Thinlung pulse dik tak chu i zawng chhuak ang u? - Apical Pulse chungchang zawng zawng

Kan pulse hi kan kutphah emaw, kan kawr sir lehlamah emaw kan hriat hian kan check dan kan hre vek. Mahse, thinlung hnathawh dan dik zawk pe theitu pulse bik a awm tih i hria em, chu chu rilruah tube direct-a dahin hriat theih a ni? Chu chu ‘Apical Pulse’ kan tih chu a ni. Hei hi thil pawimawh tak a nih avangin vawiin hian chipchiar takin i sawi dawn nia.

He Apical Pulse hi eng nge ni?

A awlsam zawngin, Apical Pulse hi i heart rate chungchanga hriatna dik ber i hmuh theihna hmun a ni . ‘Point of Maximal Impulse’ (PMI) leh ‘Apex Beat’ tia koh a ni bawk.

Kan pulse hi kan kutphah (‘radial pulse’ an tih) emaw, kan kawr sir lehlamah (‘carotid pulse’ an tih) emaw ah kan check tlangpui thin, a dik em? Hengte hi kan taksa thisen kalna kawng, chu chu ‘arteries’-a kal (pulse) te an ni. Heng pulse te hi kut zungtang pahnih pathum dahin awlsam takin kan hre thei a ni. Tichuan thinlung a na apianga pressure wave lo awm thin chu kan hre thei ta a ni.

Mahse he Apical Pulse hi a danglam. Hei hi artery chhunga pulse a ni lo. Hetah hian pressure wave i hre lo. I hriat, emaw doctor-in a hriat chu i thinlung veilam sir hnuai lam chamber, ‘Left Ventricle’ tihkhawtlai hi a ni. Ngaihtuah teh, i thinlung a na apiangin he Left Ventricle hian thisen kalna kawng bulpui ‘Aorta’ an tih hmangin taksa pum puiah thisen a pump chhuak thin.

Mahni thinlung na tak tak kan hre thei hi thil mak a ni lo maw? Mahse a chang chuan i kut zungtang chauh hmanga he apical pulse hi hmuh a harsa deuh thei. Damdawi in i kal tawh a nih chuan medical staff te hian he apical pulse hi an check tih i hmu tawh ngei ang.

Khawiah nge Apical Pulse hi a awm?

He Apical Pulse hi i thinlung apex chung lamah a awm a. Thinlung apex chu eng nge ni tih i hria em? I thinlung tip ang chi, veilam sir hnuai lam hawi, a bik takin Left Ventricle tip hnuai ber a ni. Mahse, a tlem berah chuan mi thenkhat thinlung chu dinglamah a hawi thei a, chu chu ‘dextrocardia’ kan ti a ni. Chutiang miah chuan thinlung apex chu dinglamah a awm a.

Chuti a nih chuan, puitlingah chuan khawiah nge thinlung apex chu a awm tak tak?

Puitlingah chuan a rilru veilam, ruh pangana leh parukna inkarah a awm a, a ruh chunglam atanga a hnuai lam chhiar a ni. Hei hi Doctor-te chuan ‘fifth intercostal space’ an ti a, chu chu ruh inkar hmun a ni.

Khawiah nge naupang tête chu?

Naupang kum 7 hnuai lam tan chuan he hmun hi a danglam deuh hlek a ni. An heart apex hi ruh palina leh pangana inkarah a awm a. Chu chu an ‘fourth intercostal space’-ah a ni.

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Engvangin nge apical pulse hi teh a nih?

I doctor hian he apical pulse hi tehna hmang hian thu hlu tak tak a zir thei a ni. Tunah chuan automatic device a awm tawh a, chu chuan rang takin pulse rate a teh a, a tilang bawk. Heart rate an lantir nachungin, thinlung rhythm leh pulse chakna dik takin an tarlang lo. Mahse, apical pulse hian heng thu zawng zawng hi a pe rang hle a, stethoscope chauh hmangin a pe thei a ni .

Doctor chuan i apical pulse chu hengte avang hian a teh thei ang:

• I hriselna leh i hriselna tlangpui enfiah rawh .
• I thinlung hriselna enfiah rawh .
• Test, enkawlna, a nih loh leh operation hnua i awm dân chu enfiah rawh .
• Nakin lawka pulse check-na nena khaikhin theih tur baseline information khawlkhawm rawh.

Engtin nge Apical Pulse hi an teh thin?

Doctor chuan stethoscope hmangin apical pulse a teh thin. Ngaithla turin i vunah direct-in dah a ni. Chuvangin, hei hi i privacy humhim nan puan emaw blanket emaw i khuh laiin, a tul chuan tih a ni.

Doctor chuan hengte hi a zawm tlangpui:

• I hnungzang chunga mu turin an ti ang che , a nih loh leh veilamah tlem hawi turin an ti ang che. Hei hi i thinlung natna hriat chian zawk nan tih a ni.
• An kut zungtang hmangin apical pulse awmna hmun an zawng thin.
• Tube tawp (‘bell’ emaw ‘diaphragm’ emaw) chu i rilruah dah a ni.
• Second 60 vel chu uluk takin an ngaithla ang. Hetih lai hian engmah an sawi lo a nih pawhin, hun rei tak a la ngai ang tih a hriat chuan lungngai suh. Hei hi thil pangngai a ni. Doctor hian thinlung thawk dan hriat chian nan uluk takin a ngaithla a ngai a ni.
• Tichuan doctor chuan i rilru atanga tube chu a la chhuak ang.

