Paradoxical pulse length: ke eng, 'me tlas'a seo mafu tsoa hokae?

ho otla ha pelo, kapa pulse length - motho ka tekanyo e itseng ya palo ea pelo ea otla ka motsotso. Boleng hase kamehla le ho itšetlehile ka lintho tseo batho ba. Ho joalo, ha a ntse a matha lebelo leo pelo e phahame haholo ho feta nakong ea ho robala. Pulse length ke batho ba baholo - e haholo-holo e le tlhokomelo ya bophelo bo botle ba hae.

entsprechen tloaelehile pulse length

HR ntho e tloaelehileng e fapaneng bakeng sa lilemo tsohle:

• Newborn - 120-160.
• From khoeli 1 ho ea ho 1 selemo - 80-140.
• Tloha ka ba lilemo 2 6 - 75-120.
• From lilemo tse 7 ho 12 - 75-110.
• Pulse length ke motho e moholo (lilemo tse 18) - 60-100.
• Bakeng sa baatlelete - 40-60 otlang ka motsotso.

Ke lintho life tse susumetsang tshebetso ya pulse length?

The boholo ba otla ha pelo ama lintlha tse latelang:

• Mogote.
• boemo ba mmele.
• Fitness.
• boemo maikutlo (ke thabo, ho imeloa kelellong, ho tšaba, bohale, ho na le ho eketseha ha ho otla ha pelo).
• Botenya.
• Kenoa lithethefatsi.
• Ho tsuba.
• Amohelana ea joala.

Ha e untrained batho ba baholo ba le mamello e na le ho otla ha pelo ka tlase ho 60 otla. / Min, ka nako eo e mong o bua ka bradycardia. Tachycardia - bradycardia bo fapaneng boemo boo ho bona pelo otla khafetsa 100 otla / mets ..

Mokhoa oa ho lekanya pulse length oa letsoho la ka?

Pulse length ka habonolo lekanngoa ka letsohong, e leng ho mothapo radial. Ho etsa sena, beha letsoho la hao palema tsoha, ho lokisa ka letsohong le menoana e 'meli ea letsoho la e mong. fingertips bonahalang sutumetsa mali - sena ke ho otla ha pelo, kapa pulse length. Sebelisa oache kapa stopwatch le bala palo ea litakatso tsa ka hare ho hanyane, u ka beha le ho otla ha pelo.

Mokhoa oa ho lekanya pulse length tsa letsoho li lokela ho tsebahala hore mong le e mong, hobane e bonolo tsebo lekane ka re tsoela molemo ka nako efe kapa efe.

Paradoxical pulse length - ke eng?

Ka tsela eo lentsoe lena le ka moriana o bitswang phokotso feteletseng nakong khutsitseng pululelo khatello systolic mali. Paradoxical pulse length hangata ka lebaka la maloetse a mang.

Ka seo mafu etsahala

Ponahalo ea mokuli ea joalo ketsahalo ke ka lebaka la ho tlōla ha pulse length ya mafu ana:

• Cardiac tamponade - tlōla ventricular tlatselletsa le hlaha ka lebaka la ho bokella ka mokelikeli pericardial. Phello e ile ea eketseha khatello ea vnutriperikardialnoe, le mamello e na le pulse length paradoxical (fumanoang ka 100% ea bakuli le tamponade cardiac).
• Constrictive pericarditis - e complication ea pericarditis hlobaetsang, le hlaha ka lebaka la ho ts'ebetso ea ho lelefatsa bophelo ba lijo tsa mediastinum ena. Lefu lena le etsa hore 'nete ea hore ventricle ba pelo e sa tlala eo, le eena, a ke peleka bakeng sa keketseho e ke keng ea qojoa ka khatello ea venous. Ba nang le lefu ile a hlokomela mokhathala, fokotseha tshebetso, hammoho le ponahalo ea lipontšo tsa methapong stagnation. Paradoxical pulse length pericarditis - boima ketsahalo, le hlaha ka 30-45% ea bakuli.
• lefu Lung (emphysema, le asma e, hyperventilation). mafu a joalo dyhatelnoy oona tsamaisong etella pele ho Escrow mali nakong inhalation, ho fellang ka ea fokotseha khatello systolic mali. Kahoo, ka 80% ea asthmatic fumana pulse length paradoxical.
• Botenya - pherekano pulse length tabeng ena ke e loketseng ho tse khōlō, liphetoho ka tsela e feteletseng ka khatello ea intrathoracic.

mabaka a mang bakeng sa pulse length paradoxical

Ho phaella ho ho builoeng pele, ho na le mabaka a mang bakeng sa ketsahalo ena:

• A maketse haholo.
• Letona ventricular infarction.
• Letona ventricular hloleha.
• Haholo pelo ho hloleha.

ke eng paradoxical khutlisetsang pulse length?

