Apical Pulse
Zvemukati
Mhedziso
Kupomba kwako iko kudedera kweropa sezvo moyo wako uchipomba kuburikidza nemutsinga dzako. Iwe unogona kunzwa kupomba kwako nekuisa minwe yako pamusoro petsinga huru iri pedyo neganda rako.
Iyo apical pulse ndeimwe yeasere anowanzo arterial pulse saiti. Inogona kuwanikwa munzvimbo yekuruboshwe yechipfuva chako, pazasi pezamu chete. Iyi chinzvimbo ingangoenderana neyepazasi (yakanongedzwa) kupera kwemoyo wako. Tarisa uone yakadzama dhayagiramu yeiyo circulatory system.
Chinangwa
Kuteerera kune apical pulse ndiko kuteerera zvakanyanya kune moyo. Iyo yakavimbika kwazvo uye isinganetsi nzira yekuongorora mashandiro emoyo. Iyo zvakare ndiyo nzira inosarudzika yekuyera kurova kwemoyo muvana.
Ko apical pulse inowanikwa sei?
Stethoscope inoshandiswa kuyera apical pulse. Wachi kana wristwatch ine masekondi inodawo.
Iyo apical pulse inonyanya kuongororwa kana iwe wakagara kana kurara pasi.
Chiremba wako anoshandisa akateedzana "mamaki" pamuviri wako kuti aone izvo zvinonzi iyo poindi yekushomeka kwepfungwa (PMI). Izvi zviratidzo zvinosanganisira:
- iyo bony poindi ye sternum yako (breastbone)
- nzvimbo dzakapindirana (nzvimbo dziri pakati pembabvu dzako)
- iyo midclavicular mutsara (mutsetse wekufungidzira uchifamba uchidzika nemuviri wako kutanga kubva pakati pekora rako).
Kutanga kubva kune iyo bony poindi yechipfuva chako, chiremba wako achawana yechipiri nzvimbo pakati pembabvu dzako. Vanozo fambisa minwe yavo pasi kune iyo yechishanu nzvimbo pakati pembabvu dzako uye voitsvedza pamusoro pemidclavicular mutsara. Iyo PMI inofanira kuwanikwa pano.
Kana iyo PMI yawanikwa, chiremba wako anoshandisa iyo stethoscope kuteerera kune yako kurova kweminiti izere kuti uwane yako apical pulse rate. Imwe neimwe "lub-dub" inorira moyo wako unoita kuverenga sekurohwa kumwe.
Target mitengo
An apical pulse rate inowanzoonekwa seisina kujairika mumunhu mukuru kana iri pamusoro pezana kurova paminiti (bpm) kana pasi pe60 bpm. Yako yakanaka yekurova kwemoyo pazororo uye panguva yekurovedza muviri zvakasiyana zvakanyanya.
Vana vane zororo repamusoro rekuzorora kupfuura vanhu vakuru. Iyo yakajairwa yekuzorora kupisa pulse mitsara yevana ndeinotevera:
- achangoberekwa: 100-170 bpm
- Mwedzi mitanhatu kusvika pagore rimwe: 90-130 bpm
- Makore maviri kusvika matatu: 80-120 bpm
- Makore mana kusvika mashanu: 70-110 bpm
- Makore gumi uye zvichikwira: 60-100 bpm
Kana iyo apical pulse iri pamusoro kupfuura zvaitarisirwa, chiremba wako achakuongorora zvinhu zvinotevera:
- kutya kana kushushikana
- kupindwa nechando
- chiitiko chemuviri chazvino
- kurwadziwa
- hypotension (yakaderera BP)
- kurasikirwa neropa
- kukwana oxygen kudya
Uyezve, kurova kwemoyo kunogara kwakakwira kupfuura zvakajairika kunogona kunge kuri chiratidzo chehosha yemwoyo, kukundikana kwemoyo, kana gland yakanyanyisa.
Kana iyo apical pulse iri pasi pane zvaitarisirwa, chiremba wako anozotarisa mishonga inogona kunge iri kukanganisa moyo wako. Mishonga yakadai inosanganisira beta-blockers yakapihwa BP kana anti-dysrhythmic mishonga inopihwa kurova kwemoyo zvisina kujairika.
Pulse kushomeka
Kana chiremba wako akaona kuti yako apical pulse haina kujairika, ivo vangango tarisa kuvapo kwekushomeka kwekushomeka. Iwe chiremba unogona zvakare kukumbira kuti uve nemagetsi.
Vanhu vaviri vanodiwa kuti vaongorore kushomeka kwemapfupa. Mumwe munhu anoyera apical pulse nepo mumwe munhu achiyera periipheral pulse, senge iri muchanza chako. Iyi pulses ichaverengerwa panguva imwechete kweminiti izere, nemunhu mumwe achipa chiratidzo kune mumwe kuti atange kuverenga.
Kamwe iyo pulse rate yawanikwa, iyo yekumusoro yekupisa mwero inobviswa kubva kune apical pulse rate. Iyo apical pulse rate haizombove yakadzikira kupfuura iyo yekumusoro yekupomba rate. Iyo inoguma nhamba ndiko kushaya kwekushomeka. Kazhinji, iwo manhamba maviri angave akafanana, zvichikonzera mutsauko we zero. Zvisinei, kana paine musiyano, zvinonzi kushaya kwekushomeka.
Kuvapo kwekushomeka kwekutenderera kunoratidza kuti panogona kunge paine nyaya nekushanda kwemoyo kana kugona. Kana kukanganiswa kwekupomba kuchinge kwaonekwa, zvinoreva kuti vhoriyamu reropa rakapomerwa kubva pamoyo rinogona kunge risingakwanise kuzadzisa zvido zvemuviri wako.
Tora woenda nazvo
Kuteerera kune apical pulse ndiko kuteerera zvakananga kune moyo wako. Iyo ndiyo nzira inoshanda kwazvo yekuongorora mashandiro emoyo.
Kana kupomba kwako kuri kunze kweiyo yakajairika renji kana iwe uine isina kujairika kurova kwemoyo, chiremba wako achakuongorora zvakare.
Zvazvino Zvazvino
Maitiro ekutora Hibiscus tii kurasikirwa uremu
