Mhlawumbi ukhe wayibona kwiTV okanye kwimovie, xa umntu ngequbuliso elahlekelwa ziingqondo aze awe phantsi, oogqirha okanye abahlengikazi babaleka babeke izixhobo ezimbini ezifana nentsimbi esifubeni sabo, bakhwaze bathi "Sula!" baze bambethe ngombane. Yiloo nto siyibiza ngokuba yi-defibrillator. Kodwa ayingomatshini nje obangela uqhushululu. Yenzelwe ukusindisa ubomi bomntu osondele ekufeni. Ngoko ke, namhlanje siza kuthetha ngesi sixhobo sibaluleke kakhulu ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni i-defibrillator?
Cinga ngentliziyo yethu njengenjini encinci esebenza ngesingqisho esithile. Inenkqubo yesignali yombane yokusebenza kwayo. Ngamanye amaxesha, ngenxa yesiphene kule nkqubo yesignali yombane, intliziyo iyayeka ukubetha ngesingqisho esifanelekileyo ize iqale ukushukuma. Oku sikubiza ngokuba sisingqisho sentliziyo esingaqhelekanga, okanye i-arrhythmia .
Kwezi arrhythmias, zimbini eziyingozi kakhulu kwaye zisongela ubomi ngokukhawuleza. ZiyiVentricular Tachycardia (xa intliziyo ingabethi) kunye neVentricular Fibrillation . Ngamafutshane, kuzo zombini iimeko, amagumbi asezantsi entliziyo (iiventricles) awampompi kakuhle, kodwa ayaqhaqhazela nje. Oku kunokuyekisa ngokupheleleyo ukupompa kwegazi emzimbeni, ingakumbi ingqondo, kwaye ukufa kunokwenzeka kwimizuzu embalwa.
Kulapho ke i-defibrillator isiza kusihlangula khona. Esi sixhobo sikwenza kukunika intliziyo umbane olawulwayo nonamandla, siwumise ngoko nangoko umsebenzi wombane ongaguqukiyo size sinike intliziyo ithuba lokubuyela kwisigqi sayo sendalo. Ngokuchanekileyo, i-defibrillator 'iyayivuselela' intliziyo.
Ngubani ofuna i-defibrillator? Ziziphi iintlobo ze-defibrillators?
Ngokwesiqhelo, ukuba kwenzeka imeko engxamisekileyo efana nale esibhedlele, oogqirha badla ngokusebenzisa i-defibrillator ngoko nangoko. Kwakhona, ngoku kwiindawo ezininzi zikawonke-wonke, njengezikhululo zeenqwelo-moya nakwiivenkile ezinkulu, kukho uhlobo lwe-defibrillator olunokusetyenziswa ngumntu wonke. Lubizwa ngokuba yi-Automated External Defibrillator (AED) .
Nangona kunjalo, abanye abantu basengozini enkulu yokufumana le arrhythmia iyingozi. Umzekelo, umntu okhe wahlaselwa yintliziyo ngaphambili okanye onentliziyo ebuthathaka. Kubantu abanjalo, kukho izixhobo zokunciphisa uxinezeleko abanokuziphatha ngamaxesha onke.
Makhe sijonge ngokucacileyo ezi ntlobo.
