Uyini umehluko?
I-fibrillation ye-ventricular ibangela ukuboshwa komzimba, kodwa hhayi konke ukuboshwa kwe-cardiac kubangelwa i-fibrication ye-ventricular.
Ukuboshwa kwe-cardiac igama elichaza lapho inhliziyo iyeka ukushaya igazi nxazonke. Lapho inhliziyo yesisulu iyeka ukumshaya igazi futhi iyeka ukuphefumula (okuvame ukwenzeka ngaphakathi kwemizuzwana embalwa yenhliziyo), isisulu sibhekwa njengesifo semitholampilo.
Uma inhliziyo yesisulu ingabe iqala futhi noma i-CPR ingaqalwanga ngaphakathi kwamaminithi amane okuboshwa komzimba, ukulimala kobuchopho cishe kuqinisekisiwe.
I-fibrillation ene-ventricular yindlela yokuphazamiseka kwengqondo yenhliziyo (i-dysrhythmia) ebangela ukubopha inhliziyo. Ngesikhathi i-fibrillation ye-ventricular, inhliziyo iyayeka ukushaya ngokujwayelekile futhi ivele iqhamuka kalula. Awekho igazi elixoshwa ngoba akukho sinyathelo sokucindezela.
Yikholelwa noma cha, uma ungena ekuboshweni komzimba, i-fibrication ye-ventricular iyona engcono kakhulu. I-fibrillation ene-Ventricular iyaphendula kahle ngokusakazeka kwegesi, okuvimba ukuzamazama nokuvumela umsebenzi we-electric evamile kagesi kuqala. Yingakho sibiza lezo mabhokisi ezishaqisayo ze-fibrillators.
Okunye Lethal Dysrhythmias
I-fibrillation ye-ventricular (v-fib) akuyona kuphela i-dysrhythmia ebangela ukubopha inhliziyo. Kuneziningana. Akubona bonke abaphendula ugesi ngendlela enhle njenge-v-fib.
Indlela yesibili engcono kakhulu ibizwa ngokuthi i- ventricular tachycardia (v-tach) futhi iphathwa ngendlela efana ne-v-fib. Umehluko wukuthi i-tricycardia ye-ventricular iyaqhubeka yenza inhliziyo ishaye njalo, kodwa ihamba ngokushesha kangangokuba inhliziyo ayitholi ithuba lokugcwalisa ngegazi. Akukhona ithuba lokukwakha ukucindezela, ngakho igazi liyeka ukugeleza.
I-Asystole yili gama ngokuntuleka kwanoma yiluphi uhlobo lokushaya kwenhliziyo nhlobo. Kumshini we-EKG, i-asystole iyinhlangano elula, ephathekayo. I-Asystole yiyona into ebuhlungu kunazo zonke ngoba kusho ukuthi akukho msebenzi kagesi osezinhliziyweni abahlengikazi abazosebenza nabo. Okungenani nge-v-fib noma i-v-tach, inhliziyo ingahle ishaqele, eyimisa ekuthutheleleni okwesibili futhi inikeza ithuba lokuqala ngaphezulu. Cabanga nge-defibrillation njengokuqala kabusha kwenhliziyo yakho. Akusebenzi ngaso sonke isikhathi, kepha uma kwenzeka, kumangalisa kakhulu.
Isigeme se-Agonal yisikhathi semizamo yokugcina yenhliziyo ukuzama ukushaya. Akuphathwa ngendlela ehlukile kune-asystole (abahlengikazi bazama ukuvuselela inhliziyo ngenhlanganisela ye-CPR kanye nezidakamizwa ezaziwayo ukwenza inhliziyo ibuye ibuye futhi). Kodwa-ke, isigqi se-agonal sihle kakhulu ngoba siyazi ukuthi inhliziyo inenani elincane elishiye kulo.
> Umthombo:
> Herlitz, J., et al. "Izici ze-Cardiac Ukuboshwa Nokuvuselelwa Ngokweqile Iqembu: Ukuhlaziywa Okuvela Enhliziyweni YaseSweden Ukubopha Registry." Journal American of Emergency Medicine . Nov 2005.