Etsolla paradoxical pulse length - feela phello bo fapaneng, eo na le e ntse e eketseha khatello systolic. Na le matšoao hangata ka pululelo.

Mabaka a ka ho khutla ha pulse length paradoxical ke tsena:

• Hypertrophic obstructive cardiomyopathy - lefu le kotsi hore hangata sesosa sa tšohanyetso cardiac lefu ka bacha le batho ba baholo. Hlwaya lefu lena le ke khoneha feela ka ho electrocardiography. Matšoao a kenyeletsa bokhutšoanyane phefumoloho, tshegetsa le go tlotla mokelikeli, tachycardia. E le busa, lefu lena le ke la lelapa le futsitseng.
• letšehali ventricular hloleha e tšoauoa ka meferefere hemodynamic bakuli phomotse (ka mekhahlelo ba pele). Ke ka lebaka leo lefu lena le e atisa ho fumanoa hore o tšoeroe hamorao haholo, ha tsohle fetoha boemo ba motho ba boima. Ka ho ba sethaleng mahlonoko tseo ho leng ea tshebetso litlhoko tsa 'mele ea ha ba faneng ka botlalo, e isa le liphello tse tebileng: a stagnation mali ka matšoafong,' me atrium setseng.
• Tlōlo ea matšoafo ventilation (ketsahalo la khatello positive, ka exhale le).

Mokhoa oa ho fumana hore na e pulse length paradoxical

Ho ba teng ha liketsahalo tse batho ba baholo ho ea ka reng, ha ho bala pulse length khatello ea nakong e mong le phefumoloho e fokotsehile ka ba fetang 10 limilimithara Hg. The mochine oa ketsahalo ea pulse length paradoxical e rarahaneng le e sa utloisise ka ho feletseng. Lokela ho batla hang-hang ee ngakeng haeba matšoao a kang dyspnea, le asma e, hammoho le khafetsa, tsau se tšoane la khatello intrathoracic.

Mokhoa oa ho lekanya ka pulse length paradoxical

Tekanyo ea pulse length paradoxical ke khoneha ho sebelisa sphygmomanometer, ka fixation ikemetseng e sa amoheleheng. Ngaka e lokela ho lula ka haufi le bethe ea mokuli e le hore ka nako boloka phefumoloho ea ba didika hae le mercury ka sesebediswa. E lokela ho ba bonolo ho di-pump kenela cuff pneumatici ho fihlela tsohle extraneous melumo auscultation, ebe qala ho butle deflate. Nakong ea leloko la cuff ho hlokahala ho latela mekhatlo ea thoracic le ka mpeng marako a mokuli, ngola boleng khatello ea hang e le Korotkoff melumo li utloileng. Bobeli boleng khatello ea mali e tlalehiloe ka hang ha Korotkoff melumo ke distinguishable eseng feela ka pululo, empa hape inhaling. Phapang pakeng tsa melao ea boitšoaro fumanoa ke li lakalitseng paradoxical pulse length, lekanngoa ka millimeters ea mercury.

Ke habohlokoa ho hopola hore bophelo ba rōna - ka matsoho a rōna. ho fihlella ka nako e loketseng ho ngaka e tla khona ho thibela ntshetsopele ya mafu a tse ngata tse tebileng. Esita le matšoao a le bonolo, e ka linako tse ling ho bonahala eka trifling, ka 'na ea bontša letotong lefu. Itšireletsa, lelapa la hao le ho metsoalle. U se ke ua hlokomoloha hao boiketlo 'me u se ke ua tšaba ho batla thuso ea ba tšoanelehang!