Ke holo ʻoe, piʻi i nā alapiʻi, makaʻu, a hauʻoli paha, piʻi aʻe kou puʻuwai, ʻeā? A ke hiamoe ʻoe, a heluhelu mālie paha i kahi puke, emi iho kēia helu. ʻO kēia ka mea a mākou e kapa nei he helu puʻuwai, a i ʻole ka helu o ka puʻuwai e kuʻi ai. Hoʻomalu ko mākou kino i kēia helu ma ke ʻano kupaianaha loa e hoʻohālikelike i kā mākou hana a me kā mākou manaʻo. I kēia lā e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
Pehea ʻoe e ana ai i ka helu o ka puʻuwai?
He mea maʻalahi ke ʻike i ka wikiwiki o ka paʻi ʻana o kou puʻuwai. Hiki iā ʻoe ke hana i kēia ma ka home. Kāhea mākou i kēia ʻo ka lawe ʻana i kou pulse.
- E nānā me kou lima ponoʻī: E lawe i ʻelua a ʻekolu paha mau manamana lima (ʻoi aku ka maikaʻi o ka manamana nui a me ka manamana waena) a kaomi mālie iā lākou i ka pulima o kou lima ʻē aʻe, ma luna pono o ka manamana nui. E ʻike ʻoe i kahi ʻūlū iki. ʻO ia kou pulse. E nānā i kahi uaki a helu i ka helu o nā kuʻi i loko o 60 kekona . A i ʻole, hiki iā ʻoe ke helu no 30 kekona a hoʻonui i ʻelua. ʻO ka helu o nā kuʻi kou helu puʻuwai. Kāhea mākou i kēia `(bpm - beats per minute)`. E like me ka pulima lima, hiki iā ʻoe ke nānā i kou pulse ma ke kau ʻana i kou mau manamana lima ma kekahi ʻaoʻao o kou ʻāʻī, ma lalo pono o ka iwi ʻāʻī.
- E hoʻohana i kahi hāmeʻa: ʻO nā uaki akamai a me nā kāʻei hoʻoikaika kino me nā mea nānā i ka helu o ka puʻuwai ua maʻalahi loa ke ana ʻia. Hiki ke kau ʻia kekahi o lākou a puni ka umauma e like me ke kāʻei.
Ke hele ʻoe e ʻike i ke kauka, e nānā lākou i kou helu puʻuwai. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i kahi mea nānā koko a i ʻole kahi pulse oximeter, kahi clip liʻiliʻi āu e kau ai ma kou manamana lima. Inā ʻoe ma ka haukapila, ua ʻike paha ʻoe i kekahi i hoʻopili ʻia i kahi mea nānā i kapa ʻia ʻo telemetry e nānā mau i kēia mau mea.
He aha ka helu maʻamau o ka puʻuwai?
He nīnau kēia a ka poʻe he nui. E kamaʻilio mua kākou e pili ana i kou helu puʻuwai hoʻomaha. ʻO ia ka helu o kou hoʻomaha ʻana, ʻaʻole e hoʻoikaika nui ana, i kou noho ʻana a moe ʻana paha (akā e ala ana).
ʻO ka helu maʻamau o ka puʻuwai hoʻomaha no kahi kanaka makua ma waena o 60 a me 100 mau kuʻi i kēlā me kēia minuke.
Akā e loli kēia me ka makahiki. ʻOi aku ka kiʻekiʻe o ka puʻuwai o nā keiki ʻōpio ma mua o nā pākeke. E nānā i ka papa ma lalo.
| Pūʻulu makahiki | Ka helu puʻuwai hoʻomaha maʻamau (bpm) |
|---|---|
| Nā keiki hānau hou (0-1 mahina) | 70 - 190 |
| Nā pēpē (1-11 mahina) | 80 - 160 |
| Nā keiki ʻōpio (1-2 makahiki) | 80 - 130 |
| Nā keiki kula kamaliʻi (3-4 makahiki) | 80 - 120 |
| Nā keiki kula (5-12 makahiki) | 75 - 118 |
| Nā keiki ʻōpio (13-17 makahiki) | 60 - 100 |
| Nā mākua (18+ makahiki) | 60 - 100 |
Akā, ʻo ka mea nui e hoʻomaopopo ai ma ʻaneʻi, he pae wale nō kēia "maʻamau". ʻO ka mea nui aʻe, ʻo ia kou ʻike i ke ʻano maʻamau nou . E ʻōlelo kākou, ʻo kou helu puʻuwai hoʻomaha maʻamau ma kahi o 65. Akā inā piʻi koke ia i 90 no kekahi mau lā me ke kumu ʻole, he mea paha ia e nānā ai.
