He aha ka ka agonal moku'āina?

Ka hope ke kahua me ua kapaia make eha nui. Agonal ano ua wehewehe aku ma ka mea ana e hoʻomaka i ka hana 'Imi uku' maomeka. Kēia i kaua ai i ka ia'na o ka mea e pōʻino koa hope o ke kino.

maʻi Hawaii

Irreversible loli ma ka lolo'aʻaʻa e hoʻomaka no ka hypoxia a me ka loli maʻakika-kumu koena i kapaia maʻi Hawaii. Ka mea, i wehewehe aku ma ka mea e ka mana o ke kino e mae wale, akā, ka mea 'ole e hana instantaneously, akā, i nā. No laila, ma kekahi hihia, kauka hiki ia hoihoi hoʻohana ' resuscitation.

I ka maʻi rula loaʻa nā kēia:

• loa hawewe (ka mea, o ka kŰia o ka IV degere);
• IV coma ka papahelu (i kapaʻia prohibitive);
• 'opi;
• predagoniya;
• cessation o naehana neʻe - kakali maʻi;
• eha nui;
• Lapaʻau make.

Ehaeha me he kahua o ka maʻi ana wehewehe aku ma ka mea i ka hoomanawanui hooluhi hewa ia mai nā mea a pau e pōʻino oihana, naʻe ia mea nō e hiki ke kōkua. Akā, ka mea hiki ke hanaia ma ka hihia a pau ma ke kino iʻaʻole i paupauaho kona nā papaha. No kekahi laʻana, e hiki hoʻihoʻi vitality, ina o ka make ia lŘlŘ like me ka hopena o ke koko poino, hawewe, a suffocation.

e hoʻolaha i nā maʻi, e like me ICD. Agonal moku'āina pili ia i ke kuhi R57. He He kŰia, i ua ole i ho'ākāka 'wahi. Ma lalo o kēia hoopai karaima ma ICD ho oholo i ka helu o thermal rula, a me predagoniyu, eha nui, a kokoke i ka make.

Predagoniya

Nā pilikia hoʻomaka me ka pohāʻana o ka Central ko mākou hopohopo nenoaiu. Ka hoomanawanui, e hina ia i loko o unconsciousness. Ma kekahi mau hihia, ike paka i ua mālama, akā, ia confusedly. Kēia me ka nui loa emi ke koko, - ka mea i haule iho ma lalo 60 mm o Hg. Art. Ia laua a hiki i keia, i ka lāʻau ikiʻai wale e hoola ae, e lilo ia i thready. Ua hiki wale hoÿäÿo i ka femoral a me ka carotid arteries,ʻike ākea no ka mea, o kahi e.

Ka hanu hiki predagonii ili, ia mea pilikia. Pale ili o ka hoʻomanawanui. Agonal moku'āina hiki hoʻomaka koke ma hope o ka pau ana o ka manawa a ma hope o ka ai-kapaia thermal wanaao ae.

Ka lōʻihi like 'ole o kēia wā hilinaʻi nui ma luna o ke kumu e kena ae i ka hoouka kaua o ka la maʻi kaʻina. Inā ka hoʻomanawanui ua he ulia cardiac hopu, a laila, i kēia wā, uaʻaneʻane nonexistent. Akā, hemorrhage, naehana hanu ole, traumatic nń hiki i ka hooulu ana o predagonalnogo moku'āina, a e mau i kekahi mau hola.

maʻi e kakali

'Aʻole manawa preagonic a me ka agonal moku'āina i inseparable. No ka laʻana, ka wā koko emi ma ka hapanui hihia he mea he hoʻololi au - maʻi e kakali. Ua hiki ke lawe mai 5 kekona i 4 minuke. Ua Ua wehewehe aku ma ka ulia cessation o ka hanu. Ua huli no bradycardia. Kēia mea he ano loko a ka naau ana, i kekahi manawa he mea asystole emi markedly. No laila, i kapaʻia cardiac hopu. Haumana ole e pane i ka malamalama, e? Anoe, reflexes nalo.

