Odokotela abaningi batusa ukuqapha izinga lokushaya kwenhliziyo yakho. Yenzelwe ini? Futhi ukuthi ulinganisa kanjani ukushaya kwenhliziyo yakho, ekhaya?
Yini inhloso yokulinganisa i-pulse?
Izinguquko ezincane emsebenzini wesistimu yenhliziyo zingadala izikhalazo ezizimele zomuntu ngesimo esijwayelekile. Kubaluleke kangakanani ukulawula izinga lokushaya kwenhliziyo?
Empilweni ejwayelekile
Umuntu uhlangabezana nezimpawu eziningi ezingathandeki ngokusebenza kwenhliziyo okungafanele. Ngokuhamba kwesikhathi, ukusebenza kwakhe kwehla, ukukhathala nezinye izimpawu zikhula ngokushesha.
Ngakho-ke kubantu abagcwalisa umzimba ngokuzivocavoca umzimba, noma abahlangabezana nokukhishwa okungapheli kwama-extrasystoles, i-brachycardia iyakhula - isimo esivela ngokushaya kwenhliziyo okuhamba kancane.
Nge-brachycardia, umuntu angahlangabezana nobuthakathaka obungapheli, ukozela, isiyezi kanye nokuvela kwezithukuthuku ezibandayo, futhi ukuphefumula kwakhe kuba nzima. Kepha ukushaya kwenhliziyo okuhamba kancane akuholeli njalo ezimpawu eziphazamisayo ngokujwayelekile.
I-Arrhythmia ingaholela ezimeni ezinzima kakhulu. Kunoma ikuphi, ngezimpawu ezinzima, kudingeka ukubonisana nodokotela wenhliziyo nokulawula ukushaya kwenhliziyo.
Kumele futhi kukalwe kubantu abanezimo zemizwa, abesifazane abakhulelwe kanye nabantu abadala. Esimweni sokuqala, ukulawula ukushaya ngamandla kungasiza ekunqumeni amandla okwelashwa, kwesibili, kuyadingeka ekukhuleni okujwayelekile kombungu, nakuzo zontathu - ukulawula umsebenzi wenhliziyo ukuze kugcinwe impilo.
Ngesikhathi semidlalo
Ukuqapha izinga lokushaya kwenhliziyo kubalulekile ngesikhathi semidlalo. Futhi lokhu kubangelwa hhayi kuphela ukukhethwa kwesakhiwo esifanelekile sokuqeqeshwa, kepha futhi nokusebenza kwazo kuhlose ukushisa amafutha.
Umphumela omkhulu wokuvivinya umzimba ungatholwa kuphela ngesilinganiso senhliziyo esifanele ngesikhathi sokuphumula esifanayo nengcindezi ejwayelekile.
Ukuze ushise ngokushesha amafutha, kufanele uqinisekise ukuthi i-pulse ihlala isendaweni ye-aerobic ngesikhathi sokuqeqeshwa, okuzonqunywa ngumqeqeshi ofanelekayo.
Ngesikhathi sokuqeqeshwa, isilinganiso senhliziyo sihamba kancane ezindaweni ezilandelayo:
- Umthwalo obuthakathaka. I-algorithm yomsebenzi ukufudumeza imisipha, umuntu ngalesi sikhathi wenza izivivinyo ezilula noma agijime kancane, futhi ukuphefumula kwakhe nokushaya ngamandla kushesha kancane.
- Indawo yokufaneleka. Ukuvivinya umzimba kucishe kufane esigabeni sokuqala, kodwa kwehlukile ohlangothini olulodwa oluhle. Kukuzindawo zokuqina ze-aerobic ezizayo lapho ukushiswa kwamafutha kuba yindlela ephumelela kakhulu yokulwa nesisindo eseqile.
- Indawo ye-Aerobic. Isigaba esibaluleke kunazo zonke. Ngalesi sikhathi, umzimba osuvele usushisiwe usebenza ngokuya nge-algorithm esungulwe ngaphambilini ngemodi ethuthukisiwe. Ukuphefumula kuyashesha futhi kuyaqina, izinga lokushaya kwenhliziyo lincipha kaningi, futhi amafutha ashiswa kahle. Kepha awukwazi ukulayisha njalo inhliziyo ngomsebenzi womzimba. Ukushaya ngamandla nokuvivinya umzimba kufanele kuhlolwe! Kuzo zontathu izigaba, kuyadingeka ukulawula ukufinyela kwemisipha yenhliziyo.
