E aʻo kākou e pili ana i ka hāmeʻa e ana i kou helu puʻuwai (Heart Rate Monitor)?

I kēia mau lā, nui ka poʻe e hoʻohana ana i ka uaki akamai a i ʻole kahi mea nānā kino. I kekahi manawa ʻike mākou i ka helu o ko mākou puʻuwai, ʻo ia hoʻi, ka wikiwiki o ko mākou puʻuwai. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia mau mea nānā i ka helu o ka puʻuwai, pehea lākou e hana ai, a pehea ka pololei o lākou.

He aha kēia mau mea nānā i ka helu o ka puʻuwai?

I ka ʻōlelo maʻalahi, he mea liʻiliʻi ka mea nānā i ka helu o ka puʻuwai e ana a hōʻike i ka wikiwiki o ka paʻi ʻana o kou puʻuwai (ka helu o ka puʻuwai), a i ʻole kou helu pulse. Me ka holomua o ka ʻenehana, ua liʻiliʻi loa kēia mau mea i kēia manawa a hiki ke komo. Ua ʻōlelo ʻia he pololei loa ka nui o nā mea ʻike a lākou e hoʻohana ai.

Akā eia kekahi mea nui e hoʻomanaʻo. ʻOiai he mea maikaʻi kēia mau mea hana no kā mākou hoʻohana pilikino, ʻaʻole lākou i 100 pakeneka pololei e like me nā mea lapaʻau a nā kauka e hoʻohana ai ma nā haukapila. Ua hoʻolālā ʻia kēlā mau mea lapaʻau e lawe i nā ana ʻoi aku ka pololei a me ka pololei.

No ke aha mākou e hoʻohana ai i kēia mau mea ana o ka helu o ka puʻuwai?

Nui nā kumu e hoʻohana ai ka poʻe he nui i kēia mau mea hana. Hiki paha iā ʻoe ke hoihoi i kēia no kekahi a ʻoi aku paha o kēia mau kumu.

• E nānā i ka helu o kou puʻuwai i ka wā e hoʻoikaika kino ana: E kōkua kēia iā ʻoe e nānā i ka wikiwiki o ka paʻi ʻana o kou puʻuwai i kou holo ʻana, hele wāwae ʻana, a i ʻole e hoʻoikaika kino ana ma ka hale hoʻoikaika kino. E kōkua kēia iā ʻoe e hoʻomaopopo inā ʻoe e hoʻoikaika kino pono ana a i ʻole paʻakikī loa.
• E nānā i ke kaumaha a me nā pae hana i ka lā a pau: Hiki i kekahi mau mea hana ke hāʻawi iā ʻoe i kahi manaʻo o kou kaumaha a me kou ʻano hana i ke ao e pili ana i ke ʻano o kou puʻuwai.
• E nānā i ka maikaʻi o kāu hiamoe i ka pō: Hiki i kēia mau mea hana ke haʻi iā ʻoe i ka maikaʻi o kou hiamoe ʻana ma o ke ʻano o ka loli ʻana o kou puʻuwai i kou hiamoe ʻana.
• E nānā i kāu mau hōʻailona koʻikoʻi ma ka home: Hiki ke kōkua i ka nānā ʻana i kou helu puʻuwai ma ka home, ʻoiai inā he maʻi kou (e like me ka maʻi puʻuwai).

ʻO wai ka mea hiki ke hoʻohana i kēia lako?

ʻO kaʻoiaʻiʻo, hiki i kekahi mea makemake e uku no kahi hāmeʻa e like me kēia ke hoʻohana. Nui nā mea like me ia i loaʻa ma nā hale kūʻai a ma ka pūnaewele.

Pehea e hana ai kēia mau mea hana? He mea kupaianaha ia, ʻeā?

Eia kahi mea liʻiliʻi e pono ai mākou e hoʻomaopopo. Aia kahi ʻokoʻa iki ma waena o kou "heart rate" a me kou "pulse rate," akā pili lāua ʻelua i ka hana o kou puʻuwai.

• Ka Helu o ka Puʻuwai: ʻO kēia ka nui o nā manawa e kuʻi ai kou puʻuwai i kēlā me kēia minuke.
• Ka helu o ka naʻau:ʻO ia ka helu o nā manawa e ʻuʻuku ai (dilate) kou mau kīʻaha koko (arteries) i kēlā me kēia minuke ma muli o ke kaomi o ke koko i pamu ʻia e kou puʻuwai i ka wā e paʻi ai.

