Kodi Mumayesa Mtima Wanu?
Choyamba, mumakhala minofu ya mtima- mwachidziwitso doc adatsegula chifuwa chanu, analowa mkati, ndipo amafinyidwa-koma pamapeto pake adabwera chinthu chatsopano chomwe chimatchedwa kupuma minofu kapena kutsekemera kwa mtima . Masiku ano ana onse amawatcha kuti zifuwa za chifuwa , zomwe zimakhala bwino kuyambira pamene mtima uli wozama kwambiri mu chifuwa kuti muzitha kusamba.
Kotero, mungadzifunse, ngati mtima sukupeza nthawi yake, ndiye kuti mumtundu wa pansi mumapanga bwanji magazi?
Mitsempha Muyenera Kupeza Zambiri Zokongoletsa
Kukhala wachilungamo, mitsempha yonse imathandiza kuthandizira kuthamanga magazi kupyolera mu chifuwa cha CPR , koma pali mbali imodzi yapadera ya mitsempha yomwe imathandiza kusuntha chinthu chonsecho. Popanda thandizo la mitsempha, sindikuganiza kuti chinthu ichi cha CPR chidzagwira ntchito bwino.
Zigawenga za Magazi 101
Mapaipi amene amanyamula magazi kuzungulira matupi athu amagawidwa mwa mitundu itatu: mitsempha , mitsempha, ndi capillaries . Ma capillaries ndiwo mitsempha yaing'ono kwambiri ya magazi, kotero kuti amalola maselo ofiira okha kupyolera mu fayilo limodzi. Pali ma capillaries ambiri m'misinthiti iliyonse ya masentimita ndi zina zomwe zimakhala zosatheka kuziwona. Inde, ngati muyang'ana minofu ndi minofu yofewa, ikuwoneka kuti yathyoka magazi m'malo mofotokozera mitsempha ya magazi yomwe ikuyenda.
Nthawi zonse ndimaganiza za ziphuphu monga sponges ndi capillaries monga njira mu siponji yomwe imathandiza kuti zizitsike madzi. Tibwereranso ku lingaliro la siponji mu miniti.
Mitsempha ndizo zotengera zomwe zimanyamula magazi kuchokera pamtima kupita ku matenda. Izi ndi mapaipi apamwamba kwambiri omwe ali ndi makoma akuluakulu omwe angathe kukweza kapena kuwongolera kuti athetsere kutuluka.
Pamene tili atsopano, achinyamata komanso okhwima, izi ndi zomveka komanso zomasuka. Patapita nthawi tikamakalamba, timatha kutumphuka komwe kumatchedwa mkati. Chikhochi chimapanga pang'ono mwa aliyense, koma anthu omwe amakhala ndi zipika zimakhala zoipa kwambiri-makamaka m'mitsempha yomwe imanyamula magazi ku minofu ya mtima-imayambitsa chiopsezo cha kuthamanga kwa magazi, zomwe zingayambitse matenda a mtima ndi zilonda .
Mitsempha imasonkhanitsa magazi kuchokera ku mitsempha ndi mng'aluyo kubwerera kumtima. Amunawa amakumana ndi mavuto ochepa kwambiri kuposa mitsempha yomwe amachititsa ndipo amakhala ndi makoma ochepa. Iwo sali okhoza kukulitsa ndi kuwongolera. Kuti magazi asunthe ndi kupanikizika kotere, komabe mitsempha imakhala ndi chinthu chimodzi chofunika chomwe mitsempha sichikutanthauza: valves .
Mavavu omwe amapezeka mumitsempha amalola kuti magazi aziyenda mozungulira. Mukhoza kuona momwe izi zimagwirira ntchito ngati mutha kuwona mitsempha kumbuyo kwa dzanja lanu. Yesani izi: lolani dzanja lanu lidodometse ndi mbali yanu kwa masekondi 10 kapena 15. Ikani pang'onopang'ono. Lolani magaziwo athetse. Tsopano perekani nkhonya ndikupeza mitsempha kumbuyo kwa dzanja lanu. Kuthamanga chala kuchokera kumanja kwina kukweza mpweya wako kumtima wako. Mitsempha imatuluka koma imatha. Tsopano muthamange chala chanu mwanjira ina pambali ya mitsempha yanu, imakhala yosasuntha mpaka mutakwezera chala chanu.
