Mhlawumbi ukhe wayibona kwiimuvi, akunjalo? Xa intliziyo yomntu ima ngequbuliso, oogqirha bangena ngokukhawuleza, bafake isixhobo esifana neentonga ezimbini zentsimbi esifubeni sakhe, bakhwaze bathi 'Clear!' baze bamnike 'umothuko.' Emva koko umntu uqala ukungcangcazela aze aqalise ukuphefumla kwakhona. Yintoni kanye kanye loo nto? Isindisa njani ubomi? Yiyo leyo indlela yokusindisa ubomi, i-defibrillation, yiyo le nto sithetha ngayo namhlanje.
Ngamafutshane, yintoni i-defibrillation?
I-Defibrillation yinkqubo yokunika intliziyo i-electroshock ukuze kubuyiselwe isigqi esiqhelekileyo, okanye i-arrhythmia, xa kukho ingxaki ye-heart rhythm eyingozi kakhulu nesongela ubomi. Kufana nokuqalisa kwakhona ikhompyutha xa 'ixhonyiwe'. Xa inkqubo yombane yentliziyo iphazamisekile kwaye intliziyo iqala ukungcangcazela, le electroshock iyayimisa loo ngxaki okomzuzwana kwaye inike intliziyo ithuba lokuphinda iqalise isigqi sayo esiqhelekileyo.
Olu nyango lufuneka ngakumbi kwiingxaki ezimbini eziyingozi:
- I-Ventricular Tachycardia - I-Pulseless: Oku kwenzeka xa amagumbi asezantsi entliziyo (ii-ventricles) ebetha ngokukhawuleza kakhulu, kodwa ngokukhawuleza kangangokuba intliziyo ayinalo ixesha lokupompa igazi emzimbeni.
- I-Ventricular Fibrillation: Le yeyona nto ixhaphakileyo yokuBanjwa yintliziyo ngesiquphe . Kulapho izihlunu zentliziyo ziyeka ukubetha kakuhle zize ziqale ukungcangcazela. Ngenxa yoko, intliziyo ayipompi naliphi na igazi.
Kuzo zombini ezi meko, xa unyango lwe-defibrillation lusenziwa ngokukhawuleza, kokukhona amathuba okusindisa ubomi besigulana esanda.
Ngubani ofuna olu nyango?
Nabani na onesifo esiyingozi sentliziyo esichazwe apha ngasentla unokufuna olu nyango. Esibhedlele, oku kwenziwa liqela lezonyango. Nangona kunjalo, nangaphandle kwesibhedlele, nomntu oqhelekileyo angalufumana olu nyango lusindisa ubomi esebenzisa isixhobo esibizwa ngokuba yi-Automated External Defibrillator (AED), esifumaneka kwiindawo zikawonke-wonke ezifana nezikhululo zeenqwelo-moya kunye neevenkile ezinkulu. Esi sixhobo ngokwaso sinika imiyalelo.
Nangona kunjalo, abanye abantu basengozini enkulu yokuhlaselwa sesi sigqi sentliziyo siyingozi. Abantu abanjalo kufuneka baphathe isixhobo sokunciphisa uxinezeleko ngamaxesha onke.
Ii-Defibrillators zobuqu
Kukho iintlobo ezimbini eziphambili zezi:
1. I-Cardioverter Defibrillator Enxitywayo: Esi sisixhobo esinxitywa phantsi kwempahla, njengevesti. Iisensa apha zichukumisa ulusu kwaye zihlala zijonga isigqi sentliziyo. Ukuba kufunyenwe ukungahambelani okuyingozi, umbane ofunekayo ufika ngelo xesha.
2.I-ICD (ICD) efakelwa kwi-ICD: Esi sisixhobo esincinci esifakelwa ngotyando phantsi kwesikhumba sesifuba. Sikwajonga rhoqo isigqi sentliziyo, kwaye xa kukho imeko eyingozi, sibangela ukubetheka ngombane ukubuyisela intliziyo kwimeko yesiqhelo. Abantu abaninzi bayayibhidanisa le nto ne-pacemaker. I-pacemaker ilawula kuphela izinga lentliziyo. Kodwa i-ICD, ukongeza ekulawuleni izinga, inokubangela ukubetheka ukuze iyeke isigqi esisongela ubomi.
Unyango lwe-defibrillation lwenziwa njani?
Makhe sijonge amanyathelo abandakanyekayo kwimeko kaxakeka. Oku kudla ngokwenziwa kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele okanye kwiYunithi yoKhathalelo oluNgxamisekileyo.
Eyona nto ibalulekileyo kukuba ide ilungele i-defibrillator, isigulane kufuneka sinikwe i-CPR (Cardiopulmonary Resuscitation) , oko kukuthi, ukucinezelwa kwesifuba kunye nokuphefumla okwenziweyo.
