Ake sithole ukuthi inhliziyo ishaya kanjani ngempela? - Konke mayelana ne-Apical Pulse

Sonke siyazi ukuthi singayihlola kanjani i-pulse yethu ngokuyizwa esihlakaleni sethu noma ohlangothini ngalunye lwentamo yethu. Kodwa bewazi ukuthi kukhona i-pulse ekhethekile enikeza ulwazi olunembile kakhulu mayelana nokusebenza kwenhliziyo, oluzwakala ngokubeka ipayipi ngqo esifubeni? Yilokho esikubiza ngokuthi 'i-Apical Pulse'. Lokhu kuyinto ebaluleke kakhulu, ngakho ake sixoxe ngakho ngokuningiliziwe namuhla.

Iyini le-Apical Pulse?

Kalula nje, i-Apical Pulse yilapho ungathola khona umbono onembile kakhulu wokushaya kwenhliziyo yakho . Ibizwa nangokuthi 'i-Point of Maximal Impulse' (PMI) kanye ne-'Apex Beat'.

Ngokuvamile sihlola ukushaya kwenhliziyo yethu esihlakaleni (okubizwa ngokuthi 'i-radial pulse') noma ohlangothini ngalunye lwentamo yethu (okubizwa ngokuthi 'i-carotid pulse'), akunjalo? Lawa ama-pulse agijima emithanjeni yegazi yomzimba wethu, okungukuthi, 'emithanjeni'. Singazizwa kalula lezi zi-pulse ngokubeka iminwe emibili noma emithathu kuzo. Ngemuva kwalokho singazizwa amagagasi okucindezela avela njalo lapho inhliziyo ishaya.

Kodwa le-Apical Pulse ihlukile. Lokhu akuyona i-pulse emthanjeni. Awuzwa igagasi lokucindezela lapha. Lokho okuzwayo, noma lokho udokotela akuzwayo, ukuqina kwegumbi elingezansi ohlangothini lwesobunxele lwenhliziyo yakho, i-'Left Ventricle'. Cabanga nje, njalo lapho inhliziyo yakho ishaya, yile Left Ventricle epompa igazi liye emzimbeni wonke ngomthambo wegazi oyinhloko obizwa ngokuthi 'i-Aorta'.

Akumangalisi yini ukuthi singazizwa izinhliziyo zethu zishaya? Kodwa ngezinye izikhathi kungaba nzima ukuthola lokhu kushaya kwenhliziyo okungavamile ngeminwe yakho kuphela. Uma uke waya esibhedlela, cishe uke wababona abasebenzi bezokwelapha behlola lokhu kushaya kwenhliziyo okungavamile.

Ikuphi i-Apical Pulse?

Le-Apical Pulse itholakala ngaphezu kwengxenye yenhliziyo yakho. Uyazi ukuthi iyini ingxenye yenhliziyo? Ingxenye efana nengxenye yenhliziyo yakho ekhomba phansi ohlangothini lwesobunxele, ikakhulukazi ingxenye ephansi kakhulu ye-Left Ventricle. Kodwa-ke, ezimweni ezingavamile, izinhliziyo zabanye abantu zingase ziphendukele kwesokudla, esikubiza ngokuthi 'i-dextrocardia'. Kumuntu onjalo, ingxenye yenhliziyo ingakwesokudla.

Ngakho-ke, ikuphi ngempela ingxenye eyinhloko yenhliziyo kubantu abadala?

Kumuntu omdala, itholakala ohlangothini lwesobunxele lwesifuba, phakathi kwezimbambo zesihlanu nezesithupha, kubalwa kusukela phezulu kwekheji lezimbambo kuye ezansi. Odokotela bakubiza lokhu ngokuthi 'isikhala sesihlanu se-intercostal', okuyisikhala esiphakathi kwezimbambo.

Baphi abantwana abancane?

Ezinganeni ezingaphansi kweminyaka engu-7, le ndawo ihlukile kancane. Ikhanda lenhliziyo yazo litholakala phakathi kwezimbambo zesine nezesihlanu. Okusho ukuthi, 'esikhala sayo sesine se-intercostal'.

Kungani i-apical pulse ilinganiswa?

