Umsebenzi wentliziyo yenye yeyona ndlela ibaluleke kakhulu kwimpilo yomzimba kunanoma yiphi ubudala. Izalathisi eziphambili zentliziyo ye-muscle - ubukhulu kunye namandla e-pulse, uxinzelelo lwegazi-zineemimiselo zazo kwixesha elide. Kule nqaku, siza kuthetha ngentlawulo yenhliziyo kubantwana, qwalasela imigaqo ka-HR kwabantwana abangaphantsi komnyaka omnye, ngexesha lokulala, ngexesha lezemidlalo, njl. Kwaye uthetha ngokuthetha oko kuthetha ukukhawuleza okanye ukuthoba kwentliziyo emntwaneni.
Intlawulo yenhliziyo kubantwana
Njengoko uyazi, umlinganiselo we-pulse awuhlali. Kuxhomekeka kwizinto ezininzi: umgangatho womsebenzi womzimba, impilo, ukushisa kwendalo kunye nemeko yomntu. Ngokutshintsha intlawulo yenhliziyo, intliziyo ilawula kwaye iphuculise ukulungiswa komntu kwiinguqu zangaphandle kunye nomzimba womzimba.
Utshintsho kwinqanaba lokutsalwa kweentshukumo ngobudala lubonakala ngokucacileyo kubantwana. Ngoko, umzekelo, intliziyo yesana esanda kuzalwa ishaya phantse kabini ngokukhawuleza njengomntu omdala. Ngethuba lexesha, izinga lentliziyo liye linciphisa, kwaye sele sele selusakhula (ngo-12-16 iminyaka) liya kwinqanaba le-"abadala". Abantu asebekhulile emva kweminyaka engama-50 ukuya ku-5 (ingakumbi abo baholelekileyo, bengazibandakanyi kwimidlalo), i-heart muscle iyancipha, kwaye i-pulse iya kuba yintsholongwane.
Ukongeza kwinqanaba lokutsalwa kwezilwanyana kwiintsana kunye nabantwana, oogqirha babantwana bamele bajonge ukuhamba kweentshukumo zokuphefumula (i-BHD okanye i-BH). Intlawulo yenhliziyo nentlawulo yenhliziyo kubantwana ziphakathi kwezona zibonakaliso ezibalulekileyo zempilo (okanye izifo) kunye nophuhliso olufanelekileyo lomzimba. Iintsana ziphefumula ngokuphindaphindiweyo (amaxesha angama-40-60 ngomzuzu), kunye nobudala, ubuninzi beentshukumo zokuphefumula ziyancipha (umzekelo, kwiminyaka emi-5 ukuya kweyesi-6 kuya kusetyenziswa ngamaxesha angama-25 ngomzuzu).
Iimpawu zentsingiselo yentlawulo yenhliziyo kwiminyaka eyahlukeneyo zilandelayo:
- Iinyanga ezili-0-1 ukuya kwe-140 ngomzuzu;
- Iinyanga ezi-1-12 - 132 zibetha ngomzuzu;
- 12-24 iinyanga. - 124 ukubetha ngomzuzu;
- Iminyaka emi-2 ukuya kwimizuzu engama-2 ukuya kwe-115.
- Iminyaka engama-4-6 - i-106 beats ngomzuzu;
- 6-8 iminyaka-98 bpm;
- Iminyaka eyi-8-10 - 88 ishaya ngomzuzu;
- Iminyaka eyi-10-12 - i-80 beats ngomzuzu;
- 12-15 iminyaka - 75 bpm;
- Iminyaka eyi-15 ukuya kwe-50 ukuya kwi-70 ngomzuzu ngomzuzu;
- 50-60 iminyaka - 74 bpm;
- 60-80 iminyaka - 79 bpm.
Ukuthelekisa intlawulo yenhliziyo yengane yakho kunye nalezi zikhombisi, qaphela ukuba umda oqhelekileyo ukhulu kakhulu kunomlinganiselo obonisiwe. Kwaye kunjalo, ukuba uqaphela ukuba umpompo wengane yakho ihluke kakhulu kwiminyaka yobudala, qhagamshelana nodokotela wezilwanyana kunye ne-cardiologist. Mhlawumbi ukutshintsha intlawulo yenhliziyo kubonisa ukuphuhliswa kwesifo.
Kuthetha ukuthini i-pulse esheshayo?
Ukukhawuleza kwentliziyo kuyabonwa ngexesha lokuzikhandla ngokomzimba, xa kushushu okanye ngexesha lokuvutha kwemizwa. Ngelo xesha, inqanaba lentliziyo linokunyuka ukuya kumaxesha angama-3-3.5 kwaye oku akusiyo i-pathology. Ukuba i-pulse yomntwana ikhawulezileyo nakwiindawo zokuphumla (oku kuthiwa yi-tachycardia), inokuba ngumqondiso wokukhathala, ukulahleka kwamandla okanye iinkqubo zentsholongwane yenhliziyo.
Iyintoni intsingiselo yentliziyo ekhawulezayo?
I-Bradycardia (ukunciphisa izinga lentliziyo ngokuphumla) kunye nempilo enhle yikhombisi yesimo senhliziyo yesisu kunye nokuqina komzimba. Abadlali abadlala kwizemidlalo ezifuna ukunyamezela okukhulu (umz. Ukukhwela okanye ukubhukuda), isantya senhliziyo evamile sisezingeni lama-35-40 beats ngomzuzu. Ukuba umntu one-bradycardia akayikho indlela yokuphila esebenzayo, akusiyo umgijimi, kwaye ngexesha lokunciphisa intliziyo yesimo esibi, ukhononda ngokuxakeka, ukhawuleza ukhathele okanye utshintsho lwengcinezelo lwegazi-kufuneka ufune ugqirha ngokukhawuleza.
Indlela yokulinganisa ipulse?
Ukuqaphela izinga lentliziyo lulula kakhulu. Ukwenza oku, kufuneka uguqulwe entanyeni, ethempelini, emva kweenyawo okanye isicingci esikhulu somthi kwaye ucinezele ngokukhawuleza nge-index yakho kunye nesithupha. Uza kuziva u-pulsation wesiqhelo. Bala inani leentshitshi ngemizuzwana eyi-15 kwaye wandisa le nombolo ngezine. Oku kuya kuba ngumqondiso wezinga lentliziyo ngomzuzu. I-pulse eqhelekileyo icacile, isigqi, ihambelana nemigangatho yobudala.
Cinga ukuba i-pulse kufuneka ilinganiswe ngexesha lokuphumla, ngexesha ngalinye kwi-pose efanayo (ngenxa yezinga lokumisa ukuma endaweni yokuhlala, ukuhlala kunye nokulala ngokwahlukileyo). Kule ndlela kuphela unokulawula ukutshintsha kwezinto kwaye uqaphele ngokukhawuleza i-tachycardia okanye i-bradycardia.