| Uhlobo lwe-defibrillator | Inkcazo kunye nokusebenza |
|---|---|
| I-Defibrillator Yangaphandle Ezenzekelayo (AED) | Ezi zezo zifumaneka kwiindawo zikawonke-wonke ezifana nezikhululo zeenqwelo-moya, amabala emidlalo, kunye neevenkile ezinkulu. Esi sixhobo senzelwe ukusetyenziswa ngumntu ongenalo uqeqesho lwezonyango. Nje ukuba izitikha ezibini zibekwe esifubeni sesigulana, umatshini uhlalutya isingqisho sentliziyo aze agqibe ukuba uza kwenza na ukuba kubekho i-shock. Ukuba kufuneka i-shock, unika imiyalelo yelizwi malunga nendlela yokuyenza. |
| Isixhobo sokuzicoca esinxibekayo seCardioverter (WCD) | Esi sisixhobo esinxitywa phantsi kwempahla, njengevesti. Iisensa ezichukumisa ulusu zihlala zijonga isigqi sentliziyo. Ukuba kufunyenwe i-arrhythmia eyingozi, esi sixhobo senza ukuba umntu azive ephazamisekile ngokuzenzekelayo. Ugqirha wakho angacebisa esi sixhobo njengesixhobo sexeshana kubantu abasengozini yesifo sentliziyo kodwa abalinde ukuba kufakwe isixhobo esisisigxina. |
| I-ICD (ICD) ye-ICD (ICD) | Olu lolona hlobo lwe-personal defibrillator olusetyenziswa kakhulu. Esi sixhobo sincinci sifakwa phantsi kwesikhumba sesifuba ngexesha lotyando oluncinci. Ucingo oluvela kuso luqhagamshelwe entliziyweni. Njenge-sentinel efakwe entliziyweni, le ICD ijonga isigqi sentliziyo iiyure ezingama-24 ngosuku, iintsuku ezisixhenxe ngeveki. Xa kwenzeka isigqi esiyingozi, inika umothuko wombane ofunekayo ukubuyisela intliziyo kwimeko yesiqhelo. Nangona ifana ne-pacemaker, amandla akhethekileyo e-ICD kukuba inokwenza lo mothuko usindisa ubomi. |
Injani i-defibrillator shock?
Umothuko ovela kwi-personal defibrillator, efana ne-ICD, ngamanye amaxesha unokuba buhlungu . Kodwa kwezinye iimeko, kunokuvakala ngathi kukho umntu okukhabe esifubeni . Nangona kunjalo, ngelo xesha, ukusindisa ubomi yeyona nto ibalulekileyo.
Ngawaphi amanyathelo okusebenzisa i-defibrillator?
Khawuthelekelele umntu ngequbuliso ewa engqondweni kwindawo okuyo. Into yokuqala omawuyenze kukufowunela i-Suwaseriya Ambulance Service ka-1990 . Emva koko, ukuba uqeqeshwe, kufuneka uqalise i-CPR (Cardiopulmonary Resuscitation) . Okwangoku, ukuba kukho i-AED kufutshane, kufuneka uyizise.
Nantsi indlela yokusebenzisa i-defibrillator (ingakumbi i-AED):
1. Qhubeka neCPR: Ukuba kunokwenzeka, qhubeka neCPR de i-defibrillator ilungele. I-CPR ijolise ekugcineni inqanaba elithile lokuhamba kwegazi okuneoksijini ukuya ebuchotsheni nakwamanye amalungu omzimba.
2. Yenza indawo ejikeleze isigulana: Xa usenza i-shock, qiniseka ukuba akukho mntu uchukumisa isigulana okanye ibhedi esikuyo isigulana . Ngaphandle koko, banokubanjwa ngumbane.
3. Beka iiPad okanye iiPaddles esifubeni: Kukho iipad ezimbini ezifana nezitikha okanye iipaddles zesinyithi ezincamathiselwe kwi-defibrillator. Ezi kufuneka zibekwe kwiindawo ezimbini ezithile esifubeni sesigulana.
- Inye: ngaphantsi kwegxalaba lasekunene.
- Esinye: ngaphantsi kwengono yasekhohlo, ngokungangqalanga.
- Izitikha eziza nee-AED zinemifanekiso ebonisa apho kufuneka zincamathise khona ii-pads. Ii-pads ezisetyenziswa ezibhedlele zibekwe esifubeni ngejeli ekhethekileyo esetyenziswa ukuthintela ukutsha kolusu.
4. Nika umothuko:
- Ukuba yi-AED, ihlaziya ngokuzenzekelayo isingqisho sentliziyo ize ithi "Kucetyiswa ukuba wothuke." Emva koko, iyala ukuba ucinezele iqhosha kuyo.
- Esibhedlele, ugqirha ujonga isingqisho kwisikrini, agqibe ekubeni anike uvalo, aze acinezele amaqhosha kuzo zombini iipaddles ngaxeshanye.
Emva kokuba kunikwe umothuko, ugqirha okanye uncedo lokuqala baya kwenza i-CPR kwakhona malunga nemizuzu emibini . Emva koko baya kujonga ukuba ukubetha kwentliziyo kuyehla na kwaye isingqisho sentliziyo sibuyela esiqhelweni. Ukuba kuyimfuneko, kuya kunikwa olunye umothuko kunye ne-CPR. Ngamanye amaxesha, amayeza anjenge -epinephrine okanye i-amiodarone nawo ayanikwa ukunceda ekulawuleni isingqisho sentliziyo.
