Te ngohe hiko kore-pūwero

Te Mārama ki te Mahi Hiko Kore-Pulse (PEA): Ngā Take, Ngā Tohu, Te Maimoatanga, me Ētahi Atu

Kupu Whakataki

Ko te Pulseless Electrical Activity (PEA) he mate hauora nui e pā ana ki tētahi āhuatanga e mahi ana te pūnaha hiko o te ngākau, engari kāore te ngākau tonu e pupuhi toto pai ana. Ko te hua o tēnei he āhuatanga kei reira he mahi hiko i roto i te ngākau, engari kāore he pā o te ngākau e kitea ana. Ahakoa he onge, he āhuatanga ohorere hauora te PEA ka tūpono pea ki te ora mēnā kāore e arohia wawetia. I roto i tēnei tuhinga, ka tūhuratia e mātou he aha te Pulseless Electrical Activity, ōna take, ngā tohu e pā ana, te tautuhi mate, ngā kōwhiringa maimoatanga, me ētahi atu hei āwhina i a koe ki te mārama ki tēnei āhuatanga ka taea te whakarerekē i te ora.

He aha te Mahi Hiko Kore-Pulse?

Ka puta te Mahi Hiko Kore-Pū (PEA) ina mahi te pūnaha hiko o te ngākau, engari kāore te uaua o te ngākau e kōpiri pai ki te pupuhi toto. Ko tēnei rerekētanga i waenga i te mahi hiko me te mahi ā-pūkaha te take o te PEA. Ahakoa te āhua noa o te manawataki o te ngākau i runga i te electrocardiogram (ECG), ko te korenga o te pā o te ngākau whai hua ka arahi ki te korenga o te rere o te toto, ka hua ake he āhuatanga morearea ki te ora. He maha ngā wā ka kitea te PEA i ngā wā ohorere, pērā i te hinga ohorere o te tūroro.

Ngā Take o te Mahi Hiko Kore-Pūoro

He maha ngā take ka puta ai te PEA, mai i ngā mate e pā ana ki te ngākau ki ētahi atu āhuatanga hauora, āhua noho rānei. Ko ngā tino take ko:

1. Ngā Āhuatanga e Pā Ana ki te Ngākau

• Taponade ngakau: Ka puta tēnei ina kohia te toto, te wai rānei ki roto i te pericardium (te pēke e karapoti ana i te ngākau), ka pēhi i te ngākau, ā, ka kore e taea te pupuhi tika.
• Te korenga o te kaha o te hauātanga: Ahakoa kei te kitea ngā hiko e pā ana ki te ngākau, ka kore pea te hāora e āwhina i te mahi tika.
• Te Embolism Pūkahukahu Nui: Ka taea e te aukati i roto i te uaua pūkahukahu, i te nuinga o te wā nā te toto totoka, te whakararuraru i te rere o te toto mai i te ngākau ki ngā pūkahukahu, ka hua ake ai te PEA.
• He taumaha nga taumahatanga hiko: Ka pāngia te pūnaha hiko o te ngākau e ngā taumata rerekē o te pāhare pāporo, te konupūmā, te konupora rānei, ā, ka arahi atu ki te PEA.
• Takotoranga (Myocardial Infarction) Ka taea e te mate manawa te whakararu nui i te uaua o te manawa, ka arahi atu ki te PEA.

2. Ngā Take Ā-tinana

• Te aitua: Ka taea e ngā whara tinana, inā koa ki te uma, ki te upoko rānei, te whakararuraru i te kaha o te manawa ki te pupuhi toto, ahakoa kei te tukuna tonutia ngā tohu hiko.
• Te ngoikore o te toto: Mā te nui o te toto e ngaro nā te whara, nā ētahi atu take rānei, ka kore e ranea te nui o te toto, ka pā ki te kaha o te ngākau ki te pupuhi tika i te toto.

3. Ngā Take Hinengaro me te Āhua Noho

• Te ahotea nui, te manukanuka rānei: I ētahi wā, ka taea e te ahotea hinengaro, te mataku rānei te whakaoho i ngā raruraru o te ngākau, ahakoa he iti ake te kitea o ēnei āhuatanga i ngā take tinana.
• Te nui rawa o te rongoā: Ka taea e ētahi rongoā, inā koa ko ērā e pā ana ki te ngākau, ki te pūnaha io rānei, te whakararuraru i te manawataki o te ngākau, ā, ka whai wāhi atu ki te PEA.

4. Ētahi atu Tikanga Hauora

• Ngā Tauritekore o te Waikawa-Pūtake: Ka taea e ngā āhuatanga pēnei i te ketoacidosis diabetic, te ngoikore rānei o te manawa te whakarerekē i te pH o te tinana, ka pā ki te mahi a te ngakau.
• mate pukupuku: Ka horapa te mate kino puta noa i te tinana ka arahi pea ki te mumura, ka mutu ai te mahi tika a te ngākau.