Udokotela wakho angafunda ulwazi oluningi olubalulekile ngokulinganisa lokhu kushaya kwenhliziyo okuthambile. Manje sekunamadivayisi azenzakalelayo alinganisa futhi abonise izinga lokushaya kwenhliziyo ngokushesha. Nakuba ekhombisa izinga lokushaya kwenhliziyo, awabonisi ngokunembile isigqi senhliziyo noma amandla okushaya kwenhliziyo. Kodwa-ke, ukushaya kwenhliziyo okuthambile kunganikeza lonke lolu lwazi ngokushesha, kusetshenziswa i-stethoscope kuphela .

Udokotela angase alinganise ukushaya kwenhliziyo yakho ngenxa yalezi zizathu:

• Hlola impilo yakho kanye nenhlalakahle yakho iyonke .
• Hlola impilo yenhliziyo yakho.
• Hlola ukuthi unjani ngemva kokuhlolwa, ukwelashwa, noma ukuhlinzwa .
• Qoqa ulwazi oluyisisekelo olungaqhathaniswa nokuhlolwa kwenhliziyo kwesikhathi esizayo.

I-Apical Pulse ilinganiswa kanjani?

Udokotela usebenzisa i-stethoscope ukukala ukushaya kwenhliziyo okuthambile. Kubekwa ngqo esikhumbeni sakho ukuze ulalele. Ngakho-ke, lokhu kwenziwa ngenkathi umbozwe ngendwangu noma ngengubo ukuze uvikele ubumfihlo bakho, uma kudingeka.

Udokotela uvame ukulandela lezi zinyathelo:

• Uzocelwa ukuba ulale ngomhlane , noma uphendukele kancane ngakwesobunxele. Lokhu kwenzelwa ukuzwa kangcono ukushaya kwenhliziyo yakho.
• Basebenzisa iminwe yabo ukuthola indawo lapho ukushaya kwenhliziyo kwe-apical kwenzeka khona.
• Isiphetho sepayipi (kungaba 'insimbi' noma 'i-diaphragm') sibekwa esifubeni sakho.
• Bazolalela ngokucophelela cishe imizuzwana engama-60. Ungakhathazeki uma bengasho lutho okwamanje, noma uma kubonakala sengathi kuthatha isikhathi. Lokhu kuvamile. Udokotela kudingeka alalele ngokucophelela ukuze abone ukushaya kwenhliziyo.
• Udokotela uzokhipha ipayipi esifubeni sakho.

Ngezinye izikhathi udokotela wakho angase ahlole ukushaya kwenhliziyo yakho kwezinye izindawo. Isibonelo, bangase bafune ukukala 'ukushaya kwenhliziyo kwe-apical-radial' yakho.

Iyini i-apical-radial pulse?

Udokotela angase afune ukukala i-apical pulse yakho kanye ne-radial pulse yakho, elinganiswa esihlakaleni. Lokhu kukhombisa ukuthi igazi lihamba kahle kangakanani lisuka enhliziyweni yakho liye kuwo wonke umzimba wakho. Udokotela angase futhi adinge usizo komunye umuntu ngalokhu. Ngenkathi umuntu oyedwa ekala i-apical pulse, omunye umuntu uzohlola i-radial pulse zingakapheli imizuzwana engama-60.

Okungcono kakhulu, ukushaya kwenhliziyo yakho okubukhali kanye nokushaya kwenhliziyo okubukhali kufanele kufane. Kodwa-ke, uma inhliziyo yakho ibuthakathaka noma unesifo semithambo yegazi,, i-radial pulse yakho ingase ibe ngaphansi kune-apical pulse yakho. Umehluko phakathi kwala manani amabili ubizwa ngokuthi 'i-pulse deficit' . Lokhu kushaya kwe-pulse deficit kusiza udokotela wakho ukuthi axilonge futhi aqaphe izimo ezahlukahlukene ezithinta inhliziyo yakho nemithambo yegazi.

Iyini ibanga elijwayelekile le-apical pulse?

Ibanga elijwayelekile lokushaya kwenhliziyo kwe-apical kubantu abadala abaningi liphakathi kwama-beats angu-60 no-100 ngomzuzu (bpm) . Leli ibanga elifanele ukuba kulo uma uphumule. Kodwa-ke, izinto ezinjengalezi zingabangela ukuthi ukushaya kwenhliziyo yakho kwehle kakhulu:

• Uma uzivocavoca .
• Uma uphuza izinto eziqukethe i-caffeine (njengetiye, ikhofi).
• Uma ucindezelekile noma ukhathazekile .

