{"id":44522,"date":"2022-10-06T19:30:49","date_gmt":"2022-10-06T16:30:49","guid":{"rendered":"https:\/\/www.adanaseshaber.com\/?p=44522"},"modified":"2022-10-06T19:09:30","modified_gmt":"2022-10-06T16:09:30","slug":"ani-kalp-durmasini-ve-temel-ilk-yardimin-nasil-yardimci-olabilecegini-anlamak","status":"publish","type":"post","link":"https:\/\/adanaseshaber.com.tr\/?p=44522","title":{"rendered":"Ani kalp durmas\u0131n\u0131 ve temel ilk yard\u0131m\u0131n nas\u0131l yard\u0131mc\u0131 olabilece\u011fini anlamak"},"content":{"rendered":"

Kardiyak arrest, kalbin \u00e7al\u0131\u015fmay\u0131 durdurmas\u0131 ve kalp \u00f6l\u00fcm\u00fc olarak da adland\u0131r\u0131lan beklenmedik \u00f6l\u00fcme yol a\u00e7mas\u0131 anlam\u0131na gelir. Bug\u00fcn d\u00fcnyadaki en b\u00fcy\u00fck \u00f6l\u00fcm nedenlerinden biridir ve kalp hastal\u0131\u011f\u0131na ba\u011fl\u0131 \u00f6l\u00fcmlerin yar\u0131s\u0131ndan fazlas\u0131n\u0131n kardiyak arrestlerle sonu\u00e7lanmas\u0131d\u0131r.<\/p>\n

Hintliler kalp hastal\u0131klar\u0131na yenik d\u00fc\u015fme riski alt\u0131ndad\u0131r ve bu say\u0131 y\u0131llar i\u00e7inde \u00f6nemli \u00f6l\u00e7\u00fcde artmaktad\u0131r. Bir WHO n\u00fcfus say\u0131m\u0131na g\u00f6re, her lakh K\u0131z\u0131lderilisinden yakla\u015f\u0131k 4.280’i kalp durmas\u0131 nedeniyle \u00f6l\u00fcyor!<\/p>\n

Riskten bahseden Bengaluru, Kauvery Hastanesi Kardiyotorasik ve Damar Cerrah\u0131 Dan\u0131\u015fman\u0131 Dr Rajesh TR, \u201cKalp durmas\u0131ndan sonra kan dola\u015f\u0131m\u0131 durur. Beyin \u00f6l\u00fcm\u00fc ve \u00f6l\u00fcm\u00fcn ger\u00e7ekle\u015fmesine d\u00f6rt ila alt\u0131 dakika var. Her ge\u00e7en dakika hayatta kalma \u015fans\u0131 %7-10 azalmaktad\u0131r.\u201d Unutulmamal\u0131d\u0131r ki kalp krizi ve ani kalp durmas\u0131 birbirinden tamamen farkl\u0131d\u0131r. Bu kelimeler, ayn\u0131 olmad\u0131klar\u0131 ger\u00e7e\u011fine ra\u011fmen, genellikle birbirinin yerine kullan\u0131l\u0131r. Peki, kalp krizi ve kalp durmas\u0131 s\u0131ras\u0131nda ger\u00e7ekte ne olur? Dr Rajesh anlamam\u0131za yard\u0131mc\u0131 oluyor.<\/p>\n

\u00a0Kalp krizi vs Kalp durmas\u0131<\/h3>\n

Kalp kaslar\u0131, koroner arterler yoluyla sa\u011flanan oksijen a\u00e7\u0131s\u0131ndan zengin kan gerektirir. Bu arterler t\u0131kand\u0131\u011f\u0131nda ve dolay\u0131s\u0131yla kalbe kan sa\u011flayamad\u0131\u011f\u0131nda kalp krizi meydana gelir. Dr Rajesh, \u201cKalp kaslar\u0131ndaki kal\u0131c\u0131 hasar\u0131n boyutunu s\u0131n\u0131rlamak i\u00e7in bu t\u0131kan\u0131kl\u0131klar\u0131n derhal ele al\u0131nmas\u0131 gerekiyor\u201d diyor.<\/p>\n

Bir kalp durmas\u0131nda, kalp atmay\u0131 durdurur. Kan bas\u0131nc\u0131 d\u00fc\u015fer ve beyin de dahil olmak \u00fczere t\u00fcm organlara kan ak\u0131\u015f\u0131 etkilenir. \u201cBeyne kan ak\u0131\u015f\u0131 olmazsa ki\u015fi bilincini kaybeder. Acil tedavi uygulanmad\u0131k\u00e7a \u00f6l\u00fcm an\u0131nda gelebilir. Ani kalp durmas\u0131n\u0131n nedeni kalple ilgili olabilir veya olmayabilir\u201d diye a\u00e7\u0131kl\u0131yor Dr Rajesh.<\/p>\n

\"\"<\/p>\n

Ani Kalp Durmas\u0131n\u0131n Nedenleri<\/h3>\n

\u201cKalp durmas\u0131n\u0131n en yayg\u0131n nedeni, \u00e7o\u011funlukla Ventrik\u00fcler Fibrilasyon (VF) olarak adland\u0131r\u0131lan anormal kalp ritmidir. Normalde, elektriksel uyar\u0131lar kalpten sistematik bir \u015fekilde iletilir, bu da kalbin odac\u0131klar\u0131n\u0131n s\u0131ral\u0131 bir kas\u0131lmas\u0131n\u0131 ba\u015flat\u0131r ve kan\u0131n v\u00fccudun t\u00fcm organlar\u0131na etkili bir \u015fekilde pompalanmas\u0131na yol a\u00e7ar. VF’de, kalpten h\u0131zl\u0131, rastgele ve keyfi bir \u015fekilde \u00e7oklu uyar\u0131lar \u00fcretilir ve iletilir. Bu, kalbin etkisiz kas\u0131lmas\u0131na ve kan bas\u0131nc\u0131n\u0131n d\u00fc\u015fmesine neden olur\u201d diyor Dr Rajesh.<\/p>\n

