Thandizo chifukwa chakuti mtima. chithandizo Emergency kwa mwadzidzidzi mtima amangidwe

Mtima kumangidwa kumachitika pamene minofu mtima zimaleka kugwira ntchito. Nthawi zambiri izi kumafuna munthu akamwalira. Koma ngati Womutsatira kunapezeka kuti munthu amene pansi pa mphamvu kuchita kuwatsitsimula, mwina, wozunzidwayo adzapulumuka. Thandizo Mlandu mtima ayenera kukhala yomweyo, chifukwa apo maminiti pang'ono ubongo chifukwa cha kutha kwa magazi imfayo ntchito, ndiyeno nkubwera otchedwa imfa chikhalidwe. Pankhaniyi, pali mwayi kuti abwezeretse mtima ndi mapapo, koma chifukwa cha wovulalayo chikumbumtima sitingakhoze, osalephera, kale, ngakhale madokotala abwino.

N'chifukwa angayambe mtima kulephera?

thandizo adzakhala yemweyo kaya zifukwa zimene wabwera boma amenewa. Koma kodi n'chiyani kuletsa zochita za mtima? Kufunika kudziwa aliyense. chifukwa chachikulu - yamitsempha yamagazi fibrillation. Ichi ndi mkhalidwe umene pali chidule wachisokonezo ulusi minofu m'makoma ventricles, amene zimachititsa disruptions kotunga magazi zimakhala ndi ziwalo. Chifukwa china - yamitsempha yamagazi asystole - Pankhaniyi ntchito magetsi a myocardium kwathunthu anasiya.

Inatsekeratu mtsempha wamagazi matenda, kumanzere yamitsempha yamagazi hypertrophy, matenda oopsa, atherosclerosis - alinso mfundo zoopsa zimene zingathe kuthetsa ntchito bwino thupi waukulu anthu. Komanso mtima kumangidwa zingachitike chifukwa yamitsempha yamagazi tachycardia, pamene ziwiya lalikulu palibe zimachitika kapena chifukwa dissociation electromechanical, pamene pamaso pa ntchito magetsi a mtima si pali chidule lolingana wa ventricles ndi (ie palibe ntchito makina). Pali ngati kudwala monga Romano-Ward matenda, zomwe zimagwiritsa fibrillation cholowa yamitsempha yamagazi - zikhoza kukhala chifukwa chake pali mwadzidzidzi mtima kumangidwa.

thandizo chofunika zina ndi anthu amene analibe yapita matenda.

kanthu kunja

The mtima kusiya chifukwa:

• hypothermia (pamene kutentha thupi kugwa m'munsimu madigiri 28);
• magetsi mantha (mwachitsanzo, ndi mphezi kumenya kapena mantha);
• kulandira yambiri blockers, glycosides mtima kapena njira mankhwala ochititsa dzanzi;
• chosowa mpweya (mwachitsanzo, asafe, kutsamwa);
• hemorrhagic ndi anaphylactic mantha.

Kodi kudziwa kuchotsa mtima

Pamene minofu mtima zimaleka kugwira ntchito anapeza zizindikiro zotsatirazi:

• Kuchepa kwa chikumbumtima - izo zimangochitika yomweyo atamangidwa mtima, pasanafike masekondi asanu. Ngati munthu alibe kulabadira zimene zikuchitika kulikonse, ndiye atakomoka.
• Kutha kupuma - Pankhaniyi gulu lililonse pachifuwa.
• No ripple m'malo mwa mtsempha wamagazi ndi carotid - ndi zimadziŵika m'dera chithokomiro, mainchesi awiri kapena atatu kuchokera ku mbali yake.
• Sindimvetsera mtima zikumveka.
• Khungu amakhala wotumbululuka kapena bluish kulocha.
• ana Dilated - angapezeke ndi kutukula chikope kumtunda kwa diso akhudzidwa ndi owala. Ngati malangizo a mwana si mwapang'ono kuwala, akhoza amaganiziridwa kuti panali mwadzidzidzi mtima kumangidwa. Thandizo Pankhaniyi angapulumutse moyo.
• Omangana - angayambe pa nthawi ya imfa ya chikumbumtima.

Onse zizindikiro izi zikusonyeza kufunika kuwatsitsimula mwamsanga.

Sitingathe sachedwa!

