CPR - khanda

CPR imayimira kuyambiranso kwa mtima. Ndi njira yopulumutsira moyo yomwe imachitika mwana akasiya kupuma kapena kugunda kwa mtima. Izi zimatha kuchitika ndikamira, kutsamwa, kutsamwa, kapena kuvulala kwina. CPR imakhudza:

• Kupulumutsa kupuma, komwe kumapereka mpweya m'mapapu.
• Kupanikizana pachifuwa, komwe kumapangitsa magazi kuyenda.

Kuwonongeka kwamuyaya kwa ubongo kapena kufa kumatha kuchitika mkati mwa mphindi zochepa ngati magazi a mwana ayima. Chifukwa chake, muyenera kupitiriza njirazi mpaka kugunda kwa mwana wakhanda ndikupuma, kapena thandizo la zamankhwala lophunzitsidwa litafika.

CPR imachitika bwino ndi munthu wophunzitsidwa maphunziro a CPR ovomerezeka. Njira zatsopano kwambiri zimagogomezera kuponderezana pakupulumutsa kupumira ndi njira yapaulendo, kuthana ndi chizolowezi choyambira.

Makolo onse ndi omwe amasamalira ana ayenera kuphunzira CPR wakhanda ndi mwana. Onani www.heart.org yamakalasi omwe ali pafupi nanu. Njira zomwe zafotokozedwazi Sizingalowe m'malo mwa maphunziro a CPR.

Nthawi ndiyofunika kwambiri pothana ndi mwana wakhanda yemwe sakupuma. Kuwonongeka kwaubongo kwamuyaya kumayamba pakangodutsa mphindi 4 osakhala ndi mpweya, ndipo imatha kuchitika patangopita mphindi 4 mpaka 6.

Makina otchedwa automated external defibrillators (AEDs) amapezeka m'malo ambiri, ndipo amapezeka kuti agwiritsidwe ntchito kunyumba. Makinawa amakhala ndi zikwangwani kapena zikwangwani zakuyika pachifuwa pakagwa ngozi yangozi. Amangoyang'ana kugunda kwa mtima ndikudzidzimutsa mwadzidzidzi ngati, kungoti, manthawo angafunike kuti abwezeretse mtima wabwino. Onetsetsani kuti AED itha kugwiritsidwa ntchito kwa makanda. Mukamagwiritsa ntchito AED, tsatirani malangizowo ndendende.

Pali zinthu zambiri zomwe zimapangitsa kugunda kwamtima kwa khanda ndikupuma kuti asiye. Zifukwa zina zomwe mungafunikire kuchita CPR pa khanda ndizo:

• Kutsamwa
• Kumira
• Kugwedezeka kwamagetsi
• Kutaya magazi kwambiri
• Kusokonezeka mutu kapena kuvulala kwambiri
• Matenda am'mapapo
• Poizoni
• Kukwanira

CPR iyenera kuchitidwa ngati khanda lili ndi izi:

• Palibe kupuma
• Palibe kugunda
• Kusazindikira

1.Fufuzani kuti mukhale tcheru. Dinani pansi pa phazi la khanda. Onani ngati khanda lisuntha kapena likupanga phokoso. Fuulani, "Kodi muli bwino"? Osagwedeza khanda.

2. Ngati palibe yankho, fuulani thandizo. Uzani wina kuti ayimbire 911 kapena nambala yadzidzidzi yakomweko kuti mupeze AED, ngati ilipo. Musamusiye mwanayo kuti ayimbire foni 911 kapena nambala yadzidzidzi yakomweko mpaka mutachita CPR kwa mphindi pafupifupi ziwiri.

3. Mosamala muike khanda kumbuyo kwake. Ngati pali mwayi woti mwana wavulala msana, anthu awiri ayenera kumusuntha mwanayo kuti mutu ndi khosi zisapotoze.

4. Yesetsani kupanikizika pachifuwa:

• Ikani zala ziwiri pachifuwa, pansi pamabele. Onetsetsani kuti musakanikizane kumapeto kwa chifuwa.
• Sungani dzanja lanu lina pamphumi pa khanda, ndikukhazika mutu kumbuyo.
• Sindikizani pachifuwa cha khanda kuti lichepetse pafupifupi theka limodzi mpaka theka la kuya kwa chifuwa.
• Perekani ma 30 pachifuwa. Nthawi iliyonse, tiyeni chifuwa chikwere kwathunthu. Kuponderezana kumeneku kuyenera kukhala KULIMBIKITSA komanso kolimba osapumira. Werengani maumboni 30 mwachangu: ("1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21, 22,23,24,25,26,27,28,29,30, kuchokera. ")

5. Tsegulani njira yapaulendo. Kwezani chibwano ndi dzanja limodzi. Nthawi yomweyo, yendetsani mutu ndikukankhira pamphumi ndi dzanja linalo.

6. Yang'anani, mverani, ndipo mverani kupuma. Ikani khutu lanu pafupi ndi pakamwa ndi mphuno za khanda. Yang'anirani kuyenda kwa chifuwa. Mverani mpweya patsaya lanu.

