Ka tuzuule omukka gwennyini ogw’omutima? - Buli kimu ekikwata ku Apical Pulse

Ffenna tumanyi okukebera omukka gwaffe nga tuguwulira ku mukono oba ku buli ludda lw’ensingo yaffe. Naye obadde okimanyi nti waliwo omukka ogw’enjawulo oguwa amawulire amatuufu ennyo agakwata ku nkola y’omutima, agawulirwa ng’oteeka ttanka butereevu ku kifuba? Ekyo kye tuyita ‘Apical Pulse’. Kino kintu kikulu nnyo, kale katukyogereko mu bujjuvu leero.

Eno Apical Pulse kye ki?

Mu ngeri ennyangu, Apical Pulse w’osobola okufuna endowooza esinga obutuufu ku kukuba kw’omutima gwo . Era eyitibwa ‘Point of Maximal Impulse’ (PMI) ne ‘Apex Beat’.

Tutera okukebera omukka gwaffe ku mukono (eyitibwa ‘radial pulse’) oba ku buli ludda lw’ensingo yaffe (eyitibwa ‘carotid pulse’), nedda? Zino ze nnyindo ezitambulira ku misuwa gy’omusaayi gw’omubiri gwaffe, kwe kugamba, ku ‘misuwa’. Tusobola bulungi okuwulira emisinde gino nga tugiteekako engalo bbiri oba ssatu. Olwo tusobola okuwulira amayengo ga puleesa agabaawo buli omutima lwe gukuba.

Naye eno Apical Pulse ya njawulo. Kino si kiwujjo mu musuwa. Wano towulira pressure wave. Kye muwulira, oba omusawo ky’awulira, kwe kukonziba kw’ekisenge ekya wansi ku ludda olwa kkono olw’omutima gwo, ‘Left Ventricle’. Teebereza, buli omutima gwo lwe gukuba, ye Left Ventricle eno y’ekuba omusaayi mu mubiri gwonna ng’eyita mu musuwa omukulu oguyitibwa ‘Aorta’.

Tekyewuunyisa nti tusobola okuwulira omutima gwaffe nga gukuba? Naye oluusi kiyinza okukuzibuwalira katono okuzuula apical pulse eno ng’okozesa engalo zo zokka. Bw’oba ​​wali obaddeko mu ddwaaliro, osanga olabye abakozi b’ebyobujjanjabi nga bakebera omukka guno ogw’oku ntikko.

Apical Pulse esangibwa wa?

Apical Pulse eno esangibwa waggulu ddala ku ntikko y’omutima gwo. Omanyi entikko y’omutima kye ki? Kye kitundu ky’omutima gwo ekiringa ensonga ekisonga wansi ku ludda olwa kkono naddala ensonga esinga wansi eya Left Ventricle. Wabula mu mbeera ezitali nnyingi, emitima gy’abantu abamu giyinza okukyusibwa okudda ku ddyo, kye tuyita ‘dextrocardia’. Mu muntu ng’oyo, entikko y’omutima eba ku ludda olwa ddyo.

Kale, entikko y’omutima eri ludda wa ddala mu bantu abakulu?

Mu muntu omukulu, kibeera ku ludda olwa kkono olw’ekifuba, wakati w’embavu ey’okutaano n’ey’omukaaga, ng’obala okuva waggulu ku mbavu wansi. Kino abasawo bakiyita ‘fifth intercostal space’, nga kino kye kifo ekiri wakati w’embavu.

Abaana abato bali ludda wa?

Ku baana abali wansi w’emyaka 7, ekifo kino kya njawulo katono. Entikko y’omutima gwazo eri wakati w’embavu ez’okuna n’ez’okutaano. Kwe kugamba, mu ‘ekifo kyabwe eky’okuna wakati w’ennyindo’.

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Lwaki omukka ogw’oku ntikko (apical pulse) gupimibwa?

