First kōkua no ka naau ole. Pilikia kōkua no ka manawa e cardiac hopu ana

Cardiac hopu ia lŘlŘ ka wā o ka naau Muscle i pau ka moni hana. Loa pinepine, keia komo ai ke kanaka i ka make. Akā, inā e hiki mai ana ia ia, huli mai ia e kekahi mea ma lalo o ka lalau wale, e hoʻomaka resuscitation, paha, ka luahi e e ola ia. Kōkua ma cardiac hopu e e koke, no ka mea, e hooki ma laila kekahi mau minuke ma mua o ka lolo, e like me ka hopena o ka cessation o ke koko holo i ka hana, a laila hele mai ka ai-kapaia kaiapili make. Ma keia hihia, he mea no ka pono o ka naau a me ka ia maʻiʻaʻai e hoihoi, akā, i ke kumu o ka ike paka i luahi e hiki ole, loa paha, ua, i ka mea maikaʻi kauka.

No ke aha la hiki i hoʻomaka ai ka naau o ka hoʻokō 'ole?

First kōkua nō ia i ka ia ka nānā 'ana o nā kumu i ua hiki mai ia i ka moku'āina. Akā, mea e hiki mai ana, e pau ana i ka hoʻokō 'ana o ka naau? Kēia e pono e ike na kanaka a pau. Ke kumu nui - ventricular fibrillation. He He ano ma i he mea he chaotic contraction o ke Muscle olona, i loko o nā paia o nā ventricles, i nā hualoaʻa ma ke koko lako ka hoʻohuikau 'ia nā'aʻaʻa a me nā loko. Kekahi kumu - ventricular asystole - ma keia hihia i ka pou hana o ka myocardium ua pau hoʻi i kāpiliʻia.

Coronary artery maʻi, hema ventricular hypertrophy, hypertension, atherosclerosis - Ua hoi ka kamepiula kumumea i hiki he hoʻonui i pau i ka hoʻokō hana o ka papa kuhikuhiE kanaka kino. I cardiac hopu ke hiki mai ka manawa e ventricular tachycardia, ka wā nui moku mea i ka lāʻau ikiʻai, a no ka electromechanical dissociation, ka wā i loko o ke alo o ka pou hana o ka naau ia,ʻaʻole he mea kekahi e like contraction o na ventricles ( 'o ia hoʻi i me mechanical ha awina). Aia mea nō ia pathology me Romano-Ward maʻi pale, a ua pili i hereditary ventricular fibrillation - ka mea, hiki no hoi ia i ke kumu o ka mea, he ulia cardiac hopu.

First kokua i koi 'ia i loko o kekahi manawa, a me ka poe kanaka, ka poe i ole mua ola pilikia.

mawaho hana

Ka naau ke ana ma muli o ia:

• hypothermia (ka wā i ke kino mahana, e hina ia ma lalo 28 degere);
• uila hawewe (e laʻa me, he uwila hahau ole kŰia);
• loaa ana i loko o excessive dala blockers, cardiac glycosides ole paha no ka anesthesia;
• muli o ka oxygen (no ka laʻana, poho iho la lakou, ka hakui o);
• hemorrhagic a anaphylactic kŰia.

Pehea e hooholo i ka hoopau ana o ka naau

Ka wā o ka naau Muscle i pau ka moni functioning, loaʻa ke kēia symptoms:

• Loss o ka ike paka i - e hele kokoke koke ma hope o cardiac hopu,ʻaʻole hope ma mua o elima kekona. Inā i ke kanaka, aole ia e pane i kekahi stimuli, laila ia mea unconscious.
• Cessation o ka hanu - ma keia hihia ole umauma ana.
• No ripple ma ka wahi o ka carotid artery - ia mea detectable i loko o ka thyroid kahi, elua a ekolu iniha, mai konaʻaoʻao.
• 'Aʻole i lohe naau kani.
• Skin i haikea a bluish tint.
• Dilated haumana - ka mea, hiki ke loaʻa ma ka hookiekie ana i ka luna lihilihi o ka hoʻohuli ai i nā maka a me ka mālamalama. Inā i ka kuhikuhi ana o ka haumāna ua i hou malamalama, ka mea hiki ke mahuʻi mua i loaʻa i ka ulia cardiac hopu. Pilikia kōkua i loko o keia hihia e hoola i ke ola.
• Cramps - hiki ke'ākoʻakoʻa i ka manawa o ka poho o ka ike paka i.

A pau o kēia mau symptoms hōʻike i ka pono no ka manaʻo resuscitation.

Mākou hiki ole hookaulua!

