'D' ngenxa yokufa, 'C' ngenxa ye-cardioversion! - Ukuhlengahlengiswa kunye nefibrillation kwizigulana zezilwanyana
Ukuhlengahlengiswa kuthathwa njengendlela yokugcina impilo. Kodwa, ngaba wakha wacinga ukuba ukuguqulwa komzimba kukuqhelisela abafayo?
Kubonakala kungenangqondo, nangona kunjalo, kunjalo! Ukuchazwa kwegama: wena i-defibrillate umntu osele efile. Akukho moya, akukho mpilo ... ubomi bubaleka. Njenge IPedi-Ed-Trics iingxelo, i-website eyakhiwe ngumongikazi ochwepheshe Scott DeBoer, kwiPage yakhe yeePesile: "Ukuchaswa kokuqala kukuqala ngo- "D" kwaye kungenxa yabantu abafileyo ... kungeyona imeko esiyithandayo. " (amakhonkco ekupheleni kwenqaku).
'C' iza ngaphambili 'D': ukuziqhelanisa nokuzonwabisa
Ngokukodwa umba ophakanyiswa nguGqr DeBoer ngowethu isigulane angafuna enye into eyenziwayo phambi kwe i-defibrillation.
UGqr DeBoer uxela oko kuluncedo xa isigulana sakho sikwi-fibrillation ye-ventricular (V-fib). Kwaye xa sicinga ngalo matshini kunye nokusetyenziswa kombane, kufuneka sikhumbule ukuba 'C', njengakwi-Cardioversion, uyeza ngaphambili 'D' ngoonobumba. Ke, wenza ntoni ukuba isiguli sakho sikho kwi-V-fib, kodwa sikwi-tachycardia (SVT) ye-supraventricular tachycardia (SVT) ngomyinge ocacileyo okhawulezayo?
Ukuba bayazi kwaye bayakwazi ukuthi, 'Nceda ungabeki la madonga esifubeni sam,' mhlawumbi akufuneki babeke imiqadi esifubeni sabo. Kwimeko enjalo, kuya kufaneleka kakhulu ukuqaphela enye i-'D 'kwi-lexicon yethu ... iziyobisi (i-adenosine, i-diltiazem, njl. njl.). Kwaye nokuba isigulana sakho asizinzanga, kodwa sisazi konke, iziyobisi zokuxinisa kufuneka ziqwalaselwe nzulu ngaphambi kokuba kwenziwe i-Cardioversion. Ukudubula umbane esifubeni ngokwenene ayisiva amava amnandi!
'C' iza ngaphambili 'D': Cardioversion
Inqaku yile: ukuba umntu ubonakala ngathi uyaphambuka phambi kwakho, kodwa usaphila ngokubetha kunye noxinzelelo, i-cardioversion ehambelanayo ku boniswe.
I-Cardioversion iqalisa nge "C" kwaye kuba zizigulane "ezidityanisiweyo". Ukuba isigulane sakho asifanga, kodwa kuphela "esisiqingatha-fileyo," amandla okwenza i-cardioversion iyisiqingatha se-dose defibis (2j / kg) kwaye oko kuthetha i-1j / kg.
Defibrillation VS Izidakamizwa? NgokukaGqr DeBoer, kwezinye iimeko zokuxinzezeleka kwabantwana, rhoqo usebenzise idosi ephantsi njenge-0.25-0.5j / kg. Nangona kunjalo, kwi-ER, isiqingatha sedosi yomntu ofileyo kulula kakhulu ukukhumbula.
Kumntwana omncinci kakhulu, ngokucacileyo inokwenzeka ukuba ungabinakho ukucofa idosi "echanekileyo ngokuchanekileyo" nokuba isinciphiso okanye i-Cardioversion. Rhoqo uya kuwa phakathi kwamanani kwiidayal. Ukuba ukhetho lokudayela liyi-15j kunye ne-20j, kodwa ufuna i-18j, yiya enkulu (20j) okanye uye ekhaya! Qiniseka ukuba uyakudlula kunokuba uphantsi.
Kufana ne-'verse right 'umdlalo apho ufuna ukuya kufutshane, ngaphandle kokuya ngaphantsi, umlinganiselo wefomula.
Umkhuba we-cardioversion ngowesi sigulane esineengqungquthela esichukumisayo kwaye xa ufuna ukuba umbane uhanjiswe kwinqanaba elifanelekileyo lomjikelezo wenhliziyo ukuze ugwemeke intliziyo kwi-V-fib.
Kubalulekile ukukhumbula ukubetha 'Ukuvumelanisa ' iqhosha ngaphambi kokuba ngamnye umzamo we-cardioversion uqinisekise ukuqinisekisa ukuba i-cardioversion, ingasichazi kakuhle. Isigulane sakho sine-pulse, isigqi, kunye neQRS ezinzima; Kuphela ngokukhawuleza ukukhawuleza.
I-SVT ye-Defibrillating ingaphazamisa i-QRS izakhiwo kwaye ibangele ngokubanjwa ngokupheleleyo. Oku kuya kubonakala kubi (kwaye kuninzi kakhulu iphepha).