Indlela Ukuphulukisa Ukuphefumula ne-CPR Kunokuhlukana Kanjani
I-push yokukhipha umlomo emlonyeni kusuka ku-CPR yayiyingxabano ezweni lokuqeqeshwa kweCPR . Umqondo wagcina wathola izinyawo ngemva kweminyaka eminingi; i-American Heart Association manje iphakamisa i -CPR ngezandla kuphela -kuyeka ukuphefumula ukuphefumula - kubahlengikazi abangaqeqeshiwe ababona isisulu siwa phansi phambi kwabo.
Labo abaye baqeqeshwa iminyaka e-CPR yendabuko bavame ukuphikisana noshintsho.
Abahlinzeki bokunakekelwa kwezimo eziphuthumayo, kusukela ku- CPR eqinisekisiwe ku-EMT kuya kudokotela we-ER, sekuyiminyaka eminyaka ifundiswa kuma- ABC wokunakekelwa okuphuthumayo :
- I-Airway
- Ukuphefumula
- Ukujikeleza
ngaleyo oda.
Sonke sifundiswe ukuqinisekisa ukuthi isiguli sine-airway kuqala, futhi uma isiguli singaphefumulanga, ukuphefumula umoya kumgulane ngomlomo ngomlomo. Ngaleso sikhathi, uma isiguli singenayo i-pulse noma izimpawu zokujikeleza, safundiswa ukucindezela esifubeni ukupompa igazi emzimbeni.
Ukucabanga kwakungalungile. Ukubuka ukuthi umzimba wenzelwe kanjani kusiza ukuthi kungani indlela yendabuko yeCPR ibuyele emuva.
Kungani Sigxilile Ekuphefumuleni?
Ukuhamba emoyeni nokuphefumula kubalulekile, akukho mbuzo ngalokhu. Ubufakazi bubuchopho. Izidingo zethu eziyisisekelo zobuchopho zigxile ebuchosheni bethu, futhi okuyisisekelo kunayo yonke isidingo sokuphefumula. Ngisho njengoba lonke ubuchopho bonakaliswe ukugula noma ukulimala, omunye wemisebenzi yokugcina ephelele yokuhamba kuyoba ukuphefumula.
Ngisho nezakhiwo ezisekela ukuphefumula zakhiwa ukuze zivikelwe. Izindebe ezihambisa isifenqemane, isisulu esisekeleni sesifuba esetshenziswa ukuphefumula, sitholakala phezulu kakhulu komgogodla ukuze kube yizinzwa zokugcina ezilimale uma umgogodla ulimele. Lokho kuyizinzwa ngemuva kwesikhathi uChristopher Reeve wehle kakhulu lapho ewela ehhashi, emshiya e-ventilator impilo yakhe yonke.
Ukugxila kwethu ekuhambeni komoya akuyona into engalungile; sithatha isiqephu sethu emzimbeni uqobo. Ngeshwa, siphuthelwe iphuzu elikhulu. Ngenkathi ukuphefumula kuyinto ebaluleke kunazo zonke ohlwini lobuchopho ukwenza, ukupompa igazi akusho ngisho nokufika kwengqondo ukukhumbula. I-blood pump kuyinto umsebenzi wenhliziyo, futhi inhliziyo yenza ngaphandle kokutshelwa.
Okwenza Inhliziyo Yibaluleke Kakhulu kuneBrain
Inhlitiyo yethu yezinhliziyo yiyona yodwa izicubu zomzimba emzimbeni ongafuni ukugqugquzelwa kwangaphandle ukuze uthole isivumelwano. Kwenzeka ngokuzenzekelayo. Inhliziyo ingakwazi ukupompa igazi njengoba nje ubuchopho buzama ukugxila ekuphefumuleni. Uma ubuchopho bulahlekelwa ikhono lokuqondisa ukuphefumula, inhliziyo izobe ishaya igazi kuze kuphele amandla.
Ngakho ubuchopho bugcina umoya ungena futhi uphume ngenkathi inhliziyo igcina igazi lijikeleza futhi lizungezile. Zisebenza ndawonye, kodwa zizimele. Uma ubuchopho buyeka ukusebenza, inhliziyo ingaqhubeka.
Ngakolunye uhlangothi, uma inhliziyo iyeka, kunjalo nobuchopho.
I-Oxygen Superhighway
Uhlelo lwe-circulatory (inhliziyo kanye nemithambo yegazi) kanye nesistimu yokuphefumula (amaphaphu kanye nemikhumbi yezindiza) basebenza ndawonye njengendlela yokunikezela, ukuhambisa i-oxygen emathisini omzimba nokukhipha i-carbon dioxide. Umzila wegazi ngumgwaqo omkhulu, nge-arteries esemqoka kanye nenethiwekhi yezitaladi zomgwaqo, konke okuhamba ngethrafikhi eyodwa.
