Pulse - ka hoʻopili ʻana

ʻO ka puʻukū paʻa kahi puʻupuʻu ikaika i ʻike ʻia ma luna o kekahi o nā aʻa i loko o ke kino. ʻO ia ma muli o ka puʻuwai puʻuwai ikaika.

Hoʻopili ka pulse paʻa a me ka helu wikiwiki o ka naʻau i nā ʻano a i ʻole nā ​​hanana aʻe.

• Nā ritme naʻau kūpono ʻole a wikiwiki paha
• Anemia
• Hopohopo
• ʻO ka maʻi maʻi wā lōʻihi (mau)
• Fiva
• Hewa puʻuwai
• ʻO ka pilikia o ka puʻuwai puʻuwai i kapa ʻia he regurgitation aortic
• Hoʻoikaika kino
• ʻO ka nui o ka thyroid (hyperthyroidism)
• Hapai, ma muli o ka hoʻonui ʻia o ka wai a me ke koko i loko o ke kino

Kāhea i kāu mea mālama ola inā piʻi a piʻi ka ikaika a i ʻole ka helu o kāu pulse. He mea nui loa kēia ke:

• Loaʻa iā ʻoe nā ʻōuli ʻē aʻe me ka hoʻonui ʻana o ka lāʻau, e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, nāwaliwali, a me ka nalo o ka ʻike.
• ʻAʻole e hele ka loli i kāu pulse ke hoʻomaha ʻoe no kekahi mau minuke.
• Ua hōʻoia ʻia ʻoe me kahi pilikia puʻuwai.

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino me ka nānā ʻana i kāu mahana, ka lāʻau, ka nui o ka hanu ʻana, a me ke kahe o ke koko. E nānā pū ʻia kou puʻuwai a me kou holo ʻana.

E nīnau ana kāu mea hāʻawi i nā nīnau e like me:

• ʻO kēia anei ka manawa mua loa ʻoe e haha ​​aku ai i kahi puʻupuʻu paʻa?
• Ua hoʻomohala koke ʻia a lohi paha? Aia mau paha ia, a hele mai paha ia a hele paha?
• Hiki wale ia me nā ʻōuli ʻē aʻe, e like me palpitations? He aha nā hōʻailona ʻē aʻe āu?
• E ʻoi aku ka maikaʻi inā ʻoe e hoʻomaha?
• Hāpai ʻoe?
• Ua loaʻa ʻoe i ke kuni?
• Ua hopohopo nui paha ʻoe?
• Loaʻa iā ʻoe nā pilikia puʻuwai ʻē aʻe, e like me ka maʻi puʻuwai puʻuwai, ke koko kiʻekiʻe, a i ʻole kūleʻa puʻuwai kongestive?
• Loaʻa ʻole ʻoe i ka hakuʻala?

E hana ʻia paha nā hoʻokolohua diagnostic penei:

• Nā haʻawina koko (CBC a i ʻole helu i ke koko)
• Pākuʻi x-ray
• ECG (electrocardiogram)
• ʻEchocardiogram

Pākuʻi palena

• Lawe i kāu pulse carotid

ʻO Fang JC, O'Gara PT. ʻO ka mōʻaukala a me ka hoʻokolohua kino: kahi ʻano hōʻike hōʻike. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 10.

ʻO McGrath JL, Bachmann DJ. Ana ana i nā mea nui. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 1.

Mills NL, Japp AG, Robson J. ʻO ka ʻōnaehana cardiovascular. I: Innes JA, Dover AR, Fairhurst K, eds. ʻO kā Macleod's Clinical Examination. 14th ed. Piladelapia, PA: Elsevier; 2018: chap 4.