Yu go mɔs dɔn si am na TV, we pɔsin lɔs kɔnshɛns wantɛm wantɛm ɛn fɔdɔm, di dɔktɔ dɛn rɔsh insay, put mashin na in chɛst ɛn se ‘Klia!’. ɛn gi ilɛktrik shɔk. Bɔt sɔntɛnde, ɔl wetin yu kin si na di monita na wan lɔng stret layn. Na dat wi kin kɔl ‘flat-layn’ ɔ asystole. Dis na rili siriɔs, layf pan denja fɔ mɛn pipul dɛn. So, i rili impɔtant fɔ mek wi ɔl no dis gud gud wan.
Wetin rili na asystole?
Fɔ tɔk am simpul wan, asystole na we yu at in ilɛktrik sistɛm dɔn stɔp fɔ bit ɛn yu at stɔp fɔ bit. Dis na wan kayn we aw yu at kin stɔp. na dis tεm ya, di at kin stכp fכ pכmp blכd to di bכdi kכmplit wan. Dis kin mek i nɔ no natin wantɛm wantɛm, i kin stɔp fɔ blo, ɔ i kin swɛla. If dɛn nɔ gɛt mɛrɛsin wantɛm wantɛm, lɛk CPR, pɔsin kin day insay sɔm minit dɛn.
Wetin mek dɛn kɔl dis ‘flat-layn’?
Wi nɔ go ebul fɔ no dis kɔndishɔn frɔm do. Na ECG (Electrocardiogram) tɛst nɔmɔ dɛn kin no am kɔrɛkt wan. Yu go dɔn si se na ɔspitul, dɛn kin put sɔm sɛns dɛn na di chɛst fɔ wach aw di at de wok. Dɛn sɛns ya de no di smɔl smɔl ilɛktrik wok we di at de du ɛn dɛn de sho am lɛk wev pat na skrin.
dis wev patεn de fכm we ilektrikal aktiviti de na di at. insay asystole, ilektrikal aktiviti nכ de na di at, so insted fכ di wev, na wan strεt, flat layn nכmכ de apia na di skrin. Na dat mek dɛn kɔl am ‘flat layn’.
Aw wi at de wok? Wetin kin apin we yu gɛt asystole?
Ɛnitɛm we wi at de bit, i kin apin insay tu men tin dɛn.
1. Systole: Na smɔl ilɛktrik impuls we de apin insay di at de mek di at mɔsul kɔntrakt strɔng wan. dis kכntrikshכn na in de pכmp bכdi frכm di at כlsay na di bכdi.
2. Dayastole: Afta yu bit wan tɛm, di at mɔsul kin rilaks. dis na we di at chεmba dεm fulכp wit bכdi bak, rεdi fכ di nεks pכmp.
insay asystole, di ilektrikal kכrant we de mek di systole de lכs kכmplit. Jɔs lɛk aw wata motoka kin stɔp fɔ wok we di kɔrɛnt dɔn lɔs, we di ilɛktrik prɔses dɔn lɔs, na so di at kin stɔp fɔ pɔmp kpatakpata. Dis na wetin wi kin kɔl ‘klinikal day’.
di bren sεl dεm kin כnli liv fכ rili sכm tεm, lεk fayv minit, we dεn nכ gεt כksijεn εn bכdi. If di at kin stat bak insay dis tɛm, smɔl chans de fɔ sev di layf. Na dat mek ɛvri sɛkɔn rili valyu na ya.
Wetin na di tin dɛm wae kin mek pɔrsin gɛt asystole?
Bɔku rizin dɛn de we mek di at kin stɔp fɔ wok wantɛm wantɛm. Sɔm pan di men rizin dɛn na:
- Blɔd we de kɔmɔt na di bɔdi pasmak.
- Di ɔksijɛn lɛvɛl we denja na di bɔdi (Hypoxia).
- Sɔl ɛn ilɛktrɔlayt imbalans na di bɔdi.
- Wan bad bad at atak.
- Pɔlmonari ɛmbolizm.
- di at ritm dεm we nכ nכmal (Arrhythmias), spεshal kכndishכn dεm lεk Ventricular Fibrillation (VF) εn Ventricular Tachycardia (VT).
- Siriɔs aksidɛnt na in chɛst ɔ at.
- Ilɛktrik shɔk.
- Fɔ it sɔm mɛrɛsin, pɔyzin, ɔ drɔgs lɛk kɔkɛyn.
