Paradoxical pāpaʻa: He aha ka mea, a ma lalo o nā mea maʻi e hele mai, mai?

Heart ana, a me ka lāʻau ikiʻai wale - he kanaka ana o ka helu o ka Pauma no minuke. Ke kumukuai mea,ʻaʻole he mau a me ka hilinaʻi nui ma luna o kanaka haʻawina. No laila, oiai e holo naau i kela mea nui ma luna ma mua i ka hiamoe. Ka lāʻau ikiʻai o ka makua - ua kuhikuhi i ka mālamaʻana i kona ola.

Normal pāpaʻa kiko'î

HR kūmau mea okoa no nā hanauna a pau:

• Keiki - 120-160.
• Mai 1 mahina i 1 makahiki - 80-140.
• Mai 2 e 6 makahiki - 75-120.
• Mai 7 i 12 makahiki - 75-110.
• Ka lāʻau ikiʻai mea he kanaka makua (18 makahiki) - 60-100.
• No ka 'âlapa - 40-60 mokomoko ana no minuke.

He aha kumumea ho ololi i ka hana o ka lāʻau ikiʻai wale?

Ka nui o ka naau i kela loli i nā kēia kumumea:

• Ambient ana wela.
• kino kūlana.
• Fitness.
• Mea naʻau moku'āina (me ka pīhoihoi, stress, makau, huhu, he mea ka hoomahuahua i loko o ka naʻau kōmi).
• Obesity.
• Komo ai '.
• Puhi paka.
• Ae o ka waiʻona.

Inā he untrained makua hoomanawanui i ka naau i kela emi o 60 kui iho oe a. / Min, laila, i kekahi olelo o ka bradycardia. Tachycardia - bradycardia e ku pono ana i loko i ka Pauma oi pinepine 100 kui iho oe a / min ..

Pehea e ana i ka lāʻau ikiʻai wale o ka lima?

Ka lāʻau ikiʻai hiki e hoopuni ana i ka na pulima oʻu,ʻo ka kahahānai artery. E hana i kēia, i kou lima lāʻau mai, hoʻopunipuni ma ka pulima me ka manamana elua o ka 'ē aʻe lima. Tangible fingertips pushes koko - keia mea i ka naau ana, a me ka lāʻau ikiʻai wale. E ho ohana i ka uaki a me ka stopwatch, a helu lakou i ka helu ana o impulses loko o kekahi minuke, e hiki ke kau i ka naau kōmi.

Pehea e ana i ka lāʻau ikiʻai wale o ka lima E e ike ai i nā kānaka a pau, no ka mea, Ua puni hoʻi lawa ka ike hiki e pono i kekahi manawa.

Paradoxical pāpaʻa - He aha ka mea?

Pela o ka manawa ma ka lapaau kapa excessive ka ho'ēmiʻana i ka malu ulu i loko o systolic ke koko. Paradoxical pāpaʻa mea IeAUPIIe, IAa IO heʻilihune o nā maʻi.

I ka maʻi ana

Ke ano o ka hoʻomanawanui ia he kŰia heʻilihune o ka 'aʻe' ana i ka lāʻau ikiʻai wale o kēia mau maʻi:

• Cardiac tamponade - 'aʻe' ventricular iie ia lŘlŘ no e hoʻomāhuahua i loko o ka pericardial loli. Ka hopena ua mahuahua vnutriperikardialnoe ka puʻuwai, a me ke ahonui i ka paradoxical pāpaʻa (loaʻa i loko o 100% o nā mea maʻi me ka cardiac tamponade).
• Constrictive pericarditis - he complication o huʻi pericarditis, ia lŘlŘ ma muli o ka irradiation o ka mediastinum. Ka maʻi hiki aku ai i ka mea i ua ole piha i ka ventricle o ka naau a me ia, ma ka huli, o ka impetus no ka mea inevitable mahuahua ma venous puʻe. E loaa ana mai ka maʻi i malama luhi, ua hoʻemi hana ana, e like me ka hoike ana o na hoailona o ka stagnation aa koko. Paradoxical pāpaʻa pericarditis - he nui kŰia, ia lŘlŘ i loko o 30-45% o nā mea maʻi.
• Akemāmā maʻi (emphysema, asthma, hyperventilation). Oia maʻi dyhatelnoy'ōnaehana alakai i ke koko Aoao i inhalation, kūpono ai i loko o ka emi i loko o systolic ke koko. Pela, ma ka 80% o ka asthmatic loaʻa ka paradoxical lāʻau ikiʻai wale.
• Obesity - o na kanaka haunaele ka lāʻau ikiʻai i loko o keia hihia mea ku pono i ka mea nui, excessive fluctuations ma intrathoracic puʻe.

