Fungidzira, mumwe munhu ari pamberi pako akangoerekana arasikirwa nepfungwa obva awira pasi. Unomhanya-mhanya uchitarisa mutsipa wake kuti kurova kwemoyo kwacho hakuna here, asi hapana kana kurova kwemoyo kwacho. Havasi kutofema. Unofunga kuti uku kumisa kwemoyo. Asi zvinoshamisa kuti pavanoenda navo kuchipatara, vanachiremba vanotora ECG uye inoratidza kushanda kwemagetsi mumoyo. Kune magetsi, asi moyo hausi kurova. Iyi mamiriro asinganzwisisike, ane njodzi ndiwo atinodaidza mukurapa kuti "Pulseless Electrical Activity." Tinoidaidza kuti PEA muchidimbu. Iyi inyaya yekukurumidzira. Saka, ngatitaurei nezvazvo zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi PEA?
PEA rudzi rwekumira kwemoyo. Chinoitika pano ndechekuti, kunyangwe paine mashandiro emagetsi mumoyo, tsandanyama yemoyo haigadzikane uye haipombi ropa zvichienderana nechiratidzo chemagetsi ichocho. Zvakafanana negirobhu remwenje risingabatidzi nekuti shinda yatsva kunyangwe paine magetsi .
Kushanda kwemagetsi uku kunogona kuyerwa neECG (electrocardiogram). Zvisinei, kana ukatarisa kurova kwemoyo wako, hauzonzwi kurova kwemoyo nekuti moyo hausi kurova uye hausi kupomba ropa mumuviri wese.
Chinonyanya kukosha ndechekuti PEA inzira "isingazununguki" yekuridza kwemoyo. Izvi zvinoreva kuti haigone kudzoreredzwa nekuvhunduka kubva ku defibrillator, sezvakaratidzwa mumafirimu. Saka, kana kurapwa kwakakodzera kukasagamuchirwa nekukurumidza, rufu runogona kuitika mukati memaminitsi mashoma.
Kune mhando mbiri dzePEA
Vanachiremba vanopatsanura izvi kuita mhando mbiri huru.
1. Pseudo-PEA: Muizvi, tsandanyama yemoyo inodhonza zvishoma nekuda kwekushanda kwemagetsi kwemoyo. Kunyangwe ikapomba ropa shoma, haina kusimba sekurova kwemoyo kwakajairika. Saka, ropa harina kuyerera kwakakwana kuti rinzwe kurova kwemoyo mumuviri.
2. CHOKWADI CHE PEA: Muizvi, kunyange zvazvo paine mashandiro emagetsi mumoyo, tsandanyama yemoyo haipinduri zvachose . Izvi zvinoreva kuti hapana ropa rinopombwa zvachose. Hapana kurova kwemoyo kunonzwa zvachose.
Ndeupi musiyano uripo pakati pePEA neAsystole (Flat-lining)?
Pamwe wakambozviona mumafirimu, kana munhu afa, mutsetse wakatwasuka unoonekwa pamonitor ine ruzha rwekuti "beep...". Ndizvo zvatinodaidza kuti `(asystole)` kana kuti "flat-lining."
- PEA: Mumoyo mune magetsi, asi moyo haushande. (Sezvakaita TV ine magetsi , asi yakakuvara).
- Asystole: Moyo hauna magetsi, uye moyo hausi kurova. Wakanyarara chose. (SeTV yakabviswa pamagetsi).
Kunyangwe zvese zviri zviitiko zvekumira kwemoyo, musiyano wacho unogona kuonekwa zvichibva pakuonekwa kweECG.
Ndezvipi zvikonzero zvikuru zvePEA?
Pane zvinhu zvakawanda zvinogona kukonzera PEA. Kuti zvive nyore kurangarira izvi, vanachiremba vanoshandisa nzira pfupi inonzi "H naT." Ngationei kuti chii.
| Chikamu Chezvikonzero | Tsananguro Iri Nyore |
|---|---|
| Kuderera kwehuwandu hweropa (Hypovolemia) | Kuderera kwehuwandu hweropa mumuviri nekuda kwechikonzero chakadai sekubuda ropa rakawanda kubva mutsaona huru kana kupera mvura mumuviri zvakanyanya. |
| Kuderera kwemazinga eokisijeni (Hypoxia) | Kushaya okisijeni mumuviri nekuda kwekutadza kufema zvakanaka uye kunyura mumvura. |
| Kuchinja kwe acid/ salt balance yemuviri (Hydrogen ion - Acidosis) | Kuwedzera kweacidity mumuviri kunokonzerwa nezvinhu zvakaita sekutadza kushanda kweitsvo. Kuchinja kwakanyanya kwemazinga e electrolyte akadai se potassium. |
| Kupisa muviri zvakanyanya (hypothermia) | Kupisa kwemuviri kuri kuderera zvakanyanya. |
| Kudya chepfu | Kunwa mishonga yakawanda, zvinodhaka, kana zvimwe zvinhu zvine chepfu. |
| Kuungana kwemvura yakakomberedza moyo (Tamponade - cardiac) | Mhara yakakomberedza moyo inozadzwa neropa kana zvimwe zvinoyerera, zvichikonzera kumanikidzwa kwemoyo. Izvi zvinodzivirira moyo kurova zvakasununguka. |
| Kushushikana kwepneumothorax | Mapapu anoputika, achizadza chipfuva nemhepo, achidzvanya mwoyo netsinga dzeropa. |
| Kugwamba kweropa (Thrombosis) | Dambudziko rakadai sechirwere chemwoyo (`myocardial infarction`) kana kuti ropa rakagwamba mumapapu (`pulmonary embolism`). |
| Kukuvara kwemuviri (Kukuvara) | Kukuvara kwemoyo nekuda kwetsaona yakakura pachipfuva. |
Izvi zvinorapwa sei?