Ngati muli pafupi ndi munthu amene mtima anaima, chinthu chachikulu chimene inu mukuyenera kuti muchite - kuchita mofulumira. Pali mphindi zochepa chabe pofuna kupulumutsa wovulalayo. Ngati thandizo Mlandu mtima ndi overdue, odwala kapena kumwalira, kapena moyo adzakhalabe sangathenso. Home ndi ntchito yanu - kubwezeretsa kupuma ndi kugunda kwa mtima, komanso kuthamanga mitsempha ya magazi, chifukwa popanda ziwalo yofunika iyi (makamaka ubongo) sangathe kugwira ncthito.

chisamaliro Emergency Mlandu mtima n'kofunika kukachitika kuti munthu ali chikomokere. Choyamba potormoshite izo, kuyesa kuzitcha mokweza. Ngati zimene si anati, kuyamba CPR. Zikuphatikizapo magawo angapo.

thandizo chifukwa chakuti mtima. kupuma yokumba

Zofunika! Musaiwale yomweyo itanani ambulansi. Izi ziyenera kuchitika isanayambe kuwatsitsimula, chifukwa ukatero sadzatha udzasokonezedwa.

Kutsegula airway, kuika wovulalayo kumbuyo pa pamwamba zovuta. Pakamwa, kuchotsa chilichonse chimene angalepheretse yachibadwa kupuma anthu (chakudya, ziwalo, matupi dziko lililonse). mutu zaprokinte wodwalayo kumbuyo kuti chibwano wake zolungama. Pankhaniyi, m'munsi nsagwada m'pofunika kuti apitirize, pangakhale Anabweza chinenero - mu nkhani iyi, mpweya kulowa mu mapapo m'malo m'mimba, ndiyeno thandizo chisanadze mankhwala Mlandu mtima adzakhala sizithandiza.

Pambuyo yomweyo kuyamba kubala mpweya "pakamwa kukamwa". Tsinani mphuno munthu kulowa mapapo mpweya, gwirani pakamwa panu ndi milomo woberedwa, kupanga zinthu ziwiri mpweya lakuthwa. Chonde dziwani kuti muyenera kwathunthu ndi zolimba kwambiri tiweramitse milomo wodwalayo, mwinamwake mpweya wotuluka tikamapuma akhoza kutayika. Sizipanga mpweya mwakuya kwambiri, kapena mwamsanga kutopa. Ngati yokumba kupuma "pakamwa kukamwa" pazifukwa zina sizingakhoze kuchitidwa, ntchito njira "pakamwa ndi mphuno." Pankhaniyi, dzanja ayenera kutseka pakamwa wovulalayo ndi kufufuma mpweya m'mphuno mwake.

Ngati thandizo kuchipatala amaperekedwa molondola, pa inspiratory nthiti wodwalayo adzauka, ndipo pa nthawi ya mpweya ku kumangidwa mtima mu makina - kugwa. Ngati magulu awa sali anati, fufuzani airway.

kutikita mtima

Imodzi, kupuma yokumba ayenera kuchitidwa ndi psinjika za thorax (compressions chifuwa). mpheto wina popanda ina n'zosamveka. Choncho, pamene inu mwachita mpweya awiri m'kamwa wovulalayo, kuyika dzanja lake lamanzere pa mmunsi mwa sternum pakati, ndi dzanja lamanja pa kumanzere kuika mu malo mtanda. Pankhaniyi, manja ayenera molunjika, sanagwadirepo. Kenako, anayamba rhythmically tilimbikire pa chifuwa - izo adzachititsa chidule cha minofu mtima. Ndi popanda manja anu kuti fifitini kukanikiza kayendedwe kukanikiza mtengo wa munthu pa mphindi. Ndi mpheto moyenera chifuwa angagwe ndi zisanu masentimita - Pankhaniyi tinganene kuti mtima amanyamula magazi ikukoka, ndiye kuchokera kumanzere ventricle magazi kudzera msempha akulowa ubongo, ndipo kumanja - m'mapapo, kumene machulukitsidwe ake oxygen. Pa nthawi imene kuthamanga pa sternum mabasi, mtima amadzaza ndi magazi kachiwiri.

