Usenokuba awukaze ulive eli gama ngaphambili. Kodwa yinto esiyivayo sonke ngaxa lithile, ingakumbi xa umntu omthandayo esondela esiphelweni sobomi bakhe. I-Agonal Rhythm yimeko ebuhlungu kakhulu neyinzulu. Kuqhelekile ukuba uzive usoyika kwaye wothukile xa usiva eli gama. Yiyo loo nto kubaluleke kangaka ukuliqonda ngokupheleleyo. Masithethe ngalo ngokulula, ngendlela enengqiqo, ngokungathi sithetha nomhlobo osenyongweni.
Yintoni i-Agonal Rhythm ngokulula?
Ngamafutshane, isingqisho se-agonal sisifo sokugqibela sentliziyo esingangqalanga esenzeka entliziyweni yomntu ngaphambi nje kokuba afe. Sisifo sentliziyo esicothayo nesingaqhelekanga.
Cinga ngentliziyo yethu njengendlu encinci enamagumbi amane. Kukho amagumbi amabini phezulu (atria) kunye namagumbi amabini ezantsi (ventricles). Ngokwesiqhelo, amagumbi asezantsi ayafinyela ngenxa yesignali yombane evela kumagumbi aphezulu aze aphompe igazi emzimbeni wonke. Le yintliziyo yethu eqhelekileyo.
Kodwa kwimeko ye-Agonal Rhythm, amagumbi aphezulu entliziyo, i-atria, ayeka ukusebenza ngokupheleleyo. Azithumeli zimpawu zombane. Emva koko amagumbi asezantsi entliziyo, ii-ventricles, aqala ukubetha kangangoko anako, ngaphandle konxibelelwano, kancinci kakhulu, njengomzamo wokugqibela. Oku kufana netotshi ecima ngequbuliso ibhetri engatshajwanga kakhulu, ngaphandle kwamandla ombane. Sibona oku njengengxaki enkulu yesingqisho sentliziyo (arrhythmia).
Eyona nto ibalulekileyo kukuba xa intliziyo ibetha ngolu hlobo, ayikwazi kwaphela ukupompa igazi ngeoksijini eliyidingayo ukuya kwamanye amalungu omzimba.
Ngaba umntu okule meko angasinda?
Lo ngumbuzo onzima ukuwubuza, kodwa kubalulekile ukwazi inyaniso. Umntu onesingqisho esibuhlungu akanakukwazi ukuphila.
Isizathu soku, njengoko benditshilo ngaphambili, le pulse ingaqhelekanga, ebuthathaka ayimpompeli igazi elaneleyo emzimbeni. Ingqondo, izintso, imiphunga, akukho ndawo ifumana ioksijini. Le yindlela yokugqibela yokubetha kwentliziyo eyenzeka ngaphambi kokuba kubekho imeko ebizwa ngokuba yi-'asystole' (ngolwimi lwethu oluqhelekileyo, 'umgca othe tyaba'), xa yonke imisebenzi yombane entliziyweni iyeka. I-'Asystole' kukufa okuqinisekisiweyo ngokwezonyango.
Lithetha ukuthini igama elithi 'agonal'? Ngaba ngokwenene livakala ngathi libuhlungu?
Igama elithi "agonal" livela kwingcambu enxulumene negama elithi "ubuhlungu." Lithetha "intlungu yokufa" okanye "ephathelele inkqubo yokufa." Ngoko ke xa sisiva eli gama, sinokucinga ukuba le yimeko ebangela iintlungu ezinganyamezelekiyo.
Kodwa kukho into ebaluleke kakhulu ekufuneka siyiqonde sonke apha.
Kumntu onesigqi se-agonalAkukho ntlungu okanye ukungakhululeki. Ngelo xesha, umntu unokwenza iintshukumo ezithile aze enze isandi esifana nokubhomboloza. Kumntu ongaphandle, kunokubonakala ngathi umntu usentlungwini. Kodwa asikuko oko ngokwenene.
