Pulse: asi maitiro kupomba, tafura kufamba kweropa kuburikidza zera

Munguva marwadzo mwoyo kupinda vascular gadziriro iri vasiyiwa chimwe chikamu ropa. raparadza rayo munzvimbo tsinga rusvingo pave vibrations izvo kuparadzira kuburikidza nhumbi, kusvikira arikunze zvishoma kupera. Vakavawo kuzivikanwa somunhu kufamba kweropa.

Chii kufamba kweropa?

Muvanhu, kune marudzi matatu tsinga: arteries, mutsinga uye capillaries. Release ropa kubva mumwoyo nenzira imwe kana mumwe kunokanganisa mumwe nomumwe wavo, zvichiita kuti oscillate rusvingo. Chokwadi, sezvo tsinga pedyo mwoyo midziyo yaiva zvikuru pasi pokudzora cardiac goho. Nokufamba zvavo masvingo zvakanaka pakutsvaga palpation, uye mumidziyo makuru kunyange chaioneka chinoabatsira. Ndokusaka arterial kupomba ndiyo zvainoreva nechirwere.

Capillaries - midziyo duku ropa mumuviri womunhu, asi kunyange vari kutarisana mwoyo. Masvingo avo kuzunguza tsandanyama munguva nemwoyo mwero, asi mwero inogona vakatsunga chete uchibatsirwa dzinokosha mano. Kuoneka kuti akashama ziso rirambe richibvira kupomba - chiratidzo zvokurwara.

Tsinga abviswa mwoyo zvokuti yavo masvingo hadzina kutedzemuka. Vanonzi venous kupomba - kutamira vibrations pamwe rakada munzvimbo dzokuzororera dzaiva arteries makuru.

Sei kuziva kufamba kweropa?

Zvinorevei kuti chirwere ose vascular masvingo vari vibrations? Nei zvichikosha ichi?

Pulse unokubvumira kutonga haemodynamic, sei zvinobudirira akaderedza mwoyo tsandanyama, pamusoro kuzara vascular panhovo, pamusoro mutinhimira pakati heartbeats.

In pathological dzakawanda pezvakaitwa dzinosiyana kurova kwemwoyo, kurova kwemwoyo tsika hunoguma kuita chakaipa nazvo. Izvi zvinoita kuti vanofungidzira kuti kumwoyo haisi zvose zvakanaka.

Chii parameters kuona kufamba kweropa? Zvinoitwa kufamba kweropa

1. Mutinhimira. Inowanzotorwa mwoyo anorova dzimwe nguva, saka mwoyo mwero inofanira kuva mutinhimira.
2. Frequency. Pulse wave chakaipa sekuda mwoyo anorova paminiti.
3. Voltage. zvazvingava ichi kunobva systolic BP. The yepamusoro zvava kuoma kuti dzvinya tsinga neminwe yenyu, kureva, yakakwirira voltage kufamba kweropa.
4. Zvekupfakira. It zvinoenderana bhuku ropa vabudiswa nokuda mwoyo munguva systole.
5. Uwandu. Pfungwa iyi inobatanidza kugutsikana uye kukakavadzana.
6. Form - ndechimwe parameter kuti anosarudza kurova kwemwoyo. kupomba Mumagazini munhu akapiwa mhosva kunobva BP kuchinja nhumbi panguva systole (marwadzo) uye diastole (kutandara) mwoyo.

arrhythmias

Kana kutyorwa kana chizvarwa pulses nokuda pomwoyo sunga mwoyo mutinhimira zvinosiyana, uye pamwechete nayo, uye anochinja kurova kwemwoyo. Vamwe nokufamba vascular madziro kutanga kuwa, kana kuonekwa akashaya, kana kutevera mumwe panguva kwemashifiti zvikamu.

Ndezvipi arrhythmias?

Arrhythmias change mashandiro sinus (myocardial mugove izvo zvinowanisa pulses zvichiguma rutapudzo mumwoyo tsandanyama)

1. Sinus tachycardia - zvakawedzera kakawanda sunga.
2. Sinus bradycardia - vasanyanye kakawanda kuti sunga.
3. Sinus arrhythmia - mwoyo urove panguva kwemashifiti zvikamu.

Ectopic arrhythmias. pakuonekwa anova zvinogoneka kana pfungwa iri myocardium pamwe chiitwa kupfuura sinus raiva pedyo nebundu. Pakadaro, ari pacemaker itsva tunodzivisa basa ekupedzisira uye kumanikidza wavo mutinhimira kwemwoyo.

