Mek wi fain out di exact pulse of di hat? - Ɔltin bɔt Apical Pulse

Wi ɔl no aw fɔ chɛk wi puls bay we wi de fil am na wi an ɔ na ɛni say na wi nɛk. Bɔt yu no se wan spɛshal puls de we de gi mɔ kɔrɛkt infɔmeshɔn bɔt aw di at de wok, we dɛn kin yɛri we dɛn put wan tiub dairekt na di chɛst? Na dat wi de kɔl di ‘Apical Pulse’. Dis na tin we rili impɔtant, so lɛ wi tɔk bɔt am ditayli tide.

Wetin na dis Apical Pulse?

Fɔ tɔk am simpul wan, di Apical Pulse na di say we yu kin gɛt di kɔrɛkt aidia bɔt aw yu at de bit . Dɛn kin kɔl am bak di ‘Point of Maximal Impulse’ (PMI) ɛn di ‘Apex Beat’.

wi kin chεk wi puls na di an (dεn kכl am ‘radial pulse’) כ na di tu say dεm na wi nεk (dεn kכl am ‘carotid pulse’), nכto? dis na di puls dεm we de rכn along di bכdi vεsul dεm na wi bכdi, dat na, along di ‘arteries’. Wi kin fil dɛn puls ya izi wan bay we wi put tu ɔ tri finga dɛn pan dɛn. Dɔn wi kin fil di prɛshɔn wev dɛn we kin apin ɛvri tɛm we di at de bit.

Bɔt dis Apical Pulse difrɛn. Dis nɔto puls we de na wan at. Yu nɔ de fil prɛshɔn wef ya. wetin yu fil, כ wetin di dכkta de yεri, na di kכntrikshכn fכ di lכw chεmba na di lεft say na yu at, di ‘Lεft Vεntrikl’. imajin, evri tεm we yu at de bit, na dis Lεft Vεntrikul de pכmp bכdi to di כl bכdi tru di men bכdi we dεn kכl ‘Aorta’.

Yu nɔ tink se i wɔndaful fɔ si se wi kin fil se wi yon at de bit? Bɔt sɔmtɛm i kin tranga smɔl fɔ fɛn dis apikal puls wit jɔs yu finga dɛn. If yu dɔn ɛva go na ɔspitul, yu go mɔs dɔn si di mɛdikal wokman dɛn de chɛk dis apical pulse.

Usay di Apical Pulse de?

Dis Apical Pulse de jis oba di apex of yu hat. Yu no wetin na di apex of di hat? na di pat we lεk di tכp na yu at we de pכynt dכn na di lεft say, spεshal wan di tכp we de lכs pas כl na di Lεft Vεntrikl. Bɔt, insay sɔm kayn we, sɔm pipul dɛn at kin tɔn to di rayt say, we wi kin kɔl ‘dextrocardia’. Insay dis kayn pɔsin, di at we de ɔp de na di rayt say.

So, usai di εksεkshכn fכ di at de pan big pipul dεm?

pan big man, i de na di lεft say na di chεst, bitwin di fayv εn siks rib dεm, we i de kכnt frכm di tכp pat pan di rib kεj dכn. dכkta dεn kכl dis di ‘fayv intakostal spεs’, we na di spεs bitwin di rib dεm.

Usay di smɔl pikin dɛn de?

Fɔ pikin dɛn we nɔ rich 7 ia yet, dis ples difrɛn smɔl. di at εpiks de bitwin di fכs εn di fayv rib dεm. dat min se, insay dεn ‘fכs intakostal spεs’.

Wetin mek dɛn kin mɛzhɔ di apikal puls?

Yu dɔktɔ kin lan bɔku valyu infɔmeshɔn bay we i mɛzhɔ dis apical pulse. Naw, ɔtomɛtik divays dɛn de we de mɛzhɔ ɛn sho di puls rit kwik kwik wan. Pan ɔl we dɛn de sho aw di at de bit, dɛn nɔ de sho kɔrɛkt wan aw di at de rit ɔ aw di puls de trɛnk. כltu, di apical puls kin gi כl dis infכmeshכn kwik kwik wan, i kin yuz stεtoskop nכmכ .

Dɔktɔ kin mɛzhɔ yu apical puls fɔ dɛn rizin ya:

• Chek yu jenɛral wɛlbɔdi ɛn wɛl-at .
• Chek yu at wɛlbɔdi .
• Chek aw yu de du afta yu dɔn du tɛst, tritmɛnt, ɔ ɔpreshɔn .
• Kכlekt bεslayn infכmeshכn we dεn kin kכmpεr wit fכs puls chεk.

Aw dɛn kin mɛzhɔ di Apical Pulse?

Di dɔktɔ de yuz stetɔskɔp fɔ mɛzhɔ di apical pulse. Dɛn kin put am dairekt pan yu skin fɔ lisin. So, dɛn kin du dis we dɛn kɔba yu wit klos ɔ blankit fɔ protɛkt yu prayvet pat, if nid de.

Bɔku tɛm, di dɔktɔ kin fala dɛn tin ya:

• Dɛn go aks yu fɔ ledɔm na yu bak , ɔ fɔ tɔn smɔl na yu lɛft. Dɛn kin du dis fɔ mek yu fil fayn fɔ mek yu at de bit.
• Dɛn kin yuz dɛn finga dɛn fɔ fɛn usay di apikal puls de.
• di εnd pan di tכb (we na di ‘bεl’ כ di ‘dayafragm’) dεn de put am na yu chεst.
• Dɛn go tek tɛm lisin fɔ lɛk 60 sɛkɔn so. Nɔ wɔri if dɛn nɔ tɔk natin na dis tɛm, ɔ if i tan lɛk se i de tek sɔm tɛm. Dis na nɔmal tin. Di dɔktɔ nid fɔ lisin gud gud wan fɔ no aw di at de bit.
• Dɔn di dɔktɔ go pul di tiub na yu chɛst.

