Kubwezeretsa Kanyama Kumalo Otsitsimula Mtima

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Zophunzira kuchokera kwa Othandizira Othandizira a Racetrack Sungani Moyo

Ma Paramedics ndi odziwa zachipatala (EMTs) ali ndi luso pokonzekera zovuta. Timayankha nthawi zovuta kwambiri pamoyo wa anthu ndikupereka chithandizo chamankhwala chamoyo. Tiyenera kukhala ndi chidziwitso chodzidzimutsa chifukwa ndizosatheka kuganiza zomwe zikubwera motsatira pa mzere wa 911.

Zina mwa zomwe timachita, komabe, ndizosatheka. Nthawi zonse timayankha ku ngozi za galimoto. Padzakhala kuwombera ndi stabbings. Timakonzekera zochitika zingapo nthawi zonse, koma palibe china chotsimikiziranso chimodzimodzi: ngati mtima wa wodwalayo sukumenya, iye adzafa popanda kuchitapo kanthu .

Kumangidwa kwadzidzidzi kwa mtima

Pali mtsutso wokonzeka kuti kaya kapena ayi masekondi amawerengera mayankho ambiri azachipatala. Komabe, mu chikhalidwe chimodzi chachipatala, ndizosakayikitsa kuti chisamaliro chofulumira chimaperekedwa, ndipamwamba kukhala ndi mwayi wopulumuka. Kumangidwa kwadzidzidzi kwa mtima ndi chitsanzo chimodzi.

Akatswiri ambiri amakhulupirira kuti kuwonongeka kwa ubongo kulibe mkati mwa mphindi 4-6 kuchokera kumangidwa kwa mtima. American Heart Association ikufuna kuti aliyense aphunzire Manambala-CPR okhawo omwe akuyang'ana angathandize ngati wina agwa patsogolo pawo. Ambulansi operekera dziko lonse lapansi amayesetsa kuchepetsa nthawi yawo yowonongeka, mwina kumangidwa kwa mtima ngati sizinthu zonse zachipatala zogwirira ntchito.

Kufika kumeneko mofulumira sikukwanira, komabe. Tiyenera kugwira ntchito mofulumira komanso mogwira mtima kuti tipereke ubongo ndi ubongo wa mtima. Komanso, kubwezeretsa mtima si ntchito imodzi kapena awiri-munthu. Zimatengera timagulu, kugwira ntchito pamodzi, kupulumutsa miyoyo.

Pitani Kumalo Opulumutsira

NASCAR pitti crews ali nayo pansi. Amapanga maulendo angapo ovuta kumangopita mphindi. Nthawi zambiri amapanga zolakwitsa ndipo kusunthira kwawo kumapangidwira kufika pafupi ndi ungwiro. Njira yomwe amachitira zomwe amapanga zimapanga chithandizo cha maulendo opatsirana azachipatala (EMS) kuti atsatire.

Apa ndi momwe mungapangire zabwino zomwe gulu la dzenje lakuyenera kupereka. Pali kusiyana kochepa chifukwa sitikuyesera kubwezeretsanso anthu mu masekondi khumi ndi awiri kapena kuposerapo, koma malingaliro onse amachokera mumzere wa mthunzi.

1. Maudindo ofotokozedwa
2. Malo ogwira ntchito
3. Kufufuza kofulumira
4. CPR yapamwamba kwambiri

Tiyeni tiyambe mwa kufotokoza maudindo athu mu Pit Crew Resuscitation tisanatiitane .

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Maudindo ofotokozedwa

Simukuwona gulu la dzenje likudumpha pakhoma pamene galimoto ikukoka mzere wa dzenje popanda zida zawo m'manja. Kodi sizingakhale zokondweretsa kuona anthu akudutsa pamtambo ndikukambirana zokambirana za zomwe mungachite?

"Johnny, gwira jack pamene Bill akupeza gasi. Jake ndi Sean, aliyense atenge tayala ndikunditsatira.

Izo sizidzachitika. NASCAR zidole zofukula mobwerezabwereza. Iwo sali okonzekera nthawi yapadera mpaka iwo atsika pansi pat. Simudzawona gulu la anthu ogwira ntchito dzenje litasokonezeka pa mpikisano.

Chabwino, osachepera kamodzi.

Triangle ya Moyo

Pali maudindo 4 ofunika mu Pit Crew Resuscitation.

1. Compressor # 1 paphewa limodzi
2. Compressor # 2 pamapewa ena (kusuntha kupanga zifuwa za chifuwa ndi # 1)
3. Mutu / wopulumutsa mpweya (amatsata panjira ndikuyang'ana nthawi)
4. Wopulumutsa ALS m'chiuno (wapamwamba EMT kapena level paramedic)

Zoyamba zitatu zimatchulidwa kuti Triangle of Life. Owombolawa amapereka makina a chifuwa , mpweya wokwanira wa mpweya wabwino , ndi kutsekemera . Mu ndondomeko ya CPR ya 2010 ya CPR (ndi malangizo a ACLS), makondomu a chifuwa ndi kusokoneza chifuwa adatsindika pamwamba pazinthu zina zonse. Ngakhale mpweya wotsekemera unali wotsika, ngakhale kuti sunachotsedwe.

