Uyazazi yini izigqi ezingavamile zenhliziyo (isigqi se-agonal) ezenzeka ngesikhathi sokufa?

Cabanga ngomuntu oseduze kakhulu nawe, mhlawumbe ilungu lomndeni noma umngane wakho omkhulu, usesimweni esibucayi kakhulu. Ukuphefumula kwakhe kubonakala kungavamile, mhlawumbe izitho zakhe ziyathuthumela, futhi wenza umsindo wokukhala. Ngesikhathi esinjengalesi, sizizwa sesaba kakhulu futhi sikhathazekile ngokusebenza kwenhliziyo yalowo muntu, akunjalo? Namuhla sizokhuluma ngesigqi senhliziyo esingajwayelekile futhi esingaba yingozi esingase senzeke esimweni esibucayi kangaka. Odokotela babiza lokhu ngokuthi 'isigqi se-agonal' .

Iyini ngempela le 'sigqi se-agonal'?

Kalula nje, lesi (Agonal Rhythm) siyisigqi senhliziyo esihamba kancane kakhulu, esingajwayelekile . Sivela emakamelweni aphansi enhliziyo, abizwa ngokuthi ama-ventricle. Okubaluleke kakhulu, lesi simo senzeka ngemva kokuba amakamelo aphezulu enhliziyo, abizwa ngokuthi i-atria, eseyeke ngokuphelele ukusebenza. Cabanga ukuthi inhliziyo ifana nendlu enamakamelo amane, futhi lapho amakamelo amabili aphezulu eyeka ukusebenza, amakamelo amabili aphansi kuphela azama ukungena.

Uma kwenzeka lolu hlobo lwe-arrhythmia (ukushaya kwenhliziyo okungajwayelekile), inhliziyo ayikwazi ukupompa igazi ngendlela efanele. Lokhu kusho ukuthi ezinye izitho zomzimba azitholi umoya-mpilo eziwudingayo.

Lokhu ukushaya kwenhliziyo kokugcina inhliziyo engakubona ngaphambi kokuba iyeke ngokuphelele ukusebenza, okungukuthi, ingena ku -asystole (lokhu kwenzeka lapho umuntu efa). Lokhu kusho ukuthi lesi yisenzakalo esingathi sína kakhulu, esiyenzeka ngomzuzu wokugcina.

Ingabe umuntu onale (Agonal Rhythm) angasinda?

Lona umbuzo odabukisayo okufanele uwubuze, kodwa iqiniso liwukuthi, uma kwenzeka i-(Agonal Rhythm), ngokuvamile akukho ukululama kuyo. Ngoba, njengoba ngishilo ngaphambili, ngalesi sikhathi inhliziyo ayimpompi igazi elanele emzimbeni. Ngakho-ke, izitho ezibalulekile njengobuchopho, amaphaphu, nezinso azitholi umoya-mpilo owanele. Ngemva kwesikhashana, lezi zitho ziyayeka ukusebenza, futhi isimo se-(Asystole) engisishilo siyenzeka, bese kwenzeka ukufa.

Lisho ukuthini igama elithi "agonal"?

Igama lesiNgisi elithi "agonal" lisho "okuphathelene nokufa" noma "okwenzeka ngesikhathi sokufa, onqenqemeni lokufa." Yingakho leli gama lisetshenziswa nakwezinye izimo eziningana zezokwelapha ezihlobene nokufa. Isibonelo:

• Ukuphefumula okuqondile: Lokhu ukuphefumula okungavamile, okuphefumulayo komuntu oseduze nokufa.
• Isimo se-agonal: Isimo lapho umzimba useduze nokufa. (Uxolo, ake sithi "kuseduze kakhulu" esikhundleni sokuthi "ngaphambi nje") ... Isimo lapho umzimba useduze kakhulu nokufa.
• Namuhla sikhuluma ngesigqi se-agonal.

Ingabe umuntu onomculo "ohambisana ne-agonal rhythm" uzwa ubuhlungu?

Uma sizwa igama lalesi simo, sicabanga ngegama elithi "ubuhlungu" (elisho ubuhlungu obukhulu noma ukuhlupheka), ngakho abanye abantu bangase bacabange ukuthi basebuhlungwini obukhulu ngalesi sikhathi. Eqinisweni, umuntu "onesigqi se-agonal" angenza ukunyakaza okungajwayelekile nokububula. Uma sibona lokhu, singase sicabange ukuthi basebuhlungwini.

