Usinde kwi-OHCA - Inhlangano Yezinhliziyo YaseMelika: i-CPR yezandla kuphela ekhulisa isilinganiso sokusinda

Usinde kwi-OHCA - Inhlangano Yezenhliziyo yaseMelika iveze ukuthi i-CPR kuphela eyandisa inani lokusinda.

Ukubuyekezwa kwesiSwidi ukuboshwa kwenhliziyo okuvela esibhedlela (OHCA) idatha ibonisa amanani ummeli we-CPR cishe kabili; ukucindezeleka-kuphela (noma i-C-Hands-CPR kuphela) kwanda izikhathi eziyisithupha ngaphezu kwesikhathi se-18; futhi ithuba lokusinda laliphindwe kabili kunoma yiluphi uhlobo lweCPR oluqhathaniswa noCPR, ngokusho kocwaningo olusha encwadini ye-American Heart Association's Circulation.

Ngenxa yokuvela kwe-CPR yokucindezela kuphela njengendlela ehlukile ye-CPR - ukucindezela kwesifuba nokuphefumula komlomo ngomlomo, abacwaningi bahlaziya umthelela wezinqubo ezilula ze-Hands-Only CPR kanye nokuhlangana phakathi kohlobo lwe-CPR eyenziwa nesiguli ukusinda kwezinsuku ze-30.

Izandla-kuphela i-CPR: umthelela

“Sithole a izinga eliphakeme kakhulu le-CPR unyaka ngamunye, ebihlotshaniswa namanani aphezulu wokucindezela-kuphela i-CPR, ”kusho uGabriel Riva, MD, aPh.D. umfundi eKarolinska Institutet eStockholm, eSweden, kanye nomlobi wokuqala ocwaningwayo. "Abantu ababukele babamba iqhaza elibalulekile ekubanjweni ngaphandle kwezibhedlela nenhliziyo. Izenzo zabo zingasindisa impilo. ”

"I-CPR ngendlela elula ngayo ilungile ukucindezela kwesifuba. Ukwenza kuphela izingcindezi zesifuba kuliphinda kabili ithuba lokusinda, uma kuqhathaniswa nokungenzi lutho, ”kusho yena.

U-Riva uthe iziqondiso zamanje eSweden zikhuthaza i-CPR ngokuphefumula ukuphefumula ngalabo abaqeqeshwe futhi abakwaziyo, kodwa akucaci ukuthi lokho kungcono kunama-CPR Amandla kuphela abamekeli. Ukuhlolwa okuqhubekayo okungahleliwe eSweden manje kuzama ukuphendula lo mbuzo.

"Lokhu kubalulekile kusukela ku-CPR eyenziwa ngabadlali ngaphambi kokufika kwamasevisi okuphuthumayo kungenye yezinto ezibaluleke kakhulu zokusinda ekuboshweni komzimba ngaphandle kwesibhedlela. Ngakho-ke, ukwandisa amanani e-CPR ngokululaza i-algorithm ye-CPR yabalimi kungandisa ukwanda kokuphila, "esho.

Ukuboshwa kwenhliziyo ngaphandle kwesibhedlela: inkinga enkulu e-United States

Bangaphezu kuka-325,000 ababoshwa yinhliziyo futhi ngaphandle kwesibhedlela unyaka ngamunye e-United States, ngokwezibalo ze-American Heart Association. Ukuboshwa kwenhliziyo ukulahleka okungazelelwe kokusebenza kwenhliziyo, kungavela kungazelelwe futhi kuvame ukubulala uma izinyathelo ezifanele zingathathwanga ngokushesha.

Lolu cwaningo lukazwelonke lwedatha evela kwirejista yaseSweden egxile kwababukeli lufakazele i-OHCA ehilela iziguli ezingama-30,445. Sekukonke, amaphesenti angama-40 awatholanga i-CPR ebukele, amaphesenti angama-39 athola i-CPR esejwayelekile kanti namaphesenti angama-20 athola izingcindezi kuphela.

Abacwaningi bahlola izikhathi ezintathu - 2000 ku-2005, 2006 kuya ku-2010 naku-2011 kuya ku-2017-lapho i-CPR yokucindezelwa kuphela yamukelwa kancane kancane emithethweni ye-CPR yeSweden.

