Yintoni eyahlukileyo?
I-fibrillation ye-Ventricular ibangela ukuboshwa kwentliziyo, kodwa akuyiyo yonke into yokubanjwa komzimba ibangelwa yi-fibrillation ye-ventricular.
Ukubanjwa kweenqwelo ezinjengelizwi lichaza xa intliziyo iyeka ukupompa igazi ngeenxa zonke. Xa intliziyo yexhoba eyeka ukupompa igazi kwaye eyeka ukuphefumla (okuqhelekileyo kwenzeka ngaphakathi kwemizuzwana embalwa yentliziyo igxininisa), ixhoba libhekwa njengesifo seklinikhi.
Ukuba intliziyo yexhoba ayiyi kuqali kwakhona okanye i-CPR ayilunganga ngaphakathi kwemizuzu engama-4 yokubanjwa kwintliziyo, ukulimala kwengqondo kuqinisekiswe ngokuqinisekileyo.
I-fibrillation ye-ventricular yindlela yokuphazamiseka kwentliziyo yesifo (dysrhythmia) esibangela ukuboshwa kwentliziyo. Ngethuba le-fibrillation ye-ventricular, intliziyo iyayeka ukubetha ngokuqhelekileyo ize ivele iqhaqhaqhawuleza. Ayikho igazi eliqhutyelwayo ngenxa yokuba akukho nto yokunyusa.
Yikholelwa okanye akunjalo, ukuba kufuneka ungene ekubanjweni kwenhliziyo, i-fibrillation ye-ventric yimeko efanelekileyo kakhulu. I-fibrillation ye-Ventricular iyaphendula kakuhle ngokutshatyalaliswa kwamagesi, okuyeka ukuphazamisa nokuvumela ukuba intsebenzo yombane eqhelekileyo iqale. Yingakho sibiza ezo bhokisi zokutshatyalaliswa kweefrillers.
Okunye i-Lethal Dysrhythmias
I-fibrillation ye-Ventricular (v-fib) ayiyena kuphela i-dysrhythmia ebangela ukuba kubanjwe inhliziyo. Zininzi. Akunabo bonke abasabela kumbane ngokufanelekileyo njenge-v-fib.
Okwesibini ukhetho olubizwa ngokuba yi-tricycardia (v-tach) ye-ventricular kwaye iphathwa ngendlela efanayo ne-v-fib. Ukwahlukana kukuba i-tricycardia ye-ventric isqhubeka iyenza intliziyo ibetha rhoqo, kodwa ihamba ngokukhawuleza kangangokuba intliziyo ayifumaneki nethuba lokuzalisa igazi. Ayikho ithuba lokwakha uxinzelelo, ngoko igazi liyayeka ukugeleza.
U-Asystole lixesha lokungabi naluphi na uhlobo lwenhliziyo. Ngomshini we-EKG, i-asystole yindlela elula, isicatshulwa. I-Asystole yimeko ebi kakhulu kuba ithetha ukuba akukho mandla kagesi entliziyweni yabahlanguli abasebenza nabo. Ubuncinane nge-v-fib okanye i-v-tach, intliziyo inokutshatyalaliswa, eyimisa ekuhambeni okwesibini kwaye inika ithuba lokuqala. Cinga nge-defibrillation njengokuqalisa kwakhona intliziyo yakho. Ayisoloko isebenza, kodwa xa yenza, kuyamangalisa.
Isiqhelo se-agonal lixesha lemizamo yokugqibela yentliziyo ukuzama ukubetha. Ayiphathwa ngokungafaniyo ne-asystole (abahlanguli bazama ukuvusa intliziyo kusetyenziswa inhlanganisela yeCPR kunye neziyobisi eziyaziwayo ukwenzela intliziyo iphinde ibuyeke). Nangona kunjalo, isigqi se-agonal siphucule kangcono kuphela kuba siyazi ukuba intliziyo inomlinganiselo omncinane oshiywe kuwo.
> Umthombo:
> Herlitz, J., et al. "Iimpawu zeCardiac Ukubanjwa kunye nokuQhuqulwa kweQela eliQelayo: Uhlalutyo oluvela kwiScardiac yaseSweden UkuBamba iRejista." I-American Journal of Medicine Emergency . Novemba 2005.