Pehea kou puʻuwai? E ʻike kākou i ke ʻano o ia mea!

Ua noʻonoʻo paha ʻoe i ka nui o nā manawa e kuʻi ai kou puʻuwai i kēlā me kēia minuke? ʻO kēia ka mea a mākou e kapa nei ʻo ko mākou helu puʻuwai a i ʻole "Heart Rate". Ua like ia me kahi ʻenekini liʻiliʻi i loko o ko mākou kino. Hoʻololi kona wikiwiki ma muli o kā mākou hana a me kā mākou ʻōlelo, a me kā mākou manaʻo. ʻAʻole anei he mea kupaianaha? No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia helu puʻuwai ma ke ʻano maʻalahi.

He aha maoli ka helu o ka puʻuwai?

I ka ʻōlelo maʻalahi, ʻo ka helu o ka puʻuwai ka helu o nā manawa e kuʻi ai kou puʻuwai i hoʻokahi minuke. ʻIke ʻoe, he mea kēia a ko mākou kino e hoʻomalu ponoʻī ai. ʻO ia hoʻi, ke holo mākou, hoʻoikaika kino, a hauʻoli nui paha a makaʻu paha, piʻi aʻe ko mākou helu o ka puʻuwai. Pēlā nō, ke hiamoe mākou, hoʻomaha, a mālie paha, emi iho kēia helu. He mea kēia e hoʻololi e like me nā pono o ko mākou kino.

No ke aha mākou e noʻonoʻo nui ai e pili ana i ka helu o ka puʻuwai?

Ke noʻonoʻo nei paha ʻoe, "No laila he mea ʻē aʻe kēia, no ke aha he mea nui kēia?" ʻO ka ʻoiaʻiʻo, he mea nui ka helu o ka puʻuwai e haʻi mai iā mākou i nā mea he nui e pili ana i ko mākou olakino .

• Nānā nā kauka i kēia: Ke hele ʻoe e ʻike i ke kauka, ua ʻike paha ʻoe iā lākou e nānā i kou pulse. ʻO ia hoʻi, nānā lākou i kou helu puʻuwai. Hana pinepine ʻia kēia i ka wā o ka nānā makahiki maʻamau, ke loaʻa iā ʻoe kahi maʻi, a i ʻole ma mua o ke ʻoki ʻana.
• He mea nui no nā mea hoʻoikaika kino: Inā he mea hoʻoikaika kino ʻoe, e kōkua kēia iā ʻoe e ʻike inā ʻoe e hoʻoikaika kino pono ana a i ʻole e hoʻoikaika nui ana ʻoe iā ʻoe iho.
• Hiki ke ʻike i nā pilikia olakino: Inā ʻoi aku ke kiʻekiʻe a i ʻole ka haʻahaʻa o kou puʻuwai ma mua o ka maʻamau , hiki ke lilo i hōʻailona o ka maʻi puʻuwai a i ʻole kekahi pilikia olakino ʻē aʻe. ʻAʻole wale kēlā, akā hiki i nā kauka ke loaʻa kahi manaʻo o kekahi mau maʻi ma ke ʻano o kēia mau pulse ma ko mākou kino holoʻokoʻa.

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Pehea ʻoe e ana ai i kou helu puʻuwai? He maʻalahi loa ia!

He hoʻāʻo maʻalahi loa kēia e hana ai. Hiki iā ʻoe ke hana iā ʻoe iho ma ka home. He hoʻāʻo ia ʻaʻole komo a ʻeha ʻole.

1. E huli i kou pulse: E kau i kou mau manamana lima ʻekolu lōʻihi loa (manamana nui, manamana lima waena, manamana lima apo) a kaomi māmā ma kahi ma kou ʻili. ʻO kēia pulse ke kaomi āu e manaʻo ai i ke kahe ʻana o ke koko ma kekahi o nā aʻa i loko o ko kākou kino.

• Nā wahi maikaʻi loa: ʻO nā wahi maʻalahi loa e nānā ai i kou pulse ʻo ia ka iwi ʻāʻī (ʻaoʻao o kou ʻāʻī), kahi i loaʻa ai ke "aʻa Carotid". A i ʻole ka pulima lima (ma ka ʻaoʻao o kou lima, ma lalo o kou manamana nui). Kahi i loaʻa ai ke "aʻa Radial".