Kana munhu aine PEA, zvinogona kuoma kuona chirwere chake ari kunze kwechipatara, sezvo zvisingaite kuziva pasina ECG. Nerombo rakanaka, chinhu chekutanga uye chakakosha chekuita chero chiitiko chekumira kwemoyo chinhu chimwe chete: CPR (Cardiopulmonary Resuscitation).
1. Tanga CPR nekukasika: Kana munhu asina chaanoziva, asina kurova kwemoyo kana kufema, fonera amburenzi nekukasika uye ramba uchidzvanya chipfuva kusvika asvika. Iyi ndiyo mukana wakanakisa wekuponesa hupenyu. Kana usingazive maitiro eCPR, emergency services inogona kukuraira maitiro ekuzviita.
2. Kurapwa muchipatara: Mushure mekupinzwa muEmergency Treatment Unit (ETU) yechipatara, vanachiremba vacharamba vachiita CPR uye kutanga mamwe marapirwo.
- Epinephrine: Izvi zvinonziwo adrenaline. Mushonga uyu unopihwa kuyedza kudzorera moyo kurhythm yakajairika.
- Kurapa chinokonzera chirwere: Zvakakosha kuziva nekukurumidza chikonzero chePEA (chimwe chezvikonzero zviri patafura iri pamusoro) uye kuchirapa. Semuenzaniso, kana ropa rikarasikirwa, ipa ropa, kana pasina oxygen yakakwana, ipa oxygen, kana paine ropa rakatenderedza mwoyo, ribvise nesirinjisi.
Yeuka, PEA mutinhimira "usingazununguki". Izvi zvinoreva kuti kuvhunduka kubva ku defibrillator hakubatsiri. Zvisinei, neCPR yakanaka, dzimwe nguva mutinhimira wemoyo unogona kuchinja kuita mutinhimira unovhunduka (semuenzaniso, `ventricular fibrillation`). Panguva iyoyo, kuvhunduka kubva ku defibrillator kunopa moyo mukana wekutangazve. Ndokusaka CPR yakakosha zvikuru.
Chii chatinofanira kuita kana paine emergency?
Kumira kwemwoyo nguva dzose inyaya yekurapa, saka matanho ekukurumidzira akakosha.
Mumwe munhu ari pamberi pako:
- Kana ukangoerekana warasikirwa nepfungwa wobva wadonha,
- Kana usinganzwe kurova kwemoyo mumutsipa kana paruoko rwako,
- Kana kufema kukamira kana kuti kukava kwakaoma zvisingawanzoitiki,
Fonera amburenzi nekukasika. Wobva watanga CPR nekukurumidza. Sekondi yega yega inokosha.
Kunyangwe PEA iri chirwere chakakomba zvikuru, kunzwisisa kwedu kwakawedzera zvakanyanya nekufambira mberi kwemishonga yemazuva ano. Zvisinei, maminetsi mashoma ekutanga akakosha kupfuura zvese izvozvo. Saka, kana ukaona mumwe munhu achisangana neizvi, usavhunduke, tanga CPR nekukasika, uye tsvaga rubatsiro rwechiremba nekukurumidza, izvo zvinogona kuwedzera mukana wekuponesa hupenyu.
Mharidzo Yekuenda Nayo Kumba
- PEA chirwere chakakomba chekurapa umo mwoyo unenge uchiita zvemagetsi asi pasina kurova kwemoyo.
- Kana mumwe munhu akangoerekana adonha asina kuziva, tarisa kurova kwemoyo wake nekufema kwake nekukasika.
- Kana pasina kurova kwemoyo kana kufema, fonerai amburenzi nekukurumidza motanga CPR (kudzvanywa kwechipfuva) nekukasika.
- Kunyange hazvo kurapwa kwePEA nekurohwa nehana (defibrillation) kusingawanzobudirira, CPR inoenderera mberi inogona kushandura moyo kuita mutinhimira unovhundutsa.
- Chinangwa chikuru chekurapa muchipatara ndechekuwana nekurapa chikonzero chePEA panguva yekurapa CPR.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment