Okuqukethwe
Ukuthatha ishayela
Ukuzijayeza kusukela ku-Antiquity, ukuthatha i-pulse ngokungangabazeki kungenye yezenzo ezindala kakhulu zomuthi. Kubandakanya ukubona ukugeleza kwegazi elishaya ngenhliziyo, ngokumane ushaye umthambo wegazi.
Kuyini ukushaya kwenhliziyo?
I-Pulse ibhekisela ekushayeni kokugeleza kwegazi okuzwakala lapho ushaya umthambo. Ukushaya kwenhliziyo ngaleyo ndlela kukhombisa ukushaya kwenhliziyo.
Ungayithatha kanjani i-pulse?
Ukushaya kwenhliziyo kuthathwa nge-palpation ngokusebenzisa i-pulp yomunwe wokukhomba ophakathi nendawo kanye neminwe yendandatho endleleni ye-arterial. Umfutho wokukhanya okhishiwe wenza kube lula ukubona igagasi elinamandla.
Ukushaya kwenhliziyo kungathathwa ezindaweni ezahlukahlukene zomzimba eziwele umthambo:
- i-radial pulse iyona esetshenziswa kakhulu, itholakala ohlangothini lwangaphakathi lwesihlakala;
- i-pulse ye-ulnar nayo itholakala ohlangothini lwangaphakathi lwesihlakala, iphansi kancane kune-radial pulse;
- i-carotid pulse itholakala entanyeni, ngapha nangapha koqhoqhoqho;
- i-pulse yesifazane isesibayeni sosizo;
- i-pedal pulse itholakala ebusweni bomgogodla wonyawo ngokuhambisana ne-tibia;
- i-popliteal pulse isemgodini ngemuva kwedolo;
- i-posterior tibial pulse ingaphakathi kweqakala, eduze kwe-malleolus.
Uma sithatha ukushaya kwenhliziyo, sihlola amapharamitha ahlukene:
- imvamisa: inani lokushaywa libalwa ngaphezu kwemizuzwana eyi-15, 30 noma engama-60, umphumela wokugcina uba ukubika ngaphezu komzuzu owodwa ukuthola ukushaya kwenhliziyo;
- i-amplitude ye-pulse;
- njalonjalo.
Udokotela futhi angasebenzisa i-stethoscope ukuthatha i-pulse. Kukhona nemishini ekhethekile yokuthatha ishayela, ebizwa ngokuthi ama-oximeter.
Nini ukuthatha ishayela?
Ukushaya ukushaya kwenhliziyo kuseyindlela elula yokuhlola izinga lokushaya kwenhliziyo yakho. Ngakho-ke singakuthatha ezimeni ezahlukene:
- kumuntu ongakhululekile;
- ngemva kokuhlukumezeka;
- ukuvimbela ukushaywa unhlangothi ngokuthola i-atrial fibrillation, okuyiyona nto eyingozi yokushaywa unhlangothi;
- hlola ukuthi umuntu usaphila yini,
- njll
Ungathatha futhi ukushaya kwenhliziyo ukuthola umthambo.
Imiphumela
Kubantu abadala, sikhuluma nge-bradycardia ngemvamisa engaphansi kwama-60 beats ngomzuzu (BPM) ne-tachycardia lapho inani likhulu kune-100 BPM.