Indlela yokusebenzisa i-AED enganeni nosana: i-defibrillator yezingane

By UCristiano Antonino On Apr 19, 2023

Uma ingane iboshwe ngaphandle kwesibhedlela, kufanele uqale i-CPR futhi ucele abatakuli abavamile ukuthi bashayele abezimo eziphuthumayo futhi bathole i-defibrillator yangaphandle ezenzakalelayo ukuze kwandiswe amathuba okusinda.

Izingane nezinsana ezifa ngenxa yokuboshwa kwenhliziyo kungazelelwe ngokuvamile zine-fibrillation ye-ventricular, ephazamisa umsebenzi ojwayelekile kagesi wenhliziyo.

Ngaphandle kwesibhedlela i-defibrillation emizuzwini emi-3 yokuqala kuholela emazingeni okusinda.

Ukusiza ukuvimbela ukufa kwezinsana nezingane, kubalulekile ukuqonda ukusetshenziswa nokusebenza kwama-AED kusana nengane.

Nokho, ngenxa yokuthi i-AED inikeza ukushaqeka kukagesi enhliziyweni, abaningi bakhathazekile ngokusetshenziswa kwalo mshini ezinsaneni nasezinganeni.

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Iyini i-othomathikhi yangaphandle ye-defibrillator?

Ama-defibrillator angaphandle azenzakalelayo ayizisetshenziswa zezokwelapha eziphathwayo ezisindisa ukuphila ezingaqapha ukushaya kwenhliziyo yesisulu sokuboshwa kwenhliziyo futhi zilethe ukushaqeka ukuze kubuyiselwe isigqi senhliziyo esivamile.

Amathuba okusinda ekufeni kwenhliziyo okungazelelwe ehla ngo-10% umzuzu nomzuzu ngaphandle kwe-CPR esheshayo noma ukuwohloka kwangaphandle kwe-fibrillation.

Ezinye zezimbangela ezivame kakhulu zokufa kwenhliziyo kungazelelwe entsheni zihlanganisa i-hypertrophic cardiomyopathy, ebangela ukwanda kwamangqamuzana emisipha yenhliziyo, okubangela ukujiya kodonga lwesifuba.

Ungakwazi yini ukusebenzisa ama-AED kusana?

Amadivayisi e-AED akhiqizwa kucatshangwa ngabantu abadala.

Kodwa-ke, abatakuli bangasebenzisa le divayisi esindisa ukuphila ezinganeni nasezinsaneni ezine-SCA esolwayo uma i-defibrillator manual enomhlengi oqeqeshiwe ingatholakali ngokushesha.

Ama-AED anezilungiselelo zezingane kanye namaphedi e-defibrillator angalungiswa, awenze aphephe ezinsaneni nasezinganeni ezinesisindo esingaphansi kwama-55 lbs (25 kg).

I-American Heart Association itusa ukusetshenziswa kwama-electrode ezingane ezinganeni ezingaphansi kweminyaka eyisishiyagalombili nezinsana, kuyilapho ama-electrode abantu abadala angasetshenziswa ezinganeni ezineminyaka eyisishiyagalombili nangaphezulu.

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Ukuphepha kokusetshenziswa kwe-defibrillator enganeni

Kubalulekile ukwazi ukuthi ama-AED aphephile ezinganeni ezineminyaka eyisishiyagalombili nangaphansi, ngisho nezinsana.

Ukuhlinzeka nge-CPR eyanele nokusebenzisa i-AED kuyindlela engcono kakhulu yokwelapha ingane noma usana ekuboshweni kwenhliziyo kungazelelwe.

Ngaphandle kwe-CPR ephumelelayo kanye ne-AED yokuqalisa kabusha inhliziyo, isimo sengane singabulala kungakapheli imizuzu.

Futhi ngenxa yokuthi izingane nezingane zinezimiso ezincane nezintekenteke kangaka, ukuqalisa kabusha izinhliziyo zazo ngokushesha kubaluleke nakakhulu.

Lokhu kuzobuyisela ukugeleza kwegazi okunomoya-mpilo kuwo wonke umzimba, kuhlinzeke ubuchopho nezinhlelo zezitho ezibalulekile, kukhawulele ukulimala kulezi zinhlelo.

Ungayisebenzisa kanjani i-AED enganeni noma usana?

Ukusetshenziswa kwe-AED ezinganeni nasezinsaneni kuyisinyathelo esibalulekile.

Kudinga izinga eliphansi lamandla ukuze kunciphe inhliziyo.

Nansi imiyalelo yesinyathelo ngesinyathelo sendlela yokusebenzisa i-AED enganeni nosana.

Isinyathelo 1: Qiniseka ukuthi uyazi lapho i-defibrillator itholakala

Ama-AED ayatholakala emahhovisi amaningi kanye nezakhiwo zomphakathi.

Uma usuyitholile i-AED, yithole kukesi layo bese uvula idivayisi ngokushesha.

I-AED ngayinye ihlelelwe ukunikeza imiyalelo ezwakalayo yesinyathelo nesinyathelo ukuze isetshenziswe.

Amakesi noma okuvalekile kuklanyelwe ukuthi kufinyeleleke kalula esimweni esiphuthumayo.

Isinyathelo sesi-2: Gcina isifuba sengane sisobala

Uma kunesidingo, yomisa isifuba somntwana ohlukunyeziwe (izingane zingase zidlale futhi zijuluke).

Susa amabala emithi akhona, uma ekhona.

Isinyathelo sesi-3: Beka ama-electrode enganeni noma enganeni

Beka i-electrode eyodwa enamathelayo engxenyeni engenhla kwesokudla yesifuba somntwana, phezu kwebele noma engxenyeni engenhla yesobunxele yesifuba sosana.

