Kumvetsetsa Pulsus Paradoxus
Zamkati
- Kodi mphumu imayambitsa pulsus paradoxus?
- Ndi chiyani china chomwe chimayambitsa vuto la pulsus?
- Mkhalidwe wamtima:
- Kupweteka kwa pericarditis
- Zowonongeka
- Mavuto m'mapapo:
- Kukula kwa COPD
- Kukula kwakukulu kwam'mapapu
- Kulepheretsa kugona tulo
- Pectus excavatum
- Kutulutsa kwakukulu kwamphamvu
- Kodi pulsus paradoxus imayesedwa motani?
- Mfundo yofunika
Kodi pulsus paradoxus ndi chiyani?
Mukapuma mpweya, mutha kuchepa pang'ono, kwakanthawi kochepa kuthamanga kwa magazi komwe sikuzindikirika. Pulsus paradoxus, yomwe nthawi zina imatchedwa kuti paradoxic pulse, imatanthawuza kutsika kwa magazi kosachepera 10 mm Hg ndi mpweya uliwonse. Izi ndizokwanira zochepa kuti pakhale kusintha kwakanthawi mu mphamvu ya kugunda kwanu.
Zinthu zingapo zimatha kuyambitsa vuto la pulsus, makamaka zinthu zokhudzana ndi mtima kapena mapapo.
Kodi mphumu imayambitsa pulsus paradoxus?
Munthu akagwidwa ndi mphumu, mbali zina zamaulendo awo amayamba kulimba ndikutupa. Mapapu amayamba kuchulukana poyankha, zomwe zimapangitsa kupanikizika kwambiri pamitsempha yonyamula magazi opatsirana kuchokera pamtima kupita kumapapu.
Zotsatira zake, magazi amabwerera mu ventricle yoyenera, yomwe ndi gawo lakumunsi lamanja la mtima. Izi zimapangitsa kupsyinjika kowonjezera kuti kumange mbali yakumanja ya mtima, yomwe imakanikizira mbali yakumanzere ya mtima. Zonsezi zimapangitsa kuti pulsus paradoxus.
Komanso, mphumu kumawonjezera mavuto mapapo. Izi zimayika kupanikizika kowonjezera kumanzere kwamanzere, komwe kungayambitsenso vuto la pulsus.
Ndi chiyani china chomwe chimayambitsa vuto la pulsus?
Kuphatikiza pa matenda a mphumu, mitima ingapo ingayambitse vuto la pulsus. Hypovolemia itha kuyambitsanso vuto la pulsus panthawi yomwe imakhala yovuta kwambiri. Izi zimachitika ngati munthu alibe magazi okwanira mthupi lake, nthawi zambiri chifukwa chakuchepa kwa madzi m'thupi, opaleshoni, kapena kuvulala.
Izi ndi zomwe zimachitika pamtima ndi m'mapapo zomwe zingayambitse vuto la pulsus paradoxus:
Mkhalidwe wamtima:
Kupweteka kwa pericarditis
Constituive pericarditis imachitika pamene nembanemba yoyandikira pamtima, yotchedwa pericardium, iyamba kuundana. Zotsatira zake, pamene munthu apuma mpweya, mtima sungatsegule monga momwe umakhalira.
Zowonongeka
Matendawa, omwe amadziwikanso kuti mtima tamponade, amachititsa kuti munthu azipanganso madzi owonjezera mu pericardium. Zizindikiro zake zimaphatikizapo kuthamanga kwa magazi komanso mitsempha yayikulu, yooneka bwino ya khosi. Izi ndizadzidzidzi zachipatala zomwe zimafunikira chithandizo mwachangu.
Mavuto m'mapapo:
Kukula kwa COPD
Matenda osokoneza bongo (COPD) ndi omwe amawononga mapapu. Pamene china chake, monga kusuta ndudu, chimapangitsa kuti zizindikilo zake ziwonjezeke mwadzidzidzi, amatchedwa kukulitsa kwa COPD. Kukula kwa COPD kumakhala ndi zovuta zofanana ndi za mphumu.
Kukula kwakukulu kwam'mapapu
Embolism embolism ndi magazi m'mapapu anu. Izi ndizoopsa zomwe zingakhudze kupuma kwa wina.
Kulepheretsa kugona tulo
Kugonana kumapangitsa anthu ena kusiya nthawi ndi nthawi kugona. Kulepheretsa kugona tulo kumakhudza kutsekeka kwa mayendedwe am'mpweya chifukwa cha kutakasuka kwam'mero.
Pectus excavatum
Pectus excavatum ndi liwu lachilatini lotanthauza "chifuwa chopindika." Matendawa amachititsa kuti chifuwa cha munthu chilowerere mkati, zomwe zingapangitse kupanikizika kwa mapapo ndi mtima.
Kutulutsa kwakukulu kwamphamvu
Ndi zachilendo kukhala ndi madzi pang'ono m'matumbo ozungulira mapapu anu. Komabe, anthu omwe ali ndi kachilombo koyambitsa matendawa amakhala ndi madzi ambiri, omwe amachititsa kuti kupuma kukhale kovuta.
Kodi pulsus paradoxus imayesedwa motani?
Pali njira zingapo zoyezera pulsus paradoxus, ndipo zina mwazo ndizowopsa kuposa zina.
Njira yosavuta yofufuzira imaphatikizapo kugwiritsa ntchito kabuku ka magazi kandalama kuti mumvetsere pakamvekedwe kofunikira pamamvekedwe amtima pomwe khafu ikuphulika. Kumbukirani kuti izi sizigwira ntchito ndi khola lokhazikika lamagazi.
Njira inanso ndikulowetsa catheter mumtsempha, nthawi zambiri mtsempha wozungulira m'manja kapena mtsempha wachikazi muboola. Ikamangiriridwa ku makina otchedwa transducer, catheter imatha kuyeza kuthamanga kwa magazi kuti igundane. Izi zimalola dokotala wanu kuti awone ngati pali kusiyana kulikonse pakutsitsa kwanu magazi mukamapuma kapena kutuluka.
Mukakhala ndi vuto lalikulu la pulsus, dokotala wanu amatha kumva kusiyana kwa kuthamanga kwa magazi pakungomverera kutuluka mumitsempha yanu yazizindikiro, pansipa pamutu panu. Ngati akumva china chake chosazolowereka, atha kukupemphani kuti mupume pang'ono pang'ono, kuti muwone ngati kugunda kwamphamvu kukucheperako mukapuma mpweya.
Mfundo yofunika
Zinthu zambiri zimatha kuyambitsa vuto la pulsus paradoxus, lomwe limalowa mu kuthamanga kwa magazi mukamakoka mpweya. Ngakhale nthawi zambiri zimachitika chifukwa cha mtima kapena mapapo, monga mphumu, amathanso kukhala chifukwa chakuchepa kwamagazi.
Ngati dokotala akuwona zizindikiro za pulsus paradoxus, atha kuyesanso zina, monga echocardiogram, kuti awone zovuta zomwe zingayambitse.