Tinofanirawo kudzidza nezve 'Perfusion Pressure', kwete kungonzwa BP mumiviri yedu chete here?

Pamwe wakambonzwa nezve 'BP', handiti? Asi nhasi tichataura nezvechimwe chinhu chakakosha zvakafanana, asi pamwe hauna kunzwa zvakawanda nezvazvo. Ndiyo 'Perfusion Pressure'. Zvichitaurwa zviri nyore, iyi ndiyo pressure inodiwa kuti ropa ripombe zvakanaka kuenda kunhengo dzakasiyana dzemuviri wedu. Kana pressure iyi yakakwana chete ndipo panogona kuwanikwa okisijeni nezvinovaka muviri zvinodiwa.

Chii chinonzi 'Perfusion Pressure'? Ngatizvinzwisise zviri nyore.

Fungidzira, kuti udiridze zvirimwa mubindu rako, panofanira kuva nekumanikidzwa kwakanaka mupombi inobva papombi yemvura, handiti? Saizvozvowo, kuti nhengo dzinokosha mumuviri wedu, dzinoti mwoyo, uropi, itsvo, zvese izvi, zvigamuchire okisijeni nezvinovaka muviri kuburikidza neropa, iyi inonzi 'perfusion pressure' inofanira kunge iripo. Zvichitaurwa zviri nyore, 'perfusion pressure' isimba remagetsi rinodiwa kuti ropa riendeswe kune imwe nhengo kana nhengo. Chero bedzi kumanikidzwa uku kuri padanho rakakwana, nhengo iyoyo ichagamuchira huwandu hweropa hunodiwa. Ndosaka ichi chiri chikamu chakakosha chehurongwa hwedu hweropa. Fungidzira, chii chinoitika kana kumanikidzwa uku kukadzikira mune dzimwe nzvimbo? Ndipo panoitika matambudziko makuru. Kudzikira uku kwekumanikidzwa kunogona kuva nengozi, kunyanya mumoyo medu neuropi. Nekuti kana nhengo idzi dzikasagamuchira ropa nemazvo, zvinogona kutungamira kumamiriro ezvinhu akakomba, dzimwe nguva anotyisidzira hupenyu.

'Kumanikidzwa kweropa' uku kunoshanda sei?

Mwoyo wedu wakaita sepombi. Unoshanda nguva dzose, handiti? Nguva dzese mwoyo wedu unorova, unosunda ropa diki kubva mumoyo woritumira kumidziyo yeropa (tsinga) mumuviri wedu wese. Zvadaro ropa iri rinofamba kubva mutsinga kuenda kumidziyo yeropa. Ndipo panochinjaniswa okisijeni muropa nemasero emuviri wedu. Kana basa iroro raitwa, ropa riri mutsinga dzeropa rinodzokera kumoyo kuburikidza netsinga. Kutenderera uku kunoitika sekondi yega yega iyo mwoyo unorova. Saka kuti maitiro aya ashande nemazvo, zvinonzi 'perfusion pressure' zvakakosha.

Unoziva sei kana 'kuyerera kweropa' uku kuri kufamba zvakanaka?

Kuongororwa kweropa kusina nhengo dziri mukati memuviri kunowanzo tanga nechinhu chinonzi pulse oximeter. Pamwe wakambozviona, dzimwe nguva unoisa chinhu chakaita seclip pamunwe wako kuti utarise oxygen iri muropa rako. Ndizvo chete. Chinotumira chiedza chitsvuku neinfrared kuburikidza neganda rako. Molekyuri iri muropa redu inonzi hemoglobin inotakura oxygen. Iyi hemoglobin inonwisa chiedza zvakasiyana kana ichitakura oxygen uye kana isina. Uchishandisa mutsauko iwoyo, pulse oximeter inogona kuverenga kuti oxygen yakawanda sei iri muropa rako uye kana ropa riri kusvika panzvimbo yakati zvakanaka. Mamwe eaya ma pulse oximeters akafanana neclip yaunoisa pamunwe wako. Mamwe anouya ne sensor yaunonamira pamunwe wako kana kune imwe nzvimbo, senge sticker. Dzimwe nguva izvi zvinogona kunamirwa panzeve kana pahuma.

