Ukugqithisa kwe-cardiac: indlela yokusebenza. Ukunyumba kwenhliziyo kunye nokuphefumula

Kwiimeko ezingxamisekileyo, xa kunokwenzeka ukuba ulondoloze ubomi bomntu, kuyimfuneko nje ukuba ukwazi izinto ezisisiseko zoncedo lokuqala. Olunye lwezakhono eziphambili lugqugquzela ukusilalisa umzimba, ubuchule obuchazwe kule ncwadi. Emva kokufunda iindlela ezithile zesicelo sayo, kunokwenzeka ukugcina ubomi bomntu.

Ukwenza i-massage engqalileyo yentliziyo

Okokuqala, qinisekisa ukubanjwa kwantliziyo ngokukhawuleza : ukungabi nako ukuphefumla, ukuqonda kunye nokuqala ukunyamekela, ngokufana nokubiza i-ambulensi. Indawo yokuqala isigulane kwindawo ecacileyo.
Ukuhlaziywa kufuneka kwenziwe ngokukhawuleza kwindawo yexhoba, ukuba oku akuyona ingozi kwi-reanimator.

Ukuba uncedo luya kuba ngumntu ongeyena umqeqeshi ongeyomsebenzi, ke kuphela uxinzelelo kwi-sternum luvunyelwe. Ukuchithwa kwentliziyo engacacanga, ubuchule obuchazwe ngezantsi, buquka ezi zilandelayo ngongoma.

Ukulandelelana kwezenzo

• Okokuqala misela indawo yoxinzelelo kwisithathu esezantsi sternum.
• Isandla sinye siphumelele indawo yesundu ("i-brush yesihlanu") phantse kwi-bottom of the sternum. Ngaphezulu kwayo enye ingalo efakwe ngendlela efanayo. Kunokwenzeka ukubeka iintende kwi-lock lock.
• Ukunyanzeliswa kokunyanzeliswa kwenziwa ngezandla ezilungelelaniswe kwiimbombo, ngelixa lidlulisa ubunzima bomzimba wabo xa zixinzezelwe. Xa senza uxinzelelo, izandla ezivela esifubeni azihlanjulwanga.
• Ubunzima bexinzelelo kwi-sternum akufanele kube ngaphantsi kwama-100 ngomzuzu okanye malunga ne-2 icutshulwa ngesibini. Ukufuduka kwesifuba ubunzulu ubuncinane ubunamitha amahlanu.
• Ukuba ukuphefumula okufakelwayo, kunikezelwa iimbini ezibini ezi-30.

Kuyinto enqweneleka kakhulu ukuba amaxesha oxinzelelo kwi-breastbon and the lack of compression ngexesha liyafana.

Imizuzu

Ukugqithisa kwenyama yokuziphatha, inqubo yokwenza okuqhelekileyo kubo bonke ugqirha, idinga ukuba i-intubation ye trachea yenziwa, ukwenzela ukuba ukunyakaza kungenziwa kwimizuzu engama-100 ngomzuzu ngaphandle kokuphazanyiswa ekuvuseleleni ukuphefumula. Yenziwa ngokufanayo, ngoxa i-8-10 iphefumula ngomzuzu iyenziwa.

Emva koko, thabatha ikhefu imizuzwana emihlanu ukucacisa ukubuyiselwa kwentliziyo (ubukho bepilisi kwimikhumbi yomnxeba).

Ukunyanzeliswa kwesisu kubantwana ukuya kwishumi ukuya kweyeshumi elinambini kwiminyaka kwenziwa ngenyama esisodwa, kwaye umlinganiselo wenani leenkcenkcesho kufuneka libe ngu-15: 2.

Ekubeni ukukhathala kwe-reanimator kunokukhokelela ekunciphiseni komgangatho wokunciphisa nokufa kwesigulane, phambi kwabantu ababini okanye ngaphezulu ababonelela ngoncedo, kucetyiswa ukuba umntu athathe uxinzelelo kwisifuba yonke imizuzu emibini ukukhusela ukunciphisa umgangatho we-intliziyo ye-massage. Umncedisi wokubuyisela, kufuneka ahlale engapheli kwemizuzwana emihlanu.

Kufuneka kukhunjulwe ukuba imigaqo yokwenza i-heart-mass massage idibeneyo idinga ukuba izitho zokuphefumula zitshintshwe.

Kubantu abanokungazi kakuhle, i-muscular atony ikhula kunye ne-airway obturation ye-epiglottis kunye nengcambu yolwimi. I-Obturation ivela kuyo nayiphi na indawo yesigulane, nokuba ilele kwisisu. Yaye ukuba intloko ithambekele kwisibilini, le meko ivela kwi-100% yamatyala.

