini a ɛyɛ den.
• Sɛ nhwɛso no, koma mu ntini mu yare , mogya a efi ntini no mu (regurgitation) anaasɛ ntini no mu teateaa (stenosis).
• Koma no ntini a ɛyɛ den (Hypertrophic Cardiomyopathy) .
• Koma no mu adan a ɛtrɛw (‘Diluted Cardiomyopathy’) .

So ɛtɔ mmere bi a ebetumi ayɛ den sɛ wobehu Apical Pulse no?

Yiw, ɛtɔ mmere bi a ebia oduruyɛfo no rentumi nhu wo apical pulse. Eyi betumi aba saa sɛ wowɔ tebea horow a edidi so yi mu biara a:

• Obolo(Wɔsan frɛ eyi sɛ ‘obesity’, a ɛkyerɛ kɛseyɛ mmoroso a ɛboro so).
• Ahurututu mu yare a enni sabea (Ahurututu mu yare a enni sabea) .
• Nsu a ɛboaboa ano wɔ koma no ho (pericardial effusion) .
• Nsu a ɛboaboa ano wɔ benkum ahurututu no ho (‘Left Pleural Effusion’) .

Sɛ ɛba saa a, oduruyɛfo no bɛhwɛ sɛnea wo koma bɔ wɔ mmeae afoforo, na sɛ ɛho hia a, ɔbɛyɛ koma mu nhwehwɛmu afoforo. Ɛnyɛ biribiara a ɛsɛ sɛ wohaw wo ho wɔ ho.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Ɛwom mpo sɛ yɛwɔ mfiri pii nnansa yi de, nanso wo koma a wobɛhwɛ no da so ara yɛ aduruyɛ fã a ɛho hia yiye. Wo apical pulse yɛ sɛnkyerɛnne a ɛho hia a ɛho hia a ɛboa wo duruyɛfo ma ohu ɔhaw ahorow a ɛwɔ wo koma mu. Ebia wo duruyɛfo bɛhwɛ wo apical pulse bere a wɔreyɛ wo nhwehwɛmu daa no. Sɛ wowɔ ayaresabea a, w’aduruyɛfo kuw no bɛtaa ahwɛ wo apical pulse.

Enti, wo ne wo duruyɛfo nka wo apical pulse ne nea ɛka fa wo koma akwahosan ho no ho asɛm. Mma ɛnhaw wo, ɛyɛ sɔhwɛ a wɔyɛ no daa ara kwa, nanso ɛho hia yiye! Ebetumi aka wo koma ho nsɛm pii akyerɛ wo duruyɛfo.

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