Saka chii chinonzi 'Perfusion Index' iyi?

Perfusion Index (PI) inzira yekuyera kuti ropa riri kutenderera zvakanaka sei muchikamu chakati chemuviri wako. Inoyera huwandu hweropa rine oxygen munzvimbo iyoyo zvichienzaniswa nehuwandu hweropa risina oxygen. Kugona kwakafanana kwe pulse oximeter kuyera huwandu hweoxygen muropa kunobatsirawo nePerfusion Index. Nekuyera kuti hemoglobin iri kutakurwa neoxygen yakawanda sei, zvinokwanisika kuyera kuti ropa idzva rakadii (kureva ropa richiri neoxygen) riri kuyerera munzvimbo iyoyo. Peripheral Perfusion Index inzira inoshandisa iyi nzira kubatsira vanachiremba kuongorora nekurapa munhu anorwara. Kukosha kwakaderera kunoreva kuti moyo wako hausi kupomba ropa zvakakwana, kana kuti pane chimwe chinhu chinotadzisa ropa kuyerera zvakanaka kuenda kunhengo dzemuviri wako dziri kure nemoyo wako (senge maoko nemakumbo ako).

Chii chiri musiyano uripo pakati pe'Perfusion Index' ne'Blood Pressure'?

Zvese izvi zvinoyera kuti hurongwa hwedu hweropa huri kushanda zvakanaka sei. Asi nzira dzacho dzakasiyana, uye hadzina chinhu chimwe chete.

• Perfusion Index: Ichi chiyero chekuti ropa riri kuyerera zvakadii munzvimbo yakati. Kukosha kwepamusoro kunoratidza kuti ropa riri kuyerera zviri nani. Kukosha kwakaderera kunogona kuratidza dambudziko remwoyo wako kana tsinga dzeropa .
• Kumanikidzwa Kweropa: Izvi zvinoyera kumanikidzwa kuri mukati metsinga dzeropa, zvichiyerwa mumamirimita emercury (mm/Hg). Pane kukosha kwepamusoro nepasi. Kukosha kwepamusoro (`Systolic` pressure) ndiko kumanikidzwa kuri patsinga pese panorova moyo . Kukosha kwakaderera (` Diastolic` pressure) ndiko kumanikidzwa kuri patsinga dziri pakati pekurova kwemoyo kaviri.

Zvakakosha: Sezvo izvi zviviri zvichiyera zvinhu zvakasiyana, haugone kufunga kuti chimwe chakanaka uye chimwe chakanakawo. Zvese zvakakosha.

'Kumanikidzwa kweropa' kunoshanda sei mumoyo mako?

Mwoyo wedu imhasuru inoda kushanda nguva dzose muhupenyu hwedu hwese. Kuti uite basa rayo nemazvo, mwoyo unoda okisijeni nguva dzose. Inogamuchira izvi kubva mutsinga dzeropa dzinonzi coronary arteries . Fungidzira, moyo unoshandisa pakati pe70% ne80% yeokisijeni inopfuura nemutsinga idzi! Hapana imwe nhengo inoshandisa okisijeni yakawanda kudaro.Kumanikidzwa kweropa muropa (CPP) ndiko kunoita kuti ropa rirambe richiyerera nemutsinga idzi. Kana kumanikidzwa uku kukadzikira, mwoyo hauwani ropa neokisijeni yakakwana. Izvi zvinogona kukonzera matambudziko anotyisidzira hupenyu.

Unozviwana sei izvi?

