CPR algorithm. CPR muvana: imwe algorithm. CPR pamuviri. CPR afemeruke algorithm kuti isakanganisa nedzevakuru

Doctors unyanzvi zvose kuti vadzidzise vamwe, uye pachavo kuti zvinomukira, chokuita nechimbichimbi kutarisirwa uye Kununurwa murwere upenyu. Ichi ndicho chinhu chokutanga kuti mudzidzi yokurapa paUniversity pakunzwa. Naizvozvo, pfungwa unobhadharwa kudzidza anoranga zvakadai anesthesiology uye nokumutswa. Vanhuwo zvavo, kwete ukama mushonga, zvakare, asingadi kukuvadzwa kuziva chiito dzakati ari mamiriro ezvinhu upenyu pangozi. Ndiani anoziva kana kuti kupinda batsira.

Nokungovafemera - iri nzira kupiwa rubatsiro, zvainanga kudzorera uye kuramba upenyu muviri mushure kutanga yokuora rufu. Zvinosanganisira matanho akawanda fanira. SRL algorithm akanga aronga naPetro Safar, uye mumwe dzokubvisa kuzonunura murwere anonzi ari kukudzwa kwake.

nyaya yetsika

Hapana chakavanzika vanachiremba vanogara nechinetso wekusarudza zvakanakira murwere wavo. Kazhinji inova chinogumbura mamwe marapirwo matanho. Izvi zvinoshandawo kune CPR. The algorithm unogadzurudzirwa zvichienderana rubatsiro mamiriro yokurovedza nokumutswa chikwata, murwere zera uye ake ano chinzvimbo.

Yakanga yakawanda hurukuro zvingave zvakakodzera kutsanangurira vana uye kuyaruka kuoma yavo ezvinhu, tichifunga kuti havana kodzero kuzvisarudzira zvavanoda kurapwa. Mubvunzo wakamutswa pamusoro wemupiro nhengo kubva vanobatwa vakagamuchira CPR. The algorithm ari ezvinhu anofanira zvishoma dzakachinjwa.

Kana iwe havaiti CPR?

In okurapa, pane zviitiko apo nokumutswa haisi anoitwa sezvazvakafanira maturo, uye murwere maronda hahuenderani upenyu.

1. Kana paine zviratidzo zvipenyu rufu: nehasha mortis, kutonhora chitunha nzvimbo.
2. Zviratidzo pfungwa rufu.
3. The yokupedzisira zvokukura nehosha.
4. Danho yechina kenza pamwe metastasis.
5. Kana vanachiremba vanoziva kuti mushure kumira kufema uye kufamba kweropa kwave maminitsi anopfuura makumi maviri nemashanu.

Zviratidzo kunotoda kurapwa rufu

Kune zviduku nezvikuru vatambi. The kukoshesa:
- No kupomba mu arteries guru (carotid, femoral, brachial, rwenyama);
- kusavapo afemeruke;
- vairamba dilation pakati vadzidzi.

The yechipiri zviratidzo zvinosanganisira kurasikirwa pfungwa, hapana ane rinokwanisa kucheneruka tint, kushaya hunenge, yokuzvidira kufamba uye tsandanyama matauriro, vatorwa, kujairika muviri nzvimbo muchadenga.

siteji

CPR algorithm conditionally rakakamurwa huru muzvikamu zvitatu. Uye mumwe nomumwe wavo uyewo mapazi muzvikamu.

Danho rokutanga rinoitwa pakarepo uye ndiko kuramba upenyu panguva kugara oxygenation uye kufema mhepo. It anobvisa kushandisa michina uye rutsigiro upenyu resuscitative kuitwa chete Brigade.

Danho rechipiri - a kushandiswa, chinangwa chacho - kuponesa chii havana kuisa vanunuri uye kuitira kuramba kweropa uye yakachena zvitengeswa. Chinosanganisira chirwere mwoyo, kushandisa defibrillator, kushandisa zvinodhaka.

danho Third - rinoitwa atova ICU (yevanenge). It nechinangwa kuchengetedzwa kwouropi mashandiro avo kupora uye paakadzokera sevamwe upenyu hwevanhu.

chiito Procedure

Muna 2010 zvakanzi nechido zvakasikwa algorithm CPR nokuda Danho rokutanga, chine mumatanho anoverengeka.

