Ishayela nakuba: kuyini, futhi ngaphansi kwaziphi izifo zivela?

Kwenhliziyo, noma ishayela - isilinganiso ngazinye inani inhliziyo ishaya ngomzuzu. Inani akuyona njalo futhi kuncike umsebenzi womuntu. Ngakho, lapho egijima kwenhliziyo iphakeme kakhulu kunanoma ngesikhathi sokulala. Pulse omdala - ngokuyinhloko a ukuqapha impilo yakhe.

Jwayelekile ishayela nemingcele

HR kuyinsakavukela ihlukile bonke ubudala:

• Newborn - 120-160.
• Kusukela ngenyanga 1 kuya 1 unyaka - 80-140.
• Kusukela eminyakeni engu-2 kuya ku-6 - 75-120.
• Kusukela eminyakeni 7 kuya ku-12 - 75-110.
• Pulse omdala (iminyaka engu-18) - 60-100.
• Ukuze abasubathi - 40-60 ishaya ngomzuzu.

Yiziphi izici nomthelela ukusebenza ishayela?

Ubukhulu kwenhliziyo kuthinte lezi zinto ezilandelayo:

• lokushisa Ambient.
• umzimba isikhundla.
• Ukufaneleka.
• isimo esingokomzwelo (yinjabulo, ukucindezeleka, ukwesaba, intukuthelo, kukhona ukwanda kwenhliziyo).
• Ukukhuluphala.
• Ukwamukelwa izidakamizwa.
• Ukubhema.
• Ukwemukelwa utshwala.

Uma isiguli esingumuntu omdala ongaqeqeshiwe inezinga inhliziyo amabhithi angaphansi kuka-60. / Min ke omunye ukhuluma bradycardia. Tachycardia - bradycardia isimo okuphambene lapho inhliziyo ishaya kaningi amabhithi 100 / imiz ..

Indlela ukukala pulse esandleni?

Pulse lingalinganiswa kalula esihlakaleni, okungukuthi Umthambo osabalalayo. Ukuze wenze lokhu, beka isandla entendeni up, ukulungisa esihlakaleni ngeminwe emibili Ngakolunye uhlangothi. kalula ezingokoqobo odlulela igazi - lena ukushaya kwenhliziyo, noma ishayela. Ukusebenzisa iwashi noma isitophuwashi kanye Ubala amaza ngaphakathi ngomzuzu, ungasetha ukushaya kwenhliziyo.

Indlela ukukala pulse esandleni kufanele kakwaziwe yibo bonke abantu, ngoba ilula ulwazi ngokwanele kungaba wusizo nganoma yisiphi isikhathi.

ishayela nakuba - kuyini?

Ngakho leli gama imithi ngokuthi ukuncishiswa ngokweqile ngesikhathi ugqozi ethule systolic blood pressure. ishayela nakuba ngokuvamile phetho nezinye izifo.

Ngayiphi izifo zenzeka

Ukubukeka isiguli into enjalo is phetho ukwephula i-pulse lezi zifo:

• Senhliziyo tamponade - ukwephulwa ventricular ukugcwaliswa kwenzeka ngenxa yokuzuza oketshezini pericardial. Umphumela luyanda ingcindezi vnutriperikardialnoe, futhi isiguli ishayela nakuba (atholakala 100% kweziguli tamponade inhliziyo).
• pericarditis Constrictive - kwetintfo ka pericarditis acute, kwenzeka ngenxa ngemisebe ye mediastinum. Lesi sifo kuholela yokuthi i-ventricle wenhliziyo alaneliswa nge lokho, iyona Umfutho ukwanda akunakugwenywa ingcindezi emithambo yegazi. Abaphethwe isifo laligujwa ukukhathala, kwehle ukusebenza, kanye ukubonakaliswa izimpawu yokujama tsi emithanjeni. Nakuba ishayela pericarditis - into mass, kwenzeka 30-45% eziguli.
• isifo samaphaphu (emphysema, isifuba somoya, hyperventilation). Izifo ezihlala dyhatelnoy uhlelo kuholela igazi yezezimali ngesikhathi lapho ephefumula, okuholela ukwehla systolic blood pressure. Ngakho, ngo-80% somoya wathola ishayela nakuba.
• Ukukhuluphala - ukuphazamiseka ishayela kulokhu ngenxa esikhulu, iyehla iyenyuka ngokweqile e ingcindezi intrathoracic.

