"Izandla-kuphela" iCPR ekhuthazwe ukuba iCardiac Arrest
Ukuvuselelwa kweCardiopulmonary (CPR) yenye yeziseko zonyango loxinzelelo lwezonyango. Uqeqesho olufunekayo phantse bonke abanikezeli bezonyango base-US kwaye bafundiswa ngokubanzi kuluntu njengenxalenye yemfundo yesibini.
Ngomhla we-2017, eqinisweni, zonke i-12 zase-United States (iAlaska, eCalifornia, eColorado, eFlorida, eHawaii, eKansas, e-Nebraska, eNew Hampshire, eMaine, eMassachusetts, e-Montana nase-Wyoming) zifuna ukuba abafundi bafundiswe iCPR ngaphambi kokugqwesa isikolo esiphakeme.
Xa kwenziwa ngokuchanekileyo, i-CPR inokuphindwa kabini okanye kathathu ithuba lomntu lokusinda, ngokwemibare evela kwi-American Heart Association (AHA). Nangona kunjalo, kwiminyaka yakutshanje, inxalenye eyodwa yeCPR, eyaziwa ngokuthi ukuphefumula (okanye ukuvuselela ngomlomo ), iqhutywe ngumlilo ngabo ba kholelwa ukuba ngamanye amaxesha bangenza okubi ngaphezu kokulungileyo.
Imvelaphi
Ukususela ekungenisweni kwayo kuma-1960, i-CPR iye yahamba nenani lezinto ezenzekayo . Namhlanje, uninzi lwabantu ludibanisa kunye neendlela ezimbini-ukunyamezela ngomlomo nokuphefumula kwesifuba-ngamanye amaxesha kwenziwa ngamatyala kubantu abaneentliziyo ezibophekileyo .
Kwimiqathango emibini, ukuvuselelwa ngomlomo ngomlomo kwaqaliswa kuqala. Kwakuyindlela eqhelekileyo yokuvuselela amaxhoba okucima amanzi ngaphambi kokufika kweCPR kwaye iye yahlala yinto ebalulekileyo yenkqubo ukususela ngelo xesha.
Nangona kunjalo, ukuhlanganiswa kwezi zibini akuzange kube nemingeni yazo kokubili kwindlela ezenziwe ngayo kunye nendlela abaphumelelayo ngayo ekuphuculeni ukusinda.
Iingxaki kwiCro Training Training
Enye yemingcele enkulu ekufundiseni i-CPR ifumana umlinganiselo wokuhlangula ophefumulayo ukunyanzelisa esifubeni. Oku kuyinyaniso ngokukodwa ukuba umntu omnye wenza yonke loo misebenzi. Kudinga ukuba umntu angenzi kuphela kuphela kodwa khumbula isinyathelo ngasinye kwinkqubo ngendlela echanekileyo yokuphumeza iziphumo ezilungileyo.
Ngaphambi kokusungulwa kwezikhokelo ezintsha , ezi zilandelayo ziza kubuzwa umhlanguli:
- Misela ukuba ixhoba liphefumula.
- Khangela i-pulse ukubona ukuba intliziyo ibetha.
- Cima umlomo wexhoba kwanoma yimuphi umqobo.
- Nika ixhoba eli-15 eligciniweyo.
- Gcobhoza amacinci exhoba uze unikezele ukuphefumula ezimbini.
- Ukuqhubela phambili ukunika iingcingo zesifuba ezi-15 ezilandelwa yimiphefumlo emibini yokuhlangula kuze kufike uncedo olungxamisekileyo.
Zonke ezi nyathelo zenziwe iCPR enzima ukuyikhumbula kwiimeko ezixinzelelekileyo. Ngaphandle kwabahlanguli ababini, ukukhumbula indlela ukuthatha ngayo i-pulse , apho ukunyanzelisa isifuba, okanye indlela yokunika umlomo ngomlomo ingaba mngeni kwaye ukwandise umngcipheko wephutha.