Ngexesha lonyango, umntu onika umntu umbane uya kukhwaza athi "Sula!" aze amlumkise umguli ukuba angamchukumisi umguli okanye ibhedi akuyo. Ukwenza njalo kunokubangela ukuba atshaywe ngumbane.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukudibanisa iiPads | Iipads ezimbini ezinamathelayo eziqhagamshelwe kwi-defibrillator zifakwa esifubeni sesigulane kwiindawo ezifanelekileyo. Enye ibekwe ngaphantsi kwegxalaba lasekunene kwaye enye ibekwe ngaphantsi kwengono yasekhohlo. |
| 2. Uhlalutyo lwesingqisho | Esi sixhobo sihlalutya isingqisho sombane sentliziyo size sigqibe ukuba kukho isingqisho esiyingozi esifuna ukubetheka. |
| 3. Ukunika umbane | Ugqirha okanye umntu oqeqeshiweyo, emva kokulumkisa wonke umntu ukuba ayeke ("Sula!"), ucofa iqhosha kwisixhobo aze abangele ukubetheka ngombane. |
| 4. Emva konyango | Emva kokuba kunikwe umothuko, i-CPR iphinda iqalwe kwakhona imizuzu emibini. Emva koko kuhlolwa ukubetha kwentliziyo kunye nesingqisho sayo. Ukuba kuyimfuneko, kunikwa oomothuko abaninzi kunye namayeza (umz. i-epinephrine, i-amiodarone). |
Kwenzeka ntoni emva konyango? Kunjani ukuchacha?
Nokuba unyango lwe-defibrillation lusindisa ubomi, uhambo oluya ekuchacheni lunokuba lude, luthathe iinyanga, kwaneminyaka . Emva kokuma kwentliziyo ngequbuliso kunye nonyango lwe-defibrillation, abantu abaninzi banokuba nokukhubazeka okuthile.
- Ukungakhululeki emzimbeni: Ukuqhekeka kwembambo esifubeni kunokwenzeka ngexesha le-CPR. Ukudinwa kakhulu kunye nobunzima bokuhamba zizinto eziqhelekileyo.
- Ezinye iingxaki: Abanye abantu banokuba neengxaki ngenkumbulo nentetho.
- Ukuvuselelwa: Oku kufuna unyango lomzimba, unyango lomsebenzi, kunye nonyango lokuthetha.
Ukuba ubona umntu elahlekelwa ziingqondo ngequbuliso aze awe, fowunela u-1990 ngoko nangoko uze ubize i-ambulensi! Okwangoku, ukuba unako, yenza i-CPR.
Abantu abasinda kwi-Ventricular Fibrillation banamathuba amaninzi okuba nayo kwakhona. Ngoko ke ugqirha wakho uya kuzama ukufumana unobangela aze ayinyange, kwaye uya kucebisa ukuba ufake i-ICD. Ukuba une-ICD, kubalulekile ukubona ugqirha wakho rhoqo ukuze ahlolwe kwaye uthathe amayeza akho njengoko kuyalelwe.
Ngaba kukho naziphi na iingozi koku?
Umngcipheko ophambili kukuba unyango lwe-defibrillation lunikezelwa kwisingqisho sentliziyo esingayidingiyo . Umzekelo, ukuba olu 'shock' lunikwa umntu one-pulse, okanye umntu ongena-Ventricular Fibrillation, lunokubangela ukungaqheleki okuyingozi kwintliziyo ephilileyo kwaye lukhokelele ekumisweni kwentliziyo. Yingakho kuphela iingcali zonyango eziqeqeshiweyo okanye izixhobo ze-AED ezenzelwe ngokukodwa ezisetyenziselwa le njongo.
Umyalezo Wokuya Ekhaya
- I-Defibrillation lunyango olusindisa ubomi oluqala kwakhona intliziyo ngokukhupha umothuko wombane xa kukho i-cardiac arrhythmia eyingozi.
- Oku kufana 'nokuqalisa kwakhona' intliziyo.
- Kwimeko yokuma kwentliziyo, kubaluleke kakhulu ukuqala i-CPR kunye nokuzisa i-defibrillator ngokukhawuleza. Ixesha bubomi.
- Ukuba umntu uwile ngequbuliso, fowunela u-1990 ngoko nangoko.
- Ukuchacha kule meko yinkqubo ende, kwaye iingcebiso zonyango, unyango lokubuyisela kwimeko yesiqhelo, kunye nomonde zibaluleke kakhulu.
- Ukuba unesixhobo se-ICD esifakelweyo, kubalulekile ukuba uhlale unxibelelana nogqirha wakho rhoqo kwaye uhlolwe rhoqo.
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