1. Anorova - the chidzoke zvinoshamisa kurova kwehana. Zvichienderana localization ari ectopic muupenyu excitation anorova vari atrial, ventricular uye atrioventricular.
2. Paroxysmal tachycardia - wakawedzera kwemwoyo kamwe (kusvika 180-240 heartbeats paminiti). Kufanana anorova zvinogona atrial, ventricular uye atrioventricular.

Kutyora kupomba of myocardium (blockades). Zvichienderana localization matambudziko mukuvhiringidza dzose mberi etsinga chido kubva sinoatrial raiva pedyo nebundu, blockade mapoka mapoka;

1. Sinoauricular misa (kupomba anoenda mberi kupfuura sinus raiva pedyo nebundu).
2. Intraatrial misa.
3. Atrioventricular misa (zvairatidza haina kubva kuna atria kusvika ventricles). Kana zvakakwana atrioventricular nechigumbuso (III dhigirii) zvinova zvinoita kuti pane vaviri pacemaker (sinoatrial raiva pedyo nebundu uye muzinda excitation mumoyo ventricles).
4. Intraventricular misa.

Oga vanofanira kugara pasi uye nekubwaira atrial flutter kana fibrillation. mamiriro aya anonziwo Mhedziso arrhythmia. Sinus raiva pedyo nebundu muchiitiko ichi hachisisiri chinodzora kurova, uye myocardium pamusoro atria kana ventricles vari kuumbwa akawanda ectopic foci pamusoro excitation dzaanofanira mwoyo mutinhimira pamwe kakawanda zvikuru rutapudzo. Sezvingatarisirwa, izvi mamiriro, mwoyo tsandanyama haasi kukwanisa zvakakwana ipfupi. Naizvozvo, kuti zvokurwara (kunyanya kubva ventricles) kukuuraya.

kwemwoyo

Dzokuzororera kwemwoyo nokuti mukuru ari 60-80 anorova paminiti. Chokwadi, nhamba iyi kunosiyana-siyana muupenyu. Pulse nokuchembera anosiyana yekudyidzana.

Zvingava zvakatosiyana pakati nhamba heartbeats uye uwandu kufamba kweropa mafungu. Izvi zvinoitika kana muropa vabudiswa diki vhoriyamu ropa (cardiac insufficiency, zvinoderedza uwandu achiparadzira ropa). Panyaya iyi oscillations ari mudziyo masvingo kurege kuitika.

Saka, munhu kupomba (zvakajairika kuti zera apa) haisi nguva dzose zvakatemwa peripheral arteries. Izvi, zvisinei, hazvirevi kuti mwoyo uyewo haana ipfupi. Pangave vasanyanye ejection hacho.

voltage

Zvichienderana shanduko chinoratidza uyu kuchinja uye kufamba kweropa. kupomba voltage manyorerwo aro weboka zvinopa zvinotevera mhando:

1. Solid kufamba kweropa. Nokuda cheBP (BP), kunyanya systolic. Nzwara kuti tsinga neminwe yenyu iyi zvakaoma chaizvo. The pakuonekwa ichi kupomba mhando kunoratidza kudiwa pakarepo nokururamiswa BP ne antihypertensive zvinodhaka.
2. Soft kufamba kweropa. The tsinga iri compressed nyore, uye hazvina kunaka kwazvo, nokuti kupomba anoratidza zvakare pasi neBP mhando iyi. Zvingava nokuda kwezvikonzero zvakasiyana zvinoti: rutapudzo cheBhuku ropa, zvinoderedza pamusoro vascular matauriro, va neudhadha heartbeats.

zvekupfakira

Zvichienderana Kuchinja chinoratidza ichi vari zvinotevera mhando kufamba kweropa:

1. Full. Izvi zvinoreva kuti ropa kuparadzirwa munzvimbo arteries zvakakwana.
2. Empty. kupomba Izvi zvinoitika kana chiduku Vhoriyamu ropa vabudiswa nokuda mwoyo munguva systole. Zvikonzero ezvinhu akadaro kunogona kuva zvokurwara mumwoyo (mwoyo kukundikana, arrhythmia nemwoyo zvakawandisa mwero) kana kudzikisa inzwi ropa mumuviri (kurasikirwa neropa, kupera muviri).

