Masifumanise ukuba intliziyo ibetha njani kanye kanye? - Yonke into malunga ne-Apical Pulse

Sonke siyayazi indlela yokujonga ukubetha kwentliziyo yethu ngokuyiva esihlahleni okanye kumacala omabini entamo yethu. Kodwa ubusazi na ukuba kukho ukubetha kwentliziyo okukhethekileyo okunika ulwazi oluchanekileyo ngakumbi malunga nokusebenza kwentliziyo, oluviwa ngokubeka umbhobho ngqo esifubeni? Yiloo nto siyibiza ngokuba yi-'Apical Pulse'. Le yinto ebaluleke kakhulu, ngoko masithethe ngayo ngokweenkcukacha namhlanje.

Yintoni le Apical Pulse?

Ngamafutshane, i-Apical Pulse yindawo apho unokufumana khona umbono ochanekileyo wesantya sentliziyo yakho . Ikwabizwa ngokuba yi-'Point of Maximal Impulse' (PMI) kunye ne-'Apex Beat'.

Sihlala sijonga i-pulse yethu esihlahleni (esibizwa ngokuba yi-'radial pulse') okanye macala omabini entamo yethu (ebizwa ngokuba yi-'carotid pulse'), akunjalo? Ezi zii-pulse ezihamba kwimithambo yegazi yomzimba wethu, oko kukuthi, 'kwimithambo yegazi'. Sinokuziva lula ezi pulse ngokubeka iminwe emibini okanye emithathu kuzo. Emva koko sinokuziva amaza oxinzelelo ayenzeka rhoqo xa intliziyo ibetha.

Kodwa le Apical Pulse yahlukile. Le ayisiyo i-pulse kumthambo wegazi. Awuva xinzelelo apha. Into oyivayo, okanye into ayivayo ugqirha, kukuxinana kwegumbi elingaphantsi kwicala lasekhohlo lentliziyo yakho, i-'Left Ventricle'. Khawuthelekelele, ngalo lonke ixesha intliziyo yakho ibetha, yile Left Ventricle epompa igazi liye emzimbeni wonke ngomthambo wegazi oyintloko obizwa ngokuba yi-'Aorta'.

Akumangalisi na ukuba singaziva iintliziyo zethu zibetha? Kodwa ngamanye amaxesha kunokuba nzima ukufumana le pulse ye-apical ngeminwe yakho kuphela. Ukuba wakha waya esibhedlele, mhlawumbi ukhe wababona abasebenzi bezonyango bejonga le pulse ye-apical.

Iphi i-Apical Pulse?

Le Apical Pulse ikwindawo engaphezulu kwencopho yentliziyo yakho. Uyazi ukuba yintoni incam yentliziyo? Yinxalenye efana nencam yentliziyo yakho ejonge ezantsi kwicala lasekhohlo, ingakumbi incam esezantsi yeLeft Ventricle. Nangona kunjalo, kwiimeko ezingaqhelekanga, iintliziyo zabanye abantu zinokujikwa ziye ngasekunene, esizibiza ngokuba yi-'dextrocardia'. Kumntu onjalo, incam yentliziyo ikwicala lasekunene.

Ngoko ke, iphi kanye kanye incam yentliziyo kubantu abadala?

Kumntu omdala, ifumaneka kwicala lasekhohlo lesifuba, phakathi kwembambo yesihlanu neyesithandathu, kubalwa ukusuka phezulu kwembambo ukuya ezantsi. Oogqirha bayibiza le ndawo ngokuthi 'yisithuba sesihlanu se-intercostal', esisithuba esiphakathi kwembambo.

Baphi abantwana abancinci?

Kubantwana abangaphantsi kweminyaka esi-7 ubudala, le ndawo yahlukile kancinci. Intloko yentliziyo yabo iphakathi kwembambo yesine neyesihlanu. Oko kukuthi, kwindawo yabo 'yesine ye-intercostal'.

Kutheni i-apical pulse ilinganiswa?

