Defibrillator: momwe mungagwiritsire ntchito defibrillator yamtima?

Chaka chilichonse, anthu 40 amakhudzidwa ndi kumangidwa kwa mtima ku France, ndi omwe amapulumuka posalandira chithandizo chofulumira cha 000% yokha. M'malo okhala ndi zotetezera zakunja zokha (AEDs), chiwerengerochi chitha kuchulukitsidwa ndi 8 kapena 4. Popeza 5, aliyense angathe ndipo ayenera kugwiritsa ntchito AED, ndipo malo ambiri owonekera ali nawo.

Kodi defibrillator ndi chiyani?

Kodi kumangidwa kwamtima ndi chiani?

Wogwidwa pamtima samadziwa kanthu, samayankha, ndipo samapumanso (kapena kupuma mwachilendo). Mu 45% ya milandu, kumangidwa kwamtima kumachitika chifukwa cha ma fibrication amitsempha yamagetsi omwe amadziwonekera pomenya mwachangu komanso mwachangu. Mtima sungathenso kugwira ntchito yake yotulutsa magazi ku ziwalo, makamaka ubongo. M'milandu 92%, kumangidwa kwamtima kumakhala koopsa ngati sikusamaliridwa mwachangu kwambiri.

Chowonongera, potulutsa mphamvu yamagetsi ku minofu yolimbitsa thupi, chitha kupatsanso mphamvu maselo amtima kuti mtima uyambe kugunda pamlingo woyenera.

Kupanga kwa defibrillator yakunja (AED)

AED ndi jenereta yamagetsi yamagetsi yomwe imagwira ntchito pawokha. Lili ndi:

  • chipika chamagetsi chomwe chimapangitsa kuti izitha kupereka mphamvu yamagetsi yanthawi yayitali, mawonekedwe ndi mphamvu;
  • ma elekitirodi awiri otakasuka komanso osalala kuti apereke magetsi kwa wozunzidwayo;
  • Chida choyamba chokhala ndi lumo, lumo, ma compress.

Makina osokoneza bongo akunja ndi awa:

  • kapena semi-automatic (DSA): amasanthula zochitika zamtima ndikulangiza wogwiritsa ntchito zoyenera kuchita (kuyendetsa magetsi kapena ayi);
  • kapena zodziwikiratu (DEA): amasanthula zochitika zamtima ndikudziyendetsa okha ngati kuli kofunikira.

Kodi defibrillator imagwiritsidwa ntchito bwanji?

Ntchito ya AED ndikuwunika zochitika zamagetsi zamkati mwa mtima ndikusankha ngati kuli koyenera kuyambitsa magetsi. Cholinga cha kugwedezeka kwa magetsi ndikubwezeretsa zochitika zabwinobwino mu minofu yamtima.

Kutsekemera kwa mtima, kapena kusintha kwa mtima

The defibrillator imazindikira mtima wam'mimba ndikuyisanthula: ngati ndi yamitsempha yamagetsi, imavomereza kugwedezeka kwamagetsi komwe kumayesedwa mwamphamvu komanso kwakanthawi malinga ndi magawo osiyanasiyana, makamaka kulimbana kwa thupi ndi zomwe zikuchitika pano. wa wovulalayo (impedance yake).

Mphamvu yamagetsi yoperekedwa ndiyofupikitsa komanso yamphamvu kwambiri. Cholinga chake ndikubwezeretsa mgwirizano wamagetsi mumtima. Kutsekemera kumatchedwanso kutaya mtima.

Anthu okhudzidwa kapena omwe ali pachiwopsezo

Defibrillator iyenera kugwiritsidwa ntchito ngati wovutikayo sakumva ndipo sakupuma (kapena moipa kwambiri).

  • Ngati wovulalayo sakumva koma akupuma bwinobwino, sikumangidwa kwamtima: ayenera kuyikidwa m'malo otetezeka (PLS) ndikuyitanitsa thandizo;
  • Ngati wozunzidwayo amadziwa ndipo amadandaula za kupweteka pachifuwa, kaya akutulutsa manja kapena mutu, ndi mpweya wochepa, thukuta, kupindika kwambiri, kumva kunyansidwa kapena kusanza, mwina matenda a mtima. Muyenera kumutsimikizira ndikupempha thandizo.

Kodi defibrillator imagwiritsidwa ntchito bwanji?

Kuyambiranso kwa mboni kumangidwa kwamtima kumawonjezera mwayi wopulumuka kwa omwe akuzunzidwa. Kuwerengera mphindi iliyonse: mphindi imodzi yotayika = 10% yocheperako mwayi wopulumuka. Chifukwa chake ndikofunikira kutichitanipo kanthu msanga ndi osachita mantha.