A chang chuan i doctor pawhin hmun dangah i pulse a check thei bawk. Entirnan, i ‘apical-radial pulse’ chu an teh duh mai thei.

Apical-radial pulse chu eng nge ni?

Doctor chuan i apical pulse leh i radial pulse te chu a teh duh mai thei a, chu chu i kutphah atanga teh a ni. Hei hian i thinlung atanga i taksa peng dang zawng zawngah thisen a kal that zia a tilang chiang hle. Hemi kawngah hian doctor pawhin mi dang a puih a ngai mai thei bawk. Mi pakhatin apical pulse a teh laiin mi dang chuan second 60 chhungin radial pulse a check ang.

A tha ber chu i apical pulse leh radial pulse hi a inang vek tur a ni. Mahse, i thinlung a chak lo emaw, thisen kalna kawng (vascular disease) i neih chuan, ., i radial pulse chu i apical pulse aiin a hniam zawk thei. Heng value pahnih inthlauhna hi ‘pulse deficit’ an ti a. He pulse deficit hian i doctor chu i thinlung leh thisen kalna kawng tichhe thei dinhmun hrang hrang a hriatchhuah leh a enfiah theih nan a pui thin.

Apical pulse normal range chu engzat nge ni?

Puitling tam zawk tan chuan apical pulse range pangngai chu minute khatah beat 60 leh 100 inkar (bpm) a ni. Hei hi chawlh hahdam laia awm tur range tha ber a ni. Mahse, hetiang thil hian i pulse a ti hniam lutuk thei a ni:

• Exercise i tih chuan .
• Caffeine awmna thil (tea, coffee ang chi) i in chuan.
• I stress emaw i lungkham emaw chuan .

I tar chhoh zel chuan i heart rate chu a pianphungah a tlahniam deuh thei a ni. Tin, damdawi thenkhat leh damdawi lam dinhmun hian i thinlung chakna a tichhe thei bawk. I tan chuan heart rate range hrisel tak chu eng nge ni tih chiang taka hriat theih nan i doctor nen inbiakna neih a tha ber.

Naupang tê tê tan chuan puitling aiin heart rate sang zawk hi thil pangngai a ni. He normal range hi an kum a zirin a danglam thin. Nausen thla thum hnuai lam te hi an rate sang ber (minute khatah 123-164 beats) an ni. He rate hi an upat deuh deuh chuan a tlahniam zauh zauh thin. Kum hrang hranga i fate tana heart rate range dik tak hriat belh duh chuan i fa doctor nen inbia ang che.

Apical Pulse atang hian eng nge zir theih?

Apical pulse hian damdawi lam harsatna hrang hrang a lantir thei a . Hei hi a chhan chu doctor-in i heart rate chauh ni lovin thil tam tak a hriat theih vang a ni. Chung zingah chuan:

• Lungphun tinah hian engtin nge chakna chu a awm ?
• Lungphun tin hian eng chen nge a daih ?
• Thinlung rhythm pum pui chu engtin nge a awm ?

He apical pulse hian i doctor chu a dinhmun a hriat theih nan a pui thei a, chungte chu:

• Lungphung lama harsatna (arrhythmias) , entirnan, atrial fibrillation.
• Heart valve disease , entirnan, valve atanga thisen chhuak (regurgitation) emaw, valve te tawi (stenosis) emaw.
• Lung ruh a thim (Hypertrophic Cardiomyopathy) .
• Heart chamber lian tham (‘Diluted Cardiomyopathy’) .

Apical Pulse hi a chang chuan hmuh a harsa thei em?

Ni e, a chang chuan doctor chuan i apical pulse chu a hmu thei lo mai thei. Hei hi a hnuaia condition te hi i neih chuan a ni thei:

• Thau lutuk(Hei hi ‘thau lutuk’ an ti bawk a, chu chu thau lutuk tihna a ni).
• Lung natna rei tak (Chronic Lung Disease) .
• Thinlung chhehvela tui awmkhawm (pericardial effusion) .
• Lung veilam vel a tui awmkhawm (‘Left Pleural Effusion’) .

Chutiang a nih chuan Doctor chuan hmun dangah i pulse a check ang a, a tul chuan heart test dang a ti bawk ang. Ngaihtuah buai tur a ni lo.

A tawp berah chuan thil hriat reng tur

Tunlai hian device tam tak nei mah ila, i pulse check hi damdawi lam thil pawimawh tak a la ni reng a ni. I apical pulse hi vital sign pawimawh tak a ni a, chu chuan i doctor-in i thinlung lama harsatna a neihte a hriat theih nan a pui a ni. I doctor chuan i apical pulse chu routine checkup neih laiin a check thei ang. Damdawi inah i awm a nih chuan i medical team chuan i apical pulse an check fo thin.

Chuvangin, i doctor nen i apical pulse chungchang leh i thinlung hriselna chungchanga a sawite chu sawipui rawh. Ngaihtuah buai suh, routine test mai a ni a, mahse a pawimawh hle! I doctor hnenah i thinlung chungchang tam tak a hrilh thei a ni.