Defibrillator: hore na ke eng, e sebetsa joang, theko, voltage, manual le kantle
Defibrillator e bolela sesebelisoa se itseng se khonang ho lemoha liphetoho tsa morethetho oa pelo le ho fana ka ts'oaetso ea motlakase pelong ha ho hlokahala: ts'oaetso ena e na le bokhoni ba ho tsosolosa morethetho oa 'sinus', ke hore, molumo o nepahetseng oa pelo o hokahanngoa ke pacemaker ea tlhaho ea pelo, "strial sinus node"
Defibrillator e shebahala joang?
Joalokaha re tla bona hamorao, ho na le mefuta e sa tšoaneng. E 'ngoe ea "classic" ka ho fetisisa, eo re tloaetseng ho e bona lifiliming nakong ea maemo a tšohanyetso, ke "defibrillator" ea manual, e nang le li-electrode tse peli tse lokelang ho behoa sefubeng sa mokuli (e 'ngoe ka ho le letona le ka ho le letšehali la pelo. ) ka opareitara ho fihlela phepelo e fanoa.
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Ke mefuta efe ea li-defibrillator tse teng?
Ho na le mefuta e mene ea li-defibrillator
- pukwanana
- kantle semi-automatic
- ka ntle ho iketsa;
- e kentsoeng kapa e ka hare.
Manual defibrillator
Mofuta oa tataiso ke sesebelisoa se rarahaneng ka ho fetisisa se ka sebelisoang ho tloha ha tlhahlobo leha e le efe ea maemo a pelo e abetsoe ka ho feletseng ho mosebedisi oa eona, joalo ka ho lekanya le ho feto-fetoha ha motlakase ho fetisetsoa pelong ea mokuli.
Ka mabaka ana, mofuta ona oa defibrillator o sebelisoa feela ke lingaka kapa litsebi tse koetlisitsoeng tsa bophelo bo botle.
Semi-automatic external defibrillator
Semi-automatic external defibrillator ke sesebelisoa, ho fapana le mofuta oa tataiso, se khonang ho sebetsa hoo e ka bang ka ho feletseng.
Hang ha li-electrode li kopantsoe ka nepo ho mokuli, ka electrocardiogram e le 'ngoe kapa tse ngata tseo sesebelisoa se iketsetsang sona, semi-automatic external defibrillator e khona ho tseba hore na hoa hlokahala ho fana ka ts'oaetso ea motlakase pelong: haeba morethetho o hlile o senya, o lemosa motho ea sebetsang ka tlhokahalo ea ho fana ka ts'oaetso ea motlakase ho mesifa ea pelo, ka lebaka la leseli le / kapa matšoao a lentsoe.
Nakong ena, opareitara e tlameha feela ho tobetsa konopo ea ho lahla.
Ntlha ea bohlokoa ka ho fetisisa ke hore feela haeba mokuli a le boemong ba ho tšoaroa ke pelo moo defibrillator e tla itokisetsa ho fana ka ts'oaetso: ha ho joalo, ntle le haeba sesebelisoa se sa sebetse hantle, na ho tla khoneha ho thefula mokuli, esita le haeba konopo ea "shock". e hatelloa ke phoso.
Ka hona, mofuta ona oa defibrillator, ho fapana le mofuta oa tataiso, o bonolo ho o sebelisa hape o ka sebelisoa ke basebetsi bao e seng ba bongaka, le hoja ba koetlisitsoe ka mokhoa o nepahetseng.
Defibrillator ka ho feletseng
The automatic defibrillator (hangata e khutsufalitsoe ho AED, ho tloha ho 'automated external defibrillator', kapa AED, 'automated external defibrillator') e bonolo le ho feta mofuta o itekanetseng: o hloka feela ho kopanngoa le mokuli le ho bulela.