ʻO ka maʻamau, ʻaʻole nui ka ʻokoʻa ma waena o kēia mau waiwai ʻelua, a ʻo ka hapa nui o ka manawa like lāua. Eia nō naʻe, no ka poʻe me kekahi mau maʻi, ka poʻe e lawe ana i kekahi mau lāʻau lapaʻau, a i ʻole i nā hihia kūikawā ʻē aʻe, ʻaʻole paha e ʻike pono ʻia kou pulse. A laila, hiki ke hoʻopilikia ʻia nā ana i lawe ʻia e kēia mau mea hana.

Hiki i kahi "mea nānā i ka helu o ka puʻuwai" ke ana i kou helu o ka puʻuwai a i ʻole kou helu pulse. Hana kēia mau mea ma nā ʻano nui ʻelua:

1. Ke ʻano uila - `Electrocardiography`: Ua ʻike anei ʻoe, i kēlā me kēia kekona e paʻi ai kou puʻuwai, hoʻopuka ia i kahi hōʻailona uila liʻiliʻi (Electrical Current). E like me ka hoʻāʻo ECG. No laila, hiki i nā monitor e hana me kēia ʻano uila ke ʻike i kēia hōʻailona uila a ana i kou helu puʻuwai e like me ia.

2. Ke ʻano hana maka (Photoplethysmography a i ʻole PPG): Ma kēia ʻano hana, hoʻouna kahi mea hana i kahi kukui, e like me ke kukui infrared, i kou ʻili. Ke hoʻomoʻa kou puʻuwai i ke koko, e kīkoʻo nā kīʻaha koko liʻiliʻi ma lalo o kou ʻili, a ana ʻia ka nui o kēlā kīkoʻo me ka hoʻohana ʻana i kēia kukui. Penei ka helu ʻana o kāu helu pulse. Hiki i kekahi mau mea hana e like me kēia ke hāʻawi iā ʻoe i kahi manaʻo maʻamau o nā pae oxygen i loko o kou koko (Nā Pae Oxygen Blood).

He aha nā ʻano mīkini a mākou e ʻike pinepine ai?

I kēia manawa, e nānā kākou i nā ʻano o nā "Heart Rate Monitors" a kākou e ʻike ai a hoʻohana ai i kēlā me kēia lā.

• Nā mea hana kāʻei umauma: ʻO kēia nā kaula i kau ʻia a puni ka umauma. Hana kēia mau mea ma ke ʻano like me ka ʻōnaehana uila i ʻōlelo ʻia ma mua. No laila, ua ana pololei ʻia ka helu o ka puʻuwai. Akā no ka hana pono ʻana o kēia mau mea, pono e pulu ke kaula a i ʻole e hoʻopili ʻia kahi gel kūikawā (Conductive Gel) i ka ʻili. A laila wale nō e hiki ai ke hopu maopopo ʻia nā hōʻailona uila o ka puʻuwai.

• Nā mea hiki ke komo i loko o ka pulima a i ʻole ka lima: Hāʻule kāu uaki akamai, kāʻei hoʻoikaika kino, a me nā mea hiki ke komo ʻē aʻe i loko o kēia māhele. Hana pinepine kēia mau mea ma ka hoʻohana ʻana i ke kukui . Aia ʻelua mau kīʻaha koko nui i loko o kou pulima, ʻo ke aʻa radial a me ke aʻa ulnar. Hāʻawi kēia i kahi lako koko maikaʻi i ka ʻili. ʻIke nā kukui LED a me nā mea ʻike ma lalo o ka hāmeʻa hiki ke komo i nā hoʻonui liʻiliʻi i loko o kēia mau kīʻaha koko.

• Nā apo akamai: He mau mea hana kēia i kau ʻia ma ka manamana lima, e like me ke apo. Hoʻohana pū kēia i ka mālamalama e ana i nā mea e like me ka helu o ka puʻuwai. Akā, he mea hou loa kēia, no laila, he kakaikahi ka ʻikepili e pili ana i ka pololei o lākou i ka wā e pili ana i ka hoʻoikaika kino.

