I-Commotio cordis yigama lesiLatini (elisho ukudideka noma ukuphazamiseka kwenhliziyo) echaza ukuboshwa okungazelelwe kwenhliziyo ngokushaya kwesifuba. Ngenkathi i-commotio cordis ingenzeka kunoma ubani, iziguli zinabantu abakhulu futhi abancane. Naphezu kokuthi kungavamile kakhulu, i-commotio cordis iyimbangela eholela ekufeni ebusheni bebhola. I-Commotio cordis nayo ibhalwe phansi ku-hockey, i-lacrosse, i-karate futhi kwenzeke okungenani kanye kusukela ebhola lebhola.
Noma kunjalo, kuyinto engavamile kakhulu. Njengoba ufunda lokhu, sicela ungakuvumeli ukukuvimbela ekukhuthazeni izingane ukudlala ezemidlalo futhi uhlale usebenza.
Indlela i-Commotio Cordis eyenzeka ngayo
Akuthathi amandla amakhulu ukuqala i-commotio cordis. Konke okuphathelene nesikhathi. Ngemuva kokucindezela igazi emzimbeni, inhliziyo ivuselela ukukhishwa okulandelayo. Uma okuthile kushaya isifuba phambi kwenhliziyo ngesikhathi esifanele phakathi naleso sigaba sokusetha kabusha, inhliziyo ingakwazi ukuqala ngokuphazamiseka esimweni esibizwa ngokuthi i-fibrication ye-ventricular, imbangela yokubopha inhliziyo. Isiguli sizophuma ngaso leso sikhathi siyeke ukuphefumula.
Abacwaningi baye bakhuthaza i-commotio cordis ngokuqhubekayo ngokudubula ama-baseball ezingulube eziphelelwe yisikhathi esifanele. Isivinini esiphezulu se-baseball sokubangela i-commotio cordis - okungenani ezingulube ezingenalutho ezizulazula ezitokisini ezikhethekile - cishe ngamamayela angaba ngu-40 ngehora, ngaphakathi ngaphakathi kokuphonsa isivinini samapaki amaningi amancane.
Leli yijubane elikhulu kuphela , kodwa, hhayi elilodwa kuphela. Kwesinye isigameko esibhalwe phansi se-commotio cordis, ubaba waphonsa isithwathwa se-softball enganeni yakhe eneminyaka engu-6 epikinikini. Ibhola ligijime igundane lomfana lamshaya esifubeni, elibangela ukuboshwa komzimba.
Ukwelapha
Cabanga ukuthi ungumqeqeshi wethimba elincane leqembu.
I-batter eneminyaka engu-12 ihamba ngezinyawo kuze kube epulatifini. Umgijimi uphonsa ibhola le-fastball phansi kwesiteleka sesiteleka. I-batter igxuma futhi iseluleko nje ngokwanele ukuthi ibhola lilahlekelwa iglavu lomthengisi futhi limshaya esifubeni. Ngesikhathi ummpizi ehlabelela "Umoya!" umthengisi uwela phansi. Ungenzenjani?
Ngokuvamile impendulo kumdlali wezemidlalo yelusha ngokuzumayo idideka nokudideka. Okufanele kwenzeke yi-CPR ngokushesha futhi, uma ikhona, ukusetshenziswa kwe-defibrillator yangaphandle (AED) yangaphandle. I-Commotio cordis yisisusa esicindezelayo kakhulu engingazicabangela ngabaqeqeshi nabazali ukuba bafunde i-CPR kanye namasimu ezemidlalo yentsha ukuba babe ne-defibrillators. Ngempela, i-commotio cordis yisizathu esihle sokuba abadlali bafunde i-CPR futhi.
Ukwenza ngokushesha kuyisihluthulelo. Ezimweni ezingu-128 ze-commotio cordis ezibhalwe ngaphambi kukaSeptemba 1, 2001, ama-25% alabo abaphathwayo basinda ngokushesha. Kulezi ziguli okwelashwa okwakhe isikhathi eside, 3% basinda. Ukulondoloza iziguli ezingu-1 kuphela kwezi-4 kuphela akuyona isibalo esikhulu, kodwa kungcono kunamaphesenti amathathu. Izindaba ezinhle ukuthi labo abasinda kaningi babengenalo ukulimala kwengqondo.
