Asystole na zuciya - abin da yake da shi? Alamun, haddasawa, gaggawa kula, magani

A kwatsam lõkacin fatara daga cikin zuciya tsoka, tare da wani rashin bioelectrical aiki a magani da ake kira "cardiac asystole." Mene ne wannan? Mene ne Sanadin ce jiha? Yadda za a samar da gaggawa taimako ga mutane a taron na a sakamakon bugun zuciya,? Amsa ga dukkan wadannan tambayoyi za ka iya samun daga baya a cikin labarin.

Siffofin da ya faru na cardiac asystole

Asystole na zuciya, da dalilai na wanda muka duba yiwuwar, ne zuwa kashi instantaneous da ya auku a sakamakon wani data kasance cardiac arrhythmia.

A cikin farko case, kan bango na alheri da kuma wadanda ba ƙeta na zuciya kari ne ba zato ba tsammani hasarar elektrovozubdimost cewa yayi kama da wani gajeren kewaye. Dalilin wannan sau da yawa ne m ischemic cututtukan zuciya, da bayyanar da, ba zato ba tsammani, yana sa kiba, shan taba, da ciwon sukari da kuma hauhawar jini.

A karo na biyu idan, tare da dogon qoramu Jihar fibrillation (fragmented da uncoordinated akan rage cardiac tsoka zaruruwa) faruwa hanzari zagawa da sababbu lantarki hasken dake fitowa da rushe jini ya kwarara a cikin jijiyoyin zuciya tasoshin da kuma, kyakkyawan, da yiwuwar tauye da zuciya zuwa mu'ãmalar, suna ɓuɓɓugar da shi daina.

A dalilan da cewa fararwa sakamakon bugun zuciya

Game da 5% na tsanani cardiac munanan kai ga gaskiya cewa haƙuri tasowa cardiac asystole. A dalilai domin wannan rai barazana yanayin ne mafi sau da yawa kafe a cikin zargin da m nau'i na tsokar zuciya infarction ko na huhu embolism.

Asystole kuma iya tsokana wani yawan abin sama na cardiac glycosides, antiarrhythmic kwayoyi ko maganin sa barci da shafi da aiki na ce tsoka. Domin zuciya kasawa kuma iya sa lantarki hatsari, intracardiac magudi ko janar mai tsanani na rayuwa cuta.

Musamman na ramin zuciya asystole

Yana da daraja ambata cewa shi ne asystole na ramin zuciya (da cikakken dakatar da abbreviations), sabanin jituwa tare da rayuwar atrial asystole, take kaiwa zuwa mutuwar daga mãsu haƙuri.

Wannan Pathology ba alaka da arrhythmia, wanda tsokani karin ectopic excitability. A dalilan da ya faru ne a aiwatar disturbances da layi daya hanawa na da ikon da ventricles mu'ãmalar rhythmically.

Mafi sau da yawa mai suna yanayin iya zama sakamakon atrial ko na ramin zuciya fibrillation da ya zo bayan su, da kuma a wasu lokuta shi tsokani electromechanical dissociation, ko na ramin zuciya tachycardia.

Bayyananen na cardiac asystole a yara

cardiac asystole a yara ne mafi sau da yawa tsokane ta raunuka, dalma da kuma iri daban-daban na numfashi cuta (misali, airway toshewa, hayaki inhalation, nutsẽwa ko kamuwa da cuta).

Ba zato ba tsammani, an lura da cewa, 15-20% na matasa marasa lafiya a sakamakon bugun zuciya, wadda ta gabãta fibrillation ko na ramin zuciya tachycardia. Amma ya fi na kowa alama da yaro barazana ga cigaban asystole, shi ne gaskiya cewa shi bradyarrhythmias (gagarumin deceleration a zuciya rate).

A cikin hali na yara ko matasa ne mai tsanani nakasar zuciya cuta kafin asystole da baya yiwuwa a gane abin da ya faru na m m numfashi, hypotension da sosai sani. A wasu yanayi, sakamakon bugun zuciya Earsbe auka tare da gajeren (kasa da biyar seconds) seizures.

Ta yaya asystole na zuciya a kan wani electrocardiogram

Asystole na zuciya a kan wani electrocardiogram saukar da wani kusan mike layin wakiltar ta lantarki aiki.

Halayyar siffofin wannan yanayin kuma za a iya dauke da wani mahaukaci kari na atria, da rashin iyawa wajen ƙidaya mita na contractions, a lokacin da babu na ramin zuciya contractions. A wasu lokuta, a lokacin da atrium ne har yanzu wasu lokaci ci gaba da samun koma baya bayan cardiac ventricles a ECG iya gane atrial P kalaman

Karin kashi ga ganewar asali na asystole da kuma iya aiki kafin wannan jiha na arrhythmia. Saboda haka, idan shi bayyana kanta a cikin nau'i na farkon polytopic na ramin zuciya wanda bai kai lashe da na ramin zuciya tachycardia, sa'an nan su bi su flicker da flutter, da kuma kara da kawancen yawanci nuna m na asystole.

