Pehea e nānā ai i ka pulse o kāu keiki liʻiliʻi? E kamaʻilio kākou e pili ana i kēia!

E nā mākuahine a me nā mākua kāne, ua manaʻo paha ʻoukou iā ʻoukou iho, 'Auē, he kuni ko kaʻu keiki a he wikiwiki ka puʻuwai,' a ua ʻike paha ʻoukou i ke kauka e paʻa ana i ka lima o kāu keiki a nānā i kekahi mea. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka nānā ʻana i ka pulse a i ʻole ka puʻuwai o kāu keiki ma ka home. Hiki ke kōkua ka ʻike ʻana i kēia i kekahi manawa, ʻoiai ke maʻi kāu keiki, e loaʻa ai kahi manaʻo maʻamau o ko lākou kūlana.

He aha ka pulse? ʻO ka moʻolelo e hoʻokani ai i ka puʻuwai!

I ka ʻōlelo maʻalahi, ʻo ka pulse ka helu o nā manawa e kuʻi ai ko kākou puʻuwai i kēlā me kēia minuke. ʻIke ʻoe, ʻo ko kākou puʻuwai ka pamu e pamu i ke koko ma o ko kākou kino. I kēlā me kēia manawa e kuʻi ai kēia puʻuwai, e pamu ʻia ke koko maʻemaʻe, ʻo ia hoʻi ke koko waiwai i ka oxygen, ma o nā kīʻaha koko ma o ko kākou kino. ʻO nā nalu kaomi e kū mai ana i ka wā e kahe ai ke koko ma o kēlā mau kīʻaha koko, ʻo ia ka mea a kākou e ʻike ai ma ko kākou mau lima ma ke ʻano he pulse. Ua like ia me ke kani o ka wai e holo ana ma o kahi paipu.

E nānā, ʻokoʻa kēia helu pulse ma muli o nā mea like ʻole. ʻO ia hoʻi, ʻaʻole like mau ia.

• Makahiki: ʻO ka maʻamau, kiʻekiʻe ka nui o ka pulse o nā pēpē ʻōpiopio loa. I ko lākou ulu ʻana, ʻo ia hoʻi, i ko lākou ulu ʻana, e emi mālie ana kēia nui o ka pulse.
• Hana: Piʻi ka helu o ka pulse i ka wā e holo nui ana ka pēpē, pāʻani ana, hoʻoikaika kino ana, a uē paha. Pēlā nō, emi ka helu o ka pulse i ka wā e hiamoe ana a hoʻomaha ana paha ka pēpē.
• Nā Manaʻo: Hiki ke piʻi aʻe ka helu o ka naʻau ke makaʻu koke ke keiki, pīhoihoi, hauʻoli loa, a ʻeha paha.
• Mahana kino: Ke wela ke kino o ke keiki, e like me ka wā e loaʻa ai ke kuni, piʻi pinepine ka nui o ko lākou puʻuwai.
• Nā lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hoʻolohi a hoʻonui paha i kou puʻuwai.
• Nā kūlana olakino: ʻO kekahi mau kūlana olakino, e like me kekahi mau kūlana puʻuwai, nā loli i ka hana thyroid, a me ka anemia, hiki ke hana i kahi pulse lohi a kūpono ʻole paha.

E nānā kākou i ka helu puʻuwai maʻamau o ka hoʻomaha ʻana (nā kuʻi i kēlā me kēia minuke) o kahi keiki olakino. He mau helu wale nō kēia, no ka mea, hiki ke ʻokoʻa iki mai kekahi keiki a i kekahi keiki.

• Nā pēpē hānau hou (0-28 lā): ma waena o 100-205 mau kuʻi i kēlā me kēia minuke
• Nā pēpē 1 mahina a 1 makahiki: Ma waena o 100-190 mau kuʻi i kēlā me kēia minuke
• Nā keiki 1 a 2 makahiki: 98-140 mau kuʻi i kēlā me kēia minuke
• Nā keiki 3 a 5 mau makahiki: 80-120 mau kuʻi i kēlā me kēia minuke
• Nā keiki 6 a 11 makahiki: 75-118 mau kuʻi i kēlā me kēia minuke
• Nā keiki ʻōpio ma luna o 12 mau makahiki: 60-100 mau kuʻi i kēlā me kēia minuke (e like me nā pākeke)

" He mea nui:"ʻO kēia nā pae maʻamau. Akā e hoʻomanaʻo, inā e pāʻani nui ana kāu keiki, e holo ana a puni, a e lele ana, ʻoi aku paha ke kiʻekiʻe o ko lākou helu pulse ma mua o kēia mau helu. He mea maʻamau loa ia. Pono mākou e hopohopo mau e pili ana i ka helu pulse ke hoʻomaha a mālie ke keiki ."

