I-apical Pulse

Umxholo

• Ushwankathelo
• Injongo
• Ifunyanwa njani i-apical pulse?
• Iithagethi
• Intsilelo yokubetha
• Yise kude

Ushwankathelo

Ukubetha kwakho kukungcangcazela kwegazi njengoko intliziyo yakho iyipompa ngemithambo yakho. Unokukuva ukubetha kwentliziyo yakho ngokubeka iminwe phezu komthambo omkhulu olele kufutshane nolusu lwakho.

I-pulical pulse yenye yeendawo ezisibhozo zokubetha okuqhelekileyo. Inokufumaneka kwiziko lasekhohlo lesifuba sakho, ngezantsi nje kwengono. Esi sikhundla siphantse sihambelane nesiphelo esisezantsi sentliziyo. Jonga umzobo obanzi wenkqubo yokujikeleza kwegazi.

Injongo

Ukuphulaphula i-apical pulse ngokusisiseko kukuphulaphula ngqo entliziyweni. Yindlela ethembekileyo kakhulu nengabonakaliyo yokuvavanya ukusebenza kwentliziyo. Ikwayindlela ekhethiweyo yokulinganisa izinga lokubetha kwentliziyo ebantwaneni.

Ifunyanwa njani i-apical pulse?

I-stethoscope isetyenziselwa ukulinganisa ukubetha kwe-apical. Iwotshi okanye iwotshi yesihlahla enemizuzwana iyafuneka.

I-pulical pulse ihlolwe kakuhle xa uhleli okanye ulele.

Ugqirha wakho uya kusebenzisa uthotho "lweempawu zomhlaba" emzimbeni wakho ukuze abone into ebizwa ngokuba yindawo yempembelelo enkulu (PMI). Le mihlaba ibandakanya:

• Inqaku le-bony ye-sternum yakho (isifuba sesifuba)
• izithuba eziphakathi (izithuba eziphakathi kwethambo lobambo)
• umgca we-midclavicular (umgca wokucinga ohamba usihla emzimbeni wakho ukuqala embindini wentamo yakho)

Ukuqala kwinqanaba lesifuba sesifuba sakho, ugqirha wakho uya kufumana indawo yesibini phakathi kweembambo zakho. Baya kuthi emva koko bahambise iminwe yabo kwindawo yesihlanu phakathi kweembambo zakho kwaye bayisilayishe ngaphezulu kumgca we-midclavicular. I-PMI ifunyenwe apha.

Nje ukuba i-PMI ifumaneke, ugqirha wakho uya kusebenzisa i-stethoscope ukumamela ukubetha kwakho ngomzuzu opheleleyo ukuze ufumane i-apical pulse rate yakho. Isandi ngasinye esithi "lub-dub" intliziyo yakho yenza ukubala njengokubetha kube kanye.

Iithagethi

I-apical pulse rate ithathwa njengengaqhelekanga kumntu omdala ukuba ingaphezulu kwe-100 beats ngomzuzu (bpm) okanye ngaphantsi kwe-60 bpm. Inqanaba lentliziyo lakho elifanelekileyo xa uphumle kwaye ngexesha lomsebenzi womzimba lahluke kakhulu.

Abantwana banendawo yokuphumla yokuphumla ephezulu kunabantu abadala. Uluhlu oluqhelekileyo lokuphumla kokubetha kwabantwana zezi zilandelayo:

• usana olusandul 'ukuzalwa: 100-170 bpm
• Iinyanga ezi-6 ukuya kunyaka-1: 90-130 bpm
• 2 ukuya kwiminyaka emi-3: 80-120 bpm
• Iminyaka emi-4 ukuya kwemi-5: 70-110 bpm
• Iminyaka eli-10 nangaphezulu: 60-100 bpm

Xa i-apical pulse iphezulu kunokuba bekulindelwe, ugqirha wakho uya kukuvavanya ngezi zinto zilandelayo:

• uloyiko okanye ixhala
• ifiva
• umsebenzi wakutshanje womzimba
• intlungu
• i-hypotension (uxinzelelo lwegazi oluphantsi)
• ukopha
• ukunganeli kweoksijini

Ukongeza, inqanaba lentliziyo elihlala liphezulu kunesiqhelo linokuba luphawu lwesifo sentliziyo, ukusilela kwentliziyo, okanye isifo esinganyangekiyo se-thyroid.

Xa ukubetha kwe-apical kungaphantsi kunokuba bekulindelwe, ugqirha wakho uya kujonga amayeza anokuchaphazela ukubetha kwentliziyo yakho. Amayeza anjalo abandakanya i-beta-blockers enikwe uxinzelelo lwegazi oluphezulu okanye amayeza anxamnye nesifo esibi esinikwe ukubetha kwentliziyo ngokungaqhelekanga.

Intsilelo yokubetha

Ukuba ugqirha wakho ufumanisa ukuba i-apical pulse yakho ayiqhelekanga, baya kujonga ubukho bentsilelo yokubetha. Ugqirha unokucela ukuba une-electrocardiogram.

Abantu ababini bayadingeka ukuvavanya intsilelo yokubetha. Umntu omnye ulinganisa ukubetha kwe-apical ngelixa omnye umntu elinganisa ukubetha kwendlela, njengaleyo isesihlahleni sakho. Ezi pulses ziya kubalwa ngaxeshanye umzuzu omnye opheleleyo, umntu omnye anike umqondiso komnye ukuba aqale ukubala.

Nje ukuba amaqondo okubetha afunyenwe, i-peripheral pulse rate iyasuswa kwinqanaba le-apical pulse rate. Umgangatho wokubetha kwe-apical awusoze ube sezantsi kunenqanaba lokubetha kwepheripherali. Inani elikhokelela kukusilela kwempembelelo. Ngokwesiqhelo, la manani mabini ayafana, akhokelele kwiyunithi zero. Nangona kunjalo, xa kukho umahluko, ibizwa ngokuba yintsilelo yokubetha.

Ubukho bentsilelo yokubetha lubonisa ukuba kunokubakho umba wokusebenza kwentliziyo okanye ukusebenza kakuhle. Xa kufunyanwa intsilelo yokubetha kwentliziyo, oko kuthetha ukuba umthamo wegazi elimpontshelwe entliziyweni usenokungonelisi ukuhlangabezana neemfuno zezicubu zomzimba wakho.

Yise kude

Ukumamela ukubetha kweapical kukuphulaphula ngqo entliziyweni yakho. Yeyona ndlela isebenzayo yokuvavanya ukusebenza kwentliziyo.

Ukuba ukubetha kwakho kungaphandle kwoluhlu oluqhelekileyo okanye unentliziyo engaqhelekanga, ugqirha wakho uya kukuvavanya ngakumbi.