Pamwe wakambozviona paTV kana mufirimu, kana mumwe munhu akangoerekana arasikirwa nepfungwa owira pasi, vanachiremba kana vanamukoti vanomhanya ndokuisa midziyo miviri yakaita sesimbi pachipfuva chavo, vodanidzira kuti "Clear!" vobva vavhundutswa nemagetsi. Ndiyo yatinodaidza kuti defibrillator. Asi haisi muchina chete unovhundutsa. Yakagadzirirwa kuponesa hupenyu hwemunhu ari pedyo nerufu. Saka, nhasi tichataura nezvemuchina uyu unokosha nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi defibrillator?
Funga nezvemoyo wedu semota diki inoshanda nemutinhimira wakati. Ine sisitimu yemagetsi yekushanda kwayo. Dzimwe nguva, nekuda kwekusashanda zvakanaka kweiyi sisitimu yemagetsi, moyo unomira kurova nemutinhimira wakakodzera wotanga kubhururuka. Tinoti izvi mutinhimira wemoyo usina kujairika, kana kuti arrhythmia .
Pama arrhythmia aya, kune maviri ane njodzi huru uye anouraya pakarepo. Ndiwo Ventricular Tachycardia (kana mwoyo usingarove) uye Ventricular Fibrillation . Muchidimbu, muzviitiko zvese, makamuri epasi emwoyo (ventricles) haapombi zvakanaka, asi anongodedera. Izvi zvinogona kumisa zvachose kupomba kweropa mumuviri, kunyanya uropi, uye rufu runogona kuitika mukati memaminitsi.
Ndipo panouya muchina we defibrillator kutibatsira. Chinoiitwa nemuchina uyu ndechekupa moyo simba rinodzorwa, richimisa kushanda kwemagetsi kusingatarisirwi uye richipa moyo mukana wekudzokera kuchimiro chawo chekare. Kutaura chokwadi, muchina we defibrillator 'unodzosa' moyo.
Ndiani anoda defibrillator? Ndeapi marudzi e defibrillators?
Kazhinji, kana dambudziko rakadai rikaitika muchipatara, vanachiremba vanoshandisa defibrillator nekukurumidza. Zvakare, ikozvino munzvimbo zhinji dzeveruzhinji, dzakadai senhandare dzendege nezvitoro zvikuru, kune rudzi rwe defibrillator inogona kushandiswa nemunhu wese. Inonzi Automated External Defibrillator (AED) .
Zvisinei, vamwe vanhu vari panjodzi huru yekubatwa nechirwere ichi chine njodzi. Semuenzaniso, mumwe munhu akamborwara nemoyo kana kuti ane moyo usina simba. Kune vanhu vakadaro, kune ma defibrillator emuviri avanogona kutakura nguva dzese.
Ngatinyatsoongorora mhando idzi.
| Rudzi rwe defibrillator | Tsananguro uye mashandiro |
|---|---|
| Otomatiki External Defibrillator (AED) | Idzi ndidzo dzinowanikwa munzvimbo dzeveruzhinji dzakadai senhandare dzendege, nhandare dzemitambo, uye nzvimbo dzezvitoro. Mudziyo uyu wakagadzirirwa kushandiswa nemunhu wese asina kudzidziswa nezvekurapa. Kana zvikwangwani zviviri zvaiswa pachipfuva chemurwere, muchina unoongorora kurova kwemoyo wosarudza kana uchida kuvhunduka. Kana uchida kuvhunduka, unopa mirairo yezwi yekuti ungazviita sei. |
| Chinopfekwa cheCardioverter Defibrillator (WCD) | Ichi chishandiso chinopfekwa pasi pembatya, sejekete. Masensa anobata ganda anogara achitarisa rhythm yemoyo. Kana paine arrhythmia ine njodzi, chishandiso ichi chinongoerekana chakonzera shock. Chiremba wako anogona kukurudzira ichi sechishandiso chenguva pfupi kune vanhu vari panjodzi yekubatwa nechirwere chemwoyo asi vakamirira kuti chiiswe zvachose. |
| Chinobvisa Kuora Kwemwoyo Chinoiswa Mukati (ICD) | Iyi ndiyo mhando inonyanya kushandiswa yemudziyo wekudzikisa mwoyo. Mudziyo mudiki uyu unoiswa pasi peganda rechipfuva panguva yekuvhiyiwa kudiki. Waya inobva pairi yakabatana nemoyo. Kufanana nemurindi anoiswa mumoyo, iyi ICD inotarisa mutinhimira wemoyo maawa makumi maviri nemana pazuva, mazuva manomwe pasvondo. Kana mutinhimira une njodzi ukaitika, inopa simba remagetsi rinodiwa kuti mwoyo udzorere kumamiriro akajairika. Kunyangwe yakafanana nepacemaker, kugona kweICD ndekwekuti inogona kupa simba iri rinoponesa hupenyu. |
Kuvhunduka kwe defibrillator kunonzwa sei?