He aha ka helu puʻuwai kūpono ʻole?
Ma keʻano laulā, he mea e hopohopo ai ka helu o ka puʻuwai hoʻomaha ma lalo o 60 a i ʻole ma luna o 100. Akā, ʻaʻole kēia he mea maʻamau no nā kānaka a pau, i nā manawa a pau.
- Nā manawa lohi:Hiki i kahi mea haʻuki e hoʻomaʻamaʻa maikaʻi ana ke loaʻa ka puʻuwai hoʻomaha ma kahi haʻahaʻa o 40-50 mau kuʻi i kēlā me kēia minuke. ʻO kēia no ka mea he hana pono loa ko lākou puʻuwai. Eia kekahi, hiki i kekahi mau lāʻau lapaʻau, e like me nā beta-blockers, ke hoʻolohi i ka puʻuwai.
- Piʻi ka wikiwiki: ʻO ka piʻi ʻana o ka wikiwiki ma mua o 100 ke hoʻomaha ʻoe ʻaʻole ia he mea maikaʻi. Akā hiki nō hoʻi ke lilo i mea manawa pōkole. No ka laʻana, inā hopohopo nui ʻoe a kaumaha, hiki ke piʻi aʻe kou wikiwiki. No laila ʻoi aku ka maikaʻi o ka mālie no kekahi manawa a ana hou.
Inā hoʻomau ka haʻahaʻa a kiʻekiʻe paha o kou puʻuwai, e like me kāu i ʻike ai, ʻoi aku ka maikaʻi o ka ʻike ʻana i kāu kauka e ʻike i ke kumu.
He aha nā mea e hoʻopilikia ai i ka helu o ka puʻuwai?
Nui nā kumu e loli ai ka helu o ko kākou puʻuwai. He mea maʻamau kekahi, aʻo nā mea ʻē aʻe he mau mea e pono ai kākou e makaʻala.
- Nā maʻi mau: Hiki i kekahi mau maʻi ke hoʻololi i ka helu o ka puʻuwai. No ka laʻana, ʻo ke kanaka me ka thyroid overactive he nui paha ka helu ma luna o 100.
- Nā manaʻo a me ke olakino noʻonoʻo: Ke hiki mai kahi hoʻokolohua a i ʻole kahi nīnauele hana, hiki i ke kaomi a me ka hopohopo ke hoʻonui i kou wikiwiki. A i kou mālie a hoʻomaha ʻana, e emi ana ka wikiwiki.
- Pae Hoʻoikaika Kino: E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kanaka e hoʻoikaika kino maikaʻi ana, he puʻuwai ko ia e paʻi pinepine ʻole ana a hiki iā ia ke pamu i ke koko e pono ai ke kino. No laila, ua haʻahaʻa ko lākou helu puʻuwai hoʻomaha. ʻO ka mea hoʻoikaika kino ʻole nui paha, ʻoi aku ka kiʻekiʻe o ka helu ma mua o ka maʻamau.
- Nā lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui a hoʻemi paha i kou puʻuwai. E nīnau i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei.
- Hāpai keiki: I ka wā hāpai keiki, piʻi iki ka helu o ka puʻuwai ma muli o nā loli i ke kino.
- Hiamoe: ʻO ke kanaka i loaʻa ʻole ka hiamoe lawa, e piʻi aʻe paha ka puʻuwai. Ke loaʻa iā lākou ka hoʻomaha lawa, hoʻi ia i ka maʻamau.
- ʻOna, nā cigarette, a me nā mea ʻē aʻe: ʻO nā mea e like me ka ʻona, ka caffeine i loko o ke kofe/kī, a me ka puhipaka e hoʻonui i ka puʻuwai.
- Kaumaha o ke kino: ʻO ka helu helu o ke kino (BMI) ma mua o 25, ʻo ia hoʻi, pono ka puʻuwai o ke kanaka momona e hana ikaika aʻe, a hiki ke piʻi aʻe ko lākou puʻuwai hoʻomaha.
I kekahi manawa, ʻo ke kumu o kēia loli o ka wikiwiki he pilikia ia me ka puʻuwai ponoʻī. Ke lilo ka rhythm o ka puʻuwai i mea ʻē, kapa mākou ia he "Arrhythmia." ʻO ke ʻano kēia, ua wikiwiki loa ka puʻuwai, lohi loa, a i ʻole me ka ʻole o ka rhythm ma muli o kahi loli liʻiliʻi i ka hana uila o ka puʻuwai. He mea nui e ʻimi i ka lāʻau lapaʻau no kekahi mau kūlana "Arrhythmia".
