Nokumutswa vavo kutevedzana

In okurapa, pane zviitiko umo mune zvinogona kudzorera zvinokosha mashandiro anoita muviri womunhu. Izvi zvakaita kuti aifanira kuva zvakananga zvirongwa kuita zvinogona kukonzera rumutsiriro. Next, funga kuti kunzwisisa nokumutswa.

tsananguro

Pane davi mushonga kuti inodzidza nokumutswa. Senzira chirango ichi wakaipa zvinhu zvakasiyana-siyana kumutsidzirwa kwevanhu, yakatanga nzira muzvidzivirire uye vabatwe inouraya ezvinhu. Chikamu ichi kunotoda kurapwa mushonga unonzi nokumutswa, uye zvakananga kushandisa zvimwe zvokurarama nazvo kupora mitoo anonzi nokumutswa.

Kana kushandisa nzira kumutsidzirwa?

Pane siyana zviitiko apo zvakakodzera kupora mitoo zvoupenyu. Saka, kana kushandiswa nokumutswa cardiac (myocardial pamusoro kumashure nokuda yemagetsi kuvhunduka, etc.), respiratoria (kana mumuviri vatorwa overlaps ari trachea uye t. D.), Kusvibisa chepfu. rubatsiro kwevanhu kunodiwa pakuparwa hombe kurasikirwa neropa, chenjera renal insufficiency kana chiropa chirwere, zvikuru kunotevera uye zvichingodaro. Kakawanda munguva nokumutswa ishoma chaizvo. Panyaya iyi, zvakaitwa rubatsiro inopiwa zvichava zvakajeka uye nokukurumidza.

chinokosha

Mune zvimwe zviitiko, nokumutswa hakuna kunaka. Zvikurukuru, kuti mamiriro ezvinhu akadaro inofanira kusanganisira kusingarapiki kwazvinoita chinokosha nhengo uye hurongwa pakutanga - uropi. Nokumutswa mu kurapwa rufu hadzibatsiri pashure 8 maminitsi namarudzi vasabatwa. Nzira unotipa simba kwete kushandiswa apo compensating aneta aripo pfuma nhengo (semuenzaniso, pamusoro nyanyisa namamota, izvo kuitika ane vakawanda kuparadzwa). Kubudirira nokumutswa yekudyidzana akavandudzika pachiitwa yavo unyanzvi dzakabatana, izvo vakagadzirira pamwe zvakakodzera michina.

zvinhu nzira

Izvi zvinosanganisira cardiac masaja uye chakagadzirwa afemeruke. Ekupedzisira ndiwo muitiro kuti kutsiva mhepo mumapapu rechipfuwo. Kufefetedza kunobatsira kuramba gasi exchange kukundikana kana kutadza zvakasikwa kufema. cardiac masaja zvingava yakananga kana Akanyatsovharwa. Wokutanga zvinoitwa zvakananga compression muviri. Nzira iyi inoshandiswa panguva akavhiyiwa ari thorax pamukova kwayo mhango. Kudzvinya pachipfuva - munhu compression muviri pakati sternum nomuzongoza. Funga izvi nokumutswa zvizere.

CPR: mukuru ruzivo

Kudiwa pamusoro Implementation kuti kufefetedza rinowanikwa zvakaitika kutyorwa murau kunonyanya pakanyorwa edema kana kweropa nepfungwa muuropi. The nzira rinoitwa pagungano lesion pamusoro etsinga fibers uye tsandanyama zvinobatanidzwa chinofema chiito (pahwaro poriyo, tetenasi chepfu muchetura), inorema pathologies (zvakawanda nemabayo, asthmatic chinzvimbo uye nevamwe). Zvinonzi kwazara kupa nokumutswa vachishandisa Hardware nzira. Kushandiswa otomatiki unomubatsira kufema anochengetedza gasi mukutsinhana mumapapu kwenguva refu kumwedzi. By kufefetedza - sezvo nechimbichimbi chiyero - batidza makuriro ezvinhu akadai unonyura, asphyxia (kutadza kufema), sitiroko (zuva kana kupisa), zvemagetsi tsaona, chepfu. Muzviitiko zvakadaro, kazhinji kuita kushandisa chakagadzirwa afemeruke expiratory nzira: nomuromo kana mhuno.