Zithini iingenelo kunye neengozi?
Eyona nzuzo inkulu nekuphela kwayo ye-defibrillator kukuba inokusindisa ubomi . Ukuba i-shock ingaziswa nge-defibrillator kwimizuzu eli-10 yokuqala yokuqala kwe-arrhythmias ezimbini eziyingozi endizikhankanyileyo ngaphambili (VT kunye ne-VF), amathuba okusindisa ubomi aphezulu kakhulu.
Kukwakho neengozi. Eyona ngozi inkulu kukusebenzisa i-defibrillator xa intliziyo ingasebenzi kakuhle . I-defibrillator kufuneka isetyenziswe kuphela kwi-Ventricular Tachycardia (engenamaza okubetha kwentliziyo) okanye kwi-Ventricular Fibrillation. Ukuba umntu one-heart rhythm eyahlukileyo unesifo soxinzelelo lwentliziyo, loo nto inokubangela ukuba loo mntu angene kwi-Ventricular Fibrillation, nto leyo enokubangela ukuba intliziyo yakhe ime.
Yiyo loo nto izixhobo ze-AED zihlalutya ngokuzenzekelayo isingqisho sentliziyo ngaphambi kokuba zibangele ukothuka. Kwaye ezibhedlele, ngugqirha oqeqeshiweyo kuphela owenza esi sigqibo.
Ukubuyiselwa kwimeko yesiqhelo kunye nobomi obuzayo
Ukuchacha emva kokuma ngesiquphe kwentliziyo kunye nokungasebenzi kakuhle kwemithambo yegazi luhambo olude olunokuthatha iinyanga, kwaneminyaka . Asinto eba ngcono ngosuku okanye ezimbini.
- Ukungakhululeki emzimbeni: Ngexesha le-CPR, amathambo esifuba (iimbambo) anokwaphuka. Intlungu ithatha ixesha ukuphola. Kusenokuba nokudinwa kakhulu, ubunzima bokuhamba, kwaye mhlawumbi nokuxhuzula.
- Unyango lomsebenzi kunye nonyango lomzimba: Abantu abaninzi banokukufumanisa kunzima ukubuyela emsebenzini nokwenza imisebenzi yemihla ngemihla. Ke ngoko, unyango olufana nonyango lomsebenzi kunye nonyango lomzimba luyafuneka.
- Impembelelo yengqondo: Kuthatha ixesha ukuchacha engqondweni emva kokujongana namava anjalo.
Ukuba une-ICD, kubalulekile ukubona ugqirha wakho rhoqo ukuqinisekisa ukuba isebenza kakuhle. Ibhetri kwi-ICD yakho idla ngokufuna ukutshintshwa phantse rhoqo emva kweminyaka emihlanu. Kubalulekile nokuthatha amayeza achazwe ngugqirha wakho ngokuchanekileyo nangexesha.
Umyalezo Wokuya Ekhaya
- I-defibrillator sisixhobo esibalulekileyo esinokusindisa ubomi ngokulungisa izingqisho ezithile zentliziyo ezingaqhelekanga ezisongela ubomi (ii-arrhythmias).
- Into eyenzayo kukwenza intliziyo ibetheke ngombane, "iqalise kwakhona" inkqubo yombane ephazamisekileyo kwaye inike intliziyo ithuba lokubuyela kwisigqi sayo sendalo.
- Izixhobo ze-AED ezifumaneka kwiindawo zikawonke-wonke zingasetyenziswa ngumntu ongenalo uqeqesho lwezonyango ngokulandela imiyalelo yelizwi.
- Ukuba usemngciphekweni omkhulu ngenxa yesifo sentliziyo, ugqirha wakho unokucebisa i-wearable (WCD) okanye i-implantable cardioverter defibrillator (ICD).
- Ukuba umntu uwela phantsi engaqondi kakuhle phambi kwakho, into yokuqala omawuyenze kukufowunela inkonzo ye-ambulensi ka-1990 ngoko nangoko.
- Ukuchacha emva kokuma kwentliziyo ngequbuliso kunye nonyango lokunciphisa ifibrillation luhambo olude. Umonde, ukulandela iingcebiso zonyango, kunye nenkxaso yosapho kubalulekile.
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