Sɔntɛm yu nɔ bin dɔn yɛri dis wɔd bifo. Bɔt na sɔntin we wi ɔl kin yɛri sɔntɛnde, mɔ we pɔsin we wi lɛk de nia fɔ dɔn in layf. Agonal Rhythm na wan sik we rili sɛnsitiv ɛn siriɔs. Na nɔmal tin fɔ mek yu fil fred ɛn shɔk we yu yɛri dis wɔd. Na dat mek i rili impɔtant fɔ no am gud gud wan. Lɛ wi tɔk bɔt am simpul wan, di we we mek sɛns, lɛk se wi de tɔk to wi tayt padi.
Wetin na Agonal Rhythm simpul wan?
Fɔ tɔk am simpul wan, agonal ritm na di las at bit we nɔ de bit ɔltɛm we pɔsin in at kin bit jɔs bifo i day. Na at bit we rili slo ɛn we nɔ de bit.
Tink bɔt wi at lɛk smɔl os we gɛt 4 rum dɛn. tu chεmba dεm de na di tכp (atria) εn tu chεmba dεm de na di bכtכm (vεntrikul dεm). nכmal wan, di lכw chεmba dεm de kכntrakt we i de ansa wan ilektrikal signal frכm di כp chεmba dεm εn pכmp bכdi כlsay na di bכdi. Dis na wi nɔmal at bit.
Bɔt insay di kes fɔ Agonal Rhythm, di ɔpa chɛmba dɛn na di at, di atria, kin stɔp fɔ wok kpatakpata. Dɛn nɔ de sɛn ɛni ilɛktrik signal. afta dat di lכw chεmba dεm na di at, di vεntrikl dεm, de stat fכ bit as dεn kin, we nכ gεt nכ kכnεkshכn, rili sכmtεm, lεk las-ditch εfכt. Dis tan lɛk tɔch we kin ɔt wantɛm wantɛm wit batri we nɔ gɛt bɛtɛ chaj, we nɔ gɛt men pawa. Wi kin tek dis as siriɔs at ritm disɔda (arithmia).
Di tin we impɔtant pas ɔl na dat we di at bit lɛk dis, i nɔ kin ebul fɔ pɔmp blɔd wit di ɔksijɛn we i nid to di ɔda pat dɛn na di bɔdi atɔl.
Sɔmbɔdi we gɛt dis sik go ebul fɔ liv?
Dis na kwɛstyɔn we at fɔ aks, bɔt i impɔtant fɔ no di tru. Pɔsin we gɛt agonal ritm nɔ rili ebul fɔ liv.
Di rizin fɔ dis na, lɛk aw a bin dɔn tɔk bifo tɛm, dis irɛgyula, wik puls nɔ de pɔmp inof blɔd to di bɔdi. Di bren, di kidni, di lכng, nכsay nכ de gεt כksijεn. dis na di las hat bit patεn we de apin bifo wan stet we dεn kכl `asystole` (insay wi kכlokכl langwej, `flat line`), we כl ilektrikal aktiviti na di at de stכp. `Asystole` na wan kes we dɛn dɔn kɔnfyus wit mɛrɛsin.
Wetin di wɔd ‘agonal’ min? Yu tink se i kin rili fil lɛk se i de fil pen?
Di wɔd "agonal" kɔmɔt frɔm wan rut we gɛt fɔ du wit di wɔd "agony." I min "pen fɔ day" ɔ "we gɛt fɔ du wit di prɔses fɔ day." So we wi yɛri dis nem, wi go tink se dis na sik we de mek wi fil pen we wi nɔ go ebul fɔ bia.
Bɔt sɔntin de we rili impɔtant we wi ɔl nid fɔ ɔndastand na ya.
Fɔ pɔsin we gɛt agonal ritmNo pen ɔ diskɔmfɔt nɔ de. Da tɛm de, di pɔsin kin mek sɔm muvmɛnt dɛn ɛn mek sawnd dɛn lɛk se i de kray. To pɔsin we de wach am na do, i kin tan lɛk se di pɔsin de fil pen. Bɔt nɔto dat na di rial tin we de apin.
