Igipfukisho c'ikidengeri: Kubera iki amaburengeti y'ibibumbano areremba n'ibitambaro vy'urushana bitagira amabombo ari imitego yica yo gupfuka impwemu¶

Ku mwana mutoyi, umwana mutoyi, canke imbwa yo mu muryango, igipfukisho c'izuba c'izuba giterera ("uburengeti bw'izuba") canke igipfukisho c'izuba gifise uburemere bw'umufuko w'amazi kirambuwe hejuru y'ikidengeri co kwogeramwo c'uburaro kimeze nk'igipfukisho c'ubururu gikomeye kandi gishobora kugendako. Mu vy’ukuri, ibipfukisho vy’ibidengeri bireremba bitagira aho bihuriye be n’ibipfukisho vy’urushana bitagira aho bigarukira biri mu mitego yica cane, idashobora guhunga, ishobora gutuma umuntu arohama canke akabura impwemu, yagenewe inzu. Udakunze kugwa mu mazi yuguruye: aho umwana canke uwuyoga ashobora gutera ikirenge hejuru, gufata ikidengeri co guhangana n’ikidengeri, canke guhema umwuka: gutera ku gipfukisho c’izuba kireremba canke ku gipfukisho c’urushana kireremba bituma igipande c’ipulasitike kirohama munsi y’uburemere bw’uwagirizwa mu gihe imirongo y’amazi ikikuje ireremba, "shrink-wrap" igikoko c'amazi n'ipulasitike idashobora guca mu mazi. Mu masegonda 2, amazi asuka hejuru y’igipfukisho gipfutse mu gihe umuvuduko w’amazi uva mu mazi yo mu kidengeri ari musi ukandagira cane iyo pulasitike ishobora guhinduka mu maso, mu gikiriza no mu maguru y’uwagirizwa, bigatuma ku mubiri adashobora kwoga imbere, gushika ku nkengera y’ikidengeri, canke gusunika igipfukisho kiva munsi.

Ikibi kuruta, imitego myinshi y'izuba yica ibaho igihe abantu bakuze bariko baroga mu kidengeri "gipfutse igice" (igitambaro c'izuba gipfutse inyuma hejuru y'iherezo ry'imbere canke ry'igitutu), aho uwuyoga yibira munsi y'amazi munsi y'igitambaro c'izuba kireremba c'ibara ry'izuba ry'ibara ry'agahama. Iyo umwana, umuntu akuze canke igikoko co mu nzu gifunzwe imbere canke munsi y’igipfukisho c’ikidengeri co kwogeramwo, isegonda yose iraharura: ugukomeretswa kw’ubwonko n’ukubura umwuka udashobora gusubira inyuma gutangura mu minota 3 gushika kuri 5. Ubwo nyene uvuze induru ngo umuntu ahamagare uwo mu karere iwanyu . inomero z'ivyihutirwa (911 muri Leta Zunze Ubumwe za Amerika na Canada, 999 mu Bwongereza, 112 hirya no hino mu Bumwe bw’Uburaya, na 000 muri Ostraliya), ukwegere canke ushire igipfukisho cose ku gitereko imbere y’uko usimbira mu rugo, hanyuma utangure Rescue Breathing + CPR ubwo nyene umaze gukuraho. Ushobora kandi gusubiramwo uburongozi bwacu ku gusubiza ubuzima mu kurohama no guhagarika umwuka mwiza, umutego wo gukura amazi mu kidengeri co kwogeramwo no kurohama bitewe n'umuyagankuba, na CPR y'abana n'abakuze.

Ivyo ubikore ubu¶

Niwabona umwana, umuntu akuze canke imbwa iriko irarohama mu gipfukisho c’ikidengeri c’izuba kireremba, izitiye mu gipfukisho c’ikidengeri c’urushana, canke ibuze hafi y’ikidengeri co kwogeramwo gipfutse:

1. Suzuma Munsi y'Igipfukisho c'Ikiyaga Mbere (Mu Masegonda 5) Igihe cose Umwana Abuze:

   Umwana yafunzwe munsi y’igitambaro c’izuba kireremba canke munsi y’igitambaro c’imbeho carohamye akenshi arema zero splashing, zero screaming, kandi hafi nta n’ikintu kiboneka inyuma y’aho igipfukisho kigarukiye hejuru y’amazi.

   Ntutaze iminota 10 ubanza kurondera ibikoresho vyo mu cumba co kuraramwo: wiruke ugororotse uja ku kidengeri co kwogeramwo, ukwegere uburengeti bw’izuba canke igipfukisho c’urushana rwose inyuma kugira ngo ugaragaze 100 kw’ijana vy’imbere mu kidengeri (harimwo n’umugende munini wo mu mpera y’amazi), hanyuma usuzume imbere mu gikarabiro gishushe co mu rugo canke spa.