• Nā oximeter pulse:He mau mea liʻiliʻi kēia e ʻoki pinepine ʻia ma ka piko o ka manamana lima. Hoʻohana pū lākou i ke kukui. Hiki iā lākou ke ana i kou helu pulse a me kou pae oxygen koko. Hoʻohana pinepine ʻia lākou ma nā haukapila. Aia kekahi mau mea i hoʻohana ʻia me ka pila hiki iā ʻoe ke hoʻohana ma ka home.

• Nā Kelepona Paʻalima: Aia kekahi mau polokalamu ma kāu kelepona e hiki ke ana i kou helu pulse! Pono kekahi o lākou iā ʻoe e kau i kou manamana lima ma luna o ke aniani kāmela o ke kelepona. A laila hōʻike ka uila o ke kāmela i ka mālamalama a nānā i nā kīʻaha koko ma lalo o kou ʻili. Aia kekahi mau polokalamu e kuhikuhi ana i ke kāmela o ke kelepona i kou maka a hoʻāʻo e haʻi iā ʻoe i kou helu pulse ma ka nānā ʻana i nā loli liʻiliʻi i kou ʻili i hiki ʻole iā mākou ke ʻike.

Pehea ka pololei maoli o kēia mau mea hana?

He pilikia kēia i loaʻa i nā poʻe he nui. ʻO ka pololei o ka hāmeʻa e pili pinepine ia i ke ʻano o kāna hana (uila a kukui paha) a me kāu mea e hana ai i kou wā e kau ai.

• Nā mea hana kāʻei umauma: ʻO kēia nā mea pololei loa , ʻoiai inā hoʻohana pololei ʻia, no ka mea hana lākou ma ke ʻano uila. No ka mea ke ana pololei nei lākou i ka hana uila o ka puʻuwai (ʻaʻole ka pulse), hāʻawi lākou i nā hopena pololei ʻoiai ʻoe e kū mālie ana, e holo ana, e holo paikikala ana, a i ʻole e hoʻohana ana i nā lako hoʻoikaika kino ʻē aʻe.
• Nā mea hiki ke komo ma ka pulima a i ʻole ka lima: Pololei kēia mau mea i ka wā e kū ana a hele ana paha. Hāʻawi pū kekahi i nā hopena maikaʻi i ka wā e holo ana a holo paikikala paha. Eia nō naʻe, hiki iā lākou ke hāʻawi i nā heluhelu pololei ʻole i ka wā e hana ana ʻoe i nā hoʻoikaika kino e hoʻohana ana i nā lima ʻelua (e laʻa, he mīkini elliptical me nā lima ʻelua).
• Nā apo akamai: He mea hou kēia, no laila ʻaʻole ʻoe e ʻike i nā mea he nui ma ka mākeke. Eia nō naʻe, hōʻike ka noiʻi o kēia manawa he pololei loa lākou ke kū wale ʻoe. Pono ka noiʻi hou aku e ʻike i ke ʻano o ko lākou pololei i ka wā o ka hoʻoikaika kino a me nā hana ʻē aʻe.
• Nā pulse oximeters: He mau mea lapaʻau kēia i hoʻopili ʻia i ka manamana lima a i ʻoki ʻia paha ma ka manamana lima. Kōkua lākou i nā kauka e hana i kekahi mau hoʻokolohua. Eia nō naʻe, ʻaʻole kūpono nā pulse oximeters ʻaʻole lapaʻau, kūʻai ʻia ma luna o ke kauka no ka hoʻohana ʻana i ka wā hoʻoikaika kino.
• Nā Kelepona Paʻalima: ʻOi aku ka pololei o nā polokalamu e ana ana ma ke kau ʻana i kou manamana lima ma ka aniani kāmela o ke kelepona ma mua o nā polokalamu e scan i kou maka. Eia nō naʻe, ʻoiai ʻaʻole i hoʻolālā ʻia ke kelepona a me ke kāmela no kēia kumu, ʻoi aku ka nui o ka manawa e hewa ai.

Mea nui: Me ka nānā ʻole i ka hāmeʻa āu e hoʻohana ai, inā he kānalua kāu e pili ana i nā hopena, ʻoi aku ka maikaʻi e ʻike i ke kauka no ka ʻōlelo aʻo.

Pehea e hoʻohana pono ai i kēia mea hana?

