Aan ogaano garaaca wadnaha ee saxda ah? - Wax walba oo ku saabsan Apical Pulse

Dhammaanteen waan ognahay sida loo hubiyo garaaca wadnaha annagoo ka dareemeyna curcurka ama labada dhinac ee qoorteena. Laakiin ma ogtahay in uu jiro garaac gaar ah oo bixiya macluumaad sax ah oo ku saabsan shaqada wadnaha, kaas oo la maqlo marka tuubo si toos ah loogu dhejiyo laabta? Taasi waa waxa aan ugu yeerno 'Garaaca Apical'. Tani waa shay aad muhiim u ah, marka aan si faahfaahsan uga hadalno maanta.

Waa maxay Apical Pulse-kan?

Si fudud haddii loo dhigo, Apical Pulse waa meesha aad ka heli karto fikradda ugu saxsan ee garaaca wadnahaaga . Waxaa sidoo kale loo yaqaan 'Point of Maximal Impulse' (PMI) iyo 'Apex Beat'.

Badanaa waxaan garaaca wadnaha ka hubinnaa curcurka (oo loo yaqaan 'garaaca radial') ama labada dhinac ee qoorteena (oo loo yaqaan 'garaaca carotid'), sax? Kuwani waa garaaca wadnaha ee ku socda xididdada dhiigga ee jirkeenna, taas oo ah, 'halbowlayaasha'. Si fudud ayaan u dareemi karnaa garaaca wadnaha annagoo laba ama saddex farood saarna. Markaa waxaan dareemi karnaa hirarka cadaadiska ee dhaca mar kasta oo wadnuhu garaaco.

Laakiin garaaca wadnaha ee Apical waa ka duwan yahay. Tani ma aha garaaca wadnaha ee halbowlaha. Halkan kuma dareemaysid mowjad cadaadis ah. Waxaad dareemayso, ama waxa dhakhtarku maqlo, waa isku soo ururitaanka qolka hoose ee dhinaca bidix ee wadnahaaga, 'Ventricle-ka Bidix'. Bal qiyaas, mar kasta oo wadnahaagu garaaco, waa Ventricle-kan Bidix ee dhiigga ku shubaya jirka oo dhan iyada oo loo marayo xididka dhiigga ee ugu weyn ee loo yaqaan 'Aorta'.

Miyaanay ahayn wax cajiib ah inaan dareemeyno garaaca wadnaheena? Laakiin mararka qaarkood way adkaan kartaa in la helo garaaca wadnaha oo kaliya farahaaga. Haddii aad waligaa isbitaal tagtay, waxaad u badan tahay inaad aragtay shaqaalaha caafimaadka oo hubinaya garaaca wadnaha oo furan.

Xaggee buu ku yaal Apical Pulse?

Garaaca wadnaha ee Apical wuxuu ku yaal meel ka sarreysa meesha ugu sarreysa ee wadnahaaga. Ma taqaanaa meesha ugu sarreysa ee wadnahaaga? Waa qaybta u eg caaradda wadnahaaga oo hoos u jeedda dhinaca bidix, gaar ahaan meesha ugu hooseysa ee Ventricle-ka Bidix. Si kastaba ha ahaatee, xaalado dhif ah, quluubta dadka qaar ayaa laga yaabaa in loo rogo dhanka midig, taas oo aan ugu yeerno 'dextrocardia'. Qofka noocaas ah, meesha ugu sarreysa ee wadnaha waxay ku taal dhinaca midig.

Haddaba, xaggee buu yahay meesha ugu sarreysa ee wadnaha ee dadka waaweyn?

Qofka weyn, wuxuu ku yaal dhinaca bidix ee laabta, inta u dhaxaysa feeraha shanaad iyo lixaad, isagoo ka tirinaya xagga sare ee qafiska feeraha hoos. Dhakhaatiirtu waxay tan ugu yeeraan 'meel bannaan oo shanaad oo ka mid ah feeraha', taas oo ah meesha u dhaxaysa feeraha.

Aaway carruurtii yaryarayd?

Carruurta da'doodu ka yar tahay 7 sano, meeshani way ka duwan tahay. Qaybta wadnahooda waxay ku taal inta u dhaxaysa feeraha afraad iyo shanaad. Taasi waa, 'meelahooda afraad ee intercostal'.

Maxaa loo cabbiraa garaaca wadnaha ee apical?

