Ukubuka: 65 Umbhali: Isikhathi Sokushicilela Isihleli Sesayithi: 2024-06-25 Umsuka: Isayithi
I-Automated External Defibrillators (AEDs) ibalulekile ochungechungeni lokusinda ngesikhathi sokuboshwa kwenhliziyo okungazelelwe (SCA). Kodwa-ke, imibono eminingi eyiphutha mayelana nokusetshenziswa kwe-AED iyaqhubeka, okungenzeka ivimbele ukungenelela okufika ngesikhathi nangempumelelo. Lesi sihloko sihlose ukuphikisa izinganekwane eziyishumi eziphezulu ezizungezile ama-AED, ukunikeza ukucaca nokukhuthaza abantu abaningi ukuthi basebenzise ngokuzethemba lezi zixhobo ezisindisa ukuphila.
Okuyiqiniso: Ama-AED aklanyelwe ukusetshenziswa yinoma ubani, kungakhathaliseki ukuqeqeshwa kwabo kwezokwelashwa.
Incazelo: Ama-AED esimanje afakwe amasistimu azenzakalelayo kanye nemiyalelo yezwi ecacile ukuze iqondise abasebenzisi esinyathelweni ngasinye senqubo, kusukela ekubekeni amaphedi kuye ekuletheni ukushaqeka uma kudingeka. Lo mklamo uqinisekisa ukuthi nababukele ngaphandle kokuqeqeshwa okusemthethweni bangakwazi ukusebenzisa idivayisi ngempumelelo esimweni esiphuthumayo. Nakuba ukuqeqeshwa kungandisa ukuzethemba, ukungabi khona kwakho akufanele kuvimbele umuntu ekusebenziseni i-AED uma kudingeka.
Okuyiqiniso: Ama-AED akhelwe ukuletha ukushaqeka kuphela lapho kudingekile futhi ngeke avumele ukushaqeka uma kungafanele.
Incazelo: Ama-AED ahlaziya isigqi senhliziyo futhi eluleka kuphela ukushaqeka uma ethola isigqi esishaqisayo, esifana ne-ventricular fibrillation noma i-pulseless ventricular tachycardia. Lesi sici sokuphepha sivimbela ukushaqeka okungadingekile futhi sinciphisa ingozi yokulimaza isiguli. Ngisho noma i-AED isetshenziswa ngokungalungile, izivikelo zedivayisi zikwenza kungenzeki kakhulu ukubangela ukulimala.
Okuyiqiniso: Ama-AED enzelwe ukuthi asebenziseke kalula futhi asebenziseke kalula.
Incazelo: Ama-AED eza nemiyalo elula, eqondile efinyeleleka kumphakathi jikelele. Amadivayisi ngokuvamile ahlanganisa imiyalo yezwi, ukwaziswa okubukwayo, futhi ngezinye izikhathi ngisho nemiyalelo yesithombe ukusiza umsebenzisi kuyo yonke inqubo. Ukusebenziseka kalula kuyisici esibalulekile sama-AED, okuqinisekisa ukuthi angasetshenziswa ngokuphumelelayo ezimeni zokucindezeleka okukhulu cishe yinoma ubani.
Okuyiqiniso: Izindleko zama-AED zehlile, futhi ziya ngokuya zitholakala ezindaweni eziningi zomphakathi.
Incazelo: Nakuba ama-AED ake emba eqolo, ukuthuthuka kwezobuchwepheshe kanye nesidingo esikhulayo kwenze ukuthi akwazi ukuthengeka. Izinhlangano eziningi zomphakathi nezizimele manje zibeka phambili ukufaka ama-AED ezindaweni okufinyeleleka kuzo, njengezikole, izikhungo zemidlalo, izikhumulo zezindiza, namahhovisi. Ukwengeza, izibonelelo zomphakathi nezinhlelo zikahulumeni zivame ukusekela ukubekwa kwama-AED ezindaweni zomphakathi, okuthuthukisa ukutholakala kwawo.
Okuyiqiniso: Ama-AED aklanyelwe ukulungisa isigqi senhliziyo esingavamile, hhayi ukuqala inhliziyo emile.
Incazelo: Ama-AED asebenza ngokuletha ukushaqeka ukuze asethe kabusha ukusebenza kukagesi wenhliziyo, okuwuvumela ukuthi uqalise kabusha isigqi esivamile. Ziyasebenza ekwelapheni izinhlobo ezithile ze-arrhythmias yenhliziyo, njenge-fibrillation ye-ventricular noma i-pulseless ventricular tachycardia, kodwa aziyiqali kabusha inhliziyo emile ngokuphelele. Ezimweni lapho singekho isigqi senhliziyo esitholakalayo, i-CPR ehlanganiswe nokusetshenziswa kwe-AED ingasiza ekugcineni ukujikeleza kwegazi kuze kufike usizo lwezokwelapha oluchwepheshile.
Okuyiqiniso: Ama-AED angasetshenziswa ezinganeni nasezinsaneni ezinamaphedi ezingane afanelekile noma izilungiselelo.
