Ngokuvamile, abafundisi be-CPR bashiye abafundi babo ngomuzwa wokuthi i-defibrillator yangaphandle eyenziwe ngokuzenzakalela (i-AED) -idivaysi ephazamisa inhliziyo ngesikhathi sokuboshwa kwenhliziyo-ihlakaniphile kunomsindisi. Cabanga ngesigaba sakho sokugcina se-CPR. Umfundisi mhlawumbe wayevele ephethe i-AED futhi wathi, "Vele ubeke ama-paddles bese ulandela izikhombisi-ndlela. Uzokutshela okufanele ukwenze." Eqinisweni, i-AED iyithuluzi elikudingayo ukuthi ulisebenzise ngendlela efanele.
Yikholelwa noma cha, kungenzeka (nakuba kungavamile kakhulu) ku-AED ukushaqeka umuntu ophapheme.
Okwenza umehluko phakathi kwe-V-Fib ne-V-Tach Matters
Ukuze siqonde ukuthi lokhu kungenzeka kanjani, kumelwe siqonde ukuthi i-AED empeleni yenza. Ama-defibrillators awapheki ukuboshwa kwenhliziyo . Kunalokho, baphatha i- fibrication ye-ventricular , uhlobo olulodwa lokuboshwa kwenhliziyo. Yingakho kuthiwa yi-de- fibrillators .
Akukho neze indlela isiguli esinomfutho we-ventricular esingase siphapheme; akukhogazi eligeleza ebuchosheni lenza isiguli singakwazi. Uma kutholakala ukuthi i-fibrillation ye-ventricular, i-defibrillator yangaphandle ezenzakalelayo iyenembile kakhulu. Kungacabanga ukuthi uma kungokwakho konke okudingekayo ukuxilonga ukuboshwa komzimba, i-AED ekhoneni ngalinye ingaba yindlela ephumelela kakhulu kunani labahlinzeki be-prehospital esinabo lonke izwe.
Ukuboshwa kwe-cardiac kungase kwenzeke nakwe-tachycardia ye-ventricular , isimo lapho inhliziyo ishaya khona ngokusheshayo ayinaso isikhathi sokugcwalisa ngokwanele ngegazi.
Ngezinye izikhathi ngesikhathi se-tricycardia ye-ventricular, kukhona igazi elanele eligeleza ukugcina isiguli siphapheme. Uma kunjalo, esikhundleni sokungazi lutho nokuphefumula, isiguli cishe siyoba buthakathaka, sibule, sithukuthele kakhulu futhi singase sidideke.
Ukumangaza isiguli
Ukwelashwa kwe-tricycardia ye-ventricular kufana ne-fibrication ye-ventricular: ukushaqeka okukhulu.
Njengoba ukwelashwa kuyafana, sisebenzisa i-defibrillator efanayo ukuphatha kokubili.
I-AED i-defibrillator eyazi umehluko phakathi kwe-tricycardia ye-ventricular, i-fibrication ye-ventricular, nayo yonke into. Ihlelwe ukugqugquzela i-fibrillation ye-ventricular kanye ne-tachycardia ye-ventricular ngenkathi inganaki konke okunye.
I-AED ayayazi ukuthi i-tachycardia ye-ventricular ivumela ukugeleza kwegazi okwanele ukugcina isiguli siphapheme, okuzobe kunelungelo lokugcina isiguli siphila. Ngakho-ke, kungenzeka ukuthi i-AED iphakamise isiguli esiphuthumayo futhi kuyisabelo somkhululi.
Ukumangaza isiguli esiqaphelayo kuyama inhliziyo njengoba kwenza lapho isiguli singenalutho, futhi akukho siqinisekiso sokuthi sizoqala futhi. Ngezinye izikhathi ama-paramedics nodokotela kufanele bashaqele iziguli eziphapheme, kodwa sinokuqeqeshwa okubalulekile namathuluzi atholakalayo uma kwenzeka izinto zingasebenzi kahle.
Uma kufanele wenze i- CPR futhi ube ne-AED etholakalayo, phakamisa kanzima, phakamisa ngokushesha, futhi ulandele imiyalo ye-AED uma nje uyenza ingqondo-kodwa ungabethuki abantu abaphapheme.
> Umthombo:
> Nishiyama, T., Nishiyama, A., Negishi, M., Kashimura, S., Katsumata, Y., & Kimura, T. et al. (2015). Ukunemba kokuthola ukuhweba kwe-Commerce Ukutholakala kwe-Defibrillators yangaphandle. Journal Of The American Heart Association , 4 (12), e002465. i-doi: 10.1161 / jaha.115.002465