• A - Airway - kana mhepo permeability. Lifeguard anoongorora zvokunze yemweya, bvisa zvose kunodzivisa kunowanzoitika chikamu mhepo: jecha, kurutsa, algae, mvura. Kuti aite izvi, kuita munhu nekatatu kugamuchira Safar: kuteura musoro shure, kusunda rezasi rushaya uye muromo.
• In - Kufema - kufema. Kare, zvakanga rakarumbidzwa kuitisa chakagadzirwa afemeruke unyanzvi "nomuromo" kana "muromo hwepaimba mhuno", asi ikozvino nokuda yakawedzera kutyisidzira chirwere, mhepo iri munhu anowira chete kuburikidza AMBU bhegi.
• C - Circulation - kweropa kana kudzvinya pachipfuva. Zvakanakisa, tinakidzwe ari taps on pachipfuva inofanira kuva anorova 120 paminiti, ipapo uropi achagamuchira risingamboshandisi dose reokisijeni. Kuvhiringidzwa haana yakarumbidza nokuti panguva mhepo ichivhuvhuta chinhu pfupi kweropa kusungwa.
• D - Drugs - zvinodhaka zvinoshandiswa kushandiswa kutarisirwa danho kuvandudza ropa wokufambisa, kwerunyararo kwemwoyo kana ropa rheology.
• E - kwemwoyo unonzi, electrocardiograph. Zvinonzi inoitwa kuongorora mwoyo wako uye kuedza kubudirira kupindira.

unonyura

Pane zvimwe zvinhu zviri CPR unonyura. The algorithm dzinosiyana zvishoma, kugara dzezvakatipoteredza ezvinhu. Chokutanga, kuti mununuri ngavaite kubvisa ngozi koupenyu hwake, uye kana zvichiita, usapinda muviri mvura, uye edza kuuya wacho pariri.

Kana uchiri hanya anopiwa iri mumvura, mununuri unofanira kurangarira kuti munhu unonyura murume asingaiti kudzora kufamba ake, saka unofanira kushambira shure. Chinhu chikuru - kuchengeta murume musoro kupfuura mvura: vhudzi, vakanonga nokuda muhapwa uye vakakandirwa shure shure kwake.

Chinhu chakanakisisa kuti mununuri vangaitira unonyura - ndiko kutanga anoridza mhepo zvakananga mumvura pasina kumirira chokufambisa kumhenderekedzo. Asi zvazviri richiwanikwa chete vakasimba mumuviri uye vakadzidziswa munhu.

Pamunongonzwa kubvisa munhu akuvara kubva mumvura, unofanira kuongorora mwoyo wake mwero uye kuvapo vaingoerekana kufema. Kana pasina zviratidzo upenyu, zvakakodzera pakarepo kutanga nokumutswa. Kuita kukosha kwavo mukuru mitemo vanga kuedza kubvisa mvura kazhinji inoitika kubva mumapapu kusvika vanetsane uye kuwedzera chetsinga kukuvara nokuda okisijeni nenzara wouropi.

Chimwe chinhu ndiyo nguva penguva. Regai kuvimba pemaminitsi 25 sezvo mumvura inotonhora pezvakaitwa vari seiyi, uye uropi kunoitika zvikuru zvishoma nezvishoma. Kunyanya kana akuvara - mwana.

Stop nokumutswa zvinogoneka chete pashure pokudzorerwa vaingoerekana afemeruke uye kufamba kweropa, kana pashure kusvika amburenzi rikarira, iyo ichapa nyanzvi rutsigiro upenyu.

