Khawuthelekelele uhamba esitratweni okanye uthenga kwivenkile enkulu aze umntu ngequbuliso alahlekelwe zingqondo aze awe phantsi. Xa ubaleka, ubona loo mntu engaphefumli, kwaye isifuba sakhe asibethi. Sonke sikubonile oku kwiimuvi, akunjalo? Emva koko oogqirha bayafika bafake umatshini esifubeni sakhe baze bamnike umothuko, baze babuye baphile. Olo nyango lusindisa ubomi esiza kuthetha ngalo namhlanje lunyango oluyi-defibrillation. Olu asilonyango nje kuphela, lunokuba ngumahluko omkhulu phakathi kobomi nokufa.
Yintoni i-defibrillation ngamazwi alula?
Ngamafutshane, i-defibrillation kukuhambisa umbane olawulwayo nochanekileyo entliziyweni. Ngoku usenokuba ucinga, " Wow , ngaba oku kuyamangalisa?" Ewe, kunjalo. Kodwa oku akwenzelwa ukwenzakalisa intliziyo, kukusindisa intliziyo.
Khawuthelekelele ikhompyutha yakho ixhoma ngequbuliso kwaye ingakwazi ukwenza nto. Senza ntoni ke ngoko? Siyiqalisa kwakhona, akunjalo? Yiyo loo nto. Xa intliziyo ingasebenzi kakuhle ngequbuliso kwaye ingakwazi ukupompa igazi ngokufanelekileyo, olu xinzelelo lombane lunikwa ukuze kumiswe intliziyo engasebenzi kakuhle okomzuzwana uze uyinike ithuba lokuqalisa ukusebenza ngendlela yayo eqhelekileyo kwakhona. Kufana "nokubuyisela" intliziyo.
Olu nyango lufuneka ngakumbi kwizingqisho ezimbini ezibulalayo zentliziyo ezibandakanya amagumbi asezantsi entliziyo, iiventricles.
1. I-Ventricular Tachycardia - I-Pulseless: Oku kulapho amagumbi asezantsi entliziyo eqala ukubetha ngokukhawuleza kakhulu, ngaphezulu kwe-100 beats ngomzuzu. Xa intliziyo ibetha ngokukhawuleza kangaka, ayinalo ixesha lokuzalisa igazi ngokufanelekileyo okanye ukulipompa emzimbeni. Emva kwexesha elithile, i-pulse ayibonakali.
2. I-Ventricular Fibrillation: Le yeyona nto ibangela ukuba umntu abanjwe yintliziyo ngequbuliso . Okwenzekayo apha kukuba endaweni yokuba ibethe kakuhle, izihlunu zentliziyo ziqala ukungcangcazela ngokungalawulekiyo. Zingcangcazela njengejeli, kwaye akukho gazi liphampulwayo. Ekubeni ingqondo nezinye izitho zingafumani gazi, umntu angafa kwimizuzu embalwa.
Kwimeko esongela ubomi efana nale, eyona ndlela ilungileyo yokusindisa ubomi bomntu kukusebenzisa i-defibrillation ngokukhawuleza. Umzuzwana ngamnye ubalulekile.
Ngubani ofuna olu nyango?
Olu nyango ludla ngokufuneka kwiindidi ezimbini zabantu. Eyokuqala, njengoko besitshilo ngaphambili, ngumntu ohlaselwa yintliziyo ngequbuliso aze aziswe esibhedlele, okanye umntu orhuqelwa ngaphandle kwindawo kawonke-wonke.
Elinye iqela ngabo basengozini enkulu yokuhlaselwa lolu hlobo lwentliziyo ebulalayo. Abantu abakhe bahlaselwa yintliziyo ngaphambili, abangasebenzi kakuhle kwentliziyo, okanye abaneengxaki zentliziyo ezibangelwa lufuzo banokuba semngciphekweni. Kubantu abanjalo, kukho izixhobo zokunciphisa ifibrillator abanokuzigcina kufutshane ngamaxesha onke.