Abacwaningi bathola iziguli ezitholiwe:

  • Izindleko ze-CPR zama-rose ziphakama kusuka kumaphesenti angu-40.8 ku-2000-2005 kuya ku-58.8 amaphesenti ku-2006-2010 bese kuba amaphesenti angu-68.2 ku-2011-2017.
  • Izinga elijwayelekile le-CPR lalingamaphesenti angu-35.4 esikhathini sokuqala, landa ngamaphesenti angu-44.8 esikhathini sesibili futhi ishintshelwe kuma-38.1 amaphesenti esikhathini sesithathu.
  • Ama-CPR kuphela-Amandla ayenyuka kusuka ku-5.4 amaphesenti esikhathini sokuqala, anyuke ekhulwini le-14 esikhathini sesibili kanye namaphesenti angu-30.1 esikhathini sesithathu.

Iziguli ezithola i-CPR ejwayelekile nezama-Only ziyizikhathi ezimbili zokuphila izinsuku ezingu-30, uma kuqhathaniswa neziguli ezingatholanga iCPR ngezikhathi zonke.

 

Mayelana nocwaningo: ukulinganiselwa okufanele ukwazi

Ukulinganiselwa kufaka phakathi ukuthi ukutadisha kusekelwe kumininingwane yokubheka eqoqwe ngokuhamba kwesikhathi, okuyinto ebeka ingozi yokuhlukumeza ukuphefumula nokuphefumula kwesifuba ngesikhathi sokuhlinzwa kwezimo eziphuthumayo ukufika nokulahleka kwedatha yezinye iziguquko. Ngenxa yokuthi isifundo senziwa eSweden, imiphumela ingase ingabonakali kwamanye amazwe.

Okutholakele kusekela i-CPR yokucindezela kuphela njengenketho eziqondisweni ze-CPR ngoba kuhlotshaniswa namanani akhuphukile we-CPR nokusinda okuphelele ku-OHCA futhi kuhambisana nokutholakele kwangaphambilini okubikiwe kusuka e-United States naseJapan.

I-OHCA ne-Hands-kuphela i-CPR: yiziphi iziphetho zocwaningo

I-American Heart Association ithi i-CPR ngokushesha ingahle iphindwe kabili noma kathathu amathuba okusinda ngemuva kokuboshwa kwenhliziyo. Ukugcina ukugeleza kwegazi kusebenze - noma ngokwengxenye - kunikeza ithuba lokuvuselela ngempumelelo lapho abasebenzi bezempilo abaqeqeshiwe befika esizeni.

"Ngibonile ukuthi umphakathi uqhubeka kangakanani ukwamukela lapho ufunda izinzuzo kanye ne-CPR, ikakhulukazi indlela iHands-Only CPR," kusho uManny Medina, izimo eziphuthumayo kanye nokuzinikela kwe-AHA. “Eminyakeni eyishumi edlule, ngiyaqhubeka nokuzwa izindaba zabantu bayo yonke iminyaka befunda i-CPR futhi ngisebenzise lawo makhono ukuze ngisindise umuntu amthandayo. Kulula kakhulu ukufunda futhi kuyaqhubeka kufakazelwa kusebenza kakhulu lapho kusetshenziswa ngaphandle kwesibhedlela. ”

Abacwaningi bathi ucwaningo olwengeziwe luyadingeka ukuze uphendule umbuzo wokuthi ngabe i-CPR ejwayelekile nokucindezeleka nokuphefumula kuhlinzeka inzuzo ebaluleke kakhulu, uma kuqhathaniswa neCPR yokucindezela kuphela lapho abantu abanikeza usizo bebenokuqeqeshwa kweCPR ngaphambili.

 

FUNDA OKWENGEZIWE

I-Out-Of-Hospital Cardiac Arrests kanye neCOVID, I-Lancet ikhiphe ucwaningo ngokwanda kwe-OHCA

I-OHCA njengesizathu sokuqala sesithathu seMpilo-ukulahlekelwa kwezifo e-US

UDrones ekunakekelweni okuphuthumayo, i-AED yabasolwa abangaphandle kwesibhedlela aboshelwe inhliziyo (OHCA) eSweden

Ingabe ukungcoliswa komoya kunomthelela engozini ye-OHCA? Ucwaningo olwenziwe yiYunivesithi yaseSydney

 

 

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