Basa remwoyo ndeimwe yezvinonyanya kukosha zvehutano hwemuviri pane imwe nguva. Zviratidzo zvikuru zvemuviri wemutsipa - kutengesa uye simba remhepo, kurwirwa kweropa - vane maitiro avo pachavo mumakore ose. Muchikamu chino, tichataura nezvekuyera kwevana muvana, funga maitiro eHR muvana pasi pegore rimwe, panguva yehope, munguva yemitambo, nezvimwewo. Uyewo taura pamusoro pezvinorehwa nekukurumidza kana kuti kunonoka kwemwoyo mumwana.
Nhamba ye moyo muvana
Sezvaunoziva, kupisa kwacho hakusi kugara. Izvo zvinoenderana nezvimwe zvinhu: hutano hwekuita muviri, hutano, kutonhora kwezvakatipoteredza uye kunyange mafungiro emunhu. Nokushandura kutengesa kwomwoyo, mwoyo unodzora uye unovandudza hupenyu hwomunhu kuchinjwa mumamiriro ekunze uye nhengo yemuviri.
Kuchinja kwekutengesa kwezera nekukwegura kunonyatsooneka muvana. Saka, somuenzaniso, mwoyo wemwana achangoberekwa unorova kaviri kaviri nokukurumidza semunhu mukuru. Nokufamba kwenguva, kutora mwoyo kunononoka zvishoma nezvishoma, uye ikozvino mukuyaruka (nemakore 12-16) kunoenda kumwero we "vakuru" purogiramu. Muvanhu vakwegura mushure memakore makumi mashanu nemakumi mashanu nemashanu (kunyanya avo vanotungamirira musingaiti, mararamiro ehupenyu uye vasingabatanidzi mumitambo), musikana wemwoyo unowedzera simba, uye kupisa kunowedzera.
Kuwedzera kune kutengesa kwevana vaduku nevana, vanachiremba vanongotarisa kuwanda kwekufema kunofamba (BHD kana BH). Kuyera kwemwoyo uye kushaya mwoyo mukati mevana ndezvimwe zvezvinonyanya kukosha zvehutano (kana zvirwere) uye kukura kwakanaka kwomuviri. Vacheche vanofema kakawanda (40-60 kanomwe paminiti), nezera, nguva yakawanda yekufema kunopera (somuenzaniso, pazera remakore mashanu kusvika kumashanu kusvika 6 kusvika kutanhatu).
Izvo zvinoreva hutano hwemwoyo yemakore akasiyana siyana ndeaya:
- 0-1 mwedzi - 140 kurohwa paminiti;
- Mwedzi 1-12 - 132 kurohwa paminiti;
- 12-24 mwedzi. - 124 kurohwa paminiti;
- Makore maviri nemakumi maviri nemashanu - 115 kurohwa paminiti;
- 4-6 makore - 106 kurohwa paminiti;
- 6-8 makore - 98 bpm;
- Makore 8-10 - 88 kurova paminiti;
- Makore 10-12 - 80 kurohwa paminiti;
- 12-15 makore - 75 bpm;
- 15-50 makore - 70 kurohwa paminiti;
- 50-60 makore - 74 bpm;
- 60-80 makore - 79 bpm.
Kuenzanisa kutengesa kwomwoyo kwomwana wako nezvikwangwani izvi, ona kuti zviyero zvinowanikwa zvinowanikwa zvakakura kudarika chiyero chinoratidzwa. Uyezve, kana iwe ukacherechedza kuti kutora kwomwana wako kwakasiyana zvakanyanya kubva pamakore akaenzana, bvunza chiremba wevana uye chiremba chechirwere. Zvichida kushandura tsananguro yemwoyo kunoratidza kukura kwechirwere.
Chii chinonzi kupera kunowedzera?
Kukurumidza kwepfungwa kunowanikwa panguva yekushanda kwepanyama, kana kupisa kana panguva yekudengenyeka kwemanzwiro. Panguva imwecheteyo, mutambo wemwoyo unogona kuwedzera kusvika ma3-3.5 uye izvi hazvirevi kurwara. Kana mukomana wacho akafambisa kunyange pakuzorora (izvi zvinonzi tachycardia), zvinogona kuva chiratidzo chekuneta, kurasikirwa kwesimba kana maitiro epamusoro emutsipa wemwoyo.
Chii chinononoka moyo yevheiri?
Bradycardia (kunonoka kwepfungwa yemwoyo pazororo) nehutano hwakanaka chiratidzo chesimba yemutsipa wemumuviri uye muviri muviri. Vatambi vanobatana mumitambo inoda kutsungirira kwakanyanya (sekutamba kana kushambira), iyo inowanzoita mwoyo yepamusoro yepamusoro yezvikwata zve 35-40 kurova paminiti. Kana munhu ane bradycardia asingatungamiri mararamiro anoshingaira, haasi mutambi, uye munguva dzekuderedza mwoyo yekutaridzika inonzwa zvakaipa, kunonyunyutika kwechezzinesi, nokukurumidza kuneta kana ropa rake rinoshanduka-unoda kuona chiremba pakarepo.
Nzira yekuyera sei kupisa?
Kusarudza kutsva kwomwoyo kwakajeka. Kuti uite izvi, iwe unofanirwa kutsvaga pamutsipa, tembere, shure kwetsoka kana tambo huru yeriti uye zvinyoronyedze nehurukuro yako uye chigunwe. Iwe uchanzwa rhythmic pulsation. Verenga nhamba yekushungurudzwa mumasekondi gumi nemashanu uye wedzera nhamba iyi nevana. Ichi chichava chiratidzo chekurara kwomwoyo paminiti. Kazhinji kupisa kwakajeka, rhythmic, inofananidzwa nezera rekugara.
Chimbofunga kuti kupisa kunofanira kuyerwa pakuzorora, nguva imwe neimwe muine pose (nokuti kuwedzera kwemauto mumamiriro ezvinhu, kugara uye kureva nhema zvakasiyana). Munzira iyi chete iwe unogona kudzora masimba echinhu ichi uye pakarepo ona tachycardia kana bradycardia.