Ukuqonda iPulsus Paradoxus

Umxholo

• Ngaba i-asthma ibangela i-pulsus paradoxus?
• Yintoni enye ebangela ipulsus paradoxus?
• Iimeko zentliziyo:
• Ukunqongophala kwesisu
• I-tamponade yePericardial
• Iimeko zemiphunga:
• Ukunyuka kweCOPD
• Ubuninzi be-pulmonary embolism
• Ukuphefumla kokulala okuthintelayo
• I-Pectus excavatum
• Ukuchithwa okukhulu kwembambano
• Ilinganiswa njani ipulsus paradoxus?
• Umgca wezantsi

Yintoni ipulsus paradoxus?

Xa uthatha umoya, unokufumana ukwehla kancinci, kancinci koxinzelelo lwegazi olungabonakaliyo. I-Pulsus paradoxus, ngamanye amaxesha ibizwa ngokuba yi-paradoxic pulse, ibhekisa kwithontsi loxinzelelo lwegazi okungenani le-10 mm Hg ngokuphefumla ngakunye. Oku kwanele ngumahluko wokubangela utshintsho olubonakalayo kumandla omoya wakho.

Izinto ezininzi zinokubangela ipulsus paradoxus, ngakumbi iimeko ezinxulumene nentliziyo okanye imiphunga.

Ngaba i-asthma ibangela i-pulsus paradoxus?

Xa umntu ehlaselwa sisifuba ngokuqatha, iinxalenye zomoya wabo ziqala ukuqina nokudumba. Imiphunga iqala ukugqithisa ngokuphendula, nto leyo ebeka uxinzelelo olongezelelekileyo kwimithambo ephethe igazi eline-oxygen ukusuka entliziyweni ukuya emiphungeni.

Ngenxa yoko, igazi libuyela umva kwi-ventricle elungileyo, eyinxalenye esezantsi ekunene yentliziyo. Oku kubangela uxinzelelo olongezelelekileyo lokwakha kwicala lasekunene lentliziyo, elicinezela kwicala lasekhohlo lentliziyo. Zonke ezi zinto zikhokelela kwipulsus paradoxus.

Ukongeza, isifuba sonyusa uxinzelelo olubi kwimiphunga. Oku kubeka uxinzelelo olongezelelekileyo kwi-ventricle yasekhohlo, enokubangela nepulsus paradoxus.

Yintoni enye ebangela ipulsus paradoxus?

Ukongeza kuhlaselo olubi lwe-asthma, iimeko ezininzi zentliziyo kunye nemiphunga zinokubangela ipulsus paradoxus. I-Hypovolemia inokubangela ne-pulsus paradoxus kwiimeko apho zinzima khona. Oku kwenzeka xa umntu engenalo igazi elaneleyo emzimbeni wakhe, ngesiqhelo ngenxa yokuphelelwa ngamanzi emzimbeni, utyando, okanye ukwenzakala.

Oku kulandelayo yimeko yentliziyo nemiphunga enokubangela ipulsus paradoxus:

Iimeko zentliziyo:

Ukunqongophala kwesisu

I-pericarditis e-constrictive yenzeka xa inwebu ejikeleze intliziyo, ebizwa ngokuba yi-pericardium, iqala ukothula. Ngenxa yoko, xa umntu ephefumlela ngaphakathi, intliziyo ayinako ukuvuleka njengoko iqhele ukwenza.

I-tamponade yePericardial

Le meko, ekwabizwa ngokuba yi-cardiac tamponade, ibangela ukuba umntu akhe ulwelo olongezelelekileyo kwi-pericardium. Iimpawu zayo zibandakanya uxinzelelo lwegazi olusezantsi kunye nemithambo enkulu yentamo. Olu ngxamiseko lonyango olufuna unyango olukhawulezileyo.

Iimeko zemiphunga:

Ukunyuka kweCOPD

Isifo esinganyangekiyo semiphunga (COPD) yimeko eyonakalisa imiphunga. Xa into ethile, njengokutshaya imidiza, ibangela ukuba iimpawu zayo ziqatsele ngesiquphe, ibizwa ngokuba kukukhula kweCOPD. Ukunyuka kweCOPD kuneempembelelo ezifanayo nezo zesifuba.

Ubuninzi be-pulmonary embolism

I-pulmonary embolism ligazi eligungxileyo kwimiphunga yakho. Le yimeko esongela ubomi enokuthi ichaphazele ukukwazi ukuphefumla komntu.

Ukuphefumla kokulala okuthintelayo

I-apnea yokulala ibangela abanye abantu ukuba bayeke ukuphefumla xa belele. Ukuthintelwa kwe-apnea yokulala kubandakanya ukuvalwa kwomoya ngenxa yokukhululeka kwemisipha yomqala.

I-Pectus excavatum

UPectus excavatum ligama lesiLatin elithetha “isifuba esixhonyiweyo.” Le meko ibangela ukuba ithambo lomntu libethelele ngaphakathi, elinokunyusa uxinzelelo emiphungeni nasentliziyweni.

Ukuchithwa okukhulu kwembambano

Kuqhelekile ukuba nento encinci yolwelo kwiimbumba ezijikeleze imiphunga yakho. Nangona kunjalo, abantu abane-pleural effusion bane-fluid eyongezelelweyo, enokwenza ukuphefumla kube nzima.

Ilinganiswa njani ipulsus paradoxus?

Zininzi iindlela zokulinganisa ipulsus paradoxus, kwaye ezinye zazo zinokuhlasela ngakumbi kunezinye.

Eyona ndlela ilula yokujonga ukuba ibandakanya ukusebenzisa uxinzelelo lwegazi cuff ukumamela umahluko ophambili kwizandi zentliziyo ngelixa ikhafula ichaza. Gcina ukhumbula ukuba oku ngekhe kusebenze ngekofu yoxinzelelo lwegazi oluzenzekelayo.

Enye indlela ibandakanya ukufaka i-catheter emthanjeni, ngesiqhelo umthambo ojikelezayo esihlahleni okanye kumthambo wobufazi emqolo. Xa ubotshelelwe kumatshini obizwa ngokuba yi-transducer, i-catheter inokulinganisa uxinzelelo lwegazi ukubetha ukubetha. Oku kuvumela ugqirha wakho ukuba abone ukuba ngaba kukho umahluko kuxinzelelo lwegazi xa uphefumla okanye uphuma.

Kwiimeko ze-pulsus paradoxus, ugqirha wakho usenokukwazi ukuwuva umahluko kuxinzelelo lwegazi ngokuziva nje ukubetha kwethambo lakho lomthambo, ngaphantsi kwesithupha sakho. Ukuba baziva into engaqhelekanga, banokukucela ukuba uthathe kancinci, uphefumle nzulu ukubona ukuba ukubetha kubuthathaka na xa uphefumla.

Umgca wezantsi

Izinto ezininzi zinokubangela ipulsus paradoxus, edipha kuxinzelelo lwegazi ngexesha lokuphefumla. Ngelixa kuhlala kungenxa yentliziyo okanye imeko yemiphunga, efana nesifuba, inokuba sisiphumo sokulahleka kwegazi okunzima.

Ukuba ugqirha wakho uqaphela iimpawu zepulsus paradoxus, banokuqhuba ezinye iimvavanyo ezongeziweyo, ezinje nge-echocardiogram, ukujonga naziphi na iimeko ezinokubangela oko.