Umsebenzi wombane ongasebenziyo

Ukuqonda uMsebenzi woMbane wePulseless (PEA): oonobangela, iimpawu, unyango, kunye nokunye

intshayelelo

I-Pulseless Electrical Activity (PEA) yimeko yonyango enzulu ebhekiselele kwimeko apho inkqubo yombane yentliziyo isebenza, kodwa intliziyo ngokwayo ayimpompa igazi ngokufanelekileyo. Oku kubangela imeko apho kukho umsebenzi wombane entliziyweni, kodwa akukho pulse palpable. Nangona kunqabile, i-PEA yimeko engxamisekileyo yezonyango enokuthi ibeke esichengeni ubomi ukuba ayilungiswanga ngokukhawuleza. Kweli nqaku, siza kuphonononga ukuba yintoni uMsebenzi woMbane wePulseless, oonobangela, iimpawu ezinxulumeneyo, ukuxilongwa, ukhetho lonyango, kunye nokunye ukukunceda uqonde le meko inokuguqula ubomi.

Yintoni uMsebenzi woMbane ongenaPulseless?

Umsebenzi woMbane wePulseless (PEA) wenziwa xa inkqubo yombane yentliziyo isebenza, kodwa isihlunu sentliziyo siyasilela ukuwohloka ngokwaneleyo ukumpompa igazi. Lo mahluko phakathi komsebenzi wombane kunye nomsebenzi womatshini yinto ebangela i-PEA. Ngoxa isingqi sentliziyo sinokubonakala siqhelekile kwi<em>electrocardiogram (ECG), ukungabikho kokubetha kwentliziyo okusebenzayo kunokukhokelela ekubeni igazi lingahambi, nto leyo ephumela kwimeko esongela ubomi. I-PEA idla ngokuchongwa ngexesha leemeko ezingxamisekileyo, njengaxa isigulane siwa ngokungalindelekanga.

Iimbangela zoMsebenzi woMbane wePulseless

I-PEA ingenzeka ngenxa yezizathu ezininzi, ukusuka kwiimeko ezinxulumene nentliziyo ukuya kwezinye izinto zonyango okanye indlela yokuphila. Ezona zizathu zixhaphakileyo ziquka:

1. Iimeko ezinxulumene nentliziyo

• Intliziyo yeTamponade: Oku kwenzeka xa igazi okanye i-fluid iqokelela kwi-pericardium (i-sac ejikeleze intliziyo), ibeka uxinzelelo entliziyweni kunye nokukhusela ekupompeni ngokufanelekileyo.
• I-Hypoxia eMandundu: Ukungabikho kweoksijini kunokuthintela intliziyo ukuba isebenze ngokufanelekileyo, nangona kukho iimpembelelo zombane.
• I-Masive pulmonary Embolism: Ukuvaleka kumthambo we-pulmonary, ngokuqhelekileyo ngenxa yehlwili legazi, kunokuphazamisa ukuhamba kwegazi ukusuka entliziyweni ukuya kwimiphunga, okukhokelela kwi-PEA.
• Ukungalingani okuMandundu kwe-Electrolyte: Amanqanaba angaqhelekanga e-potassium, i-calcium, okanye i-magnesium inokuchaphazela inkqubo yombane yentliziyo kwaye ikhokelele kwi-PEA.
• I-Myocardial Infarction (Uhlaselo lweNtliziyo): Ukuhlaselwa yintliziyo kunokubangela umonakalo omkhulu kwisihlunu sentliziyo, okukhokelela kwi-PEA.

2. Izinto Zomzimba

• Umonzakalo: Ukwenzakala emzimbeni, ngakumbi esifubeni okanye entloko, kunokuphazamisa amandla entliziyo okumpompa igazi, nokuba iimpawu zombane zisadluliselwa.
• I-Hypovolemia: Ukulahlekelwa kakhulu kwegazi ngenxa yokwenzakala okanye ezinye izizathu kunokukhokelela kumthamo wegazi onganelanga, nto leyo echaphazela amandla entliziyo okumpompa igazi ngokufanelekileyo.

3. Izinto zengqondo kunye nendlela yokuphila

• Uxinzelelo olukhulu okanye ukuxhalaba: Kwezinye iimeko, uxinzelelo lwengqondo okanye ukwesaba kunokubangela iingxaki zentliziyo, nangona ezi zihlandlo zincinci kunezizathu zomzimba.
• Ukugqithiswa kweziyobisi: Amachiza athile, ngakumbi lawo achaphazela intliziyo okanye inkqubo yemithambo-luvo, anokuphazamisa isingqi sentliziyo kwaye abe negalelo kwi-PEA.

4. Ezinye iimeko zonyango

• Ukungalingani kwe-Acid-Base: Iimeko ezifana nesifo seswekile ketoacidosis okanye ukungaphumeleli kokuphefumla kunokutshintsha i-pH yomzimba, nto leyo inokuchaphazela ukusebenza kwentliziyo.
• sepsis: Usulelo olunzima olusasazeka kuwo wonke umzimba lunokubangela ukuvuvukala, okubangela ukuba intliziyo iyeke ukusebenza kakuhle.