Bese ubeka i-electrode yesibili engxenyeni engezansi kwesokunxele sesifuba ngaphansi kwekhwapha noma emhlane wengane.

Uma ama-electrode ethinta isifuba somntwana, beka i-electrode eyodwa ngaphambi kwesifuba bese enye emhlane wengane.

Isinyathelo sesi-4: Gcina kude nengane noma usana

Ngemva kokusebenzisa ama-electrode ngendlela efanele, yeka ukwenza i-CPR futhi uxwayise isixuku ukuthi sigcine ibanga laso nesisulu futhi singamthinti ngenkathi i-AED iqapha isigqi senhliziyo.

Isinyathelo sesi-5: Vumela i-AED ukuthi ihlaziye isigqi senhliziyo

Landela imiyalelo yomlomo ye-AED.

Uma i-AED ibonisa umlayezo othi "Hlola ama-Electrodes", qiniseka ukuthi ama-electrode axhumene nomunye nomunye.

Gwema isisulu sokuboshwa kwenhliziyo ngenkathi i-AED isesha isigqi esishaqisayo.

Uma "Ukwethuka" kuboniswa ku-AED, cindezela futhi ubambe inkinobho yokushaqeka ekhanyayo kuze kukhishwe ukushaqeka kwe-defibrillation.

Isinyathelo sesi-6: Yenza i-CPR imizuzu emibili

Qala ukucindezelwa kwesifuba uphinde wenze umoya wokukhulula futhi.

Kufanele wenze lokhu ngezinga lokucindezelwa okungenani elingu-100-120 ngomzuzu.

I-AED izoqhubeka nokuqapha isigqi senhliziyo yengane.

Uma ingane iphendula, hlala nayo.

Gcina ingane ikhululekile futhi ifudumele kuze kufike usizo.

Isinyathelo sesi-7: Phinda umjikelezo

Uma ingane ingaphenduli, qhubeka ne-CPR ulandela imiyalelo ye-AED.

Yenza lokhu kuze kube yilapho inhliziyo yengane isinesigqi esivamile i-ambulensi iqembu liyafika.

Hlala uzolile: khumbula ukuthi i-defibrillator nayo ihlelelwe umbono wokuthi ingane ngeke isabele.

Kungenzeka yini ukusebenzisa ama-electrode e-AED omdala enganeni?

Ama-AED amaningi eza nama-electrode abantu abadala nawezingane aklanyelwe ukusetshenziswa ezinganeni ezincane.

Ama-electrode ezinsana angasetshenziswa ezinganeni ezingaphansi kweminyaka engu-8 ubudala noma ezinesisindo esingaphansi kwama-55 lbs (25 kg).

Ama-electrode ezingane abangela ukushaqeka kukagesi okuncane kunama-electrode abantu abadala.

Ama-electrode abantu abadala angasetshenziswa ezinganeni ezindala kuneminyaka engu-8 ubudala noma ezinesisindo esingaphezu kwama-55 lbs (25 kg).

Ngakho-ke, uma ama-electrode ezingane engatholakali, umsindisi angase asebenzise ama-electrode abantu abadala ajwayelekile.

Kuvame kangakanani ukuboshwa kwenhliziyo okungazelelwe ezinganeni nasezinsaneni?

Ukuboshwa kwenhliziyo kungazelelwe kuyivelakancane ezinganeni.

Kodwa-ke, i-SCA inecala lokufa kwezingane okungazelelwe ku-10-15%.

Izibalo ze-2015 AHA Heart and Stroke ezishicilelwe yi-American Heart Association zithole ukuthi i-6,300 yaseMelika engaphansi kweminyaka engu-18 yabhekana nokuboshwa kwenhliziyo ngaphandle kwesibhedlela (OHCA) okuhlolwe yi-EMS.

Ukufa okungazelelwe kungavinjelwa lapho i-CPR kanye nama-AED kulawulwa phakathi kwemizuzu engu-3-5 yokuboshwa kwenhliziyo.

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I-defibrillator yobudala bezingane

Ukuboshwa kwenhliziyo kungazelelwe kwenzeka lapho ukungasebenzi kahle kukagesi kwenhliziyo kuyibangela ukuba iyeke ukushaya ngokuphazima kweso, inqamule ukugeleza kwegazi ukuya ebuchosheni bomuntu oyisisulu, emaphashini nakwezinye izitho zomzimba.

I-SCA idinga ukuthathwa kwezinqumo ngokushesha kanye nesenzo.

Ababukele abasabela ngokushesha benza umehluko omangalisayo ekusindeni kwezisulu ze-SCA, kungaba abantu abadala noma izingane.

Lapho umuntu eba nolwazi nokuqeqeshwa okwengeziwe, maningi amathuba okuba ukuphila kwakhe kusindiswe!

Kuwusizo ukugcina amaqiniso ambalwa engqondweni:

Ama-AED angamadivayisi asindisa ukuphila angasetshenziswa kubo bobabili abantu abadala kanye nezingane
I-Defibrillation iyanconywa nge-documented ventricular fibrillation (VF)/pulseless ventricular tachycardia (VT)
Kunama-electrode ezingane akhethekile anikeza ukushaqeka okuncane kwezingane kunama-electrode abantu abadala.
Amanye ama-AED futhi anezilungiselelo ezikhethekile zezingane, ngokuvamile ezenziwa ukushintsha noma ngokufaka 'ukhiye' okhethekile.
Uma ubeka ama-electrode ezinganeni, zihamba phambili.
Ezinsaneni, i-electrode eyodwa ibekwa ngaphambili enye ngemuva ukuze kuqinisekiswe ukuthi ama-electrode awahlangani.