Kuwatsitsimula ndi ndondomeko zawo

Mu yochizira matenda, pali milandu imene pali kuthekera kubwezeretsa ntchito zofunika m'thupi la munthu. Zimenezi zinachititsa kuti chofunika kwambiri ndi kukhala ziwembu enieni kanthu kuti angathandize kuti chitsitsimutso. Tsopano tiyeni tikambirane zimene kuwatsitsimula zovuta.

mwachidule

Pali nthambi ya mankhwala kuti amaphunzira kuwatsitsimula. Chilango ichi investigates mbali zosiyanasiyana za chitsitsimutso anthu, anayamba njira kupewa ndi kuchiza wa zinthu osachiritsika. Chigawo chimenechi cha mankhwala matenda otchedwa kuwatsitsimula, komanso kugwiritsa ntchito mwachindunji kwa ena maluso umoyo kuchira otchedwa kuwatsitsimula.

Ntchito njira ya chitsitsimutso?

Pali milandu yosiyanasiyana kumene zofunika njira ayambe moyo. Choncho, pamene ntchito kuwatsitsimula mtima (m'mnyewa wamtima pa maziko chifukwa mantha magetsi, etc.), kupuma (pamene thupi yachilendo overlaps trachea ndi T. D.), Poizoni ziphe. thandizo anthu chofunika vuto lalikulu kutaya magazi, pachimake aimpso insufficiency kapena chiwindi matenda, zoopsa kwambiri ndi zina zotero. Nthawi zambiri pa kuwatsitsimula bwinobwino. Mu nkhani imeneyi, zochita za thandizo anapereka adzakhala bwino ndipo mwamsanga.

Chofunikanso

Nthawi zina, kuwatsitsimula ndi zosayenera. Makamaka, kuti zoterezi pazikhalanso kuwonongeka chosachiritsika ziwalo zofunika kwambiri ndi kachitidwe mu malo oyamba - ubongo. Kuwatsitsimula mu kukomoka sizithandiza pambuyo Mphindi 8 pambuyo kudziwika ake. Njira utipatse mphamvu si ntchito pamene akulipira wotopa zida za chamoyo (mwachitsanzo, ndi zotupa zilonda, zimachitika ndi wakuta general). Mphamvu ya kuwatsitsimula kwambiri bwino mu ntchito mayunitsi awo apadera, zomwe zili ndi zida zina zofunika.

njira zoyambirira

Zikuphatikizapo mtima kutikita ndi kupuma yokumba. Yotsirizira ndi njila kuchotsa mpweya m'mapapo a wovulalayo. Mpweya amatithandiza kusungabe mpweya kuwombola ndi wolephera kapena kulephera kupuma achilengedwe. mtima kutikita kungakhale mwachindunji kapena lotseka. Woyamba ikukwaniritsa mwachindunji psinjika thupi. Njira ntchito pa ntchito mu thorax pa kutsegula kwa M'mimbamo ake. Pachifuwa Compressions - ndi psinjika za thupi pakati pa sternum ndi msana. Taganizirani izi kuwatsitsimula mwatsatanetsatane.

CPR: onse mudziwe

Kufunika kukhazikitsa mpweya limapezeka mu nkhani ya kuyan'anila za malo lamulo pa maziko a edema kapena matenda magazi mu ubongo. Ndondomeko anachita pa chotupa wa ulusi mitsempha ndi minofu nawo kupuma kuchita (pamaziko a poliyo, kafumbata poizoni poizoni), pathologies lolemera (chibayo yaikulu, udindo mphumu ndi ena). Ambiri ankachita kupereka kuwatsitsimula ntchito njira hardware. Kugwiritsa ntchito makina basi amakhala kuwombola mpweya mu mapapo kwa nthawi yaitali. Ndi mpweya - ngati muyeso mwadzidzidzi - kuyatsa zinthu maziko monga kumira, asphyxia (suffocation), sitiroko (dzuwa kapena kutentha), ngozi magetsi, poizoni. Zikatero, nthawi zambiri amachita ntchito yokumba kupuma expiratory njira: pakamwa pakamwa kapena mphuno.

