Uxinzelelo lomqhubi

Yintoni i-pulse? Ezi zihambelane zihamba ngeendonga zeendonga zegazi, ezibangelwa ukuhamba kwegazi, ekhishwe yintliziyo.

Inomdla ebalulekileyo ekufundeni i-pulse ibonakalise nokuba oogqirha baseNdiya, baseGrike, baseArabhu nabaseTshayina. Ngelo xesha, kwakukholelwa ukuba umntu unokumisela ukonyango kwesiphi na isifo, enze ukuxilongwa kwaye enze ukubikezela kuphela ngohlobo lwe-pulse. Ukongezelela, bafumanisa ukuba i-pulse ixhomekeke kwiminyaka yobudala, isondo, izifo kunye nomzimba. Emva kokuba inkolelo ye-pulse ifumene imigaqo-siseko, iqulunqo layo elongezelelweyo, ngenxa yokungabikho kwesixhobo esiza kubhala amaza okutshiza, yahamba ngokukhawuleza. Kwaye kuphela ukuqaliswa kweziindlela zanamhlanje zokulungisa i-pulse, njenge: phlebeopiezography kunye ne-arterieopiezography, yandise kakhulu kwaye yandisa ulwazi lwethu ngombono we-pulse.

Uxinzelelo lwepulisi ngumlinganiselo phakathi kwe-diastolic kunye noxinzelelo lwe-systolic kwaye lilinganiselwa kwi-millimeters ye-mercury. Ngokuqhelekileyo uxinzelelo lwegazi (systolic / diastolic) lufikelela kwi-120/80 mm Hg. (Mm Hg).

Uxinzelelo oluphantsi lokupasa

Uxinzelelo lwe-pulsion lubonwa ngokungenangqondo xa ungaphantsi kwe-25% yexabiso le-systolic. Isizathu esona siqhelo soxinzelelo lwangaphantsi kwe-pulse ye-stroke ye-ventricle engasekhohlo, kunye naluphi na umonakalo ohambelana nokulahleka okukhulu kwegazi.

Ukuba uxinzelelo lwe-pulse luphantsi kakhulu (ukusuka kwi-25 mm okanye ngaphantsi), ngoko ke isizathu singase sibe yincinci yevolumu yokutshitshiswa kwentliziyo, njengentliziyo yokuhluleka. Ukongezelela, uxinzelelo oluphantsi lwe-pulse lungabangelwa yi-aortic stenosis ye-valve.

Izinga eliphezulu lokunyanzeliswa kwe-pulse ngexesha okanye emva kokuzivocavoca

Ngokuqhelekileyo, uxinzelelo lwe-pulse kubantu abadala abasempilweni ekuphumleni lu malunga ne-40 mm Hg. Eli nani liyakhula ngomsebenzi owenziwe ngokomzimba ngokunxulumene nokwanda kwevolumu yesifo senhliziyo. Uxinzelelo lwe-pulsion, njengomthetho, ubuyela kwisimo esiqhelekileyo ngaphakathi kwemizuzu eyi-10 kubantu abanempilo. Kwinkoliso yabantu, ngexesha lokunyanzelisa umzimba, ukunyanzeliswa kwe-systolic ngokunyuka kwanda, kwaye uxinzelelo lwe-diastolic luhlala lufana. Nangona ezinye iziyobisi zengcinezelo yempembelelo zinegalelo elincinci ngendlela yokunyuka kwengcinezelo ye-diastolic, i-ACE inhibitors iphumelele ukulwa nokunyanzeliswa kwe-pulse high. Kuyingozi kakhulu ukunyanzeliswa kwe-pulse, eyinceda ukukhawuleza ukuguga ngokwemvelo kwezitho zangaphakathi, ngakumbi intliziyo, iingqondo kunye neentso. Esi sibonakaliso ngokubambisana ne-bradycardia kunye nokungaqhelekanga, ukuphefumula ngokungavumelekanga kuthetha ngokunyuka kwengcinezelo yokunyanzelisa. Kule meko kuyimfuneko ukudibana nodokotela ngokungazelelwe.

Iimbangela eziphambili zengcinezelo ephezulu ye-pulse:

• Atherosclerosis;
• I-ftertula yaseArteriovenous;
• Ukungakwazi;
• Thyrotoxicosis;
• Fever;
• IAnemia;
• Ukukhulelwa;
• Ukukhathazeka;
• Ibhloko yeentliziyo;
• Endocarditis;
• Ukunyuswa kwengcinezelo.

Ukunyusa ukunyanzeliswa kwe-pulse yiyona nto impawu zesifo senhliziyo

Uphando olutshanje lubonisa ukuba ukunyuka kwezinga lentliziyo yinkcazo ebalulekileyo yengozi yesifo senhliziyo kunye nophuhliso lwe-fibrillation ye-atrial. Ukuba isigulane sibhekene nokunyanzeliswa kwe-pulse high, unyango lunokubandakanya imithi - ACE inhibitors (i-angiotensin-guqula i-enzyme inhibitors).

Ucwaningo olwenziwa ngo-2005 lubonise ukuba ukuthatha imitha emihlanu ye- folic acid imihla ngemihla e-3 kunokuncedisa ukunciphisa uxinzelelo lwe-pulse nge-4.7 millimeters ye-mercury. Kwaye izazinzulu zenza ukuba i-folic acid iyisisombululo esisebenzayo esandisa ukunyaniseka kwemibhobho, enceda ukunqanda uxinzelelo lwe-systolic.