Pulse Izinga amadoda. Yini okufanele ibe ukuvama inhliziyo besilisa

Pulse - kuyinto imvamisa oscillations izindonga isitsha igazi. Lezi oscillations kukhona ngenxa yokuthi igazi ligeleze ngokusuka enhliziyweni futhi sihamba emuva. Ukushayela phansi kwenhliziyo ezingabantu kuhlukile phansi abesifazane.

Kungani ukufunda ishayela

Uma ukushaya kwenhliziyo kubantu ungaphakathi uhla evamile, ekubonisa ukuthi inhliziyo yakhe isebenza kahle. Ngeziphambeko noma isiqondiso kubangele ukuba usola khona iyiphi kwezinso ohlelweni senhliziyo nemithambo yegazi. Ngakho-ke kubalulekile ukwazi ukuthi izinga ishayela for amadoda, ngesikhathi ukuvimbela ukuthuthukiswa isifo.

Biomechanics kwenhliziyo yomuntu

semithambo okusizwa ukushaya indlela zingachazwa kalula. Ngesikhathi lapho ingxenye elandelayo igazi ukhiphe kusuka ventricle we inhliziyo, imithambo yegazi ukwandisa ngokushesha. Ngemva igazi ingcindezi ethile kuwo. izicubu Khona semithambo ayisesemikhulu ngokushesha. Kuqashelwe ukunwetshwa imikhumbi emikhulu unga ongaboni. Ukuvaleka imithambo encane yegazi kungaba azimisele kuphela palpation noma usebenzisa amadivaysi ezikhethekile.

Indlela ukunquma ukuthi evamile kwenhliziyo

Uthola amadoda libhekene izinkomba 60-90 ishaya ngomzuzu. Kufanele kukhunjulwe ukuthi uma umuntu njalo wahlanganyela umsebenzi, inhliziyo yakhe imisipha siqeqeshelwe kahle futhi kungaba usebenza Imodi kancane. Kulabo njalo izitimela kanye kuholela yokuphila asebenzayo, izivumelwano inhliziyo kancane kaningi. Ngakho-ke, izinga ishayela ezingabantu abaqeqeshwe, futhi kungenzeka ukuthi 60 bpm.

Kufanele kukhunjulwe ukuthi imisipha yenhliziyo uyaphumula kuyehla esingaphansi misebenzi uma asebenzayo. Ngokwesibonelo, izinga ishayela ezingabantu engu-35 ubudala lapho esephumule - imivimbo 60, esimweni ucabangana - 60-90, futhi ngesikhathi umsebenzi kungaba ukwandisa ezikhathini nenxenye.

Yini enquma ishayela

Izinkomba zincike iminyaka yobudala bomuntu. Ngokwesilinganiso, uma izinga ishayela ezingabantu engu-40 ubudala kuyinto 65-90 amabhithi ngeminithi, owayeneminyaka engu-20 kamuva kokushaya umuntu ofanayo izozuswa kancane encishisiwe. Lokhu kungenxa yokuthi nge engu-igazi isitsha izindonga angabe esakwazi nokunwebeka. Ngakho ukuthi izinga ishayela ezingabantu eminyakeni engu-60 ubudala - kuba esingaphansi izinombolo imivimbo 60-90.

Kodwa okuningi ishayela okusheshayo kungaba ezicini wangaphandle. Kuyaziwa ukuthi ukucindezeleka, ukucindezeleka ngokomzwelo, ukukhathazeka ingqondo ukusheshisa okusizwa ukushaya ezaziwayo.

Ekuseni - ubusuku kancane - okusheshayo

Isikhathi sosuku sithinta ekushintshashintsheni kwenhliziyo. Iningi ongaphakeme kwenhliziyo waphawula ngesikhathi sokulala, lapho umzimba uhlezi. Ngemva kokuvusa e enhliziyweni yomuntu, kakhulu, kuyehla kancane. Kodwa kusihlwa, njengoba kwaphawula u-odokotela, cishe yonke waphawula ishayela ngokushesha, ngaphandle kokukhetha.