2. Kura igipfukisho c'izuba cose kireremba ku kidengeri kivuye ku gitereko ca beton IMBERE yo gusimbukiramwo:

   Kubera iki gusimbuka ugororotse ku gipfukisho c’izuba kireremba bishobora kwica uwugirizwa n’uwagurokoye: Iyo usimbutse uvuye ku gisenge c’ikidengeri ugororotse hagati y’igipfukisho c’ibibumbano vy’ipolyethylene kireremba canke ku gipfukisho c’imbeho kitagira amabombo, uburemere bw’umubiri wawe bujana igice ca kabiri c’ikilo 500 c’ibara ry’agahama. gusigaza imirongo yumye mu kidengeri no kuzingira wewe n’umwana mu gipfukisho c’ipulasitike c’imirongo ibiri.

   Ubuhinga bwo gukurura igitanda c’amasegonda 3: Hagarara ku gitanda c’ikidengeri gikomeye, ufate uruhande rwa hafi rw’igipfukisho c’izuba kireremba n’ibiganza vyose, hanyuma ukurure n’ubukazi kandi ukureho uburengeti bwose bw’ipulasitike ukuboko ku kiganza ku gitanda (canke ushire igipfukisho c’izuba ku maxipe s)co umutwe n'umubiri vy'uwagirizwa vyose mbere y'uko winjira mu mazi.

3. Nimba Uwagirizwa Afunzwe Munsi y'Igitambaro Kiremereye c'Irushana Giremerewe n'Imirongo y'Amazi, Ushire Uruhande Ugice Ugice N'Imbugita:

   Iyo umuntu yaguye ku gipande gikomeye c’ibara ry’agahama canke c’ibara ry’agahama igipande c’imbeho gifashwe hasi n’imiyoboro y’amazi/imifuko, utere amaguru canke uterere imirongo y’amazi iri hafi cane ku ruhande rw’igipande maze ukurure uruhande rw’igipande usubire ku gisenge kugira ngo ufungure umuyoboro w’amazi asobanutse afe, or k shears** kugira ngo uce igitambaro gikomeye kigufunguye hejuru y’umutwe w’uwagirizwa mu gihe ufashe uruhande rwacitse kugira ngo ntirushobore kurohama.

4. Nimba Ubwirizwa Kwinjira Mu Mazi Mugihe Igice C'Igipfukisho Gisigaye, Injira GUSA mu Mazi Asukuye Yuguruye maze Woge MUSI y'Urubibi Kugira Usunike Uwagirizwa Hanze:

   Nimba igipfukisho kinini c’ubudandaji canke kiremereye c’urushana kiremereye cane ku buryo kidashobora gukurwa mu kidengeri mu masegonda 3, kurura imfuruka imwe y’ico gipfukisho uyisubize ku gisenge kugira ngo ukore ahantu h’amametero 2-ku-3 (amafuti 6-ku-10) k’amazi yuguruye 100% y’ipulasitike, jump feet-over the**ne first into water munsi y’urubibi rw’igipfukisho kugira ngo ufate amaboko canke igisusu c’uwagirizwa, maze uyakwegere inyuma mu karere k’amazi yuguruye.

5. Tangira Impwemu 5 zo Gukiza Mbere Zikurikirwa Ubwo nyene na 30:2 CPR (NTUGEZE "Gupompa Amazi Mu Nda"):

   Bitandukanye n’uguhagarara kw’umutima kw’umuyagankuba gutunguranye aho amaraso aguma yuzuye umwuka w’ikirere, ugufatwa n’umuyagankuba ni uguhagarara kw’umutima kw’intango kw’umuyagankuba (hypoxic): umutima w’uwafashwe warahagaze gusa kubera umwuka w’ikirere wo mu mahaha yabo no mu maraso yabo wagabanutse ukagera kuri zero.

   Ukimara gukwega umwana canke umuntu akuze ataco yishuye, adahema ku gisenge c’ikidengeri:

   Fungurira inzira y’impwemu (uguhengamira umutwe/uguterura ikibuno) hanyuma uce utanga impwemu 2 gushika kuri 5 zo gukiza (uraba igifu kiduga bigaragara; Inama y’Uburaya y’Ugusubiza Mu Buzima n’amabwirizwa ya Australiya/NZ asobanura impwemu 5 z’intango zo gukiza mu gihe A HA medicize imbere y’uko umuntu arohama, immediate impwemu zo gukiza + 30 z’ugufatanya ata guteba).

   Ntukigere ukora maneuver ya Heimlich (abdominal thrusts) canke ngo uhindure uwo muntu apfutse umutwe kugira ngo "akure amazi mu mahaha": gukora ivyo bitera intege ugushika kw'umwuka w'ikirere (oxygène) kandi bikaba bituma ibiri mu nda bishika mu muhogo.

