Imilinganiselo yesiqhelo yentliziyo iyahluka ngokweminyaka
Abazali abaninzi bayazi ukuba i-pulse yabo okanye intliziyo yesantya kufuneka ibe malunga ne-60 ukuya kwi-100 ibhokhwe ngomzuzu. Usenokumangaliswa kukuba abantwana bakho baya kuba nezinga eliphezulu lokupasa. Ngokuxhomekeke kwiminyaka yabo, abantwana banokuba ne-pulse phakathi kwama-43 no-180 beats ngomzuzu. Iintsana zineempembelelo eziphezulu kwaye zinciphisa xa umntwana ekhula.
Ukwazi ukuba yintoni izinga eliqhelekileyo lokuphala kwephepha kunye nendlela yokujonga ukukhupha komntwana wakho kunokukunceda ukuphepha ukukhathazeka okungadingekile ngentlawulo yomntwana wakho.
Inokukunceda ukuba uqaphele ukuphazamiseka okukhawulezayo okanye okukhawulezayo xa umntwana wakho egula kwaye akuxelele ukuba ufuna unyango.
Indlela Yokuthatha Ingxaki Yomntwana Wakho
Intlawulo yakho yeentliziyo, ebizwa ngokuba yi-pulse yakho, yimizuzu yezihlandlo intliziyo yakho ibetha nganye ngomzuzu. Unokulinganisela ukuphala komntwana wakho ngokubeka umunwe kwisandla sakhe, ngaphakathi kwendlovu, ecaleni kwentamo, okanye phezulu kwenyawo. Ezi zindawo zimelela indawo zomzimba apho i-artery ikhona. Ngokomzekelo, umzobo we-carotid usemqaleni kwaye umzobo we-radial usekristini.
Uya kukwazi ukuba unesiphapho xa usuziva uguqulwa okanye ukubetha. Emva kokuba ufumene, bala inani leebhere ozivelayo kwisithuba se-60 sesibini. Ngaphandle koko, unako ukubala inani leentsimbi ozivelayo ngemizuzwana engama-30 uze ukwandise loo nombolo ngamabini. Sebenzisa iwashi ngesandla sesibini okanye isitophuwashi ukulandelela ixesha.
Uninzi lwamafowuni lunesitophuwashi esakhiwe kuso, esilungelekile.
Unako kwakhona ukufumana i-fowuni yakho ifana ne-pulse. Ngokuqhelekileyo, kufuna ukuba ubeke umunwe kwikhamera yekhamera, ngoko kungenokuba lukhethi oluhle kubantwana abancinci abangakwazi ukubamba.
Ukuphumla kwezinga lokuPhumela kunye neNqanaba leNtliziyo yeNtloko
Ngaphambi kokukhangela oko kuthathwa njengezinga eliqhelekileyo lokupasa, kubalulekile ukukhumbula engqondweni ukuba iingcali zithetha ngamanani athile ahlukeneyo.
Isilinganiso sokuphumla kwintliziyo yintliziyo yakho xa ungabonakali, njengokuba ubukela ibhayisikobho okanye ufunda incwadi. Yiloo nto ofuna ukuyilinganisela abantwana bakho.
Unokuva kwakhona ixesha elijoliswe kwiqondo lentliziyo , nangona oku kusetyenziswa ngokuqhelekileyo kwiintsholongwane kunye nabantu abadala. Le nqanaba elifanelekileyo inqanaba lakho lentliziyo kufuneka lifike ngexesha lokusebenzisa. Ku luncedo xa ufuna ukuqiniseka ukuba ufumana umsebenzi osebenzayo.
Iindleko zeNtliziyo eziqhelekileyo zabantwana
Umyinge wokuphumla komntwana wokulinganisa ubudala bakhe ulinganiswa xa ephumle kwaye engahlali, edlala, okanye edlala. Ngexesha lokulila okanye ukwenza umsebenzi, umyinge we-pulse rate ungakhuphukela kwimida ephezulu yento eqhelekileyo yeminyaka yakhe. Ngokufanayo, iyakwehla kwimida ephantsi xa elele.
Uluhlu luqhelekileyo kwiirhafu zeentliziyo zezingane ukusuka ekuzalweni ukuya kwiminyaka eyi-18 ubudala ngokususelwa kwisifundo esikhulu sokuhlaziya iLancet . Ezi milinganiselo zithathwa kubantwana ekuphumleni nasezinsaneni ezivukile kwaye ziphilile. Inombolo yomlambo ibhalwe njenge "intliziyo yokuphumla isantya" kwaye ibonisa izinga lentliziyo eliphakathi kwesampuli.
Oku kuthethwa, kukulungele ukuthetha nodokotela wakho wezilwanyana ukuba unenkxalabo malunga nokuphala komntwana wakho.