Ngā Tohu e Pā Ana ki te Mahi Hiko Kore-Pūnaha

Nā te mea he maha ngā wā ka kitea te PEA i te wā ohorere, tera pea ka hono atu ki ētahi tohu whakamataku. Ko ētahi o ngā tohu noa ka haere tahi me te PEA ko:

• Te ngaro ohorere o te mahara: Ka hemo pea ngā tūroro, ka ngaro rānei te māramatanga nā te korenga o te rere o te toto ki te roro.
• Nga uaua o te manawa: Nā te korenga o te tohanga toto e whai hua ana, ka pāngia pea ngā tūroro e te poto o te manawa, ka mutu rānei te manawa.
• Kiri Mā, Kiri Kiri Mawhero rānei: Ina kore e ranea te hāora i roto i te toto, ka puta te kiri he mā, he kikorangi rānei (cyanosis).
• Kāore e taea te pā te pā o te manawa: Ahakoa te ngohe hiko noa, ko te korenga o te manawa e pupuhi toto te tikanga kāore e taea te rongo i te pā o te manawa.
• Te mamae o te uma, te mamae ranei: Tērā pea ka pāngia ētahi tūroro e te kikī, te kore whakamarie rānei i te uma, inā koa mēnā he mate manawa, he raruraru manawa rānei te take o te PEA.

Ko te wa e rapu ai i nga mahi hauora

Me tere tonu te tirotiro hauora mō te PEA, nā te mea ka mate pea koe. Mēnā ka pāngia koe, tētahi rānei e karapoti ana i a koe, me rapu tonu i te āwhina ohorere:

• Te ngaro ohorere o te mahara
• Te mamae o te uma kaore i whakamaramatia
• He uaua ki te manawa, he poto ranei te manawa
• Ka huri te kiri kia mā, kia kikorangi rānei
• Kāore he pātere e kitea

Ahakoa kāore i te whakapaetia te PEA, ka tohu pea ēnei tohu i ngā raruraru nui o te ngākau, o te tohanga toto rānei e hiahia ana kia awhina wawetia.

Te Tātaritanga o te Mahi Hiko Kore-Pūnaha

Ko te tikanga ka kitea te PEA i roto i te wāhi hauora ohorere. Ka rapu te kaiwhakarato hauora i ngā tohu o te pā o te manawa, me te tirotiro anō hoki mō te ngohe hiko i roto i te ngākau mā te whakamahi i te electrocardiogram (ECG). Mena ka whakaatuhia e te ECG te ngohe hiko engari kāore he pā, ka whakaūtia te tautuhi i te PEA. Tērā pea ka whakahaerehia ētahi atu whakamātautau tātaritanga hei tautuhi i te pūtake o te mate, tae atu ki:

• Nga hihi X uma: Hei tirotiro mō ngā aukati tinana pērā i te tamponade o te ngākau, te embolism pūkahukahu rānei.
• Nga whakamatautau toto: Hei aromatawai i ngā taumata electrolyte, te mahi a te tākihi, me ngā tohu o te mate urutā, o ētahi atu āhuatanga rerekē rānei.
• Echocardiogram: He whakamātautau oro-oro o te ngākau hei tirotiro i te hanganga me te mahi a te ngākau.

Ngā Kōwhiringa Maimoatanga mō te Mahi Hiko Kore-Pūnaha

Ko te whāinga o te maimoatanga mō te PEA he aro ki te pūtake me te whakahoki mai i te tohanga toto tika. Ko ngā rautaki whakahaere ko:

1. Whakaora Tonu

• Whakaoranga Cardiopulmonary (CPR): Mena kei te whakapaetia he PEA, ka tīmata tonutia te CPR hei rere i te toto kia taea rā anō te mahi i ētahi atu wawaotanga whakamutunga.
• Tautoko mo te oranga ngakau (ACLS): Kei roto i tēnei ko ngā rongoā pēnei i te epinephrine hei whakaoho i te ngākau, hei whakaora anō hoki i te pā o te manawa.

2. Te Whakatika i te Take Taketake

I runga i te take o te PEA, ka uru pea ki te maimoatanga:

• wawaotanga pokanga: Mēnā he tamponade o te ngākau, me mahi pokanga pea hei tango i te wai huri noa i te ngākau.
• Hauora Hauora: Hei whakatika i te hypoxia me te whakarite i te nui o te hāora i roto i te toto.
• Anticoagulants: Mō ngā tūroro e pāngia ana e te pulmonary embolism, ka whakamahia pea ngā rongoā pēnei i te heparin hei ārai i te toto totoka anō.
• Whakaora Wai: Mēnā he ngoikore te toto, he ohorere rānei, ka tukuna he wai hei whakanui ake i te nui o te toto.