Inā 'oe e kokoke he kanaka nona ka naau i papani iho la i, i ka papa kuhikuhi mea ia oe i ka hana - e hana koke. Aia i wale kekahi mau minuke imi e hoola i ka nāna. Inā kōkua ma cardiac hopu mea overdue, i ka poe mai a me ka make, a no ke ola, e koe incapacitated. Home o kāu hana - e hoihoi hanu a me ka naʻau ana, e like me ka hoʻoholoʻana i ka circulatory'ōnaehana, no ka mea, me keia nui nā loko (oi loa aku hoi i ka lolo) hiki ole kuleana pili i.

Pilikia mālama i loko o cardiac hopu mea pono i loko o ka hanana i ke kanaka mea unconscious. Mua potormoshite mea, ho'āʻo e kahea mai ka leo nui. Inā ka naoh ua i malama, hoʻomaka CPR. Ka mea, nā kekahi mau kahua o ka hoʻonaʻauao.

First kōkua no ka naau ole. ʻimi hoʻopunipuni ka hanu nā

Nui! Mai poina i ka koke i kapa aku ai i ka ambulance. Kēia pono e hana mua o ka hoʻomaka 'ana o ka resuscitation, no ka mea, a laila,ʻaʻoleʻoe e e hiki ia e keʻakeʻa.

E wehe i ka airway, kau i ka luahi hou ma luna o ka paakiki ili. Waha, e lawe aku oe i kekahi mea i ole ai maʻamau hanu kanaka (ka ai, prostheses, kekahi haole kino). zaprokinte hoomanawanui ka poo hoʻi ai i kona chin ua pololei. Ma keia hihia, no ka lalo iwi ā mea pono e pahu aku ai imua, malia paha o ikea e 'ōlelo retraction - ma keia hihia, ea hiki ke komo i loko o ka maʻiʻaʻai kahi o ka opu, a laila, i ka mālama'-inikua kōkua i loko o cardiac hopu makemake e ineffective.

Ma hope iho o ia koke hoʻomaka e paka ea "waha i ka waha". E'ō'ū i ka ihu i kekahi ke komo i loko o ka maʻiʻaʻai lewa, ke manao nei kou waha a me ka lehelehe o ka mea nāna, e mau pahi exhalation. Eʻoluʻolu, e hoailona oukou ia oe pono e loa a me ka loa pilipaa hoomana lehelehe o ka hoomanawanui, ai ole i ka exhaled lewa hiki ke nalowale. Mai Mai eʻoi aku ka hohonu breaths, a koke kiʻi māluhiluhi. Ināʻimi hoʻopunipuni ka hanu nā "waha i ka waha" no kekahi kumu,ʻaʻole hiki ke hana, e hoʻohana i ke ano o ka "waha-i-ihu." Ma keia hihia, o ka lima e pani i ka luahi ka waha, a puhi ke ea i loko o kona mau puka ihu.

Inā 'inikua kōkua ua hoakaka pono, iloko o ka inspiratory ka iwiʻaoʻao nā hīnaʻi manu o ka hoomanawanui, e ala, a ma ka manawa o ka exhalation mai cardiac hopu i loko o ka respirator - e haule. Inā mau hana i ole malama, e kaha i ka airway.

naau lomilomi

Ka poʻe, e halihaliia oia iwahoʻimi hoʻopunipuni ka hanu a me ka mīkini'opihia o ka thorax (pahu compressions). Kekahi manipulation me ka mea 'ē aʻe e ole e hoohalike. No laila, ma hope o kāu hulina hana mau breaths i loko o ka luahi o ka waha, i kona lima hema ma ka malalo o ka sternum ma ka waena, a me ka lima'ākau ma luna o ka hema i loko o ke kea kūlana. Ma kēia hihia, na lima e e pololei, mai manao. Next, hoʻomaka e rhythmically e kaomi ma luna o ka pahu - ia e i contraction o ka naau Muscle. He me ka lawe i kou lima, e e umikumamalima ua e neʻe ua e i ka uku o kekahi no kekona. Me ka kupono manipulation o ka pahu e haule iho ma kahi o elima mau kenimika - ma keia hihia, ua hiki olelo aku i ka naau hāpai koko pumping, i mea, mai ka hema ventricle koko ma ka aorta komo i ka lolo, a mai ka akau - a hiki i ka ia maʻiʻaʻai, ma kona saturation ka oxygen. I kekahi manawa, i ka wa o ka puʻe ma ka sternum aɃe, hoopiha ana i na naau a me ke koko hou.

