I-Asystole: Izimbangela, Izimpawu, Ukuxilongwa, kanye Nokwelashwa

Isingeniso:

I-Asystole iyisimo esiphuthumayo sezokwelapha esibonakala ngokungabikho komsebenzi kagesi enhliziyweni, okuholela ekuntulekeni okuphelele kokushaya kwenhliziyo. Yaziwa nangokuthi "i-flatline" futhi ingenye ye-arrhythmias eyingozi kakhulu. Uma ingelashwa ngokushesha, i-asystole ingaholela ekufeni. Ukuqonda izimbangela zayo, izimpawu, ukuxilongwa, kanye nezinketho zokwelapha kungasiza ukusindisa izimpilo. Kulesi sihloko, sizoxoxa ngokuthi iyini i-asystole, ukuthi ivela kanjani, nokuthi yelashwa kanjani.

Yini Ebangela I-Asystole?

I-Asystole ingabangelwa izici eziningana, okuhlanganisa izimo zenhliziyo ezingaphansi, ukuhlukumezeka, nezinye izimo eziphuthumayo zezokwelapha. Ngezansi izimbangela ezivamile nezingavamile ze-asystole:

1. Izimo Zenhliziyo

• I-Myocardial infarction (isifo senhliziyo): Ukuhlaselwa yinhliziyo kungabangela ukuthi isimiso sikagesi senhliziyo siyeke ukusebenza, okuholela ku-asystole.
• Ukungalingani kwe-Electrolyte: Ukungalingani kwe-potassium, i-calcium, ne-magnesium kungaphazamisa ukusebenza kukagesi kwenhliziyo futhi kubangele i-asystole.
• I-arrhythmia enzima: Izimo ezifana ne-ventricular fibrillation noma i-ventricular tachycardia zingaholela ku-asystole uma ingelashwa.

2. Ukuhlukumezeka noma Ukulimala

• Ukuhlukumezeka okukhulu: Ukulimala ngokomzimba, njengokushaywa kanzima esifubeni noma ugesi, kungalimaza ikhono lenhliziyo lokupompa ngokuphumelelayo, okuholela ku-asystole.
• Ukucindezelwa kwesifuba: Ukulimala okukhulu esifubeni ngenxa yezingozi ezithinta kakhulu kungaphazamisa ukusebenza kukagesi kwenhliziyo.

3. Ezinye Izimo Zezokwelapha

• I-overdose yezidakamizwa: Ukweqisa kwemithi ethile, ikakhulukazi ama-opiates, ama-sedative, nezinye izidakamizwa ezicindezelayo, kungabangela ukuba inhliziyo ime.
• I-Hypoxia (ukuntuleka komoya-mpilo): Ukuntuleka komoya-mpilo ofinyelela enhliziyweni nasebuchosheni kungabangela i-asystole uma ingelashwa ngokushesha.
• Ukopha kakhulu: Ukulahlekelwa igazi ngokweqile kunganciphisa amazinga omoya-mpilo futhi kubangele ukuba inhliziyo ime.

Izimpawu ze-Asystole

I-Asystole iyisimo esiphuthumayo esibucayi sezokwelapha futhi inikeza izimpawu ezisheshayo nezisobala. Uphawu oluyinhloko ukungabikho kwe-pulse, kodwa kunezinye izimpawu ezihambisanayo, ezihlanganisa:

• Ukulahlekelwa ukwazi: Ngaphandle kokushaya kwenhliziyo, igazi nomoya-mpilo akusakwazi ukugelezela ebuchosheni, okubangela ukulahlekelwa ukwazi ngokushesha.
• Akukho ukushaya kwenhliziyo: Njengoba inhliziyo ingashayi, akukho kushaya kwenhliziyo okungazwakala entanyeni, esihlakaleni, noma esifubeni.
• Ukungakwazi ukuphefumula: Ngaphandle kokushaya kwenhliziyo, ukuphefumula kuyama, okuholela ekuphelelweni umoya.
• Isikhumba esiphaphathekile noma esiluhlaza okwesibhakabhaka: Ukuncipha kwamazinga komoyampilo egazini kungaholela esikhumbeni esiphaphathekile noma esinombala oluhlaza okwesibhakabhaka.

Kufanele Ufune Nini Ukunakekelwa Kwezokwelapha

I-Asystole iyisimo esiphuthumayo sezokwelapha, futhi isinyathelo esisheshayo siyadingeka ukuvimbela ukufa. Uma ubona othile ewa futhi ebonisa izimpawu zokungashayeki kwenhliziyo noma ukuphefumula, shayela abezimo eziphuthumayo ngokushesha. Ukungenelela kusenesikhathi nge-CPR nezinye izinyathelo zokusindisa ukuphila kungenza umehluko omkhulu emphumeleni.

Ukuxilongwa kwe-Asystole

I-Asystole itholakala ngezinyathelo ezilandelayo:

• I-Electrocardiogram (ECG noma EKG): Ukuxilongwa okuqondile kwe-asystole kwenziwa ngokubheka ukungabikho komsebenzi kagesi ku-ECG, ezovela njengomugqa oyisicaba.
• Ukuhlolwa ngokomzimba: Ukungabi bikho kokushaya kwenhliziyo, ukuphefumula, nokwazi kuzokhuthaza abasebenzi bezokwelapha ukuthi baqinisekise ukutholakala kwe-asystole.

