He aha mēnā ka mutu ohorere te ngākau? Mō te defibrillator whakaora ora

Kua kite pea koe i tēnei i runga i te pouaka whakaata, i roto rānei i te kiriata, ina ngaro whakarere te mārama o te tangata, ka hinga ki te whenua, ka oma atu ngā tākuta, ngā nēhi rānei, ka whakatakoto i ngā taputapu rino e rua ki runga i tōna uma, ka karanga "Kāore!" ka hoatu he ru hiko ki a rātou. Koinei te mea e kiia nei e mātou he defibrillator. Engari ehara i te mea he mīhini anake e hoatu ana i te ru. He mea hanga hei whakaora i te ora o te tangata e tata ana ki te mate. Nō reira, i tēnei rā ka kōrero tātou mō tēnei taputapu tino nui i roto i te huarahi māmā e taea ai e koe te mārama.

He aha te tikanga o te defibrillator?

Whakaarohia tō tātou ngākau he motuka iti e mahi ana i roto i tētahi manawataki. He pūnaha tohu hiko tōna hei whakahaere i tana mahi. I ētahi wā, nā te hapa o tēnei pūnaha tohu hiko, ka mutu te patu o te ngākau i te manawataki tika, ka tīmata te rere. Ka kiia tēnei he manawataki ngākau rerekē, he arrhythmia rānei.

O ēnei arrhythmias, e rua ngā mea tino morearea, ā, ka tere tonu te mate. Ko te Ventricular Tachycardia (ina kore te manawa e patupatu) me te Ventricular Fibrillation . I roto i ngā āhuatanga e rua, kāore ngā rūma o raro o te manawa (ventricles) e pupuhi tika, engari e wiri noa iho. Ka taea e tēnei te aukati katoa i te pupuhi toto ki te tinana, inā koa te roro, ā, ka mate pea i roto i ngā meneti.

Ko wai e hiahia ana ki tētahi defibrillator? He aha ngā momo defibrillator?

I te nuinga o te wā, mēnā ka puta he āhuatanga ohorere pēnei i roto i te hōhipera, ka whakamahia tonutia e ngā tākuta he defibrillator. Ināianei, i roto i ngā wāhi tūmatanui maha, pērā i ngā taunga rererangi me ngā toa hokohoko nui, he momo defibrillator ka taea e te katoa te whakamahi. Ka kiia ko te Automated External Defibrillator (AED) .

Heoi, he nui ake te mōrearea o ētahi tāngata ki te whakawhanake i tēnei arrhythmia morearea. Hei tauira, ko tētahi kua pāngia e te mate manawa o mua, he ngoikore rānei tōna manawa. Mō ēnei tāngata, he taputapu whakaiti i te tere o te manawa ka taea e rātou te kawe i ngā wā katoa.

Kia mārama tātou ki ēnei momo.

He aha te āhua o te ru defibrillator?

Kāore he mamae o te ohorere mai i tētahi taputapu whakamāmā manawa whaiaro, pērā i te ICD. Engari i ētahi atu wā, ka rite ki te mea kua whanahia koe e tētahi ki te uma . Heoi, i taua wā tonu, ko te whakaora i te ora te mea nui rawa atu.

He aha ngā mahi hei whakamahi i te defibrillator?

Whakaarohia kua hinga ohorere tetahi i tō rohe. Ko te mea tuatahi me mahi e koe ko te waea atu ki te 1990 Suwaseriya Ambulance Service . Kātahi, ki te mea kua whakangungua koe, me tīmata e koe te CPR (Cardiopulmonary Resuscitation) . I taua wā, ki te mea he AED kei te taha, me mau mai e koe.

Anei te whakamahi i te defibrillator (ina koa he AED):

1. Haere tonu te CPR: Ki te taea, haere tonu te CPR kia rite rā anō te defibrillator. Ko te whāinga o te CPR he pupuri i tētahi taumata o te rere o te toto ki te roro me ētahi atu okana.

