"Hands-Only" CPR Na Girmama Kayan Cardiac Gana
Cutar Cutar Kasuwanci (CPR) ɗaya daga cikin tushen asibiti na gaggawa. Yana da horar da ake buƙata saboda kusan dukkanin masu samar da lafiya na gaggawa a Amurka kuma an yada su ga jama'a a matsayin ɓangare na ilimin sakandare.
Tun daga 2017, a gaskiya, dukkanin kasashe 12 (Alaska, California, Colorado, Florida, Hawaii, Kansas, Nebraska, New Hampshire, Maine, Massachusetts, Montana, da Wyoming) suna buƙatar a koya wa CPR kafin kammala karatun sakandare.
Lokacin da aka yi daidai, CPR na iya sau biyu ko sau uku damar rayuwa ta mutum, bisa ga kididdigar daga Ƙungiyar Zuciya ta Amirka (AHA). Duk da haka, a cikin 'yan shekarun nan, wani ɓangare na CPR, wanda aka sani da numfashi na ceto (ko buguwa ta bakin baki ), waɗanda suka yi imani sun iya cin wuta daga wasu lokuta da yawa.
Bayani
Tun lokacin gabatarwa a cikin shekarun 1960, CPR ta shiga cikin yawan mutane . A yau, mafi yawan mutane suna shirka da abubuwa biyu-murfin baki da murfin kirji-wanda wasu lokuta ana yin su ne a kan mutane masu kama da zuciya .
Daga cikin ayyukan biyu, aka fara gabatarwa da baki da farko. Hanya ce ta hanyar farfado da wadanda ke fama da ruwan sama tun kafin zuwan CPR kuma ya kasance wani ɓangare na aikin tun daga lokacin.
Duk da haka, haɗuwa da waɗannan biyu ba su kasance ba tare da kalubale ba a game da yadda aka yi su kuma yadda tasiri suke inganta inganta rayuwa.
Rarraba a horar da CPR Training
Ɗaya daga cikin manyan matsalolin koyar da CPR shine samun rabo daga numfashi na saukewa zuwa numfashin kirji daidai. Wannan shi ne ainihin gaskiya idan mutum daya yake yin ayyuka biyu. Yana buƙatar mutum ya yi ba kawai ba amma ya tuna da kowane mataki na tsari a daidai tsari don cimma sakamakon mafi kyau.
Kafin gabatar da sababbin jagororin , za a tambayi matakan da suka biyo bayan mai ceto:
- Ƙayyade idan wanda aka azabtar yana numfashi.
- Bincika don bugun jini don ganin idan zuciyar ta buge.
- Bayyana bakin da wanda aka azabtar.
- Ka ba wa wanda aka azabtar 15 kirji.
- Sanya hanzarin da aka azabtar da shi kuma ya ba da numfashi biyu na ceto.
- Ci gaba da bada 15 matsalolin kirji da biyo bayan sau biyu na ceto sai taimakon gaggawa ya zo.
Duk waɗannan matakan da aka haɗu sun hada da CPR da wuya a tuna a yanayin haɗari. Koda tare da masu ceto guda biyu, suna tunawa da irin yadda ake aiwatar da bugun jini , inda za a kwantar da akwati, ko yadda za a ba da baki ga baki zai iya ƙalubalanci kuma ƙara haɓakar kuskuren gaba ɗaya.
Bincike ya kai ga Canje-canjen a cikin Sharuɗɗa
Dangane da ƙarin shaidar da ke taimakawa wajen maganin matsalolin kirji, kwamitin kula da cutar gaggawa na gaggawa ya ba da matakai mai yawa ga ka'idojin CPR a shekara ta 2005. Daga cikin su, kwamitin ya ba da shawara cewa za a yi karin matsalolin tsakanin motsi na ceto kuma ya shawarci cewa masu ceto basu sake dubawa ba. don bugun jini kafin fara CPR.
Sauye-sauye da farko sun sadu da mutane da dama a cikin ayyukan likita na gaggawa (EMS) wadanda suka yi la'akari da yin magana da baki ga aikin CPR.
Ko da magungunan wuta ne aka ba da raƙuman aiki a cikin jagororin kamar yadda ƙwaƙwalwar ƙwaƙwalwa ta ɗauki mataki na tsakiya kamar yadda fasaha zai iya ceton rayuka.
Duk da farko da kuka yi, sharuɗɗa na AHA sun goyi bayan wasu binciken da yawa wanda ya nuna cewa matsalolin kirji da aka yi shi ya ƙãra wa kansa damar samun tsira idan ya kwatanta numfashi na numfashi da kuma ceto.
A shekara ta 2010, binciken da aka ƙayyade da ake kira Dispatcher-Assisted Resuscitation Trial (DART) ya kwatanta ayyukan biyu a shafukan EMS a jihar Washington da London. Abin da masu bincike suka gano shi ne, a lokuta da wani wanda ke biye da shi ya yi CPR, wadanda aka ba su matsalolin kwakwalwa sun sami kashi 39 cikin dari mafi girma na rayuwa idan aka kwatanta da waɗanda aka ba su duka matsalolin da bakin baki.
Wannan kuma da sauran karatun sun fi mayar da hankali cewa amfanar bakin ciki a cikin abubuwan da ke faruwa a halin yanzu ba su da tabbas.
Sharuɗɗan Yanzu
Duk da yake shaidun ba su shafe kimar CPR gargajiya (ko kuma sun dakatar da koyarwarsa a makarantun jama'a), an kafa wani tsari mai mahimmanci na CPR don sauƙaƙe wannan tsari.
Idan aka yi la'akari da yadda aka yi amfani da CPR kawai , an tsara wannan aikin ne don ba da tabbaci ga mutanen da suke buƙatar yin kokarin ceton rayuka ga mutane da aka kama da zuciya. Hanyar da aka sauƙaƙa ta ƙunshi kawai matakai biyu:
- Kira 911 idan jariri ko babba ba zato ba tsammani.
- Koma da sauri a tsakiya na kirji zuwa kukan waƙar da take da 100 zuwa 120 a cikin minti guda, irin su Bee Gees, "Rawa Rayuwa" da Beyonce, ko "Walk Line" by Johnny Cash.
Ta hanyar yin aikin mai sauƙi, za'a iya rage kuskuren ba tare da rage dan zarafin rayuwa ba.
Yana da muhimmanci a lura cewa, AHA har yanzu yana bada shawarar CPR gargajiya ga jarirai da yara da kuma wadanda ke fama da nutsewa, shan magani kan miyagun ƙwayoyi, ko mutanen da suka rushe saboda matsalolin numfashi.
> Sources:
> Ƙungiyar Zuciya ta Amirka (AHA). "2017 Hannun Bayanin CPR kawai kawai." Dallas, Texas; fito da Oktoba 2017.
> AHA. "CPR a Makarantun Makarantun Labarai." Updated Fabrairu 20, 2017.
> Rea, T., Fahrenbruch, C., Culley, L et al. "CPR tare da Jirgin Kwanakin Kai kadai ko tare da Gudun Wuta." N Engl J. Med . 2010; 363: 423-33. DOI: 10.1056 / NEJMoa0908993.