Kuna Kashe Zuciya?
Na farko, akwai kullun zuciya na zuciya -basically doc yanke kirjin ka, ya shiga ciki, kuma ya skeezed - amma ƙarshe ya zo da wannan sabon abu wanda ake kira mashin zuciya na waje ko rufewa ta zuciya . Wadannan kwanaki duk yara suna kira su matsalolin kirji , wanda shine mafi kyawun lokaci tun lokacin da zuciyar ta yi zurfi sosai a cikin kirji don samun jin dadi.
Don haka, za ku iya tambaya, idan zuciyar ba ta samun lokacin bazara, to, ta yaya duniya ke yin matsalolin kirji yasa jinin ya zagaya?
Kayan Goma Ya Kamata Ya Sami Mafi Kyauta
Don yin adalci, dukkanin jini yana taimakawa wajen jagorancin jini ta hanyar murfin kirji a lokacin CPR , amma akwai nau'i na musamman na ɓangarorin da ke taimakawa wajen motsa dukan abu tare. Ba tare da taimakon veins ba, ban tsammanin wannan aikin CPR zai yi aiki ba.
Jigilar jini 101
Ana iya rarraba magungunan da ke dauke da jini a jikin jikinmu a cikin nau'i uku: arteries , veins, and capillaries . Capillaries su ne mafi girma na jini, don haka suna ba da damar jinin jini kawai ta cikin fayil ɗaya. Akwai matuka masu yawa a cikin kowane ƙananan inch na tsokoki da wasu kyallen takarda wanda ba zai iya yiwuwa su gan su ba tare da ido mara kyau. Lalle ne, idan kun dubi tsoka da sauran kayan taushi, ya zama kamar jini a cikin jini maimakon ya bayyana jini da ke gudana ta hanyar ta.
Kullum ina tunanin kullun kamar sutura da haɓuka kamar tashoshi a cikin soso wanda zai taimaka masa ya zama ruwan. Za mu sake dawowa da soso a minti daya.
Arteries ne tasoshin da ke dauke da jini daga zuciya zuwa kyallen takarda. Waɗannan su ne manyan bututun mai ƙarfi da ganuwar ganuwar da suke da ikon fadada ko ƙuntatawa don taimakawa wajen sarrafa kwafin.
Lokacin da muke da sabuwar, matasa da lafiya, waɗannan suna da cikakke kuma suna buɗewa. A tsawon lokaci yayin da muka tsufa, muna samun ɓawon burodi (wanda ake kira plaque ) wanda ke nuna ciki. Alamar tana nuna dan kadan a cikin kowa da kowa, amma a cikin mutanen da ke dauke da jini zuwa ƙwayar zuciya - sunyi haɗari da kariya daga jini, wanda zai haifar da hare-haren zuciya da shanyewa .
Kwayoyi suna karɓar jini daga kyallen takarda da kuma juye shi a zuciya. Wadannan mutane suna fama da matsaloli da yawa fiye da arteries kuma suna da ganuwar bakin ciki. Ba su da ikon fadadawa da ƙuntatawa. Don kiyaye jini yana motsawa tare da irin wannan matsin lamba, duk da haka, veins yana da muhimmiyar abu da arteries ba: bawul .
Kullun da aka samo a cikin kwakwalwa ne kawai ya bari jini ya gudana a daya hanya. Kuna iya ganin yadda wannan yake aiki idan zaka iya ganin suma a bayan hannunka. Yi kokarin wannan: bari hannunka danka ta gefe don 10 ko 15 seconds. Shake shi kaɗan. Bari jini ya shirya. Yanzu ka yi takalma kuma ka sami sarkar a bayan hannunka. Gudun yatsan daga hannunka har zuwa ga zuciyarka. Ƙungiyar ta fadi amma ba ta ɓace ba. Yanzu tafiya yatsanka ta wata hanya tare da jikinka, zai tsaya har sai kun dauke yatsanka.
Lokacin da kake fitar da jini, ƙwallon ƙafa yana da kyau kuma idan dai ka ci gaba da yatsanka a kan yatsan don dakatar da sabon jini daga shiga sama, zai tsaya a ɗakin. Jinin da ke ƙasa ba zai iya dawowa ba saboda bawullan.
Kuna iya samun samfurin a hannunka; bincika wani wuri inda yarinya ba leda ba yayin da yatsanka yake a cikin kwayar.
Jirgin Gubar Cutar ta hanyar matsawa
Yanzu muna fahimtar yadda yaduwar jini ke aiki, bari mu dubi yadda wannan ya zubar da jini yayin da muke matsawa. Ka tuna, yatsun jiki da tsokoki suna aiki kamar sutsi. Yayin da kake narkar da soso mai yalwa, ruwa mai tsabta daga ciki.
A game da kyallen takalmin jiki, yayinda aka fitar da jini daga jini. Jinin da ake zubar da shi daga cikin kyallen takalma zai iya shiga cikin veins ko arteries. Jinin da ke shiga cikin jijiyoyin baya iya dawowa saboda balaloli. Bayan 'yan matsalolin, akwai isasshen matsa lamba don fara motsi jini ta hanyar veins kuma baya zuwa zuciya.
Zuciya tana cikin wannan hanya ta hanyar ɗamarar hanya. Kowane ɗakin ɗakunan zuciya yana da bawul. Da zarar jini ya bar ɗakin zuciya, ba a yarda ya dawo ba har sai ya tafi duk hanyar da jiki da baya. Kila bazai zubar da zuciya ba a lokacin matsalolin, amma kuna tabbatar da rufe ɗakin.
Sucking da Squeezing
Rashin jini daga cikin kyallen takarda ba shine kawai hanyar da aka karfafa jinin jini yayin da muke yin matsalolin kirji ba. Kamar yadda yake da mahimmanci kamar turawa a kan kirji, yana da mahimmanci don ƙyale akwatin ya dawo (komawa zuwa asalinsa). Kamar dai a cikin soso, lokacin da ka saki kayan squished, sun sha ruwan sama. Bugu da kari, tun da ɗakin ɗakunan zuciya suna cikin tsakiyar kirji kuma suna da waɗannan hanyoyi masu yawa a cikinsu, suna shan jini da kuma lokacin da suka dawo.
Akwai shaidu masu yawa da cewa tsotsaccen aikin da aka samu tsakanin ƙwaƙwalwar ƙwaƙwalwar kirji kamar yadda yake da muhimmanci a lokacin CPR kamar yadda turawa yake. Daya daga cikin ra'ayoyin dalilin da yasa CPR kawai aka yi nasara yana da nasaba da cewa babu wanda ke busawa a cikin kirji kuma ya rage ikonsa na shan jini a ciki. Bugu da ƙari, ga marasa lafiya wadanda suka fadi daga kamacciyar kwakwalwa, an sami isasshen oxygen bar a cikin jini don haka baki zuwa bakin ba lallai ba ne .
Sources:
Andreka P, Frenneaux MP. "Haemodynamics of Cardiac Arrest and Resuscitation." Curr Opin Crit Care . 2006 Jun; 12 (3): 198-203. Review. PubMed PMID: 16672776.
Lurie KG, et al. "Magana da 10-Breaths-Per-Minute Yarda da Tsarin Tsari na 2-Breathes-Per-Minute A lokacin Cutar Tsuntsar Cutar Kasuwanci a Tsarin Macijin Cutar Cardiac." Sake Kulawa . 2008 Yuli; 53 (7): 862-70.