Ngationei kuti kurova kwemoyo kunonyatsofamba sei? - Zvese nezveApical Pulse

Tose tinoziva nzira yekutarisa kurova kwemoyo wedu nekunzwa paruoko rwedu kana kumativi ese emutsipa wedu. Asi waiziva here kuti kune kurova kwemoyo kwakakosha kunopa ruzivo rwakanyatsojeka nezvekushanda kwemoyo, uko kunonzwikwa nekuisa chubhu zvakananga pachipfuva? Ndizvo zvatinodaidza kuti 'Apical Pulse'. Ichi chinhu chakakosha zvikuru, saka ngatitaurei nezvazvo zvakadzama nhasi.

Chii chinonzi Apical Pulse iyi?

Zvichitaurwa zviri nyore, Apical Pulse ndipo paunogona kuwana pfungwa chaiyo yekurova kwemoyo wako . Inonziwo 'Point of Maximal Impulse' (PMI) uye 'Apex Beat'.

Tinowanzo tarisa kurova kwemoyo wedu paruoko (runonzi 'radial pulse') kana kudivi rese remutsipa wedu (runonzi 'carotid pulse'), handiti? Aya ndiwo ma pulse anomhanya netsinga dzeropa dzemuviri wedu, kureva kuti, ne'tsinga'. Tinogona kunzwa ma pulse aya zviri nyore nekuisa minwe miviri kana mitatu pairi. Zvadaro tinogona kunzwa mafungu ekumanikidza anoitika pese painobata moyo.

Asi iyi Apical Pulse yakasiyana. Iyi haisi pulse mutsinga. Haunzwi pressure wave pano. Zvaunonzwa, kana zvinonzwiwa nachiremba, ndiko kusimba kwekamuri repasi kuruboshwe rwemoyo wako, 'Left Ventricle'. Fungidzira, nguva dzese mwoyo wako uchirova, ndiyo Left Ventricle iyi inopomba ropa mumuviri wese kuburikidza netsinga huru yeropa inonzi 'Aorta'.

Hazvishamisi here kuti tinonzwa kurova kwemoyo wedu? Asi dzimwe nguva zvinogona kuoma kuwana kurova kwemoyo uku neminwe yako chete. Kana wakamboenda kuchipatara, pamwe wakaona vashandi vekurapa vachitarisa kurova kwemoyo uku.

Apical Pulse iri kupi?

Iyi Apical Pulse iri pamusoro pemusoro wemoyo wako. Unoziva here kuti musoro wemoyo chii? Chikamu chakaita semucheto wemoyo wako chinonongedzera pasi kuruboshwe, kunyanya mucheto wepasi weLeft Ventricle. Zvisinei, mune dzimwe nguva, moyo yevamwe vanhu inogona kutendeukira kurudyi, iyo yatinodaidza kuti 'dextrocardia'. Mumunhu akadaro, musoro wemoyo uri kurudyi.

Saka, chikamu chepamusoro chemwoyo muvanhu vakuru chiri kupi chaizvo?

Mumunhu mukuru, iri kuruboshwe rwechipfuva, pakati pembabvu yechishanu neyachitanhatu, ichiverengwa kubva pamusoro pembabvu zvichidzika. Vanachiremba vanodana nzvimbo iyi kuti 'nzvimbo yechishanu yepakati pembabvu', inova nzvimbo iri pakati pembabvu.

Vana vadiki varipi?

Kune vana vari pasi pemakore manomwe, nzvimbo iyi yakasiyana zvishoma. Moyo wavo uri pakati pembabvu yechina neyechishanu. Kureva kuti, munzvimbo yavo yechina yepakati pemakumbo.

Sei kurova kwemoyo kweapical kuchiyerwa?