| Uhlobo lweSixhobo | Ingaba isebenza kanjani |
|---|---|
| I-Cardioverter Defibrillator enxitywayo | Esi sisixhobo osinxiba phantsi kweempahla zakho, njengevesti. Iisensa ezikuso zichukumisa ulusu lwakho kwaye zihlala zijonga isigqi sentliziyo yakho. Ukuba kwenzeka isigqi esiyingozi, siyasibona ngokuzenzekelayo size sibangele ukubetheka kombane okufunekayo. |
| I-ICD (ICD) ye-ICD (ICD) | Esi sisixhobo esincinci esifakwa phantsi kwesikhumba sesifuba emva kotyando oluncinci. Iintambo ezivela kuso ziqhagamshelwe entliziyweni. Sifana ne-pacemaker, kodwa siphucuke ngakumbi. Sinokulawula isantya sentliziyo ukuba siyehla, kwaye sinokubona kwaye sinikezele ngombane osindisa ubomi ukuba siphuhlisa isigqi esiyingozi. |
Ukutshona ngombane okuvela kwi-ICD ngamanye amaxesha kungavakala ngathi akukho ntlungu, kwaye ngamanye amaxesha kungavakala ngathi yintlungu ebukhali, njengokukhaba esifubeni. Kodwa ngelo xesha, kungasindisa ubomi bakho.
Kwenzeka ntoni ngaphambi nangexesha lonyango lwe-defibrillation?
Khawuthelekelele umntu ngequbuliso erhuqwa aze aziswe kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele. Oogqirha kunye nabasebenzi bonyango bathatha inyathelo ngoko nangoko.
Ngaphambi konyango
Ide ide ilungele i-defibrillator, iqela lezonyango liza kuqhubeka nokubonelela nge-CPR (Cardiopulmonary Resuscitation) , oko kuthetha ukucinezelwa kwesifuba kunye nokuphefumla okwenziweyo.Ukuzama ukugcina ukuhamba kwegazi ukuya engqondweni nakwamanye amalungu omzimba ngokunika igazi.
Xa umatshini sele ulungile, ngaphambi kokuba umbane ufike, umntu ophetheyo ukhwaza kakhulu athi, "Sula!" Oko kuthetha ukuba "Wonke umntu ucocekile!" Ngelo xesha, akukho mntu ufanele achukumise isigulana okanye ibhedi esikuyo isigulana. Ukuba bayayichukumisa, umbane ungadlula emzimbeni waloo mntu, nto leyo ebangela ingozi.
Ngexesha lonyango
Esibhedlele, ugqirha ulandela la manyathelo.
| Inyathelo | Inkcazo |
|---|---|
| 1. Ukuncamathisela iiPaddles okanye iiPads | Izixhobo ezibini zesinyithi (iipaddles) okanye iipads ezinokuncamathiselwa njengezitikha zokuhambisa umbane zifakwa esifubeni sesigulana kwiindawo ezimbini ezithile. Esinye sibekwe ngaphantsi kwegxalaba lasekunene nesinye ngaphantsi kwengono yasekhohlo. Ukuthintela ukutsha kolusu, kufakwa ijeli eqhuba umbane kwezi zinto. |
| 2. Ukuhambisa umbane othuswe yimoto | Umatshini utshajwa ukuya kwinqanaba lamandla elifunekayo, kwaye ugqirha ucinezela amaqhosha kwi-pedals ezimbini ngaxeshanye. Iqhosha kumatshini elibizwa ngokuba yi-pad liyacinezelwa. Kule ndawo, umbane udlula esifubeni uye entliziyweni. |
| 3. Ukuvuselelwa kwentliziyo | Olu qhushumbo lombane luyekisa umsebenzi wentliziyo ongaqhelekanga nowokungcangcazela okomzuzwana. Oku kunika i-pacemaker yendalo yentliziyo ithuba lokulawula kwakhona kwaye iqale ukubetha ngesingqi esiqhelekileyo. |
Ii-AED kwiindawo zikawonke-wonke
Usenokuba ukhe wayibona i-AED (i-Automated External Defibrillator) kwiindawo zikawonke-wonke ezifana nezikhululo zeenqwelo-moya, iivenkile ezinkulu, kunye neenkundla zemidlalo.Ibhokisi exhonywe eludongeni. Le yi-automatic defibrillator eyenzelwe nabani na ukuba ayisebenzise. Ukuba umntu uwa, okufuneka ukwenze kukuzisa lo matshini uze uncamathisele ii-pads ezimbini esifubeni sesigulana. Emva koko umatshini uhlalutya isigqi sentliziyo aze agqibe ukuba "uyothusa" okanye hayi. Ukuba kuyimfuneko, utshaja ngokuzenzekelayo aze anike umyalelo welizwi othi, "Cinezela iqhosha ngoku." Oku kuthetha ukuba nomntu ongenalo ulwazi lwezonyango unokunceda ekusindiseni ubomi.