Njengoba ukhula, izinga lokushaya kwenhliziyo yakho lingase lehle kancane ngokwemvelo. Futhi, imithi ethile kanye nezimo zezokwelapha kungathinta izinga lokushaya kwenhliziyo yakho. Kungcono ukukhuluma nodokotela wakho ukuze uthole ukuthi yiliphi izinga lokushaya kwenhliziyo elinempilo elikufanele.

Kujwayelekile ukuthi izingane ezincane zibe nesilinganiso senhliziyo esiphezulu kunabantu abadala. Lesi silinganiso esijwayelekile siyahlukahluka kuye ngeminyaka yazo. Izingane ezingaphansi kwezinyanga ezintathu zinesilinganiso esiphezulu (ukushaya okungu-123-164 ngomzuzu). Lesi silinganiso siyancipha kancane kancane njengoba zikhula. Khuluma nodokotela wengane yakho ukuze ufunde kabanzi mayelana nesilinganiso senhliziyo esifanele sengane yakho eminyakeni ehlukene.

Yini engafundwa ku-Apical Pulse?

Ukushaya kwenhliziyo okubangelwa yi-apical kungaveza izimpawu zezifo ezahlukahlukene . Lokhu kungenxa yokuthi kuvumela udokotela ukuzwa okungaphezu nje kokushaya kwenhliziyo yakho. Lokhu kufaka phakathi:

• Amandla anjani ekushayeni kwenhliziyo ngakunye ?
• Ukushaya kwenhliziyo ngakunye kuthatha isikhathi esingakanani ?
• Injani i-rhythm yenhliziyo iyonke ?

Lokhu kushaya kwenhliziyo okuthambile kungasiza udokotela wakho ukuthi athole izimo ezifana nalezi:

• Ukuphazamiseka kwesigqi senhliziyo (i-arrhythmias) , isibonelo, i-atrial fibrillation.
• Isifo se-valve yenhliziyo , isibonelo, ukuvuza kwegazi kusuka kuma-valve (ukuphindaphinda) noma ukuncipha kwama-valve (i-stenosis).
• Ukuqina kwemisipha yenhliziyo (i-Hypertrophic Cardiomyopathy) .
• Ukwandiswa kwamagumbi enhliziyo ('Diluted Cardiomyopathy') .

Ingabe i-Apical Pulse ngezinye izikhathi ingaba nzima ukuyithola?

Yebo, ngezinye izikhathi udokotela angase angakwazi ukuthola ukushaya kwenhliziyo yakho. Lokhu kungaba njalo uma unezinye zezimo ezilandelayo:

• Ukukhuluphala ngokweqile(Lokhu kubizwa nangokuthi 'ukukhuluphala ngokweqile', okusho ukukhuluphala ngokweqile).
• Isifo samaphaphu esingamahlalakhona (Isifo samaphaphu esingamahlalakhona) .
• Ukuqongelela koketshezi oluzungeze inhliziyo (i-pericardial effusion) .
• Ukuqongelela koketshezi oluzungeze iphaphu lesobunxele ('Ukuphuma Kwe-Pleural Kwesobunxele') .

Uma lokho kwenzeka, udokotela uzohlola ukushaya kwenhliziyo yakho kwezinye izindawo, futhi uma kudingeka, enze ezinye izivivinyo zenhliziyo. Akuyona into okufanele ukhathazeke ngayo.

Okokugcina, izinto okufanele uzikhumbule

Ngisho noma sinemishini eminingi kangaka kulezi zinsuku, ukuhlola ukushaya kwenhliziyo yakho kuseyingxenye ebaluleke kakhulu yezokwelapha. Ukushaya kwenhliziyo yakho kuyisibonakaliso esibalulekile esisiza udokotela wakho ukuthi athole izinkinga ngenhliziyo yakho. Udokotela wakho angase ahlole ukushaya kwenhliziyo yakho ngesikhathi sokuhlolwa okuvamile. Uma usesibhedlela, ithimba lakho lezokwelapha livame ukuhlola ukushaya kwenhliziyo yakho.

Ngakho-ke, khuluma nodokotela wakho mayelana nokushaya kwenhliziyo yakho kanye nokuthi kuthini ngempilo yenhliziyo yakho. Ungakhathazeki, kumane nje kuyindlela yokuhlola evamile, kodwa kubaluleke kakhulu! Kungatshela udokotela wakho okuningi ngenhliziyo yakho.

` Ukushaya kwenhliziyo okuphansi, izinga lokushaya kwenhliziyo, ukulalela imisindo, impilo yenhliziyo, ukushaya kwenhliziyo, isigqi senhliziyo, isifo senhliziyo