Kusunungurwa Kwakaita Sei Kufuridzira uye CPR Yakawana Kurambana
Iko kusvitsa kubvisa muromo kumuromo kubva kuCPR kwakange kune kupokana munyika yeCPR yekudzidzisa . Pfungwa iyi yakaguma yakawana tsoka dzayo shure kwemakore akawanda; iyo American Heart Association ikozvino inokurudzira maoko-chete CPR - kubvisa kuponesa kufema - kune vasati vadzikinurwa vanoona vanourayiwa vachiwa pamberi pavo.
Vaya vakanga vadzidziswa kwemakore mumutambo weCPR vaigara vachiramba kushanduka.
Emergency care providers, kubva kuCPR yakavimbiswa kune EMT kune dhirere ER, vave nemakore makumi emakore vachinyoreswa muZimbabwe dzekuchengeta rubatsiro :
- Airway
- Kupisa
- Circulation
mune izvozvo.
Tose takadzidziswa kuve nechokwadi kuti murwere aive nemugwagwa wokutanga, uye kana murwere wacho asina kufema, kufema mweya mumurwere nemuromo-kumuromo. Zvadaro chete, kana murwere asina chekuita kana zviratidzo zvekupararira, takadzidziswa kuomesa chifukidzo chekuputira ropa kuburikidza nemuviri.
Kufunga uku kwakanga kwakakanganisa. Kutarisa kuti muviri wakagadzirirwa kunobatsira sei kuenzanisira kuti sei tsika yeCPR yaive yakadzoka shure.
Sei Tichifunga nezvekufema?
Mhepo yekufema uye kufema zvakakosha, hapana mubvunzo pamusoro pazvo. Uchapupu huri muuropi. Uhu hwedu hwehupfungwa hunonyanya kukoshesa huri muhupi hwedu hunotangira, uye chinhu chikuru chezvose ndicho chido chokufema. Kungofanana nehumwe hupi hupi hwehupombwe hwakakonzerwa nekurwara kana kukuvadzwa, rimwe remabasa ekupedzisira ekupedzisira achaenda richava dambudziko rokufema.
Kunyange zvivako zvinotsigira kufema zvakagadzirirwa kuchengetedzwa. Mitsipa inofambisa mutsara, musinga mucheka webhokisi rinoshandiswa kufema, rinowanikwa kumusoro kwepamusoro pemutsipa wepelinha kuitira kuti ivo vave mitsetse yekupedzisira yakakuvadzwa kana rwonzi rwomupfupa ruchikuvadzwa. Izvozvo ndizvo zvinotonhora Christopher Reeve akakanganisa paakawira pabhiza, achimusiya ari muvharidzi wehupenyu hwake hwose.
Kuisa pfungwa dzedu pamugwagwa hazvirevi zvisiri izvo; isu takatora zvatinoona kubva mumuviri pachedu. Zvinosuruvarisa, takashaya pfungwa huru. Kunyange zvazvo kufema ndicho chinhu chinonyanya kukosha pane uropi yekuita-kuita urongwa, kuputira ropa hausi kunyange kusvika kuuropi yekuyeuka. Kudurupa ropa ibasa romwoyo, uye mwoyo unozviita usingatauri.
Sei Mwoyo Ichikosha Kupfuura Ubongo
Mwoyo wemisungo yedu ndiyo chete mishonga yemaviri mumutumbi iyo hairei kunze kwekukurudzira kugadziriswa. Zvinowanzoitika. Mwoyo unogona kuputira ropa kunyange seuropi iri kuedza kuisa pfungwa pakufema. Apo uropi hunosiya kukwanisa kutungamira kufema, mwoyo unenge uchiri kuputira ropa kusvikira wapera zvachose nesimba.
Saka uropi hunochengetedza mhepo kupinda mukati uye kunze apo mwoyo unoramba uine ropa uchifamba-famba uye wakakomberedza. Vanoshanda pamwe chete, asi ivo vanozvimirira. Kana uropi hwarega kushanda, mwoyo unogona kuramba uchiita.
Kune rumwe rutivi, kana mwoyo ukamira, ndizvo zvakaita uropi.