Amapayipi afana ne-dock enkulu yokulayisha lapho i-oksijeni ishiywa khona futhi iqoqo le-carbon dioxide liqoqwe.
Cabanga ngeloli emgwaqweni omkhulu. Umgomo walolori ukuhlale ugcwele futhi emgwaqweni. Ukuhamba ngemoto kuyindlela yakhe yokwenza imali.
Usuvele eshiya idokodo ngomthwalo we-oksijeni endleleni eya ezimbonini ezidinga it for fuel. Uyodlulisa ukuhamba okukhulu kulo lonke uhlelo - inhliziyo - bese uthatha umzila ohamba phambili we-aorta. Ngaphambi nje kokudlula i-turnpike, uzothatha umshini we-carotid ukuphuma oya ebuchosheni. Uma efika lapho, uzoyeka umoya wakhe omncane - noma ngabe amangqamuzana obuchopho ayadinga - futhi athathe udoti: i-carbon dioxide.
Manje usebuyela emuva emgodini ophethe iloli okuyingxenye ye-oxygen futhi ingxenye ye-carbon dioxide. Usalokhu elayishiwe, ukuxuba nje kwezimpahla zakhe kuhlukile kancane. Lapho efika emgodini, uzokhipha i-carbon dioxide futhi athathe oksijini okwedlula olunye uhambo.
Amaphaphu aphefumula, adlulisa i-carbon dioxide futhi alethe i-oxygen entsha. I-dock yokulayisha ilungele ukuba iloli libuyele. Uma kunenkinga endaweni yokulayisha (amaphaphu awaphefumulanga ngesizathu esithile), angakwazi ukuqhubeka azungeze isikhathi esisodwa kanye nempahla ayesevele ekhona. Iloli elincane lithwala oksijini ngokwanele ngezinkambo ezimbalwa zokulethwa kwezidingo.
Inhlekelele ihlaselwa
Njalo ngesinye isikhashana, kukhona ingozi ekushintsheni futhi yonke isimiso sesimiso. Umzimba womzimba we-bumper-to-bumper, ukumisa ithrekhi kubizwa ngokuthi ukuboshwa komzimba .
Uma lokho kwenzeka, into ebaluleke kakhulu ukuthola ukuhamba kwezimoto (ukumpompa igazi) futhi. Ukugcwalisa i-dock yokulayisha (ukuthatha umoya) ngeke kusize ngoba amaloli akakwazi ukufika lapho ukuze athathe i-oksijini noma kunjalo (igazi alihambeli). Khumbula, amaloli athwala oksijini okwanele ukuletha izikhathi ezimbili noma ezintathu, angakhulumi ngamaloli amaningana (amangqamuzana egazi abomvu kanye neminye imikhiqizo yegazi) ase-aorta yomsakazo (neminye imizwa emikhulu) engakaze ikwazi ngisho nokuhambisa umoya-mpilo nokho okwamanje. Konke okumele ukwenze ukubenza bahambe.
Ngezansi: Push Hard, Push Fast
Uhlelo lokuhamba komzimba lubaluleke kakhulu. Akuyona inkimbinkimbi - akuyona inkimbinkimbi njengobuchopho, noma kunjalo - kodwa kubalulekile ukugcina ezinye izingxenye zisebenza. Kudinga amaphampu ambalwa ukuze igazi lihambele. Ukuyeka ukuchotshozwa kwesifuba ukuphazamisa umlomo kuya komlomo okuphazamisa ukugeleza.
Ucwaningo luye lwabonisa ngokucacile inzuzo ekucindezelweni kwesifuba ngaphandle komlomo nomlomo. Ngisho noma iphikisana nokusanhlamvu kwakho njengengqondo yezokwelapha endala eyafunda ukuthi ingenza kanjani i-CPR ngokuphefumula, ayikho indlela yokungazinaki isayensi. Ukugxila ekupompheni igazi ngesikhathi se-CPR, esikhundleni sokuhamba emoyeni, kwenza umqondo omkhulu.
Imithombo:
Ewy, GA, et al. "Ukuvuselelwa kwe-cardiocerebral yokubopha inhliziyo." Am J Med . Jan 2006.
I-SOS-KANTO Study Group. "Ukuvuselelwa kwe-cardiopulmonary yibo abaphikisanayo ngokucindezeleka kwesifuba kuphela (i-SOS-KANTO): isifundo sokuhlola." I-Lancet . 17 Mashi 2007.