Other kumu no ka paradoxical pāpaʻa

Ma waho aʻeo i hōʻike muaʻia aʻe, loaʻa nō nā kumu no kēia kŰia:

• A moku'āina o ka hawewe.
• Pono ventricular infarction.
• Pono ventricular ole.
• Loa naʻau ole.

He aha ka paradoxical nana e hoole ka lāʻau ikiʻai?

E hoole paradoxical pāpaʻa - e ka mea e ku pono ana ia, a he ma ka hoʻoulu i ka systolic puʻe. Ua symptoms ka hapanui ma ka hoʻoulu.

Ke kumu no ka hoʻi o paradoxical lāʻau ikiʻai wale nō.

• Hypertrophic obstructive cardiomyopathy - he mea pepehi maʻi i mea pinepine i ke kumu o ka ulia cardiac make i loko o adolescents a opiopio makua. E kuhikuhi i ka maʻi, ua hiki wale ma ka electrocardiography. Symptoms nā pokole o ka hanu, loliʻana, tachycardia. E like me ka rula, o ka maʻi kaʻohana a me ka ili.
• hema ventricular ole ua wehewehe aku ma hemodynamic haunaele i loko o nā mea maʻi i hoomaha (i loko o ke kakahiaka nui kahua o ka hoʻonaʻauao). Ia mea ke kumu o ka maʻi ua pinepine diagnosed nui hope, i ka wa a na mea a pau i ko loko o ke kulana kaumaha. Ma ka pilikia ke kahua o ke kaʻina hana i ke kino i ka mea e pono ai ka mea, i hoakakaia ma ka piha, e hiki aku ai i ka mea hopena: he stagnation o ke koko i loko o ka maʻiʻaʻai, a me ka haʻalele atrium.
• 'Aʻe' akemāmā hoʻokomo ea (hanana o maikaʻi puʻe ma ka Exhale).

Pehea e hoʻoholo i ka lāʻau ikiʻai wale paradoxical

Ke ola ana o kaʻike manaʻo i loko o ka makua ke olelo mai, ina i ka lāʻau ikiʻai wale puʻeʻikepili iloko o kela a me keia hanu ua hoemi ia e oi aku mamua o 10 mm o Hg. Keʻano papa hana o ka hanana o paradoxical pāpaʻa mea eiiieaena, aʻaʻole maopopo hoomaopopo. E imi koke 'inikua noonoo ina symptoms e like me dyspnea, asthma, like hoʻi me pinepine, hookahua oko o intrathoracic puʻe.

Pehea e ana i ka lāʻau ikiʻai wale paradoxical

Ana o paradoxical pāpaʻa mea hiki ia ka hoʻohana 'ana i ka sphygmomanometer, a me nā kikowaena fixation unacceptable. Ke kauka e noho ma ka moe ana o ka hoʻomanawanui no laila, e like me ka ai i ka poʻe mālama i ka hanu o kona hanai, a me ka Mercury ma o ka noonoo o kanaka. Ka mea, e hiki e EII ni i ka pneumatic cuff a pau extraneous mea kani-auscultation, a laila, hoʻomaka ia lohi deflate. Iloko o ke kaolo o ka cuff ua koi 'ia e hahai mai i ka hana o ka thoracic a me ka abdominal paia o ka hoomanawanui, kākau i ka'aloʻahiʻa waiwai i hiki aku i ka lohe i ka Korotkoff leo. Lua o ke koko, waiwai ua kākau i ka wa i Korotkoff nanahe i distinguishable ole wale ma exhalation, akā, no hoi ana. I ka likeʻole ma waena o nā loina i loaʻa o ka makemake paradoxical pāpaʻa, ana i loko o millimeters o Hereme.

He waiwai e hoomanao i ko kakou ola kino - i loko o kā mākou mau lima. 'Eleu komo i ke kauka e e hiki ke pale aku i ka ulu ana o na mea he nui ka maʻi kaumaha. O mehana symptoms, kekahi manawa seemingly trifling, e hoike maʻi Holomua. Hoʻopale ', i kou' ohana a me nā hoa. Mai Mai kāpae'ōlelo kou iho maikaʻiʻana, aʻaʻole e makau i ka imi palapala hōʻoia no kōkua mai!