Kuvhunduka kubva kumuchina wekuzvidzora muviri, wakadai seICD, dzimwe nguva hakurwadzi . Asi mune dzimwe nguva, zvinogona kunzwa sekunge mumwe munhu akukanha pachipfuva . Zvisinei, panguva iyoyo, kuponesa hupenyu ndicho chinhu chinonyanya kukosha.
Matanho api ekushandisa defibrillator?
Fungidzira kuti mumwe munhu anongoerekana adonha asina kuziva munharaunda yako. Chinhu chekutanga chaunofanira kuita kufonera Suwaseriya Ambulance Service ye1990 . Zvadaro, kana wakadzidziswa, unofanira kutanga CPR (Cardiopulmonary Resuscitation) . Panguva ino, kana paine AED iri pedyo, unofanira kuiunza.
Heino mashandisirwo e defibrillator (kunyanya AED):
1. Ramba uchipa CPR: Kana zvichibvira, ramba uchipa CPR kusvika defibrillator yagadzirira. Chinangwa cheCPR ndechekuchengetedza mwero weropa rine oxygen kuenda kuuropi nedzimwe nhengo dzemuviri.
2. Gadzira nzvimbo yakakomberedza murwere: Paunenge uchimupa shock, iva nechokwadi chekuti hapana ari kubata murwere kana mubhedha waari pauri . Zvikasadaro, vanogonawo kurohwa nemagetsi.
3. Isa Mapedhi kana Mapadhi paChipfuva: Kune mapedhi maviri akafanana neanonamira kana mapadhi esimbi akabatanidzwa pa defibrillator. Aya anofanira kuiswa munzvimbo mbiri dzakatarwa pachipfuva chemurwere.
- Chekutanga: pasi pefudzi rekurudyi.
- Imwe: pasi pezano rekuruboshwe, rakatarisa-tarisa.
- Masticker anouya neAED ane mifananidzo inoratidza pekuisa mapedhi. Mapedhi anoshandiswa muzvipatara anoiswa pachipfuva negel yakakosha inoiswa kudzivirira kupisa kweganda.
4. Kupa kuvhunduka:
- Kana iri AED, inoongorora yega rhythm yemoyo yobva yati "Shock advised." Zvadaro, inokuraira kuti udzvanye bhatani riri pairi.
- Muchipatara, chiremba anoongorora mutinhimira wemuchina, osarudza kuvhundutsa, odzvanya mabhatani ari pamapaddle ese ari maviri panguva imwe chete.
Mushure mekunge kurohwa nehana, chiremba kana mubatsiri wekutanga achaita CPR zvakare kwemaminitsi maviri . Zvadaro vachatarisa kana kurova kwemoyo kuri kuderera uye kurova kwemoyo kuri kudzokera pakare. Kana zvichidikanwa, vachapihwa imwe kurohwa nehana uye CPR. Dzimwe nguva, mishonga yakaita se epinephrine kana amiodarone inopiwawo kubatsira kudzora kurova kwemoyo.