   Bandanya ugufata igifu 30 gushika ku guhumeka 2 kwo gukiza (canke 15:2 nimba abarokozi babiri bamenyerejwe bariko bavura umwana/uruyoya) hanyuma ukoreshe Automated External Defibrillator (AED) umwe akimara gushika (uguhanagura igifu kigumye imbere yo gufatanya n’ibipande).

6. Twara Umuntu Wese Yarokowe Mukigo c'Ivyihutirwa (N'aho Yokorora, Akavyuka, Akora Nk'uko Bisanzwe):

   Umwana wese canke umuntu mukuru wese yari yibishijwe munsi y’igipfukisho c’ikidengeri maze akahumeka mbere mililitiro 1 gushika kuri 3 ku kiro c’amazi y’ikidengeri (ibiyiko bikeyi gusa ku mwana mutoyi) arashobora gufatwa n’indwara y’amahaha itera imbere, indwara y’amahaha iterwa n’imiti, n’indwara y’amahaha iterwa n’imiti, n’indwara y’amahaha iterwa n’imiti. Umuntu wese yarohewe mu mazi akorora, apfutse, akeneye guhema kugira ngo amurokore, canke atakaze ubwenge, ategerezwa gusuzumwa mu bitaro vy’ibiza vyihutirwa nibura amasaha 4 gushika ku 8 hakoreshejwe ubuhinga bwa pulse oximetry n’ubuhinga bwo gupima igifu.

Igiti c'ingingo: gukiza umutego wo gupfuka ikidengeri no gusubiza ubuzima mu mazi¶

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    MissingCheck -->|Missing Child / Unclear Location| StripCoverNow["GUKURA IGIPFUKIRO COSE MU MASEGONDA 5: Kura igipfukisho c'izuba canke igipfukisho c'urushana 100% ku kidengeri: kugira ngo usuzume hasi hose k'ikidengeri n'umugende w'amazi"]

    MissingCheck -->|Victim Visibly Trapped on Top of or Under Cover| CoverType{"Ni ubuhe bwoko bw’igipfukisho c’ikidengeri burimwo?"}
    StripCoverNow --> CoverType

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    CoverType -->|Loose Winter Tarp with Water Bags: or Partially Unbolted Safety Cover| SliceOrCorner["PEEL CORNER OR SLICE TARP + ENTER OPEN WATER: 1. Tera imifuko y’amazi ku ruhande rw’ibarabara & ukure imfuruka iri hafi cane inyuma: 2. Nimba uwagirizwa afashe hejuru y’igitambaro cazimye, kata igitambaro n’icumu: 3. Injira GUSA mu kinogo c’amazi yuguruye; gushika munsi kugira ngo ukure uwagirizwa hanze"]

    DeckHaul --> AssessVictim{"Mbega uwo muntu yarokowe yoba ahumeka neza?"}
    SliceOrCorner --> AssessVictim

    AssessVictim -->|YES: Coughing, Crying, Breathing Adequately| RecoveryPos["GUSHIRA MU BUVUZI IMBERE YO KUBIMA: 1. Gushira mu kibanza co gukira mu ruhande kugira ngo amazi asohoke neza: 2. Kura impuzu zitose, uzingire mu bitambaro vyumye bishushe: 3. Gutwara mu bitaro ED mu masaha 4-8 yo gukurikirana edema y’amahaha"]

    AssessVictim -->|NO: Unresponsive, Limp, Blue, or Gasping| StartDrowningCPR["GUZUKA UBWO MU GIHE UROHOMEYE (NTUSOHORE AMAHAHA): 1. Gufungura inzira y’impwemu (uguhengamira umutwe/uguterura ikibuno) & gutanga IMPEMU 2 gushika kuri 5 ZO GUKIZA: (Gutera impwemu mu nzira y’impwemu ni co kintu ca mbere #1 mu guhagarika kurohama kubera hypoxie :Impemu2 Recu5 ( Igifu1 abarokozi/umwana): 3. Niba amazi/amaruha yuzuye akanwa, uzunguruke ku ruhande mu masegonda 2, uhanagure, & usubire: 4. Uwume igifu & ushireko ibikoresho vya AED vuba bibonetse"]

Igereranyo ry'ubuhinga: kuki ubwoko 3 kuri 4 bw'ibipfukisho vy'ibidengeri ari ingorane zo kurohama¶

Komisiyo y’Umutekano w’Ibikoresho vy’Abaguzi (CPSC), Ishirahamwe ry’Ubwami ry’Ugukiza Ubuzima, n’amakuru mpuzamakungu ya ASTM yerekana ko hariho itandukaniro rikomeye hagati ya Ibipfukisho vy’Umutekano vy’Inguvu/Ivy’Amaboko vyemewe na ASTM F1346 n’ibipfukisho vy’Umutekano vy’Izuba canke ivy’urushana** bisanzwe:

1. Kugereranya ubwoko bw'ibipfukisho vy'ibidengeri vyo kwogeramwo n'ingorane zo gufatwa n'umutego¶

Ivyo bidengeri 4 vyica cane bivuga ku mpanuka zishobora gushika n'ingene twozikingira¶

Ivyabaye 1: Kwoga mu kidengeri "kipfutse igice" (Umutego wo gutera hejuru upfutse)¶

Imisi yose mu ci, imiryango n’imiyabaga barashaka kwibira ningoga ata mwanya bafata wo gutera canke gukura igitambaro cose c’izuba kireremba kiva ku kidengeri. Baca bapfuka igipfukisho c’izuba basubira hejuru y’iherezo ry’ijoro (canke iherezo ry’ijoro), basiga igice c’ikidengeri kifunguye igice c’ikidengeri gipfutse, bagaca basimbiramwo.

• Uko Impanuka Yica Ibaho:

  Umwana, umuyabaga canke umuntu akuze yibira munsi y’amazi, akayoga uruzitiro amaso yugaye canke amataratara afise igihu, canke akurikirana igikinisho co mu kidengeri carohamye hasi: maze akayoga mu mpanuka akarenga umurongo w’ugupfuka munsi y’igitambaro c’izuba kireremba.

  Iyo baciye babura impwemu bagatera amaguru bagororotse baja hejuru baja ku muco w’izuba ukayangana biciye mu gipapuro c’ubururu buca ibibatsi, umutwe wabo uratera munsi y’igitambaro c’izuba kireremba.

  Kubera ko polyethylene itose ifata cane ku ruhande rw’amazi biciye ku uburemere bwo ku ruhande n’umuvuduko wo mu kirere (\(101.3\text{ kPa} / 14.7\text{ PSI}\)), gusunika ugororotse hejuru n’umutwe wawe n’ibiganza vyawe kugira ngo ushire hasi mu maso hawe guhema. Uwo muyoga ashobora kumenya iyo agenda aja ku nkengera y’amazi yuguruye n’inkuta zitatu z’ikidengeri zipfutse, maze akarohama mu masegonda 60 gushika kuri 90 mu gihe abagize umuryango bicaye ku metero 3 ku gisenge.

• Itegeko ry'"Ugusohoka vyose canke Kutayoga":

  NTUKIGEZE wemera ko umuntu canke igikoko na kimwe cinjira mu kidengeri co kwogeramwo mu gihe igipfukisho c’izuba kireremba, igipfukisho c’urushana, canke igipfukisho c’umutekano kiri mbere n’ibice 10 kw’ijana ku mazi.

  Imbere y’uko urutoke rumwe rukora ku mazi, igipfukisho cose kigomba gukurwa ku ruhande rw’amazi 100 kw’ijana (kizungurutswa rwose ku ruzitiro rwaco hanze y’uruzitiro rw’ikidengeri canke kigaterwa ku gisenge kure y’urubibi).

Ivyabaye 2: "Ikidengeri c'amazi y'imvura kiri hejuru y'igipfukisho c'urushana" Umwana muto ariko ararohama¶

Abavyeyi akenshi barashiramwo igipfukisho gikomeye c’imbeho canke igipfukisho c’umutekano gikurikirana ubwaco mu mpera z’umwaka maze bumva baruhutse rwose, biyumvira ko ubu ico kidengeri kidashobora guterwa n’abana.

• Uko Impanuka Yica Ibaho:

  Imvura y’umuyaga imwe gusa yo mu mpera z’umwaka canke urubura rushonze rutera amazi ahagaze ashika ku masentimetero 5 gushika kuri 25 mu mwobo wagutse ugenda utembagazwa hejuru y’igipfukisho gikomeye c’urushana.

  Kubera ko umutwe w’umwana mutoyi n’umubiri wiwe wo hejuru bigereranya hafi 30 kw’ijana vy’uburemere bw’umubiri wiwe, umwana w’imyaka 1 gushika ku myaka 3 agendagenda ku gipfukisho maze akagwa mu mazi y’imvura ahagaze amasentimetero 5 gusa ntashobora kwisunika hejuru ku meza hejuru y’igipfukisho c’ikidengeri** ata na rimwe yinjira mu mazi y’ikidengeri ari musi.

• Ukwirinda kw'itegeko:

  Igipfukisho cose c’ikidengeri c’urushana gikomeye n’igipfukisho c’umutekano wikora bisabwa n’amategeko hakurikijwe ASTM F1346 kugira ipompo y’umuyagankuba yikoresha mu gupfuka igipfukisho c’amazi yicaye mu kibanza co hasi hejuru y’igipfukisho igihe cose (canke ibipande vy’amazi vyubatswemwo) bigumya amazi ahagaze hejuru y’igipfukisho.**1 centes.6i below.

