Defibrillator: chii, kuti inoshanda sei, mutengo, voltage, manual uye kunze
Defibrillator inoreva chimwe chiridzwa chinokwanisa kuona shanduko mutsindo yemwoyo uye kuendesa kuvhunduka kwemagetsi kumoyo kana zvichidikanwa: kuvhunduka uku kunokwanisa kudzoreredza rhythm ye'sinus', kureva rhythm yemoyo chaiyo inorongedzerwa nemoyo chaiwo pacemaker, iyo 'strial sinus node'
Ko defibrillator inoita sei?
Sezvatichaona gare gare, kune marudzi akasiyana-siyana. Inonyanya 'yemhando yepamusoro', iyo yatakajaira kuona mumafirimu panguva dzenjodzi, ibhuku re defibrillator, iro rine maelectrodes maviri anofanirwa kuiswa pachipfuva chemurwere (imwe kurudyi uye imwe kuruboshwe rwemoyo. ) nemushandisi kusvika kuburitsa kwasvitswa.
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Ndeapi marudzi e defibrillator aripo?
Kune marudzi mana e defibrillators
- manual
- kunze semi-otomatiki
- zvekunze otomatiki;
- inosimwa kana yemukati.
Manual defibrillator
Rudzi rwemanyorero ndiyo yakanyanya kuomesesa chishandiso chekushandisa sezvo chero kuongororwa kwemamiriro emoyo kwakapihwa zvachose kune mushandisi wayo, sezvakaita calibration uye modulation yekubuda kwemagetsi kuendeswa kumoyo wemurwere.
Nezvikonzero izvi, iyi mhando ye defibrillator inongo shandiswa navanachiremba kana vakadzidziswa hutano nyanzvi.
Semi-otomatiki yekunze defibrillator
Iyo semi-otomatiki yekunze defibrillator chishandiso, chinopesana nemhando yemanyorero, inokwanisa kushanda ingangoita yakazvimirira.
Kana maelectrodes achinge anyatsobatanidzwa kumurwere, kuburikidza neimwe kana anopfuura maelectrocardiograms ayo mudziyo unozviita otomatiki, iyo semi-otomatiki yekunze defibrillator inokwanisa kuona kana zvichidikanwa kuendesa kuvhunduka kwemagetsi kumoyo: kana iyo rhythm inonyatso defibrillating, inonyevera mufambisi wechidikanwi chekuendesa kushamiswa kwemagetsi kumusana wemwoyo, nekuda kwechiedza uye / kana zviratidzo zvezwi.
Panguva ino, mushandisi anongofanira kudzvanya bhatani rekuburitsa.
Chinhu chakanyanya kukosha ndechekuti kana murwere ari mukusungwa kwemoyo chete, iyo defibrillator inogadzirira kuendesa kuvhunduka: hapana imwe nyaya, kunze kwekunge mudziyo watadza kushanda zvakanaka, zvinogoneka here kumisa fibrillate murwere, kunyangwe bhatani rekuvhundutsa. inomanikidzwa nekukanganisa.
Rudzi urwu rwe defibrillator saka, mukusiyana nemhando yemanyorero, iri nyore kushandisa uye inogona zvakare kushandiswa nevasiri vekurapa vashandi, kunyangwe vakadzidziswa zvakakodzera.
Zvakakwana otomatiki defibrillator
Iyo otomatiki defibrillator (kazhinji yakapfupikiswa kuAED, kubva ku 'automated external defibrillator', kana AED, 'automated external defibrillator') yakatonyanya kupfava kupfuura iyo otomatiki mhando: inongoda chete kubatanidzwa kumurwere uye kuchinjika.
Kusiyana nesemi-otomatiki ekunze defibrillator, kana mamiriro ekusungwa kwemoyo azivikanwa, anoenderera akazvimirira kuendesa kuvhunduka kumoyo wemurwere.
Iyo AED inogona zvakare kushandiswa nevasiri vekurapa vashandi vasina chaiyo kudzidziswa: chero munhu anogona kuishandisa nekungotevera mirairo.
Internal kana implantable defibrillator
The internal defibrillator (inonziwo implantable defibrillator kana ICD) inonzi cardiac pacemaker inoshandiswa nebhateri duku zvikuru iyo inoiswa pedyo nemutsipa wemwoyo, kazhinji pasi pecollarbone.
Kana ikanyoresa kurova kwemwoyo wemurwere yakazvimiririra, inokwanisa kuburitsa mavhiri emagetsi yakazvimirira kuedza kudzosa mamiriro acho ezvinhu.
ICD haingori pacemaker pachayo (ine simba rekugadzirisa maitirwo emwoyo inononoka, inogona kuziva arrhythmia yemoyo pamwero wepamusoro uye kutanga mishonga yemagetsi kuigadzirisa isati yava nengozi kune murwere).
Iri zvakare defibrillator chaiyo: iyo ATP (Anti Tachy Pacing) modhi inowanzogadzirisa kugadzirisa ventricular tachycardia pasina murwere anonzwa.
Muzviitiko zvine ngozi zvakanyanya zve ventricular arrhythmia, defibrillator inopa kuvhunduka (kubuda kwemagetsi) iyo inodzoreredza kuita kwemoyo ku zero uye inobvumira rhythm yechisikigo kudzoreredzwa.
Muchiitiko ichi, murwere anonzwa kushamiswa, kuwedzera kana kuderera kwakasimba jolt pakati pechipfuva kana manzwiro akafanana.
Defibrillators: voltages uye discharge simba
A defibrillator inowanzo fambiswa nebhatiri rinochajwa, ingave mains-powered kana 12-volt DC.
Simba rekushanda mukati memudziyo ndewe-low-voltage, yakananga-ikozvino rudzi.
Mukati, marudzi maviri emaseketi anogona kusiyaniswa: - yakaderera-voltage dunhu re10-16 V, iyo inobata mabasa ese eECG monitor, iyo bhodhi ine microprocessors, uye dunhu pasi pemvura ye capacitor; a high-voltage circuit, iyo inokanganisa kuchaja uye kuburitsa dunhu reiyo defibrillation simba: izvi zvinochengetwa ne capacitor uye zvinogona kusvika kumagetsi anosvika 5000 V.
Simba rekuburitsa rinowanzo 150, 200 kana 360 J.
Ngozi dzekushandisa defibrillators
Ngozi yekutsva: muvarwere vane vhudzi rinoonekera, mhepo yemhepo inogadzirwa pakati pema electrode neganda, zvichiita kuti magetsi asina kunaka.
Izvi zvinokonzeresa kupindirana kwepamusoro, zvinoderedza kushanda kweiyo defibrillation, zvinowedzera njodzi yemoto wemoto pakati pema electrode kana pakati pe electrode neganda, uye inowedzera mukana wekukonzera kupisa kuchipfuva chemurwere.
Kuti udzivise kupisa, zvakakoshawo kudzivirira ma electrode kugunzva mumwe nemumwe, kubata mabhandeji, transdermal patches, nezvimwe.
Paunenge uchishandisa defibrillator, mutemo unokosha unofanirwa kucherechedzwa: hapana munhu anobata murwere panguva yekusununguka kwekuvhunduka!
Muponesi anofanira kunyatsongwarira kuti ave nechokwadi chekuti hapana anobata murwere, nokudaro achidzivirira kuvhunduka kusvika kune vamwe.
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