Patency pa mundawo kupuma

index Ichi ndi chikhalidwe zofunika kwa mpweya wabwino mogwira mtima. Choncho, pamaso kutsatira njira expiratory kofunika kupereka ufulu mpweya permeability pa mundawo kupuma. Kunyalanyaza zimenezi kumabweretsa inefficiency njira mpweya pakamwa pakamwa kapena mphuno. Osauka permeability zambiri zimayamba ndi kum'mamatira wa epiglottis ndi lilime. Zimenezi, ndi chifukwa zosangalatsa a minofu masticatory ndi mandibular kosangalatsa mu chikhalidwe wodwalayo ali chikomokere. Kubwezeretsa patency a wovulalayo chitaya mmbuyo mutu wake ngati kuli kotheka - mu anaweramuka msana ndi occipital olowa. Pankhaniyi, kukankha nsagwada m'munsi kotero kuti chibwano wake anali mu malo ambiri okwera. Pakuti epiglottis umayamba mwa pharynx anakhudzidwa yokhota kumapeto ritsa.

kuyambirira mpheto

Pali ndondomeko kotsimikizika kuwatsitsimula kubwezeretsa yachibadwa kupuma wovulalayo. Choyamba munthuyo ayenera kuikidwa pa nsana wanu horizontally. M'mimba, chifuwa ndi khosi ndi osapatsidwa kulepheretsa zovala: kumasula chimango, kuchotseratu lamba ndi kolala. M'kamwa mwa wovulalayo ayenera kumasulidwa ku vomitus, ntchofu, malovu. Komanso, kuvala korona dera dzanja limodzi, wachiwiri umaperekedwa ndi khosi ndi kuponyera mmbuyo mutu wake. Ngati wovulalayo kwambiri clenched chibwano, Kankhani m'munsi, akukankha m'mphambano za index ake zala.

Development wochita

Ngati CPR imagwiridwa pakamwa ndi mphuno, pakamwa wovulalayo ayenera kutsekedwa ponyamula nsagwada m'munsi. Amathandizanso, mokoka mpweya wambiri, chimakwirira milomo ya mphuno wodwala ndi kutulutsa mwamphamvu. Pamene ntchito kanthu zina za phwando lachiwiri. Ngati CPR amachitidwa pa kamwa, ndiye anatseka mphuno wovulalayo. Kutulutsa kupereka thandizo chikuchitika pa kamwa, ataphimbidwa ndi mpango ndi. Zitatha izi chiyenera kungokhala chete kupulumuka kwa mpweya m'mapapo a mtima. Kuchita izi mphuno ndi m'kamwa otsegula pang'ono. Panthawi imeneyi, kupereka thandizo amachotsa mutu wake mbali ndi kuwapanga 1-2 mpweya yachibadwa. Muyeso kwa mpheto olondola a ulendowu kuchita (zoyenda) pachifuwa anakhudzidwa maselo mpweya yokumba ndi pamene mpweya chabe. Popeza zoyenda ayenera kuzindikira ndi kuthetsa chifukwa. Zimenezi zingakhale osakwanira permeability njira, buku ka otaya zokula mpweya, ndi wosauka kusindikiza pakati pa mphuno / m'kamwa mwa munthuyo komanso m'kamwa WOPEREKA chisamaliro.

Kuti mudziwe zambiri,

Mkati mphindi imodzi pafupifupi m'pofunika kuchita 12-18 mpweya. Nthawi mwamsanga, mpweya ikuchitika ntchito "Buku makina." Mwachitsanzo, tingathe kukhala thumba lapadera limene limaoneka mu mawonekedwe a mphira kudziletsa kuwonjezera chipinda. Iwo ali vavu yapadera yomwe imapereka kulekana kwa ukubwera ndi ochezeka chabe Mpweya. Ngati ntchito m'njira imeneyi akhoza kukhala mpweya kuwombola kwa nthawi yaitali.

kutikita mtima

Monga zinanenedwa pamwamba, pali njira mwachindunji kapena mozungulira kukonzanso ntchito thupi. Zikatero, chifukwa psinjika za mtima pakati pa msana ndi sternum magazi kumachitika mu mtsempha wamagazi m'mapapo mwanga kuchokera ventricle chabwino ndi kuchokera kumanzere - bwalo lalikulu. Zimenezi zimabweretsa kubwezeretsa mphamvu ya ubongo ndi mitsempha inatsekeratu. Nthawi zambiri, ndi abwino resumption za mtima. Pachifuwa compressions chofunika pamene mwadzidzidzi amasiya kapena chiwalo kuwonongeka mlingo. Izi zikhoza kukhala mtima kumangidwa kapena yamitsempha yamagazi fibrillation odwala ndi magetsi, matenda a mtima ndi zinthu zina. Akamaona kufunika kogwiritsa ntchito compressions pachifuwa ayenera kuganizira angapo zizindikiro. Makamaka miyezo resuscitative ikuchitika pa kutha mwadzidzidzi kupuma, pakalibe ndi carotid mtsempha wamagazi zimachitika, mydriasis, imfa ya chikumbumtima, chitukuko cha khungu paleness.

chofunika

Kawirikawiri, kutikita, mudayamba m'nyengo yoyambirira pambuyo kuima kapena kuwonongeka kwa mtima, ndi othandiza kwambiri. Chofunika kwambiri ndi nyengo kenako mpheto chinayamba. Choncho, kuwatsitsimula pa kukomoka, ikuchitika ukangotha yatsoka zotsatira zake zoposa kanthu pambuyo mphindi 5-6. Bwino anaphedwa mwai amakulolani kubwezeretsa ntchito za thupi ndi msanga. Pamene nthawi zina, pali ndondomeko zina za kuwatsitsimula. Chidziwitso cha njira ya compressions pachifuwa kulola mwadzidzidzi Kupulumutsa moyo.