Omusawo wo asobola okuyiga amawulire mangi ag’omuwendo ng’apima omukka guno ogw’oku ntikko. Kati waliwo ebyuma ebipima amangu n’okulaga omutindo gw’omukka. Wadde nga ziraga okukuba kw’omutima, teziraga bulungi nnyimba za mutima oba amaanyi g’okukuba. Kyokka, ekyuma ekiyitibwa apical pulse kisobola okuwa amawulire gano gonna mu bwangu, nga kikozesa ekyuma ekiwuliriza kyokka .

Omusawo ayinza okupima omukka gwo ogw’oku ntikko olw’ensonga zino:

• Kebera obulamu bwo okutwalira awamu n'obulamu bwo obulungi .
• Kebera obulamu bw'omutima gwo .
• Kebera engeri gy’okola oluvannyuma lw’okukeberebwa, okujjanjabibwa oba okulongoosebwa .
• Kuŋŋaanya amawulire agasookerwako agayinza okugeraageranyizibwa n’okukebera omukka mu biseera eby’omu maaso.

Apical Pulse epimibwa etya?

Omusawo akozesa ekyuma ekiwuliriza okupima omukka oguyitibwa apical pulse. Kiteekebwa butereevu ku lususu lwo okuwuliriza. N’olwekyo kino kikolebwa ng’obikkiddwako olugoye oba omufaliso okukuuma eby’ekyama byo, bwe kiba kyetaagisa.

Omusawo atera okugoberera emitendera gino:

• Ojja kusabibwa okugalamira ku mugongo , oba okukyukira katono ku kkono. Kino kikolebwa okusobola okuwulira obulungi omutima gwo nga gukuba.
• Zikozesa engalo zaabwe okuzuula ekifo ekiwujjo ekiyitibwa apical pulse we kiri.
• Enkomerero ya ttanka (oba ‘akagombe’ oba ‘diaphragm’) eteekebwa ku kifuba kyo.
• Bajja kuwuliriza bulungi okumala sekondi nga 60. Tofaayo bwe baba tebalina kye boogera mu kiseera kino, oba bwe kiba nga kirabika kitwala akaseera. Kino kya bulijjo. Omusawo yeetaaga okuwuliriza obulungi ennyo okusobola okumanya omutima okukuba.
• Olwo omusawo ajja kuggyamu ttanka mu kifuba kyo.

Oluusi omusawo ayinza n’okukebera omukka gwo mu bifo ebirala. Okugeza, bayinza okwagala okupima ‘apical-radial pulse’ yo.

Ensigo ya apical-radial kye ki?

Omusawo ayinza okwagala okupima omukka gwo ogw’oku ntikko (apical pulse) n’okupima omukka gwo ogwa ‘radial pulse’, ogupimibwa ku mukono. Kino kiraga engeri omusaayi gye gutambula obulungi okuva ku mutima gwo okudda mu mubiri gwo gwonna. Omusawo era ayinza okwetaaga omuntu omulala okumuyambako ku kino. Omuntu omu bw’aba apima omukka ogw’oku ntikko, omulala ajja kukebera omukka gwa radial mu sikonda 60.

Ekisinga obulungi, apical pulse yo ne radial pulse zirina okuba ze zimu. Kyokka omutima bwe guba munafu oba ng’olina obulwadde bw’emisuwa, ., radial pulse yo eyinza okuba wansi okusinga apical pulse yo. Enjawulo wakati w’emiwendo gino ebiri eyitibwa ‘pulse deficit’ . Obuzibu buno obw’okukuba omukka buyamba omusawo okuzuula n’okulondoola embeera ez’enjawulo ezikosa omutima gwo n’emisuwa gyo.

Obuwanvu bwa bulijjo obw’omukka ogw’oku ntikko (apical pulse) buli ki?

Ekitundu kya bulijjo eky’okukuba kw’omutwe (apical pulse range) eri abantu abakulu abasinga obungi kiri wakati w’okukuba 60 ne 100 buli ddakiika (bpm) . Eno ye range ennungi gy’olina okubeera mu ng’owummudde. Wabula ebintu nga bino bisobola okuvaako omukka gwo okukka ennyo:

• Bw'oba okola dduyiro .
• Bw’onywa ebintu ebirimu caffeine (nga caayi, kaawa).
• Bw'oba olina situleesi oba nga weeraliikirira .