Pono anei mākou e hoʻomākaukau i kēia mau mea ma mua o ka nānā ʻana i ka pulse o ke pēpē?

ʻAe, e nānā kākou pehea e nānā ai i ka pulse o kāu pēpē. ʻAʻole pono ʻoe i kekahi lako nani no kēia. ʻO nā mea wale nō āu e pono ai:

1. He uaki me ka lima minuke a i ʻole he `Stopwatch` (stopwatch): Pono e hiki ke ana i 15 kekona, 30 kekona, a i ʻole hoʻokahi minuke piha me ka pololei. ʻO `Smart Phone` (smartphone) i hoʻohana ʻia e nā poʻe he nui i kēia mau lā, loaʻa pū kekahi i kēia hiʻohiʻona `Stopwatch` (stopwatch). Hiki iā ʻoe ke hoʻohana i kēlā.

2. E hoʻomau i ke keiki me ka mālie a me ka hoʻomaha: ʻO kēia ka mea nui loa . Inā ʻoe e lawe i ka pulse i ka wā e holo ana ke keiki, e uē ana, a e ʻakaʻaka nui ana paha, ʻaʻole ʻoe e loaʻa i kahi heluhelu pololei. No laila, e hoʻomau i ke keiki me ka mālie a me ka hoʻomaha no 5 mau minuke ma mua o ka lawe ʻana i ka pulse. Hiki iā ʻoe ke lawe i ka pulse i ka wā e nānā ana ke keiki i ke TV, e hoʻolohe ana iā ʻoe e heluhelu ana i kahi moʻolelo, a e kamaʻilio mālie ana paha me ʻoe. Inā he pēpē liʻiliʻi, e lawe i ka pulse i kona wā e hiamoe ana a i ʻole i kona wā e mālie loa ana.

ʻO kekahi mea e hoʻomanaʻo ai, mai hoʻohana i kou manamana nui e nānā i ka pulse. Ua ʻike anei ʻoe? Loaʻa i ko kākou manamana nui kāna pulse ponoʻī, ʻo ia hoʻi, he pulse. A laila e huikau paha ʻoe inā he pulse o ka pēpē a i ʻole ka pulse o kou manamana nui. No laila , e hoʻohana mau i kou manamana kuhikuhi a me kou manamana waena (ʻelua o kou mau manamana lima) a kau mālie iā lākou ma kahi āu e manaʻo ai i ka pulse.

Pehea e nānā ai i ka pulse o nā pēpē ʻōpiopio loa (nā pēpē)?

ʻO kahi maikaʻi loa a maʻalahi hoʻi e nānā ai i ka pulse o kahi pēpē ma lalo o hoʻokahi makahiki, ʻoi aku hoʻi i kekahi mau mahina, aia ma ka lima luna . I ka pololei, ma waena o ka poʻohiwi a me ke kuʻekuʻe lima, ma loko o ka lima. Kāhea mākou i kēia ma ke ʻano lapaʻau ʻo 'Brachial Pulse'.

Eia pehea e hana ai, he maʻalahi loa ia:

1. ʻO ka mea mua, e hoʻomoe i ka pēpē ma luna o kahi moe a i ʻole ma kahi pālahalaha a palekana. E kulou iki i kekahi o nā lima o ka pēpē (ka lima āu e makemake ai e nānā no ka pulse), e paʻa iā ia, a kau iā ia i kokoke i kona pepeiao. A laila e maʻalahi iki ka loaʻa ʻana o kahi aʻu i ʻōlelo ai i ka 'Brachial Pulse'.

2. I kēia manawa, me ka hoʻohana ʻana i kou mau manamana lima kuhikuhi a me waena , e kau mālie iā lākou ma loko o ka lima o luna (ma waena o ka poʻohiwi a me ke kuʻekuʻe) a e ʻike inā hiki iā ʻoe ke hoʻopā iā lākou. Mai kaomi ikaika loa, e hoʻopā mālie a lohi wale.

3. E ʻike mālie ʻoe i kou pulse e hele ana 'tick tick'. Ke loaʻa iā ʻoe kahi kikoʻī, e nānā i kāu uaki a helu i ka nui o nā manawa i kuʻi ai kou pulse no 15 kekona .