Izinketho Zokwelashwa kwe-Asystole

I-Asystole iyisigqi esingathuthumela. I-Defibrillation (ukushaqeka ngogesi) iyisigqi esingenamaza. hhayi Kusebenza kahle kwi-asystole. Ukwelashwa kulandela inqubo ye-AHA Advanced Cardiovascular Life Support (ACLS):

• I-CPR esezingeni eliphezulu ngokushesha, ngokucindezela kwesifuba okungu-100-120 ngomzuzu kanye nokujula okungu-5-6 cm
• I-Epinephrine 1 mg ngemithambo njalo ngemizuzu emi-3-5
• Thola futhi welaphe izimbangela eziguqukayo, ezaziwa nangokuthi ama-H kanye nama-T: i-Hypovolemia, i-Hypoxia, i-hydrogen ion (i-acidosis), i-Hypo/hyperkalemia, i-Hypothermia, i-Tension pneumothorax, i-Tamponade, ubuthi, kanye ne-Thrombosis (yephaphu noma yenhliziyo)
• Ukuphathwa komoya okuthuthukisiwe

I-Asystole inesimo esibi kakhulu. Ukusinda kuncike ekutholakaleni okusheshayo kanye nokwelashwa kwembangela eyinhloko.

Okubalulekile: Uma ubona umuntu ewa futhi engasabeli ngaphandle kokushaya kwenhliziyo, shayela ucingo lwe-Apollo 24/7: 1066 ngokushesha bese uqala ukucindezela isifuba. Ungalindi imishini yezokwelapha.

Izinganekwane Namaqiniso Nge-Asystole

Inganekwane 1: "I-Asystole iyafana nesifo senhliziyo."

Iqiniso: I-Asystole ukuntuleka okuphelele kokushaya kwenhliziyo, kuyilapho ukuhlasela kwenhliziyo kubangelwa ukugeleza kwegazi okulinganiselwe ukuya emisipha yenhliziyo. Ukuhlasela kwenhliziyo kwesinye isikhathi kungaholela ku-asystole, kepha aziyona into efanayo.

Inganekwane yesi-2: "I-CPR ihlala isebenza nge-asystole."

Iqiniso: I-CPR ingabuyisela ukuhamba kwegazi okwesikhashana, kodwa ayiwuqalisi kabusha umsebenzi kagesi wenhliziyo. Ukungenelela kwezokwelapha okuthuthukisiwe kuvame ukudingeka ukwelapha i-asystole.

Izinkinga ze-Asystole

Uma i-asystole ingelashwa ngokushesha, ingaholela ezinkingeni ezilandelayo:

• Ukulimala kwengqondo: Ngaphandle kokugeleza kwegazi, ubuchopho bungabhekana nokulimala okungenakulungiseka emizuzwini embalwa.
• Ukufa: I-Asystole ingaba yingozi uma ukuvuselela kungazanywa ngokushesha, futhi ezimweni eziningi, ukusinda kuncike esivinini sokungenelela.
• Ukwehluleka kwesitho: Ukuntuleka kokujikeleza kwegazi isikhathi eside kungaholela ekuhlulekeni kwezitho eziningi, kuthinte izinso, isibindi, nezinye izitho ezibalulekile.

Imibuzo evame ukubuzwa (FAQs)

1. Ingabe i-asystole ingahlehliswa?

Kwezinye izimo, i-asystole ingashintshwa nge-CPR esheshayo kanye nokungenelela kwezokwelapha okuthuthukisiwe. Kodwa-ke, amazinga empumelelo ancike kumbangela ye-asystole nokuthi ukwelashwa kulawulwa ngokushesha kangakanani.

2. Kwenzekani uma i-asystole ingelashwa?

Uma ingelashwa, i-asystole iholela ekufeni. Isenzo esisheshayo, kuhlanganise ne-CPR, singasiza ekuthengeni isikhathi, kodwa amathuba okusinda ancike kumbangela kanye nesivinini sokungenelela.

3. Ingabe umuntu angasinda ku-asystole ngaphandle kwe-CPR?

Ukusinda ngaphandle kwe-CPR akunakwenzeka kakhulu, njengoba ukuntuleka kokujikeleza nomoya-mpilo kuholela ekulimaleni kobuchopho okungenakulungiseka kanye nokwehluleka kwezitho phakathi nemizuzu. I-CPR ibalulekile ukuthenga isikhathi kuze kufike ochwepheshe bezokwelapha.

4. Kuthatha isikhathi esingakanani ukuthi i-asystole iphumele ekufeni?

I-Asystole ingaholela ekufeni emizuzwini embalwa nje uma ingelashwa. Ukulimala kobuchopho kungenzeka phakathi kwemizuzu engu-3-5 ngaphandle kokugeleza kwegazi, futhi ukwehluleka kwezitho kulandela maduze nje.

5. Yini engabangela i-asystole ngesikhathi sokuhlinzwa?

I-Asystole ngesikhathi sokuhlinzwa ingabangelwa izinkinga ezibulala izinzwa, ukulahlekelwa igazi, ukungalingani kwe-electrolyte, noma i-arrhythmias yenhliziyo. Odokotela abahlinzayo nodokotela ababulala izinzwa baqapha iziguli eduze ukuze bathole futhi balungise noma yiziphi izinkinga ngokushesha.

Isiphetho

I-Asystole yisimo esibucayi esidinga ukunakwa ngokushesha. Ukuqonda izimbangela zayo, izimpawu, kanye nezinketho zokwelapha kungasiza ekusindiseni izimpilo. Uma ubona othile ehlushwa i-asystole, ukwenza i-CPR nokufuna usizo lwezokwelapha oluphuthumayo kubalulekile ukuze kube nomphumela omuhle kakhulu. Hlala uthintana nochwepheshe bezempilo ukuze uthole isiqondiso esengeziwe nokunakekelwa kokulandelela uma kudingeka.