Ngaba uyazazi izingqisho ezingaqhelekanga zentliziyo (isingqisho se-agonal) ezenzeka ngexesha lokufa?

Khawuthelekelele ukuba umntu osondeleyo kuwe, mhlawumbi ilungu losapho okanye umhlobo osenyongweni, ukwimeko embi kakhulu. Ukuphefumla kwakhe kubonakala kungaqhelekanga, mhlawumbi amalungu akhe ayathuthumela, kwaye wenza isandi sokuphefumla. Ngexesha elinje, siziva soyika kakhulu kwaye sikhathazekile malunga nokusebenza kwentliziyo yaloo mntu, akunjalo? Namhlanje siza kuthetha ngesingqisho sentliziyo esingaqhelekanga nesinokuba yingozi esinokwenzeka kwimeko enzima kangaka. Oogqirha babiza esi 'singqisho se-agonal' .

Yintoni kanye kanye le 'agonal rhythm'?

Ngamafutshane, le `(Agonal Rhythm)` sisingqisho sentliziyo esicothayo kakhulu nesingaqhelekanga . Sivela kumagumbi asezantsi entliziyo, abizwa ngokuba zii-ventricles. Okubaluleke kakhulu, le meko yenzeka emva kokuba amagumbi aphezulu entliziyo, abizwa ngokuba yi-atria, eyeke ngokupheleleyo ukusebenza. Khawuthelekelele ukuba intliziyo ifana nendlu enamagumbi amane, kwaye xa amagumbi amabini aphezulu eyeka ukusebenza, ngamagumbi amabini asezantsi kuphela azama ukutyhala.

Xa olu hlobo lwe-arrhythmia (ukubetha kwentliziyo okungaqhelekanga) lusenzeka, intliziyo ayikwazi ukupompa igazi ngokufanelekileyo. Oku kuthetha ukuba amanye amalungu omzimba awafumani ioksijini ayidingayo.

Le yintliziyo yokugqibela enokubonwa yiyo ngaphambi kokuba iyeke ngokupheleleyo ukusebenza, oko kukuthi, ingena kwi -asystole (oku kuxa umntu esifa). Oku kuthetha ukuba esi sisiganeko esinzima kakhulu, esisenzeka ngomzuzu wokugqibela.

Ngaba umntu onayo le `(Agonal Rhythm)` angasinda?

Lo ngumbuzo obuhlungu ukuwubuza, kodwa inyani yile, xa kwenzekile i-`(Agonal Rhythm)`, ngokuqhelekileyo akukho kuphila kuyo. Kuba, njengoko benditshilo ngaphambili, ngeli xesha intliziyo ayimpompi igazi elaneleyo emzimbeni. Ngoko ke, amalungu abalulekileyo anjengengqondo, imiphunga, nezintso awafumani ioksijini eyaneleyo. Emva kwexesha elithile, la malungu ayayeka ukusebenza, kwaye imeko ye-`(Asystole)` endiyikhankanyileyo iyenzeka, kwaye ukufa kwenzeka.

Lithetha ukuthini igama elithi "agonal"?

Igama lesiNgesi elithi "agonal" lithetha "okuphathelele ukufa" okanye "okwenzeka ngexesha lokufa, ecaleni kokufa." Yingakho eli gama likwasetyenziswa nakwezinye iimeko zonyango ezinxulumene nokufa. Umzekelo:

• Ukuphefumla okungapheliyo: Oku kukuphefumla okungaqhelekanga, okufuthayo komntu osondele ekufeni.
• Imeko ye-Agonal: Imeko apho umzimba usemngciphekweni wokufa. (Uxolo, masithi "kusondele kakhulu" endaweni yokuthi "ngaphambi nje") ... Imeko apho umzimba usondele kakhulu ekufeni.
• Namhlanje sithetha ngesingqisho se-agonal.

Ngaba umntu onesingqisho "esijikelezayo" uziva iintlungu?

Xa sisiva igama lale meko, sicinga ngegama elithi "ubuhlungu" (elithetha intlungu okanye ukubandezeleka okukhulu), ngoko ke abanye abantu banokucinga ukuba bakwintlungu enkulu ngeli xesha. Enyanisweni, umntu one "agonal rhythm" unokwenza iintshukumo ezingaqhelekanga kunye nokubhomboloza. Xa sibona oku, sinokucinga ukuba bakwintlungu.