Oxygen Superhighway
Iyo inonzi circulatory system (mwoyo nemidziyo yeropa) uye kuporesa (mapapu nemhepo) zvinoshanda pamwe chete seketani yekutengesa, kuendesa oxygen kumatomu emumuviri uye kubvisa carbon dioxide. Ropa ndiro nzira huru, ine mitsetse yakakura uye nhandare yemigwagwa yemativi, zvose zvine nzira imwe chete yemugwagwa.
Mipapu yakafanana nehombe yepamusoro inotakura apo okisijeni inodonha uye carbon dioxide inounganidzwa.
Fungidzira ngoro mumugwagwa mukuru. Chinangwa chegori ichocho ndechokugara uzere uye mumugwagwa. Moving cargo inzira yake yekuita mari.
Akangobva kubva pachitsiko ane mutoro we okisijeni munzira yake kuenda kune rimwe boka rezvigadzirwa zvinoda iyo kuti rive mafuta. Achafambisa kuburikidza kukurukurirana kukuru mumamiriro ese-mwoyo - uye wotora aorta parwendo. Anongopfuura kuputika, achatora ariti yecarotid ichienda kuuropi. Paanosvika ikoko, achabvisa zvishoma zve oksijeni yake-chero zvese masero europi anoda-uye kutora marara: carbon dioxide.
Iye zvino ari kudzokera kumashure nechitokisi chaine motokari chikamu chemogijeni uye chikamu checarbon dioxide. Iye achiri kutakurwa, kungovhenganiswa kwekutakura kwake kwakasiyana zvishoma. Apo paanosvika pachiteshi, achabvisa carbon dioxide uye anotora okisijeni akawanda kune imwe rwendo rwakapoteredza.
Mapapu atora kufema, kutora kabhoni dioxide kunze uye kuunza oksijeni matsva. Inotakura zvigadzirira kuti mutori wacho adzoke. Kana pane dambudziko pamotokari inotakura (mapapu haana kufema nokuda kwechimwe chikonzero), anogona kuenderera kune imwe nguva pamwe chete nemutoro iye aine. Ikoti duku rinotakura okisijeni yakakwana kune maitiro mashomanana ekuendesa.
Njodzi Inorova
Nguva imwe neimwe kamwe mune imwe nguva, pane njodzi pane kugoverana uye iyo yose inogumira. Nhengo yemuviri ye bumper-to-bumper, kumisa motokari inozivikanwa sekusungwa kwemwoyo .
Kana izvozvo zvikaitika, chinhu chakakosha ndechokutora kufamba kwemigwagwa (ropa kupomba) zvakare. Kudzokorora kubhadhara (kutora mweya) hazvizobatsiri nokuti madori haagoni kusvika ikoko kuti atore okisijeni chero zvakadaro (ropa risingafambi). Yeuka, matori anotakura oksijeni yakakwana kuti anunure kaviri kana katatu, asingatauri makirogi akawanda (masero matsvuku eropa nezvimwe zvinokonzerwa neropa) ari pamharaunda yeharaunda (uye mamwe maitiro makuru) asina kumbova nemukana wekupa oxygen kunyange zvakadaro. Zvose zvaunofanirwa kuita ndezvokuita kuti vafambe.
Pasi Pasi: Shingaira, Shingaira
Nzira yekutakura muviri ndiyo inonyanya kukosha. Hazvina kuoma - kwete zvinenge zvakaoma sezvinongoita uropi, chero zvakadaro-asi zvinokosha kuchengetedza zvimwe zvikamu kushanda. Zvinotora mapepa mashomanana kuti ropa rifambe. Kuchengeta mafupa emapfupa kuita muromo-ku-muromo kunopesana iyo inoyerera.
Kutsvakurudza kwakaratidza zvakajeka kubatsirwa kwechifukidzo chepfuva pasina muromo-kusvika-muromo. Kunyange kana ichipesana nezviyo zvako sechirwere chekare yakagadziriswa akadzidza kudzidza CPR nerubatsiro rwekufema, hapana nzira yekuregeredza sayenzi. Kufunga nezvekuputira ropa panguva yeCPR, panzvimbo pokufambisa mhepo, kunoita kuti uwane pfungwa.
Sources:
Ewy, GA, et al. "Cardiocerebral kudzorerazve kusungwa kwemwoyo." Am J Med . Jan 2006.
SOS-KANTO Chikwata Chekudzidza. "Cardiopulmonary resuscitation by vakatarisana nechisungo chepfuva (SOS-KANTO): chidzidzo chekucherechedza." The Lancet . 17 Mar 2007.