Patency of kufema turakiti

indekisi ichi chinokosha zvimiso zvinobudirira kufefetedza. Saka, asati kushandisa expiratory nzira pakuraramisa wakasununguka mhepo permeability ari kufema turakiti. Kurega chiito ichi inotungamirira inefficiency kufefetedza unyanzvi nomuromo kana mhuno. Murombo permeability kazhinji zvinokonzerwa nokunamatira pamusoro epiglottis uye rurimi. Izviwo, riri nokuda kutandara ari masticatory tsandanyama uye mandibular chaishanda murwere chavanoziva mamiriro. Kuti adzorere patency rechipfuwo runodzingira musana musoro wake napo - ari anombotwasanudza musana uye occipital rwakashodoka. Panyaya iyi, kusunda rezasi rushaya kuitira kuti chirebvu chake yakanga iri kupfuura yakakwirira. Nokuti epiglottis kutaurwa kuburikidza pharynx sei curved mutsinga dzinofamba nemukaka.

rokutanga evanhu

Pane chaicho kutevedzana kwezviitiko nokumutswa kudzorera chakaipa kufema akuvara. Munhu anofanira kutanga kuiswa kumusana kwako yakatambarara. Dumbu, chipfuva uye mutsipa vakasununguka kubva mukuvhiringidza zvipfeko: kusunungura chisungo, ogadzirisa bhandi uye pakora. Muromo wacho anofanira kusunungurwa kubva vomitus, madzihwa, mate. Uyezve, takapfeka korona nzvimbo noruoko rimwe, yechipiri kusvitsa pahuro runodzingira musana musoro wake. Kana munhu wacho vakarumanisa zvakasimba rushaya, rezasi kusunda, kukuvadza makona wake indekisi minwe.

Development of nzira

Kana CPR rinoitwa muromo repaimba mhuno, muromo wemunhu wacho anofanira kuvharwa nokusimudza rezasi shaya. Anobatsira, kumbotura befu, anofukidza miromo murwere mhuno uye exhale zvakasimba. Kana uchishandisa zvimwe chiito rechipiri womuchato. Kana CPR rinoitwa nomuromo, ipapo akavhara mhino wemunhu. Exhale rubatsiro kuitika muromo, akafukidzwa pedyo sikavha. Shure kwaizvozvo zvinofanira kuitika pusa kupukunyuka mhepo kubva mumapapu murwere. Kuita izvi ake mhuno uye muromo zvishoma wakashama. Panguva ino, rubatsiro kunobvisa musoro wake kudivi uye anoita 1-2 kwomuzvarirwo kundosvikira. Chokuratidza kuti zvakarurama bata zviri karwendo chiito (inofamba) bhokisi kukanganiswa masero ari chakagadzirwa kundosvikira uye panguva pusa nedzinovengwa. Pasina inofamba vanofanira kuziva uye kubvisa chikonzero. Izvi zvinogona haingakwaniri permeability nzira, duku Vhoriyamu Varidza mhepo kuyerera, uye murombo chisimbiso pakati mhino / muromo wacho kunanzvana kutarisirwa Provider.

Kuti uwane mamwe mashoko,

Mukati mineti imwe paavhareji, zvinokosha kuita 12-18 kundosvikira. In kwokukurumidzira Muzviitiko, kufefetedza rinoitwa kushandisa "Chinyorwa unomubatsira kufema." Somuenzaniso, izvi zvinogona kuva bhegi chaiyo chinopiwa muchimiro rabha kuzvipira kuwedzera yomukati. It ane vharafu chaiyo inopa kupatsanurwa kuuya uye ushamwari pusa wokufema. Kana kushandiswa saizvozvi anogona kuramba gasi Exchange pamusoro pakutsanangura nguva.

mwoyo masaja

Sezvakataurwa apa, pane nzira nokudzorerwa muviri basa zvakananga kana zvisina kunanga. Mukupera nyaya, nokuda compression mwoyo pakati musana uye sternum ropa riyerere rikaitika pulmonary tsinga kubva kurudyi ventricle uye kubva kuruboshwe - hombe denderedzwa. Izvi zvinotungamirira kudzorerwa nesimba uropi uye coronary arteries. Muzviitiko zvizhinji, zviri zvinoita kuti resumption mwoyo. Kudzvinya pachipfuva waida apo pakarepo vanorega kana nhengo kudzikira unodiwa. Izvi zvinogona kuva cardiac nokusungwa kana ventricular fibrillation pavarwere vane electrocution, chemwoyo uye zvimwe zvinhu. Pakusarudza kudiwa kushandisa kudzvinya pachipfuva anofanira kukurukura dzinoverengeka zviratidzo. Kunyanya, resuscitative matanho vakatakura pana pakarepo kumira kufema pasina ari carotid tsinga kupomba, mydriasis, kurasikirwa pfungwa, kukura ganda paleness.

anokosha mashoko

Kazhinji, masaja, atanga mukutanga nguva pashure kumisa kana Kushatiswa mwoyo, ndizvo chaizvo. Zvikuru ndiyo nguva pashure kuchinja yakatanga. Saka, nokumutswa panguva kurapwa rufu, akaita pakarepo pashure parinowanika yakawanda kukanganisa pane matanho mushure maminitsi 5-6. Zvakanaka akaurayiwa manipulations kukubvumira kudzorera basa muviri nekaupenyu nokukurumidza. Sezvo dzimwe nguva, pane vamwe kutevedzana kwezviitiko nokumutswa. Zivo chidobi kuti kudzvinya pachipfuva inobvumira chimbichimbi kuponesa upenyu.