He aha ka nui o koʻu puʻuwai i ka wā e hoʻoikaika kino ai?
He mea nui loa nō hoʻi kēia. Ke hoʻoikaika kino kākou, aia kahi pae e loaʻa ai i ko kākou puʻuwai kahi hoʻoikaika kino maikaʻi, akā ʻaʻole ma kahi wikiwiki weliweli. Kāhea mākou i kēia ʻo ka "Target Heart Rate" .
ʻO ka maʻamau, ʻo kēia pae pahuhopu ma waena o 60% a me 85% o kou helu puʻuwai kiʻekiʻe loa .
Pehea ʻoe e ʻike ai i kou helu puʻuwai kiʻekiʻe loa?
ʻO ke ala maʻalahi loa e helu ai i kēia, ʻo ia ke unuhi i kou makahiki mai 220 .
Eia kekahi laʻana, inā he 40 ou makahiki,
ʻO kou helu puʻuwai kiʻekiʻe loa = 220 - 40 = 180 bpm
I kēia manawa, e ʻimi i kāu laulā i manaʻo ʻia, e hoʻonui i kēia waiwai nui loa me 0.6 a me 0.85.
Palena haʻahaʻa loa = 180 x 0.6 = 108 bpm
Palena kiʻekiʻe = 180 x 0.85 = 153 bpm
ʻO ia hoʻi, inā hoʻāʻo kahi kanaka 40 makahiki e mālama i ka helu o ka puʻuwai ma waena o 108 a me 153 mau kuʻi i kēlā me kēia minuke i ka wā e hoʻoikaika kino ana, he mea maikaʻi loa ia no ka puʻuwai.
Hiki iā ʻoe ke ʻike i ka pae i manaʻo ʻia no kou mau makahiki ma ka papa ma lalo nei.
| Makahiki | Ka pae o ka helu o ka puʻuwai i manaʻo ʻia (60%-85%) | ʻO ka awelika o ka helu puʻuwai kiʻekiʻe loa |
|---|---|---|
| 20 mau makahiki | 120–170 bpm | 200 bpm |
| 30 mau makahiki | 114–162 bpm | 190 bpm |
| 40 mau makahiki | 108–153 bpm | 180 bpm |
| 50 mau makahiki | 102–145 bpm | 170 bpm |
| 60 mau makahiki | 96–136 bpm | 160 bpm |
Mea nui: Inā ʻaʻole ʻoe i hoʻoikaika kino nui ma mua, a inā he maʻi puʻuwai, māmā, a i ʻole ke ʻano o ke kahe koko kou, e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino hou. E hiki iā ia ke aʻo iā ʻoe i nā hoʻoikaika kino palekana a kūpono hoʻi iā ʻoe.
Āhea wau e ʻike ai i ke kauka?
He mea maikaʻi ke ʻike i ka helu o kou puʻuwai, akā i kekahi manawa pono e ʻimi i ke aʻo lapaʻau.
| I ka manawa hea e ʻimi ai i ke kōkua lapaʻau pilikia (e hele i ka ETU) | |
|---|---|
Inā ma lalo o 35-40 a i ʻole ma luna o 100 kou helu puʻuwai (ʻoiai e hoʻomaha ana) , a loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei , e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila :
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| Nā kūlana e kūkākūkā ai me kāu kauka | |
Inā loaʻa iā ʻoe kekahi o kēia mau mea, mai hopohopo a hoʻonohonoho i kahi manawa e ʻike ai i kāu kauka ʻohana:
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He mea nui loa hoʻi ke ʻike ʻana i ke kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no ka nānā piha ʻana (annual check-up). Ma kēia ala, inā he mau pilikia, hiki ke ʻike ʻia a mālama ʻia i ka wā mua.
Leka Lawe-Home
- ʻO ka helu o kou puʻuwai ka helu o nā manawa e kuʻi ai kou puʻuwai i kēlā me kēia minuke.
- ʻO ka waiwai maʻamau no kahi pākeke e hoʻomaha ana ma waena o 60 a me 100. Akā ʻo ka mea nui loa, ʻo ia ka ʻike i kāu waiwai maʻamau.
- He mea maʻamau ka loli ʻana o ka helu o ka puʻuwai no kekahi manawa ma muli o nā mea e like me ka hopohopo a me ka hoʻoikaika kino.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka puʻuwai mau ʻole a i ʻole ka ʻeha o ka umauma a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- He mea naʻauao ke kamaʻilio me ke kauka ma mua o ka hoʻomaka ʻana i ka hoʻoikaika kino, ʻoiai inā he mau maʻi ʻē aʻe kou.
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