Dhakhtarkaagu wuxuu baran karaa macluumaad badan oo qiimo leh isagoo cabbiraya garaaca wadnaha ee apical. Hadda waxaa jira aalado otomaatig ah oo si dhakhso ah u cabbira oo soo bandhiga garaaca wadnaha. Inkasta oo ay muujinayaan garaaca wadnaha, haddana si sax ah uma tilmaamayaan laxanka wadnaha ama xoogga garaaca wadnaha. Si kastaba ha ahaatee, garaaca apical wuxuu si dhakhso ah u bixin karaa dhammaan macluumaadkan, isagoo isticmaalaya oo keliya stethoscope .

Dhakhtar ayaa cabbiri kara garaaca wadnahaaga ee apical sababahan awgood:

• Hubi caafimaadkaaga guud iyo fayoobaantaada .
• Hubi caafimaadka wadnahaaga .
• Hubi sida aad tahay ka dib baaritaan, daaweyn, ama qalliin .
• Ururi macluumaadka aasaasiga ah ee la barbar dhigi karo hubinta garaaca wadnaha ee mustaqbalka.

Sidee loo cabbiraa garaaca wadnaha ee Apical?

Dhakhtarku wuxuu adeegsadaa qalab lagu cabbiro garaaca wadnaha. Waxaa si toos ah loogu dhejiyaa maqaarkaaga si aad u dhegaysato. Sidaa darteed, tan waxaa la sameeyaa inta lagu daboolayo maro ama buste si loo ilaaliyo asturnaantaada, haddii loo baahdo.

Dhakhtarku wuxuu caadi ahaan raacaa tallaabooyinkan:

• Waxaa lagaa codsan doonaa inaad dhabarkaaga ku seexato , ama inaad si yar u leexato bidixda. Tan waxaa loo sameeyaa si aad u dareento garaaca wadnahaaga.
• Waxay farahooda u adeegsadaan inay helaan goobta garaaca wadnaha ee apical.
• Dhammaadka tuubada (ama 'gambaleelka' ama 'diaphragm') ayaa la saarayaa laabtaada.
• Waxay si taxaddar leh u dhegeysan doonaan ilaa 60 ilbiriqsi. Ha welwelin haddii aysan waxba oran waqtigan, ama haddii ay u muuqato inay qaadanayso waqti. Tani waa caadi. Dhakhtarku wuxuu u baahan yahay inuu si taxaddar leh u dhegeysto si uu u aqoonsado garaaca wadnaha.
• Dabadeed dhakhtarku wuxuu tuubada ka saari doonaa laabtaada.

Mararka qaar dhakhtarkaagu wuxuu sidoo kale garaaca wadnahaaga ka hubin karaa meelo kale. Tusaale ahaan, waxaa laga yaabaa inay rabaan inay cabbiraan 'garaacaaga apical-radial'.

Waa maxay garaaca wadnaha ee apical-radial?

Dhakhtarku wuxuu rabi karaa inuu cabbiro garaaca wadnahaaga iyo garaaca wadnahaaga, kaas oo lagu cabbiro curcurka. Tani waxay muujinaysaa sida dhiiggu uga socdo wadnahaaga una gudbayo inta kale ee jirkaaga. Dhakhtarku wuxuu sidoo kale u baahan karaa inuu qof kale ka caawiyo arrintan. In kasta oo hal qof uu cabbiro garaaca wadnahaaga, qofka kalena wuxuu hubin doonaa garaaca wadnahaaga 60 ilbiriqsi gudahood.

Sida ugu habboon, garaaca wadnahaaga iyo garaaca wadnahaaga waa inay isku mid noqdaan. Si kastaba ha ahaatee, haddii wadnahaagu daciif yahay ama aad qabto cudur xididdada dhiigga ah,, garaaca wadnahaaga radial wuxuu ka hooseeyaa garaaca wadnahaaga. Farqiga u dhexeeya labadan qiime waxaa loo yaqaan 'deficit pulse' . Hoos u dhaca garaaca wadnaha wuxuu ka caawiyaa dhakhtarkaaga inuu ogaado oo uu la socdo xaalado kala duwan oo saameeya wadnahaaga iyo xididdada dhiiggaaga.

Waa maxay heerka caadiga ah ee garaaca wadnaha ee apical?

Kala duwanaanshaha garaaca wadnaha ee caadiga ah ee dadka waaweyn badankood waa inta u dhaxaysa 60 iyo 100 garaac daqiiqaddii (bpm) . Kani waa heerka ugu habboon ee aad ku jiri karto marka aad nasato. Si kastaba ha ahaatee, waxyaabahan oo kale waxay sababi karaan in garaaca wadnahaagu aad hoos ugu dhaco:

• Haddii aad jimicsato .
• Haddii aad cabto waxyaabo ay ku jiraan kafeyn (sida shaaha, qaxwada).
• Marka aad walwalsan tahay ama aad walwalsan tahay .