3. Takitahi

• Epinephrine: He maha ngā wā e whakamahia ana i ngā wā ohorere hei whakaoho i te ngākau me te āwhina ki te whakaora i te pā o te manawa.
• Nga rongoā antiarrhythmic: Hei whakatika i ngā raruraru hiko katoa i roto i te ngākau.

4. Whakarereketanga Tikanga Ora

• Kai Ora: Te karo i ngā kai he nui te konutai me ngā ngako kino hei tautoko i te hauora o te ngākau.
• Whakangungu Auau: Te whai wāhi atu ki ngā mahi ā-tinana auau hei whakaiti i te tūponotanga o te mate ngakau.
• Whakahaere ahotea: Te whakamahi i ngā tikanga whakangā hei whakaiti i te ahotea ka pā ki te hauora o te ngākau.

Ngā Pakiwaitara me ngā Mea Pono mō te Mahi Hiko Kore-Pūoro

Pūrākau 1: "Ka puta te PEA i roto i te hunga mate manawa anake."

Maama: Ka puta te PEA nā te maha o ngā āhuatanga, ehara i te mate manawa anake. Ka taea e te whara, te toto, tae atu ki ngā mate kino te arahi ki te PEA.

Pūrākau 2: "Ki te pāngia tetahi e te PEA, kua mate kē ia."

Maama: He āhuatanga ohorere e morearea ana te PEA, engari mā te wawaotanga hauora tonu, ka taea te whakaora i ētahi wā.

Ngā raruraru o te kore aro ki te mahi hiko kore-pulse

Ki te kore e rongoatia, ka taea e te PEA te arahi ki ngā raruraru nui, tae atu ki:

• Rahunga Okana: Nā te korenga o te rere o te toto me te korenga o te hāora, ka pāngia pea ngā whekau nui pēnei i te roro me ngā whatukuhu e te kino e kore e taea te whakatika.
• Te Hopu Manawa Tuturu: Ki te kore e whakakorea te PEA i te wā tonu, ka arahi pea te āhuatanga ki te hopukanga katoa o te ngakau.
• Mate: Ki te kore he wawaotanga tika, ka mate pea te tangata i te PEA.

Nga Ui Auau (FAQ)

1. Ka taea te ārai i te Mahi Hiko Kore-Pūoro?

He uaua te ārai i te ngohe hiko kore-pūmanawa nā te mea he maha ngā āhuatanga e pā mai ana. Heoi, mā te aro atu ki ngā mate manawa, te karo i ngā whara, me te whakahaere i ngā āhuatanga pēnei i te toto toto tiketike me te mate huka ka taea te whakaiti i te mōrearea.

2. He aha ngā tohu tuatahi o te Mahi Hiko Kore-Pūoro?

Ko ngā tohu tuatahi o te PEA ko te hemo o te ngākau, te uaua ki te manawa, me te kore e rangona te pā o te manawa. He mea nui kia tere te mahi me te rapu awhina hauora mēnā ka puta ēnei tohu.

3. He whai hua te CPR mō te tangata whai PEA?

Ae, he mea nui te CPR mō te tangata whai PEA. Ahakoa kāore pea e taea te whakaora tonu i te pā o te manawa, ka āwhina i te rere o te toto, ā, ka wātea te wā kia taea rā anō e ngā tohunga hauora te wawao mai.

4. He aha te maimoatanga mō te Mahi Hiko Kore-Pūoro?

Ko te maimoatanga mō te PEA ko te CPR tonu, te tautoko ora o te ngākau matatau (ACLS), me te aro ki te pūtake o te mate, pēnei i te pokanga, te rongoā rānei.

5. Kia pēhea te roa e ora ai te tangata me te PEA?

Ko te oranga tonutanga e whakawhirinaki ana ki te take matua me te tere o te tīmatanga o te maimoatanga. I ētahi wā, ki te rongoatia wawetia, ka taea e te tangata te ora. Heoi, ki te kore he wawaotanga tonu, he iti te tūponotanga o te oranga.

Opaniraa

He āhuatanga ohorere hauora nui te Pulseless Electrical Activity (PEA) e hiahia ana kia tere te wawaotanga hei ārai i ngā hua whakamate. Mā te mārama ki ngā take, ngā tohu, me ngā maimoatanga ka āwhina i te whakaora i ngā oranga. Mena ka pāngia koe, tētahi atu rānei e mōhio ana koe, e rapu awhina hauora tonu. Ko te wawaotanga wawe te mea nui hei whakapai ake i ngā putanga me te ārai i ngā raruraru. Me whakarite tonu i te hauora o tō ngākau, me te kōrero ki ngā tohunga hauora mō ngā tirotiro auau me ngā aratohu mō te whakahaere i ngā āhuatanga mōrearea.