Hankalin da CPR ya jawo, farfadowa na zuciya, wani lamari ne wanda dole ne mai ceto ya sani kuma yana haifar da tambayoyi game da hanyoyin da za a bi.

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Bayan motsa jiki na motsa jiki na zuciya, mara lafiyar da ba a sani ba zai iya ganewa kuma ya yi motsi da gangan.

Waɗannan motsin, mai yuwuwa yanayin damuwa da ruɗani na majiyyaci da ake taimakawa, na iya hana ayyukan ceto, ko ma lalata na'urorin kiwon lafiya, kamar bututun endotracheal ko allura ta jijiya.

A lokacin waɗannan ayyukan tadawa, da motar asibiti Don haka ana kira ga ma'aikatan jirgin da su yi tambaya game da wannan farfaɗowar hayyacinsu, da kuma ɗaukar matakan kariya don kare majiyyaci da kuma aikin ceto da ake ci gaba da yi.

Don haka ya zama dole a kame majiyyaci a jiki?

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Hankalin da CPR ya jawo wani abu ne da ba kasafai ba, wanda yana da mahimmanci a sani.

Tare da matsi mai inganci, isassun kwararar jini na cerebral za a iya samar da shi a zahiri don haifar da yanayi daban-daban na sani.

Ana iya bayyana wannan ta hanyar buɗe ido ba tare da bata lokaci ba, sautin muƙamuƙi da aka samo, magana ko motsin jiki da na gaba.1,2

Abubuwan da suka faru na wannan farfadowar hayyacin an kiyasta kusan 0.7% a cikin binciken rajista kafin asibiti da aka kammala a cikin 2014.2

An kuma lura cewa sanin CPR da aka haifar da shi yana hade da ingantaccen rayuwa da kuma yawan adadin da aka rubuta ya karu a cikin shekaru shida na binciken.

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A halin yanzu, kulawar da aka haifar da sanin CPR ba a bayyana shi da kyau ba

Rahoton daftarin aiki da ya fito daga rashin shiga tsakani, umarnin magana, kamewa ta jiki, kamewar sinadarai (ciki har da ketamine, benzodiazepines, opioids, masu shakatawa na tsoka) ko haɗin dabarun.1-3

Har zuwa yau, ƙayyadaddun samfurin marasa lafiya sun shiga tsakani na farfadowa. 1-3

Ya zuwa yau, ƙayyadaddun girman samfurin a cikin babban binciken kallo kawai ya hana duk wata muhimmiyar alaƙa tsakanin zaɓin wakili na sinadarai da sakamakon rayuwa.

Koyaya, daga mahangar aiki, dole ne a ɗauki kulawa ta musamman kafin amfani da opioids ko benzodiazepines, saboda yuwuwar su na iya haifar da hauhawar jini.

Hakazalika, masu shan inna suna ɗauke da haɗarin 'shannye yayin da suke sane', wanda ke ba da ƙarin la'akari da la'akarin likita.

A cikin 2016, wata wasiƙa daga Ofishin EMS na Nebraska ta raba ka'idar prehospital don fahimtar CPR da ta haifar.

An ƙaddamar da ƙa'idar ne bayan haɓakar lamuran da aka ruwaito, a fili bayan gabatarwar prehospital inji CPR.

Yarjejeniyar ta bayyana cewa maganin layin farko shine cakuda ketamine IV ko IM tare da yuwuwar gudanarwar midazolam IV ko IM.3

Ana buƙatar ƙarin bincike don tantance mafi kyawun tsarin magani.

References

Olaussen A, Shepherd M, Nehme Z, et al. Komawar hankali a yayin da ake ci gaba da farfadowa na zuciya: nazari na yau da kullum. Farfadowa. Janairu 2015; 86: 44-48.

Olaussen A, Nehme Z, Shepherd M, et al. Hankali da aka jawo a lokacin farfadowa na zuciya na zuciya: nazarin kallo. Farfadowa. Afrilu 2017; 113: 44-50.

Rice DT, Nudell NG, Habrat DA, et al. Hankalin da ya haifar da CPR: Lokaci don ƙa'idodin kwantar da hankali don wannan yawan yawan jama'a. Farfadowa. Juni 2016; 103: e15-e16.

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Source:

RSA