Asystole na zuciya: bayyanar cututtuka

ÃyõyinSa a gare taimaka sanin cewa haƙuri yana da wani sakamakon bugun zuciya, tabbas duk saba da, amma har yanzu muna maimaita su.

• A manyan jijiyoyi akwai wani bugun jini. Don tabbatar da wannan, dole ne ka folded index da kuma tsakiyar yatsunsu a gwada da kasancewar a cikin carotid jijiya (grope da ita a cikin rami gaba da thyroid guringuntsi na maƙogwaro (Adam ta apple)). Idan ba bugun jini, sa'an nan asystole a zuciyar ɗan adam.
• Gaggawa taimako da ake bukata, da kuma idan ƴan ba su karɓa nufi ga idanu tocila. Yadda aka saba, su ya kamata a quntata, kuma idan wannan bai faru ba, yana nufin cewa myocardium da aka ba su aiki.
• Don dakatar da zuciya ma ya ce rashin numfashin auku a cikin 2 minti. bayan da bacewar da bugun jini. Wannan za a iya tabbatar da su ta kawo wanda aka azabtar ya bakinsa madubi.
• Babu kasa kaifin ne kama da fata. Idan ya zama grayish ko bluish tint (musamman lebe, tip na hanci da earlobes) - shi ne wata sigina na tsanani Sistem sakulasan cuta.
• Kuma a karshe, idan sume haƙuri ba zai iya kawo wa rai fiye da 10-20 seconds amfani da ammonia, pats a kan kumatunta, ko m noises, wannan kuma iya zama wata ãyã daga asystole.

Duk wadannan cututtuka su ne m ga mutum rayuwa, don haka suka bukaci gaggawa resuscitative matakan, wanda ya kamata a bayar kafin zuwa na motar asibiti crews. Ka tuna cewa a ceci rayukan ka yi wasa a kalla minti 10 (sosai lokaci bayan da zuciya tsaya a nan har yanzu suke zaune mutum kwakwalwa).

gaggawa dokoki a sakamakon bugun zuciya,

Saboda haka, idan ka samu wani mutum zuciya asystole, haƙuri kula, wajen gaggawa taimakon farko shi ne kamar haka:

1. Kira motar asibiti.
2. Free tare da adiko na goge baki hanci da kuma baki na azabtar aman, slime ko waje jikinsu.
3. Wajen da mutum a kan baya, amma haka da cewa kansa aka dan kadan jefa baya.
4. Ba ƙafafunsa dan kadan dagagge wuri tare da folded tufafi ko matasan kai.
5. Iska a cikin ƙaho a cikin huhu da aka azabtar ko bakin-to-bakin (shi iya jefa zanen aljihu) ko bakin-to-hanci. Yin daya allura, gudanar da cardiac tausa.
6. Don yin wannan, sa dabino daga cikin weaker hannu don haka da cewa shi ya huta da tushe daga cikin ƙananan gefen sternum na azabtar. A saman da shi sanya wani perpendicular zuwa dabino, kuma dukan nauyi na jiki, a hannu ta tsawon, kaifi ƙungiyoyi yi rhythmic tremors (5 compressions). A tazara tsakanin su ba fiye da wani, na biyu. Bayan kowane tura hannayensu daga cikin kirji debewa, ba su tsoma baki tare da jini zuwa da yardar kaina daga ƙarƙashinsu a cikin zuciya. Daya minti ka bukatar samar da akalla 100 aftershocks.

A 'yan more tips for samar da gaggawa taimako

Yana da kyau idan sama farfado yi kawai mutane biyu - daya naushe da iska, da kuma sauran aikin kirji compressions.

Yana da muhimmanci a tuna cewa idan wani haƙuri iya samun ceto, amma shi zai ciyar da fiye da minti goma da majalisa ta zauna, shi yana iya ci gaba da tsanani neurological cuta. Saboda haka za a tattara da kuma, mafi muhimmanci, da kwanciyar hankali, kadai hanyar da zuciya asystole (abin da shi ne kai ne a yanzu, ba shakka, ka sani) za a ci.

Kowane 2 da minti, duba haƙuri da yanayin - ya numfashi, bugun jini da kuma pupillary dauki, da zaran numfashin zo, gaggawa kula za a iya tsaya. Idan akwai wani bugun jini, amma da numfashi ne har yanzu akwai, ci gaba da wucin gadi iska.