Di rizin fɔ dis na bikɔs jɔs lɛk aw di ɔksijɛn we de gi di bren dɔn stɔp, di bren kin stɔp fɔ wok. So , di pɔsin nɔ kin no natin. Pɔsin we nɔ no natin nɔ kin ebul fɔ fil pen. di tin dεm we wi de si, lεk fכ kray εn twitch, na jכs rεflεks we de apin כtomatכk na di bren stεm. I tan lɛk pɔsin we nɔ no natin in leg we de shek shek we yu tap am na in leg.
| Aw i de luk na do | Wetin rili de apin |
|---|---|
| Mek moaning sawnd, grimacing. | Di pɔsin nɔ no natin. dis na jכs rεflεks dεm frכm di bren stεm. No pen nɔ de. |
| Shek ɔ shek an. | כtomatik mכsul aktiviti we de apin bikoz fכ di כksijεn we nכ de na di bכdi. I nɔto sɔntin we pɔsin kin du wit ɔl in at. |
Wetin na di kwaliti dɛm fɔ wan agonal ritm?
Na dɔktɔ dɛn kin no bɔt dis sik. Dɛn kin sɔspɛkt am we di at rit dɔn dɔŋ pas 20 bit pan minit. dis kin כnli kכnfכm wit `εlektrokardiogram`, כ `EKG` tεst.
| Sayn/simptom | Simpul ɛksplen |
|---|---|
| Nɔr kin no natin ɔr kin pas | Dis na di men sayn we kin apin we di bren nɔ gɛt blɔd ɛn ɔksijɛn. |
| Nɔ ɔ rili wik puls | Bikɔs di at nɔ de pɔmp blɔd, i nɔ pɔsibul fɔ fil puls. |
| Absence of `P waves` pan di EKG | `P wev dεm` de sho di aktiviti fכ di כp chεmba dεm na di at. We dɛn nɔ de, dat min se di ɔpa chɛmba dɛn nɔ de wok. |
| Widening of di `QRS komplex` pan di EKG | di QRS komplex dεm de sho aw di vεntrikl dεm de bit. If dɛn wayd, dat min se di bit nɔ kin rili ɔltɛm ɛn i kin delay. |
Wetin kin mek dis kayn tin apin?
Agonal Rhythm nɔto sik we kin apin fɔ insɛf. I kin kam bikɔs di at kin pwɛl bad bad wan ɔ ɔda mɛrɛsin we kin mek di at nɔ de wok.
Di men rizin dɛn we kin apin na:
- Siriɔs damej pan di at sɛf:
- Cardiac tamponade: Di tin we de rawnd di at kin ful-ɔp wit blɔd ɔ wata, ɛn i kin prɛs di at.
- Cardiac trauma: Na siriɔs injury na in chɛst, lɛk we dɛn chuk am wit chukchuk, we dɛn shot am wit gɔn, ɔ we pɔsin fɔdɔm frɔm ay ay ples.
- ventricular fibrillation: dis na we di lכw chεmba dεm (sεl dεm) na di at kin bigin fכ bit we dεn nכ kin kכntro. Dis na tin bak we kin mek pɔsin gɛt at atak wantɛm wantɛm.
- Ɔda imejensi dɛn we kin mek pɔsin gɛt at atak:
- Kabon monoksayd pɔyzin: We yu blo smok, dat de mek ɔksijɛn nɔ go rich na di blɔd.
- Fɔ drawn insay wata.
- Drug ovados.
- Ilɛktrik shɔk.
- Siriɔs sik we de mek pɔsin sik (`Seizure`).
- Blɔd we de kɔmɔt pasmak (`Ɛmoraji`).
- Chok ɔ strangul.
- Strok.
- Siriɔs ed injuri (Traumatik bren injuri - TBI).
Agonal Rhythm ɛn Agonal Breathing na di sem tin?