Triangle ya Moyo imalola wodwala wamtima wakugwirizira kuti alandire makina osapitirira, osasokonezeka. Owapulumutsa ali pambali zonse za chifuwa ndipo amatha kusintha pambuyo pa mphindi ziwiri za CPR.

Wopulumutsa pamutu wa wodwalayo akhoza kusunga chisindikizo ndi thumba-valve-mask. Iye ali pamalo abwino kwambiri kuti adziŵe nthawiyo ndi kuphunzitsa anthu omwe akuchita zovuta ngati akufunika kusintha ndondomeko yawo, kubwezera kapena kuyesa.

Wopulumutsa ALS ayenera kutenga malo m'chiuno cha wodwalayo. Pa mlingo umenewo, iye akhoza kukhazikitsa mwayi wothandizira (IV) kapena intraosseous (IO), kupereka mankhwala ndi kuyang'anira matenda a chiwerewere pa CPR komanso nthawi ya kuyesa pakati pa mphindi ziwiri za CPR.

Dziwani Malo Anu

Mu EMS, nthawi zonse timawonetsa pamalo oopsa ndi malingaliro otseguka. Ndi mphatso yamtengo wapatali pokhapokha ngati nthawi yeniyeni ndi yofunika kwambiri. Timapita kumbali ya wodwalayo ndikusankha momwe tingagwirirere vutoli. Kawirikawiri, izo zimagwira bwino kwambiri, koma mu kumangidwa kwa mtima, koloko imakhala yaikulu kwambiri.

Choyamba phunziro lathu kuchokera ku dzenje ndikudziwa malo athu tisanafike kwa wodwalayo. Kufotokozera maudindo athu pasanapite nthawi kumapangitsa kuti kubwezeretsa kukhale kosavuta. Wogonjetsa aliyense amalowa m'malo mwake popanda kuuzidwa. Gawo lirilonse la kubwezeretsa kumatsirizidwa mwadzidzidzi.

Maofesi ena a moto awonjezera anthu ogwira ntchito kumanda kuntchito zawo za tsiku ndi tsiku. Mmodzi aliyense wa kampani amadziwa bwino zomwe akuchitayo ngati munthu wamangidwa mwamphamvu musanatenge wailesi.

Ndi (pafupifupi) sindinachedwe konse

Ngakhale ngati simunakambirane ndi khofi m'mawa kuti mudziwe yemwe akuchita, kugawira gulu la dzenje kuti apite kuitanidwe ndikukupatsani inu patsogolo ngati wodwalayo atakhala pamtima. Malingana ngati mukuyenda kumalo mukudziwa udindo wanu, ndinu wokonzeka kuyankha moyenera.

Ukadzafika pamalowa, udzafunika malo ambiri kuti uchite bwino.

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Ntchito Yoyenera Yokwanira

Zingakhale zodabwitsa ngati odwala athu onse angawerenge mabuku a EMS asanagwidwe chifukwa cha kumangidwa kwadzidzidzi kwa mtima. Tsoka ilo, ambiri a iwo alibe chizoloŵezi choyesera imfa pamalo oyenerera, akusowetsa kusamukira kwathu tisanayese kuwatsitsimutsa.

Ngati panopa muli wogwira ntchito EMS, mwinamwake munayankha kwa wodwala amakhala m'nyumba yokhala ndi zinthu (zinyumba, zovala, zogwiritsira ntchito, zipangizo zatsopano, ngakhalenso ndowe zazing'ono kapena zonyansa) kuchokera pansi mpaka padenga. Ife mu EMS timakhala ndi chizoloŵezi choyesera kuchiritsa odwala awo m'nyumba zawo zowononga kwambiri, m'malo mowasunthira kumalo abwinoko.

Malo Odyera Ali ndi Malo

Ngati tifuna kubwereka ndondomeko yathu yotsitsimula kuchokera ku gulu la dzenje la NASCAR, simungathe kunena kuti alibe malo okwanira oti agwire ntchito. Tiyeni tione bwino: magulu a zida alibe malo onse padziko lapansi. Koma, iwo ali nazo zonse zomwe akusowa. Ndiyeso.

Chimodzi mwa zomwe zimapangitsa mpikisano wothamanga galimoto kukhala ogwira mtima ndikuti amangotenga zomwe akusowa - mwa antchito onse ndi zipangizo - kupita ku galimoto. Zomwe ali ndi a EMS amenewa sizitha kulamulira chilengedwe chawo.

Dziwani Malo Anu Opanga Musanayambe Kulifuna

Pamene tisonyeza ku zochitika zachipatala, tili ndi zisankho zambiri zoti tipange. Tiyenera kudziwa ngati zili zotetezeka kapena ayi. Tiyenera kudziwa zambiri zomwe tikufunikira ngati zilipo. Tiyenera kukhazikitsa chiwerengero cha odwala athu.

