I-CPR - umuntu omdala nengane ngemuva kokuqala kokuthomba

I-CPR imele ukuvuselelwa kwe-cardiopulmonary. Kuyindlela esindisa impilo eyenziwa lapho ukuphefumula komuntu noma ukushaya kwenhliziyo kumile. Lokhu kungenzeka ngemuva kokushaywa ugesi, ukuminza, noma isifo senhliziyo. I-CPR ibandakanya:

• Sindisa ukuphefumula, okunikeza umoya-mpilo emaphashini omuntu.
• Ukucindezelwa kwesifuba, okugcina igazi lomuntu ligijime.

Ukulimala okungapheli kobuchopho noma ukufa kungenzeka ngaphakathi kwemizuzu uma ukugeleza kwegazi komuntu kuyeka. Ngakho-ke, kufanele uqhubeke neCPR kuze kubuye ukushaya kwenhliziyo nokuphefumula komuntu, noma kufike usizo lwezokwelapha oluqeqeshiwe.

Ngezinhloso ze-CPR, ukuthomba kuchazwa njengokukhula kwamabele kwabesifazane kanye nokuba khona kwezinwele ze-axillary (armpit) kwabesilisa.

I-CPR yenziwa kangcono ngumuntu oqeqeshwe izifundo ezigunyaziwe ze-CPR. Izinqubo ezichazwe lapha AYIKUTHATHELI indawo ukuqeqeshwa kwe-CPR. Amasu amasha agcizelela ukucindezelwa kokuphefumula kokutakula nokuphathwa komoya, kuguqula umkhuba osunesikhathi eside. Bheka i-www.heart.org ukuthola amakilasi aseduze nawe.

Isikhathi sibaluleke kakhulu lapho umuntu oqulekile engaphefumuli. Ukulimala unomphela kobuchopho kuqala ngemuva kwemizuzu engu-4 kuphela ngaphandle komoya-mpilo, futhi ukufa kungenzeka ngokushesha ngemuva kwemizuzu engu-4 kuye kwengu-6 kamuva.

Imishini ebizwa ngama-automated external defibrillators (AEDs) ingatholakala ezindaweni eziningi zomphakathi, futhi iyatholakala ukusetshenziswa kwasekhaya. Le mishini inamapayipi noma izigwedlo ozoyibeka esifubeni ngesikhathi esiphuthumayo esisongela ukuphila. Ngokuzenzekelayo bahlola isigqi senhliziyo bese beshaqisa ngokungazelelwe uma, futhi kuphela uma, lokho kuthuka kuyadingeka ukubuyisela inhliziyo esigqini esifanele. Uma usebenzisa i-AED, landela imiyalo ngqo.

Kubantu abadala, izizathu ezinkulu zokuthi ukushaya kwenhliziyo nokuphefumula kumisa kufaka:

• Ukweqisa izidakamizwa
• Ukopha ngokweqile
• Inkinga yenhliziyo (isifo senhliziyo noma isigqi senhliziyo esingajwayelekile, uketshezi emaphashini noma ukucindezela inhliziyo)
• Ukutheleleka egazini (sepsis)
• Ukulimala nezingozi
• Ukuminza
• Unhlangothi

Kunezinto eziningi ezibangela ukumisa kwengane endala noma ukushaya kwenhliziyo nokuphefumula, kufaka phakathi:

• Ukuchofoza
• Ukuminza
• Ukushaqeka kukagesi
• Ukopha ngokweqile
• Ukuhlukumezeka ekhanda noma okunye ukulimala okungathi sína
• Isifo samaphaphu
• Ubuthi
• Ukuhlushwa

I-CPR kufanele yenziwe uma umuntu enalezi zimpawu ezilandelayo:

• Akukho ukuphefumula noma ukuphefumula kanzima (ukuhefuzela)
• Ayikho ishayela
• Ukuquleka

1. Bheka ukuphendula. Nyakazisa noma uthephe umuntu ngobumnene. Bona ukuthi umuntu uyanyakaza noma wenza umsindo. Memeza, "Uyaphila?"

2. Shayela ku-911 noma inombolo ephuthumayo yendawo uma kungekho mpendulo. Memeza usizo bese uthumela othile ukuba ashayele u-911 noma inombolo ephuthumayo yendawo. Uma uwedwa, shayela ku-911 noma inombolo ephuthumayo yendawo bese uthola i-AED (uma ikhona), noma ngabe kufanele umshiye lowo muntu.

3. Beka ngokucophelela lo muntu emhlane wakhe. Uma kunethuba lokuthi umuntu unokulimala komgogodla, abantu ababili kufanele bahambise lowo muntu ukuvimbela ikhanda nentamo ekujikeni.

4. Yenza ukucindezela kwesifuba:

• Beka isithende sesandla esisodwa ethangeni lesifuba - phakathi kwezingono.
• Beka isithende sesinye isandla sakho ngaphezulu kwesandla sokuqala.
• Beka umzimba wakho ngqo ezandleni zakho.
• Nikeza izingcindezi zesifuba ezingama-30. Lezi zingcindezi kufanele zisheshe futhi zibe nzima. Cindezela phansi cishe ngamasentimitha ama-2 (amasentimitha ama-5) esifubeni. Isikhathi ngasinye, ake isifuba sikhuphuke ngokuphelele. Bala izingcindezi ezingama-30 ngokushesha: "1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22 , 23,24,25,26,27,28,29,30, isephulelo ".

5. Vula indlela yomoya. Phakamisa isilevu ngeminwe emi-2. Ngasikhathi sinye, sitsheke ikhanda ngokucindezela phansi esiphongweni ngesinye isandla.

