Ua ʻike anei ʻoe i ke ʻano kuʻuna ʻole o ka puʻuwai (agonal rhythm) e kū nei i ka manawa o ka make?

E noʻonoʻo i kahi mea pili loa iā ʻoe, he ʻohana paha a he hoaaloha maikaʻi loa paha, aia i loko o kahi kūlana koʻikoʻi loa. Me he mea lā he ʻano ʻē kona hanu ʻana, malia paha e haʻalulu ana kona mau lālā, a ke kani nei ʻo ia me ka wheezing. I ka manawa e like me kēia, makaʻu nui mākou a hopohopo hoʻi no ka hana ʻana o ka puʻuwai o kēlā kanaka, ʻeā? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano puʻuwai maʻamau ʻole a hiki ke make i hiki ke hana ʻia i loko o ia kūlana koʻikoʻi. Kāhea nā kauka i kēia ʻo 'agonal rhythm' .

He aha maoli kēia 'agonal rhythm'?

I ka ʻōlelo maʻalahi, ʻo kēia (Agonal Rhythm) he ʻano puʻuwai lohi loa a ʻano ʻē . Loaʻa ia ma nā keʻena haʻahaʻa o ka puʻuwai, i kapa ʻia ʻo ventricles. ʻO ka mea nui loa, loaʻa kēia kūlana ma hope o ka pau ʻana o ka hana ʻana o nā keʻena o luna o ka puʻuwai, i kapa ʻia ʻo atria. E noʻonoʻo ua like ka puʻuwai me kahi hale ʻehā lumi, a i ka wā e pau ai ka hana ʻana o nā keʻena ʻelua o luna, ʻo nā keʻena ʻelua o lalo wale nō e hoʻāʻo nei e hoʻokuke.

Ke hana ʻia kēia ʻano arrhythmia (puʻuwai kūpono ʻole), ʻaʻole hiki i ka puʻuwai ke pamu pono i ke koko. ʻO ia hoʻi, ʻaʻole i loaʻa i ke koena o ke kino ka oxygen e pono ai.

ʻO kēia ka puʻuwai hope loa e hiki ai i ka puʻuwai ke ʻike ma mua o kona pau ʻana o ka hana, ʻo ia hoʻi, ke komo nei i ka asystole (ʻo ia ka manawa e make ai ke kanaka). ʻO ke ʻano kēia he hanana koʻikoʻi loa kēia, he hanana hope loa.

Hiki i kekahi me kēia (Agonal Rhythm) ke ola?

He nīnau kaumaha kēia e nīnau ai, akā ʻo ka ʻoiaʻiʻo, i ka wā e loaʻa ai kahi (Agonal Rhythm), ʻaʻohe hoʻōla ʻana mai ia mea. No ka mea, e like me kaʻu i ʻōlelo ai ma mua, i kēia manawa ʻaʻole e hoʻopuehu ka puʻuwai i ke koko i ke kino. No laila, ʻaʻole lawa ka oxygen i nā ʻōpū koʻikoʻi e like me ka lolo, nā māmā, a me nā puʻupaʻa. Ma hope o kekahi manawa, e pau ka hana ʻana o kēia mau ʻōpū, a hiki mai ke kūlana (Asystole) aʻu i ʻōlelo ai, a make.

He aha ka manaʻo o ka huaʻōlelo "agonal"?

ʻO ke ʻano o ka huaʻōlelo Pelekania "agonal" ʻo ia hoʻi "e pili ana i ka make" a i ʻole "e hana ana i ka manawa pono o ka make, ma ka lihi o ka make." ʻO ia ke kumu i hoʻohana ʻia ai ka huaʻōlelo no kekahi mau kūlana olakino ʻē aʻe e pili ana i ka make. Eia kekahi laʻana:

• ʻO ka hanu ʻana agonal: ʻO kēia ka hanu ʻano ʻē a me ke kūpikipikiʻō o kahi mea kokoke i ka make.
• Kūlana Agonal: He kūlana kahi e kokoke ana ke kino i ka make. (E kala mai, e ʻōlelo kākou "kokoke loa" ma kahi o "ma mua koke") ... He kūlana kahi e kokoke loa ai ke kino i ka make.
• I kēia lā ke kamaʻilio nei mākou e pili ana i ka mele agonal.

Ke ʻeha nei anei kekahi kanaka me ka "agonal rhythm"?

Ke lohe mākou i ka inoa o kēia ʻano, manaʻo mākou i ka huaʻōlelo "agony" (ʻo ia hoʻi ka ʻeha nui a i ʻole ka ʻeha), no laila manaʻo paha kekahi poʻe ua ʻeha nui lākou i kēia manawa. ʻO ka ʻoiaʻiʻo, hiki i ke kanaka me ka "agonal rhythm" ke hana i nā neʻe ʻano ʻē a me nā ʻū ʻana. Ke ʻike mākou i kēia, manaʻo paha mākou ua ʻeha lākou.

