Uncedo lokuqala ukusilela intliziyo. uncedo ngexesha likaxakeka zokuma yequbuliso

zokuma kwenzeka xa imisipha intliziyo ayeke ukusebenza. Amaninzi, oku kubandakanya ukufa komntu. Kodwa xa ecaleni babeyeka ukuba ibe ngumntu phantsi amandla ukuqhuba bazamile, mhlawumbi, ixhoba uya kusindiswa. Uncedo zokuma kufuneka ngoko nangoko, ngenxa yokuba kukho kwimizuzu embalwa ngaphambi kokuba ubuchopho ngenxa ekuyekeni igazi liya kuyeka ukuba umsebenzi, uze emva koko kuza ukufa ekuthiwa nentlalo. Kulo mzekelo, kusekho ithuba ukubuyisela intliziyo kunye nemiphunga, kodwa ityala ezingqondweni ixhoba akakwazi, mhlawumbi, kakade, nkqu oogqirha kakhulu.

Kutheni khona ukusilela intliziyo?

uncedo lokuqala iza kuba efanayo kungakhathaliseki izizathu ukuba lifikile isimo esinjalo. Kodwa yintoni na kwenzeka ukuba uyeke intshukumo ngempumelelo zentliziyo? Le mfuneko ukwazi wonke. Isizathu - fibrillation ventricular. Le yimeko apho kukho yindibanisela umbhodamo Imisonto kwezihlunu ezindongeni ventricles, nto leyo ebangela kukuphazamiseka yonikezelo igazi ancedisana amalungu. Esinye isizathu - asystole ventricular - kule meko umsebenzi wombane myocardium uvinjwa ngokupheleleyo.

isifo Uqhaqho kwimithambo, ventricular hypertrophy ngasekhohlo, lwegazi, yamafutha - nayo ubungozi enokuba negalelo ekupheliseni ukusebenza ngempumelelo umzimba omkhulu womntu. Kwakhona zokuma kwenzeka ngenxa ventricular tachycardia, xa izitya ezinkulu kungekho ukubetha, okanye ngenxa dissociation electromechanical, xa kukho umsebenzi yombane intliziyo khona yindibanisela engqinelanayo lwe ventricles (ie akukho msebenzi ngoomatshini). Kusekho ngezifo ezifana syndrome Romano-Ward, nto leyo lu dityanisiwe ungenxa ventricular fibrillation - isenokuba yiyo isizathu sokuba kukho zokuma ngequbuliso.

uncedo lokuqala ezifunekayo kwezinye iimeko nakwabo bantu ongabanga iingxaki zempilo yangaphambili.

isenzo ngaphandle

Intliziyo ithe bayeke ngenxa yokuba:

• emzimbeni (xa ubushushu bomzimba iwela ngaphantsi kweqondo 28);
• ugesi (umz, ezile umbane okanye kukothuka);
• samkela kakhulu mali blocker, glycosides senhliziyo okanye indlela Ukubulawa;
• yokunqongophala kwe-oksijini (umzekelo, kurhaxwa, ukomiwa);
• ukopha kunye nokothuka anaphylactic.

Indlela ukufumanisa ukupheliswa yentliziyo

Xa imisipha intliziyo ayeke ukusebenza, wafumana mpawu zilandelayo:

• Ukulahlekelwa osezingqondweni - kufika phantse nangoko emva zokuma, engadlulanga kwimizuzu emihlanu. Ukuba umntu akanayo ukuphendula nayiphi ziyakhuthazeka, ngoko ke zingqondweni.
• Ukumisa ukuphefumla - kule meko akukho ntshukumo esifubeni.
• Akukho yama- endaweni kwemithambo carotid - oko ubonwe kwindawo lengqula, intshi ezimbini okanye ezintathu ecaleni kwakhe.
• Intliziyo ukumamela izandi.
• Ulusu uba ithinti sakuba okanye oluhlaza.
• abafundi inimba - ingafunyanwa ngokuphakamisa ijwabu ongentla iliso abachaphazelekayo angena. Ukuba ulwalathiso umfundi lo iingqameko ukukhanya, oko ingakrokreleka ukuba kwakukho zokuma ngequbuliso. aid Emergency kulo mzekelo unako ukusindisa ubomi.
• Amahlaba - kunokwenzeka ngexesha lokulahlekelwa sezingqondweni.

Zonke ezi mpawu lubonisa imfuneko yokurhaxwa engxamisekileyo.

Asikwazi ungalibali!

