Ngaba wakha weva ugqirha, ngelixa ehlola uxinzelelo lwakho lwegazi, esithi into efana nale, "Phefumla nzulu ngaphakathi... ngoku phefumlela ngaphandle..." Ngamanye amaxesha sicinga ukuba sisisho nje. Kodwa eneneni, ngamanye amaxesha ugqirha ujonga ukuba kukho utshintsho oluthile kuxinzelelo lwakho lwegazi kwindlela ophefumla ngayo. Kukho isizathu esibaluleke kakhulu soku. Namhlanje siza kuthetha ngesinye isibonakaliso esikhethekileyo sezonyango, esibizwa ngokuba yi-'Pulsus Paradoxus'. Eli gama lisenokuvakala linzima xa uliva, kodwa masilichaze ngokulula.
Yintoni kanye kanye iPulsus Paradoxus?
Ngamafutshane, iPulsus Paradoxus kuxa uxinzelelo lwakho lwegazi, ingakumbi inani eliphezulu (uxinzelelo lwe-systolic), lwehla kakhulu kunokuba bekulindelwe xa uphefumla.
Ngoku usenokuba ucinga, "Yintoni ke le ingaqhelekanga ngaloo nto?" Ingxaki apha kukuba ngesiqhelo, xa umntu ophilileyo ephefumla, uxinzelelo lwakhe lwegazi kufuneka lunyuke kancinci okanye lungatshintshi kakhulu. Kodwa kule meko, kwenzeka okwahlukileyo koko. Oko kukuthi, uxinzelelo luyehla ngokungalindelekanga. Esi asisosifo, kodwa luphawu olubaluleke kakhulu olusixelela ukuba kukho into engalunganga emzimbeni wakho, ingakumbi entliziyweni okanye emiphungeni.
Cinga ngayo, intliziyo yethu yiyo epompa igazi emzimbeni wethu wonke. Xa siphefumla, kukho utshintsho kuxinzelelo esifubeni sethu. Olu tshintsho lunefuthe elincinci kwindlela intliziyo ezalisa ngayo igazi. Nangona kunjalo, ukuba intliziyo ayikwazi ukwanda ngokufanelekileyo ngenxa yemeko yempilo, okanye ukuba kukho uxinzelelo oluninzi olujikeleze intliziyo, ubungakanani begazi elingena entliziyweni xa siphefumla buyancipha kakhulu . Ngenxa yoko, ubungakanani begazi elipompa intliziyo emzimbeni nalo buyancipha, yiyo loo nto sibona ukwehla ngequbuliso koxinzelelo lwegazi.
Ugqirha ulinganisa njani oku?
Le asinto onokuyilinganisa ngesixhobo sokulinganisa uxinzelelo lwedijithali ekhaya. Kuba le yinto ekufuneka ilinganiswe ngononophelo olukhulu. Ngenxa yoku, ugqirha usebenzisa isixhobo sokunciphisa uxinzelelo esimpontshwe ngesandla kunye ne-stethoscope (isixhobo sokunciphisa uxinzelelo lwegazi ngesandla).
Nantsi indlela yokwenza oku:
1. Okokuqala, ugqirha uza kubeka i-pressure cuff engalweni yakho aze ayivuthele de ungasakwazi ukuva ukubetha kwentliziyo yakho.
2. Emva koko, ngelixa ukhupha umoya ngokukhawuleza (ngesantya esimalunga neemilimitha ezi-2 ze-mercury ngomzuzwana), i-stethoscope isetyenziselwa ukufumana indawo yokuqala apho isandi se-pulse sivakala khona. Kule ndawo, isandi sivakala xa ukhupha umoya (ukhupha umoya). Elo xabiso liyarekhodwa.
3. Okulandelayo, njengoko ufutha i-cuff kancinci, uya kufumana indawo apho usenokuva khona ukubetha kwentliziyo njengoko uphefumla ungena uphuma . Uya kurekhoda nelo xabiso.
4. Okokugqibela, umahluko phakathi kwezi xabiso zimbini zoxinzelelo oluphezulu olurekhodiweyo uyabalwa.
Ngokwesiqhelo, ukuba lo mahluko ungaphezulu kwe-10 millimeters yemercury (10 mmHg), kuthathwa njengemeko ebizwa ngokuba yiPulsus Paradoxus. Kwiimeko ezifana neeyunithi zokhathalelo olunzulu (ii-ICU), oku ngamanye amaxesha kulinganiswa ngokuchanekileyo ngomgca wemithambo obekwe ngqo kwimithambo.
Ziziphi izizathu eziphambili zePulsus Paradoxus?
Ukuba ubona uphawu lwePulsus Paradoxus, oko kuthetha ukuba kukho into ethintela intliziyo ukuba isebenze kakuhle. Kunokubakho izizathu ezahlukeneyo zoku.
