Kutanga rubatsiro rwezvechiremba kana munhu akaoma mwoyo. Emergency care for arrests cardiac suddenly

Kukanganiswa kwemwoyo kunoitika kana musikana wemwoyo unorega kushanda. Kazhinji kazhinji izvi zvinosanganisira rufu rwemunhu. Asi kana paine mumwe munhu ari pedyo naye uyo anogona kukwanisa kuderedza zviratidzo, zvinogona kuti munhu anenge apona achaponeswa. Rubatsiro mukudzivisa mwoyo kunofanira kuva nokukurumidza, nokuti kune maminitsi mashomanana usati uropi hunorega kushanda nekuda kwekuguma kwekupararira kweropa, uye izvo zvinonzi social social death zvichaitika. Muchiitiko ichi, kuchine mukana wekudzorera mapapu nemwoyo, asi vanachiremba vakanakisisa havagoni kuuya neavo vanorwara kuziva.

Sei kusungwa kwemwoyo kunogona kuitika?

Kurapa kwokutanga kuchave kwakafanana zvisinei nokuti zvikonzero zvakadai zvakaitika sei. Uye zvakadaro chii chinofanira kuitika kumisa basa rinobudirira remwoyo? Munhu wose anofanira kuziva nezveizvi. Chikonzero chinonyanya kukonzera ndeyekubvumira kwemhepo. Iyi ndiyo mamiriro ezvinhu umo kusanganiswa kwechisimba kwemasikironi emasumbu kunowanikwa mumasvingo emhepo, iyo inotungamirira kukanganisa mukugoverwa kweropa kusvika mumatumbu uye nhengo. Chimwe chikonzero-ventricular asystole - munyaya iyi, basa re magetsi remyocardium rinomira zvachose.

Chirwere chemwoyo cheIschemic, kusara kwe ventricular hypertrophy, arterial hypertension, atherosclerosis inokonzerawo njodzi dzinogona kukonzera kuguma kwebasa rinobudirira romuviri mukuru wevanhu. Uyewo, kumanikidzwa kwemwoyo kunogona kuitika nekuda kwesimba rinoputika paroxysmal tachycardia, kana pasina kupisa mumidziyo mikuru, kana nekuda kwekushongedzerwa kwe electromechanical, kana pasina kuwirirana kwechiremera chechirwere muhupo hwekuita kwegetsi yemwoyo (kureva kuti, hapana mishonga yemagetsi). Kune huri hutano hwakadaro seRomano-Ward syndrome, iyo inobatanidzwa nehupenyu hwemhepo inobhururuka, inogona kukonzera chikonzero nei kusungwa kwemwoyo kamwe kamwe kuchiitika.

Rubatsiro rwekutanga mune dzimwe nguva runodiwa kune avo vasina kumbove nehutano hwehutano.

Kunze kwekunetseka

Mwoyo unogona kumira nekuda kwe:

• Supercooling (apo kutonhora kwemuviri kunowira pasi pedhigirii 28);
• Kushungurudza magetsi (somuenzaniso, mheni kana kurwisa kwemazuva ano);
• Kugamuchira muwandu hwakawandisa weadrenoblockers, glycosides yemwoyo kana anesthetics;
• Kusina okisijeni (somuenzaniso, pakunyura, kusagadzikana);
• Hemorrhagic uye anaphylactic shock.

Nzira yekuziva kuguma kwemoyo

Apo musikana wemwoyo unorega kushanda, zviratidzo zvinotevera zvinowanikwa:

• Kurasikirwa kwekuziva - kunouya pakarepo mushure mekunge kusungwa kwemoyo, kwete mushure mekupera kwemaminitsi mashanu. Kana munhu asingatauri kune chimwe chikonzero, saka haana chaanoziva.
• Kupera kwekufemerwa - munyaya iyi hapano kufamba kwebhokisi.
• Hakuchina kuputika munzvimbo yecaritid arteri - inoshandiswa munzvimbo yekotoriya yeganda, maviri kusvika kutatu masentimita kubva ipapo kusvika kune rumwe rutivi.
• Mheremhere yemwoyo haisi kuteerera.
• Ganda rinova bluish kana rakasviba.
• Kuwedzeredza kwevadzidzi - izvi zvinogona kuonekwa nekusimudza maziso epamusoro eanoshungurudzwa uye kujekesa ziso. Kana mudzidzi asina kupfurikidza nechirevo chechiedza, ipapo munhu anogona kufungidzira kuti kusungwa kwemwoyo kamwe kamwe kwakaitika. Kushandiswa kwekunetseka munyaya iyi kunogona kuchengetedza hupenyu hwomunhu.
• Kukunda - kunogona kuitika panguva yekurasikirwa kwekuziva.

Zvose izvi zviratidzo zvinoratidza kudiwa kwekukurumidza kudzorera.