Ndezvipi zvakanakira uye njodzi dzacho?
Chinhu chikuru uye chega chakanaka che defibrillator ndechekuti inogona kuponesa hupenyu . Kana shock ikagona kuitwa ne defibrillator mukati memaminitsi gumi ekutanga ekutanga kwe arrhythmias mbiri dzine njodzi dzandambotaura kare (VT neVF), mikana yekuponesa hupenyu yakanyanya.
Kunewo njodzi. Njodzi huru ndeyekushandisa defibrillator pakuita kuti mwoyo usashande zvakanaka . Defibrillator inofanira kushandiswa chete paVentricular Tachycardia (isina pulse) kana Ventricular Fibrillation. Kana munhu ane stroke yemoyo yakasiyana, inogona kukonzera kuti munhu iyeye apinde muVentricular Fibrillation, izvo zvinogona kukonzera kuti moyo wake umire.
Ndosaka michina yeAED ichiongorora otomatiki rhythm yemoyo isati yakonzera kuvhunduka. Uye muzvipatara, chiremba akadzidziswa chete ndiye anoita sarudzo iyi.
Kupora uye hupenyu huri mberi
Kupora kubva pakumira kwemwoyo kamwe kamwe uye kushaya simba kwemuviri rwendo rurefu runogona kutora mwedzi, kunyange makore . Hazvisi zvinhu zvinova nani muzuva rimwe kana maviri.
- Kusagadzikana kwemuviri: Munguva yeCPR, mapfupa epachipfuva (mbabvu) anogona kutyoka. Marwadzo anotora nguva kuti apore. Panogona kunge paine kuneta kwakanyanya, kunetseka kufamba, uye pamwe pfari.
- Kurapa nekurovedza muviri: Vanhu vazhinji vanogona kuomerwa nekudzokera kubasa nekuita mabasa ezuva nezuva. Saka, kurapwa kwakadai sekurapa nekurovedza muviri kunodiwa.
- Kukanganiswa kwepfungwa: Zvinotora nguva kuti pfungwa dzigadzirire mushure mekusangana nechiitiko chakadaro.
Kana uine ICD, zvakakosha kuona chiremba wako nguva nenguva kuti uve nechokwadi chekuti iri kushanda nemazvo. Bhatiri riri muICD yako rinowanzo fanira kuchinjwa anenge makore mashanu ega ega. Zvakakoshawo kutora mishonga yaunonyorerwa nachiremba wako zvakanaka uye nenguva.
Mharidzo Yekuenda Nayo Kumba
- Defibrillator chishandiso chinokosha chinogona kuponesa hupenyu nekugadzirisa mamwe maitiro emwoyo asina kujairika (arrhythmias) anotyisidzira hupenyu.
- Chainoita ndechekurova mwoyo nemagetsi, "kutangazve" mashandiro emagetsi akakanganisika uye kupa moyo mukana wekudzokera kuchimiro chawo chekare.
- Midziyo yeAED inowanikwa munzvimbo dzeveruzhinji inogona kushandiswa nemunhu wese asina kudzidziswa nezvekurapa nekutevera mirairo yezwi.
- Kana uri panjodzi huru nekuda kwechirwere chemwoyo, chiremba wako anogona kukurudzira mushonga unopfekwa (WCD) kana unopinzwa mu cardioverter defibrillator (ICD).
- Kana mumwe munhu akadonha akafa pamberi pako, chinhu chekutanga chekuita kufonera amburenzi ye1990 nekukasika.
- Kupora kubva pakumira kwemwoyo kamwe kamwe uye kurapwa kwe defibrillation rwendo rurefu. Mwoyo murefu, kutevera mazano echiremba, uye rutsigiro rwemhuri zvakakosha.
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