Kwenzeka ntoni emva konyango?
Emva kokunika umbane, yonke into ayipheli. Emva koko, iqela lezonyango liphinda lenze i-CPR kwakhona imizuzu emibini . Emva koko bajonga ukuba i-pulse ibuyele esiqhelweni na baze babone ukuba isingqisho sentliziyo sibuyele esiqhelweni na.
Ukuba isingqisho sentliziyo asikabuyeli esiqhelweni, unokunikwa i-shocks enye okanye ezingaphezulu, kwaye unokunikwa amayeza anjenge -adrenaline (epinephrine) okanye i-amiodarone .
Ukuba intliziyo iqalile ukubetha kodwa isigulane asikaqondi, i-hypothermia yonyango ingasetyenziselwa ukunciphisa umonakalo wobuchopho. Xa isigulane sizinzile, iimvavanyo ezifana ne -cardiac catheterization zinokwenziwa ukuze kuchongwe unobangela weso simo.
Kuthatha ixesha elingakanani ukuphiliswa?
Ukuchacha emva kokuma kwentliziyo ngequbuliso kunye nonyango lokunciphisa i-fibrillation luhambo olude olunokuthatha iinyanga, ngamanye amaxesha iminyaka. Lucelomngeni olukhulu, emzimbeni nasengqondweni.
- Ukungakhululeki emzimbeni: Abantu abaninzi baziva bediniwe. Ngexesha le-CPR, iimbambo esifubeni zinokuphuka, nto leyo enokubangela iintlungu. Abanye abantu banokuba nobunzima bokuhamba okanye babe nokuxhuzula.
- Ukuvuselelwa: Kunokuba nzima ukuya emsebenzini okanye ukwenza imisebenzi yemihla ngemihla ngokuqhelekileyo. Ke ngoko, unyango olufana nonyango lomsebenzi, unyango lomzimba, kunye nonyango lokuthetha lunokufuneka.
Ixesha kunye nomonde kubaluleke kakhulu kolu hambo. Inkxaso yosapho nayo ibalulekile.
Udinga nini ukubona ugqirha?
Ukuba ubona umntu ewa ngequbuliso ndaweni ithile, fowunela u-1990 ngoko nangoko uze ubize i-ambulensi. Leyo yeyona nto ibalulekileyo onokuyenza.
Umntu osindileyo ekuhlaselweni yintliziyo usengozini enkulu yokuba nesinye isifo sentliziyo. Ngoko ke, ugqirha uya kunyanga unobangela kwaye udla ngokucebisa ukuba kufakwe isixhobo se-ICD ukuze kukhuselwe kwixesha elizayo.
Ukuba une-ICD:
- Sela amayeza achazwe ngugqirha njengoko eyalelwe.
- Qiniseka ukuba uyaya kwiikliniki ukuze ubone ukuba i-ICD isebenza kakuhle na.
- Ibhetri ye-ICD idla ngokufuna ukutshintshwa rhoqo emva kweminyaka emi-5-7. Ugqirha wakho uya kukwazisa ngale nto.
Nangona olu luhambo olude, ngonyango olufanelekileyo kunye nokuvuselelwa, ungabuyela ebomini obuqhelekileyo.
Umyalezo Wokuya Ekhaya
- Unyango lwe-Defibrillation lunyango lombane olusindisa ubomi olunikezelwa ukubuyisela isigqi sentliziyo esiqhelekileyo kwisingqisho sentliziyo esiyingozi.
- Ixesha libaluleke kakhulu xa intliziyo ibambekile. Ukwenza i-CPR de kubekho i-defibrillator kwandisa amathuba okusindisa ubomi.
- Ii-AED kwiindawo zikawonke-wonke zenzelwe ukusetyenziswa nangubani na. Landela imiyalelo enikiweyo.
- Umntu osinde kwisifo sentliziyo ngequbuliso udla ngokufakelwa i-ICD ukuze akhuseleke kwixesha elizayo, nto leyo efuna ulwalathiso oluqhubekayo lwezonyango.
- Ukuba umntu uyawa phambi kwakho, fowunela iinkonzo zonyango ezingxamisekileyo ngoko nangoko. Isenzo sakho esikhawulezileyo sinokusindisa ubomi bomntu.
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