Ivyabaye 3: Igipfukisho c'umutekano c'urusenga kidafunguwe canke nanga y'umuringa ibuze¶

Mu mpera z’impeshi canke mu ntango z’izuba: canke iyo nyen’ikidengeri akuye amapfundo abiri canke atatu y’imfuruka y’igipfukisho c’umutekano c’urusenga rwo gukingira kugira ngo ashire amababi, agerageze ubuhinga bwo gukingira ikidengeri, canke akize igikere: rimwe na rimwe barasiga iyo mfuruka idapfutse ijoro ryose.

• Uko Impanuka Yica Ibaho:

  Umwana canke imbwa ishaka kumenya vyinshi, isunika umutwe wayo munsi y’igipfukisho c’imfuruka kidafise urudodo, maze igaca yinyereza mu mazi akanye ari munsi y’igipfukisho c’urusenga gikomeye.

  Igihe umuntu amaze kwinjira mu mazi, amasoko y’icuma 30+ asigaye afata neza igipfukisho c’urusenga, akajabuka ikidengeri nk’igisenge c’inzu iri mu mazi. Uwo muntu ashobora gusunika iyo nzira y’urusenga ipfutse aja hejuru avuye munsi kandi ntashobora kuronka iyo mfuruka imwe gusa y’agahomerabunwa idafise urudodo mu mazi y’umwiza.

• Ukwirinda kw'itegeko:

  Fata urusenga canke igipfukisho gikomeye nk’igipfukisho c’umutekano: kishobora gufatwa 100% ku nanga yose y’umuringa, canke kigakurwako 100% kikabikwa. Ntukigere usiga n’umugozi umwe wo mu mfuruka udashizweko iminota 5 ata wuwucungera.

Ivyabaye 4: Imbwa zifatwa n'ibitambaro vy'izuba n'ibitambaro vy'urushana¶

Imbwa nta gutahura kw’ivyiyumviro zifise ku bijanye n’ipulasitike ireremba n’ivu rikomeye. Iyo imbwa ikurikirana inzoka, umupira canke ibabi rifuha ijabuka igisenge co mu rugo, iriruka n’umuvuduko wose ku gipfukisho c’izuba c’ubururu canke ku gipfukisho c’izuba c’icatsi kibisi co mu rushana.

• Igituma Imbwa Zidashobora Kwikiza:

  Amaguru ane y’imbwa aca atera igipfunsi aja hasi mu gipfukisho c’izuba kireremba canke agaca mu gipfukisho c’imbeho cari carahinduwe n’ibihe, agafata amaguru y’imbwa mu gikapu kiri mu mazi maremare mu gihe imirongo ireremba ipfutse umugongo n’umutwe wayo.

  Niwabona imbwa ifunzwe mu gipfukisho c’izuba, NTUKIBIRE hagati mu gipfukisho: ukwegere igipfukisho cose c’izuba kija ku ntambwe zitari kure cane zivuye ku gisenge (ukurure imbwa n’igipfukisho hamwe ku ntambwe yo hejuru), canke uce igitambaro co mu rushana kifunguka kivuye ku ruhande rw’igisenge maze ushire imbwa hanze.

  Canine Resuscitation: Iyo imbwa yarokowe icumbagira, itagira ubwenge, kandi idahumeka, ukwegere ururimi rwayo imbere uyikure mu kanwa kayo, ukure ibisigazwa vy’amababi vyose biva mu kanwa, ufate umunwa w’imbwa ufunge neza n’ibiganza vyose, ufunge akanwa ka no-mo’u rescue breathing), hanyuma ugafuha impwemu 2 gushika ku 5 gushika igifu kiduze, hanyuma ugaca ufuha impwemu 2 gushika ku 120 mu gikiriza (100 gushika kuri 120 ku munota, ukapfuka ica gatatu gushika ku gice c’ubwaguke bw’igikiriza)** imbwa iryamye ku ruhande, ugatanga impwemu 30 ku 2 guhema ruterina an emergency snout treat to inyuma yo kwibira mu mazi, n’ugucika intege kw’amahaha.

Ubuvuzi bw'imbere y'ibitaro bw'abarohamye mu bidengeri¶

Gusubiza ubuzima mu buryo bw’ubuvuzi umuntu yafashwe n’umutego w’ikidengeri bitandukanye cane n’uguhagarara kw’umutima kw’abantu bakuze bukwi na bukwi:

1. Kubera iki "CPR y'amaboko gusa (ugufata gusa) ITAHAGIJE kugira ngo umuntu arohe¶

Amasekeza y'ubuzima bwa bose yigisha "Hands-Only CPR" (ugufatanya igifu ata guhema) ku bantu bakuze bacitse intege bukwi na bukwi ku butaka bwumye kubera umutima wabo udatera neza, kubera ko amahaha yabo n'imitsi yabo biguma vyuzuye amaraso afise umwuka w'ikirere iyo bacitse intege.

