ʻAʻole paha ʻoe i lohe i kēia huaʻōlelo ma mua. Akā, he mea ia a kākou a pau e lohe ai i kekahi manawa, ʻoiai ke kokoke mai nei kahi mea aloha i ka hopena o ko lākou ola. He ʻano koʻikoʻi a koʻikoʻi hoʻi ka Agonal Rhythm. He mea maʻamau ka makaʻu a me ka haʻalulu ke lohe ʻoe i kēia huaʻōlelo. No laila he mea nui loa ka ʻike piha ʻana iā ia. E kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano kūpono, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha pili.
He aha ka Agonal Rhythm maʻalahi?
I ka ʻōlelo maʻalahi, ʻo ka ʻano agonal ka puʻuwai hope loa a kūpono ʻole e kū nei i loko o ka puʻuwai o ke kanaka ma mua pono o ka make ʻana. He puʻuwai lohi loa a kūpono ʻole ia.
E noʻonoʻo i ko kākou puʻuwai e like me kahi hale liʻiliʻi me nā keʻena ʻehā. Aia ʻelua keʻena ma luna (atria) a ʻelua keʻena ma lalo (ventricles). ʻO ka maʻamau, ʻoi aku ka ʻūlū o nā keʻena haʻahaʻa ma muli o kahi hōʻailona uila mai nā keʻena o luna a hoʻopuka i ke koko ma ke kino holoʻokoʻa. ʻO kēia ko kākou puʻuwai maʻamau.
Akā i ke ʻano o ka Agonal Rhythm, ʻo nā keʻena o luna o ka puʻuwai, ʻo ka atria, e pau loa ka hana. ʻAʻole lākou e hoʻouna i nā hōʻailona uila. A laila hoʻomaka nā keʻena o lalo o ka puʻuwai, ʻo nā ventricles, e kuʻi e like me ka hiki iā lākou, me ka ʻole o ka pilina, me ka lohi loa, ma ke ʻano he hoʻoikaika hope loa. Ua like kēia me ke kukui e pio koke me kahi pila i hoʻopiha iki ʻia, me ka ʻole o ka mana mains. Manaʻo mākou he maʻi koʻikoʻi kēia o ka puʻuwai (arrhythmia).
ʻO ka mea nui loa, i ka wā e paʻi ai ka puʻuwai penei, ʻaʻole hiki iā ia ke pamu i ke koko me ka oxygen e pono ai i nā ʻāpana ʻē aʻe o ke kino.
Hiki i kekahi ke ola ma kēia kūlana?
He nīnau paʻakikī kēia e nīnau aku, akā he mea nui e ʻike i ka ʻoiaʻiʻo. ʻAʻole hiki i kekahi kanaka me kahi mele agonal ke ola.
ʻO ke kumu o kēia, e like me kaʻu i ʻōlelo ai ma mua, ʻaʻole lawa ke koko o kēia pulse palupalu a ʻano ʻē i ke kino. ʻAʻohe wahi e loaʻa ai ka oxygen i ka lolo, nā puʻupaʻa, nā māmā. ʻO kēia ke ʻano hope loa o ka puʻuwai e kū mai ana ma mua o ke kūlana i kapa ʻia ʻo 'asystole' (ma kā mākou ʻōlelo maʻamau, 'laina pālahalaha'), i ka wā e pau ai nā hana uila a pau i loko o ka puʻuwai. He hihia make i hōʻoia ʻia e ke kauka ʻo 'Asystole'.
He aha ke ʻano o ka huaʻōlelo 'agonal'? Ua like maoli anei ia me ka ʻeha?
ʻO ka huaʻōlelo "agonal" mai kahi aʻa e pili ana i ka huaʻōlelo "agony." ʻO ia hoʻi "ʻeha o ka make" a i ʻole "pili i ke kaʻina hana o ka make." No laila, ke lohe mākou i kēia inoa, manaʻo paha mākou he ʻano kēia e hoʻoulu ai i ka ʻeha hiki ʻole ke hoʻomanawanui.
Akā, aia kekahi mea nui loa e pono ai kākou a pau e hoʻomaopopo ma ʻaneʻi.
No kekahi me kahi mele agonalʻAʻohe ʻeha a ʻoluʻolu ʻole paha. I kēlā manawa, hiki i ke kanaka ke hana i kekahi mau neʻe ʻana a hana i nā leo e like me nā ʻū ʻana. I ka mea nānā mai waho, me he mea lā e ʻeha ana ke kanaka. Akā, ʻaʻole ia ke kūlana maoli.