Incazelo: Ama-AED amaningi afakwe izilungiselelo zezingane noma amaphedi akhethekile aklanyelwe ukusetshenziswa ezinganeni. Lezi zilungiselelo zilungisa ileveli yamandla elethwayo ukuze kuqinisekiswe ukuthi ifanele imizimba emincane. Imihlahlandlela evela ezinhlanganweni ezifana ne-American Heart Association (AHA) isekela ukusetshenziswa kwe-AED ezinganeni futhi igcizelela ukuthi ukukhishwa kwe-fibrillation ngokushesha kungasindisa ukuphila ezigulini ezincane ezibhekene nokuboshwa kwenhliziyo kungazelelwe.
Okuyiqiniso: Ukusetshenziswa kwe-AED kunconywa kuphela uma umuntu engaphenduli futhi engaphefumuli ngokujwayelekile.
Incazelo: Akuwona wonke ukuwa okuvumela ukusetshenziswa kwe-AED. Kubalulekile ukuthi uqale uhlole ukusabela komuntu ngamunye kanye nokuphefumula kwakhe. Uma umuntu equlekile futhi engaphefumuli ngendlela evamile (okungukuthi, ukuhefuzela noma ukungaphefumuli nhlobo), khona-ke ukusebenzisa i-AED kufanelekile. Ngaphambi kokufaka i-AED, kubalulekile ukuthi ushayele abezimo eziphuthumayo futhi uqale i-CPR uma umuntu engaphefumuli ngokwanele.
Okuyiqiniso: Ama-AED kanye ne-CPR asebenzisana ukuze athuthukise amathuba okusinda ngesikhathi sokuboshwa kwenhliziyo.
Incazelo: I-CPR isiza ukugcina ukugeleza kwegazi kanye nomoya-mpilo wezitho ezibalulekile kuze kube yilapho isigqi senhliziyo esivamile singabuyiselwa. Ama-AED ahlinzeka ngokungenelela kukagesi okudingekayo ukuze kulungiswe izinhlobo ezithile ze-arrhythmias. Ezimweni zokuboshwa kwenhliziyo, inhlanganisela ye-CPR ne-AED ukusetshenziswa kwandisa kakhulu amathuba okusinda kanye nemiphumela emihle. I-CPR kufanele yenziwe ngenkathi i-AED isacutshungulwa naphakathi kokushaqeka njengoba kuyalwe idivayisi.
Okuyiqiniso: Izinyathelo zokuphepha ziyadingeka uma usebenzisa ama-AED, ikakhulukazi ezindaweni ezimanzi noma ezihambisayo.
Incazelo: Nakuba ama-AED ephephile futhi enzelwe ukunciphisa ubungozi, kufanele kuqashelwe izinyathelo ezithile zokuqapha. Isibonelo, ukusebenzisa i-AED ezimeni ezimanzi kudinga ukuqinisekisa ukuthi isifuba sesiguli somile nokuthi akekho othinta isiguli ngesikhathi sokulethwa kokushaqeka ukuvimbela ukuqhutshwa kukagesi ngamanzi. Ukwengeza, izindawo zensimbi noma izindawo ezinamagesi avuthayo (njenge-oxygen) kufanele zicatshangelwe, futhi izinyathelo ezifanele zokuphepha kufanele zithathwe ukuze kuqinisekiswe ukusetshenziswa okuphephile.
Okuyiqiniso: Isinyathelo esisheshayo nge-AED nokunakekelwa okuqhubekayo kubalulekile ngaphambi kokuthi kufike usizo lochwepheshe.
Incazelo: Ngemva kokusetshenziswa kwe-AED, kubalulekile ukulandela ukwaziswa kwayo futhi uqhubeke nezenzo ezinconyiwe, okuhlanganisa ukuletha ukushaqeka kanye nokwenza i-CPR njengoba kudingeka. Ukulinda ungenzi lutho ngezinsizakalo eziphuthumayo kunganciphisa amathuba omphumela oyimpumelelo. Ama-AED aklanyelwe ukuqondisa abatakuli ngenqubo, futhi ukuqapha okuqhubekayo nokungenelela kuyisihluthulelo sokuthuthukisa amazinga okusinda kuze kube yilapho usizo lwezokwelapha lutholakala.
Ukuqeda le mibono eyiphutha evamile mayelana nama-AED kubalulekile ekunikezeni amandla abantu abaningi ukuze benze izinto ngokushesha nangokuzethemba ezimeni eziphuthumayo ezihilela ukuboshwa kungazelelwe kwenhliziyo. Ama-AED angamathuluzi anamandla okuthi, uma esetshenziswa ngendlela efanele, asindise izimpilo. Ukuqonda ukusetshenziswa kwazo okufanele, izici zokuphepha, nokubaluleka kokuzihlanganisa ne-CPR kungathuthukisa kakhulu ukusebenza kahle kokunakekelwa kwangaphambi kokuya esibhedlela futhi kuthuthukise imiphumela yokusinda. Ngokwandisa ukuqwashisa komphakathi kanye nemfundo, imiphakathi ingalungela kangcono ukubhekana nezimo eziphuthumayo zenhliziyo futhi yenze umehluko osindisa ukuphila.