Ko kana moyo ukangoerekana wamira? Ngatitaurei nezve 'flat line' (Asystole)

Unofanira kunge wakazviona paTV, apo mumwe munhu anongoerekana arasikirwa nepfungwa odonha pasi, vanachiremba vanomhanyira kupinda, vanoisa muchina pachipfuva voti 'Clear!' vobva varova nemagetsi. Asi dzimwe nguva zvaunongoona pamonitor mutsetse murefu wakatwasuka. Ndiwo watinoti 'flat-line' kana kuti asystole. Iyi idambudziko rehutano rakakomba, rinoisa hupenyu panjodzi. Saka, zvakakosha kuti isu tese tizive zvizere nezveizvi.

Chii chinonzi asystole?

Zvichitaurwa zviri nyore, asystole inguva apo magetsi emwoyo wako anodzima zvachose uye mwoyo wako unomira kurova. Uku kumisa kwemoyo. Panguva iyi, moyo unomira kupomba ropa mumuviri zvachose. Izvi zvinogona kukonzera kurasikirwa nepfungwa kamwe kamwe, kumira kufema, kana kudzipwa. Pasina kurapwa nekukurumidza, senge CPR, rufu runogona kuitika mukati memaminitsi.

Sei izvi zvichinzi 'mutsetse wakatsetseka'?

Hatigoni kuziva chirwere ichi kubva kunze. Chinogona kuonekwa nemazvo chete neECG (Electrocardiogram) test. Ungave wakaona kuti muzvipatara, masensa akati wandei anosungirirwa pachipfuva kuti atarise mashandiro emwoyo. Masensa aya anoona mashandiro emagetsi emwoyo asinganyatsooneki uye anoaratidza semagadzirirwo emagetsi ari pachiratidziro.

Maitiro aya emafungu anoumbwa kana paine chiitiko chemagetsi mumoyo. Mu asystole, hapana chiitiko chemagetsi mumoyo, saka panzvimbo pemafungu, mutsetse wakatwasuka, wakatsetseka unoonekwa pachiratidziro. Ndosaka ichinzi 'mutsetse wakatsetseka'.

Mwoyo yedu inoshanda sei ? Chii chinoitika panguva ye asystole?

Nguva imwe neimwe mwoyo yedu inorova, zvinoitika mumatanho maviri makuru.

1. Systole: Kamuchina kadiki kemagetsi kanoitika mukati memoyo kanoita kuti tsandanyama dzemwoyo dzizvinyike zvakasimba. Kuzvimbirwa uku ndiko kunopomba ropa kubva mumoyo mumuviri wese.

2. Diastole: Mushure mekurova kamwe chete, tsandanyama yemoyo inozorora. Apa ndipo apo makamuri emoyo anozadzwa neropa zvakare, akagadzirira kupomba kunotevera.

Mu asystole, magetsi anokonzera systole anorasika zvachose. Kungofanana nemota yemvura inomira kushanda kana magetsi arasika, kana magetsi arasika, moyo unomira kupomba zvachose. Izvi ndizvo zvatinodaidza kuti 'kufa kwekiriniki'.

Ndezvipi zvikonzero zve asystole?

Pane zvikonzero zvakawanda zvinoita kuti mwoyo urege kushanda kamwe kamwe. Zvimwe zvezvikonzero zvikuru ndeizvi:

• Kubuda ropa rakawanda mumuviri.
• Kuderera kwakanyanya kweokisijeni mumuviri (Hypoxia).
• Kusawirirana kwemunyu ne electrolyte mumuviri.
• Kurwara nemoyo kwakanyanya.
• Kuvimba kwemapapu.
• Kurongeka kwemwoyo kusina kujairika (Arrhythmias), kunyanya zvirwere zvakaita seVentricular Fibrillation (VF) uye Ventricular Tachycardia (VT).
• Njodzi huru pachipfuva kana pamoyo.
• Kuvhundutswa nemagetsi.
• Kunwa mimwe mishonga, chepfu, kana zvinodhaka zvakaita secocaine.

Izvi zvingarapwa sei? Zvinogona kuponesa hupenyu here?

Asystole chirwere chinokurumidzira chinoonekwa sekondi yega yega. Kana izvi zvikaitika kune mumwe munhu asiri muchipatara, chinhu chakakosha uye chega chaunogona kuita kutanga CPR (Cardiopulmonary Resuscitation) nekukasika woenderera mberi nacho kusvika rubatsiro rwechiremba rwasvika. CPR yakakodzera, inoenderera mberi ine mukana wakanakisa wekuponesa hupenyu.

Kana uri muchipatara, mapoka ekurapa anopa mishonga inotevera.

Ko kuvhunduka (defibrillation) hakugone here kumutsiridza moyo?

Izvi ndizvo zvinofungidzirwa nevanhu vazhinji mushure mekuona mafirimu. Asystole haisi rhythm 'inovhundutsa'. Kureva kuti, kupa munhu ane tambo yakatsetseka shock yemagetsi (defibrillation) hakuzove nemigumisiro. Kutaura zvazviri, kuita izvozvo kunogona kuita kuti zviome kumutsa moyo.

Kurohwa kunongoitirwa chete kana paine miridzo isina kujairika, yakaita seVentricular Fibrillation (VF), apo mashandiro emagetsi emoyo anokanganiswa uye mwoyo uchingodedera. Zvisinei, neCPR yakanaka, dzimwe nguva moyo uri mumamiriro ekusagadzikana unogona kushandurwa kuita miridzo inorohwa. Ndosaka CPR iriyo nzira yekutanga yekurapa pano.

Unofanira kutsvaga rubatsiro nekukasika rini?

Kana mumwe munhu ari pedyo newe akangoerekana aona zviratidzo zvinotevera, zvinogona kunge zviri kumisa kushanda kwemoyo.

• Kamwe kamwe ndakarasika pfungwa ndodonha.
• Kusafema kana kufemera pasina simba.
• Kurasikirwa nekurova kwemoyo mumutsipa kana paruoko.

Mumamiriro ezvinhu akadaro, fonera amburenzi yekukurumidzira (semuenzaniso, 1919). Wobva watanga CPR nekukurumidza. Kunyangwe usingazive maitiro eCPR, usavhunduke. Mukuru weamburenzi anogona kukudzidzisa maitiro eCPR pafoni. Zvaunoita zvine mukana mukuru wekuponesa hupenyu. Murwere anofanira kuendeswa kuEmergency Treatment Unit (ETU) yechipatara nekukasika.

Kana uchifungidzira kuti izvi zvakaitika nekuda kwechinhu chine chepfu, unogona kufonera National Poison Information Center paColombo National Hospital nekukasika wotsvaga mazano.