Rakatanga CPR algorithm iro rinoitwa kushandisa mushonga zvinosanganisira inhalation 100% okisijeni, intubation uye zvokuimba kufefetedza yemapapu. Uyezve, antioxidants inoshandiswa, kuti aizomupa zvinwiwa kudzivisa hurongwa kufurirwa donhwe uye retransmission cardiac, diuretic, kudzivisa pulmonary edema, uye kushingaira achidziya wacho, saka kuti ropa noruvara richiparadzirwa munyika muviri.

kufema kusungwa

CPR algorithm kufema nokusungwa nedzevakuru inosanganisira zvose zvorwendo pokutizira kudzvinya pachipfuva. Izvi hwezvekukurukurirana basa vanunuri, nokuti muviri chichavabvambura kuparadzira kuuya okisijeni.

Kune nzira mbiri zvokuimba kufefetedza pasina iripo zvishandiso:

- nomuromo;
- muromo-to-mhino.

Nokuti zviri nani kuwana pane mhepo Zvinokurudzirwa kuti kuteura musoro wacho, kusunda rezasi rushaya uye nokusunungura Airways pakati madzihwa, mumarutsi uye jecha. Rescuers uyewo vanofanira kutarisira utano hwavo uye kuchengeteka, saka zviri zvinodiwa kuti tiite kumonyanisa ichi kuburikidza wekumeso yakachena kana gauze kuti usagunzva neropa kana mate murwere.

Mununuri pinches mhino yake, miromo yake zvakasimba Achiputira miromo wacho exhales. Muchiitiko chino, unofanira kutarisira kuti aone kana epigastric nharaunda iri inflated. Kana mhinduro iri kutsigira, zvinoreva kuti mhepo inocherechedzwa mudumbu uye kwete mumapapu, uye zvakanaka izvozvo hapana reanimation. Pakati kundosvikira unofanira kutora hwatsvuka mune masekonzi mashoma.

Munguva zvokuimba kufefetedza vakachengeta qualitatively bhokisi karwendo.

kweropa vanorega

Zvinonzwisisika kuti CPR algorithm nokuda asystole kuchasanganisira zvose kunze kufefetedza. Kana munhu iyeyo ari kufema pacharo, hazvina zvakakodzera kurishandura kuva chakagadzirwa nzira. Izvi zvinoomesa basa vanachiremba mune ramangwana.

Repakona mwoyo yakarurama masaja ari maoko kuifukidza nzira uye basa chikwata mumuviri mununuri wacho. Compression chinoitwa mujinga yemichindwe, kwete chiningoningo, kwete nemimwe. Hands nokumutswa inofanira dzakatwasuka, uye compression rinoitwa nevanhu tilting muviri. Hands anoiswa perpendicular kuti sternum, vanogona kubatwa kuimba yemauto kana nhema yemichindwe muchinjikwa (shavishavi). Minwe hamubati pechiso pachipfuva. CPR algorithm iri sezvinotevera: matatu yoguma - kundosvikira mbiri, pamwechete proviso kuti nokumutswa rinoitwa nevanhu vaviri. Kana mununuri ndeimwe, chinoitwa gumi namashanu kudzvinya uye mweya chete, sezvo refu zororo pasina wokufambisa zvinogona kukuvadza uropi.

nokumutswa pamuviri

Rine yayo maitiro uye CPR pamuviri. The algorithm zvinosanganisira ruponeso kwete chete amai asiwo mwana ari mudumbu rake. Chiremba kana munhu akangomira, kuitira rubatsiro wokutanga amai vanepamuviri vanofanira kuyeuka kuti pane zvakawanda zvinoita kuti achiipa ari fungidziro yokupona:

- wakawedzera okisijeni zvinodyiwa uye nokutsanya achigona;
- akaderedza zvemapapu vanokwanisa nokuda compression ari pamuviri dumbu;
- yakakwirira mukana wokuti chido ose gastric mukati;
- rutapudzo of nzvimbo kufefetedza, sezvo kuwedzere mammary omumuviri uye diaphragm amutswa nokuwedzera mudumbu.