4. A laila, e hoʻonui i ka helu āu i helu ai me 4.ʻO ka pane ka helu o ka puʻuwai o ka pēpē (nā kuʻi i kēlā me kēia minuke).

Eia kekahi laʻana, e noʻonoʻo ua helu ʻoe i 35 mau kuʻi i loko o 15 kekona. A laila 35 x 4 = 140. ʻO ia hoʻi, ʻo ka helu pulse o ka pēpē he 140 mau kuʻi i kēlā me kēia minuke. Maopopo iā ʻoe?

I kekahi manawa, ʻaʻole paha ʻoe e ʻike koke i ka pulse. ʻOi loa aku inā neʻe iki ka pēpē. Inā hana ʻia kēlā, mai hopohopo. E hoʻāʻo e hoʻoneʻe iki i kou mau manamana lima, a i ʻole e nānā i kou lima ʻē aʻe. Pono kēia i ke ahonui iki.

Nā wahi e nānā ai i ka pulse o nā keiki ʻōpiopio iki

Aia kekahi mau wahi ʻē aʻe e nānā ai i ka puʻuwai o nā keiki ma luna o hoʻokahi makahiki a ʻoi.

• Ka Pulse o ka Pūlima - Radial Pulse: ʻO kēia kahi e nānā pinepine ai mākou i ka pulse o nā pākeke. E hoʻohuli i ka lima o ke keiki a kau i kou mau manamana kuhikuhi a me nā manamana waena ma ka ʻaoʻao o ka pūlima kahi e waiho ai ka manamana nui (ma lalo pono o ke kuʻina o ka lima). Hoʻomaopopo ʻia kēia `Radial Pulse` ma loko o ka lima, ma ke kumu o ka manamana nui.
• ʻO ka Carotid Pulse: Hoʻomaopopo ʻia ka Carotid Pulse ma nā ʻaoʻao ʻelua o ka ʻāʻī, ma lalo pono o ka iwi ʻāwae, ma nā ʻaoʻao ʻelua o ka trachea (windpipe ). Eia naʻe, ʻaʻole ʻōlelo ʻia e nānā i ka pulse o nā keiki ʻōpio ma ʻaneʻi . ʻO kēia no ka mea inā kaomi hewa ʻia, hiki ke hoʻoluhi ʻia no ke keiki, a hiki ke hoʻoulu ʻia kekahi mau mea loaʻa i ka ʻāʻī a hiki ke hoʻopilikia ʻia ka puʻuwai. No laila, ʻo kahi kūpono loa ʻo ka pulima lima a i ʻole, no nā pēpē, ka lima luna.

I ka nānā ʻana i ka pulse o nā keiki makua, e like me ka mea i ʻōlelo ʻia ma mua, e helu no 15 kekona a hoʻonui me 4. A i ʻole hiki iā ʻoe ke helu no 30 kekona a hoʻonui me 2. A i ʻole, inā maopopo loa iā ʻoe, hiki iā ʻoe ke helu i ka pulse no hoʻokahi minuke piha.

Āhea mākou e ʻike ai i ke kauka?

ʻOiai ʻo ka nānā ʻana i kou pulse kahi mea hiki iā ʻoe ke hana ma ka home, aia kekahi mau kūlana kahi e pono ai ʻoe e ʻimi i ke aʻo lapaʻau. E makaʻala i kēia mau hōʻailona:

