Whakaarohia, ka ngaro whakarere te mārama o tētahi kei mua i a koe, ka hinga ki te whenua. Ka oma haere koe me te ohorere, ka tirotiro i tōna kaki mō te pā o te manawa, engari kāore he pā o te manawa. Kāore rātou e manawa ana. Ki tō whakaaro he mate manawa tēnei. Engari he mea miharo, i te wā i haria ai rātou ki te hōhipera, ka tangohia e ngā tākuta he ECG, ā, ka whakaatuhia he mahi hiko i roto i te ngākau. He hiko kei reira, engari kāore te ngākau e patupatu ana. Ko tēnei āhuatanga rerekē, morearea ko te mea e kiia nei e mātou i roto i te rongoā ko te "Pulseless Electrical Activity." Ka kiia e mātou ko te PEA mō te poto. He āhuatanga tino ohorere tēnei. Nō reira, me kōrero noa iho tātou mō tēnei.
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He aha te PEA?
He momo mate manawa pāwera te PEA. Ko te mea e tupu ana i konei, ahakoa he mahi hiko kei roto i te ngākau, kāore te uaua o te ngākau e kōpiri, e pupuhi toto rānei e ai ki taua tohu hiko. He rite ki te rama e kore e tahuri nā te mea kua pau te taura ahakoa he hiko kei roto.
Ka taea te ine i tēnei ngohe hiko mā te ECG (electrocardiogram). Heoi, ina tirohia tō pā, kāore koe e rongo i te pā nā te mea kāore te ngākau e patupatu ana, e pupuhi ana hoki i te toto huri noa i te tinana.
Ko te mea nui, ko te PEA he tauira manawataki o te ngakau "kāore e taea te wiri". Ko te tikanga tēnei kāore e taea te whakaora mā te wiri mai i te defibrillator, e whakaaturia ana i roto i ngā kiriata. Nō reira, ki te kore e whiwhi wawe i te maimoatanga tika, ka mate pea i roto i ngā meneti.
E rua ngā momo PEA
E wehea ana tēnei e ngā tākuta kia rua ngā momo matua.
1. Pseudo-PEA: I roto i tēnei, ka ngoikore te whakawhāiti o te uaua o te ngākau nā te mahi hiko o te ngākau. Ahakoa he iti noa te toto e pupuhi ana, kāore i te kaha pērā i te pā o te ngakau noa. Nō reira, kāore e ranea te rere o te toto hei rongo i te pā o te tinana.
2. PEA pono: Ahakoa he mahi hiko kei roto i te ngākau, kāore te uaua o te ngākau e aro atu . Ko te tikanga kāore he toto e pupuhihia ana. Kāore he pā o te manawa e rangona ana.
He aha te rerekētanga i waenga i te PEA me te Asystole (papatahi te arai)?
Kua kite pea koe i tēnei i roto i ngā kiriata, ina mate te tangata, ka puta he rārangi tika ki te mata tirotiro me te tangi "pī...". Koinei te mea e kiia nei e tātou ko (asystole) ko "flat-lining" rānei.
- PEA: He hiko kei roto i te ngākau, engari kāore te ngākau e mahi. (Pērā i te pouaka whakaata he hiko kei a ia, engari kua pakaru).
- Asystole: Kāore he hiko o te ngākau, ā, kāore te ngākau e patupatu ana. Kāore e tino mārire. (Pērā i te pouaka whakaata kua momotuhia te hiko).
Ahakoa he mate manawa ēnei e rua, ka taea te tautuhi i te rerekētanga i runga i te āhua o te ECG.
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Check Availability →He aha ngā tino take o te PEA?
He maha ngā āhuatanga ka puta ai te PEA. Hei whakangāwari ake i te maumahara ki ēnei, ka whakamahia e ngā tākuta tētahi pūnaha whakarāpopototanga e kiia nei ko "H's and T's." Me titiro tātou ki te aha ēnei.
| Kāwai Take | Whakamārama Māmā |
|---|---|
| Te whakahekenga o te nui o te toto (Hypovolemia) | He hekenga o te nui o te toto i roto i te tinana nā tētahi take pēnei i te toto nui i puta mai i tētahi aituā nui, i te matewai nui rānei. |
| Te hekenga o ngā taumata hāora (Hypoxia) | Te korenga o te hāora ki te tinana nā te uaua o te manawa me te toremitanga. |
| Ngā panonitanga o te taurite waikawa/tote o te tinana (Hauora - Waikawa) | Te pikinga o te waikawa i roto i te tinana nā ngā āhuatanga pēnei i te ngoikore o te whatukuhu. Ngā panonitanga nui o ngā taumata electrolyte pēnei i te pāhare pāporo. |
| Te pāmahana tinana iti (hypothermia) | Te hekenga o te pāmahana tinana ki te taumata tino iti. |
| Te horomitanga o ngā paitini | Te nui rawa o te horomanga o ētahi rongoā, raau taero, ētahi atu matū paitini rānei. |
| Te kohikohinga wai huri noa i te ngākau (Tamponade - cardiac) | Ka kī te kōhao huri noa i te ngākau i te toto, i tētahi atu wai rānei, ka pēhia te ngākau. Ka ārai tēnei i te ngākau kia kore e pā noa. |
| Te mate pūkahukahu taumaha | Ka pahū te pukahukahu, ka whakakīia te uma ki te hau, ka pēhi i te ngākau me ngā uaua toto. |
| Ngā toto totoka (Thrombosis) | He āhuatanga pēnei i te whakaeke ngakau (myocardial infarction) he toto totoka rānei i roto i ngā pukahukahu (pulmonary embolism). |
| Ngā whara tinana (Whara) | Te pakaru o te ngākau nā te aituā kino ki te uma. |
Me pēhea te rongoā mō tēnei?