Kana usiri munhu chiremba, ipapo chete chinhu chaungaita kuti mukadzi akazvitakura kuti aponese upenyu hwake - ndiko kuisa parutivi rworuboshwe kuitira kuti musana wake akanga necheparutivi rworwendo vanenge makumi matatu. Uye kuibvisa kuti dumbu kuruboshwe. Izvi zvichaita kudzibatsira pamusoro mapapu uye kuwedzera mhepo chokubuda. Ngachitange kudzvinya pachipfuva uye musavadzivisa kusvikira zvashata chikwata anosvika kana asingadi anosvika Kuchinomumwe rubatsiro.

Save vana

CPR ine maitiro ayo vana. The algorithm afanane mukuru, asi nekuda vasiri zvatariswa zvakaoma kuita, kunyanya vachangoberekwa. Unogona vagovane nokumutswa vana zera: kusvika gore rimwe uye kusvika makore masere. Vose vakuru, vawane zvakafanana rubatsiro uyewo vakuru.

1. Unofanira kushevedzera amburenzi pashure shanu kwakundikana nokumutswa zvinogara. Kana mununuri ane vabatsiri, zvakakodzera kuti ape kwavari pakarepo. Kutonga uku anoshanda chete kana munhu ichiraramisa.
2. Head kukanda shure kunyange vanofungidzirwa nezvinokuvadza mutsipa nokuti afemeruke chinhu chokutanga.
3. Kutanga maviri ventilator kundosvikira 1 wechipiri.
4. Panguva iyoyo inofanira kuitwa kusvika makumi maviri kundosvikira.
5. Kana blockage kuti kufema wokumwe muviri mwana vacharova seri kana akadonhera pachipfuva.
6. Pamberi kupomba zvinogona kuongororwa kwete chete panguva hope, asi pamafudzi uye femoral arteries, nekuti ganda mwana ari wakawondereiko kudai mazuva ose.
7. Patinoita kudzvinya pachipfuva kudzvanya mwoyo vanofanira kuva pasi munyatso mutsetse, sezvo mwoyo zvishoma kupfuura nedzevakuru.
8. Kutsikirira pasi sternum pamusana ruoko rimwe (kana akuvara ari kuyaruka) kana zvigunwe zviviri (kana ari mwana).
9. Simba zvenzara - chetatu pakukora pechipfuva (asi kwete kupfuura hafu).

General mitemo

Zvose vakuru vanofanira kuziva kuti tiite zvinhu CPR. Algorithms hazvivanetsi kuyeuka uye kunzwisisa. It aigona kuponesa upenyu munhu.

Pane mitemo akawanda anogona kugarwa kununura kushanda kubudikidza untrained munhu.

1. Mushure Zvinonzi mashanu CPR akuvara kunogona kusiya kuzodana zvashata mabasa, asi chete pasi mugariro kuti munhu anobatsira - mumwe.
2. Kutsunga zviratidzo kunotoda kurapwa rufu havafaniri kutora mumasekonzi anopfuura 10.
3. Yokutanga chakagadzirwa mweya kuva shoma.
4. Kana shure kwerekutanga mweya musina bhokisi racho, inofanira zvakare kukanda musana musoro wemunhu akuvara.

Vamwe kunenge apo rinoitwa CPR algorithm kare kukurukurwa pamusoro. Kubudirira nokumutswa uye mberi mapiro upenyu pakuti sei nokukurumidza kuMabvazuva zvapupu, uye sei zvakanaka vachakwanisa kubatsira. Saka havasiyi kubva zvidzidzo, tsanangura CPR. The algorithm iri nyore, kunyanya kana uchiyeuka pamusoro chaiwo Danga (Faa), kufanana vanachiremba vakawanda.

In mabhuku akawanda akanyorwa kuti vanofanira kurega CPR, pashure mana maminitsi kundikana nokumutswa, asi chaizvoizvo chete zviratidzo rufu zvoutachiona angava yakavimbika yokuona kuti kusavapo kwoupenyu. Yeuka: paunenge Ndaikudzungudzirai mwoyo wako, ropa anoramba zvokudya uropi, izvo zvinoreva kuti munhu achiri mupenyu. Chinhu chikuru - kumirira amburenzi kana kununurwa. Nditende, vachava kukutendai basa rakaoma.