7. Ngati khanda silikupuma:

• Phimbani pakamwa ndi m'mphuno mwa khanda mwamphamvu ndi pakamwa panu.
• Kapena, tsekani mphuno zokha. Gwirani pakamwa.
• Sungani chibwano ndikukweza mutu.
• Perekani mpweya wopulumutsa wa 2. Mpweya uliwonse umatenga pafupifupi sekondi ndikupangitsa chifuwa kukwera.

8. Patatha pafupifupi mphindi ziwiri za CPR, ngati khanda silikupuma bwinobwino, kutsokomola, kapena kuyenda kulikonse, musiyeni khanda ngati muli nokha komanso itanani 911 kapena nambala yadzidzidzi yakomweko. Ngati AED ya ana ilipo, gwiritsani ntchito pano.

9. Bwerezani kupuma kopumira ndi chifuwa mpaka mwana atachira kapena thandizo litafika.

Pitilizani kuyang'ana kupuma mpaka thandizo lifike.

Pewani kuwonjezerapo vuto potsatira malangizo awa:

• MUSAKWEZE kukweza chibwano cha khanda kwinaku mukutsamira mutu kuti musunthire lilime pamphepo. Ngati mukuganiza kuti mwana wavulala msana, kokani nsagwada patsogolo osasuntha mutu kapena khosi. Musalole pakamwa kutseka.
• Ngati khanda limapuma bwinobwino, kutsokomola, kapena kuyenda, MUSAMAYAMIKIRE pachifuwa. Kuchita izi kungapangitse mtima kusiya kugunda.

Zomwe mungachite ngati muli ndi munthu wina kapena ngati muli nokha ndi khanda:

• Ngati muli ndi chithandizo, uzani munthu m'modzi kuti ayimbire 911 kapena nambala yadzidzidzi yakomweko pomwe wina ayamba CPR.
• Ngati muli nokha, fuulani mokweza kuti muthandizidwe ndikuyamba CPR. Mukachita CPR kwa mphindi pafupifupi 2, ngati palibe thandizo lomwe lafika, itanani 911 kapena nambala yadzidzidzi yakomweko. Mutha kunyamula khanda kupita nanu ku foni yapafupi (pokhapokha mutakayikira kuti wavulala msana).

Ana ambiri amafunikira CPR chifukwa cha ngozi yomwe ingatetezedwe. Malangizo otsatirawa angathandize kupewa ngozi zina mwa ana:

• Musanyoze zomwe mwana wakhanda angachite. Ingoganizirani kuti mwanayo atha kusuntha kuposa momwe mukuganizira.
• Musasiye mwana wakhanda osasamalidwa pabedi, patebulo, kapena pamalo ena pomwe mwanayo angadzuke.
• Nthawi zonse mugwiritse ntchito zomangira zotetezera pamipando yayitali ndi ma stroller. Osasiya mwana wakhanda pamasewu osewerera ndi mbali imodzi pansi. Tsatirani malangizo ogwiritsira ntchito mipando yamagalimoto ya makanda.
• Phunzitsani mwana wanu tanthauzo la "musakhudze". Phunziro loyambirira lachitetezo ndi "Ayi!"
• Sankhani zoseweretsa zoyenera zaka. Musamapatse ana zoseweretsa zolemera kapena zosalimba. Yang'anani zoseweretsa zazing'ono kapena zotayirira, m'mbali mwake, mapilo, mabatire otayirira, ndi zoopsa zina.
• Pangani malo otetezeka. Onetsetsani ana mosamala, makamaka mozungulira madzi komanso pafupi ndi mipando.
• Sungani mankhwala oopsa ndi njira zoyeretsera zosungidwa mosamala m'makabati osapatsira ana muzotengera zawo zoyambirira zokhala ndi zilembo.
• Kuti muchepetse ngozi zakutsamwa, onetsetsani kuti makanda ndi ana aang'ono sangathe kufikira mabatani, kuwonera mabatire, ma popcorn, ndalama, mphesa, kapena mtedza.
• Khalani ndi mwana wakhanda akamadya. Musalole mwana wakhanda kuti azikukwawa akamadya kapena kumwa kuchokera mu botolo.
• Osamangirira pacifiers, zodzikongoletsera, maunyolo, zibangili, kapena china chilichonse mozungulira khosi la mwana kapena pamanja.

Kupulumutsa kupuma ndi chifuwa - khanda; Kubwezeretsa - mtima - khanda; Kutsitsimutsa kwamtima - khanda

• CPR - makanda - mndandanda

American Mtima Association. Zapadera za Malangizo a 2020 American Heart Association a CPR ndi ECC. cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/highlights/hghlghts_2020_ecc_guidelines_english.pdf. Idapezeka pa Okutobala 29, 2020.

Duff JP, Topjian A, Berg MD, ndi al. 2018 American Heart Association idalongosola zakusintha kwa chithandizo cha ana patsogolo pa moyo: zosintha ku malangizo a American Heart Association pakutsitsimutsa mtima komanso chisamaliro chamtima chamtima. Kuzungulira. 2018; 138 (23): e731-e739. PMID: 30571264 pubed.ncbi.nlm.nih.gov/30571264/.

Isitala JS, Scott HF. Kubwezeretsa ana. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 163.

[Adasankhidwa] Kearney RD, Lo MD. Kubwezeretsa kwa Neonatal. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 164.

Zadzidzidzi za kupuma kwa Rose E. Ana: kutsekeka kwapansi panjira ndi matenda. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 167.