Ina pāngia te tangata e te PEA, he uaua ki te tautuhi i waho o te hōhipera, nā te mea kāore e taea te tautuhi me te kore he ECG. He waimarie, ko te mea tuatahi me te mea nui rawa atu hei mahi i roto i tētahi take o te hopukanga o te ngakau ko te CPR (Cardiopulmonary Resuscitation).
1. Tīmata tonu te CPR: Ki te kore e mōhio te tangata, kāore he pā o te manawa, kāore hoki he manawa, waea atu ki te waka tūroro, ka pēhi tonu i te uma kia tae mai rā anō. Koinei te huarahi pai ki te whakaora i te ora. Ki te kore koe e mōhio ki te mahi CPR, ka taea e ngā ratonga ohorere te tohutohu i a koe me pēhea te mahi.
2. Te maimoatanga i te hōhipera: Whai muri i te whakaurunga ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera, ka haere tonu ngā tākuta ki te mahi CPR me te tīmata i ētahi atu maimoatanga.
- Epinephrine: Ka kiia hoki tēnei ko te adrenaline. Ka hoatu tēnei rongoā hei ngana ki te whakahoki i te manawataki o te ngākau ki te auau noa.
- Te rongoā i te pūtake: He mea nui kia tere te tautuhi i te pūtake o te PEA (tētahi o ngā pūtake i te ripanga i runga ake nei) me te rongoā. Hei tauira, ki te ngaro te toto, hoatu he toto, ki te kore e ranea te hāora, hoatu he hāora, ki te mea he toto kei te taha o te ngākau, tangohia ki te ngira.
Kia maumahara, he manawataki "kore-ru" te PEA. Ko te tikanga tēnei, kāore e āwhina te ru mai i te defibrillator. Heoi, ki te pai te CPR, i ētahi wā ka huri te manawataki o te ngakau ki te manawataki ru (hei tauira, 'ventricular fibrillation'). I taua wā, ka hoatu e te ru mai i te defibrillator he whai wāhi ki te ngakau ki te tīmata anō. Koia te hiranga o te CPR.
Me aha tātou i roto i tētahi āhuatanga ohorere?
He āhuatanga ohorere hauora tonu te hopukanga o te manawa, nō reira me mahi wawe tonu.
He tangata kei mua i a koe:
- Ki te ngaro whakarere tō māramatanga, ā, ka hinga koe,
- Ki te kore koe e rongo i te pā o te manawa i roto i tō kaki, i tō ringaringa rānei,
- Ki te mutu te manawa, ki te uaua rawa rānei,
Waea atu ki te waka tūroro tonu. Kātahi, tīmatahia te CPR i te wā e taea ai. He mea nui ia hēkona.
Ahakoa he mate tino kino te PEA, kua tino piki ake tō tātou māramatanga mō tēnei mate me te whanaketanga o te rongoā hou. Heoi, ko ngā meneti tuatahi he mea nui ake i ērā katoa. Nō reira, ki te kite koe i tētahi e pāngia ana e tēnei mate, kaua e mataku, tīmata tonu te CPR, ka rapu awhina hauora wawe tonu, ka tino piki ake te tūponotanga ka ora te tangata.
Karere Tangohia ki te Kāinga
- He āhuatanga ohorere hauora tino kino te PEA, e mahi hiko ana te ngākau engari kāore he pā.
- Ki te kore e mōhiotia te ahua o tētahi, tirohia tonutia tōna manawa me tōna manawa.
- Ki te kore e pā te manawa, waea atu ki te waka tūroro, ka tīmata tonu i te CPR (pēhanga uma).
- Ahakoa kāore i te angitu te maimoatanga ru (defibrillation) mō te PEA, mā te CPR tonu ka huri te manawataki o te ngākau ki tētahi manawataki ru.
- Ko te whāinga matua o te maimoatanga i te hōhipera ko te kimi me te rongoā i te pūtake o te PEA i te wā e mahi ana i te CPR.
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