Kuzindikira - thandizo loyamba

Kusazindikira ndikuti munthu sangathe kuyankha anthu ndi zochitika. Madokotala nthawi zambiri amatcha izi kukhala chikomokere kapena kukhala munthawi yovuta.

Zosintha zina pakudziwitsa zimatha kuchitika popanda kukomoka. Izi zimatchedwa kusintha kwa malingaliro kapena kusintha kwa malingaliro. Amaphatikizapo kusokonezeka mwadzidzidzi, kusokonezeka, kapena kugona.

Kusazindikira kapena kusintha kwina kulikonse mwamaganizidwe kuyenera kuchitidwa ngati zachipatala.

Kusazindikira kumayambitsidwa ndi pafupifupi matenda aliwonse akulu kapena kuvulala. Ikhozanso kuyambitsidwa ndi mankhwala (mankhwala osokoneza bongo) komanso kumwa mowa. Kutsina chinthu kungapangitsenso kudziwa.

Kuzindikira pang'ono (kapena kukomoka) nthawi zambiri kumachitika chifukwa cha kuchepa kwa madzi m'thupi, shuga wotsika magazi, kapena kuthamanga kwa magazi kwakanthawi. Ikhozanso kuyambitsidwa ndi mavuto akulu amtima kapena wamanjenje. Dokotala adzawona ngati munthu wokhudzidwayo akufunika kuyezetsa.

Zina mwazimene zimakomoka zimaphatikizapo kukakamira poyenda (vasovagal syncope), kutsokomola kwambiri, kapena kupuma mwachangu kwambiri (hyperventilating).

Munthuyo samayankha (samayankha pakuchita, kukhudza, kumveka, kapena kukondoweza).

Zizindikiro zotsatirazi zitha kuchitika munthu atakhala kuti wakomoka:

• Amnesia ya (osakumbukira) zochitika zisanachitike, nthawi, ngakhale pambuyo poti munthu wakomoka
• Kusokonezeka
• Kusinza
• Mutu
• Kulephera kulankhula kapena kusuntha ziwalo za thupi (zizindikiro za sitiroko)
• Mitu yopepuka
• Kutaya kwa matumbo kapena chikhodzodzo (kusadziletsa)
• Kugunda kwamtima mwachangu (kugunda)
• Kugunda kwa mtima pang'ono
  
• Stupor (chisokonezo chachikulu ndi kufooka)

Ngati munthuyo sakomoka chifukwa chotsinidwa, zitha kuphatikizira izi:

• Kulephera kuyankhula
• Kuvuta kupuma
• Kupuma kaphokoso kapena mawu okwera kwambiri kwinaku mukupuma
• Ofooka, osagwira ntchito
• Mtundu wabuluu wabuluu

Kugona sikofanana ndi kukhala chikomokere. Munthu wogona amayankha phokoso lalikulu kapena kugwedezeka pang'ono. Munthu amene wakomoka sadzatero.

Ngati wina wagalamuka koma watchera pang'ono kuposa masiku onse, funsani mafunso angapo osavuta, monga:

• Dzina lanu ndi ndani?
• Tsiku ndi liti?
• Muli ndi zaka zingati?

Mayankho olakwika kapena kusakhoza kuyankha funsoli akuwonetsa kusintha kwamalingaliro.

Ngati munthu wakomoka kapena kusintha kwamisala, tsatirani izi:

1. Imbani kapena uzani wina kuti itanani 911.
2. Onetsetsani momwe munthu akuyendera, kupuma, komanso kugunda kwamafupipafupi. Ngati ndi kotheka, yambani CPR.
3. Ngati munthuyo akupuma ndikugona chagada, ndipo simukuganiza kuti pali kuvulala kwa msana, pindani munthuyo kumbali yanu. Pindani mwendo wapamwamba kuti mchiuno ndi bondo zonse zizikhala bwino. Pepani mutu wawo mmbuyo kuti asatseke. Ngati kupuma kapena kugunda kumayima nthawi iliyonse, falitsani munthuyo kumsana ndikuyamba CPR.
4. Ngati mukuganiza kuti pali vuto la msana, musiyeni munthu yemwe mudawapeza (bola kupuma kukupitilira). Ngati munthu akusanza, pukusa thupi lonse nthawi imodzi mbali yake. Thandizani khosi lawo ndi msana kuti mutu ndi thupi zikhale chimodzimodzi mukamagudubuza.
5. Tenthetsani munthuyo mpaka atalandira chithandizo chamankhwala.
6. Mukawona munthu akukomoka, yesetsani kupewa kugwa. Ikani munthuyo pansi ndikukweza mapazi ake pafupifupi masentimita 30.
7. Ngati kukomoka kumachitika chifukwa chakuchepa kwa magazi, mupatseni munthu wina chokoma kuti adye kapena amwe pokhapokha atazindikira.

