Joojinta wadnaha ayaa si lama filaan ah u dhici karta meel kasta waddooyinka, xafiisyada ama munaasabadaha dadweynaha iyo ilbidhiqsi kasta ayaa muhiim u ah badbaadada. Qalabka la isku dayo ee dibadda loo yaqaan 'automated external defibrillator' waa qalab badbaadin kara nolosha oo soo celin kara garaaca wadnaha ee caadiga ah iyadoo wadnaha la siinayo koronto. Si ka duwan qalabka caafimaadka xirfadeed, qalabka qalabka dibadda ee loo yaqaan 'automated external defibrillator' waxaa loogu talagalay in qof walba isticmaalo, xitaa haddii uusan aqoon caafimaad lahayn. Laakiin si sax ah u isticmaalka waa muhiim si aad u kordhiso fursada badbaadada nolosha. Laga soo bilaabo baaritaanka bukaanka ilaa la siinayo qalabka, raacida talaabooyinka saxda ah waxay xaqiijineysaa isticmaalka amaanka iyo wax ku oolka ah. aan kala soo baxno talaabooyinka muhiimka ah ee si sax ah loo isticmaalo qalabka qalabka lagu xakameeyo xanuunka.

Kuwa isticmaalayo deefibireysha la yaab-sare (automated external defibrillator), waxaad ugu hor yaraan inaad siin kartid xukunka iyo xaaladda mardhaha. Hubi in dhinac waa aamin ah iyo aadna iyo mardhinka—ka wareejiya ayda midig, ammaanka elektaroonikada ama dhaqdhaqaaqa haddii loo khasab. Xaqiiji in mardhinku ma aqbalo adiga markaad ku dacdo qalbiga iyo ku hadasho. Haddii ma aqbalo, fiiri nafaha - arki dhibcaha qalbiga, maqal nafaha, iyo hubi in naf haan ka timid kama badan 5 ilaa 10 ilbiriqsi. Haddii mardhinku ma aqbalo iyo ma nafto ama kaliya nafto fagaar, waco shacabka waajiba iyo codsadaa nin kale inuu soo celiyo deefibireysha la yaab-sare (automated external defibrillator) u dhow. Marka aad sugaan farshaxanka, bilaabi inaad siiyaan CPR (cardiopulmonary resuscitation) si aad uga haysataan gidda qalbiga iyo a organa guud. Tijaabada iyo socodka hore waxay noqon kartaan saaxi joogta leh si loo sameeyo deefibireyshafka.

Marka aad hesho degeyska derisaadka ah, maragga dhexdooda, soo bax kasa ama daaqda botanka xooggan. Barka ku badan oo ay leeyihiin hababka caawinaad aqoon lahayn oo loogu talagalay inay kala heli doonaan qof walba—taas waxay noqon kartaa muhiim u ah kii ugu horreeyey in lagama maarmaan. Maqal si fudud savaalalka iyo raac sidii loo sheegayo. Hababku wuxuu kala heli doonaa inaad socotid dharka, iska jawaabinta nabadgelyada qalbiga, iyo inaad sameyso shaqida marka loo baahan yahay. Ha saari savaalalka maaliyadda ilaa aan jirro jirro. Keep the automated external defibrillator near the patient’s chest throughout the process, and make sure no one touches the patient while the device is analyzing the heart rhythm or delivering a shock. Raac savaalalka lacagta ah inaad ha ka tagin habaabka saxda ah.

Ku darinta sahlan ee sahlan ayaa loo baahan yahay in defibrillator-ka amniga ah loo isticmaalo si fiican. Hore, ka saar dharka qofka dharka, kana qaada dharka gaaban iyadoo la hubin doonaysta. Cusbo dharka haddii aad u jirto xoolo ama dhib, maxaabta lagama fogaado waxaa laga yaabaa in ay ka sii wanaagsan tahay. Ka saar labada sahlan oo la isticmaalayo defibrillator-ka amniga ah, ka saar taajihooda. Gacanta midig ee hooseeysa dharka, ku dar sahlan keliya hoos ilaa dhidibka. Ku dar sahlan kale baragga bidix ee hoose, iyo taajidhka dhidibka. Ardayda iyo carruurtaha, haddii sahlan caafimaadka leh ay ka heli karin—sahlan kala duwan gacanta iyo dharka, inaad iskudhafka ka hor yimaataan. Hubi in sahlanka ay ku tegey siday u fiican, aan jirin farshaxan ama khabal. Haddii qofka leh pacemaker ama defibrillator ku dhisan, ku dar sahlan 2.5 zentimitir awaydhooda.