6. Bheka, lalela, futhi uzwe ngokuphefumula. Beka indlebe yakho eduze komlomo nasekhaleni lomuntu. Buka ukunyakaza kwesifuba. Zizwe uphefumula esihlathini.

7. Uma lowo muntu engaphefumuli noma enenkinga yokuphefumula:

• Vala umlomo wabo uvalwe ngomlomo wakho.
• Ncinza ikhala livaliwe.
• Gcina isilevu siphakanyisiwe nekhanda litshekile.
• Nikeza ukuphefumula okungu-2. Ukuphefumula ngakunye kufanele kuthathe cishe umzuzwana bese kwenza isifuba sikhuphuke.

8. Phinda ukucindezelwa kwesifuba nokuphefumula kokutakula kuze kube yilapho umuntu elulama noma esiza efika. Uma i-AED yabantu abadala itholakala, yisebenzise ngokushesha okukhulu.

Uma umuntu eqala ukuphefumula futhi, mbeke endaweni yokutakula. Qhubeka ubheke ukuphefumula kuze kufike usizo.

• Uma umuntu ephefumula ngokwejwayelekile, ekhwehlela, noma enyakaza, UNGAQALI ukucindezelwa kwesifuba. Ukwenza kanjalo kungadala ukuthi inhliziyo iyeke ukushaya.
• Ngaphandle kokuthi uchwepheshe wezempilo, UNGABHANGI ukushaya kwenhliziyo. Uchwepheshe wezokunakekelwa kwempilo kuphela oqeqeshwe kahle ukubheka ukushaya kwenhliziyo.

• Uma unosizo, Tshela umuntu oyedwa ukuthi ashayele u-911 noma inombolo ephuthumayo yendawo lapho omunye umuntu eqala i-CPR.
• Uma uwedwa, ngokushesha nje lapho uthola ukuthi umuntu akaphenduli, shayela ku-911 noma inombolo ephuthumayo yendawo ngokushesha. Bese uqala i-CPR.

Kubantu abadala, ukugwema ukulimala nezinkinga zenhliziyo ezingaholela enhliziyweni ekuyekeni ukushaya:

• Susa noma unciphise izinto ezinobungozi ezinesifo senhliziyo, njengokubhema ugwayi, i-cholesterol ephezulu, umfutho wegazi ophakeme, ukukhuluphala ngokweqile, kanye nengcindezi.
• Zivocavoce kakhulu.
• Bheka umhlinzeki wakho wezokunakekelwa kwempilo njalo.
• Sebenzisa amabhande esihlalo njalo ushayele ngokuphepha.
• Gwema ukusebenzisa izidakamizwa ezingekho emthethweni.

Iningi lezingane lidinga i-CPR ngenxa yengozi engavikeleka. Izeluleko ezilandelayo zingasiza ukuvimbela ezinye izingozi ezinganeni:

• Fundisa izingane zakho izimiso eziyisisekelo zokuphepha komndeni.
• Fundisa ingane yakho ukubhukuda.
• Fundisa ingane yakho ukubuka izimoto nokugibela amabhayisikili ngokuphepha.
• Fundisa ingane yakho ukuphepha ngezibhamu. Uma unezibhamu ekhaya lakho, zigcine zikhiyiwe kwikhabethe elikude.

Ukuvuselelwa kwe-Cardiopulmonary - umuntu omdala; Ukutakula ukuphefumula kanye nokucindezela kwesifuba - umuntu omdala; Ukuvuselelwa - i-cardiopulmonary - umuntu omdala; Ukuvuselelwa kwe-Cardiopulmonary - ingane eneminyaka engu-9 nangaphezulu; Sindisa ukuphefumula nesifuba - ingane eneminyaka engu-9 nangaphezulu; Ukuvuselelwa - i-cardiopulmonary - ingane eneminyaka engu-9 nangaphezulu

• I-CPR - uchungechunge lwabantu abadala

Inhlangano Yezinhliziyo ZaseMelika. Amaphuzu avelele emihlahlandlela ye-2020 American Heart Association ye-CPR ne-ECC. cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/highlights/hghlghts_2020_ecc_guidelines_english.pdf. Kufinyelelwe ngo-Okthoba 29, 2020.

UDuff JP, uTopjian A, uBerg MD, et al. I-2018 American Heart Association igxile ekuvuseleleni ekusekelweni kwempilo kwezingane okuthuthukile: isibuyekezo kumikhombandlela yeAmerican Heart Association yokuvuselelwa kwenhliziyo kanye nokunakekelwa okuphuthumayo kwenhliziyo. Ukujikeleza. I-2018; 138 (23): e731-e739. I-PMID: 30571264 pubmed.ncbi.nlm.nih.gov/30571264/.

UMorley PT. Ukuvuselelwa kwe-Cardiopulmonary (kufaka phakathi i-defibrillation). Ku: Bersten AD, Handy JM, eds. Ibhukwana Lokunakekela Abagula Ngokujulile. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 21.

I-Panchal AR, i-Berg KM, i-Kudenchuk PJ, et al. I-2018 American Heart Association igxile ekuvuseleleni ekusetshenzisweni kokusekelwa kwempilo yenhliziyo nemithambo yegazi ukusetshenziswa kwezidakamizwa eziphikisayo ngesikhathi futhi ngemuva nje kokuboshwa kwenhliziyo: isibuyekezo kumikhombandlela yeAmerican Heart Association yokuvuselelwa kwenhliziyo kanye nokunakekelwa okuphuthumayo kwenhliziyo. Ukujikeleza. I-2018; 138 (23): e740-e749. I-PMID: 30571262 pubmed.ncbi.nlm.nih.gov/30571262/.