Nakhu okumelwe kwenzeke:
- Bheka ukubola kwezingane ngemuva kokushaywa esifubeni
- Sigijimela ingane bese ubona ukuthi iphefumula
- Hlela umzali oseduze noma umqeqeshi ukubiza 911
- Qala i-CPR - umuntu omdala we-CPR uma eqala ukukhulelwa noma i- CPR yengane uma kungenjalo
- Uma unayo i-AED, landela othile ukuthi athole ngokushesha
Uma uwedwa nesiguli, yenza i-CPR ngokushesha bese ubiza 911. Noma, shayela u-911 efonini yakho bese ucindezela inkinobho ye-speakerphone, uyibeke phansi bese uqala i-CPR. Ungakhuluma futhi uphonse esifubeni ngesikhathi esifanayo. Noma yisiphi isikhathi esasichithwa hhayi ukuxosha esifubeni kungenzeka ukulimala kwengqondo.
Ukuvimbela
Indlela kuphela eqinisekisiwe yokuvimbela i-commotio cordis ukuqeda ama-bumps esifubeni. Njengoba iningi lezemidlalo lifuna impembelelo (i-karate) noma ayikho indlela yokuyivimbela (i-baseball, i-hockey, ne-lacrosse), okuwukuphela kokukhetha ukuthola izindlela zokwenza impikiswano ingabi namandla.
Ochwepheshe baye batusa ukusebenzisa izivikelo zesifuba, kodwa kuze kube manje akekho okukhona okuvikelwe kwesibindi esitholakalayo sokuthengisa. Kuze kube yilapho umuntu edala imodeli evikela empeleni izingane.
Ama-baseball e-Safety kubonakala sengathi anciphisa amathuba okuba ucwaningo lwe-commotio cordis, nakuba kunamacala amarekhodi afaka phakathi ama-baseball athengiswe ngokuphepha okwamanje okwenza i-commotio cordis. Ngomuntu siqu, ngicabanga ukuthi ama-baseball amancane kakhulu angabanengqondo, kepha izingane ezindala kuzodingeka zifunde ukudlala nge-baseballs yokulawula ngokushesha noma kamuva.
Ngombono wami, ukuvimbela ukufa okuvela ku-commotio cordis kumayelana nokusabela ngokushesha futhi ngokufanele uma kwenzeka. Ungavumeli ingane yakho idlale iqembu noma i-ligue engadingi ukuqeqeshwa kwe-CPR kubo bonke abaqeqeshi bayo. Thatha iklasi le-CPR ngokwakho, futhi uqiniseke ukuthi uthola ukuqeqeshwa kwe-AED. Ungavumeli umfundisi ahlose ukuqeqeshwa kwe-AED, noma. Ukujwayela ithuluzi kuyindlela engcono kakhulu yokuyisebenzisa kahle uma kufika isikhathi.
I-Commotio cordis iyesabeka, kodwa kuyinto engavamile kakhulu. Ungavumeli umcimbi ongenakwenzeka ukukuvimbela ekukhuthazeni izingane zakho ukuba zisebenze futhi zincintisane. Uma ubona i-commotio cordis eyenzekayo, kumntanakho noma kumunye umuntu, yenza ngokushesha futhi uyivimbele ekuthatheni impilo eyodwa encane eyodwa.
Imithombo:
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Isixhumanisi, uMark S., et al. "Ukunciphisa Ingozi Yokufa Okungazelelwe Kusuka Ekhanda I-Wall Blows (i-Commotio Cordis) ne-Safety Baseballs." Izingane zokwelapha . I-Vol. 109 No. 5 Meyi 2002, iphe. 873-877
UDeerer, JJ, et al. "Ukuhlolwa kwezivimbelo zesifuba sokuvikelwa ekufeni okungazelelwe ngenxa ye-commotio cordis." Am J Cardiol . 2007 Mar 15; 99 (6): 857-9
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UMaron, uBarry, et al. "Ukusinda kulandela ukuboshwa kwesifuba esinomthelela-mkhuba okwenziwe umfutho wezinhliziyo emdlalweni wezemidlalo kubadlali abasha." Am J Cardiol . 1997 Mar 15; 79 (6): 840-1
I-Weinstock, J., et al. "Ukuhluleka kwezivikeli zesikhumba esitholakalayo ezitholakala emakethe ukuze kuvikelwe ukufa okungazelelwe komzimba okubangelwa ukushaywa kwesikhumba esifubeni se-commotio cordis." Izingane zokwelapha . 2006, 117 (4): e656-62