I-CPR-yabantu abadala kunye nomntwana emva kokuqala kokufikisa

I-CPR imele ukuvuselelwa kwe-cardiopulmonary. Yinkqubo esindisa ubomi eyenziwa xa umntu ephefumla okanye ebetha intliziyo. Oku kunokwenzeka emva kokutshatyalaliswa kombane, ukucwina, okanye ukuhlaselwa yintliziyo. I-CPR ibandakanya:

• Ukuhlangula ukuphefumla, okunika ioksijini kwimiphunga yomntu.
• Ukucinezelwa kwesifuba, okugcina igazi lomntu lijikeleza.

Ukonakala okungapheliyo kwengqondo okanye ukufa kunokwenzeka ngaphakathi kwemizuzu ukuba ukuphuma kwegazi lomntu kuyekile. Ke ngoko, kuya kufuneka uqhubeke neCPR de kubuye ukubetha kwentliziyo nokuphefumla komntu, okanye kufike uncedo lwezonyango oluqeqeshiweyo.

Ngeenjongo ze-CPR, ukufikisa kuchazwa njengokukhula kwamabele kwabasetyhini kunye nobukho beenwele ze-axillary (armpit) emadodeni.

I-CPR yenziwa ngcono ngumntu oqeqeshwe kwikhosi ye-CPR eyamkelweyo. Iinkqubo ezichazwe apha AYIBONISI indawo yoqeqesho lweCPR. Obu buchwephesha butsha kugxininisa uxinzelelo kuhlangulo lokuphefumla kunye nolawulo lomoya, ukuguqula indlela ekudala ikho. Jonga i-www.heart.org yeeklasi ezikufutshane nawe.

Ixesha libaluleke kakhulu xa umntu engekho zingqondweni engaphefumli. Ukonakala okungapheliyo kwengqondo kuqala emva kwemizuzu emi-4 ngaphandle kweoksijini, kwaye ukufa kunokwenzeka kwangoko kwimizuzu emi-4 ukuya kwemithandathu kamva.

Oomatshini ababizwa ngokuba yi-automated external defibrillators (AEDs) banokufumaneka kwiindawo ezininzi zikawonke-wonke, kwaye ziyafumaneka ukuze zisetyenziswe ekhaya. Aba matshini baneephedi okanye iipali zokubeka esifubeni ngexesha likaxakeka lokusongela ubomi. Bazijonga ngokuzenzekelayo isingqisho sentliziyo kwaye banike ukothuka ngequbuliso ukuba, kwaye kuphela ukuba, olo loyikiso luyafuneka ukubuyisela intliziyo kwisingqisho esifanelekileyo. Xa usebenzisa i-AED, landela imiyalelo ngqo.

Kubantu abadala, izizathu eziphambili zokuba ukubetha kwentliziyo kunye nokuphefumla kuyeke kubandakanya:

• Libanda, iziyobisi
• Ukopha kakhulu
• Ingxaki yentliziyo (isifo sentliziyo okanye isingqisho sentliziyo esingaqhelekanga, ulwelo emiphungeni okanye uxinzelele intliziyo)
• Usulelo kwigazi (sepsis)
• Ukwenzakala neengozi
• Ukurhaxwa
• Ukubetha

Zininzi izinto ezibangela ukuba umntwana okhulileyo okanye ukubetha kwentliziyo yolutsha kunye nokuphefumla kuyeke, kubandakanya:

• Ukukrwitsha
• Ukurhaxwa
• Umothuko wombane
• Ukopha kakhulu
• Intlungu yomzimba okanye enye ingozi embi
• Isifo semiphunga
• Ityhefu
• Ukuhlutha

I-CPR kufuneka yenziwe ukuba umntu unayo nayiphi na kwezi mpawu zilandelayo:

• Akukho kuphefumla okanye ubunzima bokuphefumla (ukhefuzela)
• Akukho ukubetha kwentliziyo
• Ukungabikho zingqondweni

1. Khangela ukuphendula. Mshukumise okanye ucofe umntu ngobunono. Jonga ukuba umntu uyahamba okanye wenza ingxolo. Khwaza, "Uyaphila?"

2. Tsalela u-911 okanye inombolo yongxamiseko yendawo ukuba akukho mpendulo. Khwaza uncedo kwaye uthumele umntu ukuba abize u-911 okanye inombolo yongxamiseko yendawo. Ukuba uwedwa, tsalela umnxeba kwi-911 okanye inombolo yongxamiseko yendawo kwaye ufumane i-AED (ukuba iyafumaneka), nokuba kufuneka umshiye umntu lowo.

3. Ngenisa ngononophelo loo mntu ngasemva. Ukuba kukho ithuba lokuba umntu enzakaliswe ngumqolo, abantu ababini kufuneka bamhambise umntu ukuze athintele intloko nentamo ekujikeni.

4. Yenza uxinzelelo lwesifuba:

• Beka isithende sesinye isandla esifubeni - ngqo phakathi kweengono.
• Beka isithende sesinye isandla ngaphezulu kwesandla sokuqala.
• Beka umzimba wakho ngqo ezandleni zakho.
• Nika iingcinezelo zesifuba ezingama-30. Ezi zixinaniso kufuneka zikhawuleze kwaye zibe nzima. Cinezela ezantsi malunga nee-intshi ezimbini (iisentimitha ezi-5) esifubeni. Ngalo lonke ixesha, isifuba masinyuke ngokupheleleyo. Bala uxinzelelo oluzi-30 ngokukhawuleza: "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, ucinyiwe ".

5. Vula indlela yomoya. Phakamisa isilevu ngeminwe emi-2. Kwangelo xesha, thambekisa intloko ngokutyhala phantsi ebunzi ngesinye isandla.