Ukuba kufutshane umntu intliziyo sele wayeka, eyona nto ibalulekileyo ukuba kufuneka wenze - ukwenza ngokukhawuleza. Kukho imizuzu nje embalwa ukuzama ukugcina ixhoba. Ukuba uncedo zokuma bekukudala lufuneka, abagulayo, mhlawumbi yafa, okanye ubomi izohlala ogula. Ekhaya na umsebenzi wakho - ukubuyisela zokuphefumla izinga lentliziyo, kwakunye usebenzise inkqubo yokujikeleza kwegazi, kuba ngaphandle kwalo amalungu kubaluleke (ingakumbi ubuchopho) akakwazi ukusebenza.

Emergency Care zokuma kuyimfuneko apho loo mntu zingqondweni. Okokuqala potormoshite ngayo, zama ukubiza ngokuvakalayo. Ukuba indlela yi anayenza, ukuqala CPR. Ziquka zigaba eziliqela.

uncedo lokuqala ukusilela intliziyo. internal lokwenziwa

Okubalulekileyo! Musa ukulibala ukubiza nangoko inqwelo yezigulana. Oku kufuneka kwenziwe phambi kokuqalisa bazamile, kuba ke ngoko uya kuba nako uphazamiseke.

Ukuvula ngokuma, wabeka ixhoba umva kwindawo eqinileyo. Mouth, susa nantoni na ukuthintela eqhelekileyo ukuphefumla yabantu (ukutya, zitho, naziphi na amaqumrhu amazwe). intloko zaprokinte yesigulane emva ukuze kwesilevu wakhe uthe tye. Kulo mzekelo, emhlathini olusezantsi kuyimfuneko ukutyhalela phambili, hleze kubekho emuva ulwimi - kulo mzekelo, umoya ukungena emiphungeni endaweni esiswini; kwandule ke uncedo pre-zonyango kwi zokuma kwakuya ingaphumeleli.

Emva koko ngoko nangoko beqala ukuvelisa umoya 'umlomo emlonyeni ". Aliqhawule indoda impumlo ukungena emoyeni imiphunga, bamba umlomo wakho kunye nemilebe nexhoba, yenza nomphunga ezimbini elibukhali. Nceda qaphela ukuba kufuneka ngokupheleleyo yaye ixinene kakhulu baqubude imilebe yomguli, kungenjalo ke umoya nga kulahleka. Musa ukwenza phefumla nzulu kakhulu, okanye ngokukhawuleza ukudinwa. Ukuba internal lokwenziwa "umlomo kumlomo 'ngenxa yesizathu esithile na kunokwenziwa, sebenzisa indlela' umlomo-to-impumlo." Kulo mzekelo, isandla kufuneka uvale umlomo yexhoba ndize ndivuthele umoya emathatheni akhe.

Ukuba uncedo lwezonyango inikwa ngokuchanekileyo, ngexesha inspiratory iimbambo lo uza kuvuka, yaye ngelo xesha nomphunga ukusuka wamelwa kwi baphefumla - ukuze bawe. Ukuba ezi ntshukumo hayi kuyagcinwa, khangela ngokuma.

nokuphulula intliziyo

Kwangaxeshanye, internal ngumntu kufuneka wenziwe kwaye ucinezelo le Isifuba (compressions esifubeni). Enye manipulation ngaphandle omnye akayi ngqiqweni. Ngoko ke, emva kokuba kwenziwe Ukuphefumla ezimbini emlonyeni yexhoba, wabeka isandla sakhe sasekhohlo phezu ezantsi kwentamo embindini, kwaye ngesandla sokunene phezu ngasekhohlo abeke kwindawo emnqamlezweni. Kulo mzekelo, izandla kufuneka ngqo, angazange. Okulandelayo, baqale cofa ngesingqi phezu kwesifuba - oko kuya kubangela yindibanisela imisipha yenhliziyo. Kuyinto ngaphandle kokuthatha izandla zenu ukwenza elinesihlanu iintshukumo ngokucinezela ukucinezela ngesantya enye ngomzuzwana. Nge izakhi olufanelekileyo esifubeni kufuneka kuwa malunga ezintlanu iisentimitha - kule meko sinokuthi intliziyo ethwele zokumpompa igazi, oko kukuthi, ukususela igazi ventricle lasekhohlo ngalo aorta engena ingqondo, kwaye ukusuka ekunene - emiphungeni, apho saturation yayo oksijini. Ngelo xesha xa uxinzelelo kwentamo iyeka, intliziyo Wawuzalisa igazi kwakhona.