• Kurohama ni uguhagarika umutima: Iyo umwana canke umuntu akuze afashwe munsi y’igipfukisho c’ikidengeri iminota 3 gushika ku 5, umutima wiwe urahagarara amaze gufata hafi 100 kw’ijana vy’umwuka w’ikirere uri mu maraso yiwe. Gupompa amaraso atagira umwuka w’ikirere akikuje ubwonko hakoreshejwe ugufatanya kw’igikiriza gusa ata gufuha umwuka mushasha w’ikirere mu mahaha ntibizosubiza umutima upfutse.
• Intambwe ku yindi urutonde rw'ugurohama rwa CPR:
• Tanga impwemu 2 gushika kuri 5 zo gukiza ubwo nyene: Tega umutwe inyuma, ushire hejuru ikibuno, ufunge izuru, ufunge akanwa kawe hejuru y’akanwa k’uwagirizwa (canke hejuru y’akanwa n’izuru ry’umwana w’uruyoya), hanyuma ufuhe udatezuka mu gihe c’impwemu **1 envisi to make the ri.se : Iciyumviro ku bijanye n’uguhangana n’impwemu nyinshi: Abarohamye bafise amazi mu nzira zabo ntoyi z’impwemu n’amahaha yabo akomeye, bisobanura ko ushobora gukenera gufuha n’umuvuduko ukomeye gatoyi, udahinduka kuruta ku mannequin yumye kugira ngo igifu kiduge.
• Kora Impumuro 30 zo Gufata Igifu : Impumuro 2 zo Gukiza (ku ugufata Igifu 100 gushika ku 120 ku munota, gufatanya 5 gushika ku 6 cm [2 gushika ku 2,4 in] uburebure mu bakuze, 5 cm [2 in] ku bana, na 4 cm [1,5 in] ku bana bato).
• Uko wofata amafu n'amazi asohoka mu kanwa: : Ifu y’amahaha y’ibara ry’agahama canke ryera be n’amazi y’ikidengeri yamize kenshi asohoka mu kanwa k’umuntu ariko ararohama mu gihe c’ugusubiza umutima mu nda. : NTUHAGARIKE CPR kugira ngo ukureho utugingo ngengabuzima dutoduto: ufuhe impwemu zo gukiza biciye mu gifu nyene. : Iyo gusa amazi menshi apfutse inzira y’impwemu niho ushobora gutera uwo muntu ku ruhande rwiwe nk’igice kimwe mu kiringo c’amasegonda 2 gushika kuri 3, ukakubura akanwa, ukamusubiza ku mugongo, hanyuma ugaca usubira gutera CPR.

Guhumeka vuba kw’amazi y’urubura no gukonjesha ubwonko bigabanya ubukene bw’umwuka w’umwuka w’ubwonko n’ibice 6 kw’ijana gushika ku bice 7 kw’ijana ku giciro cose c’ubushuhe bwo mu mutima, bikaba bituma umuntu agira ubushuhe burengeye ubw’ubwonko (hypoprotective neurothermie) be n’uko ibikoko vy’ibinyamabere bishobora kwibira.

Abana bakuwe mu bidengeri vy’urubura vy’urubura inyuma y’iminota 20 gushika kuri 60+ yo kwibizwa mu mazi bafise umutima w’umutima udakora, amaso yabo aguma ahagaze, n’ubushuhe bwo mu mutima buva kuri degre 18 gushika kuri 26 (degre 64 gushika kuri 79 Fahrenheit) bararokotse n’umunezero w’ibitaro ubandanya **PR10ur. gutera umwuka w’umubiri (ECMO) / gusubira gushusha umutima n’amahaha.

Itegeko: Ntukigere uhagarika CPR ku muntu yapfutse ikidengeri c’amazi akanye aho hantu; gukomeza guhema ataco uhagaze no gufata mu gikiriza gushika mu kigo co gusubiza ubuzima mu kigo c’abakomeretse.

