Kodi mukudziwa kayimbidwe kachilendo ka mtima (agonal rhythm) komwe kumachitika munthu akamwalira?

Tangoganizani kuti munthu amene ali pafupi nanu, mwina wachibale wanu kapena bwenzi lanu lapamtima, ali mu mkhalidwe wovuta kwambiri. Kupuma kwake kumawoneka kwachilendo, mwina miyendo yake ikunjenjemera, ndipo akupanga phokoso lopumira. Panthawi ngati iyi, timamvanso mantha kwambiri komanso kuda nkhawa ndi momwe mtima wa munthuyo umagwirira ntchito, sichoncho? Lero tikambirana za kugunda kwa mtima kosazolowereka komanso komwe kungaphetse komwe kungachitike pamavuto akulu chonchi. Madokotala amatcha izi 'kugunda kwa mtima kosazolowereka' .

Kodi 'kugunda kwa agonal' kumeneku ndi chiyani kwenikweni?

Mwachidule, `(Agonal Rhythm)` iyi ndi kayimbidwe ka mtima kochedwa kwambiri komanso kosasinthasintha . Imachitika m'zipinda zapansi pa mtima, zotchedwa ventricles. Chofunika kwambiri, vutoli limachitika zipinda zapamwamba za mtima, zotchedwa atria, zitasiya kugwira ntchito. Tangoganizani kuti mtima uli ngati nyumba ya zipinda zinayi, ndipo zipinda ziwiri zapamwamba zikasiya kugwira ntchito, zipinda ziwiri zapansi zokha ndi zomwe zikuyesera kulowa.

Mtundu uwu wa arrhythmia (kugunda kwa mtima kosasinthasintha) ukachitika, mtima sungathe kupompa magazi bwino. Izi zikutanthauza kuti ziwalo zina zonse za thupi sizilandira mpweya womwe zimafunikira.

Uku ndi kugunda kwa mtima komaliza komwe mtima ungawone usanasiye kugwira ntchito, ndiko kuti, umalowa mu asystole (apa ndi pamene munthu wamwalira). Izi zikutanthauza kuti ichi ndi chochitika chachikulu kwambiri, chomaliza.

Kodi munthu amene ali ndi `(Agonal Rhythm)` ameneyu angapulumuke?

Funso ili ndi lomvetsa chisoni, koma zoona zake n'zakuti, `(Agonal Rhythm)` ikachitika, nthawi zambiri sipamakhala kuchira . Chifukwa, monga ndanenera kale, panthawiyi mtima sukupereka magazi okwanira m'thupi. Chifukwa chake, ziwalo zofunika kwambiri monga ubongo, mapapo, ndi impso sizilandira mpweya wokwanira. Patapita kanthawi, ziwalozi zimasiya kugwira ntchito, ndipo mkhalidwe wa `(Asystole)` womwe ndatchula umachitika, ndipo imfa imachitika.

Kodi mawu oti "agonal" amatanthauza chiyani?

Mawu achingerezi akuti "agonal" amatanthauza "zokhudzana ndi imfa" kapena "zimachitika panthawi ya imfa, pafupi kufa." Ichi ndichifukwa chake mawuwa amagwiritsidwanso ntchito pa matenda ena ambiri okhudzana ndi imfa. Mwachitsanzo:

• Kupuma movutikira: Uku ndi kupuma movutikira komanso kopanda thanzi kwa munthu amene watsala pang'ono kufa.
• Mkhalidwe wa Agonal: Mkhalidwe umene thupi lili pafupi kufa. (Pepani, tiyeni tinene kuti "pafupi kwambiri" m'malo mwa "tisanayambe") ... Mkhalidwe umene thupi lili pafupi kwambiri ndi imfa.
• Lero tikulankhula za agonal rhythm.

Kodi munthu amene ali ndi "kugunda kwa mtima" akumva kupweteka?

Tikamva dzina la vutoli, timaganiza za mawu oti "kupweteka" (kutanthauza kupweteka kwambiri kapena kuvutika), kotero anthu ena angaganize kuti ali ndi ululu waukulu panthawiyi. Ndipotu, munthu wokhala ndi "kugunda kwa mtima" angapange mayendedwe achilendo ndi kubuula. Tikaona izi, tingaganize kuti ali ndi ululu.

