Asystole

Asystole: zimayambitsa, zizindikiro, matenda, ndi chithandizo

Kuyamba:

Asystole ndi vuto lachipatala lomwe limadziwika ndi kusowa kwa magetsi mu mtima, zomwe zimayambitsa kusowa kwathunthu kwa kugunda kwa mtima. Imadziwikanso kuti "flatline" ndipo ndi imodzi mwazovuta kwambiri za arrhythmias. Ngati sanalandire chithandizo mwamsanga, asystole akhoza kupha. Kumvetsetsa zomwe zimayambitsa, zizindikiro, matenda, ndi njira zothandizira kungathandize kupulumutsa miyoyo. M'nkhaniyi, tikambirana za asystole, momwe zimachitikira, komanso momwe zimapangidwira.

Kodi Asystole Amayambitsa Chiyani?

Asystole imatha kuyambitsidwa ndi zinthu zingapo, kuphatikiza zovuta zamtima, kuvulala, ndi zovuta zina zamankhwala. M'munsimu muli zifukwa zofala komanso zochepa zomwe zimayambitsa asystole:

1. Mikhalidwe ya Mtima

• Matenda a mtima (myocardial infarction): Kugunda kwa mtima kungayambitse mphamvu yamagetsi yamtima kusiya kugwira ntchito, zomwe zimapangitsa kuti asystole ayambe.
• Kusagwirizana kwa Electrolyte: Kusalinganika kwa potaziyamu, calcium, ndi magnesiamu kumatha kusokoneza ntchito yamagetsi yamtima ndikuyambitsa asystole.
• Arrhythmias aakulu: Zinthu monga ventricular fibrillation kapena ventricular tachycardia zimatha kuyambitsa asystole ngati sichitsatiridwa.

2. Kuvulala kapena Kuvulala

• Zowopsa kwambiri: Kuvulala kwakuthupi, monga kugunda kwambiri pachifuwa kapena kugwidwa ndi electrocution, kukhoza kuwononga mphamvu ya mtima yopopa bwino, zomwe zimatsogolera ku asystole.
• Kupsinjika pachifuwa: Kuvulala pachifuwa kwambiri chifukwa cha ngozi zoopsa kwambiri kungasokoneze ntchito yamagetsi ya mtima.

3. Matenda Ena

• Mankhwala osokoneza bongo: Kuchulukitsa kwa mankhwala ena, makamaka opiates, sedative, ndi zina zofooketsa, kungayambitse mtima kuima.
• Hypoxia (kusowa kwa oxygen): Kuperewera kwa okosijeni wofika pamtima ndi muubongo kumatha kubweretsa asystole ngati sichiritsidwe mwachangu.
• Kutuluka magazi kwambiri: Kutaya magazi kwambiri kungachepetse mpweya wa okosijeni ndi kuchititsa mtima kuima.

Zizindikiro za Asystole

Asystole ndi vuto lalikulu lachipatala ndipo limapereka zizindikiro zaposachedwa komanso zowonekera. Chizindikiro chachikulu ndikusowa kwa kugunda kwa mtima, koma palinso zizindikiro zina, kuphatikizapo:

• Kutaya chikumbumtima: Popanda kugunda kwa mtima, magazi ndi okosijeni sizingayendenso kupita ku ubongo, zomwe zimapangitsa kuti anthu azitha kudziwa nthawi yomweyo.
• Palibe kugunda: Popeza kuti mtima sukugunda, palibe kugunda komwe kumamveka pakhosi, pamkono, kapena pachifuwa.
• Kulephera kupuma: Popanda kugunda kwa mtima, kupuma kumasiya, zomwe zimatsogolera ku kupuma.
• Khungu lotuwa kapena labuluu: Kuchepa kwa mpweya m'magazi kungayambitse khungu lotuwa kapena lotuwa.

Nthawi Yoyenera Kukalandira Chithandizo Chamankhwala

Asystole ndivuto lachipatala, ndipo kuchitapo kanthu mwachangu kumafunika kupewa kufa. Ngati muwona wina akugwa ndikuwonetsa zizindikiro za kugunda kapena kupuma, muimbire thandizo lachipatala mwamsanga. Kuchitapo kanthu koyambirira ndi CPR ndi njira zina zopulumutsira moyo zingapangitse kusiyana kwakukulu pa zotsatira zake.

Kuzindikira kwa Asystole

Asystole nthawi zambiri imadziwika ndi njira zotsatirazi:

• Electrocardiogram (ECG kapena EKG): Kuzindikira kotsimikizika kwa asystole kumapangidwa powona kusowa kwa magetsi pa ECG, yomwe idzawoneka ngati mzere wathyathyathya.
• Kuyeza thupi: Kupanda kugunda, kupuma, ndi kuzindikira kudzalimbikitsa ogwira ntchito zachipatala kuti atsimikizire kuti ali ndi asystole.

