Kuwana Emergency Responders Kukudza Zvaunoda
Kusaitazve (DNR) kurongeka ndiyo chirongwa chevatapi vezvehutano vasina kuita CPR pamurwere ane kusungwa kwemwoyo. DNR mirayiridzo yakasiyana nokuti CPR ndiyo chete inopindira mune zvezvehutano inoda kurongeka kuti isapiwa.
DNR mirairo inouya kubva kuvarapi, kwete kuvarwere. Kana murwere achida kuti CPR idzivirire, iye anofanira kutaurirana nechisarudzo nachiremba kuti anyore urongwa.
Kana murwere asingakwanise kukurukura zvaanoda nachiremba, pane zvakasiyana-siyana zvekupedzisira-zvinyorwa zvinyorwa zvinotakura zvishuvo zvevarwere zvinonzi mapurisa anotevera. Pamberi pemitemo rubatsiro rubatsiro runotungamirira zvisarudzo zvechiremba kana murwere asingagoni kubvunzurudzwa.
Masimba anogadzikana emugweta anobvumira vamwe (kazhinji nhengo dzemhuri) kuita zvisarudzo kune murwere asina simba, kazhinji mukati memitemo inorondedzerwa munyaya. Zvakajairika kuti mhuri dzishandise kusanganiswa kwesimba rekugadzirisa gweta uye mazano ekufambisa kubatsira chiremba kuti ataure.
DNR Raira Mitemo
Kungofanana nezvimwe zvekurapa zvakakomba muUnited States, kushandiswa kweDNR kuraira kwakasiyana kubva kuhurumende kusvika kune imwe nyika, kunyanya pamusoro pekunze kwechipatara (ambulance) kutarisirwa. Vamwe vanoti vane maitiro akaenzana eDNR maira; kana urongwa husina kunyorwa pane iyo chaiyo, haugoni kukudzwa. Mamwe magwaro haatombogadziriswi, achikudza chero rudzi rweDNR chirongwa.
Vakawanda vanobvumira vatsigiri vekukurumidzira kuti vatevere DNR mazano akanyorerwa kune vamwe vanopa rubatsiro, kunyange kana vasina kunyorwa pamafomu akaenzana. Semuenzaniso, vanachiremba vezvematongerwe enyika uye vezvehutano vezvehutano vanowanzotenderwa kutevera DNR mazita akanyorwa kune vashandi veimba yevanotarisira. Vangave vakakwanisa kukudza mirairo yakanyorerwa varwere vanochengetedza vakwegura kumba kana mukoti wekumba aine kopi yekuraira kweDNR iri muruoko.
Hurumende imwe neimwe yakasiyana, uye matareji angave akasiyana mukati mehurumende imwe neimwe.
Pasinei nemafungiro kana nzvimbo, DNR inorayira nguva dzose kutevera mitemo yakafanana iyo inoshanda:
- DNR mirairo inofanira kunyorwa nevarapi panzvimbo yekutaura. Pane zvakasarudzwa pamutemo uyu, zvakadai sechiremba wekurapa munharaunda inokurumidzira kurayira vashandi veku ambulensi kuti vasaitazve kuendeswa mberi neredhiyo kana mukoti akanyoreswa achitora chirevo kubva kune chiremba anoyemura pamusoro pefoni. Kazhinji, kune mararamiro emamwe kunze kwekuti ave nechokwadi chokuti urongwa hunosimbiswa gare gare.
- Yakanyorwa DNR mirairo inofanira kusanganisira zita remurwere. Zvinoratidzika zvisina kuchenjera, asi mishonga uye dzimwe nzira dzinowanzopiwa kune vanorwara vasina kunaka; kutevera urongwa hweDNR pamwe nevarwere vasina kunaka kungava nengozi.
- DNR mirairo inofanira kunge yakanyorwa. Zvichienderana nedzimwe nyika, mirairo inogona kupera mushure mekunge imwe nguva yepamusoro kana kuti pane nguva yekupedzisira yechiremba yekutevera. Kunyange kana chirongwa cheDNR chisingafi, kurongeka kwekare kunogona kuita kuti vatarisi vadzokerezve chisarudzo nevarwere.
- Dhani yeDNR inofanira kusayirwa nachiremba. Mune zviitiko apo mirairo yakatorwa nemureri pafoni, inowanzotarisa nguva yakatarwa yokuti chiremba ave nechokwadi chekuita nekunyora urongwa - muCalifornia, somuenzaniso, doc inofanira kuisa DNR mumaawa makumi maviri nemaviri.
