"Maoko-Chete" CPR Yakakurudzirwa kuKardiac Kusungwa
Cardiopulmonary resuscitation (CPR) ndeimwe yenheyo dzekurapa kwekukurumidzira. Icho chidzidzo chinodiwa chaunenge chichida kune vese vekurapa mune zvekukurumidza muUnited States uye inowanzodzidziswa kuvanhu sechikamu chesekondari.
Kubva muna 2017, chaizvoizvo, zvose kunze kwe12 United states (Alaska, California, Colorado, Florida, Hawaii, Kansas, Nebraska, New Hampshire, Maine, Massachusetts, Montana, uye Wyoming) inoda kuti vadzidzi vadzidziswe CPR vasati vapedza chikoro chesekondari.
Kana yakagadzirwa zvakanaka, CPR inogona kuwedzera kaviri kana katatu mukana wemunhu wekupona, maererano nenhamba kubva kuAmerican Heart Association (AHA). Zvisinei, mumakore achangobva kupfuura, chimwe chikamu cheCPR, chinonzi kuponesa kuponesa (kana muromo-kusvika-muromo kunomutsa ), chave mumoto nevaya vanotenda kuti dzimwe nguva zvinogona kukuvadza kupfuura kunaka.
Background
Kubva pakuziviswa kwaro muma1960, CPR yakapfuura nhamba dzemuviri . Nhasi, vanhu vakawanda vanozvibatanidza nemitemo miviri-mumuromo-kumuromo-kupfurikidza nekufema uye chifukutu-izvo dzimwe nguva zvinowanikwa muvanhu vane mwoyo wakasungwa .
Pakati pemitemo miviri, muromo-ku-muromo wokudzoka wakaiswa pakutanga. Yaiva nzira yakakwana yokusimudza avo vakaurayiwa pakunyura zvakanaka pamberi pokuuya kweCPR uye yakaramba iri chikamu chinokosha chemuitiro kubvira ipapo.
Zvisinei, kusanganiswa kwezviviri hazvina kumbova nematambudziko ayo ose maitiro avanoitwa uye kuti vanobudirira sei pakuvandudza kupona.
Matambudziko muCart Traditional Training
Chimwe chezvipingamupinyi chikuru zvekudzidzisa CPR ndiko kuwana kuenzana kwekuponeswa kunopfutidzira kufukidzira kushandiswa kwakarurama. Izvi zvinonyanya kuitika kana mumwe munhu ari kuita mabasa maviri. Zvinoda kuti munhu arege kungoita chete asi yeuka imwe nhanho yegadziriro yacho mukurongeka kwakakwana kuti uwane mhinduro dzakanakisisa.
Usati watanga mazano matsva , matanho anotevera aizokumbirwa kumununuri:
- Sarudza kana munhu wacho ari kufema.
- Chengetedza mhepo kuti uone kana mwoyo uri kurova.
- Bvisa muromo wemuviri wechinhu chipi nechipi chinogumbura.
- Ipai vakaremara mabhokisi makumi maviri nemashanu.
- Bvisa mhino dzomukomana uye upe mbiri yokufema.
- Kuramba uchipa mafupa makumi mashanu emapfupa akazotevera kuponeswa kufema kusvikira rubatsiro rwekukurumidza ruchisvika.
Zvose izvi zvakatorwa zvakasanganiswa zvakaitwa naCPR zvakaoma kurangarira mumamiriro ekudzvinyirira. Kunyangwe nevanopukunyuka vaviri, vachiyeuka kuti anotora sei kupisa , kupi kunokonzera chifukidzo, kana kuti kupa muromo-kune-muromo kungave kwakaoma uye kuwedzera dambudziko rose rekukanganisa.
