Te pā whakamutunga o te ngākau: Me kōrero tātou mō te Agonal Rhythm (Agonal Rhythm)

Kāore pea koe i rongo i tēnei kupu i mua. Engari he mea tēnei e rangona ana e tātou katoa i tētahi wā, inā koa ka tata te mutunga o te oranga o tētahi e arohaina ana. He āhuatanga tino tairongo, he āhuatanga kino hoki te Agonal Rhythm. He mea noa te mataku me te ohorere ina rongo koe i tēnei kupu. Koia te mea nui kia tino mōhio ki tēnei. Me kōrero noa tātou mō tēnei mea, i roto i te huarahi e mārama ana, me te mea kei te kōrero tātou ki tētahi hoa tata.

He aha te tikanga o te Agonal Rhythm?

Ki te kī māmā noa, ko te manawataki agonal te pao o te ngakau whakamutunga, kāore i te tika, e puta ana i roto i te ngakau o te tangata i mua tata o te matenga. He pao tino puhoi, kāore i te tika.

Whakaarohia tō tātou ngākau he whare iti e whā ngā rūma. E rua ngā rūma kei runga (atria) me ngā rūma e rua kei raro (ventricles). I te nuinga o te wā, ka whakawhāiti ngā rūma o raro hei whakautu i te tohu hiko mai i ngā rūma o runga, ka pupuhi i te toto puta noa i te tinana. Koinei te manawa o te ngākau.

Engari mō te Agonal Rhythm, ka mutu te mahi a ngā rūma o runga o te ngākau, arā, te atria. Kāore e tukuna he tohu hiko. Kātahi ka tīmata te patu a ngā rūma o raro o te ngākau, arā, ngā ventricles, i te mea ka taea, me te kore hononga, me te tino puhoi, hei mahi whakamutunga. He rite tēnei ki te rama e mate ohorere ana me te pākahiko iti nei te utu, me te kore hiko matua. Ki tā mātou he mate manawa nui tēnei (arrhythmia).

Ka taea e tetahi te ora i roto i tēnei āhuatanga?

He pātai uaua tēnei ki te pātai, engari he mea nui kia mōhio ki te pono. Ko te tangata he manawataki agonal tōna, kāore e tino kaha ki te ora.

Ko te take o tēnei, e ai ki taku kōrero i mua, kāore e nui te toto e tukuna ana e tēnei pāorooro ngoikore, koretake ki te tinana. Kāore te roro, ngā whatukuhu, ngā pukahukahu e whiwhi hāora. Koinei te tauira pāorooro whakamutunga e puta ana i mua i te āhua e kiia nei ko te 'asystole' (i roto i tā tātou reo kīwaha, 'raina papatahi'), ina mutu ngā mahi hiko katoa i roto i te ngākau. Ko te 'Asystole' he mate kua whakaūtia e te rata.

He aha te tikanga o te kupu 'agonal'? He mamae tūturu rānei?

Ko te kupu "agonal" i ahu mai i te pūtake e pā ana ki te kupu "agony." Ko tōna tikanga he "mamae o te mate" he "e pā ana ki te tukanga o te mate." Nō reira, ina rongo tātou i tēnei ingoa, ka whakaaro pea tātou he āhuatanga tēnei e puta ai te mamae e kore e taea te pupuri.

Engari he mea tino nui tēnei me mārama tātou katoa ki konei.

Mō tētahi he manawataki agonal tōnaKāore he mamae, kāore hoki he āwangawanga. I taua wā, ka neke pea te tangata, ka puta he oro pērā i te aue. Ki te kaimātakitaki o waho, tera pea te āhua kei te mamae te tangata. Engari ehara tēnā i te āhua tūturu.

Ko te take o tēnei, ina mutu te tuku hāora ki te roro, ka mutu te mahi a te roro. Nō reira , ka ngaro te mōhio o te tangata. Kāore e taea e te tangata ngaro te rongo i te mamae. Ko ngā mea e kitea ana e tātou, pērā i te aue me te wiri, he urupare noa iho e puta aunoa ana i roto i te take roro. He rite ki te waewae o te tangata ngaro e wiri ana ina patohia ki te waewae.

He aha ngā āhuatanga o te manawataki agonal?

Ka tātaritatia tēnei mate e ngā tākuta. I te nuinga o te wā ka whakapaetia ina heke te tere o te manawa i raro i te 20 ngā pao i te meneti. Ka taea anake te whakaū i tēnei mā te whakamātautau `electrocardiogram`, `EKG` rānei.