Inomero z'ivyihutirwa zo mu karere n'amategeko y'ibigo¶

Ibibazo bikunda kubazwa¶

Ni kuki uwo murokozi yarohamye iruhande y’uwo mwana igihe yasimbukira agororotse mu kidengeri kugira ngo akize umwana mutoyi yari yateye intambwe ku mpuzu y’izuba ireremba?¶

Iyo igipfukisho c’ibibumbano vy’izuba c’ipolyéthylène kireremba kiruhukiye ku kidengeri, gifatwa gusa n’utupfuko dutoduto tw’umuyaga kandi ntikifatanye na gato ku gisenge ca beton. Iyo umuntu akuze arokora asimbutse avuye ku gisenge c’ikidengeri, agororotse canke iruhande y’umwana ariko ararohama hagati muri iyo mpuzu y’izuba, igitero c’uwo muntu akuze c’ibilo 80 (amapawundi 175) kirasunika ikinogo kinini cane mu gipande c’ipulasitike, kigakura imirongo y’inyuma y’umwana isigaye yumutse ku mpome z’ipulasitike maze kigapfuka. Iyo bamaze kwibira muri iyo pulasitike ipfutse munsi y’amazi, uwo murokozi ntashobora kubona, ntashobora gutera amaguru yabo, kandi ntashobora gusunika iyo pulasitike iremerewe n’amazi ngo ayishire hejuru. Hagarara ku gisenge gikomeye c’ikidengeri maze ukure canke ukureho uburengeti bwose bw’izuba ku mazi IMBERE yo gusimbuka.

Hoba hari igihe umuntu ashobora kwoga mu gice c’ikidengeri co kwogeramwo kigutse mu gihe igipfukisho c’izuba kireremba gisubira inyuma hejuru y’ikindi gice?¶

Nta na rimwe, mbere no ku bantu bakuze bazi utuntu n’utundi two kwoga. Kwoga mu kidengeri gipfutse igice ni kimwe mu bintu bituma abana bakuze, abakiri bato n’abakuze barohama kubera izuba. Uwuyoga yibira munsi y’amazi, akora urugendo rwo guhindukira canke akayoga hasi, aranyerera bitamugoye akarenga umurongo w’ugupfuka uri munsi y’igipfukisho kireremba. Iyo zisohotse kugira ngo zironke umwuka munsi y’ico gipfukisho, iyo pulasitike itose iranyonka cane mu maso no mu mutwe biciye ku nguvu z’amazi n’iz’ikirere, ivyo bikaba bituma zidashobora guhema mu gihe iyo pulasitike y’ubururu ibonerana ituma hafi bidashoboka kubona iyo zisubira mu mazi yuguruye. Kura 100 kw’ijana igipfukisho c’ikidengeri cose imbere y’uko umuntu wese yinjira mu mazi.

Ni gute umwana mutoyi yoshobora kurohama hejuru y’igipfukisho gikomeye co mu rushana cemejwe n’ishirahamwe ASTM, kikaba gifatanye cane n’ibarabara ry’ivyuma?¶

Naho igipfukisho gikomeye co mu rushana c’ivyuma vy’ivyuma canke igipfukisho gikoreshwa n’ivyuma gikoreshwa n’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma vy’ivyuma, amazi y’imvura n’urubura rwo mu mazi birateranira hejuru y’ico gipfukisho, bikagira ikidengeri gisenyuka c’uburebure bwa santimetero 5 gushika ku 20. Umwana mutoyi w’imyaka 1 gushika ku myaka 3 agenda ku gipfukisho maze akagwa mu mazi y’imvura ahagaze afise uburebure bwa santimetero 5, arashobora kurohama hejuru y’ico gipfukisho ata na rimwe akora ku mazi yo mu kidengeri ari munsi yayo. Igipfukisho cose gikomeye co gukingira gitegerezwa kuba gifise ipompo y’umuyagankuba ikora hejuru yaco igihe cose kugira ngo amazi y’imvura akureho ubwo nyene.

Ni kuki amabwirizwa yo gusubiza ubuzima mu mubiri avuga ko utegerezwa guha impwemu zo gukiza umuntu ariko ararohama aho gukora "Hands-Only CPR"?¶

Hands-Only (compression-only) CPR ikora ku muntu akuze apfutse bukwi na bukwi kubera umutima wiwe ku butaka bwumye kubera ko amahaha yiwe n’amaraso yiwe bikiri vyuzuye umwuka w’ikirere (oxygène) mu gihe umutima wiwe uriko urahungabana. Ariko rero, umwana canke umuntu akuze akuwe munsi y’igipfukisho c’ikidengeri, yarafatwa n’indwara yo guhagarika impwemu (asphyxial): umutima wabo warahagarika gutera gusa inyuma y’aho umugera wose w’umwuka w’ikirere wo mu mahaha yabo be n’amaraso yabo amaze guhera. Gukora imyimenyerezo yo gufata igifu wenyene ku muntu ariko ararohama, bituma amaraso atagira umwuka w’ikirere aja mu bwonko bushonje. Gutanga impwemu 2 gushika ku 5 zo gukiza umuntu abanza guca yuzuza amahaha umwuka w’ikirere kugira ngo gukurikirana gufatanya amaraso mu gikiriza bishikirize amaraso afise umwuka w’ikirere mu mutima no mu bwonko.