Development of nzira

Usati muite nokumutswa, munhu anofanira kuiswa pamusoro zvakaoma pasi kuseri. Kana murwere ari pamubhedha, pasina zvakaoma nhovo kusuduruka yake pasi. The akuvara anosunungurwa kubva rokunze zvipfeko, ndigure bhandi. The inokosha ndiko kwakarurama nzvimbo kwamaoko mununuri wacho. The emichindwe anoiswa pamusoro yepazasi chetatu mubhokisi, akaisa pamusoro wechipiri. maoko Vose vanofanira kuva ngaatarire panguva emaoko. Maoko nemakumbo vari perpendicular kuti pechiso sternum. Uyewo, muchindwi anofanira zvakawanda unbent mamiriro ari chiningoningo vadyi - pamwe akamutsa minwe. Panzvimbo ino, kumanikidza pamusoro sternum panzvimbo dzapasi rechitatu kutanga mugove muchanza rinoitwa. Kupfuurira zvinomiririra nokukurumidza jerks ari sternum. Nokuti kuswatura maoko ake rabviswa pemvura pashure mumwe muchina. The simba kunodiwa kuti Kutsauka ari sternum 4-5 masendimita inopiwa kwete chete nemaoko ake, asi kurema mununuri. Panyaya iyi, kana kuti munhu wacho akarara pamubhedha kana pemubhedha, ipapo kubatsira nani kumira pachigadziko chemwenje. Kana murwere ari panyika, kuti mununuri zvichava nyore pamabvi. The kakawanda kudzvinya - Kurohwa 60 paminiti. Kana yakafanana mufambiro cardiac masaja uye kufefetedza nevanhu vaviri pane mweya mumwe akaita 4-5 achisunda ari pazamu, 1 munhu - 2 kundosvikira kuti 8-10 kudzvinya.

Mukuwedzera

Kubudirira evanhu ndakaongorora kanenge 1 nguva paminiti. Unofanira panguva imweyo kuteerera kwemwoyo munharaunda yacho carotid arteries, mamiriro ezvinhu vadzidzi uye kuvapo vaingoerekana kufema, wakawedzera BP uye ungaderedza cyanosis kana paleness. In pamberi nokumutswa chokuita zvinoshandiswa kuzadzikiswa intracardiac aizomupa 1 ml 0.1% epinephrine kana 5 ml gumi muzana mhinduro calcium chloride. Mune zvimwe zviitiko, kuzoita contractile mano muviri anogona kuitwa unopinza punchi kusvika nepakati sternum. Pamusoro kuziva miedzo ventricular fibrillation akashandisa defibrillator. Kugumiswa nokumutswa kunoitika muna 20-25 maminitsi pashure pakutanga tisina mugumisiro evanhu.

zvinogoneka yematambudziko

Vakawanda mugumisiro kudzvinya pachipfuva ndiyo mbabvu musoro. Chinonetsa kudzivisa izvi vawirwa vakwegura nokuda muchipfuva kwavo hakusi raichinja-chinja uye kusanduka sezvo varwere vaduku. Zvishoma kazhinji yokuvamba kukuvadza mwoyo nemapapu, ruptures mudumbu, chirwatata uye chiropa. yematambudziko Ava mugumisiro sizvo Implementation unyanzvi evanhu uye dosing zvavaida zvokunyama pamusoro sternum.

pachena rufu

Nguva iyi anonzi padariro kufa uye reversible. Ari pamwe kunyangarika ari chokunze kuratidzwa upenyu hwevanhu: kufema, kwemwoyo. Asi haina maka kusingarapiki kuchinja nyama uye nhengo dzomuviri. Kazhinji, nguva yose nguva iri maminitsi 5-6. Panguva ino nguva, uchishandisa nokumutswa angadzorera anokosha. Shure iyi kutanga kusingarapiki kuchinja. Vari sokuva mamiriro rufu zvoutachiona. Muchiitiko ichi hazvibviri vabudirire apore azere nhengo uye hurongwa. Duration kunotoda kurapwa rufu anoenderana kureba uye mhando rwounofa, tembiricha muviri, zera. Somuenzaniso, apo uchishandisa chakagadzirwa zvikuru hypothermia (richikwidibira T 8-12 madhigirii) nguva anogona ngazviwedzerwe maawa 1-1.5.