Ventricular fibrillation

Ventricular fibrillation (VF) bụ ajọ nsogbu nke obi (arrhythmia) nke na-eyi ndụ egwu.

Obi na-awaba ọbara n’akpa ume, ụbụrụ, na akụkụ ndị ọzọ. Ọ bụrụ na etre ụda obi, ọbụlagodi obere sekọnd, ọ nwere ike ibute ịda mba (syncope) ma ọ bụ ijide obi.

Fibrillation bụ ntụgharị na-enweghị nchịkwa ma ọ bụ na-agbagharị nke eriri anụ ahụ (fibrils). Mgbe ọ pụtara na ime mmụọ dị ala, a na-akpọ ya VF. N'oge VF, ọbara anaghị esite n'obi. Ọnwụ mberede nke mkpụrụ obi.

Ihe kachasị akpata VF bụ nkụchi obi. Agbanyeghị, VF nwere ike ịpụta mgbe ọ bụla akwara obi anaghị enweta oxygen zuru oke. Ọnọdụ ndị nwere ike iduga VF gụnyere:

• Ihe ọghọm nke electrocution ma ọ bụ mmerụ obi
• Obi obi ma obu angina
• Ọrịa obi na-adị n'oge a na-amụ nwa (ebum pụta ụwa)
• Ọrịa obi nke obi nwere ike ịda mbà ma gbatịa ma ọ bụ sie ike
• Surgerywa ahụ obi
• Ọnwụ obi mberede (commotio cordis); a na-aputakarị ndị na-eme egwuregwu nwere otiti mberede na mpaghara ahụ kpọmkwem n'obi
• Ọgwụ
• Nnukwu ọkwa potassium dị elu na ọbara

Ọtụtụ ndị nwere VF enweghị akụkọ ihe mere eme nke ọrịa obi. Otú ọ dị, ha na-enwekarị ihe ndị nwere ike ịkpata ọrịa obi, dị ka ise siga, ọbara mgbali elu, na ọrịa shuga.

Onye nwere ihe omume VF nwere ike ịdaba na mberede ma ọ bụ bụrụ onye amaghị ihe ọ bụla. Nke a na - eme n'ihi na ụbụrụ na akwara anaghị anara ọbara site n'obi.

Ndị na-esonụ mgbaàmà nwere ike ime n'ime nkeji 1 awa tupu ida:

• Obi mgbu
• Dizzziness
• Ọgbụgbọ
• Otito ma ọ bụ oge ufodu obi otiti (palpitations)
• Iku ume ọkụ ọkụ

Ihe nlebara anya nke obi obi gha egosiputa oria obi ezighi ezi ("chaotic").

A ga-eme ule iji chọpụta ihe kpatara VF.

VF bụ ihe mberede ahụike. A ghaghi igwo ya ozugbo iji zoputa ndu mmadu.

Kpọọ 911 ma ọ bụ nọmba mberede mpaghara maka enyemaka ma ọ bụrụ na onye nwere ihe VF na-ada n'ụlọ ma ọ bụ na-amaghị ama.

• Mgbe ị na-eche enyemaka, dobe isi onye ahụ na olu ya na akụkụ ahụ ndị ọzọ iji nyere aka mee ka iku ume dị mfe. Malite CPR site na ịme mkpịsị obi na etiti obi ("na-agbasi ike ma na-agba ngwa ngwa"). Ekwesịrị ịnye mkpakọ na ọnụego nke 100 ruo oge 120 kwa nkeji. Ekwesịrị ime mkpakọ dị omimi ma ọ dịkarịa ala 2 sentimita (5 cm) ma ọ bụghị karịa 2 ¼ sentimita asatọ (6 cm).
• Nọgide na-eme nke a rue mgbe onye ahụ ga-amụrụ anya ma ọ bụ nyere aka abịarute.

A na-emeso VF site na ịnyefe ọkụ eletrik ngwa ngwa site na obi. Emere ya site na iji ngwaọrụ akpọ defibrillator mpụga. Igwe eletriki eletrik nwere ike weghachite obi ozugbo na ụda nkịtị, ma mee ya ngwa ngwa o kwere mee. Ọtụtụ ebe ọha na eze nwere igwe ndị a.

Enwere ike inye ọgwụ iji chịkwaa obi na ọrụ obi.

Ihe na-eme ka onye na-ahụ maka ihe mgbapụta (ICD) bụ ngwaọrụ enwere ike ịkụnye n'ime mgbidi obi nke ndị nọ n'ihe egwu maka ọrịa ọgbụgba a dị njọ ICD na-achọpụta ụda obi dị egwu ma na-ezipụ ngwa ngwa iji dozie ya. Ọ bụ ezigbo echiche maka ndị ezinụlọ na ndị enyi nke ndị nwere VF na ọrịa obi ka ha were usoro CPR. A na-enweta nkuzi CPR site na American Red Cross, ụlọ ọgwụ, ma ọ bụ American Heart Association.

VF ga - eduga n'ọnwụ n'ime nkeji ole na ole ọ gwụla ma e mesoro ya ngwa ngwa na nke ọma. Ọbụna nke ahụ, ịdị ndụ ogologo oge maka ndị bi na mwakpo VF na mpụga ụlọ ọgwụ dị obere.

Ndị lanarịrị VF nwere ike nọrọ na coma ma ọ bụ nwee ụbụrụ ogologo oge ma ọ bụ mmebi ahụ ndị ọzọ.

VF; Fibrillation - eriri afọ; Arrhythmia - VF; Heartdị obi na - adịghị mma - VF; Mkpụrụ obi Cardiac - VF; Defibrillator - VF; Cardioversion - VF; Defibrillate - VF

• Akụrụngwa cardioverter defibrillator - ihapu

• Obi - ngalaba site n'etiti
• Obi - echiche dị n'ihu

Epstein AE, DiMarco JP, Ellenbogen KA, et al. Nchịkọta 2012 ACCF / AHA / HRS gbakwunyere na ntuziaka ACCF / AHA / HRS 2008 maka usoro ọgwụgwọ nke ngwaọrụ nke ọrịa ọrịa obi: akụkọ nke American College of Cardiology Foundation / American Heart Association Task Force on Guides Guides and the Heart Rhythm Otu. J Am Coll Cardiol. Ọrịa. 2013; 61 (3): e6-e75. PMID: 23265327 pubmed.ncbi.nlm.nih.gov/23265327/.

Garan H. Ihe mgbawa nke Ventricular. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 59.

Kleinman ME, Goldberger ZD, Rea T, et al. 2017 American Heart Association lekwasịrị anya na mmelite ndị okenye na nkwado ndụ: mmelite nke American Heart Association ntuziaka maka ịmịghachi obi na mberede na nlekọta obi. Mgbaghari. 2018; 137 (1): e7-e13. PMID: 29114008 pubmed.ncbi.nlm.nih.gov/29114008/.

Myerburg RJ. Robịaru nso na njide ejiri obi na arrhythmias na-eyi ndụ egwu. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 57.

Olgin JE, Tomaselli GF, Zipes DP. Ventricular arrhythmias. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 39.