Kukosha kurova kwemwoyo

paakati ichi anosanganisa kugutsikana uye voltage kufamba kweropa. Zvinoenderana achinyanya pakuwedzera arteries panguva cardiac marwadzo uye kutandara panguva yayo kuora infarction. Kwakakura zvinotevera mhando kufamba kweropa:

1. Large (mukuru). It kunoitika mumamiriro ezvinhu umo pane kuwedzera ejection chakapatsanurwa uye ungaderedza arterial rusvingo matauriro. Kwakakura kumanikidzwa vari systole uye diastole zvinosiyana (nokuti mumwe cardiac kutenderera kushanda unomutswa zvikuru uye kunoderedza yekudyidzana). Zvikonzero inoenda panowanikwa hombe kupomba kungava kutsemuka insufficiency, thyrotoxicosis, fivhiri.
2. Small kufamba kweropa. Ropa vascular vabudiswa ikakuruma matauriro arterial masvingo ari kumusoro, kumanikidza nokufamba ari systole uye diastole pasi. Zvikonzero wehurumende ichi: kutsemuka stenosis, mwoyo kukundikana, ropa, kuvhunduka. In kunyanya kuoma zviitiko, kupomba kukosha zvinogona kuva zviduku (ichi inonzi thready kufamba kweropa).
3. Rekuchikoro kufamba kweropa. It inozivikanwa se kukosha kurova kwemwoyo kunowanikwa.

Maumbirwe kufamba kweropa oscillation

On parameter ichi kurova kwemwoyo yakakamurwa muzvikamu zvikuru zviviri:

1. Fast. Muchiitiko chino, panguva systole kwokudzvinyirira mu yeropa iri yekudyidzana kwakawedzera, uye muna diastole kunoderedza nokukurumidza. Rapid kupomba ndiye anozivikanwa chiratidzo kutsemuka insufficiency.
2. Slow. Nevakomana mamiriro ezvinhu, umo chinokosha vachimanikidzwa donhwe systole uye diastole. kazhinji kupomba kwakadaro kunoratidza kuvapo kutsemuka stenosis.

Sei kuongorora kufamba kweropa nomazvo?

Zvichida vose anoziva zvinofanira kuitwa kuziva zvinotaurwa kupomba ari munhu. Zvisinei, kunyange zvakadaro nyore bata munhu ane zvinhu zvaunofanira kuziva.

Pulse akaedzwa kuti peripheral (TOUR) uye hunde (carotid) arteries. Zvakakosha kuziva kuti mune pasi cardiac goho riri arikunze ari kupomba mafungu haagoni kuonekwa.

Funga kuti palpate kurova kwemwoyo kwaswedera. TOUR tsinga inowanika yokutsvakurudza pamusoro chiningoningo chete pazasi mujinga thumbs. Kana kuziva kupomba palpated zvose arteries (kurudyi), sezvo pangava ezvinhu apo kufurirwa pulses achasiyana zvose maoko. Izvi zvingava nokuda compression ari mudziyo kubva kunze (semuenzaniso, bundu) kana occlusion zvayo lumen (thrombus, atherosclerotic Dombo). Mushure achienzanisa chakayerwa kupomba pamusoro ruoko apo zvakanakisisa palpated. Zvakakosha kuti kudzidza kupomba nokufamba mukati yakavharika haana chimwe munwe, uye vashoma (zvinobudirira zvikuru tenderedza zvemaoko zvokuti 4 minwe, kunze thumbs, vaiva TOUR tsinga).

Ko kupomba panguva carotid tsinga? Kana peripheral kupomba mafungu haina kusimba, unogona dzinotibatsira kupomba midziyo kukuru. Nyore nzira kuedza uye kuwana pamusoro carotid tsinga. Kuti aite izvi, zvigunwe zviviri (indekisi uye pakati) inofanira kupfeka munharaunda apo projected yakanatsa tsinga (pamberi pamucheto sternocleidomastoid tsandanyama yakakwirira kumusoro Adhamu apple). Zvakakosha kuyeuka kuti kodzero kuongorora kupomba kumativi ose hazvibviri. Kudzvanya vaviri carotid arteries kunogona kukonzera kweropa vachivavhiringidza muuropi.

Pulse panguva yokuzorora uye pasi kwomuzvarirwo hemodynamic waivako iri nyore akatsunga muna peripheral uye nechepakati nemidziyo.

Mashoko mashoma mhedziso

Pulse munhu (zera vanofanira hazvo kufungwa kudzidza) anobvumira kuti vafunga pamusoro mamiriro hemodynamics. Izvi kana zvimwe rokuchinja kupomba oscillation parameters kazhinji sevanhu zviri zvimwe pathological inoti. Ndokusaka kudzidza kupomba ane chirwere ukoshi zvikuru.