Ho fapana le semi-automatic external defibrillator, hang ha boemo ba ho tšoaroa ha pelo bo lemohuoa, ba tsoela pele ka boikemelo ho isa letsoalo la pelo ea mokuli.
AED e ka boela ea sebelisoa ke basebetsi bao e seng tsa bongaka ba se nang koetliso e khethehileng: mang kapa mang a ka e sebelisa feela ka ho latela litaelo.
Defibrillator e ka hare kapa e kentsoeng
The defibrillator e ka hare (eo hape e bitsoang implantable defibrillator kapa ICD) ke pacemaker ea pelo e tsamaisoang ke betri e nyenyane haholo e kenngoa haufi le mesifa ea pelo, hangata tlas'a collarbone.
Haeba e ngolisa lebelo le sa tloaelehang la ho otla ha pelo ea mokuli, e khona ho fana ka ts'ebetso ea motlakase ka boithaopo ho leka ho khutlisetsa boemo boemong bo tloaelehileng.
ICD hase feela pacemaker ka botsona (e na le matla a ho laola lebelo la pelo e liehang, e khona ho lemoha arrhythmia ea pelo ka litekanyetso tse phahameng le ho qala phekolo ea motlakase ho e rarolla pele e e-ba kotsi ho mokuli).
Hape ke defibrillator ea sebele: mokhoa oa ATP (Anti Tachy Pacing) hangata o khona ho rarolla tachycardia ea ventricular ntle le hore mokuli a e utloe.
Maemong a kotsi ka ho fetisisa a ventricular arrhythmia, defibrillator e fana ka ts'oaetso (ho tsoa ha motlakase) e khutlisetsang mosebetsi oa pelo ho zero le ho lumella morethetho oa tlhaho hore o tsosolose.
Tabeng ena, mokuli o ikutloa a tšohile, ho thothomela ho matla kapa ho fokolang bohareng ba sefuba kapa maikutlo a tšoanang.
Li-defibrillator: li-voltage le matla a ho ntša matla
Defibrillator hangata e tsamaisoa ke betri e nchafatsoang, e ka tsamaisoang ke mains kapa 12-volt DC.
Motlakase o sebetsang ka har'a sesebelisoa ke oa mofuta o fokolang, o tobileng oa hona joale.
Ka hare, ho ka khetholloa mefuta e 'meli ea lipotoloho: - potoloho ea motlakase o tlase oa 10-16 V, e amang mesebetsi eohle ea leihlo la ECG, boto e nang le li-microprocessors, le potoloho e tlase ea capacitor; Potoloho e nang le matla a phahameng, e amang potoloho ea ho tjhaja le ho ntša matla a defibrillation: sena se bolokoa ke capacitor mme se ka fihla ho li-voltages tse fihlang ho 5000 V.
Matla a ho qhala hangata ke 150, 200 kapa 360 J.
Likotsi tsa ho sebelisa li-defibrillator
Kotsi ea ho chesa: ho bakuli ba nang le moriri o hlakileng, ho na le lera la moea pakeng tsa li-electrode le letlalo, e leng se bakang ho se kopane ha motlakase.
Sena se baka tšitiso e phahameng, se fokotsa ho sebetsa ha defibrillation, se eketsa kotsi ea ho hlaha ha litlhase pakeng tsa li-electrode kapa pakeng tsa li-electrode le letlalo, 'me se eketsa monyetla oa ho baka sefubeng sa mokuli.
Ho qoba ho chesa, ho boetse hoa hlokahala ho qoba li-electrode tse amang tse ling, ho ama li-bandage, li-patches tsa transdermal, joalo-joalo.
Ha u sebelisa defibrillator, molao oa bohlokoa o tlameha ho hlokomeloa: ha ho motho ea amang mokuli nakong ea ho pepa!
Mopholosi o lokela ho hlokomela ka ho khethehileng ho tiisa hore ha ho motho ea amang mokuli, kahoo a thibela ho tšoha ho fihla ho ba bang.
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