I-Commotio cordis ligama lesiLatini (lithetha intsingiselo okanye ukuphazamiseka kwentliziyo) echaza ngokukhawuleza ukuboshwa kwentliziyo ngokubethelwa esifubeni. Nangona i-commotio cordis inokwenzeka nakubani na, izigulane zinabantu abakhulu kunye nabaselula. Nangona kunjalo ukuba akunqabile kakhulu, i-commotio cordis yimbangela ebangela ukufa kwabantu ebusheni. I-Commotio cordis nayo ibhalwe kwiHockey, i-lacrosse, i-karate kwaye yenzeke ubuncinane kanye ukusuka kwibhola lebhola.
Sekunjalo, kunqabile kakhulu. Njengoko ufunda oku, nceda ungakuvumeli ukuyeke ukukhuthaza abantwana ukuba badlale imidlalo kwaye bahlale besebenza.
Indlela iCommotio Cordis eyenzeka ngayo
Akuthatheli amandla amaninzi ukubangela i-commotio cordis. Konke malunga nexesha. Emva kokucenga igazi ngaphandle komzimba, intliziyo ibuyisela ukukhawulelana okulandelayo. Ukuba kukho into ehlaba isifuba phambi kwentliziyo ngexesha elifanelekileyo ngexesha lelo xesha, kwakhona intliziyo inokuqalisa ukuphazamiseka kwimeko eyaziwa ngokuba yi-fibrillation ye-ventricular, isizathu sokubanjelwa komzimba. Isigulane siza kukhawuleza siphephe ukuphefumla.
Abaphandi baye benza i-commotio cordis ngokufanelekileyo ngokudubula iibhola zeehagu ngexesha elifanelekileyo. Isivinini esiphezulu sebhola ekwenzeni i-commotio cordis - ubuncinci kwiingxowa ezingenaziwayo ezijikelezayo ezisuka kwiimvumba ezikhethekileyo-malunga neekhilomitha ezili-40 ngeyure, ngokufanelekileyo ekuphononeni isivinini samaphengwane amaninzi.
Yiloo nto nje ijubane elikhulu, nangona kunjalo, akuyena kuphela. Kwimeko enye ebhaliweyo ye-commotio cordis, utata wagxotha umxhasi we-softball kumntwana wakhe oneminyaka engama-6 kwipikiniki. Ibhola lijikizele iglovu yenkwenkwe yambetha kwisifuba, ebangela ukuboshwa komzimba.
Unyango
Cinga ukuba ungumqeqeshi weqela elincinane leqela.
I-batter eneminyaka eli-12 ubudala inyathelo eliya kwi-plate. Umgibi uphonsa ibhola yokuzila ngokukhawuleza kwinqanaba lomatshini. I-batter iguquka kwaye icebise nje ngokwaneleyo ukuba ibhola ilahle iglavu yomthengisi ize imbethe esifubeni. Ngethuba ixesha lomlindi libiza ngokuthi "Ucoceko!" i-catcher iyawa phantsi. Ungathini?
Ngokuqhelekileyo impendulo kumdlali weligi lomdla wolutsha ngokukhawuleza ukuwa kudideka kwaye kudideka. Yintoni ekufuneka yenzeke iCPR ngokukhawuleza kwaye, xa ikhona, ukusebenzisa i-defibrillator yangaphandle (AED) yenzekelayo. I-Commotio cordis yisona sizathu esichukumisayo sokuba ndinokucinga ngabaqeqeshi nabazali ukuba bafunde iCPR kunye nemidlalo yezemidlalo yolutsha ukuba babe ne-defibrillators. Enyanisweni, i-commotio cordis isizathu esihle sokuba abadlali bafunde iCPR.
Ukwenza ngokukhawuleza kuyintloko. Kwiimeko ezili-128 ze-commotio cordis ezibhalwe phambi kukaSeptemba 1, 2001, ama-25% abo baphathwa ngokukhawuleza basinda. Kulao gulane unyango lwazo lwalulibaziseka ixesha elide, ama-3% asinda. Ukugcina kuphela izigulane ezi-1 kwezi-4 azikho i-statistic enkulu, kodwa kungcono kune-3 kwikhulu. Iindaba ezilungileyo kukuba abo basindayo babenakho ukulimala kwengqondo.