Kodwa, bahlala bengaziva ntlungu okanye ukungakhululeki . Isizathu kukuba, ngenxa yokuba ingqondo ayifumani ioksijini, ukusebenza kwengqondo kuyema kancinci kancinci, baze bangabi nangqondo. Ngenxa yoko, balahlekelwa kukwazi ukuva iintlungu. Ezo ntshukumo nezandi esizibonayo zihlala zizinto ezenzeka ngenxa ye-reflex ethile engqondweni.

Zithini iimpawu ze-`(Agonal Rhythm)`?

Ukuba isantya sentliziyo yomntu singaphantsi kwama-20 ngomzuzu , kukho ithuba elikhulu lokuba yi-"Agonal Rhythm". Ukuqinisekisa oku ngokuqinisekileyo, kufuneka kwenziwe uvavanyo lwe-E.C. (ECG - Electrocardiogram) .

Iimpawu ezinokubonwa ukuba kukho i-``Agonal Rhythm`` kwirekhodi ye-ECG zezi:

• Akukho maza e-P: Oku kuthetha ukuba amagumbi aphezulu entliziyo, abizwa ngokuba yi-atria, awasebenzi. Kulapho igazi liqokelela khona okokuqala.
• Ii-Wide QRS complexes: Oku kuthetha ukuba amagumbi asezantsi entliziyo, amagumbi ampompa igazi emzimbeni, awanciphi ngexesha elifanelekileyo, okanye ancipha kade. Oku kuthetha ukuba inxalenye esezantsi yentliziyo ayisebenzi kakuhle.

Zithini iimpawu ze-"agonal rhythm"?

Nangona ingekho i-ECG, kukho iimpawu ezimbalwa esinokuzijonga:

• Intliziyo ibuthathaka kakhulu, okanye ayivakali konke konke.
• Ukulahlekelwa zingqondo okanye ukulahleka kancinci kancinci kwengqondo.

Zithini izizathu ze-`(Agonal Rhythm)`?

Eyona nto ibangela le meko kukonakala okukhulu kwemisipha yentliziyo . Nazi ezinye zezinto ezinokubangela loo monakalo:

• I-cardiac tamponade kuxa ingxowa ejikeleze intliziyo izaliswe lulwelo, olufana namanzi okanye igazi, nto leyo ebangela ukuba intliziyo icinezeleke. Oku kufana nentliziyo engakwaziyo ukuphefumla.
• Ukwenzakala okukhulu kwangaphandle kwentliziyo, njengenxeba lommese okanye ukuwa ukusuka kwindawo ephakamileyo ( ukwenzakala kwentliziyo) .
• I-Ventricular fibrillation yimeko apho amagumbi asezantsi entliziyo aqala ukubetha ngokukhawuleza nangokungalawulekiyo (ventricular fibrillation). Kule meko, intliziyo iyangcangcazela nje kwaye ayipompi igazi ngokufanelekileyo.

Ukongeza koku, ezinye iimeko ezininzi ezinokubangela ukuminxeka kwentliziyo zinokubangela "i-agonal rhythm":

• Ityhefu ye-carbon monoxide
• Ukuntywiliselwa emanzini
• Ukugqithisa iziyobisi
• Umbane
• Ukuxhuzula okunzima (`Ukuxhuzula`)
• Ukopha kakhulu (`Ukopha igazi`)
• Ukukrwitshwa okanye ukufuthaniselwa
• Umthambo wegazi oqhumayo okanye ovalekileyo engqondweni, njengokubetha kwentliziyo
• Ukulimala kwengqondo okubuhlungu (TBI)

Konke oku kubeka uxinzelelo olungenakunyamezeleka entliziyweni, ekugqibeleni kukhokelela ekusileleni kwentliziyo.

Ngaba umntu one-`(Agonal Rhythm)` unesifo esibizwa ngokuba yi-`(Agonal Breathing)`?