Ka dib marka la dhigo xirmada, qalabka qalabka lagu xakameeyo cudurka ayaa si toos ah u falanqeeya wadnaha bukaanka. Inta lagu jiro marxaladda falanqaynta, waa muhiim in qofna uusan taaban bukaanka, xitaa taabasho fudud ayaa faragalin kara akhriska. Qalabku wuxuu ku talinayaa in la siiyo garaacis ama wuxuu tilmaamayaa in aan loo baahnayn garaacis. Haddii la kugula taliyo in aad qaadato qalabka garaaca wadnaha, qalabka qalabka garaaca wadnaha ee qalabka garaaca wadnaha ayaa kaa codsanaya inaad riixdo badhanka garaaca wadnaha. Ka hor intaadan riixin, si weyn u dhawaaji Clear! si aad u hubiso in qof walba uu ka fogaado bukaanka. Si dhakhso ah u riix badhanka korontada marka la xaqiijiyo. Marka la siiyo garaaca, qalabka qalabka lagu xakameeyo ee dibadda ah ayaa ku faraya inaad dib u bilowdo CPR. Sii wad cadaadiska laabta iyo neefsashada badbaadada ee saamiga 30:2 ilaa shaqaalaha caafimaadka degdegga ah ay yimaadaan oo ay qabtaan, ama ilaa bukaanku muujiyo calaamadaha nolosha sida neefsashada ama dhaqdhaqaaqa. Ha joojin samatabbixinta illaa uu bukaanku si buuxda u soo kabsado ama uu helo caawimaad xirfadle ah.

Kuwa kale marka kalsoonida ahaan ka helaya dadka xidhidda xanuun, si degdeg ah ugu sheeg xaaladda mardhiga, waqtiga CPR-ka la bilowday, iyo intii joogsiga lagu haysto defibrillator-ka amniga ah. Dabinkaas, defibrillator-ka amniga ah si fudud u dhaqan iyo isku day in lagu daryeelin doono in keliya marka kale. Raac xarrijaqa pad-ka si aad u dhaqan, iyo beddel pad-ka iyo baatiriyadha ee la isticmaalay si degdeg ah. Kaydi defibrillator-ka amniga ah qaybta la beddelay in ay noqdo heli karaan, ka fogow jahajinta sare iyo buurista. Maamul inta badan tijaabada xaaladda tijaabada—defibrillator-ka amniga ah badan waxaa la leeyahay dhulka ama tijaabada in ay muujiyaan in baatiriyadha iyo pad-ka waxa leh xaalad wanaagsan. Qaar ka mid ah mudooluhu waxaa in la tijaabo si joogsan in lagu helayo fikradaha. Isku day sax ah wuxuu siinayaa in defibrillator-ka amniga ah ay noqon karaan mid aad u aamin ah marka kale jidhif ka soo baxdo.

Ka dib, isticmaalka saaxiibka ammaanka ah ee xaqiiqsanaanta si sax ayaan ka mid ah in la qiimeeyo marankeenna, in lagu maamulo talabada qalloocidda, in ay bixisannada laga socoto si sax, in la siiyo dhaadheerka iyo in la siiyo xaqiijinta ka dib markii dhaadhac. Khilaafka waxaa loo sameeyey in uu noqdo fudud gargaarka, laakiin ogaanshaha habdhabka saxda waxay keeni karaan farqiga ugu weyn ee nolosha iyo dhinteed. Wadankasta waxaa inuu aqbalo sida loo isticmaalo saaxiibka ammaanka ah ee xaqiiqsanaanta, maxaa yeelay, ma aqbali kartid markaad u baahan tahay inaad badasho nolosha. Iyadoo loo isticmaalayo si sax, saaxiibka ammaanka ah ee xaqiiqsanaanta waxay sii kordhi karaan hawsha noqoshada dadka ku dhacday dhacdooyinka qalbiga, taasoo imanaya alaab aan loo diro dhexdhexaad, goobta shaqada iyo bulshada.