punarnirmmaanam

punarujjeevana samayat svayampreritha rakthachamkramanam (aarr. oo. ezz. sii) vijayakaramaayi thirichethiyathinu sesham marakamaaya cardiac dysrithmia punaraarambhikkunna oru prathibhaasamaan reerast (refibrillation allengil rikkarant ventricular fibrilation ennum ariyappedunnu). ashupathriyil ninnu discharge cheyyappedunnathil ninnu athijeevana nirakk pothuve hridayasthambhanathinu 7 sathamaanam vare kuravaanu, chikilsikkaamenkilum, reerest eee athijeevana saadhyathakale kooduthal vashalaakkum. aarogya parirakshaa daathaakkalude chikilsaykku keezhil aashupathrikk purathulla krameekaranathilaanu saadhaaranayaayi reerast sambhavikkunnath.
kaaranam.
hridayasthambhanathinu samanamaaya kaaranamaayirikkavunna reerast, palappozhum oru ischemic sambhavam kaaranam hridayathinte vaidyutha pravartthanatthile vittuveezhchayaayi visheshippikkappedunnu. aduthide payarvarggangal nediya arasttinu sheshamulla rogi, vaayusanjaaram, marunnukaliloodeyulla aritmiya thiruthal, rakthasammardham nireekshanam ennivaykkaayi prehospital cair providermaare aasrayikkunnu. athinaal, eee chikilsakalilonnum aparyapthamaaya paricharanam oru reerest evantinu kaaranamakum.
ventricular fibrilation, ventricular tachycardia allengil asistol enniva marakamaaya aritmiya aakam.
rogi ithinakam oru pulsettail rhythm nediyappol rogikk nench compression nalkuka ennathaanu reerestinu nirnaayaka sambhavana nalkunna sakthamaaya oru samshayam. oru hridayasthambhana rogiyil pulsinte saannidhyam nirnnayikkaan palappozhum budhimuttaanu, athinaal nenchile compressionukal ariyaatha reesasittettar nalkaam, koodaathe hridayathile eee adhika sammarddam oru reerest sambhavathin kaaranamakum.
chikitsa.
hridayasthambhanathinu samaanamaayi, cardiopulmonary reseasitation (cpr) upayogichum maanuval allengil automated defibrillator upayogichum defibrillation upayogichum rearest chikilsikkunnu. hridayathinullile vaidyutha pravartthanangal thiruthunnathiloode svayam paripoornnamaakkunna oru hridayam punasthaapikkuka ennathaanu chikilsayude lakshyam. sii. pii. aarr. ll rakshaasvaasathodoppam nench amarthal ulppedunnu, athesamayam defibrilationil hridayathinte vaidyutha pravartthanam punararambhikkuka enna uddeshyathode nenjil udaneelam oru biphasic shock ulppedunnu.
aanti-aaritamik marunnukal saadhaaranayaayi rosk ghattathilaanu nalkunnathu. eee marunnukalil lidocain, ameoderon enniva ulppedaam.
pravachanam.
oru episode maathram hridayasthambhanam sambhavicha rogikalumaayi thaarathamyappeduthumbol reerest athijeevanathinulla saadhyatha kuraykkum. mothatthilulla punarujjeevana nirakk ekadesham 34 shathamaanamaanennu kanakkaakkappedunnu, ennirunnaalum ashupatri discharge cheiyunnathinulla athijeevana nirakk 7 shathamaanatholam kuravaanu. eee prathibhasam punarnirmmaanatthinu kaaranamakaam.
epidemiology.
salcido mattullavarum aduthide nadatthiya oru patanam. (2010) eathenkilum thalatthilulla emarjansi medical sarvees (iii. emm. ezz) chikilsikkunna ellah prarambha, reerest thaalangalilum reerest kandethi, reerest illaathavare apekshichu reerest ulla kesukalil 36 sathamaanam reerest nirakkum ashupatri dischargine apekshichu kuranjathum ennaal kaaryamaaya vyathyaasamillathathumaaya athijeevana nirakk kandethi.
gaveshanam.
rogikal ithinakam thanne aarr. oo. ezz. sii nediyathinu sesham veendum arast cheyyappedunnathinte sambhavam pravachikkaan nilavile gaveshanam shramikkunnu. electrocardiogram (iii. sii. jii) polulla biosignalukalkku reerestinte arambham pravachikkaan kazhivundu, koodaathe reerestinte varavu aasannamaakumenn aarogya parirakshaa daathaakkalkku munkootty munnariyipp nalkunnathinaayi nilavil anweshanam nadathivarikayaanu.
sakthamaaya pulse ditaktarum rearestinte nirakk kuraykkaan sahayikkum. rogikk eppol rosk nedaanaayenn resesittettarinu krithyamaayi arian kazhiyumenkil, oru native pulse ullappol nench compression nalkunnathinte sambhavangal kuravaayirikkum.