Koma, nthawi zambiri samamva kupweteka kulikonse kapena kusasangalala . Chifukwa chake n'chakuti, chifukwa ubongo sulandira mpweya, ntchito ya ubongo imasiya pang'onopang'ono, ndipo amakhala osazindikira. Chifukwa chake, amataya mphamvu yomva kupweteka. Mayendedwe ndi mawu omwe timawona nthawi zambiri ndi zinthu zomwe zimachitika chifukwa cha kusintha kwina mu ubongo.

Kodi makhalidwe a `(Agonal Rhythm)` ndi ati?

Ngati kugunda kwa mtima kwa munthu kuli kochepera 20 beats pa mphindi imodzi , pali mwayi waukulu kuti ndi ``Agonal Rhythm``. Kuti zitsimikizire izi, mayeso a E.C. (ECG - Electrocardiogram) ayenera kuchitidwa.

Zizindikiro zomwe zingawoneke ngati ``Agonal Rhythm`` ilipo pa rekodi ya ECG ndi izi:

• Palibe mafunde a P: Izi zikutanthauza kuti zipinda zapamwamba za mtima, zotchedwa atria, sizikugwira ntchito. Apa ndi pomwe magazi amayamba kusonkhana.
• Ma complexes a Wide QRS: Izi zikutanthauza kuti zipinda zapansi pa mtima, zipinda zomwe zimapopera magazi kupita ku thupi, sizikuchepa panthawi yoyenera, kapena zikuchepa mochedwa. Izi zikutanthauza kuti gawo lapansi la mtima silikugwira ntchito bwino.

Kodi zizindikiro za "kugunda kwa mtima" ndi ziti?

Ngakhale popanda ECG, pali zizindikiro zingapo zomwe tingayang'ane:

• Kugunda kwa mtima kumakhala kofooka kwambiri, kapena sikumveka konse.
• Kutaya chidziwitso kapena kutaya chidziwitso pang'onopang'ono.

Kodi ndi zifukwa ziti za "kugunda kwa mtima" komwe kumachitika chifukwa cha "kugunda kwa mtima"?

Chifukwa chachikulu cha vutoli ndi kuwonongeka kwakukulu kwa minofu ya mtima . Nazi zina mwa zifukwa zomwe zingayambitse kuwonongeka kotereku:

• Kuthamanga kwa mtima (cardiac tamponade) ndi pamene thumba lozungulira mtima limadzaza ndi madzi, monga madzi kapena magazi, zomwe zimapangitsa mtima kupanikizika. Izi zili ngati mtima wosakhoza kupuma.
• Kuvulala kwa mtima kwambiri, monga bala la mpeni kapena kugwa kuchokera kutalika kwambiri ( kuvulala kwa mtima) .
• Kugwedezeka kwa magazi m'mitsempha ya mtima ndi vuto lomwe zipinda zapansi pa mtima zimayamba kugunda mofulumira komanso mosalamulirika (ventricular fibrillation). Pa vutoli, mtima umangonjenjemera ndipo supompa magazi bwino.

Kuphatikiza pa izi, matenda ena angapo omwe angayambitse kulephera kwa mtima angayambitsenso "kugunda kwa mtima":

• Kuopsa kwa carbon monoxide
• Kumira
• Kugwiritsa ntchito mankhwala mopitirira muyeso
• Kudula kwamagetsi
• Khunyu lalikulu (`Seizure`)
• Kutuluka magazi kwambiri (`Kutuluka magazi`)
• Kudzimbidwa kapena kupumidwa
• Mtsempha wamagazi wotsekeka kapena wophulika muubongo, monga sitiroko
• Kuvulala kwa ubongo koopsa (TBI)

Zonsezi zimaika mtima pamavuto osapiririka, zomwe pamapeto pake zimapangitsa kuti mtima usagwire bwino ntchito.

Kodi munthu amene ali ndi `(Agonal Rhythm)` alinso ndi vuto lotchedwa `(Agonal Breathing)`?