2. Waihangahia he wāhi mō te tūroro: I te wā e tukuna ana te werohanga, kia tino mohio kei pā tetahi ki te tūroro, ki te moenga rānei e takoto ana te tūroro . Ki te kore, ka pāngia pea rātou e te hiko.

3. Whakatakotoria he Papa, he Papa rānei ki te Uma: E rua ngā papa, he papa whakarewa rānei, he rite ki te whakapiripiri, e piri ana ki te defibrillator. Me whakanoho ēnei ki ngā wāhi e rua i runga i te uma o te tūroro.

• Tuatahi: i raro i te pakihiwi matau.
• Ko tētahi: kei raro i te uma maui, ki te taha whakarara.
• Kei roto i ngā tapanga whakapiripiri e haere tahi mai ana me ngā AED he pikitia e whakaatu ana i te wāhi hei whakapiri i ngā papa. Ko ngā papa e whakamahia ana i ngā hōhipera ka whakatakotoria ki runga i te uma me te paninga o tētahi kirimi motuhake hei aukati i te wera o te kiri.

4. Tukua te ohorere:

• Mena he AED, ka tātari aunoa i te manawataki o te manawa, ā, ka mea "Me aro ki te ohorere." Kātahi ka tohutohuhia koe kia pēhi i te pātene.
• I te hōhipera, ka tirohia e te tākuta te manawataki o te mata tirotiro, ka whakatau ki te hoatu i tētahi ru, kātahi ka pēhi i ngā pātene o ngā hoe e rua i te wā kotahi.

I muri i te hoatutanga o te ru, ka mahi anō te tākuta, te kaiāwhina tuatahi rānei i te CPR mō te rua meneti pea . Kātahi ka tirohia mēnā kei te heke te pā o te manawa, ā, kei te hoki anō te manawa o te ngākau ki te āhua noa. Mēnā e tika ana, ka hoatu anō he ru me te CPR. I ētahi wā, ka hoatu hoki he rongoā pērā i te epinephrine , te amiodarone rānei hei āwhina i te whakahaere i te manawa o te ngākau.

He aha ngā painga me ngā mōrearea?

Tērā anō hoki ngā mōrearea. Ko te mōrearea nui ko te whakamahi i te defibrillator mō te manawataki o te ngakau rerekē . Me whakamahi noa te defibrillator mō te Ventricular Tachycardia (kāore he manawataki) me te Ventricular Fibrillation rānei. Mena ka tukuna he ru ki tētahi he rerekē te manawataki o te ngakau, ka taea e taua tangata te uru ki te Ventricular Fibrillation, ka mutu ai te ngakau.

Koia te take ka tātari aunoa ai ngā taputapu AED i te manawataki o te ngākau i mua i te tukunga o te ru. Ā, i ngā hōhipera, ko te tākuta whakangungu anake te kaiwhakatau i tēnei.

Te whakaoranga me te oranga kei mua

He haerenga roa te whakaoranga mai i te hopukanga ohorere o te ngakau me te defibrillation, ā, ka roa pea mō ngā marama, tae noa ki ngā tau . Ehara i te mea ka pai ake i roto i te rā kotahi, e rua rānei.

• Te mamae tinana: I te wā o te CPR, ka whati pea ngā wheua o te uma (ngā rara). Ka roa te wā e ora ai te mamae. Tērā pea ka tino ngenge, ka uaua ki te hikoi, ā, tera pea ka haurangi.
• Te whakaora tinana me te whakaora mahi: He maha ngā tāngata ka uaua ki te hoki ki te mahi me te mahi i ngā mahi o ia rā. Nō reira, me whai maimoatanga pēnei i te whakaora mahi me te whakaora tinana.
• Pānga hinengaro: He roa te wā e ora ake ai te hinengaro i muri i te pāngia e tēnei momo wheako.

Mena he ICD tāu, he mea nui kia toro atu koe ki tō tākuta i ia wā, kia mōhio ai kei te pai te mahi. Ko te pākahiko o tō ICD me whakakapi i ia rima tau pea. He mea nui anō hoki kia tangohia ngā rongoā e tohua ana e tō tākuta kia tika, kia tika hoki te wā.