Kuita DNR Order Work For You
Kana iwe kana munhu waunoda ane chirongwa cheDNR uye iwe uchida kurongeka kuti uremekedzwe kunze kwechipatara, chengetedza kurongeka kwemuviri uye kuratidze zvakananga pose apo vaponesi vangakuwana (kana murwere). Ita pfungwa yekuudza vatsigiri kana vasvika. Ndiyo pfungwa yakanaka kuva nekopi inopfuura imwechete inowanika uye yakaratidzwa, uyewo kopi yekuendesa murwere kuchipatara.
Kana uri kufamba, bvunza shamwari dzako dzekufamba nadzo kuti uwane kopi yekuraira kwako kweDNR pavari nguva dzose. Kuchengeta kopi pamurwere hakusi nguva dzose kunobatsira vanunura, avo vanogona kubva vabvisa zvipfeko zvevarwere uye havagoni kutarisa muchikwama kana muchikwama.
Rimwe rudzi rwezvishongo zvezvokurapa zvingabatsira. MedicAlert Foundation inopa zvishongo zvakagadzirwa zvakananga kune varwere vane DNR maira. Nheyo dzinochengetedza kopi yechirongwa pane faira, uye inogona kukwetesa chero kupi zvako munyika. Zvishongo zveMedAlert zvinoshandisa nhare dzisingabhadhara nhare dzefoni dzingadana kuti dzikumbire kopi.
Mipurogiramu yeHellice inowanzodikanwa kuti DNR inyore semamiriro ekubatanidzwa. Mune zviitiko izvi, kudana ambulensi ingasave yakakosha. Taura newapa hospice mhondi uye mubvunze nezvemitiro ekutevera kana mumwe munhu afa paakanyoresa purogiramu yavo.
Zvinetso zvetsika zveDNR Mirairo
Kushandiswa kusinganzwisisiki kweDNR mirairo kunoreva vamwe varwere kuwana zvishoma kudarika zvakanakira kana vese vabatsiri vanoziva kuvapo kweDNR. Iko kunoda kuwedzera kudzidza pamusoro peiyi nyaya, asi vamwe vanopa utano hwehutano vachabva varegeredza kuchengetedza kwepamusoro kune varwere vane DNR maira.
Zvakakosha kuyeuka kuti urongwa hweDNR hausi urongwa hwekuregeredza kurapwa kwemurwere, asi kungorayira kuti usadzokezve murwere. Tsanangudzo yekudzorerwa inogona kuva yakaoma. Vamwe vanachiremba vanongomira zvinyorwa zvechifu vachiri kupa hutano hwepamusoro semagetsi evhudziro - zvishoma kusvikira pasisina kupisa . Vamwe vanachiremba vachabvisa chero marapirwo akakura kubva kune murwere ane chirongwa cheDNR.
Nemhaka yeizvi nyaya, kune chero chimwe chinhu kunze kwekugadziriswa kwekugadzirisa - sekenza kana imwe yekuguma-gwara masingagumi -kuwana chirongwa cheDNR chingave chisina chakanaka chisarudzo. Kurukurai zvingasarudzwa nachiremba iko zvino panzvimbo pfupi, asi usanzwa uchinetseka kuti uite pfungwa dzako pamusoro pemagumo ekupedzisira-muupenyu. Ramba uchifunga kuti kana tikangotaura nezvekudzivirira CPR, zvingava zviri nani kubvumira vanunura kuedza kudzorerazve munguva yekukurumidzira. Pane zvishoma kuti CPR kunze kwechipatara ichabudirira chero zvakadaro, uye zvinetso zvetsika zvichadziviswa.
References:
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Bedell, SE, et al. "Musa-re-resuscitate mirairo yevarwere vanorwara zvikuru muchipatara. Vanoshandiswa sei uye chii chavanoita?" JAMA . 11 Jul 1986
Hosaka, T, et al. "Mafungiro evanamukoti pamusoro pekuita-kwete-resuscitate (DNR) mirairo." Tokai J Exp Clin Med . Apr 1999
Koenig, KL, uye GW Tamkin. "Ita-kwete-resuscitate mahara." Varipi vari munzvimbo ye prehospital? " Prehosp Disaster Med . Jan-Mar 1993
Ott, BB, uye RM Nieswiadomy. "Kutsigirwa nekuzvigadzirisa kushivirira mukati maro hakuitizve chisarudzo." Heart Lung . Jan 1991
Sulmasy, DP, et al. "Unhu hwetsitsi. Kutarisira varwere vane 'musadzokorora' mirairo." JAMA . 5 Feb 1992