Pulse

ʻO ka pulse ka helu o nā puʻuwai puʻuwai i kēlā me kēia minuke.

Hiki ke ana ʻia ka pālū ma nā wahi e hele a kokoke ke aʻa i ka ʻili. Aia kēia mau wahi i nā:

• Hope o nā kuli
• ʻO Groin
• ʻĀʻī
• Luakini
• ʻO ka ʻaoʻao luna a i loko o ka wāwae
• Pālima

E ana i ka lāʻau ikiʻai i ka pulima, e kau i ka index a me ka manamana waena ma lalo o ka ʻaoʻao ʻaoʻao, ma lalo o ke kumu o ka manamana nui. Kaomi me nā manamana lima pālahalaha a hiki i kou wā e ʻike ai i ka pālū

No ke ana ʻana i ka lāʻau ikiʻai ma ka ʻāʻī, kau i ka index a me nā manamana waena i ka ʻaoʻao o ka ʻāpala a Adamama, ma kahi palupalu, puha. Kaomi mālie a hiki i kou wā e loaʻa ai ka pāpaʻa.

Nānā: Noho a moe i lalo ma mua o ka lawe ʻana i ka ʻāʻī o ka ʻāʻī. Hoʻomaopopo ka ʻāʻī o ka ʻāʻī i kekahi poʻe i ke kaomi. Hiki ke hopena i ka palaka a i ʻole ka hoʻolohi ʻana o ka puʻuwai. Eia kekahi, mai lawe i nā lāʻau i nā ʻaoʻao ʻelua o ka ʻāʻī i ka manawa like. ʻO ka hana pēlā hiki ke hoʻolohi i ke kahe o ke koko i ke poʻo a alakaʻi i ka maʻule.

Ke loaʻa ʻoe i ka pālū, e helu i nā kani no 1 mau minuke piha. A i ʻole, e helu i nā kaha no 30 kekona a hoʻonui i ka 2. E hāʻawi kēia i nā kaha i kēlā me kēia minuke.

No ka hoʻoholo ʻana i ka helu o ka naʻau hoʻomaha, pono ʻoe e hoʻomaha no 10 mau minuke. Lawe i ka puʻuwai puʻuwai hoʻoikaika kino ʻoiai ʻoe e hoʻoikaika.

Aia kahi kaomi iki mai nā manamana lima.

Hāʻawi ke ana ʻana i ka lāʻau i ka ʻike nui e pili ana i kou olakino. Hiki i nā loli ke hoʻololi i kāu puʻuwai maʻamau ke hōʻike i kahi pilikia olakino. Hōʻike ka wikiwiki lāʻau i kahi maʻi a i ʻole make wai. I nā hanana pōpilikia, hiki i ka pulse pulse ke kōkua i ka hoʻoholo inā e pīpī nei ka naʻau o ke kanaka.

Loaʻa nā hoʻohana ʻē aʻe i ke ana ʻana i ka lāʻau Pulse. I ka wā a ma hope koke paha o ka hoʻoikaika kino, hāʻawi ka helu pālau i ka ʻike e pili ana i kou pae olakino a olakino.

No ka hōʻemi puʻuwai puʻuwai:

• Nā keiki hānau 0 a 1 mahina: 70 a 190 mau pā i kēlā me kēia minuke
• Nā pēpē 1 a 11 mau mahina: 80 a 160 paika i kēlā me kēia minuke
• Nā keiki 1 a 2 mau makahiki: 80 a 130 mau pā i kēlā me kēia minuke
• Nā keiki 3 a 4 mau makahiki: 80 a 120 mau pā i kēlā me kēia minuke
• Nā keiki 5 a 6 mau makahiki: 75 a 115 mau paʻi i kēlā me kēia minuke
• Nā keiki 7 a 9 mau makahiki: 70 a 110 mau pā i kēlā me kēia minuke
• ʻO nā keiki he 10 mau makahiki a ʻoi aku, a me nā mākua (me nā poʻe ʻelemakule): 60 a 100 mau paʻi i kēlā me kēia minuke
• ʻO nā mea hoʻokūkū hoʻomaʻamaʻa maikaʻi: 40 a 60 mau paʻi i kēlā me kēia minuke

Hoʻomaha i nā helu naʻau e kiʻekiʻe mau (tachycardia) he pilikia paha. E kamaʻilio me kāu mea mālama ola e pili ana i kēia. E kūkākūkā pū me nā helu naʻau e hoʻomaha ana ma lalo o nā kumukūʻai maʻamau (bradycardia).

ʻO ka lāʻau i kūpaʻa loa (ka palena iki) a ʻoi aku ka hala o kekahi mau minuke e pono e nānā pū ʻia e kāu mea lawelawe. Hiki i kahi pulse kūleʻa ʻole ke kuhikuhi i kahi pilikia.

ʻO ka lāʻau i loaʻa i ka paʻakikī e loaʻa he mau blockages paha i ke aʻa. Kūleʻa kēia mau palaka i ka poʻe me ka maʻi diabetes a i ʻole ka paʻakikī ʻana o ke aʻa mai ke kolesterol kiʻekiʻe. E kauoha paha kāu mea hāʻawi i kahi hoʻokolohua i ʻike ʻia ma ke ʻano he noi Doppler e nānā i nā ālai.

Puʻuwai puʻuwai; Kuʻi ka puʻuwai

• Lawe i kāu pulse carotid
• Pulse uila
• Pulse pulima
• Pulse ʻāʻī
• Pehea e lawe ai i kou pulse pulse

Bernstein D. Mōʻaukala a me ka hoʻokolokolo kino. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 422.

ʻO Simel DL. Hele i ka mea maʻi: ka mōʻaukala a me ka hoʻokolokolo kino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 7.