Hiki ke ʻokoʻa ke ʻano o kāu hoʻohana ʻana ma muli o ke ʻano o ka hāmeʻa āu e hoʻohana nei. ʻO kekahi he mau kūpeʻe lima. ʻO kekahi he mau apo manamana lima. Loaʻa i nā kaula umauma nā mea ʻike ma ke kaula ponoʻī. Hoʻopili kekahi mau hiʻohiʻona kahiko i kahi hōʻikeʻike ʻokoʻa, me ke kaula a i ʻole me ke kelepona ʻole. Hiki ke hoʻopaʻa ʻia kēlā hōʻikeʻike i kou lole a lawe ʻia paha i loko o kāu ʻeke. Hoʻopili pololei ka nui o nā hiʻohiʻona hou i kāu kelepona a i ʻole nā ​​​​mea hana ʻē aʻe me ke kelepona ʻole.

ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke heluhelu i ka puke kuhikuhi e hele mai me kāu hāmeʻa e loaʻa ai ka mea nui loa mai ia mea a loaʻa nā hopena pololei loa . He nui o kēia mau hāmeʻa he mau pūnaewele a me nā ʻaha kūkā mea hoʻohana. He wahi maikaʻi kēia e nīnau ai a kaʻana like i ka ʻike e pili ana i ke ʻano o ka hoʻohana ʻana o kekahi poʻe iā lākou.

Aia kekahi mau pilikia i ka hoʻohana ʻana i kēia mau mea?

ʻO ka ʻoiaʻiʻo, ʻaʻohe pilikia nui i ka hoʻohana ʻana i kēia mau mea nānā i ka helu o ka puʻuwai. ʻO ka pilikia nui e hiki ke kū mai i ka hapa nui o nā hihia, ʻo ia ka loaʻa ʻana o kahi maʻi allergy i ka mea i hana ʻia ai ke kaula a i ʻole i kahi ʻāpana o ka hāmeʻa.

Eia nō naʻe, he mea nui e hoʻomanaʻo ʻoiai he palekana kēia mau mea hana e hoʻohana, ʻaʻole loa lākou he pani no nā mea hana i ʻae ʻia e ke kauka. Inā he maʻi olakino kou e pono ai ʻoe e nānā, ʻo nā mea hana palekana a pololei loa, ʻo ia nā mea i ʻae ʻia e kahi keʻena hoʻoponopono aupuni pili (e laʻa, ka FDA ma ʻAmelika Hui Pū ʻIa, a i ʻole ka NMRA ma Sri Lanka). ʻO ke ʻano o kēia ʻae ʻia, ua hoʻokō nā mea hana i nā kūlana maikaʻi a me ka pololei loa, a kūpono hoʻi no ka hoʻohana lapaʻau.

He aha nā hopena a mākou e loaʻa ai? He aha ke ʻano o ia mau mea?

Ma muli o ka hāmeʻa āu e hoʻohana ai, ʻokoʻa iki paha ke ʻano o nā hualoaʻa.

• Nā Electrocardiograms: ʻO kēia nā mea e ana maoli i ka helu o kou puʻuwai no ka mea hopu pololei lākou i ka hana uila o kou puʻuwai.
• Nā mea hana e hana me ka mālamalama: Ke ana kēia mau mea i kou helu pulse , ʻaʻole pololei kou helu puʻuwai.

Akā inā ʻoe e ana i kou helu puʻuwai a i ʻole kou helu pulse, ke hoʻāʻo nei nā hopena e haʻi iā ʻoe i ka mea like: ehia mau manawa e kuʻi ai kou puʻuwai i kēlā me kēia minuke. Ma muli o ka hāmeʻa, hiki iā ia ke ana i nā mea ʻē aʻe, e like me ka loli o ka helu puʻuwai (HRV). Hana kekahi o lākou me nā polokalamu, e ʻae iā ʻoe e hoʻopilikino i ka ʻikepili e kūpono i kāu mau pono.

ʻEhia ka lōʻihi e loaʻa ai nā hopena?

Ke ana nei kēia mau mea hana i kou helu puʻuwai a i ʻole ka helu pulse i kou wā e ʻaʻahu ana iā lākou. No laila, maʻalahi loa ka ʻike ʻana i nā hopena, inā ʻoe e nānā i ka hāmeʻa ponoʻī a i ʻole ka polokalamu ma kāu kelepona e pili ana iā ia.