Inā lomilomi ua hana mālama '-kula makahiki keiki, a laila e kaomi iho i ka neʻeʻana o ka pahu e e hoʻokō' inideka, a waenakonu manamana o kekahi lima, a ina o ka haumāna - a me kekahi lima. Special malama E e haawi mua kōkua ma cardiac kūpuna. Inā he koa nui o ka puʻe ma ka sternum, ka mea e hanaʻino i ka na nā loko a hip-fracture.

hoomau iho la lakou CPR

E hana hou i ea breaths a me ka umauma compressions e e like loa me ka luahi ua i ha, a eʻaʻole hoomaka ia e palpable lāʻau ikiʻai wale. Inā mua kōkua no ka cardiac hopu mea pono mau kanaka, ia mea pono, e hāʻawi aku pelekikena a me keia: kekahi kanaka e hana i kekahi hanu o ka lewa i loko o ka waha a me ka ihu o ke ahonui, a laila produces ka lua o elima compressions ma ka sternum. A laila, hana i ka puana.

Inā, ma resuscitation hanu i hoihoi hou ia, akā, i ka lāʻau ikiʻai wale nō ua ole detectable, e hoʻomau cardiac lomilomi, akā, me ka hoʻokomo ea. Inā he ua he pana, akā, i ke kanaka ua i ha, oe e hooki aku i ka lomilomi, a laila wale nō hanaʻimi hoʻopunipuni ka hanu. Ma ia hihia, ina o ka luahi ka ha, a ia ia i ka pana, CPR E e pani a i ka hiki ana mai o ke kauka i ka pono kanaka hoʻoponopono i ka hoʻomanawanui ka kulana. Ma lalo o ole kekahi kumu e 'oe e ho'āʻo i ka hoʻoneʻe i kekahi kanaka ana i ike symptoms o cardiac hopu. Ua hiki ke hana ma hope wale nō o ka hoihoi hou ana o ke kino, a me ka kūikawā resuscitation mīkini.

I ka laulā o ka resuscitation

Loiloi i pehea pono ka naau mua kōkua wehe i ua hoʻolako, like penei:

• E palpable ka lāʻau ikiʻai i loko o ka carotid, kahahānai a me femoral arteries.
• E e mahuahua ke koko, a hiki i 80 mm o.
• Haumana e hoʻomaka i ka haiki, a me ka mea ola i ka naoh i ka malamalama stimulus.
• I kaʻili E kūʻai wale maʻamau waihoʻoluʻu kahi pallor a me ka cyanosis.

I ka wa e oki resuscitation

Inā, ma hope o ka hapa-hora manipulation naehana hana a me ka naau aayoaeuiinoe ka luahi ua i hana hou ia, a me na haumana i ke koe dilated a i ole pane koke i ka malamalama, ua hiki ke olelo aku i ka mea mua kokua no cardiac hopu i i alakai i ke kakali ana i hopena a me ke kanaka mua i loko o ka kanaka lolo ua hana irreversible. Ma keia hihia, hou resuscitation hooikaika ana ua lapuwale. Inā na hoailona o ka make iʻikeʻia ma mua o ka lā palena pau o ke kanakolu-minuke manawa, mālama nui malama pa alima, e hiki ke hooki koke ia.

Ka hopena o ka cardiac hopu ia

E like me nā 'ikepili helu o nā mea a pau na kanaka i kākau i ka cessation o cardiac haʻawina, wale 30 pakeneka ola. A hele mai hoʻi i ka maʻamau ola, a hiki emi ka heluna kānaka. Irreparableʻino e ola i kena ae laʻano nui ma muli o ia ka mea i ka weuweu mua 'inikua kōkua. Ma cardiac hopu, koke CPR ka loa nui. A pehea ka mea, ua wikiwiki e paka, i ke ahonui o ka ola hilinaʻi nui. Ka hope e e Keoni a cardiac haʻawina, ka mea i oi aku ka likelihood o ka mea complications. Inā ka lōʻihi-makahiki oxygen ma ua hāʻawi mai i ka pōʻino nā loko, he mea ischemia, a me muli o ka oxygen. E like me ka hopena, hanaʻino nā puʻupaʻa, lolo, akepaa, a laila, negatively e loli ai ke kanaka o ke ola. Inā ka lomilomi pahu compressions e hana loa ikaika, ia mea hiki ke wawahi i na iwi aoao a me ka hoʻomanawanui, e hoonaukiuki aku i kekahi pneumothorax.

ma ka hopena

Ike ana i ka hoʻolako 'ana i mua kōkua i loko o cardiac hopu, e hiki ke hoola ola, a hoola mai i kona ola. Mai Mai e indifferent! E hoolaulea, no laila, kiʻi i ka ike i ka hoomaikai ia oe kekahi, e e hiki ke hoʻomau i ke ola, a loaa i kela lā!