• Tachycardia: Ke kiʻekiʻe mau ka helu pulse o ke keiki ma mua o ka helu maʻamau no ko lākou mau makahiki, ʻoiai ke hoʻomaha a mālie lākou (no ka laʻana, ʻoi aku ma mua o 220 mau kuʻi i kēlā me kēia minuke i kahi pēpē liʻiliʻi, ʻoi aku ma mua o 180 mau kuʻi i kēlā me kēia minuke i kahi keiki ʻoi iki aʻe).
• Bradycardia: Inā haʻahaʻa mau ka puʻuwai o ka pēpē ma mua o ka helu maʻamau no ko lākou mau makahiki, ʻoiai ke hoʻomaha nei lākou (no ka laʻana, ʻaʻole i emi iho ma mua o 60 mau kuʻi i kēlā me kēia minuke i kahi pēpē liʻiliʻi, a hiamoe ka pēpē, ʻaʻole omo, a palaualelo).
• Ka Pulse Kaulike ʻole: Inā manaʻo ʻia ka pulse he ʻano ʻē, ʻaʻole i loko o kahi mele, i kekahi manawa wikiwiki, i kekahi manawa lohi, lele, kū, a pēlā aku.
• Inā loaʻa iā ʻoe nā hōʻailona ʻē aʻe e like me kēia me kou pulse:
• Paʻakikī ka hanu ʻana, wheezing i ka wā e hanu ana, hanu wikiwiki.
• Ka ʻuliuli ʻana o ke kala o nā lehelehe, ke alelo, a i ʻole ka ʻili (Cyanosis).
• Inā ʻoe e kamaʻilio nei e pili ana i ka ʻeha o ka umauma (inā he keiki ʻoi iki aʻe).
• Inā ʻoe e poniuniu, poʻo māmā, a nāwaliwali paha i nā manawa a pau.
• Ka hou nui ʻana (me ka ʻole o ke kuni), ke anu nei ke kino.
• Inā ʻaʻole ʻeleu ke keiki e like me ka maʻamau, ua hiamoe mau, palaualelo, a palaualelo paha.
• Ka hōʻole piha ʻana i ka inu waiū a i ʻole ka nalowale o ka makemake (ʻoi aku hoʻi i nā pēpē ʻōpio).

"Ma ia ʻano kūlana, pono ʻoe e ʻike koke i ke kauka i kākau inoa ʻia me ka hoʻonele ʻole i ka manawa . No ka mea, he mau hōʻailona paha kēia o kahi maʻi puʻuwai a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe. No laila, he mea naʻauao ke ʻole e hopohopo, akā e ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau."

Pēlā nō, inā he kānalua a makaʻu paha kou i kou nānā ʻana i kou pulse, a inā paha ʻoe e noʻonoʻo, "Pololei anei kēia? ʻAʻole maopopo iaʻu," a laila ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke nīnau i ke kauka. He mea nui loa hoʻi e lanakila ma luna o kou mau makaʻu.

No laila, eia nā mea nui loa e hoʻomanaʻo! (Leka Lawe-Home)

ʻAe, e nānā hou kākou i nā mea a kākou i kamaʻilio ai e pono ai ʻoe e hoʻomanaʻo hou, ʻeā?

1. ʻO ka pulse ka helu o nā manawa e kuʻi ai ka puʻuwai i kēlā me kēia minuke.

2. E hoʻomālielie a hoʻomaha i ke keiki no 5 mau minuke ma mua o ka nānā ʻana i ka pulse. Mai nānā i ka wā hopohopo.

3. E hoʻohana i kou manamana lima kuhikuhi a me kou manamana waena e nānā i ka pulse. Mai hoʻohana i kou manamana nui.

4. ʻO kahi maikaʻi loa e nānā ai i ka pulse o nā pēpē (ma lalo o hoʻokahi makahiki) ʻo ia ka lima o luna, ma loko ('Brachial Pulse`).

5. Hiki iā ʻoe ke nānā i ka `Radial Pulse` ma ka pulima o nā keiki ʻōpiopio iki .

6. E helu i kou pulse no 15 kekona a hoʻonui i ka 4 e loaʻa ai kāu helu pulse i kēlā me kēia minuke. (A i ʻole e helu no 30 kekona a hoʻonui i ka 2).

7. E loaʻa kahi manaʻo maʻamau o ka helu pulse maʻamau no ka makahiki o kāu keiki, akā e hoʻomanaʻo he hiki ke ʻokoʻa iki.

8. Inā kiʻekiʻe mau ka nui o ka pulse o ke keiki, haʻahaʻa, ʻano ʻē, a i ʻole he mau hōʻailona weliweli ʻē aʻe e like me ka paʻakikī o ka hanu ʻana a i ʻole nā ​​​​lehelehe polū, e ʻimi koke i ke kōkua lapaʻau.

9. Mai makaʻu e kamaʻilio me ke kauka i kēlā me kēia manawa āu e kānalua ai . E nīnau i nā nīnau e pili ana i kou manaʻo.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. He mea nui loa ia ma ke ʻano he makuahine a makua paha e mālama i ke olakino o kāu keiki a e makaʻala i ko lākou mau loli. Ke manaʻoʻiʻo nei au he mea kōkua nui ka ʻike ʻana i kēia mau mea liʻiliʻi iā ʻoe.

ʻO ka Pulse, ka helu o ka puʻuwai, ka Pulse Brachial, ka Pulse Radial