Isizathu soku kukuba xa nje umbane weoksijini uphela, ingqondo iyayeka ukusebenza. Ngenxa yoko , umntu akaqondi. Umntu ongaqondiyo akanakuva iintlungu. Izinto esizibonayo, ezinje ngokubhomboloza nokuxhuzula, ziindlela nje ezenzeka ngokuzenzekelayo kwi-brainstem. Kufana nomlenze womntu ongaqondiyo oxhuzula xa uwuchukumisa emlenzeni.
| Indlela ebonakala ngayo ngaphandle | Kwenzeka ntoni ngokwenene |
|---|---|
| Ukwenza izandi zokubhomboloza, ukubhinyalaza. | Umntu akakho zingqondweni. Ezi ziindlela nje zokuzivuselela ezivela kwisiqu sobuchopho. Akukho ntlungu. |
| Ukungcangcazela okanye ukuxhawula izandla. | Umsebenzi wezihlunu ozenzekelayo owenzeka ngenxa yokunqongophala kweoksijini emzimbeni. Asinto eyenziwa ngabom. |
Zithini iimpawu zesingqisho se-agonal?
Le meko ifunyaniswa ngoogqirha. Idla ngokurhanelwa xa izinga lentliziyo lihla ngaphantsi kwama-20 ngomzuzu. Oku kunokuqinisekiswa kuphela ngovavanyo lwe-`electrocardiogram`, okanye uvavanyo lwe-`EKG`.
| Uphawu/uphawu | Ingcaciso elula |
|---|---|
| Ukulahlekelwa yingqondo okanye ukuquleka | Olu luphawu oluphambili oluvela xa ingqondo ingenayo igazi kunye neoksijini. |
| Akukho okanye ukubetha kwentliziyo okubuthathaka kakhulu | Ngenxa yokuba intliziyo ayipompi igazi, akunakwenzeka ukuba uve ukubetha kwentliziyo. |
| Ukungabikho kwamaza e-'P' kwi-EKG | `Amaza e-P` abonisa umsebenzi wamagumbi aphezulu entliziyo. Ukungabikho kwawo kuthetha ukuba amagumbi aphezulu asebenzi. |
| Ukwandiswa kwe-'QRS complexes' kwi-EKG | Ii-QRS complexes zibonisa indlela ii-ventricles ezibetha ngayo. Ukuba zibanzi, oko kuthetha ukuba ukubetha akuqhelekanga kwaye kuyalibaziseka. |
Yintoni ebangela le meko?
I-Agonal Rhythm ayisosifo esizenzekela ngokwaso. Sibangelwa kukonakala okukhulu kwentliziyo okanye olunye ungxamiseko lwezonyango olukhokelela ekumisweni kwentliziyo.
Ezona zizathu ziphambili zezi:
- Umonakalo omkhulu entliziyweni ngokwayo:
- I-Cardiac tamponade: I-membrane encinci ejikeleze intliziyo izaliswe ligazi okanye ulwelo, icinezele intliziyo.
- Ukonzakala kwentliziyo: Ukwenzakala okukhulu esifubeni, njengokuhlatywa ngenxeba, inxeba lokudutyulwa, okanye ukuwa kwindawo ephakamileyo.
- Ukufiphalisa kwemithambo yegazi: Kulapho amagumbi asezantsi entliziyo eqala ukubetha ngokungalawulekiyo. Oku kukwangunobangela wokuhlaselwa yintliziyo ngoko nangoko.
- Ezinye iimeko ezingxamisekileyo ezinokukhokelela ekuhlaselweni yintliziyo:
- Ityhefu ye-carbon monoxide: Ukuphefumla umsi kuthintela ioksijini ekufikeleleni egazini.
- Ukuntywiliselwa emanzini.
- Ukugqithisa iziyobisi.
- Umothuko wombane.
- Ukuxhuzula okukhulu (`Ukuxhuzula`).
- Ukopha kakhulu (`Ukopha igazi`).
- Ukukrwitshwa okanye ukukrwitshwa.
- Istroke.
- Ukulimala okukhulu entloko (Ukulimala kwengqondo okubuhlungu - iTBI).