Āhea wau e kāhea aku ai i kaʻu kauka?

He wikiwiki a lohi paha kou puʻuwai i ka manawa ma mua o ka mea maʻamau.Inā ʻike ʻoe i kekahi mea, pono ʻoe e hoʻomaopopo i kāu kauka. No nā pākeke, ʻo ia hoʻi kēia:

• Inā emi ka helu o ka puʻuwai ma lalo o 60 mau kuʻi i kēlā me kēia minuke (ua kapa ʻia kēia he bradycardia).
• Inā ʻoi aku ka nui o kou puʻuwai ma mua o 100 mau kuʻi i kēlā me kēia minuke ke kū mālie ʻoe (ua kapa ʻia kēia he tachycardia).

Eia kekahi, inā loaʻa iā ʻoe kekahi mau hōʻailona o ka puʻuwai kūpono ʻole (`(Arrhythmia)`), ʻoiai inā ʻike ʻoe i kou puʻuwai e kuʻi wikiwiki loa ana (Palpitations) , ʻo ia hoʻi, ʻike wale ʻoe i kou puʻuwai e kuʻi ana, he mea ʻoluʻolu ʻole ia. Manaʻo paha ʻoe e kuʻi wikiwiki ana kou puʻuwai i loko o kou umauma, me he mea lā e ʻōwili ana i loko o kou umauma, a i ʻole e lele ana i kahi kuʻi. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e hōʻoia e haʻi i ke kauka.

Āhea wau e hele ai i ka haukapila?

Inā loaʻa iā ʻoe nā hōʻailona o ka hōʻeha puʻuwai a i ʻole nā ​​maʻi puʻuwai koʻikoʻi ʻē aʻe, pono ʻoe e hele koke i ka haukapila. ʻO kēia mau hōʻailona e komo pū me nā hōʻailona arrhythmia i ʻōlelo ʻia ma mua, ka puʻuwai e kuʻi ana, a me kēia mau mea:

• ʻEha umauma (angina): He ʻeha e like me ka ʻūmiʻi a i ʻole ka ʻūmiʻi ʻana o ka umauma.
• Paʻakikī ka hanu ʻana (dyspnea): Paʻakikī ka hanu ʻana, me he mea lā e ʻūlū ana ʻoe.
• Vertigo a i ʻole dizziness (vertigo, dizziness): He manaʻo o ka wili ʻana, he manaʻo o ka nawaliwali.
• Nāwaliwali a nalowale paha ka ʻike (syncope): Poho koke ka ʻike.

Inā ʻike ʻoe i kahi hōʻailona e like me kēia, mai hoʻonele i ka manawa a e hele koke i ka haukapila.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He mea hana maikaʻi loa nā mea nānā i ka helu o ka puʻuwai a maʻalahi hoʻi e hoʻohana e kōkua iā ʻoe e nānā i ka hana o kou puʻuwai. Ma muli o ka hāmeʻa āu e koho ai, hiki iā ʻoe ke loaʻa nā ʻano ʻike a me nā ʻikepili like ʻole. Hiki i kēlā ʻikepili ke kōkua iā ʻoe e hoʻomaikaʻi i kou olakino, hana a hoʻokele i kahi hoʻolālā hoʻoikaika kino, a me nā mea hou aku.

Eia nō naʻe, ʻaʻole loa kēia mau mea nānā i ka helu o ka puʻuwai e pani no nā nānā mau ʻana me kāu kauka. He mea nui e hahai i nā ʻōlelo aʻoaʻo a kāu kauka, ʻoiai inā manaʻo ʻoe he pilikia paha kāu a inā paha he maʻi puʻuwai kou.

Hiki iā ʻoe ke kamaʻilio me kāu kauka a loaʻa ka ʻōlelo aʻoaʻo no ka hoʻohana ʻana i kēia mau mea hana no kou pono a pehea e mālama pono ai i kou olakino ma kahi o ka hana wale ʻana me ka ikaika.

ʻO ka helu o ka puʻuwai, ka mea nānā i ka helu o ka puʻuwai, ka uaki akamai, ka mea nānā i ke kino, ka pulse, ke olakino o ka puʻuwai, ka hoʻoikaika kino