Dziwani izi mukamagwiritsa ntchito ma electrode a defibrillator kuti muwonetsetse kuti ndi otetezeka komanso ogwira ntchito:
1. Ikani chipangizocho pamalo oyenera
• Akuluakulu: Malo a anterolateral amatengedwa mwachisawawa, ndiko kuti, chidutswa chimodzi chimamangiriridwa pansi pa clavicle yakumanja (malire akumanja a sternum) ndipo china chimamangiriridwa ku malo achisanu a intercostal (pamwamba pa mtima) kumanzere kwa midaxillary.
• Ana/makanda: Malo akutsogolo ndi kumbuyo (imodzi pachifuwa, ina kumbuyo) kapena ma electrode a ana angafunike.
• Pewani zipangizo zoyikidwa: Ngati wodwalayo ali ndi pacemaker, ICD, ndi zina zotero, electrode iyenera kukhala mtunda wa masentimita 8 kuchokera pa chipangizocho kuti isasokonezedwe.
2. Kukonzekera khungu
• Tsukani ndi kuumitsa: chotsani thukuta, mankhwala osokoneza bongo kapena zinthu zina zakunja pachifuwa ndikuzipukuta ndi nsalu youma; Ngati tsitsi lanu likufunika kumetedwa kwambiri, onetsetsani kuti ma electrodewo akukwanirani.
• Pewani mowa/zoyaka: musagwiritse ntchito mowa poyeretsa, kuti moto usapse; Chotsani zinthu zomwe zili ndi chitsulo (mikanda, zopaka mafuta, ndi zina zotero).
3. Yang'anani momwe elekitirodi ilili
• Tsiku lotha ntchito ndi phukusi: Musanagwiritse ntchito, onetsetsani kuti silinathe ntchito, phukusi silinawonongeke, ndipo jeli yoyendetsera mpweya si youma.
• Kugwiritsa ntchito kamodzi: N'koletsedwa kugwiritsanso ntchito, kuti tipewe matenda opatsirana kapena kuchepa kwa mphamvu yamagetsi.
4. Chitetezo cha chilengedwe ndi ntchito
• Pewani kukhudzana ndi odwala: Onetsetsani kuti palibe amene angakhudze odwala ndi mabedi asanatuluke m'chipatala kuti apewe kugwedezeka ndi magetsi.
• Kusankha mphamvu: Sankhani mphamvu yoyenera malinga ndi malangizo a chipangizocho (akuluakulu nthawi zambiri amayamba pa 120-200 J, ana amasintha malinga ndi kulemera kwa thupi).
Pewani malo onyowa/oyaka: Onetsetsani kuti palibe madzi kapena mpweya wotuluka m'malo ogwirira ntchito kuti muchepetse chiopsezo cha moto.
5. Kusamalira odwala mwapadera
• Zigamba za mankhwala: Ngati pali zigamba monga nitroglycerin pachifuwa, zichotseni nthawi yomweyo ndipo yeretsani khungu bwino.
• Chithandizo cha kutentha: Yang'anani khungu mutatha kuchotsa fungo loipa. Ngati pali kufiira kapena kutentha, chigwiritseni ntchito ngati kutentha ndipo lembani.
6. Mafotokozedwe a ntchito
Maphunziro ndi njira: Ogwira ntchito amaphunzitsidwa mwaukadaulo ndipo amatsatira mosamalitsa malangizo othandizira oyamba (monga miyezo ya AHA/ERC).
• Kudziyesa wekha pa chipangizo: Tsimikizani kuti defibrillator ikugwira ntchito bwino ndipo ma electrode alumikizidwa bwino musanagwiritse ntchito.
7. Kwa ana ndi makanda
• Kusintha kukula: Ana ayenera kugwiritsa ntchito ma electrode a ana (kapena njira ya ana) kuti ma electrode a akuluakulu asaphimbe malo ambiri.
8. Thandizani vuto pambuyo pa opaleshoni
• Kulemba zambiri: kulemba malo a elekitirodi, kusankha mphamvu ndi momwe wodwala amachitira kuti alandire chithandizo chamankhwala pambuyo pake.
• Malangizo osinthira: Ngati pakufunika kuyang'aniridwa kosalekeza, sinthani electrode yatsopano ngati pakufunika kutero kuti mupewe kuwonongeka kwa khungu komwe kumachitika chifukwa chogwiritsa ntchito nthawi yayitali.
Nthawi yotumizira: Feb-06-2025