Njira Zochizira Asystole

Asystole ndi kayimbidwe kosagwedezeka. Defibrillation (kugwedezeka kwamagetsi) ndi osati Chithandizochi chimagwira ntchito bwino pa asystole. Chithandizochi chimatsatira njira ya AHA Advanced Cardiovascular Life Support (ACLS):

• CPR yapamwamba kwambiri, yokhala ndi kupsinjika pachifuwa pa 100-120 pamphindi ndi kuya kwa 5-6 cm
• Epinephrine 1 mg kudzera m'mitsempha mphindi 3-5 zilizonse
• Dziwani ndi kuchiza zinthu zomwe zimayambitsa matenda obwerera m'mbuyo, zomwe zimadziwikanso kuti Hs ndi Ts: Hypovolemia, Hypoxia, Hydrogen ion (acidosis), Hypo/hyperkalemia, Hypothermia, Tension pneumothorax, Tamponade, Toxins, ndi Thrombosis (pulmonary kapena coronary)
• Kasamalidwe kabwino ka njira zoyendera mpweya

Matenda a Asystole ndi oopsa kwambiri. Kupulumuka kumadalira kuzindikira mwachangu ndi kuchiza chomwe chimayambitsa matendawa.

zofunika: Ngati mukuona munthu akugwa ndipo sakuyankha popanda kugunda kwa mtima, imbani Apollo 24/7: 1066 nthawi yomweyo ndipo yambani kukanikiza pachifuwa. Musayembekezere zida zachipatala.

Nthano ndi Zowona Za Asystole

Nthano 1: "Asystole ndi yofanana ndi matenda a mtima."

Zoona: Asystole ndi kusowa kwathunthu kwa kugunda kwa mtima, pamene matenda a mtima amayamba chifukwa cha kuchepa kwa magazi kupita ku minofu ya mtima. Matenda a mtima nthawi zina amatha kuyambitsa asystole, koma sizinthu zomwezo.

Nthano 2: "CPR nthawi zonse imagwira ntchito ya asystole."

Zoona: CPR imatha kuyambiranso kuyenda kwakanthawi, koma siyiyambitsanso mphamvu yamagetsi yamtima. Njira zamankhwala zotsogola nthawi zambiri zimakhala zofunikira pochiza asystole.

Zovuta za Asystole

Ngati asystole sanalandire chithandizo mwachangu, zitha kubweretsa zovuta zotsatirazi:

• Kuwonongeka kwa ubongo: Popanda kutuluka kwa magazi, ubongo ukhoza kuwonongeka kosasinthika m'mphindi zochepa.
• Imfa: Asystole ikhoza kupha ngati kubwezeretsanso sikuyesedwa mwamsanga, ndipo nthawi zambiri, kupulumuka kumadalira kuthamanga kwa kuthandizira.
• Kulephera kwa chiwalo: Kusayenda kwa nthawi yayitali kungayambitse kulephera kwa ziwalo zambiri, zomwe zimakhudza impso, chiwindi, ndi ziwalo zina zofunika.

Mafunso Ofunsidwa Kawirikawiri (FAQs)

1. Kodi asystole ikhoza kusinthidwa?

Nthawi zina, asystole ikhoza kusinthidwa ndi CPR yachangu komanso njira zothandizira kuchipatala. Komabe, ziwopsezo zopambana zimadalira chomwe chimayambitsa asystole komanso momwe chithandizo chimakhalira mwachangu.

2. Kodi chimachitika ndi chiyani ngati asystole salandira chithandizo?

Ngati sichitsatiridwa, asystole imatsogolera ku imfa. Kuchitapo kanthu mwamsanga, kuphatikizapo CPR, kungathandize kugula nthawi, koma mwayi wopulumuka umadalira chomwe chimayambitsa komanso kuthamanga kwa kulowererapo.

3. Kodi wina angapulumuke asystole popanda CPR?

Kupulumuka popanda CPR ndikokayikitsa kwambiri, chifukwa kusowa kwa kuzungulira ndi mpweya kumabweretsa kuwonongeka kosasinthika kwa ubongo ndi kulephera kwa ziwalo mkati mwa mphindi. CPR ndiyofunikira kugula nthawi mpaka akatswiri azachipatala afika.

4. Kodi asystole amatenga nthawi yayitali bwanji kuti aphedwe?

Asystole amatha kufa pakangopita mphindi zochepa ngati sanalandire chithandizo. Kuwonongeka kwaubongo kumatha kuchitika mkati mwa mphindi 3-5 popanda kutuluka kwa magazi, ndipo kulephera kwa chiwalo kumatsatira posakhalitsa.

5. Ndi chiyani chomwe chingayambitse asystole panthawi ya opaleshoni?

Asystole panthawi ya opaleshoni ikhoza kuyambitsidwa ndi zovuta za anesthesia, kutaya magazi, kusalinganika kwa electrolyte, kapena arrhythmias ya mtima. Madokotala ochita opaleshoni ndi ogonetsa odwala amawunika odwala mosamala kuti azindikire ndi kukonza vuto lililonse mwachangu.

Kutsiliza

Asystole ndi vuto lalikulu lomwe limafuna chisamaliro chanthawi yomweyo. Kumvetsetsa zomwe zimayambitsa, zizindikiro, ndi njira zochizira kungathandize kupulumutsa miyoyo. Ngati muwona wina akukumana ndi asystole, kuchita CPR komanso kufunafuna chithandizo chamankhwala mwadzidzidzi ndikofunikira kuti pakhale zotsatira zabwino kwambiri. Nthawi zonse funsani akatswiri azachipatala kuti akupatseni malangizo owonjezera komanso chithandizo chotsatira ngati pangafunike.