Indlela yokuKhusela ukuPhumela kunye neCPR ifumane isahlukaniso
Ukutshatyalaliswa ukususa umlomo ngomlomo ukusuka kwiCPR bekuphikisana kwihlabathi leCPR . Ingcamango yafumana iinyawo zayo emva kweminyaka emininzi; I-American Heart Association ngoku iphakamisa i -CPR izandla-kuphela -kuyeka ukuphefumla-kubafundi abaqeqeshiweyo ababona ixhoba liwa phambi kwabo.
Abo baqeqeshelwa iminyaka kwiCPR yendabuko babesoloko benqabile utshintsho.
Abanikezeli beenkonzo ezikhuselekileyo, ukusuka kwi- CPR eqinisekisiwe kwi-EMT ukuya kudokotela we-ER, baye bathatha iminyaka eminyaka befundiswa kwi- ABCs yolondolozo lwengxamiseko :
- I-Airway
- Ukuphefumula
- Ukuhamba
kuloo myalelo.
Sonke sifundisiwe ukuqinisekisa ukuba isiguli sinehambo lokuqala, kwaye ukuba isiguli asiphefumli, ukuphefumlela umoya kwisigulane ngomlomo ngomlomo. Ngaloo ndlela kuphela, ukuba isiguli sasingenayo i-pulse okanye iimpawu zokuhambisa, safundiswa ukuba siqine isifuba sokupompa igazi ngomzimba.
Ukucinga kwakungekho nto. Ukujonga indlela umzimba owenzelwe ngayo kunceda ukubonisa ukuba kutheni indlela yendabuko eya kwiCPR ibuyile.
Kutheni Sigxininisa Ukuphefumula?
Umoya kunye nokuphefumla kubalulekile, akukho mbuzo malunga noko. Ubungqina bubungqondweni. Iinjongo zethu eziphambili zeengqondo zijoliswe kwingqondo yethu, kwaye eyona nto iyona nto imfuneko yokuphefumula. Njengokuba zonke iingqondo zonakaliswe ukugula okanye ukulimala, enye yemisebenzi yokugqibela ehambayo iya kuba yinto yokuphefumula.
Nokuba izakhiwo ezixhasa ukuphefumla zakhiwe ukuze zikhuselwe. Amagulane ashukumisa isithsaba, isisundu kwisiseko sesifuba esisetyenziselwa ukuphefumla, sitholakala phezulu kwintambo yomgogodla ukwenzela ukuba ibe yintlungu yokugqibela xa inobungozi bomnxeba lonakaliswe. Lezo ziyi-nerve ngasekupheleni kukaChristopher Reeve ezonakaliswe xa ewa ehashe, emshiya kwisiphephelo ebomini bakhe bonke.
Ukugxininisa kwethu kwindlela yokuhamba ngeendlela eziphambeneyo Sasithatha isiqunto sethu emzimbeni ngokwawo. Ngelishwa, silahlekelwe ngongoma omkhulu. Nangona ukuphefumla kuyona nto ibalulekileyo kunokwakheka kwengqondo, ukupompa igazi akukwanelanga ukukhumbuza ingqondo. Igazi legazi ngumsebenzi wentliziyo, kwaye intliziyo yenza ngaphandle kokuxelelwa.
Kutheni Intliziyo ibaluleke ngaphezu kweBongo
Intliziyo yethu isisu sisona sisisu esiswini emzimbeni ongenakufuna ukuvuselelwa ngaphandle kwemvumelwano. Kwenzeka ngokuzenzekelayo. Intliziyo inokupompoza igazi njengoko ubuchopho buzama ukugxila ekuphefumla. Xa ubuchopho bulahlekelwa yindlela yokulawula ukuphefumula, intliziyo iya kuqhuma igazi kuze kube yilapho iphelelwa ngamandla.
Ngoko ingqondo igcina umoya ungena naphandle ngelixa intliziyo igcina igazi lijikeleza kwaye lijikeleze. Zisebenza kunye, kodwa zizimeleyo. Ukuba ubuchopho buyeka ukusebenza, intliziyo inokuqhubeka.
Ngakolunye uhlangothi, ukuba intliziyo iyayeka, kunjalo ingqondo.
I-Oxygen Superhighway
Inkqubo ye-circulatory (intliziyo kunye nemithambo yegazi) kunye nenkqubo yokuphefumula (imiphunga kunye ne-airways) isebenza kunye njengokhenketho lokuhambisa, ukuhambisa i-oksijini kumzimba omzimba kunye nokususa i-carbon dioxide. Igazi le ndlela ngumgwaqo omkhulu, kunye nemithambo ephezulu kunye nenethiwekhi yezitalato ezisecaleni, zonke iindlela zendlela.
