Kunzwisisa Pulsus Paradoxus

Zvemukati

• Asthma inokonzera pulsus paradoxus?
• Chii chimwe chinokonzera pulsus paradoxus?
• Mamiriro ezvinhu emwoyo:
• Zvinokanganisa pericarditis
• Pericardial tamponade
• Mamiriro ezvinhu emapapu:
• Kuwedzera kweCOPD
• Yakakura pulmonary embolism
• Kuvharidzira kufema kufema
• Pectus excavatum
• Yakakura pleural effusion
• Pulsus paradoxus inoyerwa sei?
• Chinokosha

Chii chinonzi pulsus paradoxus?

Paunotora mweya mukati, unogona kusangana nehuremu, hupfupi kudonha kweropa izvo zvisingaonekwe. Pulsus paradoxus, dzimwe nguva inonzi paradoxic pulse, inoreva kudonha kweropa kweanosvika 10 mm Hg nemweya wega wega mukati. Izvi zvinokwana musiyano wekukonzera shanduko inoonekwa musimba rekupomba kwako.

Zvinhu zvakati wandei zvinogona kukonzera pulsus paradoxus, kunyanya mamiriro ane hukama nemoyo kana mapapu.

Asthma inokonzera pulsus paradoxus?

Kana munhu akarwara neasthma zvakanyanya, zvikamu zvemafafitera avo zvinotanga kusimba uye kuzvimba. Mapapu anotanga kuwanda mukupindura, izvo zvinowedzera kumanikidza mutsinga dzinotakura ropa rinozivikanwa kubva pamoyo kuenda kumapapu.

Nekuda kweizvozvo, ropa rinodzokera kumashure muiyo ventricle chaiyo, inova chikamu chezasi kurudyi kwemoyo. Izvi zvinokonzeresa kumanikidza kuvaka mudivi rerudyi remoyo, iro rinomanikidza kuruboshwe kuruboshwe kwemoyo. Zvese izvi zvinoguma nepulsus paradoxus.

Mukuwedzera, asima inowedzera kushushikana kwakashata mumapapu. Izvi zvinowedzera kumanikidza pane yekuruboshwe ventricle, iyo inogona zvakare kukonzera pulsus paradoxus.

Chii chimwe chinokonzera pulsus paradoxus?

Pamusoro pekurwiswa neasthma kwakakomba, akati wandei moyo nemapapu mamiriro anogona kukonzera pulsus paradoxus. Hypovolemia inogona zvakare kukonzera pulsus paradoxus mumamiriro ezvinhu akaipisisa. Izvi zvinoitika kana munhu asina ropa rakakwana mumuviri wake, kazhinji nekuda kwekushayiwa mvura, kuvhiyiwa, kana kukuvara.

Izvi zvinotevera mamiriro emoyo nemapapu ayo anogona kukonzera pulsus paradoxus:

Mamiriro ezvinhu emwoyo:

Zvinokanganisa pericarditis

Kunetseka pericarditis kunoitika kana iyo membrane yakakomberedza moyo, inonzi iyo pericardium, inotanga kuita twi. Nekuda kweizvozvo, kana munhu achifemera mukati, moyo haugone kuvhura zvakanyanya sezvaunowanzoita.

Pericardial tamponade

Ichi chiitiko, chinozivikanwawo sekuti moyo tamponade, chinokonzeresa kuti munhu awedzere kuwanda kwemvura mu pericardium. Zviratidzo zvayo zvinosanganisira kuderera kweropa uye yakakura, inoonekwa mitsipa mitsipa. Ichi chiitiko chekurapa chinoda kurapwa nekukurumidza.

Mamiriro ezvinhu emapapu:

Kuwedzera kweCOPD

Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD) mamiriro anokuvadza mapapu. Kana chimwe chinhu, senge kuputa midzanga, kuchikonzera zviratidzo zvacho kuti zvinyanye kukura, zvinonzi kuwedzera kweCOPD. Kuwedzera kweCOPD kune mhedzisiro yakafanana neiyo yeasthma.

Yakakura pulmonary embolism

Embonism embolism inguva yeropa mumapapu ako. Ichi chiitiko chinotyisidzira hupenyu chinogona kukanganisa kugona kwemumwe munhu kufema.

Kuvharidzira kufema kufema

Kurara kutadza kufema kunokonzeresa vamwe vanhu kuti vagare vachimira kufema muhope dzavo. Kuvharidzira kufema kwekurara kunosanganisira nzira dzakavharika dzepamhepo nekuda kwekusununguka kwehuro mhasuru.

Pectus excavatum

Pectus excavatum ishoko rechiLatin rinoreva "chipfuva chine mhango." Mamiriro aya anoita kuti chipfuva chemunhu chinyure mukati, izvo zvinogona kuwedzera kumanikidza pamapapu nemoyo.

Yakakura pleural effusion

Zvakajairika kuti uve nechidimbu chemvura mumanyowa akakomberedza mapapu ako. Nekudaro, vanhu vane pleural effusion vane yakawedzera yeimwe mvura, iyo inogona kuita kuti kufema kuome.

Pulsus paradoxus inoyerwa sei?

Kune nzira dzinoverengeka dzekuyera pulsus paradoxus, uye dzimwe dzadzo dzinoparadza kupfuura dzimwe.

Nzira iri nyore yekutarisisa inosanganisira kushandisa bhuku reropa cuff yekuteerera misiyano yakakosha mumitinhimira yemoyo apo cuff iri kuzvidza. Ramba uchifunga kuti izvi hazvishande ne otomatiki yeropa cuff.

Imwe nzira inosanganisira kuisa catheter mumutsipa, kazhinji kacho tsinga inotenderera iri muchanza kana tsinga yechikadzi mune kugomera. Kana yakasungirirwa kumuchina unonzi transducer, iyo catheter inogona kuyera BP yakarova kurova. Izvi zvinobvumidza chiremba wako kuti aone kana paine misiyano muropa rako kana iwe uchifema mukati kana kunze.

Mune zviitiko zvekukutu kwepurusus paradoxus, chiremba wako anogona kukwanisa kunzwa mutsauko mukumanikidza kweropa nekungonzwa kupomba muartery yako yeradial, pazasi pechigunwe chako. Kana vakanzwa chimwe chinhu chisina kujairika, vangakukumbire kuti utore mweya unononoka, wakadzika kuti uone kana kupomba kuri kushomeka paunenge uchifema.

Chinokosha

Zvinhu zvakawanda zvinokonzeresa pulsus paradoxus, iri kunyura muropa panguva yekufema. Kunyangwe ichi kazhinji nekuda kwemoyo kana wemapapu mamiriro, senge asthma, inogona zvakare kuve mhedzisiro yekuremerwa kurasikirwa kweropa.

Kana chiremba wako akacherekedza zviratidzo zvepulsus paradoxus, vanogona kumhanyisa mimwe bvunzo, senge echocardiogram, kutarisa chero mamiriro ezvinhu angave ari kuikonzera.