Ngaba Ngokwenene Uyicoca Intliziyo?
Okokuqala, kwakukho ukusila komzimba kwangaphakathi- ngokukodwa u-doc usike uvule isifuba sakho, ufikelele ngaphakathi, uze ucaciswe-kodwa ekugqibeleni kwafika into entsha enokuthiwa yinto ebizwa ngokuba yi- external body massage okanye i- massage ye-cardiac . Le mihla bonke abantwana bawabiza ngokuba yi- chest compression , elinegama elibhetele ngakumbi xa intliziyo igxininise kakhulu esifubeni ukuba ihlaziye impela.
Ngoko, unokubuza, ukuba intliziyo ayifumani ixesha layo le-spa, ngoko njani kwihlabathi iifompi ezifubeni zenza igazi lijikeleze?
Imifuno ifanele ifumane iNinzi yeMboleko
Ukulungelelanisa, yonke imithambo yegazi inceda ukuhamba kwegazi ngokukhokelela kwintsimbi yesifuba ngexesha le- CPR , kodwa kukho enye into ekhethekileyo yeemvini ezisiza ukuhambisa yonke into. Ngaphandle koluncedo lweemvini, andicinga ukuba le nto iyakwenza konke okulungileyo.
Iigazi zeGazi 101
Imibhobho ethwala igazi emzimbeni wethu ihlelwe ngokubanzi kwiintlobo ezintathu: iirriyiti , imivini kunye nama- capillaries . Ama-Capillaries awona omncinci wemithambo yegazi, kangangokuthi avumela kuphela iiseli ezibomvu zegazi ngefayile enye. Kukho ama-capillari amaninzi kwi-intshi nganye yezikwere ze-muscle kunye nezinye izicubu ezingenakwenzeka ukuzibona ngeaso. Enyanisweni, ukuba ubheka imisipha kunye nezinye izicubu ezithambileyo, kubonakala ngathi zixutywe kwigazi kunokuba zichaze imilambo yegazi ehamba ngayo.
Ndihlala ndicinga ngezicubu njengeiponji kunye nama-capillari njengemigudu yesiponji esinceda ukuba idibanise i-fluid. Siza kubuya kwimbono yesiponongo ngomzuzu.
Imiriyutha yimizi ephethe igazi esuka entliziyweni ukuya kwiifom. Le mibhobho yokuxinzelelo ephezulu eneendonga ezinamandla ezinokukwazi ukwandisa okanye ukunciphisa ukwenzela ukukunceda ukulawula ukuhamba.
Xa sitsha, siselula kwaye sempilweni, ezi zicacileyo kwaye zivulekile. Ngexesha elide njengoko sibudala, sithola i-crust (ebizwa ngokuba yi- plaque ) eyenza ngaphakathi ngaphakathi. I-plaque ifomisa kancane kumntu wonke, kodwa kubantu abafumana i-plaque imbi kakhulu-ikakhulukazi kwimibhobho ephethe igazi kwi-muscle ye-muscle-ibeka umngcipheko wokuthintela ukuhamba kwegazi, oku kunokukhokelela ekuhlaselweni kwentliziyo kunye nemivimbo .
Iimvumba ziqokelela igazi kwiiscuphu kwaye zifake kwi-intliziyo. Laba bantu bajongana neengcinezelo ezincinci kakhulu kuneetriyiti kwaye zineendonga ezincinci. Akunako ukukwazi ukwandisa nokunqanda. Ukugcina igazi lihamba nexinzelelo elincinci, nangona kunjalo, iimvumba zinento enye ebalulekileyo ukuba iirribhethi ayizi: iigraves .
Iiguvane ezitholakala kwiimvini zivumela kuphela igazi ukuba lijikeleze kwelinye icala. Uyabona indlela oku kusebenza ngayo ukuba unako ukubona iimvini emva kwesandla sakho. Zama oku: vumela isandla sakho sidibanise ngecala lakho kwiimitha ezili-10 okanye ezili-15. Gxotha kancane. Vumela igazi lihlale. Ngoku yenza iqhosha uze ufumane umgcini emva kwesandla sakho. Yenza umunwe ukusuka kwesinye isandla uphakamise isisu sakho entliziyweni yakho. Umlanjana uphupha ngaphandle kodwa awupheli. Ngoku ugijime ngomnwe ngenye indlela endleleni yakho, uhlale uphawule uze uphakamise umunwe wakho.
