Natamaan sa Dibdib, Tumigil ang Puso. (Alamin Sudden Cardiac Dea-th-) - By Doc Willie Ong
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00:00.0
Meron po tayong bagong kaalaman na ituturo sa inyo
00:03.8
tungkol sa puso bilang internist at cardiologist
00:08.3
Meron pang ngayari, although rare ito,
00:11.3
yung napalo sa dibdib, natamaan ng bola, nasuntok
00:15.7
Biglang nag-sudden cardiac death
00:18.6
Biglang namatay yung tao, usually mga young people ito
00:23.7
So, minsan tinabaan ng baseball
00:26.0
Pag nasakto tamaan nyo sa puso o nasuntok diretso ng 40 kmph ang tama
00:37.7
Tingnan natin, tumama dito sa dibdib
00:40.7
Pero maraming dahilan ng sudden cardiac death
00:44.7
Unang-una, pwedeng huminto yung puso
00:48.3
tulad ng sinabi ko, nasuntok
00:49.9
Pwede rin naman, heart attack lang siya
00:51.9
Pwedeng lumalaki yung puso
00:54.1
Pwede may sira yung valvula ng puso
00:56.8
Pwede congenital heart disease
00:58.8
o baka may electrical problem yung sa puso
01:01.8
So, maraming dahilan
01:03.8
Ang maganda po dito, merong mga early warning signs
01:10.2
Bago pala tumigil yung puso, siguro mga a few weeks before
01:14.6
merong mga sintomas
01:16.6
Anong mga sintomas?
01:19.2
Balik-balik na masakit o hindi komportable sa dibdib
01:24.2
A few weeks earlier, nagpa-palpitate na, irregular na yung heartbeat
01:29.2
O pagmisan-misan, hinihingal-hingal
01:32.2
O parang nilalagnat-lagnat, nasusoka, parang may trangkaso
01:37.2
Masama na pakiramdam, o masakit ang tiyanan, masakit ang likod
01:41.2
Ito pala, pwede ito mangyari a few weeks before, bago biglang titigil yung puso
01:48.8
Pag may nangyari na na-cardiac arrest, paano tayo iiwas?
01:52.8
Siyempre, yung healthy lifestyle na tinuturo natin
01:55.8
Exercise, sigarilyo, tigil, healthy foods
01:58.8
Control ang blood pressure, control ang blood sugar
02:01.8
At dapat may screening, baka talaga may diperensya yung puso
02:05.8
Kung atlet, baka atlet's heart, baka medyo kumakapal
02:09.8
O baka may congenital heart disease
02:11.8
O may problema talaga sa pagtibok
02:15.5
So, meron mga possibilities yan na nagsasadden cardiac death
02:20.5
Ito nga po mga tinuturo natin
02:22.5
Meron kasi talagang yung pinanganak na abnormal na yung puso
02:26.5
O lalo na sa young athletes, merong hypertrophic cardiomyopathy
02:31.5
Biglang kumakapal, kaya misan yung mga atleta, sobrang exercise, bumabagsak din
02:36.5
Pag may nangyaring ganito, ang first aid talaga, CPR
02:42.1
Kailangan masi-CPR mo siya
02:44.1
Chest compression
02:47.1
Tapos yung may breathing
02:49.1
Pag hindi nakuha ng CPR, mas maganda merong defibrillator
02:56.1
Ito yung mga makina na nasa tabi lang
03:00.1
Kailangan within 3 minutes to 5 minutes
03:02.1
Pag may nag-collapse, walang pulso, walang tibok ang puso
03:06.1
Kinukuryente ng trained personnel
03:09.8
At pwede maibalik yung puso
03:11.8
Kasi pag hinayakan mo 15-30 minutes, patay na yung pasyente
03:15.8
Meron isang kakaibang sakit, yung tinuturo sa inyo
03:19.8
