ʻO ka hoʻomaʻamaʻa ʻana mai Antiquity, ʻo ka lawe ʻana i ka pulse he mea kānalua kekahi o nā hana kahiko o ka lāʻau lapaʻau. Aia ia i ka ʻike ʻana i ke kahe ʻana o ke koko e ka puʻuwai, ma ka palpating wale ʻana i kahi aʻa.

ʻO ka puʻupuʻu e pili ana i ke kahe o ke koko i ka wā e paʻi ai i ke aʻa. Hōʻike ka pulse i ke kuʻi o ka puʻuwai.

Lawe ʻia ka pulse e ka palpation ma ke kau ʻana i ka pulp o ka manamana lima o ka waena a me nā manamana lima ma ke ala arterial. ʻO ke kaomi māmā e hiki ai ke ʻike i kahi nalu pulsatile.

Hiki ke lawe ʻia ka pulse ma nā wahi like ʻole o ke kino i hele ʻia e ke aʻa.

• ʻO ka pulse radial ka mea i hoʻohana pinepineʻia, aia ma kaʻaoʻao o loko o ka lima;
• Aia ka pulina ulnar ma ka ʻaoʻao o loko o ka pulima, he haʻahaʻa iki ma mua o ka pulse radial;
• aia ka puʻupuʻu carotid ma ka ʻāʻī, ma kēlā ʻaoʻao kēia ʻaoʻao o ka trachea;
• aia ka puʻupuʻu femoral ma ka pā o ke kōkua;
• aia ka pulse pedal ma ka alo hope o ka wāwae ma ka laina me ka tibia;
• aia ka popliteal pulse i ka lua ma hope o ke kuli;
• Aia ka puʻupuʻu tibial hope ma loko o ka kuʻekuʻe wāwae, kokoke i ka malleolus.

Ke lawe mākou i ka pulse, loiloi mākou i nā ʻāpana like ʻole:

• ke alapine: helu ʻia ka helu o nā kuʻi ma luna o 15, 30 a i ʻole 60 kekona, ʻo ka hopena hope e hōʻike ʻia ma luna o 1 mau minuke e loaʻa ai ka puʻuwai;
• ka amplitude o ka pulse;
• kona mau.

Hiki i ke kauka ke hoʻohana i kahi stethoscope e lawe i ka pulse. Aia kekahi mau mea hana kūikawā no ka lawe ʻana i ka pulse, i kapa ʻia he oximeters.

ʻO ka lawe ʻana i ka pulse ʻo ia ke ala maʻalahi loa e loiloi i kou puʻuwai. No laila hiki iā mākou ke lawe iā ia i nā kūlana like ʻole:

• i ke kanaka me ka ʻehaʻeha;
• ma hope o ka ʻeha;
• pale i ka hahau ʻana ma ka ʻike ʻana i ka fibrillation atrial, ke kumu pilikia nui no ka hahau ʻana;
• e nānā i ke ola o ke kanaka,
• etc.

Hiki iā ʻoe ke lawe i ka pulse e ʻimi ai i kahi aʻa.

I ka poʻe mākua, ke kamaʻilio nei mākou no ka bradycardia no ke alapine o ka liʻiliʻi ma mua o 60 beats i kēlā me kēia minuke (BPM) a me ka tachycardia ke ʻoi aku ka waiwai ma mua o 100 BPM.