Ukuba massage kwenziwa umntwana yobudala pre-school, ngoku cinezela phantsi intshukumo esifubeni kufuneka kwenziwe index neminwe naphakathi icala, ukuba umfundi - ngesinye isandla. inkathalelo eyodwa kufuneka anikwe uncedo lokuqala abadala inhliziyo. Ukuba amandla elikhulu kuxinzelelo kwentamo, oko kungonakalisa izibilini okanye hip zaphuka.

kuqhubekayo CPR

Ukuphefumla umoya Phinda kunye compressions isifuba kufuneka nje ixhoba lo ukuphefumla, yaye akuyi kuqalisa ukuba ukubetha uvalo. Ukuba zoncedo lokuqala zokuma nje ezimbini zabantu, kuyimfuneko ukuba abele iindima ngolu hlobo: Umntu omnye ngokwenza enye impefumlo umoya emlonyeni okanye impumlo yomguli, uze uvelise a compressions ezintlanu yesibini kwentamo. Ke izenzo ziphindwa.

Ukuba, nge bazamile ukuphefumla yaphila, kodwa ukubetha yayingekho ubonwe, kufuneka uqhubeke yokuthanjiswa kwentliziyo, kodwa ngaphandle umoya. Ukuba bekukho ukubetha kwentliziyo, kodwa umntu wayengasaphefumli, kufuneka siyeke yokuthanjiswa uze wenze kuphela nokuphefumla ngumntu. Xa kunjalo, ukuba ixhoba ukuphefumla, yaye waba ukubetha kwentliziyo, CPR kufuneka simiswe de kufike ugqirha esweni ngokusondeleyo imeko yesigulane. Makungaze naphantsi kwazo naziphi na iimeko ufanele uzame ukuya indoda eyabonakala iimpawu zokuma. Oku kungenziwa kuphela emva kokuba Ukubuyiselwa umzimba kunye kumashini ngokumphefumlela ekhethekileyo.

Nokulunga bazamile

Vavanya indlela inhliziyo zoncedo lokuqala ukunqunyanyiswa linikiwe, ngolu hlobo lulandelayo:

• Ukuba uvalo sazi kwi carotid, iphiramidi ebonisa unxibelelwano kunye yegazi femoral.
• wegazi kufuneka kwandiswa ukuya 80 mm.
• Abafundi kufuneka baqale zivaliweyo, bayakuphila zasabela kwizivuseleli ukukhanya.
• Isikhumba kufuneka uthenge umbala oluqhelekileyo kuphela endaweni pallor kunye cyanosis.

Xa ukuyeka bazamile

Ukuba, emva kokuba ukuphululwa isiqingatha seyure-umsebenzi yokuphefumla kunye nomsebenzi intliziyo ixhoba ihlaziywe, kwaye abafundi bahlala inimba yaye akazange acinge ekukhanyeni, singatsho ukuba uncedo lokuqala zokuma akazange kungakhokelela umphumo ndilindelwe umntu sele ingqondo yomntu sele yenzekile vuhlayiseki. Kulo mzekelo, imigudu ezinye yokurhaxwa zizinto ezingento nje. Ukuba iimpawu Avelile phambi kokuphela kwexesha imizuzu-amathathu, iyunithi labagula kakhulu, unako uyeke kamsinyane.

Imiphumo zokuma

Ngokwe-manani bonke abantu kwabhalwa ekumeni umsebenzi kwentliziyo, ekhulwini 30 kuphela abasindayo. Kwaye ibuyela ubomi obuqhelekileyo kwaye ngaphantsi abachaphazelekayo. umonakalo noqhekeko empilweni kwabangelwa ikakhulu ngenxa yokuba i uncedo emva kwexesha lokuqala zonyango. Ngexesha zokuma, CPR ngokukhawuleza kubaluleke kakhulu. Nantso ke akhawuleza ukuvelisa indlela, ubomi isigulane kuxhomekeke. Le kamva iya kuphinde kuqaliswe umsebenzi kwentliziyo, kokukhona amathuba iingxaki ezinzulu. Ukuba oxygen ixesha elide anikelwe ukuba amalungu abalulekileyo, kukho ischemia, okanye yokunqongophala kwe-oksijini. Ngenxa yoko, umonakalo izintso, ingqondo, isibindi, nto leyo ke kakubi kuchaphazela ubomi bomntu. Ukuba compressions yokuthanjiswa bhokisi ukwenza kakhulu kunene, kunokwenzeka ukuba ndimaphule iimbambo okanye isigulane ukuba bamqumbise a pneumothorax.

Ekuphetheni

Ukwazi ukunika indlela zoncedo lokuqala zokuma, unako ukusindisa ubomi kwaye alondoloze impilo yakhe. Musa ngabandayo! Vuma, Bekumnandi ukwazi ukuba ndibulele kuwe umntu uya kukwazi ukuqhubeka bephila baze bonwabe yonke imihla!