Kukho ukungahambelani phakathi kweendawo ezahlukeneyo zokubaluleka kwenani lentliziyo. Udokotela wakho wezingane unokukunika umlinganiselo ochanekileyo ngokuthe ngqo kumntwana wakho. Sebenzisa oku njengesikhokelo, kodwa kungekho umthetho okhuni kunye wokukhawuleza.
| Ubudala | Ukuphumula kwenhliziyo | Rural Range |
|---|---|---|
| 0 ukuya kweenyanga ezintathu | 143 ukubetha / umzuzu | I-107 ukuya kwe-181 ibetha / umzuzu |
| Iinyanga ezintathu ukuya kwezi-6 | 140 izibetho / umzuzu | 104 ukuya kwi-175 ibetha / ngomzuzu |
| 6 ukuya kweenyanga 9 | 134 ukubetha / umzuzu | 98 ukuya ku-168 ibetha / umzuzu |
| Iinyanga ezili-9 ukuya kwezi-12 | 128 ukubetha / umzuzu | I-93 ukuya kwi-161 ibetha / ngomzuzu |
| Iinyanga ezili-12 ukuya kwezi-18 | 116 ukubetha / umzuzu | I-88 ukuya kwi-156 ibetha / imzuzu |
| Kwiinyanga ezili-18 ukuya kwiinyanga ezingama-24 | 116 ukubetha / umzuzu | 82 ukuya ku-149 ukubetha / umzuzu |
| 2 ukuya kwi-3 iminyaka | Izibhozo eziyi-110 / umzuzu | 76 ukuya ku-142 ibetha / ngomzuzu |
| 3 ukuya ku-4 | 104 ukubetha / umzuzu | 70 ukuya ku-136 ukubetha / umzuzu |
| 4 ukuya ku-6 | 98 ukubetha / umzuzu | 65 ukuya ku-131 ukubetha / umzuzu |
| 6 ukuya ku-8 | 91 ukubetha / umzuzu | 59 ukuya ku-123 ibetha / umzuzu |
| 8 ukuya kwe-12 | 84 izibetho / umzuzu | 52 ukuya kwi-115 ukubetha / umzuzu |
| 12 ukuya ku-15 | 78 beats / umzuzu | 47 ukuya ku-108 ibetha / ngomzuzu |
| Iminyaka eyi-15 ukuya kwe-18 | 73 beats / umzuzu | 43 ukuya ku-104 ibetha / umzuzu |
Njengoko ubona, abantwana abancinci ngokuqhelekileyo banokukhawuleza ixabiso lentliziyo kunabantwana abaselula. Ngakolunye uhlangothi, abatsha abanomdla kakhulu abanokufumana ukuphumla kwamazinga okupasa njengamaqondo angaphantsi kwama-40 ukuya ku-50 ngeentsimbi ngomzuzu. Oku kungenxa yokuba bafanelekile kangangokuba iintliziyo zabo zinyanzelekile ukuba zisebenze okanye zipompoze kunzima ukufumana igazi emzimbeni.
Ixabiso elincinci kunye neNtliziyo elincinci
Isantya somngcipheko wengane sinokuqhelekileyo, ngokukhawuleza (oku kuthiwa yi- tachycardia ), okanye iphosakele (oku kuthiwa yi- bradycardia ). Kwezinye iintlobo ze-tachycardia, njenge-tachycardia yesibini (SVT), inqanaba lentliziyo lingafumana ngaphezu kwe-220 beats ngomzuzu. Umntwana one-Bradycardia unokuba nenani lentliziyo engaphantsi kwe-50 ibhokhwe ngomzuzu.
Gcina ukhumbule ukuba isantya sentliziyo esheshayo okanye esicothayo ingaba yingozi yonyango. Oku kuyinyani ukuba umntwana wakho unayo impawu ehambelana nayo, njengokuphazamiseka ( syncope ), utywala, okanye ukunyaniseka okukhulu.
Kufuneka ufune unyango ngokukhawuleza ukuba umntwana wakho unempawu ezixhatshazwe ngokukhawuleza okanye ngokukhawuleza kwentliziyo. Kwakhona kubalulekile ukuthetha nodokotela wakho wezilwanyana ukuba umntwana wakho uhlala ebonakala ekhona kwimida ephezulu okanye ephantsi yesiqhelo. Umzekelo, xela ugqirha wengane yakho ukuba:
- Uphakathi kwinqanaba eliqhelekileyo eliqhelekileyo kwinqanaba lakhe lokutshiza, nangona xa egijima kwaye edlala.
- Uhlala ephakamileyo kwinqanaba eliqhelekileyo lokulinganisa i-pulse rate, nangona xa elele.