Iwe haugoni kumirira!

Kana iwe waiva pedyo nemurume ane mwoyo wakamira, chinhu chikuru chinotarisirwa kwauri ndekuita nekukurumidza. Pane maminetsi mashomanana chete okuchengetedza vakakuvara. Kana kupa rubatsiro kana kukasungwa kwemwoyo kunonoka, murwere angafa kana kuti acharamba asina kukwanisa muupenyu. Basa rako guru nderekudzorera kufema uye mwoyo, uye zvakare kutanga chirwere chekufamba, nokuti pasina iyo nhengo dzinokosha (kunyanya uropi) haigoni kushanda.

Emergency care for cardiac arrest is required if the person is unconscious. Chokutanga, chinonoka pasi, edza kukumbira zvikuru. Kana izvo zvingaitwa zvisingaonekwi, ramba uchidzokazve. Dzinosanganisira zvikamu zvakasiyana.

Kutanga rubatsiro rwezvechiremba kana munhu akaoma mwoyo. Kufuridzirwa kwepfungwa

Zvinokosha! Usakanganwa kuti pakarepo utumidze ambulensi. Izvi zvinotofanira kuitwa mushure mokudzokazve kunotanga, nokuti ipapo iwe hauzove nemukana wekupomesa.

Kuti uzarurire mhepo, ita kuti munhu wacho atambudzike padenga rakaoma uye musana wake. Kubva mumuromo, zvinhu zvose zvinogona kudzivirira kufema kwemazuva ose (zvokudya, mazino, mamwe masimba emuviri) inofanira kubviswa. Dzorera musoro wemurwere kumashure kuitira kuti chidimbu chive panzvimbo yakarurama. Panguva imwecheteyo, tambo yakaderera inofanirwa kuendeswa mberi, kuitira kuti rurimi rurege kuvhara - munyaya iyi, mhepo inogona kupinda mudumbu panzvimbo pemapapu, uye zvakare kusati kwaitika kuchipatara kana pakaitwa kusungwa kwemoyo kunenge kusina maturo.

Mushure meizvi, tangai kutanga kutora muromo-kusvika-mumuromo kufema. Bvisa mhino yemunhu, tora mweya mumapapu, tora miromo yako nemiromo yeakakuvadzwa uye ita mbiri yekudzima. Cherechedza kuti iwe unoda kunyatsodzika uye kunyatsoomesa miromo yemurwere, zvisinei kuti mweya wakaneta unogona kurasikirwa. Usaita zvakadzama zvakanyanya, zvisakadaro iwe uchakurumidza kuneta. Kana muromo-ku-muromo uchidzoka usingakwanisi pane chimwe chikonzero, shandisa "muromo kumaputi" nzira. Muchiitiko ichi, ruoko runofanira kuvhara muromo weanotambudzika, uye kuputira mweya mumhino dzake.

Kana rubatsiro rwezvechiremba rwekumanikidzwa kwemwoyo mukati mekuita kupfurikidza kwepfungwa kwakarurama, saka panguva yekuputika chifukidzo chomurwere chichakwira, uye panguva yekudzimara-enda pasi. Kana zviitiko izvi zvisingaonekwi, tarisa hutano hwemhepo.

Kuchengetedza kwemwoyo

Panguva imwechete nekufuridzirwa kwepfungwa, maziso emapfupa (asinganzwisisiki masheji evanhu) anofanirawo kuitwa . Imwe nzira yekushandiswa pasina imwe iyo haisati iine pfungwa. Saka, mushure mokunge maita mapepa maviri mumuromo weakakuvadza, isa ruoko rworuboshwe pasi pe sternum mukati, uye isa ruoko rworudyi kuruboshwe muchitsiko chakafanana. Muchiitiko ichi, maoko anofanira kururamisa, kwete kumira. Zvadaro tanga rhythmically kupfugama pachipfuva - izvi zvinosanganisira kukanganiswa kwemutsipa wemwoyo. Zvakakosha kuita mapfupa gumi nemashanu ekufambisa nehanzvadzi imwe yezvinetso pamusi wechipiri pasina musimba wemaoko. Nekodzero dzakanaka, chifukidzo chinofanira kuwira anenge masendimita mashanu - munyaya iyi zvinogona kutaurwa kuti moyo unoita kuwedzerwa kweropa, kureva, kubva kuruboshwe rworuboshwe, ropa rinotenderera kuburikidza ne aorta kupinda muuropi, uye kubva kurudyi kusvika mumapapu, uko kunogutsa Oxygen. Panguva apo kushungurudzika pamusana sternum inomira, mwoyo zvakare unozadzwa neropa.