`(Agonal Rhythm)` ndi `(Agonal Breathing)` ndi mawu awiri, osati amodzi . Komabe, pa nthawi yadzidzidzi monga matenda a mtima, zonsezi zimatha kuwoneka nthawi imodzi .

Kupuma movutikira ndi njira yodabwitsa yopumira munthu akamwalira. Amapuma movutikira komanso modandaula. Angamve kupweteka kwambiri chifukwa cha ululu. Komabe, monga momwe zilili ndi Agonal Rhythm, munthu amene ali ndi Agonal Breathing samva ululu kwenikweni. Nthawi zambiri amakhala osadziwa . Zimene timaona ndi ma reflexes okha, kapena mayendedwe a thupi .

Kodi "kugunda kwa mtima" kungapewedwe?

Mwatsoka, vuto ili lotchedwa ``Agonal Rhythm'' si chinthu chomwe tingachipewe . Chifukwa limachitika pamene mtima wasiya kugunda, kaya chifukwa cha kuwonongeka kwakukulu kwa mtima kapena vuto lina lalikulu lachipatala. Izi zikutanthauza kuti si chinthu chomwe chingapewedwe pasadakhale, monga matenda.

Kodi tingatonthoze bwanji wokondedwa wathu amene ali ndi "kugunda kwa mtima"?

Iyi ndi gawo lofunika kwambiri pa nkhaniyi. Ngakhale wokondedwa wanu atakomoka, mutha kumutonthoza. Madokotala amanena kuti ngakhale ntchito za thupi zitasokonekera, luso lomva kukhudza ndi kumva nthawi zambiri limakhalapo mpaka mphindi yomaliza .

Kungokhala pamenepo, ndi munthu ameneyo, kumamutonthoza kwambiri. Gwirani dzanja lake ngati mungathe. Lankhulani naye mofatsa. Muuzeni momwe mumawakondera, momwe mumayamikirira. Muwakumbutseni nthawi zabwino zomwe munali nazo limodzi.

Agonal Rhythm imachitika pafupi kwambiri ndi imfa. Ngakhale kuti munthu sadziwa kalikonse panthawiyi, zinthu zina muubongo zimayesa kumusunga ali ndi moyo. Komabe, chomvetsa chisoni n'chakuti mtima wa munthu ukafika pa Agonal Rhythm iyi, imfa imakhala yotsimikizika ndipo singalephereke. Komabe, mutha kutonthoza wokondedwa wanu panthawi yomaliza, ndi mawu anu okoma mtima, kukhudza kwanu kwachikondi, komanso kumva kuti muli pomwepo. Zidzathandiza munthuyo komanso inuyo pang'ono kuti mukhazikike mtima pansi.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, ndikukhulupirira kuti mukukumbukira mfundo zofunika kwambiri kuchokera pa zomwe tidakambirana `(Agonal Rhythm)`.

• ``(Agonal Rhythm)`` ndiKugunda kwa mtima kosakhazikika komanso pang'onopang'ono komwe kumachitika mumtima pafupi kwambiri ndi imfa.
• Mu mkhalidwe uwu, mtima sukupereka magazi m'thupi, kotero munthuyo amakhala wosazindikira ndipo nthawi zambiri samva kupweteka kulikonse .
• Mayendedwe omwe timawona, monga miyendo yopindika ndi kubuula, nthawi zambiri amakhala osinthika, osati oyambitsidwa ndi ululu.
• Izi si vuto lopewedwa , chifukwa ndi zotsatira za kuwonongeka kwakukulu kwa mtima kapena ngozi ina yachipatala.
• Mu mkhalidwe ngati uwu, mutha kutonthoza wokondedwa wanu ndi kukhalapo kwanu, kukhudza kwanu, ndi mawu anu okoma mtima .

Ndikukhulupirira kuti izi zidzakuthandizani tsiku lina, kwinakwake. Ngakhale kuti ndi nkhani yovuta kwambiri, ndikofunikira kuti mudziwe zambiri za nkhaniyi.

` Agonal Rhythm, rhythm ya mtima, pafupi kufa, mtima, ECG, matenda a mtima, kugunda kwa mtima, Asystole, zadzidzidzi