Ngakho uma umuntu uhlushwa yisiphi isifo senhliziyo, kanye nochwepheshe wamyala ukuqapha inhliziyo yabo rate, udinga ukukala ke ngokuhamba kwesikhathi kwelinye futhi ngesikhathi esifanayo sosuku.

Lapho sokukhathazeka

Ukushayela phansi kwenhliziyo ezingabantu engu-50 kuyoba ehlukile kunaleyo e oneminyaka engu-20 ubudala insizwa. Kukholakala ukuthi njalo emva kweminyaka emihlanu zokuphila kunezelwa evamile 2-3 amabhithi extra ngomzuzu. Futhi kuwufanele ukunaka uma ukusebenza kuphambuka kakhulu.

Ngokwesibonelo, uma ngesikhathi ishayela suku 30-50 kuphela ngomzuzu, kufanele nakanjani kumele ubonane nodokotela. Cishe, uke kwatholakala "aetiology".

Lesi sifo kungase kubangele lezi zinto ezilandelayo:

• abandayo;
• ubuthi;
• waqinisa intracranial;
• yisiphi isifo esithathelwanayo;
• ukwephulwa umsebenzi yegilo.

Kodwa hhayi izici zangaphandle kuphela kungathinta nokuncipha kwenhliziyo. Uma engeyokuqala sinoatrial, kukhona izilonda noma izilonda, kungase futhi kuthinte ukusebenza evamile inhliziyo.

Basho kumninindlu, efana mad

Ngezinye izikhathi lo mkhuba okuhlukile - akuyona encishisiwe, nokukhulisa kokushaya kwenhliziyo. okuxoxwe Norma amadoda ukuthi ngenhla, izinga akumele leqe esimweni nokuzola engaphezu kuka-90 ngomzuzu. Uma kuwukuthi ephakeme, futhi noma yiziphi ezinye izinto ayeke ukunisa (ezemidlalo, ukudla noma ukukhathazeka) awazange, ukuze kamuva sikhulume mayelana tachycardia.

Futhi kungase kungabi unomphela njalo. Kungenzeka ukuhlasela. Bese kuthi-ke odokotela bathi paroxysmal tachycardia. Kungenzeka uma selehle blood pressure, umlando anaemia obangelwe ukungamethembi umuntu igazi noma okunzima ubovu izifo. Ukukhubazeka e engeyokuqala sinoatrial zenhliziyo zingaba kuvuse tachycardia.

Ngokuvamile kulesi simo kwenzeka lapho kushisa, ikakhulukazi izakhamuzi zindawo enyakatho. Basuke hhayi ejwayele okusezingeni eliphezulu izinga lokushisa komoya kanye nomswakama high, ngakho ukuhlupheka uhlelo cardio-semithambo. Man uzizwa ngokugwaza noma ezidabukile ubuhlungu, isiyezi, kubonakala sengathi akukho emoyeni.

Uma umuntu akanayo pathologies ka esimiso senhliziyo nemithambo yegazi, umsebenzi yegilo evamile, kanti imbangela ukwehluleka - enhliziyweni. Kuyadingeka ukuba uqeqeshe ngaphezu hambisa, ukuzivocavoca, ukushintsha ukudla okudlayo bese wengeza izithelo ezisawolintshi, amagilebhisi, ubhanana, inhlanzi, imikhiqizo ephansi fat yobisi, uthi labo ukudla asiza CCC

Kulokho izici pulses kuncike

Umuntu ngamunye has a pulse izici zayo siqu ngabanye. Ukushayela phansi kwenhliziyo ezingabantu iminyaka 45 letingemasayizi lahlukene kuzohluka kuzoncika ezintweni eziningi. Lezi zihlanganisa:

1. Ukufaneleka of imisipha yenhliziyo. Inhliziyo enempilo, cishe esingaphansi kuyehla. Lena obonakalayo ikakhulukazi abasubathi. Noma ubani ukwenza lo okuthiwa ukuzivocavoca (futhi kuye ezisebenzayo, ukubhukuda, Ukushushuluza) unenhliziyo eqinile, futhi ukuvama amabhithi ngeminithi kungenzeka ngezansi kuyinsakavukela owamukelwa.
2. Encishisiwe kwenhliziyo kungenzeka labo babe unomphela-high blood pressure. Kuleli zinga kwesokunxele ventricle inyuka ngobukhulu, imisipha yakhe waqina futhi ke ihlaba umkhosi push olulodwa igazi ngaphezulu. Kodwa-ke kufika decompensation okuthiwa lapho i-ventricle kuba nzima ukuba asingathe umthwalo ongako. Ngakho-ke, izinga ishayela ezingabantu engu-50 ubudala abanomlando nomfutho wegazi ophezulu, kuyoba ezahlukene uhlangothi ngaphansana enempilo.
3. Kungakanani igazi bephushelwa ngesikhathi. Uma leli nani kwanele, izindonga imithambo yegazi uvuleke kahle, ishayela ngokucacile avelayo. Uma ingxenye igazi incane, ukundindizela ngokulambisa lizwakale, ababuthakathaka. Uma izindonga nokunwebeka imithambo yegazi, ukushaya kwenhliziyo kuyoba nokugabavula okukhulu, ngoba ngesikhathi ejection yegazi kakhulu welulela, futhi lapho imisipha yenhliziyo ekhululekile, igebe iyincane kakhulu. Ngisho uthinte udokotela angase athi ukuthi uhla wave ishayela likhulu kakhulu.
4. Isikhala sayo esingaphakathi imithambo yegazi. I zomzimba izitsha ziyalingana kumele babe mafutha anciphisa isikhala esingaphakathi efanayo. Ezinye izifo (stenosis noma isifo sokuqina kwemithambo yegazi) neqhaza yokuthi izitsha ethintekile baqala unciphise. Ngakho-ke, i-pulse ezandleni sokunene nesobunxele, okuyinto kukalwa endaweni efanayo ingase ibe khona ehlukile.

Kanjani ukubala ishayela

Ngokuvamile, i-pulse kunqunywa a kumba ku imikhumbi emikhulu yomzimba. Igazi iphuzu ngokucacile ebonakalayo Umthambo carotid, ngoba inkulu kakhulu futhi ekhula kahle. Umthambo Temporal elise cishe ngaphansi kwesikhumba kubo muhle ishayela palpable kakhulu.

Kodwa indlela yakudala namanje ngokubala ishayela ngesikhathi Umthambo osabalalayo, esemgwaqweni esihlakaleni, ezinsikeni zawo kwangaphakathi.

Ukuze kahle ukubala ukushaya kwenhliziyo, udinga ukuba bamukele esihlakaleni nge ibhulashi. Kulokhu, isithupha kufanele kube maqondana iminwe kancane esandleni lapho ishayela kukalwa. Bonke abanye 4 iminwe ezibekwe phezu engaphakathi esihlakaleni ngo-phakathi isandla. Khona-ke ngaphansi kwazo kuzozwakala ngokucacile, kunciphisa Umthambo osabalalayo.

Odokotela belulekwa ngemva okusizwa ukushaya elinganisiwe esandleni esisodwa, ukuhlola izinkomba ngakolunye uhlangothi. Uma i-pulse kuyafana (plus noma lokususa 2-3 Okungishaya), khona-ke singasho ukuthi akukho zokugula imithambo.

Khumbula ukuthi udinga ukukala pulse ncamashi umzuzu owodwa, hhayi 20 noma imizuzwana 30 bese nande. Phela, ukushaya kwenhliziyo liyashintshashintsha phakathi ngomzuzu. Okuhle kunakho konke, ngaphambi yokulinganisa ishayela, ukuphumula 5-10 imizuzu.