Ukuqulunqa ukuziphatha ngokusicacisa komzimba ngokulandela izigqibo zokuqala:

• Into yokuqala okufuneka uyenze kukuba ukuseka ukungabi nalwazi - ukubiza (cela ukuba uvule amehlo akho, cela - kwenzekani?).
• Emva koko, bebetha ehlathini, gubungula ngokukhawuleza amahlombe.
• Xa kungabikho ukungazi kakuhle, kuyimfuneko ukulungelelanisa ukuhamba komoya kwindlela yokuhamba.

"Ukufunyanwa kathathu" kunye nokungeniswa kwetrachea yimiqathango yegolide ngexesha lokubuyisela ukuphefumula.

"Ukufunyanwa kathathu"

I-Safar yavelisa iintshukumo ezintathu ezilandelelanayo eziphucula ukuphumelela kokuvuselelwa:

1. Yenza intloko yakho.
2. Vula umlomo wesigulane.
3. Nciphise umhlathi wesigulane.

Xa intliziyo ehlambulukileyo kunye nokuphefumula okufakelwayo, kwenziwa iintambo zangaphambili entanyeni, emva koko i-trachea ivula.

Qaphela

Omnye kufuneka alumke kwaye aqaphele, kuba kunokwenzeka ukulimaza umgudu emphakathini weentamo xa wenza izenzo kwi-airways.

Ukulimala okungaphantsi komzimba kungenzeka kumaqela amabini izigulane:

• Amaxhoba ezingozi zendlela;
• Xa kwenzeka ukuwa ukusuka ekuphakameni.

Ezi zigulane azikwazi ukugoba iintamo zazo, zijike iintloko zazo. Kubalulekile ukutsala intloko entloko yakho, uze ugcine intloko, intamo, itekeni kwindiza enye kunye nokunciphisa ubuncinane bentloko emva, njengoko kuboniswe kwi-Safar. Ukuchithwa kwentliziyo engacacanga, inqubo yokwenza oko kwimeko enjalo ifuna unonophelo oluthile, lwenziwa kuphela xa ezi ziphakamiso zigcinwa.

Ukuvulwa komtya womlomo, ukuhlaziywa kwayo

Ingcambu ye-airways emva kokugubungela intloko ayisoloko ibuyiselwe ngokupheleleyo, kuba kwezinye izigulane ziyazi kakuhle ngeesiscle kwiimpawu zamanzi zivaliwe esibhakabhakeni esithambileyo ngexesha lokuphefumla.

Kusenokufuneka kwakhona ukuba ususe izinto zangaphandle ukusuka kwisigidi somlomo (i-clot yegazi, amaqatha amazinyo, ukuhlanza, i-plug-in jaws)
Ngoko ke, ekuqaleni, ezi gulane zihlola umlomo womlomo kwaye zikhulule kwizinto zangaphandle.

Ukuvula umlomo wakho, sebenzisa "ukumkela iminwe ewela." Ugqirha uya kufutshane nentloko yesigulane, uvula kwaye ahlole umlomo womlomo. Ukuba kukho izinto zangaphandle, kufuneka zisuswe. Isalathisi sokunene kwesithatha sithatha ikona yomlomo ukusuka ngasekunene kuze kube sezantsi, oku kunceda ukukhulula umlomo womlomo wezinto ezikhoyo. Zifakwe ngeepuniki ngeminwe yakho, hlambulula umlomo kunye ne-pharynx.

Inzame yenziwe ukuba intubate i-trachea nge- airways (engaphantsi kwee-30 seconds). Ukuba umgomo awufezekanga, yeka ukuzama kwaye uqhubeke nokuqhuba umoya wokusebenzisa umoya usebenzisa isiski sombuso okanye isikhwama se-Ambu. Amasu asetyenziswayo "umlomo ngomlomo", "umlomo ekhaleni". I-massage ye-Heart kunye nokuphefumula okufakelwayo kwiimeko ezinjalo zenziwa ngokuxhomekeke kwisiphumo.

Emva kwemizuzu emibili yokuvuselelwa, kuyimfuneko ukuphinda umzamo we-intubation ye-trachea.

Xa kusenziwa i-massage ye-cardiac engaqondakaliyo, inqubo yokwenza oku apha ibonwe, ngoko ngexesha lokuphefumula ngomlomo, ixesha lokuphefumlelwa nganye kufuneka libe yikwesibini. Le ndlela ithathwa njengempumelelo xa kukho ukunyakaza kwesifuba sexhoba ngexesha lokuphefumula. Kubalulekile ukuphepha ukuphuphuma umoya okuphambene nemiphunga (kungekho ngaphezu kwe-milliliters 500), kuba kunokubangela iingxaki ezinjenge-casting esiswini nokungenisa okanye ukungena kokuqukethwe kwayo. Ukongezelela, ukuphuphuma kwamanzi okunyusa umoya kunyusela uxinzelelo kwisibilini sesifuba, okwenza ukunciphisa ukubuyiswa kwegazi eliphazamisayo entliziyweni kunye nezinga lokusinda ngokukhawuleza ukuboshwa kwentliziyo.