Nakhu okumele kwenzeke:
- Khangela ukuwa kwebhokhwe emva kokutshitshiswa esifubeni
- Sondela kumntwana uze ubone ukuba uphefumle
- Myalelo umzali osondeleyo okanye umqeqeshi ukubiza 911
- Qala i-CPR - i-CPR yabantu abadala xa ehlaselwa ngumntwana okanye umntwana we-CPR ukuba akunjalo
- Ukuba unayo i-AED, cwangcisa umntu ukuba athathe ngokukhawuleza
Ukuba uwedwa kunye nesigulane, yenza i-CPR ngokukhawuleza ngomzuzu uze ubize u-911. Okanye, fowuni 911 kwifowuni yakho uze uchukumise inkinobho yomnxeba , uyibeke phantsi uze uqale iCPR. Uyakwazi ukuthetha kwaye uphephe esifubeni ngexesha elifanayo. Naliphina ixesha elitshabalalisiweyo lingagxothanga kwisifuba kungenxa yokulimala kwengqondo.
Thintelo
Inye indlela eqinisekisiweyo yokukhusela i-commotio cordis kukuphelisa i-bumps kwisifuba. Ekubeni uninzi lwale midlalo lufuna i-chest impact (karate) okanye akukho ndlela yokuthintela (i-baseball, i-hockey, kunye ne-lacrosse), ukukhetha kuphela kukufumana iindlela zokwenza impembelelo engaphantsi.
Iingcali zicebise ukusebenzisa abakhuseli bamathumbu, kodwa ngoku akukho nanye kubakhokhuselo bamabhokisi okuthengiswayo aboniswe ukuba basebenze. Kuze kubekho umntu odala umzekelo okhusela abantwana.
Ukhuseleko lwebhola lebhola lubonakala lunciphisa amathuba okwenza i-commotio cordis kwizifundo, nangona kukho amanye amaphepha afakwe kwi-baseball ezithengiswa ngokukhuselekileyo okwangoku kubangela i-commotio cordis. Ngokomntu, ndicinga ukuba i-baseball eyona nto inengqiqo, kodwa abantwana abadala baya kufuneka bafunde ukudlala ngebhola ye-baseballs kamva okanye kamva.
Ngokombono wam, ukuthintela ukufa kwabantu kwi-commotio cordis kukusingatha ngokukhawuleza nangokufanelekileyo xa kwenzeka. Ungavumeli ukuba umntwana wakho adlale iqela okanye ilungu elingafunanga uqeqesho lweCPR kubo bonke abaqeqeshi. Thatha iklasi yeCPR , kwaye uqinisekise ukuba ufumana uqeqesho lwe-AED. Ungamvumeli umgcini we-gloss kwi-AED yoqeqesho, nokuba. Ukuqhelana nesixhobo yindlela efanelekileyo yokuyisebenzisa ngokufanelekileyo xa ixesha lifika.
I-Commotio cordis iyatshitshisa, kodwa inqabile kakhulu. Ungavumeli ukuba umcimbi ongenakwenzeka unokukugcina ekukhuthazeni abantwana bakho ukuba baphumelele kwaye bancintisane. Ukuba ubona i-commotio cordis eyenzekayo, kumntwana wakho okanye nakweyomnye umntu, yenza ngokukhawuleza kwaye uyithintele ekubeni uthathe nobomi obuncinane.
Imithombo:
Abrunzo, TJ "I-Commotio cordis. Ngaba ngu-J Dis Child . Ngo-1991 Nov; 145 (11): 1279-82
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UDeerer, JJ, et al. "Ukuvavanywa kwezithintelo zesifuba sokukhusela ekufeni ngokukhawuleza ngenxa ye-commotio cordis." InguJ Cardiol . 2007 Mar 15; 99 (6): 857-9
Maron, Barry, et al. "Inkcazo yeCliniki kunye neMicrotio Cordis." JAMA . 2002; 287 (9): 1142-1146
UMaron, uBarry, no-al. "Ukusinda ngokulandela isifuba esifanelekileyo-kubangele ukuboshwa kwentliziyo ngexesha lemidlalo kwimidlalo yabaselula." InguJ Cardiol . 1997 uMatshi 15; 79 (6): 840-1
I-Weinstock, J., et al. "Ukungaphumeleli kwindonga yesibindi se-chest wall protectionors ukukhusela ukufa ngokukhawuleza kwegazi okubangelwa yindonga yesibindi kwimeko yokulinga ye-commotio cordis." Pediatrics . 2006 kuMatshi; 117 (4): e656-62