Ngaba i-Agonal Rhythm kunye ne-Agonal Breathing ziyafana?
Abantu abaninzi bayabhidanisa la magama mabini. Kodwa la magama mabini zizinto ezimbini ezahlukeneyo.
- I-Agonal Rhythm: Oku kunxulumene nomsebenzi wombane wentliziyo . Oko kukuthi, indlela intliziyo ebetha ngayo.
- Ukuphefumla kwe-Agonal: Le yinkqubo yokuphefumla.Into enxulumeneyo. Okwenzekayo koku kukuba umntu ubonakala ephefuzela, ephefuzela. Oku kukwayindlela yokuziqhelanisa nesiqu sobuchopho esikufutshane nokufa, kungekhona ukuzama ukuphefumla ngokwenene.
Kodwa zombini ezi meko zinokwenzeka ngexesha elinye emntwini. Into ebalulekileyo kukuba kwi-Agonal Breathing nakwi-Agonal Rhythm, umntu akaqapheli nto ngoko ke akaziva ntlungu okanye uxinezeleko.
Singamthuthuzela njani umntu esimthandayo ngexesha elinje?
Le yeyona nxalenye ibalulekileyo neyinobuzaza kule ngxoxo. Kunzima kakhulu ukunyamezela ukubona umntu omthandayo ekule meko. Kodwa nangona kunjalo, zikho izinto onokuzenza ukuze umthuthuzele loo mntu.
Oogqirha bathi xa zonke ezinye izivamvo emzimbeni womntu zivaliwe, ukuva nokuchukumisa zezona zivamvo zimbini zokugqibela ezilahlekileyo. Oku kuthetha ukuba nokuba akakho zingqondweni, umntu usenokukwazi ukuva into oyithethayo kunye nokuchukumisa kwakho ukuya kuthi ga kwinqanaba elithile.
Ngoko ke, eyona nto ixabisekileyo onokuyenza ngaloo mzuzu wokugqibela kukuba kufutshane naloo mntu.
- Bamba isandla saloo mntu. Ukuchukumisa kwakho kunokuba yintuthuzelo enkulu kuloo mntu.
- Thetha ngoxolo nangothando. Thetha into esengqondweni yakho. Thetha izinto ezinje, "Ndiyakuthanda," "Awuwedwa, ndilapha."
- Thetha into emnandi kuloo mntu. Cela iingoma ezimbalwa zikaPirith, phinda ivesi yenkolo, okanye ucule ingoma angathanda ukuyiva loo mntu.
I-Agonal Rhythm luphawu lokuba ukufa kusondele kakhulu. Yimeko engenakuguqulwa. Kodwa xa umntu omthandayo ethatha olo hambo lokugqibela, amazwi akho othando kunye nokuchukumisa kuya kumthuthuzela loo mntu. Kwaye, uya kusala unentuthuzelo yokwazi ukuba, "Andimshiyanga yedwa, bendilapho de kwaba ngumzuzu wokugqibela."
Umyalezo Wokuya Ekhaya
- I-Agonal Rhythm ayisosifo esinye, kodwa yindlela yokubetha kwentliziyo ephantse yafa eyenzeka njengesiphumo sesinye isifo esinzima (umz., ingozi enkulu, ukuhlaselwa yintliziyo).
- Kule meko, intliziyo ayimpompi igazi ngokufanelekileyo emzimbeni, kwaye luphawu lokuba ukufa kusondele.
- Eyona nto ibalulekileyo: Umntu okule meko akazi nto ngoko ke akaziva ntlungu okanye akakhululekanga. Nakuphi na ukuncwina okanye ukuphefumla ngaphandle kukuzivuselela nje ngokuzenzekelayo.
- Nokuba umntu akakho zingqondweni, imvakalelo yokuva nokuchukumisa inokuhlala ihleli kude kube ngumzuzu wokugqibela. Ngoko ke, ukuba kufutshane, ukubambana ngezandla, nokuthetha ngothando kubaluleke kakhulu.
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