ʻO ke kumu o kēia, ʻo ia ka wā e pau ai ka lako o ka oxygen i ka lolo, e pau ka hana a ka lolo. No laila , lilo ke kanaka i mea ʻike ʻole. ʻAʻole hiki i ke kanaka ʻike ʻole ke ʻike i ka ʻeha. ʻO nā mea a mākou e ʻike ai, e like me ke kani ʻana a me ka ʻū ʻana, he mau reflexes wale nō ia e hana koke ʻia ma ke kumu lolo. Ua like ia me ka wāwae o ke kanaka ʻike ʻole e ʻū ana i ka wā e pā ai ʻoe iā ia ma ka wāwae.
| Pehea kona ʻano ma waho | He aha ka mea e hana nei? |
|---|---|
| Ke hana nei i nā leo ʻūʻū, me ka ʻūmiʻi. | Ua ʻike ʻole ke kanaka. He mau reflexes wale nō kēia mai ke kumu o ka lolo. ʻAʻohe ʻeha. |
| Ka lulu ʻana a i ʻole ka lulu lima ʻana. | Hana ʻakomi o nā ʻiʻo e hana ʻia ma muli o ka nele o ka oxygen i ke kino. ʻAʻole ia he mea i hana ʻia me ka ʻike. |
He aha nā ʻano o ka mele agonal?
Ua ʻike ʻia kēia maʻi e nā kauka. Manaʻo pinepine ʻia ke hāʻule ka helu o ka puʻuwai ma lalo o 20 mau kuʻi i kēlā me kēia minuke. Hiki ke hōʻoia ʻia kēia me kahi hoʻāʻo 'electrocardiogram', a i ʻole 'EKG'.
| Hōʻailona/hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka nalowale o ka ʻike a i ʻole ka nalowale ʻana o ka ʻike | ʻO kēia ka hōʻailona nui e kū mai ana ke nele ka lolo i ke koko a me ka oxygen. |
| ʻAʻohe a nāwaliwali loa paha ka pulse | Ma muli o ka ʻole o ka puʻuwai e pamu ana i ke koko, hiki ʻole ke manaʻo i ka pulse. |
| ʻAʻohe o nā `nalu P` ma ka EKG | Hōʻike nā ʻale P i ka hana o nā keʻena o luna o ka puʻuwai. ʻO ko lākou nele ʻana, ʻo ia hoʻi, ʻaʻole e hana ana nā keʻena o luna. |
| Ka hoʻonui ʻia ʻana o nā complexes QRS ma ka EKG | Hōʻike nā paʻakikī QRS i ke ʻano o ka paʻi ʻana o nā ventricles. Inā he ākea lākou, ʻo ia hoʻi he ʻano ʻē loa ka paʻi ʻana a ua lohi. |
He aha ke kumu o kēia kūlana?
ʻAʻole ʻo Agonal Rhythm kahi maʻi e kū hoʻokahi. Hoʻokumu ʻia ia e ka hōʻeha koʻikoʻi loa i ka puʻuwai a i ʻole kekahi pilikia olakino ʻē aʻe e alakaʻi ai i ka hopu ʻana o ka puʻuwai.
ʻO nā kumu nui e hiki ai:
- Ka pōʻino nui i ka puʻuwai ponoʻī:
- ʻO ka tamponade cardiac: ʻO ka membrane lahilahi e hoʻopuni ana i ka puʻuwai e hoʻopiha i ke koko a i ʻole ka wai, e kaomi ana ma ka puʻuwai.
- ʻEha puʻuwai: He ʻeha nui i ka umauma, e like me kahi ʻeha hou, kahi ʻeha pū, a i ʻole ka hāʻule ʻana mai kahi kiʻekiʻe loa.
- ʻO ka fibrillation ventricular: ʻO kēia ka manawa e hoʻomaka ai nā keʻena haʻahaʻa (nā cell) o ka puʻuwai e kuʻi me ka hiki ʻole ke kāohi. He kumu koke nō hoʻi kēia o ka hōʻeha puʻuwai.
- ʻO nā pilikia ʻē aʻe e hiki ai ke alakaʻi i ka hōʻeha puʻuwai:
- Ka lāʻau make kalapona monoxide: ʻO ka hanu ʻana i ka uahi e pale aku i ka hiki ʻana o ka oxygen i ke koko.
- Ke piholo nei i loko o ka wai.
- Ka nui o ka lāʻau lapaʻau.
- Uila haʻalulu.
- Ka hopu ʻana i ka ʻiʻo nui (`Seizure`).
- Ke kahe nui ʻana o ke koko (`Hemorrhage`).
- Ka ʻū ʻana a i ʻole ke kāohi ʻia ʻana.
- Hahau.
- Nā ʻeha poʻo koʻikoʻi (ʻeha lolo traumatic - TBI).