Kodwa, bavame ukungazizwa ubuhlungu noma ukungakhululeki . Isizathu ukuthi, ngenxa yokuthi ubuchopho abutholi umoya-mpilo, ukusebenza kobuchopho kuyayeka kancane kancane, bese beba nokungazi. Ngakho-ke, balahlekelwa ikhono lokuzwa ubuhlungu. Lezo zinyathelo nemisindo esiyibonayo ngokuvamile ziyizinto ezenzeka ngenxa yokusabela okuthile ebuchosheni.

Yiziphi izici ze-(Agonal Rhythm)?

Uma ukushaya kwenhliziyo yomuntu kungaphansi kwama-beats angu-20 ngomzuzu , kunethuba elikhulu lokuthi kuyi-Agonal Rhythm. Ukuqinisekisa lokhu ngokuqinisekile, kufanele kwenziwe ukuhlolwa kwe-E.C. (ECG - Electrocardiogram) .

Izimpawu ezingabonakala uma kukhona i-"Agonal Rhythm" kurekhodi le-ECG yilezi:

• Akukho magagasi e-P: Lokhu kusho ukuthi amakamelo aphezulu enhliziyo, abizwa ngokuthi i-atria, awasebenzi. Yilapho igazi liqala ukuqoqana khona.
• Ama-Wide QRS complexes: Lokhu kusho ukuthi amakamelo angezansi enhliziyo, amakamelo ampompa igazi emzimbeni, awanciphi ngesikhathi esifanele, noma ancipha sekwephuzile. Lokhu kusho ukuthi ingxenye engezansi yenhliziyo ayisebenzi kahle.

Ziyini izimpawu "zesigqi se-agonal"?

Ngisho noma kungekho i-ECG, kunezimpawu ezimbalwa esingaziqaphela:

• Ukushaya kwenhliziyo kubuthakathaka kakhulu, noma akuzwakala nhlobo.
• Ukulahlekelwa ukwazi noma ukulahlekelwa ukwazi kancane kancane.

Yiziphi izimbangela ze-(Agonal Rhythm)?

Imbangela enkulu yalesi simo ukulimala okukhulu kwemisipha yenhliziyo . Nazi ezinye zezimbangela ezingaba khona zalo monakalo:

• I-tamponade yenhliziyo yilapho isikhwama esizungeze inhliziyo sigcwala uketshezi, njengamanzi noma igazi, okubangela ukuba inhliziyo icindezeleke. Lokhu kufana nenhliziyo engakwazi ukuphefumula.
• Ukulimala okukhulu kwangaphandle kwenhliziyo, njengenxeba lommese noma ukuwa usuka endaweni ephakeme kakhulu ( ukuhlukumezeka kwenhliziyo) .
• I-ventricular fibrillation yisimo lapho amakamelo aphansi enhliziyo eqala ukushaya ngokushesha nangokungalawuleki (ventricular fibrillation). Kulesi simo, inhliziyo ivele iqhaqhazele futhi ingapompi igazi kahle.

Ngaphezu kwalokhu, ezinye izimo eziningana ezingabangela ukumiswa kwenhliziyo nazo zingabangela "isigqi se-agonal":

• Ubuthi be-carbon monoxide
• Ukuminza
• Ukweqisa izidakamizwa ngokweqile
• Ugesi
• Ukuquleka okukhulu (Ukuquleka)
• Ukopha ngokweqile (Ukopha)
• Ukuklinywa noma ukuminyana
• Ukuqhuma noma ukuvaleka komthambo wegazi ebuchosheni, njengokushaywa yisifo sohlangothi
• Ukulimala kobuchopho okubuhlungu (TBI)

Konke lokhu kubeka ingcindezi engabekezeleleki enhliziyweni, ekugcineni kuholele ekuhlulekeni kwenhliziyo.

Ingabe umuntu one-(Agonal Rhythm) unesifo esibizwa ngokuthi (Agonal Breathing)?