Ezinye izizathu ishayela nakuba

Ngaphezu kushiwo ngaphambili, kunezinye izizathu zalesi simo:

• A beshaqekile.
• Kwesokudla infarction ventricular.
• Kwesokudla ukwehluleka ventricular.
• Sinzima yokumelwa yinhliziyo.

Kuyini nakuba ishayela reverse?

Reverse ishayela nakuba - nje nomphumela ophambene, esakhiwa ngo senyusa izinga lomfutho womoya systolic. Have izimpawu ikakhulukazi ugqozi.

Izizathu ukubuya ngamandla kwenhliziyo nakuba yilezi:

• Hypertrophic zenhliziyo obstructive - isifo esiyingozi okuvamise imbangela okungazelelwe ukufa inhliziyo e intsha kanye nabantu abasha. Thola isifo kungenzeka kuphela ngokususa electrocardiography. Izimpawu zihlanganisa iphika, nokugcinwa uketshezi, tachycardia. Njengomthetho, lesi sifo singumbulali ngofuzo futhi ngofuzo.
• kwesokunxele ukwehluleka ventricular libhekene thuthuva hemodynamic ezigulini uphumule (kusaqalwa). Yingakho lesi sifo ngokuvamile kutholakala ukuthi uphethwe yini kamuva kakhulu, lapho konke liphenduka isimo esindayo. In esigabeni ezibucayi yenqubo izidingo somzimba kungukuthi ehlinzekwe ngokugcwele, okuholela emiphumeleni emibi kakhulu: a yokujama tsi kwegazi emaphashini, kanye ATRIUM kwesokunxele.
• Ukwephulwa wamaphaphu komoya (okuvela ingcindezi omuhle ngesikhathi exhale).

Indlela ukunquma ishayela nakuba

Ukuba khona izenzakalo omdala ongathi, uma ukufundwa ishayela ingcindezi ngesikhathi umoya ngamunye kuyehla engaphezu kuka-10 mm HG. Mshini nesenzakalo ngamandla kwenhliziyo nakuba liyinkimbinkimbi futhi ayiqondakali ngokuphelele. Kufanele afune usizo lwezokwelapha ngokushesha uma izimpawu ezifana dyspnea, isifuba somoya, kanye njalo, umehluko ecacile ingcindezi intrathoracic.

Indlela ukukala ishayela nakuba

Yokukala ishayela nakuba kungenzeka usebenzisa sphygmomanometer, nge nenkanuko edlulele ezimele kungamukeleki. Udokotela kufanele uhlale ngesikhathi eliseceleni kombhede isiguli ukuze kanyekanye ukubona umoya lesigceme sakhe kanye mercury kudivayisi. Kufanele kube yinto engenzeka ukuthi ekhiphela up cuff womoya kuze zonke nezingahlobene nendaba imisindo auscultation, bese uqala-ke kancane deflate. Phakathi Uzalo we cuff liyadingeka ukulandela nokuhamba kwezindikimba izindonga thoracic futhi besisu esiguli, ukuqopha ukubaluleka ingcindezi ngokushesha nje lapho Korotkoff imisindo izwakale. Okwesibili blood pressure ukubaluleka kulotshwe ngokushesha nje Korotkoff amathoni kukhona akachazeki hhayi kuphela awumoya okhishwa ngamakhala, kodwa futhi ukuhogela. Umehluko phakathi amanani atholwe iyona ofiselekayo ishayela ayindida, ulinganiswa ngamamilimitha mercury.

Kubalulekile nokukhumbula ukuthi impilo yethu - kusezandleni zethu. ukufinyelela esifike udokotela uzokwazi ukuvimbela ukuthuthukiswa izifo eziningi ezinkulu. Ngisho unezimpawu ezikahle, ngezinye izikhathi ezibonakala bekhohlisa, kungase kubonise ukuqhubekela phambili kwesifo. Vikela wena, umkhaya wakho nabangane. Ungayizibi siqu inhlalakahle yakho futhi ungesabi ukufuna usizo kumuntu ofanelekayo!