Uma ungafuni ukulinda umqeqeshi isikhathi eside ukusiza ukulawula, ungakwenza lokhu ngokwakho usebenzisa iwashi elikhethekile noma ngokushaya ucingo.
Ungazikala kanjani isilinganiso sakho senhliziyo ngokwakho?
Ukulawulwa kokushaya kwenhliziyo kuyadingeka hhayi kuphela ngesikhathi sokuvivinya umzimba, kepha nasempilweni yansuku zonke. Uma kwenzeka ukwehluleka okubonakalayo kwinani lohlangothi nokuqina kwalo, kudingeka ukubonisana nodokotela wenhliziyo.
Ukwehluleka okuncane ohlelweni lwe-cardiovascular kungakhonjiswa ngoshintsho oluncane ku-pulse lapho ululinganisa. Ungabala inani lemivimbo ngokucindezela, noma usebenzisa iwashi elikhethekile, kepha indlela yokugcina izonikeza ukufundwa okunembile.
Ukubamba
Ngesikhathi sokulinganisa kwe-palpation, imigomo elandelayo iyalandelwa, equkethe ukucacisa:
- isimo sezindonga zemithambo;
- imvamisa yomthelela;
- ukugcwalisa ishayela;
- ubunzima besimo sakhe.
Zonke lezi zinkomba zikhombisa isimo sohlelo lwezinhliziyo nemithambo yegazi. Ungakwazi ukushaya ishayela ekhaya.
Kuvame ukuzwakala ebusweni phakathi kwe-wrist flexion ne-radius. Ukukala i-pulse, thinta le ndawo ngenkomba, maphakathi nangeminwe yendandatho ngasikhathi sinye.
Uma ukushaya kwenhliziyo kungathambeki esihlakaleni, kungatholakala endaweni yomgogodla wonyawo nemithambo yegazi efana nale:
- ukulala;
- okwesikhashana;
- ulnar;
- kwesifazane.
Kunezinyathelo ezi-2 ezibalulekile okufanele zilandelwe:
- Lapho ukuzimisela kwe-palpation ye-pulse tension, umfutho wegazi kufanele ulinganiswe nakanjani. Ukungezwani kunqunywa kalula uma kudingeka umzamo omkhulu wokulinganisa i-palpation ngenkathi ucindezela umthambo. Ukuphakama kwengcindezi yegazi, ukushaya ngamandla kakhulu.
- Ukufundwa okunemba kunazo zonke ezinganeni kunikezwa ukushaya kwenhliziyo endaweni yomthambo wesikhashana. I-algorithm yokukala i-pulse nge-palpation:
- Okokuqala, izandla kufanele zinikezwe indawo enethezekile. Ngemuva kwalokho, ubukhulu be-pulse buhlolwa kuzo zombili. Esandleni esishaya ngamandla, ukubala kuyenziwa. Uma i-pulsation ilinganayo kuyo yomibili imithambo, ukulinganisa esandleni esithile akubalulekile.
- Ngemuva kwalokho, umthambo ucindezelwa esandleni ukuze indawo yomunwe wokukhomba wesandla somhloli ifane nendawo yesithupha somuntu okulinganiselwa ukushaya kwenhliziyo yakhe. Cindezela kancane emthanjeni.
- Isikhathi sokulinganisa singaba umzuzu noma uhhafu waso. Ukuze kusetshenziswe inkomba enembile kunazo zonke, kusetshenziswa iminithi, kodwa uma isikhathi somuntu olinganiswayo noma esilinganisweni silinganiselwe, ungabala inani lamabhithi ngemizuzwana engama-30 bese uphinda ngo-2.
- Lapho ulinganisa, kuyalulekwa futhi ukuthi unake amandla we-pulse, ukuthi ugcwele futhi ushubile kangakanani. Lezi zinkomba zinqunywa kakhulu ngudokotela oya khona.
Ngewashi elikhethekile
Kukhona umbono wokuthi amamitha wokushaya kwenhliziyo (amawashi akhethekile) enzelwe abagijimi kuphela. Lokhu akulungile ngokuphelele. Lapho kulinganiswa, kubhekwa ingcindezi bese kubalwa i-pulse.
Lezi zinkomba ziyadingeka kubantu abaphethwe yizifo zenhliziyo, nakubantu abaphilile abafuna ukulawula isimo sabo ukuze babonane nodokotela ngesikhathi esifanele. Abenzi nabathuthukisi bamawashi akhethekile babeqondiswa yilokhu.