Ugqirha wakho unokufunda ulwazi oluninzi oluxabisekileyo ngokulinganisa le pulse ye-apical. Ngoku kukho izixhobo ezizenzekelayo ezilinganisa ngokukhawuleza kwaye zibonise izinga lokubetha kwentliziyo. Nangona zibonisa izinga lokubetha kwentliziyo, azibonisi ngokuchanekileyo isigqi sentliziyo okanye amandla okubetha kwentliziyo. Nangona kunjalo, i-apical pulse inokubonelela lonke olu lwazi ngokukhawuleza, isebenzisa i-stethoscope kuphela .

Ugqirha angalinganisa i-apical pulse yakho ngezi zizathu zilandelayo:

• Jonga impilo yakho ngokubanzi kunye nempilo-ntle yakho.
• Jonga impilo yentliziyo yakho.
• Jonga ukuba unjani emva kovavanyo, unyango, okanye utyando .
• Qokelela ulwazi olusisiseko olunokuthelekiswa nokuhlolwa kwentliziyo kwixesha elizayo.

Ilinganiswa njani i-Apical Pulse?

Ugqirha usebenzisa i-stethoscope ukulinganisa ukubetha kwentliziyo. Ibekwa ngqo eluswini lwakho ukuze umamele. Ke ngoko, oku kwenziwa ngelixa ugqunywe ngelaphu okanye ingubo ukukhusela ubumfihlo bakho, ukuba kuyimfuneko.

Ugqirha udla ngokulandela la manyathelo:

• Uza kucelwa ukuba ulale ngomqolo , okanye ujike kancinci uye ngasekhohlo. Oku kwenzelwa ukuze uve ngcono ukubetha kwentliziyo yakho.
• Basebenzisa iminwe yabo ukufumana indawo apho i-apical pulse ikhona khona.
• Isiphelo sombhobho (nokuba yi-'bell' okanye 'i-diaphragm') sibekwe esifubeni sakho.
• Baza kumamela ngononophelo malunga nemizuzwana engama-60. Ungakhathazeki ukuba abathethi nto okwangoku, okanye ukuba kubonakala ngathi kuthatha ixesha. Oku kuqhelekile. Ugqirha kufuneka amamele ngononophelo ukuze abone ukubetha kwentliziyo.
• Emva koko ugqirha uza kuyisusa ityhubhu esifubeni sakho.

Ngamanye amaxesha ugqirha wakho angajonga ukubetha kwentliziyo yakho kwezinye iindawo. Umzekelo, banokufuna ukulinganisa 'ukubetha kwentliziyo yakho ye-apical-radial'.

Yintoni i-apical-radial pulse?

Ugqirha usenokufuna ukulinganisa i-apical pulse yakho kunye ne -radial pulse yakho, elinganiswa esihlahleni. Oku kubonisa indlela igazi elihamba ngayo ukusuka entliziyweni yakho ukuya emzimbeni wakho wonke. Ugqirha usenokufuna ukuba nomnye umntu ancedise koku. Ngelixa omnye umntu elinganisa i-apical pulse, omnye umntu uza kujonga i-radial pulse kwimizuzwana engama-60.

Eyona nto ifanelekileyo kukuba, i-apical pulse yakho kunye ne-radial pulse yakho zifanele zifane. Nangona kunjalo, ukuba intliziyo yakho ibuthathaka okanye unesifo semithambo yegazi,, i-radial pulse yakho isenokuba phantsi kune-apical pulse yakho. Umahluko phakathi kwezi xabiso zimbini ubizwa ngokuba yi-'pulse deficit' . Le pulse deficit inceda ugqirha wakho ukuba axilonge aze ajonge iimeko ezahlukeneyo ezichaphazela intliziyo yakho kunye nemithambo yegazi.

Luluphi udidi oluqhelekileyo lwe-apical pulse?

Umlinganiselo oqhelekileyo we-apical pulse kubantu abadala abaninzi uphakathi kwe-60 kunye ne-100 beats ngomzuzu (bpm) . Olu lolona luhlu lufanelekileyo xa uphumle. Nangona kunjalo, izinto ezinje ngezi zinokubangela ukuba i-pulse yakho yehle kakhulu:

• Ukuba uqhelisela umzimba .
• Ukuba usela izinto ezine- caffeine (ezifana neti, ikofu).
• Xa uxinezelekile okanye uxhalabile .