Akā, ʻaʻole pinepine lākou e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha . ʻO ke kumu, no ka mea, ʻaʻole i loaʻa ka oxygen i ka lolo, ua pau mālie ka hana o ka lolo, a ua nalowale lākou i ka ʻike. No laila, ua nalowale ko lākou hiki ke ʻike i ka ʻeha. ʻO kēlā mau neʻe a me nā leo a mākou e ʻike nei he mau mea wale nō ia e hana ʻia ma muli o kekahi mau reflexes i loko o ka lolo.

He aha nā ʻano o kahi (Agonal Rhythm)?

Inā emi ka helu o ka puʻuwai o ke kanaka ma mua o 20 mau kuʻi i kēlā me kēia minuke , nui ka manawa kūpono he "Agonal Rhythm" ia. No ka hōʻoia pono ʻana i kēia, pono e hana ʻia kahi hoʻāʻo E.C. (ECG - Electrocardiogram) .

ʻO nā hōʻailona e ʻike ʻia inā loaʻa kahi "Agonal Rhythm" ma kahi moʻolelo ECG:

• ʻAʻohe nalu P: ʻO ke ʻano kēia ʻaʻole e hana ana nā keʻena o luna o ka puʻuwai, i kapa ʻia ʻo atria. ʻO kēia kahi e hōʻiliʻili mua ai ke koko.
• Nā paʻakikī QRS ākea: ʻO ke ʻano kēia, ʻaʻole e ʻūlū ana nā keʻena haʻahaʻa o ka puʻuwai, nā keʻena e pamu i ke koko i ke kino, i ka manawa kūpono, a i ʻole e ʻūlū ana i ka wā lohi. ʻO ke ʻano kēia, ʻaʻole hana pono ka ʻaoʻao haʻahaʻa o ka puʻuwai.

He aha nā hōʻailona o kahi "agonal rhythm"?

ʻOiai me ka ʻole o kahi ECG, aia kekahi mau hōʻailona hiki iā mākou ke nānā aku:

• Ua nāwaliwali loa ka pulse, a ʻaʻole paha i ʻike iki ʻia.
• Ka nalowale ʻana o ka ʻike a i ʻole ka nalowale mālie ʻana o ka ʻike.

He aha nā kumu o kahi (Agonal Rhythm)?

ʻO ke kumu nui o kēia kūlana he hōʻino nui loa ia i ka ʻiʻo puʻuwai . Eia kekahi o nā kumu hiki ke hōʻino ʻia:

• ʻO ka tamponade cardiac ka wā e piha ai ka ʻeke a puni ka puʻuwai me ke wai, e like me ka wai a i ʻole ke koko, e hoʻopaʻa ana i ka puʻuwai. Ua like kēia me ka hiki ʻole i ka puʻuwai ke hanu.
• ʻO kahi ʻeha koʻikoʻi o waho i ka puʻuwai, e like me ka ʻeha o ka pahi a i ʻole ka hāʻule ʻana mai kahi kiʻekiʻe loa ( trauma cardiac) .
• ʻO ka ventricular fibrillation kahi kūlana kahi e hoʻomaka ai nā keʻena haʻahaʻa o ka puʻuwai e kuʻi wikiwiki a me ke kāohi ʻole ʻia (ventricular fibrillation). I kēia kūlana, haʻalulu wale ka puʻuwai a ʻaʻole e pamu pono i ke koko.

Ma waho aʻe o kēia, ʻo kekahi mau kūlana ʻē aʻe e hiki ai ke hoʻoulu i ka hopu ʻana o ka puʻuwai hiki ke hana i ka "agonal rhythm":

• Ka lāʻau make kalapona monoxide
• Ke piholo nei
• Ka nui o ka lāʻau lapaʻau
• Uila
• He hopu ʻino nui (Seizure)
• Ke kahe nui ʻana o ke koko (Hemorrhage)
• Ka ʻū ʻana a i ʻole ka hanu ʻana
• ʻO kahi kīʻaha koko i pohā a paʻa paha i loko o ka lolo, e like me ka hahau ʻana
• ʻEha lolo traumatic (TBI)

Hoʻokau kēia mau mea a pau i ke kaomi hiki ʻole ke hoʻomanawanui ʻia ma ka puʻuwai, a laila e alakaʻi ai i ka hāʻule ʻana o ka puʻuwai.

Loaʻa i ke kanaka me (Agonal Rhythm) kekahi maʻi i kapa ʻia ʻo (Agonal Breathing)?

ʻElua huaʻōlelo ʻo (Agonal Rhythm) a me (Agonal Breathing), ʻaʻole hoʻokahi . Eia nō naʻe, i loko o kahi kūlana pilikia e like me ka hāʻule puʻuwai, hiki ke ʻike ʻia kēia mau mea ʻelua i ka manawa like .