Xa ususa igazi ngaphandle, umlenze uyagxotha kwaye ngokude ugcine umnwe wakho emthanjeni ukuyeka igazi elitsha ukungena emaphandleni, liza kuhlala lihleli. Igazi elisezantsi lingakwazi ukubuya ngenxa yeentsimbi.
Usenokukwazi ukufumana i-valve esandleni sakho; khangela indawo apho i-vein ayithethi ngelixa umnwe wakho usemvini.
Ukuphuma kweGazi ngeNgcinezelo
Ngoku ngoku siqonda indlela iimethambo zegazi ezisebenza ngayo, makhe sibone indlela eguqulela ngayo ukuhamba kwegazi xa sixinezela. Khumbula, izicubu zomzimba kunye nezihlunu zisebenza njengeepongi. Xa udibanisa isiponji esikhwiweyo, umbane uphuma kuwo.
Kwimeko yamathambo omzimba, ukucima igalelo legazi. Igazi elifakwe kwiimfucu lingena emithanjeni okanye kwimithambo. Igazi eliya emithanjeni alikwazi ukubuyela ngenxa yamagatya. Emva kokuncintwa okumbalwa, kunengcinezelo eyaneleyo yokuqala ukuhambisa igazi ngeemvini uze ubuyele entliziyweni.
Intliziyo ifakwe kule shishini ye-valve enye. Ngamanye amakamelo enhliziyo anevilivayi. Xa igazi liphuma kwikamelo lentliziyo, akuvumelekanga ukuba lihambe lonke lijikeleze umzimba kunye nomva. Awuyi kuhlalutya intliziyo ngokuthe ngqo ngexesha lokunciphisa, kodwa ngokuqinisekileyo uyaqhwala amagumbi.
Ukuphumelela nokucima
Igazi le-Squishing ngaphandle kwezicubu akuyona indlela yodwa ekukhuthazwa ngayo igazi xa sisenza izibilini zesifuba. Kubalulekile ukuba kutyunjiswe esifubeni, kubalulekile ukuvumela isifuba ukuba siphumelele (ubuyele kwimoko yaso yangaphambili). Kanye nje kwisiponji, xa ukhulula izicubu eziphethiweyo, ziyasela amanzi. Ngaphezu koko, kuba amagumbi entliziyo aphakathi kwendawo yesifuba kwaye anezo zivalo zendlela enye, abayiphumeza igazi ngexesha lokufumana.
Kukho ubungqina obuninzi bokuthi isantya sokutshatyalaliswa phakathi kweentsimbi eziphambili kubaluleke kakhulu ngexesha le-CPR njengoko kuqhutywe. Enye yeengcamango zokuthi kungani i -CPR yezandla kuphela iphumelele ngokuphathelele ukuba akukho mntu uphuphayo esifubeni kunye nokunciphisa amandla akhe okuyiphumeza igazi. Ngaphandle koko, kwizigulana eziwela ekubanjweni kwentsapho ngokukhawuleza, zininzi zomoya sishiye egazini ukuze umlomo emlonyeni awukho imfuneko .
Imithombo:
U-Andreka P, i-MP yaseFrenneaux. "I-Haemodynamics yeCardiac UkuBanjwa kunye nokuVuswa kwakhona." UCharr Opin UCrit Care . 2006 Juni; 12 (3): 198-203. Uhlolo. I-PubMed PMID: 16672776.
Lurie KG, et al. "Ukuthelekiswa kwe-10-Breaths-Per-Minute ne-2-Breaths-Per-Minute Isicwangciso Ngethuba lokuvuselelwa kweCardiopulmonary kwi-Porcine Model of Cardiac Arrest". 2008 Julayi; 53 (7): 862-70.