Bɔku pipul dɛn kin kɔnfyus dɛn tu pipul ya. Bɔt dɛn tu tin ya na tu difrɛn tin dɛn.
- Agonal Rhythm: Dis gɛt fɔ du wit di ilɛktrik wok we di at de du . Dat min se, di we aw di at de bit.
- Agonal Breathing: Dis na di we aw yu de blo.Sɔntin we gɛt fɔ du wit dis. Wetin kin apin pan dis na dat i kin tan lɛk se pɔsin de blo fɔ blo, de gas fɔ blo. Dis na riflεks akshכn bak frכm di bren stεm nia day, nכto rial tray fכ brith.
Bɔt dɛn tu tin ya kin apin di sem tɛm pan pɔsin. Di impɔtant tin na dat, insay ɔl tu di Agonal Breathing ɛn Agonal Rhythm, di pɔsin nɔ kin no ɛn dat mek i nɔ kin fil ɛni pen ɔr pwɛl hat.
Aw wi go kɔrej di pɔsin we wi lɛk wan wan tɛm lɛk dis?
Dis na di pat we impɔtant pas ɔl ɛn we rili impɔtant pan dis tɔpik. E kin tranga fɔ bia fɔ si pɔrsin wae yu lɛk na dis kayn tin. Bɔt ivin da tɛm de, tin dɛn de we yu kin du fɔ kɔrej da pɔsin de.
Dɔktɔ dɛn se we ɔl ɔda sɛns dɛn na pɔsin in bɔdi dɔn stɔp, fɔ yɛri ɛn tɔch na di las tu sɛns dɛn we pɔsin kin lɔs. Dis min se ivin if dɛn nɔ no natin, di pɔsin kin stil ebul fɔ no wetin yu de tɔk ɛn di we aw yu tɔch am te to sɔm mak.
So, di tin we valyu pas ɔl we yu go du insay da las tɛm de na fɔ de nia da pɔsin de.
- Hol da pɔsin de in an. We yu tɔch da pɔsin de, dat kin rili kɔrej da pɔsin de.
- Tɔk wit kol at ɛn wit lɔv. Se wetin de na yu maynd. Se tins laik, "A laik yu," "Yu no de yu wan, a de ya."
- Se sɔntin we go mek di pɔsin gladi. Chant sɔm Pirith chant dɛn, rid wan rilijɔn vas, ɔ hum wan siŋ we di pɔsin go lɛk fɔ yɛri.
Agonal Rhythm na sayn fɔ se day dɔn rili nia. Na stet we dɛn nɔ go ebul fɔ rivɛns. Bɔt we di pɔsin we yu lɛk tek da las waka de, di wɔd dɛn we yu de tɔk ɛn tɔch yu wit lɔv go kɔrej da pɔsin de. Ɛn, yu go lɛf bak wit di kɔmfɔt fɔ no se, "A nɔ lɛf am in wan, a bin de de te di las tɛm."
Mɛsej we dɛn kin kɛr go na os
- Agonal Rhythm nɔto wan sik, bɔt na di at bit pat we de nia fɔ day we de apin as di ɛnd rizɔlt fɔ ɔda siriɔs kɔndishɔn (e.g., siriɔs aksidɛnt, at atak).
- We dis kayn tin de apin, di at nɔ de pɔmp blɔd fayn fayn wan na di bɔdi, ɛn na sayn fɔ se day dɔn kam nia.
- Di tin wae impɔtant pas ɔl: De pɔrsin wae gɛt dis kayn sik nɔr de no natin ɛn dat mek i nɔr de fil ɛni pen ɔr nɔr de fil fayn. Ɛni kray ɔ gas we pɔsin kin blo na do na jɔs ɔtomɛtik riflɛks.
- Ivin if di pɔsin nɔ no natin, di sɛns fɔ yɛri ɛn tɔch kin kɔntinyu te di las tɛm. So, fɔ de nia wi, fɔ ol dɛn an, ɛn fɔ tɔk wit lɔv rili impɔtant.
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