Nthawi yogwiritsa ntchito defibrillator

Kugwiritsira ntchito defibrillator sichinthu choyambirira kuchita mukamawona kumangidwa kwamtima. Kubwezeretsa mtima kuyenera kutsatira njira zina kuti muchite bwino:

  1. Itanani ntchito zadzidzidzi pa 15, 18 kapena 112;
  2. Onani ngati wovutikayo akupuma kapena ayi;
  3. Ngati sapuma, ikani pamalo athyathyathya, olimba ndikuyamba kutikita minofu ya mtima: kusinthana kwapangidwe 30 ndi kupuma kawiri, pamiyeso ya 2 mpaka 100 pamphindi;
  4. Nthawi yomweyo, yatsani chosinthira ndikutsatira malangizo operekedwa ndi kuwongolera mawu, kwinaku mukupitiliza kutikita minofu ya mtima;
  5. Yembekezani thandizo.

Momwe mungagwiritsire ntchito defibrillator?

Kugwiritsa ntchito kwa defibrillator kumatha kupezeka kwa aliyense popeza malangizowo amaperekedwa pakamwa panthawi yolowererapo. Mwachidule lolani kuti muzitsogoleredwa.

Chinthu choyamba kuchita ndikutsegula chipangizocho, podina batani loyatsa / kutseka kapena kungotsegula chivundikirocho. Kenako a chitsogozo cha mawu amatsogolera wogwiritsa ntchito pang'onopang'ono.

Kwa akuluakulu

  1. Onetsetsani kuti wogwidwayo sakugona pansi pamadzi kapena chitsulo;
  2. Vulani mutu wake (dulani zovala zake ngati kuli kofunikira ndi lumo kuchokera ku chida choyamba). Khungu siliyenera kukhala lonyowa kapena laubweya kwambiri kuti maelekitirodi azitsatira bwino (ngati kuli kofunikira, gwiritsani lumo lothandizira choyamba);
  3. Chotsani maelekitirodi ndi kulumikiza iwo ndi chipika magetsi ngati sanachite kale;
  4. Ikani ma elekitirodi monga akuwonetsera mbali zonse za mtima: elekitirodi imodzi pansi pa kansalu kolondola kumanja ndipo yachiwiri pansi pa mkono wakumanzere (mphamvu yamagetsi imatha kudutsa minofu ya mtima);
  5. Wopumulira amayamba kusanthula kugunda kwa mtima kwa wovutikayo. Ndikofunikira kuti musakhudze wovutikayo pakuwunika kuti musasokoneze zotsatira. Kuwunikaku kubwerezedwa mphindi ziwiri zilizonse pambuyo pake;
  6. Zotsatira zakusanthula zikulimbikitsa, kugwedezeka kwamagetsi kumayendetsedwa: mwina ndi wogwiritsa ntchito yemwe amachititsa mantha (ngati AEDs), kapena ndi defibrillator yomwe imayendetsa yokha (pankhani ya AEDs). Mulimonsemo, chisamaliro chiyenera kuchitidwa kuti muonetsetse kuti palibe amene akukhudzana ndi wozunzidwayo panthawi yovutitsidwayo;
  7. Osachotsa makina opumira ndi kudikirira kuti akuthandizeni;
  8. Ngati wovulalayo wayamba kupuma pafupipafupi koma akukomabe, muikeni mu PLS.

Kwa ana ndi makanda

Njirayi ndi yofanana ndi ya akulu. Ena otetezera makina ali ndi mapadi a ana. Popanda kutero, gwiritsani ntchito ma elekitirodi akuluakulu powayika pamalo oyambira kumbuyo: m'modzi kutsogolo pakati pa chifuwa, winayo kumbuyo pakati pamapewa.

Kodi mungasankhe bwanji defibrillator yoyenera?

Zoyenera kuganizira posankha AED

  • Kukonda mtundu wodziwika m'makampani othandizira oyamba, CE yotsimikizika (EU lamulo 2017/745) ndikutsimikiziridwa ndi wopanga;
  • Kuzindikira kugunda kwa mtima kwama 150 microvolts ochepa;
  • Kukhalapo kwa chithandizo cha kutikita minofu ya mtima;
  • Mphamvu zadzidzidzi zomwe zimasinthidwa kukhala zosasinthika za munthuyo: kugwedezeka koyamba kwama joule 150, zodabwitsa izi mwamphamvu kwambiri;
  • Mphamvu yamagetsi yabwino (batri, mabatire);
  • Kusintha kosasintha malinga ndi malangizo a ERC ndi AHA (American Heart Association);
  • Kutha kwa kusankha chilankhulo (chofunikira m'malo owerengera alendo).
  • Ndondomeko yachitetezo ku fumbi ndi mvula: IP 54 yocheperako.
  • Mtengo wogula ndi kukonza.

Kodi mungayambitsire otani?

Makina otsegulira kunja kwachidziwikire akhala chida chamankhwala cha m'kalasi lachitatu kuyambira 2020. Iyenera kupezeka mosavuta osachepera mphindi 5 ndikuwonetsedwa ndi zikwangwani zomveka. Kukhalapo kwake ndi malo ake ayenera kudziwika kwa anthu onse omwe akugwira ntchito munyumba yomwe ikukhudzidwa.

Kuyambira 2020, mabungwe onse omwe amalandira anthu opitilira 300 ayenera kukhala ndi AED, ndipo pofika 2022, mabungwe ena ambiri adzakhudzidwanso.

Siyani Mumakonda