Imiphunga ifana ne-dock enkulu yokulayisha apho i-oksijeni iyahlulwa kwaye i-carbon dioxide iqokelelwa.
Khawucinge ngeloli kwindlela ehamba phambili. Injongo yeloli kukuba uhlale ugcwele kunye nendlela. Ukuthutha imithwalo yindlela yakhe yokwenza imali.
Usuke ushiye i-dock ngomthwalo we-oksijeni endleleni yakhe ukuya kwiqela lezixhobo eziyidinga ukuba zibane. Uya kuqhuba ukutshintshana okukhulu kwinkqubo yonke - intliziyo - uze uthathe i-aorta. Ukugqitha nje i-turnpike, uya kuthatha umshini we-carotid ophuma ekhompileni. Xa sele efika khona, uya kuhlawula i-oksijini yakhe encinci - nayiphi na iiseli zeengqondo zifuna - kwaye uthabathe inkunkuma: i-carbon dioxide.
Ngoku ubuyela e-dock kunye neroriki enye ingxenye ye-oksijini kunye nenye ye-carbon dioxide. Usalokhu elayishwe, ukuxuba nje kwento yakhe yinto ehlukileyo. Xa efika kwi-dock, uya kukhupha i-carbon dioxide aze athathe i-oksijini engaphezulu kwelinye uhambo.
Imiphunga ithathe umoya, idlulisela i-carbon dioxide kwaye ivelise i-oksijini entsha. I-dock yokulayisha ilungele ukuba i-trucker ibuye. Ukuba kukho ingxaki kwi-dock yokulayisha (imiphunga ayifumanga ngenxa yesizathu esithile), unokuhamba ngokujikeleza ixesha elilodwa kunye nemithwalo ekhoyo kakade. Iloli elincinci lithwala oksijini okwaneleyo ngeendlela ezimbalwa zokuhamba.
Inkxwaleko
Njalo kanye ngexesha elithile, kukho ingozi kwintsebenziswano kwaye yonke inkqubo iyayeka. Ingqungquthela yomzimba ye-bumper-to-bumper, ukumisa iitrato kuyaziwa ngokuba yintliziyo yokuboshwa .
Xa oko kwenzeka, into ebaluleke kakhulu kukufumana ukuhamba kwesithuthi (ukupompa kwegazi) kwakhona. Ukuzalisa i-dock yokulayisha (ukuthatha umoya) akuyi kunceda kuba amaloli akakwazi ukufika apho ukuze athathe i-oksijini (i-blood moves). Khumbula, amaloli athatha i-oksijini eyaneleyo ukuhambisa ezimbini okanye kathathu amaxesha, ungakhankathi ngamaloli amaninzi (amaseli egazi abomvu kunye neminye imikhiqizo yegazi) e-oorgia (kunye nezinye iingqungquthela ezinkulu) ezingazange zinike ithuba lokuhambisa i-oksijeni nangoko. Konke omele ukwenze kukubenza bahambe.
Eyona nto: Push Hard, Push Fast
Inkqubo yokuthutha yomzimba ibaluleke kakhulu. Akunzima - kungekuhle kunzima njengengqondo, nakanjani-kodwa kubalulekile ukugcina ezinye iindawo zisebenza. Kuthatha iipompo ezimbalwa ukuze igazi lihambe. Ukuyeka ukuchotshozwa kwesifuba ukwenza umlomo kumlomo kukuphazamisa ukuhamba.
Uphando luye lwabonisa ngokucacileyo inzuzo kwizicathulo zesifuba ngaphandle komlomo ngomlomo. Nangona ihamba nxamnye nengqolowa yakho njengesiqhelo se-paramedic endala esafunda indlela yokwenza i-CPR ngokuphefumla, akukho ndlela yokuyihoxisa inzululwazi. Ukugxininisa ekupompozeni igazi ngexesha le-CPR, kunokuba uhambise umoya, kwenza umqondo omkhulu.
Imithombo:
Ewy, GA, et al. "I-cardiocerebral resuscitation for cardiac arrest." Am J Med . Jan 2006.
Iqela leSOS-KANTO lokuFunda. "Ukuhlaziywa kwe-cardiopulmonary ngabadlali abaxhomekeke esifubeni kuphela (i-SOS-KANTO): isifundo sokuqwalasela." Lancet . 17 uMatshi 2007.