Ukungabikho zingqondweni - uncedo lokuqala

Ukungabikho zingqondweni kuxa umntu engakwazi ukuphendula ebantwini nakwimisebenzi. Oogqirha bahlala bebiza oku njenge-coma okanye bekwimeko yokuma comatose.

Olunye utshintsho kulwazi lunokwenzeka ngaphandle kokungazi. Oku kubizwa ngokuba kukutshintsha kwemeko yengqondo okanye ukutshintsha imeko yengqondo. Babandakanya ukudideka ngequbuliso, ukudideka, okanye ukulala.

Ukungabikho zingqondweni okanye naluphi na utshintsho ngesiquphe kubume bengqondo kufuneka kuthathwe njengongxamiseko kwezonyango.

Ukungabikho zingqondweni kunokubangelwa phantse kuko nakuphi na ukugula okanye ukwenzakala okukhulu. Inokubangelwa sisiyobisi (iziyobisi) kunye nokusetyenziswa kotywala. Ukutswina kwinto kunokubangela ukungabikho zingqondweni.

Ukungabikho zingqondweni (okanye ukuphelelwa ngamandla) kuhlala kusisiphumo sokuphelelwa ngamanzi emzimbeni, iswekile esezantsi yegazi, okanye uxinzelelo lwegazi olwexeshana. Inokubangelwa ziingxaki zentliziyo okanye zenkqubo yeemvakalelo. Ugqirha uya kugqiba ukuba umntu ochaphazelekayo ufuna iimvavanyo.

Ezinye izizathu zokuphelelwa ngamandla zibandakanya ukuxinana ngexesha lokuhamba kwamathumbu (vasovagal syncope), ukukhohlela kakhulu, okanye ukuphefumla ngokukhawuleza (hyperventilating).

Umntu akazukuphendula (akaphenduli kwimisebenzi, ukubamba, isandi, okanye olunye uvuselelo).

Ezi mpawu zilandelayo zinokwenzeka emva kokuba umntu engazi nto:

• I-Amnesia ye (ayikhumbuli) imicimbi ngaphambi, ngexesha, nasemva kwexesha lokungazi
• Ukudideka
• Ukozela
• Intloko ebuhlungu
• Ukungakwazi ukuthetha okanye ukuhambisa amalungu omzimba (iimpawu zestroke)
• Ubumhlophe
• Ukuphulukana nokulawulwa kwamathumbu okanye isinyi (ukungakwazi ukubamba)
• Ukubetha kwentliziyo okukhawulezayo (ukubetha kwentliziyo)
• Ukubetha kwentliziyo kancinci
  
• Isidenge (ukudideka kakhulu kunye nobuthathaka)

Ukuba umntu akazi nto ngokukrwitshwa, iimpawu zinokubandakanya:

• Ukungakwazi ukuthetha
• Kunzima ukuphefumla
• Ukuphefumla okungxolayo okanye izandi eziphakamileyo ngelixa uphefumla
• Ebuthathaka, ekhohlela ngokungenampumelelo
• Umbala wesikhumba esimnyama

Ukulala akufani nokungabikho zingqondweni. Umntu oleleyo uya kuphendula kwingxolo enkulu okanye ukungcangcazela ngobunono. Umntu ongekho zingqondweni ngekhe.

Ukuba umntu uvukile kodwa uthe qwa kunesiqhelo, buza imibuzo embalwa elula, enje:

• Ungubani igama lakho?
• Uthini umhla?
• Ingaba umngakanani?

Iimpendulo ezingalunganga okanye ukungabinakho ukuphendula umbuzo kuphakamisa utshintsho kwimeko yengqondo.

Ukuba umntu akazi nto okanye utshintshe imeko yengqondo, landela la manyathelo oncedo lokuqala:

1. Fowunela okanye uxelele umntu ukuba enze njalo tsalela umnxeba kwi-911.
2. Jonga indlela yomoya yomntu, ukuphefumla, kunye nokubetha rhoqo. Ukuba kukho imfuneko, qalisa iCPR.
3. Ukuba umntu uphefumla kwaye ulele ngomqolo, kwaye ungacingi ukuba kukho ukwenzakala komqolo, mqengqe ngononophelo loo mntu uza kuye ecaleni. Goba umlenze ophezulu ukuze zombini i-hip kunye nedolo zi-angles ezilungileyo. Ncothula ngenyameko iintloko zabo umva ukugcina umoya uvulekile. Ukuba ukuphefumla okanye ukubetha kuyayeka nangaliphi na ixesha, qengqa umntu emqolo wakhe kwaye uqale i-CPR.
4. Ukuba ucinga ukuba kukho ukwenzakala komqolo, mshiye umntu apho ubafumene khona (ukuba nje ukuphefumla kuyaqhubeka). Ukuba umntu uyagabha, qengqa umzimba wonke ngexesha elinye. Xhasa intamo yabo kunye nomqolo ukugcina intloko nomzimba kwindawo enye ngelixa uqengqeleka.
5. Gcina umntu eshushu de kufike uncedo lukagqirha.
6. Ukuba ubona umntu ophelelwa ngamandla, zama ukuthintela ukuwa. Beka umntu ethe tyaba phantsi kwaye uphakamise iinyawo malunga nee-intshi ezili-12 (iisentimitha ezingama-30).
7. Ukuba ukuquleka kusenokwenzeka ngenxa yeswekile esegazini, mnike into emnandi ukuba ayitye okanye asele kuphela xa ethe waqonda.