2. Helu: Ma hope o ka loaʻa ʻana o kou pulse, e nānā i ka uaki a helu i ka nui o nā manawa i kuʻi ai kou puʻuwai i loko o 60 kekona (hoʻokahi minuke). Inā pilikia ʻoe i ka helu ʻana no 60 kekona, e helu no 30 kekona a hoʻonui i ʻelua. A i ʻole hiki iā ʻoe ke helu no 15 kekona a hoʻonui i ʻehā.

3. Kou helu puʻuwai:ʻO ka waiwai āu e loaʻa ai, ʻo ia ka helu o kou puʻuwai. ʻO kēia ka mea a mākou e kapa nei he bpm (beats per minute).

Ka Helu Puʻuwai Hoʻomaha: ʻO kēia ka inoa i hāʻawi ʻia i ka helu puʻuwai i ana ʻia i ka wā e mālie ana ʻoe a ʻaʻohe hana.

Hiki iā ʻoe ke ana i kēia i kou wā e hoʻoikaika kino ana a i ʻole ma hope o kou pau ʻana. Ma kēlā ala, hiki iā ʻoe ke ʻike i ka ikaika o kāu hoʻoikaika kino ʻana.

ʻO kekahi o nā mea hoʻopaʻa kino o kēia manawa, e like me nā uaki lima, ke ana a hōʻike aunoa i ka helu o kou puʻuwai.

He aha ka ʻōlelo a nā hopena o ke ana?

E hāʻawi pololei ʻia aku kahi helu iā ʻoe. ʻO kēia ka helu o nā manawa e kuʻi ai kou puʻuwai i kēlā me kēia minuke. Ma ka nānā ʻana i kēia helu, hiki iā ʻoe ke ʻike inā aia kou puʻuwai i loko o ka pae maʻamau a i ʻole.

Pehea ke ʻano o ka helu puʻuwai maʻamau?

He ʻokoʻa kēia no kēlā me kēia kanaka. Aia ia i kou makahiki a me kou olakino holoʻokoʻa . ʻO ka maʻamau, ʻoi aku ka kiʻekiʻe o ka puʻuwai o ke kanaka ʻōpio.

### Ka helu puʻuwai maʻamau no nā keiki ʻōpio (ʻoiai e ala ana):

• Nā pēpē hānau hou (hānau a hiki i 4 pule): 100 a 205 mau kuʻi i kēlā me kēia minuke (100-205 bpm)*
• Nā pēpē 4 mahina a hiki i ka makahiki 1: 100 a 180 mau kuʻi i kēlā me kēia minuke (100-180 bpm)*
• Nā kamaliʻi liʻiliʻi 1 a 3 makahiki: 98 a 140 mau kuʻi i kēlā me kēia minuke (98-140 bpm)*
• Nā keiki kula kamaliʻi 3 a 5 mau makahiki: 80 a 120 mau kuʻi i kēlā me kēia minuke (80-120 bpm)
• Nā keiki kula 5 a 12 mau makahiki: 75 a 118 mau kuʻi i kēlā me kēia minuke (75-118 bpm)
• ʻO nā ʻōpio (13 a 18 mau makahiki): 60 a 100 mau kuʻi i kēlā me kēia minuke (60-100 bpm)

*Hoʻokumu ʻia kēia mau helu ma ka wā e ala ai nā keiki. Hiki ke haʻahaʻa kēia mau waiwai i ka wā e hiamoe ana lākou.

### Ka helu puʻuwai maʻamau no nā pākeke (18 makahiki a ʻoi):

• 60 a 100 mau kuʻi i kēlā me kēia minuke (60-100 bpm)

He aha ka pahuhopu o ka helu puʻuwai a me ka palena kiʻekiʻe loa e pono ai mākou e hoʻāʻo i ka wā e hoʻoikaika kino ai?

Inā he mea hoʻoikaika kino ʻoe, he mea nui loa kēia ʻāpana iā ʻoe.

• Ka Helu Puʻuwai Pahuhopu: ʻO kēia ka pae maikaʻi loa no ka helu o kou puʻuwai e noho ai i ka wā e hana ana ʻoe i ka hoʻoikaika kino ikaika (no ka laʻana, ka hele wikiwiki). He kūpono kēia pae no ka mea ua lawa ia e pōmaikaʻi ai kou puʻuwai, a ʻaʻole ia e hoʻokau iā ʻoe i ke kaumaha pono ʻole.
• Ka helu o ka puʻuwai kiʻekiʻe loa: Inā makemake ʻoe e hoʻoikaika kino, hiki iā ʻoe ke piʻi a hiki i kahi 95% o kou helu puʻuwai kiʻekiʻe loa. AkāMai hana nui. Inā hana ʻoe pēlā, ʻoi aku ka nui o nā pilikia ma mua o nā pono.