Sɔntɛnde, yu dɔktɔ kin chɛk yu puls bak na ɔda say dɛn. fכ egzampl, dεn kin want fכ mכsu yu ‘apical-radial pulse’.

Wetin na di apical-radial puls?

Di dɔktɔ kin want fɔ mɛzhɔ ɔl tu yu apical pulse ɛn yu radial pulse, we dɛn kin mɛzhɔ na di wrist. Dis de sho aw blɔd de muf fayn fayn wan frɔm yu at to di ɔda pat na yu bɔdi. Di dɔktɔ kin nid bak fɔ mek ɔda pɔsin ɛp am fɔ du dis. we wan pכsin de mכsu di apikal puls, di כda pכsin go chεk di raydial puls insay 60 sekכnd.

I fayn fɔ mek yu apikal puls ɛn raydial puls fɔ bi di sem. Bɔt if yu at wik ɔ yu gɛt vaskul sik, ., yu raydial puls kin lכs pas yu apical puls. di difrεns bitwin dεn tu valyu dεm ya dεn kכl am ‘puls dεfisit’ . Dis puls dɛfisit de ɛp yu dɔktɔ fɔ no ɛn wach difrɛn tin dɛn we de afɛkt yu at ɛn blɔd vesel dɛn.

Wetin na di nכmal rεnj fכ di apical puls?

di nכmal apikal puls rεnj fכ mכst big pipul dεm de bitwin 60 εn 100 bit pan minit (bpm) . Dis na di ideal rɛnj fɔ de insay we yu de rɛst. Bɔt tin dɛn lɛk dis kin mek yu puls dɔŋ tumɔs:

• If yu de du ɛksɛsayz .
• If yu drink tin dɛn we gɛt kafinɛ (lɛk ti, kɔfi).
• We yu strɛs ɔ wɔri .

As yu de ol, natin nɔ de fɔ mek yu at rit slo smɔl. Dɔn bak, sɔm mɛrɛsin dɛn ɛn sɔm sik dɛn we yu kin gɛt kin afɛkt yu at rit. I bεst fɔ tɔk to yu dɔktɔ fɔ no εksεktεly wetin na hεlty hat rεt rεnj fɔ yu.

I nɔmal fɔ mek yɔŋ pikin dɛn gɛt ay at rit pas big pipul dɛn. Dis nכmal rεnj de difrεn dipכnt pan dεn ej. di pikin dεm we nכ rich tri mכnt dεn gεt di hεyest rεt (123-164 bit dεm pan minit). Dis rεt kin dכn sכmtεm as dεn de ol. Tɔk to yu pikin in dɔktɔ fɔ no mɔ bɔt di rayt at rit rɛnj fɔ yu pikin we i gɛt difrɛn ej.

Wetin wi kin lan frɔm di Apical Pulse?

di apical pulse kin sho di simptom dεm fכ difrεn mεdikal kכndyushכn dεm . Dis na bikɔs i de mek di dɔktɔ yɛri mɔ pas jɔs yu at rit. Dɛn tin ya na:

• Aw di ɛnaji we de insay ɛni at bit de ?
• Aw lɔng ɛni at bit kin las ?
• Aw di ɔl ritm na di at de ?

Dis apical pulse kin ɛp yu dɔktɔ fɔ no di kɔndishɔn dɛn lɛk:

• At ritm dizayd (arrhythmias) , fɔ ɛgzampul, atrial fibrillation.
• di hat valv sik , fכ egzampl, di bכdi we de lik frכm di valv dεm (regurgitation) כ di valv dεm we de sכmtεm sכmtεm (stenosis).
• Di at mɔsul we de tik (Hypertrophic Cardiomyopathy) .
• di at chεmba dεm we de big (‘Diluted Cardiomyopathy’) .

Sɔntɛnde, i kin at fɔ fɛn di Apical Pulse?

Yɛs, sɔntɛnde di dɔktɔ nɔ kin ebul fɔ fɛn yu apical pulse. Dis kin bi if yu gɛt ɛni wan pan dɛn tin ya:

• Fat(Dεn kin kכl dis bak ‘obesity’, we min fכ fat pasmak).
• Krεse lכng sik (Krכnik lכng sik) .
• Fluid we de kכmכt rawnd di at (pεrikardial efyushכn) .
• Fluid akyumyuleshכn rawnd di lεft lכng (‘Lεft Pleural Effusion’) .

If dat apin, di dɔktɔ go chɛk yu puls na ɔda say dɛn, ɛn if nid de, du ɔda tɛst dɛn fɔ yu at. Natin nɔ de fɔ wɔri bɔt.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Pan ɔl we wi gɛt bɔku divays dɛn dis tɛm ya, fɔ chɛk yu puls stil na rili impɔtant pat pan mɛrɛsin. Yu apical pulse na impɔtant impɔtant sayn we de ɛp yu dɔktɔ fɔ no prɔblɛm wit yu at. Yu dɔktɔ kin chɛk yu apical pulse we yu de chɛk yu ɔltɛm. If yu de na ɔspitul, yu mɛdikal tim go chɛk yu apical pulse bɔku tɛm.

So, tɔk to yu dɔktɔ bɔt yu apical pulse ɛn wetin i se bɔt yu at wɛlbɔdi. Nɔ wɔri, na jɔs tɛst we yu kin du ɔltɛm, bɔt i rili impɔtant! I kin tɛl yu dɔktɔ bɔku tin bɔt yu at.

` Apikal puls, at rit, ɔskulteshɔn, at wɛlbɔdi, puls, at ritm, at sik