Iimpawu eziNxulumeneyo zoMsebenzi woMbane ongenaPulseless

Ngenxa yokuba i-PEA isoloko ifunyaniswa ngexesha lengxaki, inokunxulunyaniswa neempawu ezininzi ezothusayo. Ezinye iimpawu eziqhelekileyo ezinokuhamba ne-PEA ziquka:

• Ukuphulukana noLwazi ngesiquphe: Izigulana zinokufa isiqaqa okanye zilahlekelwe zingqondo ngenxa yokungaphumi kwegazi engqondweni.
• Ubunzima bokuphefumla: Ngenxa yokunqongophala komjikelezo osebenzayo, izigulana zinokuphelelwa ngumphefumlo okanye ziyeke ukuphefumla ngokupheleleyo.
• Ulusu oluLutsha okanye oluCyanotic: Xa ioksijini ingonelanga egazini, ulusu lusenokubonakala luphaphathekile okanye lube ne-bluish tint (cyanosis).
• Akukho I-Pulse Palpable: Nangona umsebenzi oqhelekileyo wombane, ukusilela kwentliziyo ukumpompa igazi kuthetha ukuba akukho kubetha kwentliziyo kunokuviwa.
• Iintlungu zesifuba okanye ukungonwabi: Ezinye izigulana zinokuziva zixinene okanye zingonwabanga esifubeni, ngakumbi ukuba i-PEA ibangelwa sisifo sentliziyo okanye eminye imiba yentliziyo.

Ixesha Lokufuna Ingqalelo Yezonyango

I-PEA ifuna unyango olukhawulezileyo, njengoko inokubeka ubomi esichengeni. Ukuba wena okanye umntu okufutshane nawe ufumana naziphi na ezi mpawu zilandelayo, funa uncedo olungxamisekileyo ngokukhawuleza:

• Ukulahlekelwa zingqondweni ngesiquphe
• Iintlungu zesifuba ezingachazwanga
• Ubunzima bokuphefumla okanye ukuphefumla kancinci
• Ulusu lujika lube luhlaza okanye lube luhlaza
• Akukho pulse ibonwayo

Nokuba i-PEA ayirhanelwa, ezi mpawu zinokukhomba kwintliziyo enzulu okanye imiba yokujikeleza kwegazi efuna ukhathalelo olungxamisekileyo.

Ukuxilongwa kwePulseless Electrical Activity

I-PEA idla ngokufunyaniswa kwimeko yonyango olungxamisekileyo. Umboneleli wezempilo uya kukhangela iimpawu ze-pulse ngelixa ngaxeshanye ejonga umsebenzi wombane entliziyweni usebenzisa i-electrocardiogram (ECG). Ukuba i-ECG ibonisa umsebenzi wombane kodwa akukho pulse, ukuxilongwa kwe-PEA kuqinisekisiwe. Uvavanyo olongezelelweyo lokuxilonga lunokwenziwa ukuchonga unobangela osisiseko wemeko, kubandakanywa:

• I-X-reyi yesifuba: Ukujonga izithintelo zomzimba ezifana ne-cardiac tamponade okanye i-pulmonary embolism.
• Uvavanyo lweGazi: Ukuvavanya amanqanaba e-electrolyte, ukusebenza kwezintso, kunye neempawu zosulelo okanye ezinye izinto ezingaqhelekanga.
• I-Echocardiogram: I-heart ultrasound yokuhlola isakhiwo sentliziyo kunye nomsebenzi.

IiKhetho zoNyango zoMsebenzi woMbane ongenamandla

Unyango lwe-PEA lujolise ekulungiseni unobangela nokubuyisela ukujikeleza okufanelekileyo. Ubuchule bolawulo bubandakanya:

1. Ukuvuselelwa kwangoku

• UkuVuselelwa kweCardiopulmonary (CPR): Ukuba i-PEA ikrokrelwa, i-CPR iqaliswa ngokukhawuleza ukujikeleza igazi de kube kunokwenziwa ukungenelela okucacileyo ngakumbi.
• INkxaso yoBomi beNtliziyo ePhambili (ACLS): Oku kubandakanya amayeza afana ne-epinephrine ukuvuselela intliziyo kunye nokubuyisela i-pulse.

2. Ukulungisa unobangela

Ngokuxhomekeke kunobangela we-PEA, unyango lunokubandakanya:

• Ungenelelo ngotyando: Kwiimeko ze-cardiac tamponade, utyando lunokufuneka lususe ulwelo olusuka entliziyweni.
• Unyango ngeoksijini: Ukulungisa i-hypoxia kunye nokuqinisekisa amanqanaba aneleyo oksijini egazini.
• Iintsholongwane: Kwizigulana ezine-pulmonary embolism, amayeza afana ne-heparin anokusetyenziswa ukunqanda ukujiya ngakumbi.
• Ukuvuselela Ulwelo: Kwiimeko ze-hypovolemia okanye ukothuka, ulwelo lulawulwa ukunyusa umthamo wegazi.