Ma keia ano, ma ka electroencephalogram bioelectrical hana nalo, a hōʻike i ka ectopic impulses. Ma ke kaʻina hana o ka maʻi, mai hemo mai ua listen glycolytic keʻano o ka hanaʻana a me ka'okesaside - inhibited.

moku'āina o ka eha nui

Aie i ka pahikaua muli o ka oxygen, a ia lŘlŘ ka wā o ka moku'āina predagonii, a maʻi ihola, a pau kino oihana i inhibited. Kona papa kuhikuhiE hiʻona mea he hanu kāna hana.

Agonal ano wehewehe aku ma ka wa e kaawale aku o ka eha pā lonoaʻili, mae wale ana o ke kumu o reflexes (pupillary, ʻili, tendon, corneal). Ma ka hopena i pau ka moni a me ka ha awina o ka naau. Kēia kaʻina hana hiki oko ma mea, kena ae la i ka make.

Me kekahi mauʻano o ka make eha nui ana o ka lōʻihi like 'ole i ĸokoĸa ana nä pane me ka nui loa. No ka paha, traumatic hawewe, a me ke koko poho hiki aku ai i ka mea i ka la mahope make anu u hiki mau mai 2 a hiki i 20 minuke. I ka mechanical e asphyxia (throttling), ia mea i oi aku 10 minuke. Ma cardiac hopu, agonal hanu e hoomau ana no 10 minuke, a hiki ma hope o ka holo aɃe.

Ka loa hooloihiia eha malama ma ka make e like me ka hopena o hooloihi ae i intoxication. Ua hiki ia i loko o peritonitis, sepsis, Ka maʻi 'aʻai cachexia. IeAUPIIe, IAa IO, i loko o kēia manawa,ʻaʻole nō he maʻi e kakali. A eha nui ia ke mau no kekahi mau hola. Ma kekahi mau hihia, ka mea mau i ka la ekolu.

Ke ano lapaʻau kiʻi

Ma ka loiloi mua kahua o ka hoʻonaʻauao, he nui ho'ā 'lolo hale. Ahonui haumana dilate, naau ana e mahuahua, ikea Hawaii stimulation. vasospasm e alakai i mahuahua ke koko. Inā keia ano mau lōʻihi, hypoxia, piʻi pū. E like me ka hopena, ho'ā 'subcortical lolo hale - a me keia hiki aku ai i ka hua i loko o ka excitation make ana. Keia; ua hoikeia mai convulsions, involuntary na naau oʻu ka hele a me ka bladder.

Ma ia laua, agonal ano o ka hoʻomanawanui ua wehewehe aku ma ka mea i ua hoemiia ka buke o ke koko i loko o ka aa koko, a ua hoʻi mai i ka naau Muscle. Kēia kahua kupu mai ka mea i ua māhele aku i ka huina o ka leo o ke koko a hiki i ka ipuʻike ākea. Kēia i mea paakiki e hooholo i ka'aloʻahiʻa mea maʻamau. Ka lāʻau ikiʻai hiki ke ikeia ma ka carotid arteries, naau leo ka mea, i hoolohe mai.

Ha i loko o ka moku'āina o ka eha nui

Ua hiki ke lilo nawaliwali me ka haʻahaʻa ikaika hawewe ka neʻe 'ana. Akā, i kekahi manawa, e hoomanawanui i ikaika Inhale a Exhale. Ma ke sekona, ka mea hiki e mai ka 2 a hiki i 6 na naehana ka neʻe 'ana. Ma mua o ka make ana ma keʻano o ka hanaʻana i hoʻohanaʻia na nāʻiʻo o ke kumu a me ka'ā'ī. Mawaho, ka mea nani i keia hanu ka loa ka hoʻokō. Ma hope o nā mea a pau, i ke ahonui inhales ke halawai a loa ke hookuu aku oia i ka lewa. Akā, ma ka mea, e like me ka hanu wā agonal moku'āina e leie loa iki e ventilate i ka ia maʻiʻaʻai. Ka buke o ka lewa, aole ia i oi aku mamua o 15% o ka maʻamau.