(Agonal Rhythm) kanye (Agonal Breathing) ngamagama amabili, hhayi elilodwa . Kodwa-ke, esimweni esiphuthumayo njengokuhlaselwa yinhliziyo, womabili lawa angabonakala ngesikhathi esisodwa .

Ukuphefumula okuqondile kuyindlela engavamile yokuphefumula lapho umuntu efa. Baphefumula ngokuphefumula okukhulu nokububula. Bangase bakhale ngisho nangobuhlungu. Kodwa-ke, njengase-Agonal Rhythm, umuntu one-Agonal Breathing akazizwa ubuhlungu ngempela. Ngokuvamile akazi lutho . Esikubonayo kumane kuyi-reflex, noma ukunyakaza komzimba .

Ingabe "isigqi se-agonal" singavinjelwa?

Ngeshwa, lesi simo esibizwa ngokuthi "i-Agonal Rhythm" asiyona into esingayivimbela . Sivela lapho inhliziyo iyeka ukushaya, kungaba ngenxa yomonakalo omkhulu enhliziyweni noma esinye isimo esiphuthumayo sezokwelapha. Lokhu kusho ukuthi akuyona into engavinjelwa kusenesikhathi, njengesifo.

Singamduduza kanjani othandekayo onomculo ohambisanayo?

Lena yingxenye ethinta inhliziyo kakhulu yendaba. Ngisho noma othandekayo wakho engazi lutho, ungamduduza. Odokotela bathi ngisho nalapho imisebenzi yomzimba iphazamiseka, ikhono lokuzwa ukuthintwa nokuzwa livame ukuhlala ngezinga elithile kuze kube umzuzu wokugcina .

Ukuba lapho nje, nalowo muntu, kuyinduduzo enkulu kuye. Bamba isandla sakhe uma ukwazi. Khuluma naye ngobumnene. Mtshele ukuthi ubathanda kangakanani, ukuthi ubazisa kangakanani. Mkhumbuze ngezikhathi ezimnandi enazijabulela ndawonye.

I-Agonal Rhythm yenzeka eduze kakhulu nokufa. Ngisho noma umuntu engazi lutho ngalesi sikhathi, ezinye izinzwa ebuchosheni zizama ukumgcina ephila. Kodwa-ke, into edabukisayo ukuthi uma inhliziyo yomuntu isifinyelele kule Agonal Rhythm, ukufa kuyaqiniseka futhi akunakuvinjelwa. Kodwa-ke, unganika othandekayo wakho induduzo kulowo mzuzu wokugcina ngamazwi akho anomusa, ukuthinta kwakho kothando, kanye nomuzwa wokuthi ulapho. Kuzosiza lowo muntu kanye nawe ngezinga elithile ukuthi uzole.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke ngithemba ukuthi ungakhumbula amanye amaphuzu abaluleke kakhulu kulokho esikhulume ngakho (Agonal Rhythm).

• (I-Agonal Rhythm) iyi-Ukushaya kwenhliziyo okungajwayelekile, okuhamba kancane okwenzeka eduze kakhulu nokufa.
• Kulesi simo, inhliziyo ayimpompi igazi liye emzimbeni, ngakho umuntu uphelelwa yingqondo futhi ngokuvamile akazizwa ubuhlungu .
• Ukunyakaza esikubonayo, njengokugoba kwezitho zomzimba nokububula, kuvame ukuba yizinto ezivuselela ingqondo, hhayi ezibangelwa ubuhlungu.
• Lesi akusona isimo esingavinjelwa , njengoba kungumphumela wokulimala okukhulu kwenhliziyo noma esinye isimo esiphuthumayo sezokwelapha.
• Esimweni esinjengalesi, ungaduduza othandekayo ngokuba khona kwakho, ukuthinta, kanye namazwi anomusa .

Ngiyethemba ukuthi lolu lwazi luzoba wusizo kuwe ngelinye ilanga, ndawana thize. Ngisho noma kuyisihloko esinzima kangaka, kubalulekile ukuhlala unolwazi ngaso.

Isigqi se - Agonal, isigqi senhliziyo, ukufa, inhliziyo, i-ECG, ukuhlaselwa yinhliziyo, ukushaya kwenhliziyo, i-Asystole, isimo esiphuthumayo