Kutsvakurudza Kunotungamirira Kuchinja Muzvirevo
Mukuda kwehuchapupu huri kukura mukutsigira kuomeswa kwechifuva, Komiti yeAHA yeEaster Emergency Care Care yakagadzirisa zvikuru mitemo yeCPR muna 2005. Pakati pavo, iyo komiti yakarumbidza kuti zvimwe zvinyorwa zvigadziriswe pakati pokudzikinura mweya uye kurayira kuti vaparidzi vadzo havachaoni zvakare nokuda kwepfungwa kusati yatanga CPR.
Iko kushanduka kwakatanga kusangana nekutsoropodzwa kwakasimba nevakawanda vari munharaunda dzinoshandiswa mune zvehutano (EMS) avo vaifunga muromo-to-mouth pakati peitiro reCPR.
Kunyange magetsi ekugadzirisa magetsi akapiwa basa shoma mumitungamiri sezvo kuwedzera kwepfupa kwakatora nzvimbo huru apo nzira iyi inogona kuponesa upenyu.
Pasinei nokuchema kwokutanga, maAHA mazano akatsigirwa neongororo dzakawanda dzakaratidza kuti kushandiswa kwechifu kwakaitwa moga kwakawedzera mukana wemunhu wekupona uchienzanisa nekubatanidza kudzvinyirira uye kuponesa kufema.
Muna 2010, kuongororwa kwakaitwa mazita ainzi Dispatcher-Assisted Resuscitation Trial (DART) yakaenzanisa miitiro miviri paEmas site mu Washington neLondon. Zvakaitwa nevatsvakurudzi ndezvokuti, mumamiriro ezvinhu apo munhu akamira akaita CPR, avo vanopihwa vakapa mabhokisi ezvinyorwa chete vaiva ne39 muzana mikana yakawanda yokupona kana ichienzaniswa neyeiyo yose yakagadzirirwa uye muromo-kusvika-muromo.
Izvi uye zvimwe zvidzidzo zvakagumisa kuti zvibatsiro zvemuromo-kune-muromo mukutarisana nekukurumidzira zvinoramba zvisina mubvunzo pane zvakanaka.
Nhasi Mazano
Kunyange zvazvo uchapupu husingaiti zvachose kukosha kwechirongwa cheCPR (kana kumisa kudzidzisa kwayo muzvikoro zvehuruzhinji), fomu yakashandurwa yeCPR yakatanga kuiswa kuti iite nyore nzira.
Yakagadziriswa semakumbo -CPR chete , tsika yakarongedzwa yakagadzirirwa kupa kupa kuvimba kwakanyanya kune vanhu vanoda kurarama nekuedza kuponesa upenyu kune vanhu vane kusungwa kwemwoyo. Nzira iri nyore inosanganisira matanho maviri chete:
- Dana 911 kana wechidiki kana munhu mukuru anokurumidza kuwira.
- Shingairira nekukurumidza mukati mebhokisi kusvika kune kurohwa kwe rwiyo rune 100 kusvika 120 ruchirova paminiti, se "Staying Alive" neBee Gees, "Wakangwara Murudo" naBeyoncé, kana kuti "Walk the Line" naJohnny Cash.
Nokuchengeta tsika yacho nyore, mukana wekukanganisa wakaderera pasina kuderedza mukana wemunhu wekupona.
Zvakakosha kucherechedza, zvisinei, kuti AHA achiri kurumbidza tsika dzeCPR dzevana nevana pamwe chete nevanoshungurudzika kunyura, kuderedza zvinodhaka, kana vanhu vakagumburwa nekuda kwematambudziko ekufema.
> Sources:
> American Heart Association (AHA). "2017 Hands-Chete CPR Sheet Sheet." Dallas, Texas; yakabudiswa muna October 2017.
> AHA. "CPR muChikoro Mutemo Map." Yakavandudzwa February 20, 2017.
> Rea, T., Fahrenbruch, C., Culley, L et al. "CPR ne Chest Compression Pamwechete kana neKununura Kunopisa." N Engl J. Med . 2010; 363: 423-33. DOI: 10.1056 / NEJMoa0908993.