Ukuba umntu akazi nto ngokukhahlela:

• Qalisa i-CPR. Ukunyanzelwa kwesifuba kunokunceda ukukhupha into.
• Ukuba ubona into ethintela indlela yomoya kwaye ivulekile, zama ukuyisusa. Ukuba into ifakwe emqaleni womntu, UNGAZAMI ukuyiqonda. Oku kungatyhala into iye kude kwindlela yomoya.
• Qhubeka neCPR kwaye uqhubeke ujonga ukubona ukuba into leyo ikhutshiwe de kufike uncedo lwezonyango.

• MUSA ukunika umntu ongazi nto nakuphi na ukutya okanye isiselo.
• MUSA ukushiya umntu yedwa.
• MUSA ukubeka umqamelo phantsi kwentloko yomntu ongazi nto.
• MUSA ukubetha umntu ongazi nto ebusweni okanye uchithe amanzi ebusweni babo ukuzama ukumvuselela.

Tsalela umnxeba ku-911 ukuba umntu akazi nto kwaye:

• Ayibuyeli ezingqondweni ngokukhawuleza (ngaphakathi komzuzu)
• Uwile phantsi okanye wonzakele, ngakumbi ukuba bayopha
• Unesifo seswekile
• Ngaba ukuxhuzula
• Uphulukene namathumbu okanye ulawulo lwesinyi
• Akuphefumli
• Ukhulelwe
• Ingaphezulu kweminyaka engama-50

Tsalela umnxeba kwi-911 ukuba umntu ubuyela ezingqondweni, kodwa:

• Uziva iintlungu zesifuba, uxinzelelo, okanye ukungonwabi, okanye ukubetha okanye ukubetha kwentliziyo okungaqhelekanga
• Abakwazi ukuthetha, baneengxaki zombono, okanye abakwazi ukuhambisa iingalo nemilenze yabo

Ukuthintela ukuba ungabikho zingqondweni okanye utyhafe:

• Kulumkele iimeko apho inqanaba leswekile yegazi lakho liphantsi kakhulu.
• Kuphephe ukuma endaweni enye ixesha elide ungakhange ushukume, ngakumbi ukuba uqhele ukuwa isiqaqa.
• Fumana ulwelo olwaneleyo, ngakumbi kwimozulu eshushu.
• Ukuba uziva ngathi uza kufa isiqaqa, lala phantsi okanye uhlale ngentloko egobe phambili phakathi kwamadolo akho.

Ukuba unempilo, njengesifo seswekile, soloko unxiba isacholo somqala okanye isongo.

Ukuphulukana nokuqonda - uncedo lokuqala; Coma - uncedo lokuqala; Ukutshintsha kobume bengqondo; Ubume bengqondo obuguqulweyo; Syncope - uncedo lokuqala; Ukuphelelwa ngamandla - uncedo lokuqala

• Ukuxubusha kubantu abadala-ukukhutshwa
• Ingxubusho kubantu abadala-yintoni oza kuyibuza ugqirha wakho
• Ukuxubana ebantwaneni-ukukhutshwa
• Ingxubusho ebantwaneni-yintoni oza kuyibuza ugqirha wakho
• Ukuthintela ukwenzakala entloko ebantwaneni

• Indawo yokubuyisela kwimeko yesiqhelo - uthotho

Umnqamlezo obomvu waseMelika. Uncedo lokuqala / i-CPR / AED's Incwadana yabathathi-nxaxheba. Ngomhla wesi-2. IDallas, TX: Umnqamlezo obomvu waseMelika; Ngo-2016.

ICrocco TJ, uMnyangi WJ. Ukubetha. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 91.

UDe Lorenzo RA. Syncope. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 12.

UKleinman ME, uBrennan EE, uGoldberger ZD, et al. Isigaba 5: inkxaso yobomi yabantu abadala kunye nekhwalithi yokuvuselela i-cardiopulmonary: I-2015 American Heart Association izikhokelo zokuhlaziywa kwe-cardiopulmonary resuscitation kunye ne-emergency cardiovascular care. Ukujikeleza. 2015; 132 (18 iSuppl 2): ​​S414-S435. IINKCUKACHA: 26472993 www.ncbi.nlm.nih.gov/pubmed/26472993.

U-Lei C, Smith C. Ukudakumba kokuqonda kunye ne-coma. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; 2018: isahl13.