Ngati munthuyo wakomoka chifukwa chakutsamwa:

• Yambani CPR. Kupanikizika pachifuwa kumatha kuthandiza kuchotsa chinthucho.
• Ngati muwona china chake chikutchinga njira yapaulendo ndipo ndiyotayirira, yesani kuchichotsa. Ngati chinthucho chili pakhosi la munthuyo, MUSAYESE kuchimvetsa. Izi zitha kukankhira chinthucho kumtunda.
• Pitirizani CPR ndipo pitirizani kufufuza kuti muwone ngati chinthucho chachotsedwa mpaka thandizo lachipatala lifika.

• MUSAPATSE chakudya kapena chakumwa kwa munthu amene wakomoka.
• Musamusiye yekha munthuyo.
• Musayike mtsamiro pansi pa mutu wa munthu amene wakomoka.
• MUSAMAPE kumaso kwa munthu wakomoka kapena kuwaza madzi pankhope kuti mumutsitsimutse.

Itanani 911 ngati munthu sakudziwa ndipo:

• Sabwerera kuzikumbukira mwachangu (mkati mwa mphindi)
• Wagwa pansi kapena wavulala, makamaka ngati akutuluka magazi
• Ali ndi matenda ashuga
• Ali ndi khunyu
• Ataya matumbo kapena chikhodzodzo
• Sipuma
• Ali ndi pakati
• Waposa zaka 50

Itanani 911 ngati munthu wayambiranso kuzindikira, koma:

• Amamva kupweteka pachifuwa, kupanikizika, kapena kusapeza bwino, kapena amakhala ndi kugunda kwamphamvu kapena kusakhazikika kwa mtima
• Satha kuyankhula, ali ndi vuto la masomphenya, kapena sangathe kusuntha mikono ndi miyendo yawo

Pofuna kupewa kukomoka kapena kukomoka:

• Pewani zochitika zomwe shuga wanu wamagazi amatsika kwambiri.
• Pewani kuyimirira pamalo amodzi nthawi yayitali osasuntha, makamaka ngati mumakonda kukomoka.
• Pezani madzi okwanira, makamaka nyengo yotentha.
• Ngati mukumva kuti mwatsala pang'ono kukomoka, gonani pansi kapena kukhala pansi mutaweramitsa mutu pakati pa mawondo anu.

Ngati muli ndi matenda, monga matenda ashuga, nthawi zonse muvale mkanda wochenjeza wazachipatala kapena chibangili.

Kutaya chidziwitso - chithandizo choyamba; Coma - thandizo loyamba; Kusintha kwa malingaliro; Kusintha kwa malingaliro; Syncope - thandizo loyamba; Kukomoka - thandizo loyamba

• Zovuta mwa akulu - kutulutsa
• Zovuta mwa akulu - zomwe mungafunse dokotala wanu
• Zovuta mwa ana - kutulutsa
• Zovuta mwa ana - zomwe mungafunse dokotala wanu
• Kupewa kuvulala pamutu kwa ana

• Malo obwezeretsa - mndandanda

American Red Cross. Buku Loyamba la Wophunzira / CPR / AED. Wachiwiri ed. Dallas, TX: American Red Cross; 2016.

Crocco TJ, Meurer WJ. Sitiroko. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 91.

Ndi Lorenzo RA. Kulunzanitsa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 12.

[Nkhani yaulere ya PMC] [Adasankhidwa] Kleinman ME, Brennan EE, Goldberger ZD, et al. Gawo la 5: chithandizo chofunikira cha moyo wachikulire komanso kuyambiranso kwa mtima: 2015 malangizo a American Heart Association amasinthira kukonzanso kwa mtima ndi chisamaliro chamtima cha mtima. Kuzungulira. 2015; 132 (18 Suppl 2): ​​S414-S435. PMID: 26472993 www.ncbi.nlm.nih.gov/pubmed/26472993.

Lei C, Smith C. Kukhumudwa ndikukhala ndi chikomokere. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu13.