Mukakankhira magazi kunja, mitsempha imathamanga ndipo malinga ngati mutasunga chala chanu pamtunda kuti muletse magazi atsopano kuti musalowe mmwamba, zidzakhalabe zokha. Magazi omwe ali kumunsi sangathe kubwerera chifukwa cha valve.
Mwinanso mungathe kupeza valve pa dzanja lanu; Yang'anani malo pamene mitsempha sali ponseponse pamene chala chanu chiri pamtunda.
Magazi Amayenda Chifukwa Chotsutsana
Tsopano kuti timvetsetsa momwe mitsempha imagwirira ntchito, tiwone momwe izo zimatembenukira ku magazi pamene ife tikupanikiza. Kumbukirani, matupi a thupi ndi minofu zimakhala ngati masiponji. Mukamapanga siponji yowonongeka, madzi amadzikamo.
Pankhani ya matupi a thupi, kufinya kumayambitsa magazi kunja. Magazi akuthamangitsidwa m'matumbo amatha kulowa m'mitsempha kapena m'mitsempha. Magazi omwe amapita mumitsempha sangathe kubwerera chifukwa cha valve. Pambuyo pazing'onoting'ono zing'onozing'ono, pali vuto loyambitsa kuyambitsa magazi kudzera m'mitsempha ndi kubwerera kumtima.
Mtima umaphatikizidwa mu bizinesi yamagetsi. Chilichonse cha zipinda za mtima chili ndi valve. Pamene magazi achoka m'chipinda chamtima, saloledwa kubwereranso mpaka chimapita kuzungulira thupi ndi kumbuyo. Mwina simungayambe kusonkhanitsa mtima mwachindunji pamakono, koma ndithudi mukugwedeza zipindazo zatsekedwa.
Kupindula ndi Kupopera
Magazi a squicy kuchokera m'matumbo si njira yokhayo yomwe magazi amalimbikitsira kuthamanga pamene tikupanga chifuwa. Ndikofunika kwambiri kuti akankhire pachifuwa, nkofunikanso kuti chifuwa chibwezeretse (kubwerera ku mawonekedwe ake oyambirira). Monga ngati siponji, mukamasula zida za squished, zimayamwa madzi. Komanso, popeza zipinda za mtima zili pafupi pakati pa chifuwa ndipo zimakhala ndi ma valve amodzi mwa iwo, amamwa magazi nthawi yomweyo.
Pali umboni wochuluka wosonyeza kuti kuyamwa pakati pa chifuwa ndi chofunikira kwambiri pa CPR monga kukankhira. Chimodzi mwa zifukwa za chifukwa chake CPR yokhala ndi manja okha ndi yabwino kwambiri yokhudzana ndi mfundo yakuti palibe amene akuwombera m'chifuwa ndi kuchepetsa mphamvu yakuyamwitsa magazi. Kuphatikizanso apo, kwa odwala omwe akugwa mwadzidzidzi kumangidwa kwa mtima, pali oksijeni ambiri kumasiyidwa m'magazi kotero pakamwa pakamwa sikofunika kwenikweni .
Zotsatira:
Andreka P, Frenneaux MP. "Kusowa Kanyama Kwambiri ndi Kukhazikitsanso Kanyama." Curr Opin Crit Care . 2006 Jun; 12 (3): 198-203. Onaninso. Pemphani PMID: 16672776.
Lurie KG, et al. "Kuyerekeza ndi 10-Breaths-Per-Minute ndi 2-Breaths-Per-Minute Strategy Pa Kukhazikitsidwa kwa Cardiopulmonary mu Puloteni ya Katemera Wokhudza . 2008 Jul; 53 (7): 862-70.