He mea nui: Inā ʻaʻole ʻoe e hoʻoikaika kino mau, he mea nui e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino hou. He mea nui loa kēia inā he moʻolelo kou no ka maʻi puʻuwai, nā pilikia hanu, a i ʻole nā ​​pilikia kahe koko. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no ka hoʻoikaika kino palekana a me ka maikaʻi me ka ʻole o ka hoʻoweliweli ʻana i kou olakino.

### Pehea e helu ai i kēia?

Hiki iā ʻoe ke helu i kāu mau helu puʻuwai kiʻekiʻe loa a me ka pahuhopu ponoʻī.

• 220 - Kou makahiki = Ka helu o ka puʻuwai kiʻekiʻe loa
• Ka wikiwiki kiʻekiʻe loa x 0.6 = ka waiwai haʻahaʻa loa ma ka laulā i manaʻo ʻia
• Ka wikiwiki kiʻekiʻe loa x 0.8 = ka waiwai kiʻekiʻe loa o ka laulā i manaʻo ʻia

Eia kekahi laʻana, inā he 40 ou makahiki:

• Ka helu puʻuwai kiʻekiʻe loa: 220 - 40 = 180 bpm
• Ka waiwai haʻahaʻa loa ma ka pae pahuhopu: 180 x 0.6 = 108 bpm
• ʻO ka waiwai kiʻekiʻe loa ma ka pae pahuhopu: 180 x 0.8 = 144 bpm

ʻO ia hoʻi, pono ʻoe e hoʻāʻo e mālama i ka helu o kou puʻuwai ma waena o 108 bpm a me 144 bpm i ka wā e hoʻoikaika kino ai.

He aha ka hoʻonui ʻia o ka puʻuwai? (Tachycardia)

Inā ʻoi aku ka nui o kou puʻuwai ma mua o 100 mau kuʻi i kēlā me kēia minuke (100 bpm) ke hoʻomaha ʻoe, kapa nā kauka iā ia he Tachycardia . Hōʻike paha kēia he pilikia me ka ʻōnaehana e hōʻailona ana i kou puʻuwai e kuʻi. ʻO nā hiʻohiʻona e komo pū me nā kūlana e like me (Atrial Flutter) a me (Ventricular Tachycardia).

Eia nō naʻe, ʻaʻole i nā manawa a pau ka piʻi ʻana o ka helu o ka puʻuwai he pilikia ia o ka puʻuwai (Arrhythmia). I kekahi manawa, hiki ke piʻi aʻe ka helu o ka puʻuwai ma muli o kēia mau kumu:

• Ka maloʻo ʻana
• Kekahi ʻano maʻi
• kuni
• ʻEha
• Hopohopo
• Nā maʻi thyroid

Inā ʻoe ma lalo o ke kaumaha nui, hopohopo , a i ʻole wela loa a pulu paha ke aniau , hiki ke piʻi aʻe kou puʻuwai. He mau kūlana manawa pōkole kēia. No laila, e ana hou i kou puʻuwai ma hope o kou mālie iki ʻana, a i ʻole ma hope o ka hala ʻana o nā kūlana.

He aha ka wikiwiki o ka puʻuwai lohi? (Bradycardia)

Inā emi ka helu o kou puʻuwai ma mua o 60 mau kuʻi i kēlā me kēia minuke (60 bpm) i kou wā e hoʻomaha ana, ua kapa ʻia ʻo Bradycardia. Hōʻike paha kēia he pilikia me ka ʻōnaehana e hōʻailona ana i ka puʻuwai e kuʻi. ʻO kahi laʻana he kūlana i kapa ʻia ʻo Heart Block.

Ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau, no ka laʻana ʻo 'Beta-blockers'Inā ʻoe e lawe ana i kahi lāʻau i kapa ʻia he beta-blocker, e lohi paha kou puʻuwai. ʻAʻole kēia he mea e hopohopo ai i nā manawa a pau. ʻO ka hapa nui o ka manawa, e lawe ana paha ʻoe i kēlā lāʻau lapaʻau e hoʻohaʻahaʻa i kou koko koko a i ʻole e maʻalahi ai ka hana a kou puʻuwai.

