Kuderera kweBP kana uchifema chiratidzo chechirwere chakakomba here? (Pulsus Paradoxus)

Wakambonzwa here chiremba, achitarisa BP yako, achiti, "Fema zvakadzika mukati... ikozvino fema kunze..."? Dzimwe nguva tinofunga kuti ingori chirevo. Asi muchokwadi, dzimwe nguva chiremba ari kutarisa kuti aone kana paine shanduko chaiyo muBP yako nemafambiro ako ekufema. Pane chikonzero chakakosha cheizvi. Nhasi tichataura nezvechiratidzo chimwe chete chekurapa chakakosha, icho chinonzi 'Pulsus Paradoxus'. Zita iri rinogona kunzwika rakaoma kana ukarinzwa, asi ngatitsanangure zviri nyore.

Chii chinonzi Pulsus Paradoxus chaizvo?

Zvichitaurwa zviri nyore, Pulsus Paradoxus inguva apo BP yako, kunyanya nhamba yepamusoro (systolic pressure), inoderera zvakanyanya kupfuura zvaitarisirwa paunofema.

Zvino ungave uchifunga kuti, "Saka chii chinoshamisa nezvazvo?" Dambudziko riripo pano nderekuti kazhinji, kana munhu ane hutano akafema, BP yake inofanira kuwedzera zvishoma kana kusachinja zvakanyanya. Asi muchiitiko ichi, zvakapesana chaizvo zvinoitika. Kureva kuti, BP inodonha zvisingatarisirwi. Ichi hachisi chirwere, asi chiratidzo chakakosha chinotiudza kuti pane chimwe chinhu chisina kumira zvakanaka mumuviri wako, kunyanya mumoyo kana mumapapu.

Funga nezvazvo, moyo wedu ndiwo unopomba ropa mumuviri wedu wese. Patinofema, pane shanduko mukumanikidzwa muchipfuva chedu. Shanduko idzi dzine mhedzisiro diki pakuzadza kwemoyo neropa. Zvisinei, kana moyo usingakwanise kukura zvakanaka nekuda kwechirwere, kana kana paine kumanikidzwa kwakawanda kwakatenderedza moyo, huwandu hweropa rinopinda mumoyo patinofema hunoderera zvakanyanya . Nekuda kweizvozvo, huwandu hweropa hunopombwa nemoyo kuenda kumuviri hunodererawo, ndosaka tichiona kudzikira kweropa kamwe kamwe.

Chiremba anoyera sei izvi?

Ichi hachisi chinhu chaunogona kuyera uchishandisa digital pressure meter kumba. Nekuti ichi chinhu chinofanira kuyerwa nokungwarira. Pakuita izvi, chiremba anowanzo shandisa pressure cuff inopombwa nemaoko uye stethoscope (manual blood pressure cuff).

Heino maitiro ekuzviita:

1. Kutanga, chiremba achaisa pressure cuff paruoko rwako orufuridza kusvika wava kusanzwa kurova kwemoyo wako.

2. Zvadaro, paunenge uchiburitsa mweya mucuff nekukurumidza (nekumhanya kweinenge mamirimita maviri emercury pasekondi), stethoscope inoshandiswa kuwana nzvimbo yekutanga panonzwika ruzha rwekurova kwemoyo. Panguva ino, ruzha runonzwika paunoburitsa mweya (kufema). Kukosha ikoko kunorekodhwa.

3. Tevere, sezvaunowedzera kufuridza cuff, uchawana pokuti uchiri kukwanisa kunzwa kurova kwemoyo sezvaunofema uchipinda nekubuda . Uchanyorawo kukosha ikoko.

4. Pakupedzisira, musiyano uripo pakati peaya maviri madhigirii epamusoro akanyorwa unoverengerwa.

Ndezvipi zvikonzero zvikuru zvePulsus Paradoxus?

Kana ukaona chiratidzo chePulsus Paradoxus, zvinoreva kuti pane chiri kutadzisa moyo kushanda zvakanaka. Panogona kunge paine zvikonzero zvakawanda zveizvi.

Chikonzero chikuru uye chinowanzoonekwa ndiko kuungana kwemvura yakakomberedza mwoyo, izvo zvinokonzera cardiac tamponade. Ngatitsanangurei izvi zvishoma. Mwoyo wedu uri mukati mechinhu chakatetepa chakaita sebhegi chinonzi 'pericardium'. Izvi zvinowanzova nemvura shoma kwazvo yekudzivirira nekusimbisa moyo. Zvisinei, kana nekuda kwechimwe chirwere, mvura yakawanda (senge mvura) ikaungana mukati mebhegi iri, inonzi Pericardial Effusion . Kana mvura iyi ikawedzera, pericardial sac inotambanuka, uye pakupedzisira inokonzera cardiac tamponade . Ichi chirwere chakakomba chinoda kurapwa kwekukurumidzira. Ichi ndicho chikonzero chinowanzoonekwa chePulsus Paradoxus.

Kunze kweizvi, kune zvimwe zvikonzero zvingangove zvePulsus Paradoxus patafura iri pazasi.

Izvi zvinorapwa sei?

Chinhu chakakosha chatinofanira kunzwisisa pano ndechekuti hapana mushonga wakananga wechiratidzo chinonzi Pulsus Paradoxus. Nekuti hachisi chirwere. Zvakafanana nerambi renyevero rinobatidzwa padashboard kana paine dambudziko neinjini yemotokari. Chatiri kuita hakusi kudzima rambi nekubatidza, asi kugadzirisa dambudziko riri muinjini.

Nzira yekurapa inosarudzwa zvichienderana nechikonzero.

• Kana chikonzero chiri Cardiac Tamponade , kurapwa kwekukurumidzira kunosanganisira kubvisa mvura yakawandisa yakakomberedza moyo uchishandisa sirinji netsono (pericardiocentesis). Kuvhiyiwa kunogonawo kudiwa.
• Kana chikonzero chiri cheasthma yakanyanya , mishonga ne nebulizer zvinopihwa kudzora asthma.
• Kana chikonzero chiri pneumothorax (mapapu akadonha), chubhu inopinzwa muchipfuva kubvisa mweya wakawandisa.
• Muzviitiko zvakaita seConstrictive Pericarditis , pericardium yakakora ingangoda kubviswa nekuvhiyiwa.

Nenzira iyi, chiremba achatanga awana chikonzero chaicho uye okupa mushonga wakanakisisa unomukodzera. Saka, kana chiremba wako akakuudza nezvechiratidzo chakadai, zvakakosha kuti usachitye uye kuti ushande pamwe chete zvizere nemiedzo nekurapwa kuri kuitwa kuti uwane chikonzero chacho.