He aha te take o tēnei āhuatanga?

Ehara te Agonal Rhythm i te mate e puta takitahi ana. Ka puta mai i te kino nui o te ngākau, i tētahi atu āhuatanga ohorere rānei e arahi ana ki te aukati ngākau.

Ko ngā take matua pea ko:

• Te kino nui ki te ngākau tonu:
• Te tamponade o te ngākau: Ka whakakiia te kiriuhi angiangi e karapoti ana i te ngākau ki te toto, ki te wai rānei, ka pēhi i te ngākau.
• Whara o te ngākau: He whara kino ki te uma, pērā i te patunga wero, te patunga pū, te hinganga rānei mai i te teitei rawa.
• Te fibrillation ventricular: Koinei te wā ka tīmata te patupatu o ngā rūma o raro (ngā pūtau) o te ngākau me te kore e taea te whakahaere. He tino take anō hoki tēnei o te whakaeke ngākau.

• Ētahi atu āhuatanga ohorere ka arahi pea ki te whakaeke ngakau:
• Te paihana haukini waro: Ka ārai te hongi i te hāora kia tae ki te toto.
• Te toremitanga i roto i te wai.
• Te nui rawa o te tarukino.
• Te ru hiko.
• Te hopukanga kino ('Hopukanga').
• Te toto nui rawa atu ('Hemorrhage').
• Te kōroke, te whakamate rānei.
• Te whiu.
• Ngā whara nui o te upoko (Whara roro whara - TBI).

He rite tonu te Agonal Rhythm me te Agonal Breathing?

He tokomaha te hunga e whakapoauau ana i ēnei mea e rua. Engari he rerekē ngā mea e rua.

• Te Rīpene Āgonal: E pā ana tēnei ki te ngohe hiko o te ngākau . Arā, te tauira o te pao o te ngākau.
• Te Manawa Ā-tinana: Koinei te tukanga o te manawa.He mea e pā ana. Ko te mea e tupu ana i roto i tēnei, ko te āhua nei kei te whakapūha te manawa o te tangata, kei te whakapūha te manawa. He mahi whakaoho anō hoki tēnei mai i te take roro e tata ana ki te mate, ehara i te ngana tūturu ki te manawa.

Engari ka taea e ēnei āhuatanga e rua te puta i te wā kotahi i roto i te tangata. Ko te mea nui, i roto i te Manawa Ā-roto me te Rīngi Ā-roto, kāore te tangata e mōhio ana, nō reira kāore ia e rongo i te mamae, i te pōuri rānei.

Me pēhea tātou e whakamarie ai i tā tātou e aroha nei i tēnei wā?

Koinei te wāhanga tino nui, tino tairongo hoki o tēnei kaupapa. He tino uaua ki te manawanui ki te kite i tētahi e arohaina ana e koe i roto i tēnei āhuatanga. Ahakoa rā, kei reira tonu ngā mea ka taea e koe te mahi hei whakamarie i taua tangata.

E ai ki ngā tākuta, ina kati ngā mātakitaki katoa o te tinana o te tangata, ko te whakarongo me te pā ngā mātakitaki whakamutunga e rua ka ngaro. Ko te tikanga o tēnei, ahakoa kāore i te mōhio, tera pea ka taea tonu e te tangata te rongo i tāu e kōrero nei me tāu pā ki tētahi taumata.

• Puritia te ringa o taua tangata. He tino whakamarie tō pā atu ki a ia.
• Kōrero mārire, me te aroha. Kōrerohia ō whakaaro. Kōrerohia ngā mea pēnei i te, "Aroha ana ahau ki a koe," "Kāore koe i te mokemoke, kei konei ahau."
• Kōrerohia tētahi mea e pai ana ki te tangata. Waiatahia ētahi karakia Pirith, whakahuatia tētahi whiti whakapono, ngunguru rānei i tētahi waiata e hiahia ana ia ki te whakarongo.

Ko te Rīpene Ā-Agonal he tohu e tata mai ana te mate. He āhua e kore e taea te huri. Engari ina haere tō hoa aroha i taua haerenga whakamutunga, ka whakamarietia taua tangata e ō kupu aroha me tō pā. Ā, ka waiho hoki koe me te whakamarie o te mōhio, "Kāore au i waiho i a ia kia mokemoke, i reira ahau tae noa ki te wā whakamutunga."