3. Amachiza

• I-Epinephrine: Isetyenziswa rhoqo kwiimeko ezingxamisekileyo ukuvuselela intliziyo kunye nokunceda ukubuyisela ukubetha kwentliziyo.
• Amachiza eAntiarrhythmic: Ukujongana naluphi na ukuphazamiseka kombane entliziyweni.

4. Ukuguqulwa kwendlela yokuphila

• Ukutya okunempilo: Ukuphepha ukutya okuphezulu kwi-sodium kunye namafutha angenampilo ukuxhasa impilo yentliziyo.
• Ukuzivocavoca rhoqo: Ukwenza umthambo rhoqo ukuze unciphise umngcipheko wesifo sentliziyo.
• Ulawulo loxinzelelo: Ukuziqhelanisa neendlela zokuphumla ukunciphisa uxinzelelo olunokuchaphazela impilo yentliziyo.

Iintsomi kunye neeNyaniso malunga noMsebenzi woMbane ongeyiyo

Inkolelo ye-1: "I-PEA ingenzeka kuphela kubantu abanesifo senhliziyo."

Nyaniso: I-PEA ingenzeka ngenxa yeemeko ezahlukeneyo, kungekhona nje isifo senhliziyo. Umothuko, ukulahleka kwegazi, kunye nosulelo oluqatha lunokukhokelela kwi-PEA.

Intsomi yesi-2: "Ukuba umntu une-PEA, sele efile."

Nyaniso: I-PEA yimeko engxamisekileyo esongela ubomi, kodwa ngokungenelela kwangoko kwezonyango, izigulana ngamanye amaxesha zinokuphinda zivuselelwe.

Iingxaki zokungahoyi uMsebenzi woMbane wePulseless

Ukuba ishiywe ingaphathwa, i-PEA inokukhokelela kwiingxaki ezinzima, kuquka:

• Ukusilela kwelungu: Ngenxa yokunqongophala kokuhamba kwegazi kunye neoksijini, amalungu abalulekileyo anjengobuchopho kunye nezintso anokulimala ngendlela engenakulungiseka.
• Ukubanjwa Kwentliziyo okusisigxina: Ukuba i-PEA ayiguqulwanga ngokukhawuleza, imeko inokukhokelela ekubanjweni kwentliziyo epheleleyo.
• Ukufa: Ngaphandle kokungenelela okufanelekileyo, i-PEA inokukhokelela ekufeni.

Imibuzo ebuzwa rhoqo (FAQs)

1. Ngaba uMsebenzi woMbane ongePulseless unokuthintelwa?

Umsebenzi woMbane ongenaPulseless kunzima ukuwuthintela kuba ubangelwa zizinto ezahlukeneyo. Nangona kunjalo, ukujongana nesifo senhliziyo, ukuphepha ukwenzakala, kunye nokulawula iimeko ezifana noxinzelelo lwegazi kunye nesifo seswekile kunokunciphisa umngcipheko.

2. Zeziphi iimpawu zokuqala zoMsebenzi woMbane ongePulseless?

Iimpawu zokuqala ze-PEA zinokubandakanya ukutyhafa, ubunzima bokuphefumla, kunye nokungabikho kwe-pulse palpable. Kubalulekile ukuba usebenze ngokukhawuleza kwaye ufune uncedo lwezonyango ukuba ezi zimpawu ziyavela.

3. Ngaba i-CPR iluncedo kumntu one-PEA?

Ewe, iCPR ibalulekile kumntu onePEA. Nangona kungenakubuyisela ngokukhawuleza i-pulse, inceda ukujikeleza igazi kunye nokuthenga ixesha de abe ochwepheshe bezonyango banokungenelela.

4. Yintoni unyango lwePulseless Electrical Activity?

Unyango lwe-PEA lubandakanya i-CPR ekhawulezileyo, inkxaso yempilo ye-cardiac advanced (ACLS), kunye nokujongana nesizathu esibangela imeko, njengotyando okanye iyeza.

5. Umntu angaphila ixesha elingakanani ngePEA?

Ukusinda kuxhomekeke kunobangela osisiseko kunye nokuba unyango luqaliswa ngokukhawuleza kangakanani. Kwezinye iimeko, ukuba umntu unyangwe ngokukhawuleza, unokuchacha. Nangona kunjalo, ngaphandle kokungenelela ngokukhawuleza, amathuba okuphila aphantsi.

isiphelo

I-Pulseless Electrical Activity (PEA) yimeko engxamisekileyo yonyango efuna ungenelelo olukhawulezileyo ukunqanda iziphumo ezibulalayo. Ukuqonda izinto ezinokuba ngunobangela, iimpawu, kunye nonyango kunokusindisa ubomi. Ukuba wena okanye umntu omaziyo ufumana iimpawu ze-PEA, ungalibazisi ukufuna unyango ngokukhawuleza. Ukungenelela kwangaphambili kungundoqo ekuphuculeni iziphumo kunye nokuthintela iingxaki. Soloko ubeka phambili impilo yentliziyo yakho, kwaye udibane neengcali zezempilo ukuze uhlolwe rhoqo kunye nesikhokelo sokulawula izinto ezinobungozi.