Ko da ba za ka iya komawa zuwa wanda aka azabtar ya rai, ba su hanu ba su ba shi kulawa ta gaggawa. Yana za a iya tsaya kawai a lokacin da motar asibiti likitoci zo. Su tambaya su hanyoyi don kula da rayuwar daga mãsu haƙuri.

Zai yiwu rikitarwa bayan sakamakon bugun zuciya

Kamar yadda aka ambata a sama, ma'aikatan ceto quite a bit lokaci don taimaka wani mutum wanda aka samu asystole na zuciya. Yana da kawai wani 10 min. Kuma, da rashin alheri, ko a yanayin saukan wani m sakamako ga wanda aka azabtar iya nuna sakamakon wani sakamakon bugun zuciya, misali:

• ischemic kwakwalwa lalacewa, hanta ko koda cuta saboda jinin samar insufficiency na gabobin a lokacin asibiti mutuwa.
• karye hakarkarinsa a sakamakon wuya matsa lamba a lokacin cardiac tausa.
• iska a cikin rami tsakanin zanen gado na pleura rufe da huhu da kuma kirji (a magani irin Pathology da aka kira wani pneumothorax).

Amma ka san abin da ajiye rai har yanzu shi ne mafi karye hakarkarinsa, sabili da haka, kada ku yi shakka a samar da gaggawa taimako zuwa wani matalauci mutum.

Features na gaggawa kula da yaro

Abin baƙin ciki, ga yara na farko shekaru na rayuwa da aka bayyana a cikin labarin farfado da su ne musamman dacewa da kuma, sabili da haka, iyaye ya zama saba da abin da ya yi a lokuta inda su yaro ci gaba cardiac asystole (shi wannan wani mataki da cewa shi ne ɗan daban-daban daga cikin halin da ake ciki zartar da manya, kai ne, ba shakka, ka sani).

Kuma babban abinda ba tsoro da kuma aiki da sauri sosai, kamar yadda mai suna a sama a lokacin da yaro an rage zuwa 5 da minti. Da farko, kira motar asibiti.

• Sa'an nan kuma ka bukatar ka saka jaririn a kan tebur, tsiri ko unswathe kuma saki a gare shi daga bakin gamsai da kuma kasashen waje al'amarin.
• A gammaye na index da kuma tsakiyar yatsa don haɗa da kasa na kirji. Tura su a kan nono maida, amma a hankali, a 120 jolts a 1 min.
• A lokacin da tura da sternum ya kamata a canja hanyar thumb zurfin.
• Bayan kowace 15 compressions sa 2 hurawa bakinka rufe da wani zane da yaro ta hanci.

Asystole na zuciya: jiyya a cikin m kula naúrar

Musamman farfado daga bugun zuciya a cikin asibiti ya yi amfani da intubation (an sanya wani m roba tube, ta hanyar da gudanar inji iska) da kuma bolus (wadanda suna da m, sabanin dropper) gabatar a cikin wani jannayẽnsa shirye-shirye "Epinephrine hydrochloride" da " atropine ".

Idan gano gazawar da na al'ada allurai mai suna jamiái da aka gudanar a kowace 5 min. jet. Sa'an nan, da kashi ne a hankali ya karu har zuwa 5 MG da kuma gudanar da kowane minti 3 riga.

A yanayi inda damar zuwa jijiyoyinmu babu kwayoyi suna gudanar cikin trachea, kuma su sashi a cikin wannan yanayin ne sau biyu ya karu. Allura a cikin zuciya yi kawai idan akwai gazawar da sauran hanyoyin da miyagun ƙwayoyi bayarwa.

Za ka iya hana asystole

Muna magana a cikin labarin yadda hatsari asystole na zuciya, shi ne yanayin da cewa zai iya kai mutum ga mutuwa. Amma shi ne zai yiwu a kauce wa irin wannan sakamako? Kuma yadda za a hana shi?

A wasu lokuta, yin shi da cikakken real. Wata bukatar kawai kalla wasu m dokoki. Saboda haka, ko da ganewar asali, marasa lafiya da cututtukan zuciya da ya kamata sosai a bi umarnin da ka likita - kada ku halattar da sashi na kwayoyi da kuma timeliness na aikace-aikace, wajen saka idanu da matakin na jiki aiki da kuma kauce wa yin amfani da wasu daga cikin wadannan kwararrun kwayoyi.

Idan dole, wadannan marasa lafiya da na'urar kiwon lafiya da aka sanya a matsayin cardioverter defibrillator-ko na'urar bugun zuciya rike isasshen zuciya rate. A irin wannan haƙuri dole ne a shirya for gaggawa yanayi da kuma san yadda za su yi aiki a wani batu.

Duk da abubuwa wajibi ne ga primary rigakafin an tattauna a daki-daki tare da likitan zuciyar da ake bukata don yin.