`(Agonal Rhythm)` kunye `(Agonal Breathing)` ngamagama amabini, hayi elinye . Nangona kunjalo, kwimeko engxamisekileyo efana nokuhlaselwa yintliziyo, zombini ezi zinto zinokubonwa ngaxeshanye .

Ukuphefumla nge-agonal yindlela engaqhelekanga yokuphefumla xa umntu esifa. Baphefumla ngokuphefumla ngokuphefumla nangokuncwina. Basenokude bancwine ngenxa yentlungu. Nangona kunjalo, njengakwi-Agonal Rhythm, umntu one-Agonal Breathing akaziva iintlungu. Ngokuqhelekileyo akaqondi . Esikubonayo zii-reflexes nje, okanye iintshukumo zomzimba .

Ngaba "isigqi se-agonal" sinokuthintelwa?

Ngelishwa, le meko ibizwa ngokuba yi-"Agonal Rhythm" ayisiyonto esinokuyithintela . Yenzeka xa intliziyo iyeka ukubetha, nokuba kungenxa yomonakalo omkhulu entliziyweni okanye enye imeko engxamisekileyo yezonyango. Oku kuthetha ukuba ayisiyonto inokuthintelwa kwangaphambili, njengesifo.

Singamthuthuzela njani umntu esimthandayo onomculo ohambelanayo?

Le yeyona nxalenye ichukumisayo kweli bali. Nokuba umntu omthandayo akazi nto, ungabathuthuzela. Oogqirha bathi nangona imisebenzi yomzimba ingasebenzi kakuhle, amandla okuva nokuchukumisa ahlala ekho kude kube ngumzuzu wokugqibela .

Ukuba lapho nje, kunye naloo mntu, kuyamthuthuzela kakhulu. Bamba isandla ukuba unako. Thetha naye kancinci. Mxelele ukuba ubathanda kangakanani, ukuba ubaxabisa kangakanani. Mkhumbuze ngamaxesha amnandi enaninawo kunye.

I-Agonal Rhythm yenzeka kufutshane kakhulu nokufa. Nangona umntu engekho zingqondweni ngeli xesha, ezinye ii-reflex engqondweni zizama ukumgcina ephila. Nangona kunjalo, into ebuhlungu kukuba xa intliziyo yomntu ifikelele kule Agonal Rhythm, ukufa kuyaqinisekiswa kwaye akunakuthintelwa. Nangona kunjalo, ungamnika umntu omthandayo intuthuzelo kuloo mzuzu wokugqibela, ngamazwi akho anobubele, ukuchukumisa kwakho ngothando, kunye nokuziva ulapho. Kuya kumnceda loo mntu kunye nawe ukuya kwinqanaba elithile ukuba uzole.

Umyalezo Wokugqibela Wokuya Ekhaya

Kulungile, ngoko ke ndiyathemba ukuba ungakhumbula ezinye zezona ngongoma zibalulekileyo koko sithethe ngako `(Agonal Rhythm)`.

• ``(I-Agonal Rhythm)`` nguUkubetha kwentliziyo okungaqhelekanga nokucothayo okwenzeka kufutshane kakhulu nokufa.
• Kule meko, intliziyo ayimpompi igazi emzimbeni, ngoko ke umntu uba buthathaka engqondweni aze angabi nantlungu .
• Iintshukumo esizibonayo, ezinje ngokujika kwamalungu omzimba nokuncwina, zihlala ziyi -reflex, azibangelwa yintlungu.
• Le ayisiyongxaki inokuthintelwa , kuba sisiphumo somonakalo omkhulu wentliziyo okanye enye imeko engxamisekileyo yezonyango.
• Kwimeko efana nale, ungamthuthuzela umntu omthandayo ngokubakho kwakho, ukumchukumisa, kunye namazwi akho anobubele .

Ndiyathemba ukuba olu lwazi luza kuba luncedo kuwe ngenye imini, ndaweni ithile. Nangona ingumxholo onzima kangaka, kubalulekile ukuhlala unolwazi ngawo.

Isingqisho se - Agonal, isingqisho sentliziyo, ukufa, intliziyo, i-ECG, uhlaselo lwentliziyo, ukubetha kwentliziyo, i-Asystole, imeko engxamisekileyo