Izinyathelo zokuphepha uma usebenzisa ama-electrode e-defibrillator

Qaphela okulandelayo uma usebenzisa ama-electrode e-defibrillator ukuqinisekisa ukuphepha nokusebenza kahle:

1. Beka idivayisi endaweni efanele
• Abantu abadala: Indawo ye-anterolateral isetshenziswa ngokuzenzakalelayo, okungukuthi, ingxenye eyodwa inamathele ngaphansi kwe-clavicle yesokudla (umkhawulo wesokudla we-sternum) kanti enye inamathele esikhaleni sesihlanu se-intercostal (i-apex yenhliziyo) emgqeni wesobunxele we-midaxillary.
• Izingane/izinsana: Izikhundla zangaphambili nezingemuva (esinye esifubeni, esinye ngemuva) noma ama-electrode athile ezinganeni angadingeka.
• Gwema amadivayisi afakwe: Uma isiguli sine-pacemaker, i-ICD, njll., i-electrode kufanele ibe kude okungenani ngamasentimitha angu-8 nedivayisi ukuze kugwenywe ukuphazamiseka.

2. Ukulungiswa kwesikhumba
• Hlanza futhi womise: susa umjuluko, izidakamizwa noma izinto ezingadingeki esifubeni bese uzisula ngendwangu eyomile; Uma izinwele eziningi kakhulu zidinga ukugundwa, qiniseka ukuthi ama-electrode ayalingana.
• Gwema utshwala/izinto ezivuthayo: ungasebenzisi utshwala ukuhlanza, ukuvimbela izinhlansi ekushiseni; Susa izinto ezinensimbi (imigexo, ama-patches okugcoba, njll.).

3. Hlola isimo se-electrode
• Usuku lokuphelelwa yisikhathi kanye nokupakishwa: Ngaphambi kokusebenzisa, qinisekisa ukuthi akuphelelwe yisikhathi, ukupakishwa akonakali, nokuthi ijeli eqhubayo ayomile.
• Ukusetshenziswa kanye: Akuvunyelwe ukusebenzisa kabusha, ukuvimbela ukutheleleka okuthelelanayo noma ukwehla kokuhamba kukagesi.

4. Ukuphepha kwemvelo nokusebenza
• Gwema ukuthintana neziguli: Qinisekisa ukuthi akekho othinta iziguli nemibhede ngaphambi kokuphuma esibhedlela ukuze uvimbele ukushaqeka kukagesi.
• Ukukhetha amandla: Khetha amandla afanele ngokwemiyalelo yedivayisi (abantu abadala bavame ukuqala ku-120-200 J, izingane zilungisa ngokwesisindo somzimba).
Gwema izindawo ezimanzi/ezivuthayo: Qinisekisa ukuthi akukho ukuvuza kwamanzi noma umoya-mpilo endaweni yokusebenza ukuze unciphise ingozi yomlilo.

5. Ukuphathwa kwesiguli okukhethekile
• Ama-patches emithi: Uma kukhona ama-patches anjenge-nitroglycerin esifubeni, asuse ngokushesha bese uhlanza isikhumba kahle.
• Ukwelashwa ngokusha: Hlola isikhumba ngemva kokususa i-fibrillation. Uma kukhona ukubomvu noma ukusha, siphathe njengokusha bese usibhala phansi.

6. Imininingwane yokusebenza
Ukuqeqeshwa kanye nezinqubo: Abasebenzi baqeqeshwe ngobungcweti futhi balandela ngokuqinile iziqondiso zosizo lokuqala (isib. amazinga e-AHA/ERC).
• Ukuzihlola kwedivayisi: Qinisekisa ukuthi i-defibrillator isebenza kahle nokuthi ama-electrode axhunywe kahle ngaphambi kokusebenzisa.

7. Kwabantwana kanye nezinsana
• Ukuzivumelanisa nosayizi: Izingane kufanele zisebenzise ama-electrode ezingane (noma imodi yezingane) ukuze zigweme ama-electrode abantu abadala amboze indawo eningi kakhulu.

8. Phatha iphutha ngemva kokuhlinzwa
• Ulwazi lokuqopha: ukuqopha isikhundla se-electrode, ukukhethwa kwamandla kanye nokusabela kwesiguli ukuze kubhekwe udokotela okulandelayo.
• Amathiphu okushintsha: Uma kudingeka ukuqapha okuqhubekayo, shintsha i-electrode entsha njengoba kudingeka ukuze ugweme ukulimala kwesikhumba okubangelwa ukusetshenziswa kwesikhathi eside.