Unknowingly me na hanu o ka hoʻomanawanui Ka Wailele O kona poʻo hoʻi, i kona waha hamama. Mai kaʻaoʻao ia mea me he mea la Ka imi ana i ke ale wale iho i ka i kā mākou dala o ka lewa.

Akā, agonal moku'āina ua pu ia e ka maʻi pulmonary edema. O ke kumu ho i ka mea i ka hoʻomanawanui i loko o ka moku'āina o huʻi hypoxia, ma i ka māhuahua permeability o ka capillary pā. Ma waho aʻeo ia pulmonary holo ana ua kūpono kou hoemi, aia no he haunaele o ke microcirculation keʻano o ka hanaʻana.

Definition o ka IBC

Ike i nā mea a pau mai i ho'ākāka 'ia e ka Mea Maluna International o Nā Maʻi (ICD), he nui hana hoihoi kivila agonal moku'āina. Ka mea i helu 'ia ma lalo o R00-R99. Eia nō nā symptoms a pau, a me na hoailona, me pono me deviations mai ke kūmau, e i komo i loko o nā poʻomanaʻo. Ma ka subgroup o R50-R69 i mau hoailona a me symptoms.

R57 hiehie a pau ano o ka puu hua palaoa,ʻaʻole hoʻolaha wahi. Iwaena o lakou o ka thermal moku'āina. Akā, e pono ke kūʻai 'ana i kumumanaʻo kaawale, ina ia lŘlŘ ka make, mai kekahi na kumu e ae, alaila, no keia mea, ua kekahi mauʻano o ka Mea Maluna. No ka R57 nā koke papani iho la i ke koko holo a me ka hanu, a hiki ma lalo o ka aoao o ka mawaho a me na aʻe. Ma keia hihia, lapaʻau make e kekahi i kapa ai i keia pauku.

No ia mea, ia mea pono e maopopo i nā kumu no ka i? Ac? Agonal moku'āina. ICD 10 hoʻohuʻu mea e hoʻoholo i nā 'ano nui ai ka hooholo ke koko. Inā ka mea, uaʻoi kona kiʻekiʻe ma mua o 70 mm o Hg. Art., I ka nui nā loko i ka pili maluhia. Akā, i ka wa e kulu ma lalo 50 mm o Hg. Art. hoʻomaka e make keʻano o ka hanaʻana, kuhikuhi ia e loli ai i ka naau Muscle a me ka lolo.

Nā hiʻona hōʻike i ka 'inideka

Lapaʻau Mea Maluna apono 'onoho ana i na hoailona e diagnose thermal a me ka agonal moku'āina. ICD 10 pā'ālua R57 Hōʻike ia oiai loaʻa nō nā kēia mau hiʻona:

• mau lethargy;
• hoʻopōʻino ike paka;
• puʻe kulu ma lalo 50 mm o Hg. Paukū.;
• ka muli o ka loa pokole o ka hanu;
• wa e kaawale aku o ka lāʻau ikiʻai wale maʻike ākea arteries.

Like kaulana ma nā lapaʻau na hoailona o ka eha nui. Ma hope o lākou e hele mai i ka hoailona o ka lapaʻau make. Ka mea, e pili ana i ka ia pauku me ka agonal moku'āina. Code ICD R57 hoʻoholo i nā symptoms a pau e e ike i ke kauka, e hooholo i ka ia'na o ke ola.

ka nohoaliʻi make

N symptoms ana i loko o 10 kekona hope cardiac hopu. Ke hoomanawanui haalele i ike, i kona pana Kêia a hiki i nui arteries, convulsions.

Secondary symptoms e hoʻomaka i ka wā o 20-60 kekona.

• haumana oki i pane koke i ka malamalama;
• mahana ha;
• lehalehu t ili ua pena ma ka lepo-oho;
• Ua relaxes na nāʻiʻo, a me nā sphincters.