Ngati kutikita zachitika chisanadze sukulu zaka mwana, ndiye akanikizire pansi pa kayendedwe ka chifuwa ayenera kuchitidwa index ndi zala pakati pa dzanja limodzi, ndipo ngati wophunzira - ndi dzanja limodzi. kusamalidwa ayenera kupatsidwa thandizo pa mtima okalamba. Ngati gulu lalikulu la kuthamanga pa sternum, zikhonza kuwononga ziwalo kapena ntchafu wovulala.

anapitiriza CPR

Bwerezani mpweya mpweya ndi compressions pachifuwa akhale bola ngati wovulalayo si kupuma, ndipo chimayamba kukhala palpable zimachitika. Ngati thandizo kwa kumangidwa mtima ndi anthu awiri basi, m'pofunika perekani maudindo monga izi: Munthu aliyense amene akuchita mpweya wina wa mpweya wa m'kamwa kapena mphuno wodwala, ndiyeno umabala chachiwiri compressions asanu pa sternum lapansi. Ndiye zochita mobwerezabwereza.

Ngati, kudzera kuwatsitsimula kupuma nachiritsidwa, koma zimachitika anali akali zimadziŵika, ayenera kupitiriza mtima kutikita, koma wopanda mpweya wabwino. Ngati panali zimachitika, koma munthu si kupuma, muyenera kuletsa kutikita kenako kokha kupuma yokumba. Zikatero, ngati wovulalayo ndi kupuma, ndipo anali zimachitika, CPR ayenera kusiyidwa mpaka kufika pa dokotala kuti aziona kwambiri alili. Mulimonse mmene muyenera kuyesera kusuntha munthu amene anaonekera zizindikiro za kumangidwa mtima. Izi zikhoza kutheka pokhapokha kubwezeretsedwa kwa thupi ndi makina wapadera kuwatsitsimula.

Mphamvu ya kuwatsitsimula

Unikani bwino mtima kuyimitsidwa thandizo chaperekedwa, motere:

• Kodi palpable zimachitika mu carotid, zozungulira ndi mitsempha femoral.
• magazi ayenera ziwonjezeke kwa 80 mm.
• Ana ayenera kuyamba Ndikuchepetsa, ndipo adzachira anachita kwa nzothandiza kuwala.
• Khungu ayenera kugula okha mtundu yachibadwa m'malo pallor ndi cyanosis.

Polekera kuwatsitsimula

Ngati, pambuyo theka la ora mpheto kupuma ntchito mtima wovulalayo si makutu, ndi ana kukhalabe dilated ndi chiyani samva kuwala, tikhoza kunena kuti thandizo kwa kumangidwa mtima sanadutsitse zotsatira sikhala ndi munthu kale mu ubongo wa munthu kunachitika kale sizingasinthe. Pankhaniyi, khama zina kuwatsitsimula amakhala opanda ntchito. Ngati zizindikiro za imfa anaonekera pamaso pa lotha wa nthawi makumi atatu mphindi, akayakaya wagawo, mukhoza kusiya mwamsanga.

Zotsatira za kumangidwa mtima

Malinga ndi ziwerengero za anthu onse amene analembedwa kutha kwa ntchito mtima, 30 peresenti okha anapulumuka. Ndipo akubweranso wabwinobwino ndipo ngakhale zochepa akhudzidwa. Mpaka kalekale zoipa thanzi amayambidwa makamaka chifukwa chakuti thandizo mochedwa mankhwala oyamba. Pa kumangidwa mtima, mwamsanga CPR ndi zofunika kwambiri. Umo ndi momwe iwo ankakonda kubala, moyo wa wodwala zimatengera. Kenako adzakhala anapitiriza ntchito mtima, wamkulu mosavuta mavuto aakulu. Ngati mpweya yaitali laperekedwa kwa ziwalo zofunika, pali ischemia, kapena kusowa oxygen. Chifukwa, kuwononga impso, ubongo, chiwindi, kenako zoipa zimakhudza moyo wa munthu. Ngati compressions kutikita pachifuwa kuchita amphamvu kwambiri, n'zotheka kuti aswe nthiti kapena wodwala kuutsa munthu pneumothorax.

pomaliza

Kudziwa mmene thandizo Mlandu mtima, mungathe kupulumutsa moyo ndi kusunga thanzi lake. Musakhale osayanjanitsika! Gwirizanani, zabwino kudziwa kuti ndikuyamikeni munthu adzatha kupitiriza azisangalala ndi tsiku!