Chiremba wako anogona kudzidza ruzivo rwakawanda runokosha nekuyera kurova kwemoyo uku. Iye zvino kune michina inongoerekana yaita otomatiki inoyera nekukurumidza uye inoratidza kurova kwemoyo. Kunyangwe ichiratidza kurova kwemoyo, hairatidzi zvakanaka mutinhimira wemoyo kana simba rekurova kwemoyo. Zvisinei, kurova kwemoyo kunogona kupa ruzivo urwu rwese nekukurumidza, uchishandisa stethoscope chete .

Chiremba anogona kuyera kurova kwemoyo wako nekuda kwezvikonzero zvinotevera:

• Tarisa hutano hwako nekugara zvakanaka .
• Tarisa hutano hwemwoyo wako.
• Tarisa kuti uri kunzwa sei mushure mekuongororwa, kurapwa, kana kuvhiyiwa .
• Unganidza ruzivo rwekutanga runogona kuenzaniswa nekuongorora kwemoyo wemoyo mune ramangwana.

Kuyerwa kweApical Pulse kunoyerwa sei?

Chiremba anoshandisa stethoscope kuyera kurova kwemoyo kweapical. Inoiswa zvakananga paganda rako kuti unzwe. Saka, izvi zvinoitwa paunenge wakafukidzwa nejira kana gumbeze kuti udzivirire zvakavanzika zvako, kana zvichidikanwa.

Chiremba anowanzo tevera matanho aya:

• Uchakumbirwa kurara nemusana wako , kana kuti kutendeukira kuruboshwe zvishoma. Izvi zvinoitirwa kuti unzwe zviri nani kurova kwemoyo wako.
• Vanoshandisa minwe yavo kuti vawane nzvimbo yekurova kwemoyo kweapical.
• Mugumo wechubhu (ingava 'bhero' kana 'diaphragm') unoiswa pachipfuva chako.
• Vachanyatsoteerera kwemasekondi angangoita makumi matanhatu. Musazvidya mwoyo kana vasina kutaura chero chinhu panguva ino, kana kuti zvichiita sekunge zviri kutora nguva. Izvi zvakajairika. Chiremba anofanira kunyatsoteerera kuti aone kurova kwemoyo.
• Zvadaro chiremba achabvisa chubhu pachipfuva chako.

Dzimwe nguva chiremba wako anogonawo kutarisa kurova kwemoyo wako kune dzimwe nzvimbo. Semuenzaniso, vangangoda kuyera 'kukurova kwemoyo kwemoyo kweapical-radial' kwako.

Chii chinonzi apical-radial pulse?

Chiremba angangoda kuyera pulse yako ye apical ne radial pulse yako, iyo inoyerwa paruoko. Izvi zvinoratidza kuti ropa riri kufamba zvakanaka sei kubva pamoyo wako kuenda kumuviri wako wese. Chiremba angangodawo kuti mumwe munhu amubatsire neizvi. Kunyange zvazvo mumwe munhu achiyera pulse ye apical, mumwe munhu achaongorora radial pulse mukati memasekonzi makumi matanhatu.

Zvakanaka kuti kurova kwemoyo (apical pulse) kwako nekurova kwemoyo (radial pulse) zvakore zvakafanana. Zvisinei, kana moyo wako usina simba kana kuti uine chirwere chetsinga dzeropa,, radial pulse yako inogona kunge yakaderera pane apical pulse yako. Musiyano uripo pakati pezviviri izvi unonzi 'pulse deficit' . Iyi pulse deficit inobatsira chiremba wako kuongorora nekutarisa zvirwere zvakasiyana-siyana zvinokanganisa moyo wako netsinga dzeropa.

Ndeipi nzvimbo yakajairika ye apical pulse?

Nhamba yekurova kwemwoyo yeapical kune vanhu vakuru vazhinji iri pakati pe60 ne100 beats paminiti (bpm) . Iyi ndiyo nhamba yakakodzera yekumhanya kana wakazorora. Zvisinei, zvinhu zvakaita seizvi zvinogona kukonzera kuti kurova kwemwoyo wako kuderere zvakanyanya:

• Kana uchiita maekisesaizi .
• Kana ukanwa zvinhu zvine caffeine (senge tii, kofi).
• Kana uri kushushikana kana kuti uchinetseka .