Inā he kanaka hoʻoikaika kino ikaika ʻoe , ʻoiai he mea hoʻokūkū haʻuki, ʻoi aku ka haʻahaʻa o kou helu puʻuwai hoʻomaha ma mua o 60 mau kuʻi i kēlā me kēia minuke. No kekahi mau mea hoʻokūkū, hiki ke haʻahaʻa kēia i 40 bpm. Eia nō naʻe, no ke kanaka maʻamau, hiki ke haʻahaʻa loa ia waiwai.

He aha ka mea e hana ai inā ʻaʻole kūpono ka helu o ka puʻuwai?

Inā ʻaʻole maʻamau ka helu o kou puʻuwai hoʻomaha, pono ʻoe e ʻike i ke kauka. He mea nui e nānā ʻia, no ka mea, ʻo ka helu o kou puʻuwai i kiʻekiʻe loa a haʻahaʻa loa paha, he hōʻailona ia o kahi pilikia.

Āhea ʻoe e ʻike ai i ke kauka?

Inā he mau hopohopo a nīnau paha kāu e pili ana i ka helu o kou puʻuwai, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu mea mālama ola mua (PCP). Hiki iā ia ke pane i kāu mau nīnau a kuhikuhi iā ʻoe i kahi loea inā pono.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka:

• Inā manaʻo ʻoe ua poniuniu ʻoe i ka wā e kiʻekiʻe ai kou puʻuwai.
• Inā hoʻomau ke kiʻekiʻe loa a i ʻole ka haʻahaʻa loa o kou helu puʻuwai hoʻomaha.
• Inā manaʻo ʻē kou puʻuwai, lele ana, a kū ʻole paha i ka laulima .
• Inā ʻoe e lohe i kahi kuʻi ke lawe ʻoe i kou pulse ma kahi o ka "thump," ua kapa ʻia kēia he "thrill. " Hiki i kēia ke hōʻailona o kekahi mau pilikia o ka puʻuwai a me ke kahe koko.
• Inā ʻike ʻoe i kou puʻuwai e kuʻi wikiwiki ana me ka ʻole o ka manaʻo ʻana i kou pulse (ua kapa ʻia kēia ʻo "Heart Palpitations").

He mea nui loa hoʻi e kipa aku i kāu kauka ʻohana ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no ka nānā ʻana i ke olakino makahiki . He mea maʻamau ka nānā ʻana i kou helu puʻuwai i kēlā manawa. Hiki iā ia ke ʻike i nā maʻi he nui (ʻoiai nā maʻi weliweli, asymptomatic) i ka wā mua. Inā ʻike mua ʻia, hiki ke mālama ʻia nā mea he nui.

ʻO ka mea hope loa, leka lawe i ka home

I kēia manawa ua maopopo iā ʻoe ke ʻano o ka helu ʻana o ka puʻuwai, pehea e ana ʻia ai, a me ka mea hiki iā ia ke haʻi mai iā mākou.

He mea kēia hiki iā ʻoe ke ana maʻalahi iā ʻoe iho. Inā ʻoe e ana mau i kou helu puʻuwai, hiki iā ʻoe ke loaʻa kahi manaʻo o kāu helu "maʻamau".

• Inā loaʻa iā ʻoe kahi heluhelu ʻano ʻē, mai hopohopo. E noʻonoʻo i kāu mea e hana nei ma mua o ka hana ʻana. Aia paha he kumu kūpono no ia mea (e.g., i kou wā i makaʻu ai ma hope o ka holo ʻana).
• Eia nō naʻe, inā hoʻomau ʻoe i ka loaʻa ʻana o nā waiwai kūpono ʻole, a inā he mau hopohopo kāu e pili ana i ia mea, e ʻike pono i ke kauka.Hiki iā lākou ke ʻike i ke kumu o ka helu o kou puʻuwai ma waho o ka pae maʻamau.

ʻO ka mālama ʻana i kou puʻuwai ua like ia me ka mālama ʻana i kou kino holoʻokoʻa. No laila, he mea kūpono ke nānā aku i kēia mea liʻiliʻi akā he mea nui loa.

ʻO ka helu o ka puʻuwai, ka pulse, ka puʻuwai, ka helu maʻamau o ka puʻuwai, ka maʻi puʻuwai, ka hoʻoikaika kino