He like anei ka Agonal Rhythm a me ka Agonal Breathing?
He nui ka poʻe e huikau i kēia mau mea ʻelua. Akā, he ʻelua mea ʻokoʻa kēia.
- ʻAno Leo Agonal: Pili kēia i ka hana uila o ka puʻuwai . ʻO ia hoʻi, ke ʻano o ka puʻuwai e kuʻi ana.
- Ka Hanu ʻana Agonal: ʻO kēia ke kaʻina hana o ka hanu ʻana.He mea pili. ʻO ka mea e hana ʻia ma kēia, ʻo ia ke ʻano o ke kanaka e hanu ana, e hanu ana. He hana reflex nō hoʻi kēia mai ke kumu o ka lolo kokoke i ka make, ʻaʻole he hoʻāʻo maoli e hanu.
Akā hiki i kēia mau kūlana ʻelua ke hana i ka manawa like i loko o ke kanaka. ʻO ka mea nui, i loko o ka Agonal Breathing a me Agonal Rhythm, ʻaʻole ʻike ke kanaka a no laila ʻaʻole ia e ʻeha a kaumaha paha.
Pehea lā e hiki ai iā kākou ke hōʻoluʻolu aku i kā kākou mea aloha i ka manawa e like me kēia?
ʻO kēia ka ʻāpana koʻikoʻi a koʻikoʻi loa o kēia kumuhana. He mea paʻakikī loa ke hoʻomanawanui i ka ʻike ʻana i kahi mea āu e aloha ai i loko o kēia kūlana. Akā naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻoluʻolu i kēlā kanaka.
Wahi a nā kauka, ke pani ʻia nā manaʻo ʻē aʻe a pau o ke kino o ke kanaka, ʻo ka lohe a me ka hoʻopā nā manaʻo hope loa ʻelua e nalowale. ʻO ke ʻano kēia, ʻoiai inā ʻaʻole lākou i ʻike, hiki nō i ke kanaka ke ʻike i kāu mea e ʻōlelo ai a me kāu hoʻopā ʻana i kekahi ʻano.
No laila, ʻo ka mea waiwai nui loa hiki iā ʻoe ke hana i kēlā manawa hope loa, ʻo ia ke kokoke aku i kēlā kanaka.
- E paʻa i ka lima o kēlā kanaka. Hiki i kou pā ʻana ke lilo i mea hōʻoluʻolu nui i kēlā kanaka.
- E ʻōlelo mālie a me ke aloha. E ʻōlelo i kou manaʻo. E ʻōlelo i nā mea e like me, "Aloha au iā ʻoe," "ʻAʻole ʻoe hoʻokahi, eia wau ma ʻaneʻi."
- E ʻōlelo aku i kahi mea ʻoluʻolu i ke kanaka. E oli i kekahi mau oli Pirith, e haʻi i kahi paukū hoʻomana, a e hū paha i kahi mele a ke kanaka e makemake ai e lohe.
ʻO ka Agonal Rhythm kahi hōʻailona e kokoke loa ana ka make. He kūlana ia e hiki ʻole ke hoʻohuli ʻia. Akā i ka wā e hele ai kāu mea aloha i kēlā huakaʻi hope loa, e hōʻoluʻolu kāu mau ʻōlelo aloha a me ka pā ʻana i kēlā kanaka. A, e waiho ʻia ʻoe me ka ʻoluʻolu o ka ʻike ʻana, "ʻAʻole au i waiho wale iā ia, aia wau ma laila a hiki i ka manawa hope loa."
Leka Lawe-Home
- ʻAʻole ka maʻi hoʻokahi ka Agonal Rhythm, akā, he ʻano puʻuwai kokoke i ka make e kū mai ana ma ke ʻano he hopena hope loa o kekahi maʻi koʻikoʻi ʻē aʻe (e laʻa, kahi ulia nui, ka hāʻule puʻuwai).
- I kēia kūlana, ʻaʻole e pamu pono ka puʻuwai i ke koko i ke kino, a he hōʻailona ia e kokoke mai ana ka make.
- ʻO ka mea nui loa: Ua ʻike ʻole ke kanaka ma kēia kūlana a no laila ʻaʻole ia e ʻeha a ʻoluʻolu ʻole paha. ʻO nā ʻūhū a me nā hanu ʻana i waho he mau reflexes aunoa wale nō ia.
- ʻOiai inā ua nalowale ke kanaka i ka ʻike, hiki i ka lohe a me ka hoʻopā ke hoʻomau a hiki i ka manawa hope loa. No laila, he mea nui loa ka noho kokoke ʻana, ka paʻa lima ʻana, a me ke kamaʻilio aloha ʻana.
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