Ek olarak, koroner arter hastal\u0131\u011f\u0131, \u00f6zellikle ana koroner arterlerin proksimal segmentlerinde blok geli\u015firse, ani kalp durmas\u0131na neden olabilir. Kalp krizlerine koroner arter hastal\u0131\u011f\u0131 neden olur ve kalp durmas\u0131ndan farkl\u0131 olsa da aralar\u0131nda bir ba\u011flant\u0131 vard\u0131r. “Kalp krizi ge\u00e7iren bir hasta hastaneye giderken kalp krizi ge\u00e7irebilir. Aort Stenozu gibi kalp kapak hastal\u0131klar\u0131 da ani kalp durmas\u0131na neden olabilir\u201d diye vurguluyor Dr Rajesh.<\/p>\n

Ani Kalp Durmas\u0131n\u0131n Y\u00f6netimi \u2013 Temel Ya\u015fam Deste\u011fi<\/h3>\n

Amerikan Kalp Derne\u011fi, ani kalp durmas\u0131n\u0131n acil y\u00f6netimini basitle\u015ftirdi. Temel Ya\u015fam Deste\u011fi veya BLS olarak adland\u0131r\u0131lan bu e\u011fitim art\u0131k kolayca ve etkili bir \u015fekilde \u00f6\u011fretilebilir ve t\u0131bbi ge\u00e7mi\u015fi olmayan biri i\u00e7in bile taklit edilebilecek kadar kolayd\u0131r. Dr Rajesh \u015funlar\u0131 ekliyor: \u201cBLS \u00e7ok basittir ve herkes bunu yapmak i\u00e7in e\u011fitilmelidir. BLS tekni\u011fini kullanarak, e\u011fitimli bir ki\u015fi ani kalp durmas\u0131 ge\u00e7iren bir hastay\u0131 t\u0131bbi yard\u0131m gelene kadar hayatta tutabilir.\u201d<\/p>\n

Dr Rajesh, bir ki\u015fi bay\u0131ld\u0131\u011f\u0131nda en yayg\u0131n nedenin ani kalp durmas\u0131 oldu\u011fundan bahseder. K\u0131saca BLS ad\u0131mlar\u0131n\u0131 listeler:<\/p>\n

\u0130lk ad\u0131m, ortam\u0131n hem ma\u011fdur hem de BLS sa\u011flay\u0131c\u0131s\u0131 i\u00e7in g\u00fcvenli olmas\u0131n\u0131 sa\u011flamakt\u0131r. De\u011filse, kurban\u0131 g\u00fcvenli bir yere ta\u015f\u0131y\u0131n.<\/p>\n

T\u0131bbi yard\u0131m \u00e7a\u011f\u0131r\u0131n.<\/p>\n

Solunum ve nabz\u0131 kontrol edin. Hareketler i\u00e7in g\u00f6\u011fse bak\u0131n, Boyundaki nabz\u0131 kontrol edin. Bu 10 saniyeden fazla s\u00fcrmemelidir.<\/p>\n

Hi\u00e7biri yoksa g\u00f6\u011f\u00fcs kompresyonlar\u0131na ba\u015flay\u0131n. G\u00f6\u011f\u00fcs kompresyonu\/nefes oran\u0131 30:2, yani her 30 g\u00f6\u011f\u00fcs kompresyonu i\u00e7in iki nefes olmal\u0131d\u0131r. \u00d6zellikle mevcut COVID-19 zamanlar\u0131nda, meslekten olmayan ki\u015filer i\u00e7in ‘yaln\u0131zca eller CPR’ protokol\u00fc de \u00f6nerilir, burada nefes almadan yaln\u0131zca g\u00f6\u011f\u00fcs kompresyonlar\u0131 \u00f6nerilir. Bunun da \u00e7ok etkili oldu\u011fu g\u00f6sterilmi\u015ftir.<\/p>\n","protected":false},"excerpt":{"rendered":"

Kardiyak arrest, kalbin \u00e7al\u0131\u015fmay\u0131 durdurmas\u0131 ve kalp \u00f6l\u00fcm\u00fc olarak da adland\u0131r\u0131lan beklenmedik \u00f6l\u00fcme yol a\u00e7mas\u0131 anlam\u0131na gelir. Bug\u00fcn d\u00fcnyadaki en b\u00fcy\u00fck \u00f6l\u00fcm nedenlerinden biridir ve kalp hastal\u0131\u011f\u0131na ba\u011fl\u0131 \u00f6l\u00fcmlerin yar\u0131s\u0131ndan fazlas\u0131n\u0131n kardiyak arrestlerle sonu\u00e7lanmas\u0131d\u0131r. Hintliler kalp hastal\u0131klar\u0131na yenik d\u00fc\u015fme riski alt\u0131ndad\u0131r ve bu say\u0131 y\u0131llar i\u00e7inde \u00f6nemli \u00f6l\u00e7\u00fcde artmaktad\u0131r. Bir WHO n\u00fcfus say\u0131m\u0131na g\u00f6re, her …<\/p>\n","protected":false},"author":8,"featured_media":44524,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-44522","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/44522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=44522"}],"version-history":[{"count":1,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/44522\/revisions"}],"predecessor-version":[{"id":44525,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/44522\/revisions\/44525"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/media\/44524"}],"wp:attachment":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=44522"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=44522"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=44522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}