He ʻano hanu ʻē ka hanu ʻana o Agonal i ka wā e make ana kekahi. Hanu lākou me nā hanu ʻūhū a me nā ʻūhū. Hiki paha iā lākou ke ʻāʻī i ka ʻeha. Eia naʻe, e like me Agonal Rhythm, ʻaʻole ʻeha maoli ka mea me Agonal Breathing. ʻAʻole lākou i ʻike pinepine . ʻO ka mea a mākou e ʻike ai he mau reflexes wale nō, a i ʻole nā ​​​​neʻe kino .

Hiki ke pale ʻia kahi "ʻano agonal"?

ʻO ka mea pōʻino, ʻo kēia kūlana i kapa ʻia ʻo "Agonal Rhythm" ʻaʻole ia he mea hiki iā mākou ke pale aku . No ka mea, hana ia i ka wā e pau ai ka puʻuwai i ke kuʻi ʻana, ma muli paha o ka hōʻino nui ʻana i ka puʻuwai a i ʻole kekahi pilikia olakino koʻikoʻi ʻē aʻe. ʻO ke ʻano kēia, ʻaʻole ia he mea hiki ke pale ʻia ma mua, e like me ka maʻi.

Pehea lā kākou e hōʻoluʻolu ai i kahi mea aloha nona ka "agonal rhythm"?

ʻO kēia ka ʻāpana hoʻopā loa o ka moʻolelo. ʻOiai inā ua nalowale ka ʻike o kāu mea aloha, hiki iā ʻoe ke hōʻoluʻolu iā lākou. Wahi a nā kauka, ʻoiai inā ua pilikia nā hana o ke kino, ʻo ka hiki ke hoʻopā a lohe pinepine e mau ana a hiki i ka manawa hope loa .

ʻO ka noho wale ʻana ma laila, me kēlā kanaka, he mea hōʻoluʻolu nui ia iā lākou. E paʻa i ko lākou lima inā hiki iā ʻoe. E kamaʻilio mālie iā lākou. E haʻi iā lākou i kou aloha nui iā lākou, i kou mahalo nui iā lākou. E hoʻomanaʻo iā lākou i nā manawa maikaʻi i loaʻa pū ai iā ʻoukou.

ʻO ka Agonal Rhythm e kū kokoke loa i ka make. ʻOiai ua nalowale ke kanaka i ka ʻike i kēia manawa, hoʻāʻo kekahi mau reflexes i loko o ka lolo e hoʻomau iā lākou e ola. Eia naʻe, ʻo ka mea kaumaha, i ka wā e hiki ai ka puʻuwai o ke kanaka i kēia Agonal Rhythm, ua maopopo ka make a ʻaʻole hiki ke pale ʻia. Eia naʻe, hiki iā ʻoe ke hāʻawi i kāu mea aloha i kahi hōʻoluʻolu i kēlā manawa hope loa me kāu mau ʻōlelo lokomaikaʻi, kāu pā aloha, a me ka manaʻo e noho ana ʻoe ma laila. E kōkua ia i ke kanaka a me ʻoe i kekahi ʻano e mālie.

Leka Hoʻihoʻi Hope Loa

ʻAe, ke lana nei koʻu manaʻo e hiki iā ʻoe ke hoʻomanaʻo i kekahi o nā mea nui loa mai kā mākou i kamaʻilio ai e pili ana i ka (Agonal Rhythm).

• ʻO ka (Agonal Rhythm)He puʻuwai lohi a kūpono ʻole hoʻi e kokoke ana i ka make.
• I kēia kūlana, ʻaʻole e pamu ana ka puʻuwai i ke koko i ke kino, no laila ua nalowale ke kanaka i ka ʻike a ʻaʻole pinepine ia e ʻeha .
• ʻO nā neʻe ʻana a mākou e ʻike ai, e like me ke kolo ʻana o nā lālā a me ke kaniʻuhū ʻana, he mau reflexes pinepine ia, ʻaʻole i hana ʻia e ka ʻeha.
• ʻAʻole kēia he kūlana hiki ke pale ʻia , no ka mea, ʻo ia ka hopena hope loa o ka hōʻeha nui o ka puʻuwai a i ʻole kekahi pilikia olakino ʻē aʻe.
• Ma ke kūlana e like me kēia, hiki iā ʻoe ke hōʻoluʻolu i kahi mea aloha me kou alo, hoʻopā, a me nā ʻōlelo lokomaikaʻi .

Manaʻolana wau e pono kēia ʻike iā ʻoe i kekahi lā, ma kekahi wahi. ʻOiai he kumuhana paʻakikī loa ia, he mea nui e noho hoʻomaopopo e pili ana i ia mea.

ʻO ke mele Agonal, mele puʻuwai, make, puʻuwai, ECG, hōʻeha puʻuwai, puʻuwai, Asystole, pilikia