Uphando lukhokelela kwiinguqu kwiZikhokelo
Ngenxa yobungqina obukhulayo bokuxhasa ukunyanzeliswa kwesifuba, iKomiti ye-AHA yoKhathalelo lweCaracac yaseMpilweni yenze iinguqu ezibalulekileyo kwizikhokelo ze-CPR ngo-2005. Phakathi kwabo, ikomiti yancoma ukuba kubekho ukunyanzeliswa okungakumbi phakathi kokuphefumula kunye nokucebisa ukuba abahlanguli abasemagqabini abasayi kuphinda bahlole ngenxa ye-pulse ngaphambi kokuqala iCPR.
Olu tshintsho lwaqale lwadibaniswa ngenyameko ngabaninzi kwiinkonzo zonyango zongxamisekileyo (EMS) ezaziqwalasela umlomo ngomlomo kwiCPR.
Ngaphandle kwezixhobo zokukhuseleka kombane zanikwe indima encinci kwizikhokelo njengoko inkcenkcesho yesifuba ithatha isigaba sokuqala njengoko ubuchule bukwazi ukugcina ubomi.
Ngaphandle kwesikhala sokuqala, iingcebiso ze-AHA zaxhaswa zizifundo ezininzi ezibonisa ukuba ukunyanzeliswa kwesifuba okwenziwe yodwa kwandisa ithuba lomntu lokuphila xa kuthelekiswa nokudibanisa ukuxinzelela nokukhufumula.
Ngo-2010, uphando olungenamsebenzi oluthiwa yi-Dispatcher-Assisted Resuscitation Trial (iDART) uthelekise iindlela ezimbini kwiindawo ze-EMS e-Washington kunye naseLondon. Oko abaphandi bafumene kukuba, kwiimeko apho umntu omelayo enza i-CPR, amaxhoba anikezelwa ukuxhomekeka kwesifuba yodwa ayenamathuba angama-39 ekhulwini lokuphila xa kuthelekiswa nalawo anikezelwa ukunyanzeliswa kunye nomlomo ngomlomo.
Oku kunye nezinye izifundo ziye zagqiba ngokugqithiseleyo ukuba inzuzo yomlomo ngomlomo kwiimeko eziphuthumayo zihlala zingathandabuzekiyo.
Izikhokelo zangoku
Nangona ubu bungqina abukhiphi ngokupheleleyo ixabiso le-CPR yendabuko (okanye idibanise ukufundisa kwayo kwizikolo zikarhulumente), ifomu eguqulelwe iCPR isekelwe ukuba kube lula ukwenza inkqubo.
Ekubanjwe njenge -CPR yezandla kuphela , inkqubo ehlaziyiweyo yenzelwe ukunika ithemba elikhulu kubantu abafuna ukwenza imizamo yokulondoloza ubomi kubantu abaneentliziyo zokubopha. Inkqubo elula iquka amanyathelo amabini kuphela:
- Ifowuni ye-911 ukuba umfana okanye umntu omdala unqabana ngokukhawuleza.
- Gxuma ngamandla kwaye ukhawuleze phakathi kwesihlubeni kukubetha kwengoma enama-100 ukuya kwe-120 ukubetha ngomzuzu, njengokuthi "Ukuhlala Uphila" ngeBey Gees, "Crazy In Love" nguBeyonce, okanye "Hamba umgca" nguJohnny Cash.
Ngokugcina umkhuba olula, ubuhle bephutha buncipha ngaphandle kokunciphisa ithuba lomntu lokusinda.
Kubalulekile ukuba uqaphele, nangona kunjalo, ukuba i-AHA isakhuthaza i-CPR yendabuko kwiintsana kunye nabantwana kunye namaxhoba okugwina, ukugqithisa iziyobisi, okanye abantu abaye bawa ngenxa yeengxaki zokuphefumla.
> Imithombo:
> I-American Heart Association (AHA). "I-2017 iiHands-kuphela yeCPR Fact Sheet." EDallas, eTexas; kukhutshwa ngoOktobha 2017.
> AHA. "I-CPR kwiMigaqo yeMigaqo yeZikolo." Ukuhlaziywa ngoFebruwari 20, 2017.
> Rea, T., Fahrenbruch, C., Culley, L et al. "I-CPR neCompression Compression Yodwa okanye ngoNcedo lokuPhumela." N Engl J. Med . 2010; 363: 423-33. INGXELO: 10.1056 / NEJMoa0908993.