Intlawulo yenhliziyo ngaphezu komda ophezulu weqhelekileyo unokuba ngumqondiso weemeko zentliziyo. Kungaba yinkcazelo yokuba ezinye iingxaki zenzeka emzimbeni njengentsholongwane okanye imeko yesimo.
I-pulse ingaba rhoqo okanye ingaba yinto engavumelekanga, leyo ingaba ngumqondiso weengxaki zentliziyo.
Ukuphononongwa kweNqanaba leNhliziyo engavumelekanga
Ukuba ugqirha wezilwanyana unomdla ngezinga lentliziyo yengane yakho, unokuyalela iimvavanyo ezithile ukuze abone ukuba kukho intliziyo engavamile. Ngokomzekelo, ngaphezu kwentsholongwane yomntwana wakho, ugqirha wakho unokujonga kwakhona uxinzelelo lwegazi kunye nokuyalela i-electrocardiogram (ECG, ebizwa ngokuba yi-EKG).
I-ECG ivumela ugqirha wakho ukuba angaqinisekisi kuphela intlawulo yenhliziyo yomntwanakho, kodwa kunye nesingqisho, okanye umsebenzi wombane, ngentliziyo. Ikwabonelela kwakhona iinkcukacha malunga nokuba intliziyo ikhulisiwe okanye isebenza kanzima. Kwamanye amaxesha, ugqirha wakho unokukuthumela kwi-cardiologist yezilwanyana, ingcali kwiimeko zentliziyo yabantwana.
Ukongeza kwiingxaki zentliziyo, ugqirha wakho unokujonga kwakhona iimvavanyo zegazi, ezifana nokubala okupheleleyo kwegazi okanye uvavanyo lwe-thyroid. Oku kungenxa yokuba izimo ezinjenge-anemia okanye hyperthyroidism zingabangela ukuba iqondo lentliziyo likhawuleze.
Ezinye izizathu zeNqanaba leNtliziyo ephakamileyo
Ngamanye amaxesha i-culprit emva kwentlawulo yomntwana ngokukhawuleza yinto elula ukuyilungisa . Umzekelo, enye into elawulwayo yi-caffeine. Umntwana unokuhlakulela isantya senhliziyo yokuphumla xa edla ikhofi, iziphuzo zamandla, okanye i-sodas eziliqela kulo lonke usuku.
Imiphumo emibi yamanye amayeza anokuchaphazela nokuphumla kwentliziyo yengane. Nangona unokulindela ukuba i-ADHD ingakhuthaza intliziyo yengane yakho, usenokumangaliswa ukuba ufunde ukuba umntu ongenamalungu angaphezu kwe-counter-decongestant angenza njalo.
Inqanaba lentliziyo yokuphumla ephezulu linxulumene nentlungu, ukuphelelwa umdaka, okanye umkhuhlane. Ukuba izinga lentliziyo ephezulu libhekiswe kule miba, ngoko ukuguqulwa kwabo kufuneka kuvelise izinga lentliziyo eliya kuluhlu oluqhelekileyo. Ngokomzekelo, ukuba umntwana uyagula ngengqondo ephezulu, unokuba nenani eliphezulu lentliziyo. Ukunyusa umkhuhlane ngeTylenol (acetaminophen) kunye nezikhuhlane kufuneka zivelise izinga lentliziyo eliqhelekileyo.
Igama elivela kwi-Verywell
Ukuphulaphula intliziyo yengane yakho ukubetha umzuzu omhle ngokwenene. Inyaniso yokuba intliziyo yengane isoloko imbetha ngokukhawuleza kunokuba abazali bayo bafanekisela ukunyamekela kwabo kunye nokuthanda ubomi. Oko kuthethwa, ngoxa ufumana ulwazi ngomlinganiselo wentliziyo yengane yakho kuqikelele, qiniseka ukuba ufikelele kwinqanaba lakho lezingane ukuba unemibuzo okanye ixhala.
> Imithombo:
> American Heart Association. Yonke Intlawulo Yentliziyo (Pulse). 2018. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure /GettheFactsAboutHighBloodPressure /All-About-Heart-Rate-Pulse_UCM_438850_Article.jsp.
> Fleming S, et al. Iimirhumo eziqhelekileyo zeNqanaba leNtliziyo kunye neNtsholongwane yokuPhepha kwi-Children ukusuka ekuzalweni ukuya kwiminyaka eyi-18 yobudala: Uhlolo lokuHlola lweeNkcazo zokuHlola. Lancet . 2011; 377 (9770): 1011-8. i-doi: http://dx.doi.org/10.1016/S0140-6736(10)62226-X.
> Kliegman R, uStanton B, W. SGJ, uSchor NF, Behrman RE. Ncwadana yeeNzululwazi. Philadelphia, PA: Elsevier; 2016.