Sezvaunokura, kurova kwemoyo wako kunogona kudzikira zvishoma. Zvakare, mimwe mishonga nezvimwe zvirwere zvinogona kukanganisa kurova kwemoyo wako. Zvakanaka kutaura nachiremba wako kuti uzive kuti kurova kwemoyo kwakanaka sei kwauri.

Zvakajairika kuti vana vadiki vave nekurova kwemwoyo kwakanyanya kupfuura vakuru. Kurova kwemwoyo uku kunosiyana zvichienderana nezera ravo. Vacheche vari pasi pemwedzi mitatu vane kumhanya kwakanyanya (kurova 123-164 paminiti). Kurova uku kunoderera zvishoma nezvishoma sezvavanokura. Taura nachiremba wemwana wako kuti udzidze zvakawanda nezvekurova kwemwoyo kwakakodzera mwana wako pamazera akasiyana.

Chii chingadzidzwa kubva kuApical Pulse?

Kurova kwemwoyo kunogona kuratidza zviratidzo zvezvirwere zvakasiyana-siyana . Izvi zvinodaro nekuti zvinoita kuti chiremba anzwe zvinopfuura kungorova kwemoyo wako chete. Izvi zvinosanganisira:

• Simba riri mukurova kwemoyo kwega kwega rakaita sei?
• Kurova kwemoyo kwega kwega kunogara kwenguva yakareba sei ?
• Mwoyo wose uri sei?

Iyi apical pulse inogona kubatsira chiremba wako kuona zvirwere zvakaita se:

• Zvirwere zvemoyo (arrhythmias) , semuenzaniso, atrial fibrillation.
• Chirwere chevharuvhu yemwoyo , semuenzaniso, ropa riri kubuda kubva mumavharuvhu (regurgitation) kana kuti kutetepa kwemavharuvhu (stenosis).
• Kukora kwetsandanyama dzemwoyo (Hypertrophic Cardiomyopathy) .
• Kukura kwemakamuri emwoyo ('Diluted Cardiomyopathy') .

Dzimwe nguva Apical Pulse inogona kuoma kuwana here?

Ehe, dzimwe nguva chiremba angasakwanisa kuona kurova kwemoyo kweuropi hwako. Izvi zvinogona kuitika kana uine chimwe chezvirwere zvinotevera:

• Kufuta(Izvi zvinonziwo 'kufuta zvakanyanya', zvinoreva kufuta zvakanyanya).
• Chirwere chemapapu chisingaperi (Chirwere chemapapu chisingaperi) .
• Kuungana kwemvura yakakomberedza mwoyo (pericardial effusion) .
• Kuungana kwemvura yakakomberedza mapapu ekuruboshwe ('Kubuda kwePleural Kweruboshwe') .

Kana izvozvo zvikaitika, chiremba achaongorora kurova kwemoyo wako kune dzimwe nzvimbo, uye kana zvichidikanwa, oita mimwe miedzo yemoyo. Hazvina basa kuti uzvinetse nazvo.

Pakupedzisira, zvinhu zvekurangarira

Kunyangwe tiine michina yakawanda mazuva ano, kutarisa kurova kwemoyo wako kuchiri chikamu chakakosha chemushonga. Kurova kwemoyo wako chiratidzo chakakosha chinobatsira chiremba wako kuona matambudziko emwoyo wako. Chiremba wako anogona kutarisa kurova kwemoyo wako panguva yekuongororwa nguva dzose. Kana uri muchipatara, timu yako yezvekurapa inowanzoongorora kurova kwemoyo wako.

Saka, taura nachiremba wako nezvepfungwa dzako dzemwoyo uye zvadzinotaura nezvehutano hwemwoyo wako. Usazvidya mwoyo, ingori bvunzo yenguva dzose, asi zvakakosha zvikuru! Inogona kuudza chiremba wako zvakawanda nezvemoyo wako.

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