Njengoko ukhula, isantya sentliziyo yakho sinokuncipha kancinci. Kwakhona, amayeza athile kunye neemeko zonyango zinokuchaphazela isantya sentliziyo yakho. Kungcono ukuthetha nogqirha wakho ukuze ufumane ukuba loluphi uhlobo lwesantya sentliziyo olusempilweni olukulungeleyo.

Kuqhelekile ukuba abantwana abancinci babe nesantya sentliziyo esiphezulu kunabantu abadala. Olu luhlu luqhelekileyo luyahluka ngokuxhomekeke kwiminyaka yabo. Iintsana ezingaphantsi kweenyanga ezintathu ubudala zinesantya esiphezulu (123-164 beats ngomzuzu). Esi santya sincipha kancinci kancinci njengoko bekhula. Thetha nogqirha womntwana wakho ukuze ufunde okungakumbi malunga nesantya sentliziyo esifanelekileyo kumntwana wakho kwiminyaka eyahlukeneyo.

Yintoni enokufundwa kwi-Apical Pulse?

I-apical pulse ingabonisa iimpawu zeemeko ezahlukeneyo zonyango . Oku kungenxa yokuba ivumela ugqirha ukuba eve okungaphezulu nje kokubetha kwentliziyo yakho. Ezi ziquka:

• Injani amandla kwintliziyo nganye ?
• Intliziyo nganye ihlala ixesha elingakanani ?
• Injani i-rhythm iyonke yentliziyo ?

Le pulse ye-apical inokunceda ugqirha wakho ukuba afumanise iimeko ezifana nezi:

• Ukuphazamiseka kwesantya sentliziyo (i-arrhythmias) , umzekelo, i-atrial fibrillation.
• Isifo seevalvu zentliziyo , umzekelo, ukuvuza kwegazi kwiivalvu (ukubuyela kwesisu) okanye ukucutheka kweevalvu (i-stenosis).
• Ukutyeba kwemisipha yentliziyo (i-Hypertrophic Cardiomyopathy) .
• Ukwandiswa kwamagumbi entliziyo ('Diluted Cardiomyopathy') .

Ngaba i-Apical Pulse ngamanye amaxesha ingaba nzima ukuyifumana?

Ewe, ngamanye amaxesha ugqirha usenokungakwazi ukufumana i-apical pulse yakho. Oku kunokwenzeka ukuba unenye yezi meko zilandelayo:

• Ukutyeba kakhulu(Oku kukwabizwa ngokuba 'kukutyeba kakhulu', oko kuthetha ukutyeba kakhulu).
• Isifo semiphunga esingapheliyo (Isifo semiphunga esingapheliyo) .
• Ukuqokelelana kolwelo olujikeleze intliziyo (i-pericardial effusion) .
• Ukuqokelelana kolwelo olujikeleze umphunga wasekhohlo ('Ukuphuma kwePleural yasekhohlo') .

Ukuba oko kuyenzeka, ugqirha uza kujonga ukubetha kwentliziyo yakho kwezinye iindawo, aze ukuba kuyimfuneko, enze olunye uvavanyo lwentliziyo. Akuyonto ibalulekileyo ukuyikhathaza.

Okokugqibela, izinto ekufuneka uzikhumbule

Nangona sinezixhobo ezininzi kule mihla, ukujonga ukubetha kwentliziyo yakho kuseyinxalenye ebaluleke kakhulu kunyango. Ukubetha kwentliziyo yakho luphawu olubalulekileyo olunceda ugqirha wakho ukuba abone iingxaki zentliziyo yakho. Ugqirha wakho angajonga ukubetha kwentliziyo yakho ngexesha lokuhlolwa rhoqo. Ukuba usesibhedlele, iqela lakho lezonyango lihlala lijonga ukubetha kwentliziyo yakho.

Ngoko ke, thetha nogqirha wakho malunga nentliziyo yakho ebuhlungu kunye nokuba ithini ngempilo yentliziyo yakho. Ungakhathazeki, luvavanyo oluqhelekileyo, kodwa lubaluleke kakhulu! Lunokuxelela ugqirha wakho okuninzi ngentliziyo yakho.

` Ukubetha kwentliziyo, izinga lokubetha kwentliziyo, ukuva ngesandi esiphantsi, impilo yentliziyo, ukubetha kwentliziyo, isingqisho sentliziyo, isifo sentliziyo