Umwana wanje yarakuwe munsi y’igipfukisho c’ikidengeri c’izuba haciye nk’amasegonda 45, akorora amazi, ararira, ubu asa n’uwumeze neza kandi ashaka kuraba televiziyo. None turacari dukeneye kuja mu bitaro?¶

Ego: umwana wese canke umuntu akuze wese yari yibiye munsi y’igipfukisho c’ikidengeri maze akorora, akavyimba, akagira ubururu, canke akagira ubufasha ubwo ari bwo bwose, ategerezwa gusuzumwa mu bitaro vy’ibiza vyihutirwa ubwo nyene, naho yoba asa n’uwakize haciye iminota 10. Guhumeka mbere n’ibiyiko bikeyi vy’amazi y’ikidengeri afise klorine canke meza, birasukura ivyuma bikingira umubiri biri imbere mu masaho y’umuyaga (alveoli) y’amahaha, bigatuma umuntu agira umururumba. Mu masaha 2 canke 8 akurikira, amazi ava mu maraso arashobora gusohoka aja muri izo nkweto z’umuyaga zononekaye (uguteba gusenyuka kw’amahaha inyuma yo kwinjira mu mazi), ivyo bikaba bituma umwuka w’ikirere (oxygène) mu maraso ugabanuka biteye akaga igihe umwana ariko araruhuka.

Iyi nkuru ni iyo gutanga amakuru kandi ntisubirira ubuvuzi bw’umwuga canke amahugurwa yo gucungera ubuzima. Umuntu wese afise ikidengeri n’umuvyeyi wese akwiye gufata inyigisho y’ubuhinga bwa CPR/AED n’ubuhinga bwo gukingira amazi biciye ku musaraba utukura, ishirahamwe ry’abakiza ubuzima ry’Ubwami, canke St John Ambulance.

Inyobora zifitaniye isano¶

• Gusubiza ubuzima mu buryo bwo kurohama, guhema mu gukiza, no guhagarika umwuka mwiza
• Ugufata amazi mu kidengeri co kwogeramwo no kurohama bitewe n'umuyagankuba
• Uguterera amazi, ikidengeri c'umupfunda, uruzi rw'ubunebwe, n'abacungera ubuzima
• CPR n’uguhema kw’abakuze, abana n’inzoya
• Hypothermie n'ukwitaho kwibika mu mazi akanye
• Inomero z'ivyihutirwa hakurikijwe igihugu

Amasoko n'ubuyobozi buzwi¶

• Komisiyo y’Umutekano w’Ibikoresho vy’Abaguzi yo muri Leta Zunze Ubumwe za Amerika (CPSC): Ingingo ngenderwako n’Imburi y’Umutekano w’Ibidengeri: Ibipfukisho vy’Ibidengeri bikoreshwa n’Izuba n’Ibipfukisho vy’Ibidengeri Bitagira Amahembe Bitera Akaga ko Kurohama (ASTM F1346 Standard Specification for Ibipfukisho vy’Ibidengeri).
• Ibigo bijejwe kugenzura no kwirinda indwara (CDC, Leta Zunze Ubumwe za Amerika) & Ishure ry’ubuvuzi bw’abana ryo muri Amerika (AAP): Ukwirinda kurohama: Raporo y’ubuhinga ku bijanye n’uruzitiro rwo kwitandukanya n’abandi ku mpande 4, gukingira ibidengeri, no gutoranya abana bari mu mazi.
• Ishirahamwe ry’umutima ryo muri Amerika (AHA) & Komite mpuzamakungu y’ubucuti ku bijanye no gusubiza ubuzima mu buzima (ILCOR): Ingingo ngenderwako zo gusubiza ubuzima mu mutima n’amahaha no kwitwararika umutima n’imitsi vyihutirwa: Ibintu bidasanzwe: Kurohama n’uguhagarara kw’umutima (Imbere y’uguhema kw’ugukiza).
• Inama y’Uburaya y’Ugukiza Ubuzima (ERC) & Inama y’Ugusubiza Ubuzima Ubwongereza: Ingingo ngenderwako zo gusubiza ubuzima mu gihe umuntu arohama (5 Initial Rescue Breaths Protocol) & Ishirahamwe ry’Ubwami ryo Gukiza Ubuzima (RLSS) ry’Ingingo ngenderwako z’Umutekano w’Ikidengeri co mu Rugo.
• Komite ya Australiya na Nouvelle-Zélande y’ugusubiza ubuzima (ANZCOR) & Ishirahamwe ry’Ubwami ryo Gukiza Ubuzima Australiya: Ingingo ngenderwako 9.3.2 Gusubiza ubuzima umuntu yarohamye & Amabwirizwa agenga inzitizi n’igipfukisho c’ibidengeri vyo mu nzu (AS 1926.1).