Bw’ogenda okaddiwa, mu butonde omutima gwo guyinza okukendeera katono. Ate era, eddagala erimu n’embeera z’obujjanjabi bisobola okukosa omutima gwo. Kirungi okwogera n’omusawo wo omanye ddala ekipimo ky’okukuba kw’omutima ekiramu kye kikugwanira.

Kya bulijjo abaana abato okubeera n’okukuba kw’omutima okusinga ku bantu abakulu. Ekigero kino ekya bulijjo kyawukana okusinziira ku myaka gyabwe. Abalongo abali wansi w’emyezi esatu be basinga (okukuba 123-164 buli ddakiika). Omuwendo guno gukendeera mpolampola nga bakaddiye. Yogerako n’omusawo w’omwana wo okumanya ebisingawo ku nsengekera z’okukuba kw’omutima ezisaanira omwana wo ku myaka egy’enjawulo.

Kiki ekiyinza okuyigibwa okuva mu Apical Pulse?

Apical pulse esobola okulaga obubonero bw'embeera ez'enjawulo ez'obujjanjabi . Kino kiri bwe kityo kubanga kisobozesa omusawo okuwulira ebisinga ku kukuba kw’omutima gwo. Mu bino mulimu:

• Amaanyi agali mu buli kukuba kw'omutima gali gatya ?
• Buli kukuba kw'omutima kumala bbanga ki ?
• Okutwalira awamu ennyimba z'omutima ziri zitya ?

Pulse eno ey’oku ntikko esobola okuyamba omusawo wo okuzuula embeera nga:

• Obuzibu bw’okukuba kw’omutima (arrhythmias) , okugeza, okuwuuma kw’emisuwa.
• Obulwadde bwa valve z’omutima , okugeza, omusaayi okukulukuta okuva mu valve (regurgitation) oba okufunda kwa valve (stenosis).
• Okugonza kw’ebinywa by’omutima (Hypertrophic Cardiomyopathy) .
• Okugaziwa kw’ebisenge by’omutima (‘Diluted Cardiomyopathy’) .

Oluusi Apical Pulse eyinza okuba enzibu okugifuna?

Yee, oluusi omusawo ayinza obutasobola kuzuula apical pulse yo. Kino kiyinza okubaawo singa oba olina obukwakkulizo bwonna ku buno wammanga:

• Obunene(Kino era kiyitibwa ‘omugejjo’, ekitegeeza omugejjo oguyitiridde).
• Obulwadde bw’amawuggwe obutawona (Obulwadde bw’amawuggwe obutawona) .
• Okukuŋŋaanyizibwa kw’amazzi okwetoloola omutima (pericardial effusion) .
• Okukuŋŋaanyizibwa kw’amazzi okwetoloola amawuggwe ga kkono (‘Left Pleural Effusion’) .

Ekyo bwe kibaawo, omusawo ajja kukebera omukka gwo mu bifo ebirala, era bwe kiba kyetaagisa akole okukebera omutima okulala. Si kintu kya kweraliikirira.

N’ekisembayo, ebintu by’olina okujjukira

Newankubadde ennaku zino tulina ebyuma bingi nnyo, okukebera omukka gwo kikyali kitundu kikulu nnyo mu ddagala. Pulse yo ey’oku ntikko kabonero kakulu akayamba omusawo wo okuzuula obuzibu ku mutima gwo. Omusawo ayinza okukebera omukka gwo ogw’oku ntikko mu kiseera ky’okukeberebwa bulijjo. Bw’oba ​​oli mu ddwaaliro, ttiimu yo ey’abasawo ejja kutera okukebera omukka gwo ogw’oku ntikko.

Kale, yogerako n’omusawo wo ku apical pulse yo ne by’eyogera ku bulamu bw’omutima gwo. Tofaayo, kigezo kya bulijjo kyokka, naye kikulu nnyo! Kiyinza okubuulira omusawo wo bingi ebikwata ku mutima gwo.