Sekuvele kukhona imodeli ethuthukisiwe yamawashi akhethekile emakethe, afana nokubukeka kwento yokufinyelela. I-algorithm kuphela ehlukile.
Ngosizo lwemitha enjalo, kubalwa ukushaya kwe-pulse nengcindezi, bese lolu lwazi lucutshungulwa ngeziteshi ezingenantambo. Umphumela uboniswa ekudayeleni. Ukusebenziseka kwale divayisi sekuvele kuthokoziwe ngochwepheshe be-neurologists nabaqeqeshiwe benhliziyo.
Imiphumela yokukala
Ngokulinganisa ubude bezinciphiso, kuyanqunywa ukuthi ngabe le nkomba ingaphakathi kwebanga elijwayelekile yini. I-pulse ingashintsha kokubili ngaphansi kwethonya lezinto zangaphandle nezimo zezifo.
Kubalulekile ukwazi ukuthi ukushintsha kwenhliziyo nakho kungenzeka lapho umzimba ujwayela isimo sezulu esisha nemvelo.
Yini enganqunywa ngokushaya kwenhliziyo?
Ngokushaya kwenhliziyo, unganquma izifo ezahlukahlukene zemvelo yezinzwa noma yenhliziyo. Ngakho-ke uma umuntu ene-neurosis, kunganqunywa ngezinga lokunyuka kwenhliziyo elilinganiswa ngesikhathi sokuqina kwemizwa.
Abantu abane-neurosis basabela ezimeni ezicindezelayo, okuholela ku:
- Isistimu yezinzwa iyaluza.
- Isilinganiso senhliziyo siyakhuphuka.
- Umfutho wegazi uyakhuphuka.
Ngenxa yalokho, i-cardiosis neurosis iyakhula, bese kuba nezifo ezimbi kakhulu zalesi sitho. Abantu abanesimo esishubile njalo noma abanamashejuli omsebenzi angajwayelekile bavame ukuvezwa i-neurosis.
I-pulse kufanele ilinganiswe ngokuphumula. Ngemuva kwalokho, ngokuya ngemvamisa yayo, kungatholakala i-tachycardia, i-brachycardia, ukwehluleka kwenhliziyo noma i-arrhythmia.
Ukushaya kwenhliziyo okuvamile
Noma ukulungiswa komzimba kuya emvelweni, izinga lokushaya lingashintshwa. Kepha lesi sici akufanele sithinte umsebenzi wesistimu yenhliziyo nemithambo yegazi isikhathi eside, futhi ngokuhamba kwesikhathi, izinga lokushaya kwenhliziyo kufanele lehliswe libe yinto ejwayelekile.
Enganeni esanda kuzalwa, ifinyelela ku-140, enonyaka owodwa ubudala - 110, eneminyaka emithathu - 95, eneminyaka engu-14 ubudala - njengasemuntwini omdala - iyahlukahluka kusuka kumabhithi angama-60 kuye kwangama-90 ngomzuzu. Ngaphezu kwalokho, isikhathi esilinganayo phakathi kwamagalelo sidlala indima ebalulekile. Uma kwenzeka behluleka noma ukushaya kwenhliziyo kaningi ngokweqile, udokotela angafuna ukuthi kwenziwe i-ecg ukuze ashiye isifo senhliziyo noma anikeze amaqhinga okwelashwa.
Inani lamahithi lingathonywa ubulili nobudala. Ngakho-ke kubantu abangaphansi kweminyaka engama-30, okujwayelekile akukho ukushaya okungaphezu kwama-70 ngomzuzu, kwabaneminyaka engama-50 - 80, nakwabaneminyaka engama-70 nangaphezulu - 90. Lokhu kwanda kungenxa yokuthi izitho zingaphansi kokuguga, futhi zidinga ukupompa okukhulu kwegazi. okwenzeka ngosizo lokuncipha kwenhliziyo.
Kumele futhi kukhunjulwe ukuthi abesifazane banenhliziyo encane kunabesilisa futhi badinga ukucindezelwa kaningi ukupompa igazi ngokwanele. Ngesikhathi sokukhulelwa, i-pulse iyanda kakhulu. Inkomba ejwayelekile lapha ifinyelela kuma-beats / min ayi-110.
Kusho ukuthini ukushaya kwenhliziyo okusheshayo?
