Kumangidwa kunja kwa chipatala kwa mtima (OHCA) kunali chachitatu chotsogolera "kuchepa kwaumoyo chifukwa cha matenda" ku United States kuseri kwa matenda a mtima a ischemic ndi kupweteka kumbuyo / / khosi kumbuyo kwa 2016.

Njira zowonera, monga CPR ndi AED kugwiritsa ntchito, kuchepetsa kwambiri imfa ndi kulemala chifukwa cha kumangidwa kwa mtima kunja kwa chipatala (OHCA).

DALLAS, March 12, 2019 - Kumangidwa kwa mtima kwapadera chinali chotsatira chachitatu cha "kuperewera kwa thanzi chifukwa cha matenda" ku United States kumbuyo ischemic matenda a mtima ndi otsika kumbuyo /khosi kupweteka mu 2016, malinga ndi kafukufuku watsopano mu kayendetsedwe ka kayendetsedwe kake: Maphunziro a mtima ndi Zotsatira za mtima, Buku la American Heart Association.

Maphunzirowa ndi oyamba kulingalira za moyo wokhudzana ndi kulemala (DALY) - zomwe zimawerengera zaka zambiri za moyo zomwe zinatayika msanga komanso zaka zakubadwa chifukwa cha kulemala chifukwa cha matenda - pakati pa omwe adakumana ndi chipsinjo chosachiritsika chachipatala ku United States.

Kumangidwa kwa mtima ndizowona mwadzidzidzi kuti mphamvu yamtima imatha kupopera, zomwe zimayambitsa imfa mkati mwa mphindi zingapo ngati sizikuchiritsidwa. Zotsatira zake pazaka zidatayika kuphedwa msanga ndipo kulemala sikudziwika.

Pogwiritsa ntchito nkhokwe ya National Cardiac Arrest Registry to Enhance Survival (CARES), ofufuza adafufuza milandu 59,752 ya munthu wamkulu, wosapweteketsa mtima, Emergency Medical Services (EMS) - womangidwa kunja kwa chipatala kwa mtima kuyambira mu 2016.

Ofufuza apeza:

• Chiwerengero cha anthu odwala matenda osachiritsika omwe anagwidwa ndi matenda osachiritsika kuchipatala anali 1,347 pa anthu a 100,000, akuwongolera kuti ndiyo yachitatu yomwe imayambitsa matenda a umoyo chifukwa cha matenda ku United States kumbuyo matenda a ischemic (2,447) ndi kupweteka kumbuyo ndi kumutu (1,565);
• Anthu omwe anali ndi matenda osokonezeka mtima m'chipatala anataya zaka pafupifupi 20.1 zathanzi; ndi
• Padziko lonse, izi zinapangitsa kuti moyo wa 4.3 wathanzi uwonongeke, womwe umaimira 4.5 peresenti ya chiwerengero cha DALY m'dzikoli.

Ochita kafukufuku anawonanso zotsatira za kulowetsa mwachangu - CPR ndi ntchito yowonongeka yotchedwa defibrillator (AED). Poyang'ana kafukufuku wawo ponena za zochitika zowonongeka zapachilendo zapachilendo, ochita kafukufuku anapeza kuti pa dziko lonse:

• Kupulumuka kuchipatala kunali kwakukulu kwa iwo omwe analandira CPR wowerengera kusiyana ndi omwe sanali (21.5 peresenti vs. 12.9 peresenti);
• CPR wothandizila yekhayo ankagwirizanitsidwa ndi zaka 25,317 za moyo wathanzi wopulumutsidwa; ndi
• CPR inayanjanitsidwa ndi defidrillation ya AED inagwirizanitsidwa ndi zaka 35,407 za moyo wathanzi wopulumutsidwa.

Ofufuzawo adawona kuti azimayi amakonda kukhala ndi zofunikira kwambiri ZAKUTI kuposa abambo, komanso aku Caucasi, poyerekeza ndi aku America aku Africa. Kuphatikiza apo, mpikisano wa ku Spain umalumikizidwa ndi apamwamba DALY poyerekeza ndi Caucasians.

"Anthu ambiri amamangidwa pambali pa chipatala, ndipo zotsatira zathu zimasonyeza kuti njira zothandizira kuchepetsa imfa ndi ulemale, zimatsimikizira kufunika kwa CPR ndi AED maphunziro, komanso kuunika kwa mtima kwa anthu onse," anatero Ryan A. Coute, DO. wolemba mabuku ndi Emergency Medicine akukhala ku yunivesite ya Alabama ku Birmingham.

Ochita kafukufuku akuyembekeza kuti phunziroli likhonza kuthandizira kutsata ndondomeko za thanzi la anthu, zofunikira komanso kafukufuku wamtsogolo pa sayansi yobwereza.

"Kumangidwa kwa mtima ndi kwapadera chifukwa kupulumuka kumadalira momwe anthu omwe akuwawona, othandizira amapita kuchipatala, ogwira ntchito ku EMS, madokotala ndi ogwira ntchito kuchipatala," adatero Coute. "Tikukhulupirira kuti zotsatira za kafukufukuyu zimapereka mwayi wogogomezera kuti 'kumangidwa kwamtima' komanso 'kugunda kwa mtima' sikufanana. Zotsatira zathu zithandizanso kudziwitsa mabungwe omwe amapereka ndalama komanso opanga mfundo za momwe angagwiritsire ntchito bwino zinthu zochepa zomwe zingathandize kukonza thanzi la anthu. ”

Olemba anzawo ndi Brian H. Nathanson, Ph.D., Ashish Panchal, MD, Ph.D., Michael C. Kurz, MD, Nathan L. Haas, MD, Bryan McNally, MD, Robert W. Neumar, MD, PhD ndi Timothy J. Mader, zolemba za MD Author zili pamanja.

Ofufuza asananene kuti palibe chitsimikizo cha ndalama komanso zolemba za olemba zomwe zafotokozedwa mwatsatanetsatane. CARES imalandira ndalama kuchokera American Red Cross ndi American Heart Association.

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