Eyona nto iphambili neyona ixhaphakileyo kukuqokelelana kolwelo olujikeleze intliziyo, nto leyo ebangela i-cardiac tamponade. Masichaze oku ngakumbi. Intliziyo yethu ikwisigqubuthelo esincinci esifana ne-sac ebizwa ngokuba yi-'pericardium'. Oku kudla ngokuba nolwelo oluncinci kakhulu lokukhusela nokuthambisa intliziyo. Nangona kunjalo, ukuba ngenxa yemeko ethile yempilo, ulwelo oluninzi (njengamanzi) luqokelelana ngaphakathi kwesi sigqubuthelo, lubizwa ngokuba yi -Pericardial Effusion . Ukuba olu lwelo luyanda, i-pericardial sac yolula, kwaye ekugqibeleni ibangele i-cardiac tamponade . Le yimeko enzima efuna unyango olungxamisekileyo. Le yeyona nto ixhaphakileyo ye-Pulsus Paradoxus.
Ngaphandle koku, kukho ezinye izizathu ezininzi ezinokubangela iPulsus Paradoxus kwitheyibhile engasezantsi.
| Imeko | Kalula nje... |
|---|---|
| I-Constrictive Pericarditis | Ingxowa ejikeleze intliziyo (i-pericardium) iyaqina kwaye iqine, ithintela intliziyo ukuba ingakhuli. |
| Isifuba Esibi okanye i-COPD | Utshintsho olukhulu kuxinzelelo lwesifuba ngexesha lokuphefumla ngenxa yokuba iindlela zomoya ziba mxinwa kakhulu. |
| Ukuphuma kwePleural | Ukuqokelelana kolwelo olugqithisileyo olujikeleze imiphunga. |
| I-Pneumothorax (Umphunga Owileyo) | Umoya uyavuza uphuma emiphungeni, nto leyo ebeka uxinzelelo kwimiphunga nakwintliziyo. |
| I-Cardiomyopathy ethintelayo | Intliziyo ayikwazi ukuzalisa igazi ngokufanelekileyo ngenxa yokuqina kwemisipha yentliziyo. |
| Ukutyeba kakhulu | Uxinzelelo lwangaphandle esifubeni nasentliziyweni ngenxa yobunzima bomzimba obugqithisileyo. |
Iphathwa njani le nto?
Eyona nto ibalulekileyo ekufuneka siyiqonde apha kukuba akukho nyango ngqo lwempawu ebizwa ngokuba yiPulsus Paradoxus. Kuba ayisosifo. Ifana nesibane esilumkisayo esikhanya kwideshibhodi xa kukho ingxaki kwinjini yemoto. Esikwenzayo asikokucima nokuvula isibane, kodwa kukulungisa ingxaki enjinini.
Kwakhona, ugqirha akanyangi uphawu lwePulsus Paradoxus, kodwa unyanga imeko yezonyango ebangela oko. Olu phawu lunceda ugqirha ukuba aqonde ukuba imeko imbi kangakanani na kwaye nokuba unyango lufanele luqalwe ngoko nangoko.
Indlela yonyango imiselwa ngunobangela.
- Ukuba unobangela yiCardiac Tamponade , unyango olungxamisekileyo lubandakanya ukususa ulwelo olungaphezulu olujikeleze intliziyo kusetyenziswa isirinji kunye nenaliti (pericardiocentesis). Utyando lunokufuneka.
- Ukuba unobangela sisifo sesifuba esibi kakhulu , amayeza kunye nonyango lwe-nebulizer ziyabonelelwa ukulawula isifo sesifuba.
- Ukuba unobangela yipneumothorax (umphunga owileyo), kufakwa ityhubhu esifubeni ukuze kususwe umoya ogqithisileyo.
- Kwiimeko ezifana neConstrictive Pericarditis , i-pericardium etyebileyo ingadinga ukususwa ngotyando.
Ngale ndlela, ugqirha uza kuqala afumane unobangela ochanekileyo aze akunike unyango olufanelekileyo. Ke ngoko, ukuba ugqirha wakho ukuxelela ngempawu efana nale, kubaluleke kakhulu ukuba ungayoyiki kwaye usebenzisane ngokupheleleyo novavanyo kunye nonyango olwenziwayo ukuze kufunyanwe unobangela.
Umyalezo Wokuya Ekhaya
- I-Pulsus Paradoxus ayilophawu oluvelayo wedwa. Luphawu oluza kubonwa ngugqirha ngexesha lovavanyo lwezonyango.
- Esi asisosifo, kodwa sisenokuba luphawu lwenye imeko, mhlawumbi embi kakhulu, entliziyweni okanye emiphungeni.
- Ukuba ugqirha wakho uyayibona le mpawu, musa ukoyika. Yindlela ebalulekileyo yokufumana nokunyanga unobangela.
- I-Pulsus Paradoxus ayinyangwa, kodwa inyangwa yimeko ebangela ukuba inyangwe. Ngoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo.
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