Kana kuisirwa kuri kuitwa kumwana wezera remakore ekutanga, ipapo kuomeswa kwechifukidzo kunofanira kuitwa nechepakati uye kuratidza zvigunwe zveumwe ruoko, uye kana mudzidzi - ane rumwe ruzha. Nekunyanya kukodzera kunofanira kupiwa kune chekutanga kurapwa kwekusungwa kwemoyo kwevanhu vakwegura. Kana iwe ukanyanya kuomesa pa sternum, pangave nekukuvadzwa kune nhengo dzomukati kana kuputsika kwechiuno.

Kuenderera mberi kwekudzorerwazve

Dzorerai mafungiro emhepo uye kushandiswa pamapfupa anofanira kunge aripo kusvikira munhu wacho asingaiti mhepo uye anotanga kunzwa kunzwa. Kana rubatsiro rwekutanga rwekutsamwa kwemoyo kamwechete vanhu vaviri, zvino mabasa anofanira kugoverwa sekutevera: munhu mumwe anopinza mhepo mumuromo kana mumhino yemurwere, zvino wechipiri inogadzira shanu shanu pa sternum. Zvadaro zviito zvinodzokororwa.

Kana, kuburikidza nekudzokazve, kufema kwakapora, asi kupisa kusati kwambonzwa, mumwe anofanirwa kupfuurira kupisa mwoyo, asi asina kuputika. Kana kupisa kunoonekwa, asi munhu haafema, zvinodikamwa kumisa massage uye unoramba uchingoita kupemha kwemaitiro. Muchiitiko apo munhu anenge atanga kufema uye kufema kwake kwaonekwa, kuderedzwa kunofanira kumira uye mamiriro ezvinhu emuurwere anofanira kunyatsoongororwa asati chiremba asvika. Pasina mhosva iwe unofanira kuedza kutamisa munhu ane zviratidzo zvekusungwa kwemwoyo. Izvi zvinogona kuitwa chete mushure mekudzorerwa kwechirongwa uye mune imwe mhando yakasimudzazve.

Kubudirira kwekudzorerazve

Kuti uongorore kuti sei chirwere chekutanga chekurapa chakapiwa mwoyo kusakundikana, zvinoita nenzira inotevera:

• Iyo inopisa munzvimbo dzemahara emakaroti, marara uye emadzimai anofanirwa kuiswa.
• Dambudziko reRopa rinofanira kukura kusvika 80 mm.
• Vadzidzi vanofanira kutanga kutapudza, uye vanofanira kupora kugadziriswa kune chiedza chinokurudzira.
• Ganda rinofanira kuwana ruvara rwemuvara nekudzoka kwepallor uye cyanosis.

Nguva yekurega kudzorerazve

Kana, pashure pehafu yeawa yekugadzirisa, basa rekupumadza uye basa romwoyo weakakuvadzwa harina kudzokera zvakare, uye vadzidzi vachiri kukura uye havaiti kuedza, zvinogona kutaurwa kuti rubatsiro rwekutanga mukumira mwoyo hauna kutungamirira kumigumisiro yakakodzera uye munhu anenge atova muhuropi hwemunhu Nzira dzisingadzoreki dzinenge dzatoitika. Muchiitiko ichi, kuwedzerazve kumutsidzira hakuna maturo. Kana zviratidzo zvekufa zvaratidza kusati kwapera kwemaminitsi makumi matatu, kudzorerwa kunogona kumira mberi.

Migumisiro yekusungwa kwemwoyo

Maererano nehuwandu, kubva kune vanhu vose vakange vane mushumo wemwoyo wakaguma, 30% chete vakapukunyuka. Uye kudzokera kumararamiro ehupenyu uye zvisingaiti zvakanyanya. Ikukuvadza kusingagoneki kune hutano kwakanyanya kunokonzerwa nekuti yekutanga rubatsiro rwemishonga haruna kupiwa munguva. Apo kusungwa kwemwoyo, kukurumidza kudzorerwa kunokosha zvikuru. Ndiko kukurumidza kwavakaita kuti vatange kubereka, hupenyu hwomurwere hunoenderana. Basa rekupedzisira remwoyo rinotangazve, inowedzera mikana yezvinetso zvakakomba. Kana okisijeni isingapindi nhengo dzinokosha kwenguva yakareba, zvino pane ischemia, kana kuti nhokemu yenzou. Somugumisiro, itsvo, huropi, chiropa zvinokuvadza, izvo zvinowanzova nemagumisiro akaipa kwazvo muupenyu hwehupenyu. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wanyora, unogona kuputsa nhengo dzomurwere kana kumutsa pneumothorax.

Mukupedzisa

Kuziva kuti chirwere chekutanga chekurapa chinopiwa sei kana chikafu chekusungwa, iwe unogona kuponesa hupenyu hwemunhu nekumuchengetedza hutano. Usave usina hanya! Kubvumirana, zvakanaka chaizvo kuziva kuti iwe uchakwanisa kuramba uchirarama uye uchifara zuva nezuva!