Ndikufuna kuti muwonjezere chinthu chimodzi pazolemba zanu: malo ogwira ntchito. Ngati mukanafika pamalo a kumangidwa kwa mtima - kaya mukuyembekezera kapena ayi - muwone komwe mungamubweretsere wodwalayo kuti am'bwezeretsenso.

Izi ndi zokambirana (mkati kapena kunja) muyenera kukhala nazo musanafike pambali ya wodwalayo. Onetsetsani malo abwino oti mutenge wodwalayo pamene muli ndi malo okwanira kuti muchite CPR ndi thandizo lililonse la chithandizo chamoyo. Dzipatseni nokha malo kuzungulira wodwala kuti mugwire ntchito. Ngati mukuchita bwino, mufunikira kupanga zolemba pachifuwa kumbali zonse za wodwalayo.

Lingaliro ndilo kusuntha wodwala mwamsanga mwamsanga mutadziwa kuti iye ali mu mtima womangidwa. Icho chiyenera kukhala chinthu choyamba chomwe iwe uchita, ndipo sichidzafulumira ngati iwe sukudziwa kumene iwe ukupita.

N'zoona kuti kusuntha wodwalayo kumafunika kufulumira.

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Kufufuza kofulumira

Kodi munayamba mwawonapo munthu ali kumangidwa kwa mtima ?

Kwa iwo omwe alibe, zingatenge miniti (masekondi angapo) kuti muwone zomwe mukuwona. Anthu omwe adawona kumangidwa kwa mtima nthawi zingapo amadziwa nthawi yomweyo.

Gwiritsani ntchito zomwezo. Khulupirirani matumbo anu.

Talingalirani Zoipitsitsa

Zaka zapitazo, cholinga cha kumangidwa kwa mtima ndikumatsimikizira kuti wodwalayo anali ndi mtima womangidwa asanayambe CPR. Zikuoneka kuti zimachokera ku nkhaŵa yakuti kukankhira chifuwa cha munthu kungawononge thanzi lawo ngati sakanakhala ndi mtima womangidwa.

Ife tsopano tikudziwa zinthu ziwiri zofunika:

1. Odwala sadzafa ngati tipitiliza pachifuwa pomwe adakali ndi chifuwa.
2. Odwala adzafa ngati sitikukankhira pachifuwa pomwe alibe chidziwitso (izi sizatsopano, koma ndizofunikira).

Tikhoza kuyima CPR ngati timayambira wodwala yemwe samangidwa pamtima, koma sitingathe kubwerera mmbuyo ndikuyamba kale pa wodwala yemwe ali. Ndili ndi malingaliro, nthawi zonse muziganiza moipa kwambiri. Ngati simukudziwa, yambani CPR (mutangoyendetsa wodwala mwamsanga ku malo ogwira ntchito).

Ngati wodwala ayimirira ndikuyamba kukukulirani chifukwa chokankhira pachifuwa chake ... imani.

Momwe mukukankhira pachifuwa ndi zofunika kwambiri kuposa pamene .

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High Performance Performance CPR

Nyuzipepala ya American Heart Association ya 2010 ikufotokoza momveka bwino:

• Zitsulo za chifuwa zimayambika musanayambe kutulutsa mpweya wabwino
• Sakanizani chifuwa chachikulu mkati mwake
• Sakanizani chifuwa pamtunda wa pafupifupi 100 pamphindi
• Lolani chifuwacho kuti chisokoneze pakati pa makina
• Mphepo sayenera kutengera mphindi imodzi iliyonse
• Magulu a chifuwa ayenera kukhala opitilira kupatula mpweya wabwino ndikuyimira mantha
• Ngati wodwala atsekedwa, zida zapachifuwa siziyenera kuyimitsa mpweya wabwino

CPR yapamwamba yotsatira ikutsatira kalata yotsutsa (pokhapokha ngati dera lanu lasintha malingaliro - tsatirani izi ku kalata).

Kuwongolera kachitidwe ka gulu la nkhuni kumalola timuyi kutsatira ndondomeko yabwino pofotokozera udindo uliwonse wopulumutsa. Palibe msuzi wachinsinsi pano; malangizo amakuuzani zomwe zikuyenera kuchitidwa.

Musayime Kuyesera

Magulu ambiri opulumutsa amasiya kuyesera mofulumira. Ngati wodwalayo akupezeka mu nyimbo, iye ali ndi mwayi wabwino kwambiri wopulumuka. M'madera ena a dzikoli, ndi bwino kuposa 50%.

Ngati wodwalayo asunthidwe kusanayambiranso, mukhoza kuletsa kuyesa. Kusunga zida zapachifuwa kusuntha wodwalayo kapena paulendo wa ambulansi kumangotsutsa kubwezeretsa. Kukhazikitsanso anthu odwala mu ventricular fibrillation kungatenge nthawi yochuluka kusiyana ndi momwe ankaganizira poyamba.

CPR yapamwamba imagwiritsira ntchito nthawi yogwiritsira ntchito mankhwala ndi mpweya kuti ugwire ntchito. Malingana ngati wodwalayo akukhalabe mu ventricular fibrillation, pali mwayi wochira. Musataye mtima.