E like me ka hopena, na keʻano o ka hanaʻana hiki hoʻomaka involuntary defecation a me ka urination.

resuscitative ana

Oe e ike i ka thermal ana, a loaʻa i ka eha nui, a me ka hope ke kahua - lapaʻau make e manaoia e e reversible. Ke kino ke kōkua i ka lanakila i kēia moku'āina, ina ka mea, i ole i ka maluhiluhi a pau kona functionality. No ka laʻana, ua hiki ke hana i make, mai asphyxia, hemorrhage a traumatic kŰia.

CPR hana ninoieo i ka hana umauma compressions a me kaʻimi hoʻopunipuni ka hanu. A kanaka ka mea ua hoakaka ia kōkua hiki e kuleana hūnā 'kuokoa hanu neʻe o ke ahonui a me ka symptoms o ka ole naʻau hope. E hoomau i ka hana e ia mai ai i na kanaka ana o ka moku'āina o ka ehaeha a hiki i ka piha noaaeeecaoee resuscitative ana.

Inā mau ana mea i lawa, ka mea hiki ke pili Muscle relaxants a paa intubation. Inā keia mea,ʻaʻole e hiki, hana ʻimi hoʻopunipuni ka hanu nā waha-i-ihu a me ka waha. Ma na wahi ua hoʻomaka 'ana thermal pulmonary edema, hiki ole ke hana me intubation.

Ma kekahi mau hihia, e ku e ka backdrop o ka pahu compressions mau agonal moku'āina. Hoailona no ka mea, e like ventricular fibrillation o ke kino. Ma keia hihia, e pono e hoʻohana elektrodefibrillyator. Ua mea i nui, e lawe mai ana i ke kūʻai-arterial koko transfusion, a me ka mea e pono ai fluids wai koko ae pani ai ina make e hele mai i ka hopena o ke koko poino, traumatic kŰia.

Ano ma hope o resuscitation

Mahalo i ka 'āwīwī, a ke hoʻokō' na ana ia, e hoihoi i ka hoʻomanawanui i ka nui hana, pinepine pilikia agonal moku'āina. Mahope, i ka hoʻomanawanui nele i ka lōʻihi-makahiki ka mālamaʻana a me ka mālama nui malama. Ka nele no ka mau ana ua malamaia no a hiki ina ke kumu o ka mea ma luna o thermal ana, i koke eliminated. No ka mea, i ke kino o ka hoʻomanawanui mea prone e repetition o ka ÿeha.

He nui no ka maopopo hoʻopau hypoxia, circulatory kāna hana a me metabolic kāna hana. He mea pono e pale aku i ka hiki ana o ka sepsis a me ka septic complications. Hoʻokomo ea a me ka transfusion Inc e hoʻomau a hiki i ka manawa a pau hoailona o naehana hanu ole i eliminated, a me ka leo o ka hoʻolahaʻia ke koko ke hele mai hoʻi i ka maʻamau.

Ka eha nui o na holoholona

mākou kaikaina Ma kekahi, he mau manawa ia mea, e ma luna o ka mokuna ma waena o ke ola a me ka make. Agonal ano o ka holoholona ma luna o ka lapaʻau hoailona iʻaʻole maopopo okoa mai ka mea hana ma ka like kulana home 'ole me ke kanaka.

Ho okolohua mālama 'ia ma luna oʻiole hōʻike ia ma hope o noho ko lakou mau naau lolo hope, a mahuahua nui ma 30 kekona. I ka Ia manawa, ua lilo oi pinepine e hele mai ana, mai kona kiʻekiʻe-alapine (frequency) hawewe, kūlana neurotransmitters. He mea hiki ke hookupaa aku ma ke kālailaiʻana lolo hanana hulina me ka electroencephalograph a me ka electrocardiograph. I ka make ana o iole ia lŘlŘ like me ka hopena o ka suffocation.

Ma ke ala, keia mea i ka ha awina o ka lolo, kńnaka wehewehe i ka hihio, a makemake i ka hai kanaka, ka poe i loaa ia lapaʻau make. Ka mea, hoomaopopo aku ka mea, O like he feverish haʻawina o ke kino.