Kuyera kweropa hakushandiswi kuyera kumanikidzwa kweropa mumoyo (CPP). Kuti vayere izvi, vanachiremba vanotora zvimwe zviyero zviviri vozvishandisa kuverenga kumanikidzwa kweropa mumoyo. Kuyera uku kunogona kuitwa ne echocardiography (kuongorora kwemoyo) kana ne catheterization yemoyo ( kuyedza uko chubhu diki inopinzwa mumoyo). Kuyera uku kuviri ndekwekuti: 1. Aortic Diastolic Pressure: Uku kumanikidzwa kuri muaorta yako (tsinga huru yeropa inotakura ropa kubva pamoyo kuenda kumuviri wese) pakati pekurova kwemoyo. Izvi zvinowanikwa nekuyera 'BP' yako yakajairika. Iyi ndiyo nhamba yepasi (`Diastolic` pressure) yeBP yako. 2. 'Kudzvanywa Kwemhepo Yekuruboshwe-Kupera kweDiastolic' (LVEDP): Uku kudzvanywa kuri mukati me ventricle yekuruboshwe, imwe yemakamuri maviri epasi emwoyo, pakati pekurova kwemoyo kuviri. Zvino iyi 'coronary perfusion pressure' (CPP) inowanikwa seinotevera: 'Aortic Diastolic Pressure' - 'Left Ventricular End-Diastolic Pressure' = 'Coronary Perfusion Pressure'

Saka 'kumanikidzwa kweropa' uku kunokanganisa sei uropi?

Mushure memoyo, imwe nhengo inonyanya kukosha inoda okisijeni ihuropi hwedu. Kumanikidzwa kweCerebral Perfusion (CPP) ndiko kunoita kuti ropa rifambe zvakanaka kuenda kunhengo dzese dzehuropi. Kana uropi hukasawana ropa rakakwana, unogona kurasikirwa nepfungwa mumasekonzi mashoma. Ndizvo zvakakosha.

Unozviwana sei izvi?

Miedzo miviri inodiwawo kuti paverengwe 'cerebral perfusion pressure' (CPP) yeuropi. 1. Kumanikidzwa kweropa: Kutanga, 'kumanikidzwa kweropa' kunoyerwa. Zvadaro, vanachiremba vanoverenga 'Mean Arterial Pressure' (MAP) . Iyi MAP ndiyo avhareji yekumanikidzwa mutsinga dzako panguva imwe chete yekufamba kwemoyo (nguva iri pakati penguva iyo moyo wako unogumira uye unozorora). Iyi MAP inoverengerwa seinotevera:

• Wedzera nhamba yepasi ye'BP' yako ('Diastolic' pressure') kaviri.
• Wedzera kukosha kuri pamusoro apa (`Systolic` pressure) kumhinduro yaunowana.
• Zvisanganise zvese wogovanisa kukosha kwazvinoita ne3. (MAP = [Systolic BP + (2 x Diastolic BP)] / 3)

2. Kumanikidzwa kwemukati memusoro (ICP): Kumanikidzwa kwemukati memusoro zvinoreva "mukati memusoro wemusoro." Pakati pehuropi hwedu nepfupa remusoro wemusoro pane cerebrospinal fluid (CSF).Kune mvura inonzi intracranial pressure. Iyi ICP ndiyo kumanikidzwa kwese kuri mukati medehenya kunokonzerwa neuropi hwako, ropa riri mairi, uye CSF fluid. Kune nzira dzakakosha dzekuyera izvi, uye dzimwe nguva unofanirwa kuisa chinhu chakapfava mudehenya. Iye zvino, 'cerebral perfusion pressure' (CPP) inowanikwa seizvi: 'Mean Arterial Pressure' (MAP) - 'Intracranial Pressure' (ICP) = 'Cerebral perfusion pressure' (CPP)

Ndezvipi zvirwere zvinowanzokonzerwa nematambudziko ane chekuita ne'perfusion pressure'?

Dambudziko guru rinowanzoitika kana pasina 'perfusion pressure' yakakwana mumuviri wako rinonzi 'ischemia' . Izvi zvinoreva kuti nzvimbo iyi haisi kuwana ropa rakakwana, saka haisi kuwana oxygen yakakwana uye zvinovaka muviri. Kana 'ischemia' iyi ikaitika paruoko kana gumbo, nyama iri munzvimbo iyoyo inogona kutanga kufa. Izvi zvinogona kutungamira kuzvinhu zvakaita se'gangrene' (kuora kwetishu) uye hutachiona. Kana izvi zvikakanganisa nhengo huru, nhengo iyoyo inogona kutanga kukundikana zvishoma nezvishoma, zvichikonzera matambudziko akakomba, anotouraya. Heano mamwe ematambudziko anogona kukonzerwa kana kuti anobatanidzwa ne'perfusion pressure':