Aw dɛn go trit dis? Yu tink se i go sev pɔsin in layf?
Asystole na mɛdikal imejensi usay ɛvri sɛkɔn kin kɔnt. If dis apin to pɔsin we nɔ de na ɔspitul, di tin we impɔtant pas ɔl ɛn di wangren tin we yu kin du na fɔ bigin CPR (Cardiopulmonary Resuscitation) wantɛm wantɛm ɛn kɔntinyu fɔ du am te di dɔktɔ ɛp yu. Prɔpa, kɔntinyu CPR gɛt di bɛst chans fɔ sev pɔsin in layf.
If yu de insay ɔspitul, di mɛdikal tim dɛn kin gi dɛn tritmɛnt ya.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| CPR (kɔmpreshɔn na di chɛst ɛn atifishal briz) . | Dis impɔtant fɔ pɔmp blɔd to di bren ɛn ɔda pat dɛn, fɔ tek di ples fɔ di at we dɔn stɔp fɔ bit. |
| Epinefrin (Adrenaline) we dɛn kɔl Epinefrin (Adrenaline) . | Wan drɔg we kin ɛp fɔ mek di at we dɔn stɔp bak bigin. Dɛn kin gi am tru wan vein. |
| Fɔ trit di ɔndalayn kɔz | di at kin kam bak to nכmal bay we dεn fכnshכn εn trit di כndalayn kכz fכ di at we de rεst (e.g., sכlt dεfisεns, pכyzin). |
Shok (defibrillation) nɔ go ebul fɔ mek at gɛt layf bak?
Dis na sɔntin we bɔku pipul dɛn kin mistek tink afta dɛn dɔn wach fim. Asystole nɔto ‘shɔkable’ ritm. Dat min se fɔ gi pɔsin we gɛt flat layn ilɛktrik shɔk (difibrillation) nɔ go gɛt ɛni ɛfɛkt. Infakt, if wi du dat, i kin mek i nɔ izi fɔ mek di at gɛt layf bak.
כnli dεn kin gi shכk fכ abnכmal ritm, lεk Ventricular Fibrillation (VF), usay di at in ilektrikal aktiviti de disrupt εn di at de jכs de shek shek. Bɔt wit gud CPR, sɔmtɛm di at we de na asystole stet kin chenj to wan ritm we kin mek pɔsin shɔk. Na dat mek CPR na di nɔmba wan tritmɛnt ya.
Ustɛm yu fɔ go fɛn ɛp wantɛm wantɛm?
If pɔsin we de nia yu gɛt dɛn sik ya wantɛm wantɛm, i kin bi se in at nɔ de wok.
- Wantɛm wantɛm, i kin lɔs in kɔnshɛns ɛn fɔdɔm.
- Nɔto fɔ blo ɔ gas fɔ blo.
- Di puls we de lɔs na di nɛk ɔ di an.
If dis kayn tin apin, kɔl wan imejensi ambulans savis wantɛm wantɛm (fɔ ɛgzampul, 1919). Dɔn, bigin fɔ du CPR kwik kwik wan. Ivin if yu nɔ no aw fɔ du CPR, nɔ panik. Di ambulans savis ɔfisa kin tich yu aw fɔ du CPR na fon. Di tray we yu de tray gɛt bɔku chans fɔ sev pɔsin in layf. Dɛn fɔ kɛr di pɔsin go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
If yu tink se dis dɔn apin bikɔs ɔf wan pɔyzin, yu kin kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm ɛn aks fɔ advays.
Mɛsej we dɛn kin kɛr go na os
- Asystole, כ ‘flat line’, na di kכmplit sכt fכ di at in ilektrikal aktiviti. Dis na mɛdikal imejensi we rili denja.
- Dis nɔto sik we pɔsin kin mɛn if i gi am ilɛktrik shɔk, lɛk aw dɛn kin sho am na di fim dɛn.
- If pɔsin nɔ no natin wantɛm wantɛm ɛn fɔdɔm, di tin we impɔtant pas ɔl na fɔ bigin CPR wantɛm wantɛm ɛn kɔntinyu te di dɔktɔ ɛp am.
- If yu si dis kayn tin, nɔ panik, kɔl imejensi ambulans wantɛm wantɛm ɛn stat CPR. Di wan dɛn we nɔ no aw fɔ du CPR kin gɛt instrɔkshɔn na fon.
- If yu lan aw fɔ du CPR, dat go ɛp yu fɔ sev pɔsin we yu lɛk in layf sɔmde.
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