Development wochita

Musanayambe kugwira kuwatsitsimula, wozunzidwayo adzaikidwe pa pamwamba molimba kumbuyo. Ngati wodwala mu bedi, pakalibe kama mwakhama kosangalatsa wake pansi. Wozunzidwayo chachoka ku zovala lakunja, vula lamba. Mfundo yofunika ndi malo olondola manja mpulumutsi wake. kanjedza aikidwa lachitatu m'munsi mwa chifuwa, anaika pamwamba pa wachiwiri. Onse manja akhale molunjika pa elbows lapansi. miyendo ndi perpendicular pamwamba pa sternum lapansi. Komanso, kanjedza akhale mochuluka monga boma unbent mu dzanja olowa - ndi zala anamuukitsa. Mmalo awa, kukakamiza sternum wachitatu m'munsi gawo choyambirira cha pachikhatho cha imagwiridwa. Imachepa kuimira jerks mofulumira sternum lapansi. Pakuti kuwongola manja ake wachotsedwa padziko nthawi iliyonse atolankhani. mphamvu wofunikila kuchimwa kwa sternum 4-5 masentimita amaperekedwa osati ndi manja ake, komanso kulemera kwa mpulumutsi wa. Pa nkhani imeneyi, ngati wovulalayo atagona pa bedi kapena kama, ndiye kuthandiza bwino kuyima pa choyikapo. Ngati wodwala pansi, mpulumutsiyu simudzavutika pa mawondo. Pafupipafupi compressions - 60 zikwapu pa mphindi. Mu nkhani ya makhalidwe kufanana mtima kutikita ndi mpweya wabwino ndi anthu awiri pa mpweya wopangidwa 4-5 amakankhira mu bere, 1 munthu - 2 mpweya kwa 8-10 compressions.

Komanso

Mphamvu ya mpheto kufufuzidwa osachepera 1 nthawi mphindi. Muyenera nthawi yomweyo kulabadira kugunda kwa mtima m'dera la mitsempha carotid, mmene ana ndi pamaso pa kupuma lachibadwa, kuthamanga magazi ndi utachepa cyanosis kapena paleness. Pamaso pa kuwatsitsimula zokhudza zipangizo ndi lowonjezera intracardiac kulowetsedwa a 1 ml ya 0,1% Epinephrine kapena 5 ml ya khumi peresenti njira ya mankhwala enaake calcium. Nthawi zina, ayambe contractile mphamvu ya thupi chingapezeke mwa nkhonya lakuthwa ku likulu la sternum lapansi. Pa kudziwika fibrillation yamitsempha yamagazi ntchito Makina amenewa. Kuchotsa kuwatsitsimula kumachitika mu mphindi 20-25 pambuyo pa chiyambi, pakalibe chifukwa mpheto.

zosokonezeka zotheka

Chotsatira ambiri compressions pachifuwa ndi zikukhudza nthiti. Ovuta kwambiri kupewa izi akuvutika okalamba chifukwa cha pachifuwa awo si monga supple mofewa monga odwala wamng'ono. Kamodzikamodzi zikuchitika kuwononga mtima ndi mapapo, utaphulika za m'mimba, ndulu ndi chiwindi. zosokonezeka izi zili zotsatirapo za mpheto ndi mwaukadaulo dosing lolakwika ndi kuthamanga thupi sternum lapansi.

imfa akuoneka

Nthawiyi imatengedwa siteji ya nafa ndi kusintha. Iye limodzi ndi kutha kwa mawonetseredwe kunja moyo wa munthu: kupuma, kugunda kwa mtima. Koma si chikhomo inasinthiratu mu zimakhala ndi ziwalo. Childs, nthawi ya nyengo ya mphindi 5-6. Panthawi imeneyi, ntchito kuwatsitsimula angathe kubwezeretsa ntchito kwambiri. Pambuyo nthawi zimenezi zinayamba kusintha sizingasinthe. Iwo limanenedwa ngati boma la imfa kwachilengedwenso. Pankhaniyi sikutheka kukwaniritsa kuchira bwino cha ziwalo ndi kachitidwe. Nthawi kukomoka zimadalira kutalika ndi mtundu wa kufa, thupi kutentha, zaka. Mwachitsanzo, pamene ntchito hypothermia yokumba kwambiri (kutsitsa T digiri 8-12) nthawi akhoza ziwonjezeke kwa maola 1-1.5.