Uma kwenzeka kuphambuka kusuka kokujwayelekile kuze kufike ku-10%, kudingeka ukubonisana kwezokwelapha. Ngakho-ke, uma i-pulse ishesha kakhulu, abantu babhekana ne-tachycardia ebangelwa umsebenzi owandayo we-node ye-sinus-atrial.
Kuvela lapho:
- Ukubhema.
- Umsebenzi womzimba.
- Ukushuba kwesibindi.
- Ubuhlungu.
- Umkhuhlane kanye nezifo ezithathelwanayo.
- Ukuphuza utshwala noma ukudla okuqinile okune-caffeine.
- Imvelo yenzeka ezinganeni.
Lezi zinto ziveza i-tachycardia yesikhashana. Isikhathi eside kungabangelwa:
- Izimo zokugula zemisipha yenhliziyo.
- Ukusakazwa kabi.
- Ukushaqeka noma ukuwa kwemvelo ehlukahlukene
- Izimbangela ze-Extracardiac (izicubu, i-anemia, i-purulent foci, njll.).
- I-adrenaline, i-nitrate, i-atropine.
- I-VSD.
I-neurosis engapheli ibonakaliswa yi-paroxysmal tachycardia (paroxysmal). Izinga lokushaya lingafinyelela kuma-200 beats ngomzuzu. Ukushaya kwenhliziyo okusheshayo kuholela ekuwohlokeni okusheshayo komzimba futhi kungakhombisa ukuba khona kwesifo esibi, ngakho-ke ukubonisana nodokotela wenhliziyo noma uchwepheshe ohlobene nakho kuyadingeka.
Ukudonsa ngamandla akuvamile
Imvamisa, abantu babhekana nokushaya kwenhliziyo okungajwayelekile, okunqunywa ukushaya kwenhliziyo okungaphansi kokushaya okungu-60 ngomzuzu.
Yini enomthelela kulokhu:
- isifo sinus syndrome;
- ukushaya kwenhliziyo okungajwayelekile kubangelwa ukuphazamiseka okuvamile okukhishwa yi-extrasystole, i-block block noma i-atrial fibrillation;
- i-brachycardia ibangelwa yizici ze-extracardiac.
Lokhu kugcina kufaka:
- ukubanda noma ukuhlala ezimeni ezinamazinga okushisa omoya aphansi;
- izimo parasympathetic isimiso sezinzwa;
- ingcindezi intracranial;
- beta blocker;
- ukudakwa;
- ukusebenza kahle kwendlala yegilo.
Ngokuqondene nesimo esingesi se-pathological sokuncipha kwenhliziyo, abagijimi abanokuzikhandla ngokweqile ngokomzimba nakho bangakuthola lokhu. Kulokhu, akudingeki ukuqapha kwezokwelapha, kepha ukujwayelekile kwemithwalo.
Ukushaya kwenhliziyo komgijimi ngenkathi kugijima
Ukulawulwa kwe-Pulse kuyadingeka futhi ngenkathi isebenza. Imvamisa, lapho belwa nokukhuluphala, abantu basebenzisa imishini yokunyathela ngaphandle kokunamathela ekusebenzeni okujwayelekile.
Ungalawula kanjani?
Ngokuzikhandla okunjalo ngokomzimba, inhliziyo isebenza ngendlela ecindezelayo. Ukugijima kufanele kube kuhle kuwe, kungabi kubi empilweni yakho.
Ukushaya kwenhliziyo ngenkathi isebenza:
- Ukushaywa okungu-120 ngomzuzu yisibalo abagijimi okufanele basilandele ezinyangeni ezintathu zokuqala;
- I-135 beats / min ivunyelwe kuphela uma inhliziyo ijwayele umthwalo othize ngenkathi isebenza;
- Ukushaya okungu-150 ngomzuzu kubhekwa njengemethrikhi ebucayi yabaqalayo nabagijimi abangochwepheshe.
Ekuphetheni, kufanele kuqashelwe ukuthi ukulawula ukushaya kwenhliziyo kuyadingeka kuwo wonke umuntu. Ngempela, abanye bangase babe nombono oyiphutha wokuthi ukushaya kwenhliziyo yabo kujwayelekile, kodwa empeleni akuvamile futhi kubuthakathaka. Lesi simo sidinga ukwelashwa uma umuntu ehlangabezana nezinye izimpawu ezingemnandi.