6. Jonga, mamela, kwaye uve ukuphefumla. Beka indlebe yakho kufutshane nomlomo nempumlo yomntu. Jonga ukuhamba kwesifuba. Yiva umphefumlo wakho esidleleni.

7. Ukuba umntu akaphefumli okanye unengxaki yokuphefumla:

• Vala umlomo wabo ngokuqinileyo ngomlomo wakho.
• Cofa impumlo ivaliwe.
• Gcina isilevu siphakanyisiwe kwaye intloko itshixiwe.
• Nika imiphefumlo emi-2 yokuhlangula. Umphefumlo ngamnye kufuneka uthathe umzuzwana kwaye wenze isifuba sinyuke.

8. Phinda uxinzelelo lwesifuba kunye nokuhlangula ukuphefumla ade umntu achache okanye ancede afike. Ukuba i-AED yabantu abadala iyafumaneka, yisebenzise ngokukhawuleza.

Ukuba umntu uqala ukuphefumla kwakhona, bambeke endaweni yokubuyela kwimeko yesiqhelo. Qhubeka ujonge ukuphefumla de kufike uncedo.

• Ukuba umntu uphefumla ngokwesiqhelo, ukhohlela, okanye ushukuma, SUKUQALA ukucinezelwa kwesifuba. Ukwenza njalo kunokubangela ukuba intliziyo iyeke ukubetha.
• Ngaphandle kokuba uyingcali kwezempilo, SUKUJONGE ukubetha kwentliziyo. Ingcali yokhathalelo lwempilo kuphela eqeqeshwe ngokufanelekileyo ukukhangela ukubetha kwentliziyo.

• Ukuba unoncedo, xelela umntu omnye ukuba abize i-911 okanye inombolo yongxamiseko yendawo ngelixa omnye umntu eqala i-CPR.
• Ukuba uwedwa, kamsinya nje ukuba ugqibe ukuba umntu akaphenduli, tsalela umnxeba ku-911 okanye inombolo yongxamiseko yalapho ngokukhawuleza. Emva koko qalisa iCPR.

Kubantu abadala, ukunqanda ukwenzakala kunye neengxaki zentliziyo ezinokukhokelela ekubeni intliziyo iyeke ukubetha:

• Ukuphelisa okanye ukunciphisa izinto ezinobungozi ezinegalelo kwisifo sentliziyo, njengokutshaya icuba, i-cholesterol ephezulu, uxinzelelo lwegazi oluphezulu, ukutyeba kakhulu kunye noxinzelelo.
• Fumana umthambo omninzi.
• Jonga umboneleli wakho wezempilo rhoqo.
• Njalo sebenzisa iibhanti zokuhlala kwaye uqhube ngokukhuselekileyo.
• Kuphephe ukusebenzisa iziyobisi ezingekho mthethweni.

Uninzi lwabantwana badinga i-CPR ngenxa yengozi enokuthintelwa. Ezi ngcebiso zilandelayo zinokunceda ukuthintela iingozi ezithile ebantwaneni:

• Fundisa abantwana bakho imigaqo esisiseko yokhuseleko losapho.
• Fundisa umntwana wakho ukuqubha.
• Fundisa umntwana wakho ukubukela iimoto kwaye akhwele iibhayisekile ngokukhuselekileyo.
• Fundisa umntwana wakho ngokhuseleko lwemipu. Ukuba unemipu ekhayeni lakho, yigcine itshixiwe kwikhabhathi esecaleni.

Ukuvuselelwa kweCardiopulmonary - umntu omdala; Ukuhlangula ukuphefumla kunye nokucinezelwa kwesifuba - umntu omdala; Ukuvuselela - i-cardiopulmonary - yabantu abadala; Ukuvuselelwa kweCardiopulmonary - umntwana iminyaka eli-9 nangaphezulu; Ukuhlangula ukuphefumla kunye nokucinezelwa kwesifuba - umntwana oneminyaka eli-9 nangaphezulu; Ukuvuselela-i-cardiopulmonary - umntwana iminyaka eyi-9 nangaphezulu

• CPR - uthotho lwabantu abadala

Umbutho wentliziyo yaseMelika. Amagqabantshintshi e-2020 American Heart Association Guidelines ze-CPR kunye ne-ECC. cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/highlights/hghlghts_2020_ecc_guidelines_english.pdf. Kufumaneka ngo-Oktobha 29, 2020.

UDuff JP, uTopjian A, uBerg MD, et al. I-2018 American Heart Association ijolise kuhlaziyo kwinkxaso yobomi yabantwana ekuqhubekeni: uhlaziyo kwizikhokelo zeAmerican Heart Association zokuhlaziya i-cardiopulmonary and emergency care cardiovascular care. Ukujikeleza. 2018; 138 (23): e731-e739. IINKCUKACHA: 30571264 pubmed.ncbi.nlm.nih.gov/30571264/.

UMorley PT. Ukuvuselelwa kweCardiopulmonary (kubandakanya ukubola). Ku: Bersten AD, Handy JM, ii-eds. Incwadana yoKhathalelo oluKhulu. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 21.

I-Panchal AR, i-Berg KM, i-Kudenchuk PJ, okqhubekayo. I-2018 American Heart Association ijolise kuhlaziyo kwinkqubela phambili yobomi be-cardiovascular life use of antiarrhythmic drugs ngexesha nangoko emva kokubanjwa kwentliziyo: uhlaziyo kwizikhokelo zeAmerican Heart Association zokuvuselelwa kwentliziyo kunye nolondolozo olungxamisekileyo lwentliziyo. Ukujikeleza. 2018; 138 (23): e740-e749. IINKCUKACHA: 30571262 pubmed.ncbi.nlm.nih.gov/30571262/.