Markaad gabowdo, garaaca wadnahaagu si dabiici ah ayuu u gaabin karaa xoogaa. Sidoo kale, daawooyin iyo xaalado caafimaad qaarkood ayaa saameyn kara garaaca wadnahaaga. Waxaa ugu wanaagsan inaad la hadasho dhakhtarkaaga si aad u ogaato inta uu le'eg yahay heerka garaaca wadnaha ee caafimaadka qaba.

Waa caadi in carruurta yaryar ay garaaca wadnaha ka sarreeyaan dadka waaweyn. Kala duwanaanshahan caadiga ah wuu kala duwan yahay iyadoo ku xiran da'dooda. Carruurta ka yar saddex bilood waxay leeyihiin heerka ugu sarreeya (123-164 garaac daqiiqaddii). Heerkani si tartiib tartiib ah ayuu u yaraadaa marka ay sii weynaadaan. La hadal dhakhtarka ilmahaaga si aad wax badan uga ogaato heerarka garaaca wadnaha ee ku habboon ilmahaaga da'da kala duwan.

Maxaa laga baran karaa Apical Pulse?

Garaaca apical wuxuu muujin karaa astaamaha xaalado caafimaad oo kala duwan . Tani waxay sabab u tahay inay u ogolaato dhakhtarka inuu maqlo wax ka badan garaaca wadnahaaga oo keliya. Kuwaas waxaa ka mid ah:

• Sidee bay tamarta ugu jirtaa garaac kasta ?
• Intee in le'eg ayuu wadnuhu socdaa ?
• Sidee buu u shaqeeyaa laxanka guud ee wadnaha ?

Garaacan apical wuxuu kaa caawin karaa dhakhtarkaaga inuu ogaado xaaladaha sida:

• Xanuunada garaaca wadnaha (arrhythmias) , tusaale ahaan, garaaca wadnaha ee atrial.
• Cudurka waalka wadnaha , tusaale ahaan, dhiig ka daadanaya waalka (dib-u-soo-noqoshada) ama cidhiidhiga waalka (stenosis).
• Muruqa wadnaha oo adkaada (Hypertrophic Cardiomyopathy) .
• Ballaarinta qolalka wadnaha ('Cardiomyopathy oo la kala diray') .

Ma mararka qaarkood Apical Pulse-ku ma adkaan karaa in la helo?

Haa, mararka qaarkood dhakhtarku ma heli karo garaaca wadnahaaga. Tani waxay dhici kartaa haddii aad qabto mid ka mid ah xaaladaha soo socda:

• Cayilka xad dhaafka ah(Tani waxaa sidoo kale loo yaqaan 'cayil', taasoo macnaheedu yahay cayil xad dhaaf ah).
• Cudurka sambabka ee daba-dheeraada (Cudurka Sambabada ee daba-dheeraada) .
• Dareeraha ku ururay wadnaha (dheecaanka wadnaha) .
• Dareeraha ku urura sambabka bidix ('Dhiig-baxa Bidix ee Pleural') .

Haddii taasi dhacdo, dhakhtarku wuxuu garaaca wadnahaaga ka hubin doonaa meelo kale, haddii loo baahdona, wuxuu sameyn doonaa baaritaanno kale oo wadnaha ah. Ma aha wax laga walwalo.

Ugu dambeyntii, waxyaabo la xasuusto

In kasta oo aan maalmahan haysanno qalab badan, hubinta garaaca wadnahaaga wali waa qayb aad muhiim u ah daawada. Garaaca wadnahaaga waa calaamad muhiim ah oo ka caawisa dhakhtarkaaga inuu ogaado dhibaatooyinka wadnahaaga. Dhakhtarkaagu wuxuu hubin karaa garaaca wadnahaaga inta lagu jiro baaritaanka caadiga ah. Haddii aad isbitaalka ku jirto, kooxdaada caafimaadku waxay badanaa hubin doonaan garaaca wadnahaaga.

Markaa, kala hadal dhakhtarkaaga garaaca wadnahaaga iyo waxa uu ka sheegayo caafimaadka wadnahaaga. Ha welwelin, waa baaritaan caadi ah, laakiin aad bay muhiim u tahay! Waxay dhakhtarkaaga u sheegi kartaa wax badan oo ku saabsan wadnahaaga.

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