• Kumira kurova kwemoyo
• Kukundikana kwemoyo
• Chirwere chetsinga yeropa
• Kurohwa
• Kuvhunduka kwemwoyo
• Kushaya okisijeni muuropi (cerebral hypoxia) (kukuvara kweuropi kunokonzerwa nekushaikwa kweokisijeni muuropi)
• Kuora kweropa muropa
• Maronda emakumbo netsoka
• Chirwere chaRaynaud (kuderera kweropa rinosvika kumakumbo nemakumbo)

Ndingaitei kuti 'perfusion pressure' yangu irambe iri padanho rakachengeteka?

'Kumanikidzwa kweropa' kwako, kunyanya mumoyo mako nepfungwa, kazhinji hakuzi dambudziko kunze kwekunge uine chirwere chakati chinobatanidza mwoyo wako nehurongwa hweropa. Zvisinei, unogona kuita zvinhu izvi kudzivirira kana kunonotsa kukura kwezvirwere izvi:

• Ramba uine huremu hwakanaka. Hazvina kunaka kuva wakakura zvakanyanya kana kuti mutete zvakanyanya.
• Idya chikafu chine hutano. Idya chikafu chine mafuta mashoma, munyu, uye shuga shoma, uye chine michero nemiriwo yakawanda.
• Rega kushandisa zvigadzirwa zvefodya (kusanganisira fodya isina utsi uye kuputa fodya). Izvi zvinokonzera kukuvara kukuru kwetsinga dzeropa.

"Funga nezvazvo, mararamiro ane hutano akafanana nekuchengetedza miviri yedu. Kungofanana nekugadzirisa mota kuti igare iri mumamiriro akanaka, tinofanira kutarisira miviri yedu zvakanaka."

Nzira yakanakisisa yekuona matambudziko angave ari kukanganisa 'kumanikidzwa kweropa' ndeyekuongororwa muviri gore rega rega.Izvi zvinonziwo 'kuongorora hutano'. Nekuongororwa kuri nyore kunoitwa pawakaonana nachiremba wako, unogona kazhinji kuona matambudziko akakomba usati watomboratidza zviratidzo. Kana ukavabata nekukurumidza, unogona kurapwa uye kumisa kukuvara zvachose kana kuderedza kukanganiswa kwavo. Kana watova nechirwere chinokanganisa 'kumanikidzwa kweropa', iva nechokwadi chekuona chiremba nguva nenguva kuti aongorore mamiriro ako uye awane kurapwa kana zvichidikanwa. Zvakare, tevera mirairo yachiremba wako uye tora mishonga yako sezvakarairwa. Kana uine mibvunzo kana uchida rubatsiro, chiremba wako ndiye munhu akanakisa wekutaura naye.

Mharidzo Yekupedzisira Yekuenda Kumba

Kumanikidzwa kweropa kunokosha kuti nhengo yega yega yemuviri wedu, nhengo yega yega, ishande zvakanaka. Pasina 'kumanikidzwa' uku, ropa hariende kunzvimbo dzese dzarinoda. Kushaikwa kweropa uku kunogona kuva nemigumisiro yakakomba nekufamba kwenguva, kana kutotungamira kumatambudziko akakomba, anotyisidzira hupenyu. Kana uchida kudzidza zvakawanda nezve 'kumanikidzwa kweropa' uku uye kuti kunokubata sei, iva nechokwadi chekutaura nachiremba. Ndivo vanhu vakanakisa kukuudza chaizvo zvaunoda uye zvaunofanira kuita kuti uzvitarisire. Ipapo unogona kutarisira hutano hwako uye kupedza nguva pazvinhu zvinonyanya kukosha kwauri. Hapana chinhu chinokosha kupfuura kuva nehutano, handiti?

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Kumanikidzwa kweropa, kumanikidzwa kweropa, hutano hwemwoyo, hutano hwehuropi, kutenderera kweropa, okisijeni, hutano