Nasuntok o natamaan sa dibdib, komosyokordis ang tawag dyan
03:25.8
Usually, nangyayari ito sa mga kabataan, naglalaro ng sports
03:31.8
Yung baseball, isang common siya
03:35.4
Pag yung baseball, malakas yung impact
03:39.4
At pag nasapul na derechong-derecho yung baseball, tumama sa may kaliwa ng dibdib
03:44.4
Kailangan masaktuhan yung puso
03:46.4
Kung minala, siyempre baseball catcher ka, nasaktuhan sa dibdib
03:51.4
Tapos yung naglalaro, payat pa
03:55.4
Maliit lang yung muscle niya dito, nasakto
03:58.4
Tapos nasakto sa timing sa puso
04:01.4
Pakita natin Dok Liza
04:04.0
Pag pa-relax na yung puso, dito tumama yung bola
04:09.0
Pwedeng imbis na normal heartbeat, lablablabla
04:13.0
Biglang magiging ventricular fibrillation
04:17.0
Pag nagganyan na yung kuryente, wala nang tibok ang puso
04:21.0
Hindi na nagpapump yan, mamamatay na yung pasyente
04:26.0
So, pag ganito na o nag-arrest, kailangan na mag-defibrillator
04:33.7
Pag kuminto na yung puso, itinamahan ng bola, football, baseball
04:39.7
O suntok na derecho, delikado dito
04:42.7
Actually may napapanood ako dati, mga martial arts
04:45.7
Merong sinasabi yung mga martial arts na pag nasuntok sakto dito
04:50.7
Sa may dibdib, titigil yung puso
04:52.7
Nangyayari ito, pero very rare
04:54.7
Pero pag nag-collapse na yung tao, anong makikita?
04:58.7
Siguro gagapang muna bago bumagsak
05:01.7
Unresponsive, hindi na humihinga
05:03.7
Walang pulso, walang heartbeat
05:06.7
Nagiging blue na, kulang na oxygen
05:09.7
May naku-compulsion
05:10.7
At dahil may injury sa nangingitim
05:15.7
Yan ang tinuturo ko, direct impact
05:18.7
Kadalasan tinatamaan mga kabataan
05:21.7
Misan 10 years old to 20 years old
05:23.7
Tapos misan madalas sa baseball
05:25.7
Pero sa suntok, meron din ang nangyayari
05:27.7
Nasasaktuhan sila
05:30.7
Sino at risk more sa lalaki?
05:33.7
90% ng namamatay sa blunt blow to the chest
05:40.7
Yung tama sa dibdib ay lalaki
05:45.7
Siguro, ewan ko lang ha
05:47.7
Ito hindi ako sure
05:48.7
Pero tingin ko siguro sa babae, baka less
05:51.7
Ang lakas na pagpal
05:53.7
O baka may breast tissue
05:55.7
May breast, so hindi masyado mag-i-impact
05:58.7
Kung hindi gano'ng kalakas
06:00.7
Pero kung mas malaki yung dibdib mo
06:02.7
Let's say, boxer ka, maskulado
06:04.7
Kahit siguro matamaan, mas may padding
06:09.7
Ayaw mo yung diretso, napayat-napayat yung bata
06:12.7
Kaya pag tama, nasaktuhan, pwedeng mamatay
06:15.7
Sa US, parang 30 cases in a year namamatay sa ganito
06:20.7
Pag nangyari yan, chest compressions agad
06:24.7
Meron kayong automatic external defibrillator
06:27.7
Yan ang maganda, kinukuryente as soon as possible
06:30.7
At dadalin agad sa ospital
06:33.7
1 out of 9 pwede magkaroon na sudden cardiac death
06:38.7
At risk po lahat, kaya maganda po itong topic natin
06:42.7
Magpacheck tayo sa puso, healthy eating
06:45.7
Magpacheck ECG, X-ray
06:48.7
Kung kailangan, 2D echo with Doppler
06:50.7
Para makita maayos yung kondisyon ng puso natin
06:53.7
Magpacheck po tayo sa inyong internist at cardiologist
