Oyang'anira hemostatic Esmarch: makhalidwe ndi ntchito

Mu chochitika cha kuvulala kapena fractures lotseguka mwina katundu magazi. Awa, wolumikizira - zoopsa kwambiri mwa mitundu ina. Ngati zowonongeka ndi chotengera lalikulu wodwala akhoza kufa kwa magazi kwa mphindi 2-3. odwala ameneŵa amafuna thandizo kuchipatala msanga, ndi kukatseka magazi pamalowa. Ngati kuonongeka dzanja kapena mwendo, ndiye ntchito tourniquet wotsukira hemostatic. Pali mitundu ina Chalk kusiya magazi, koma mfundo ya overlaying ndi aligorivimu zochita sali osiyana.

Hemostatic tourniquet mtundu mphira wotsukira yabwino kwambiri ndi zothandiza zoterezi. Ndi mphira gulu (osachepera - chubu) kutalika mamita 1.5. Kumbali pamwamba wina ndi pang'ono otukukira kunja, ndi zina - concave. Kuimika hemostatic mphira Esmarch mapulani ake ku malekezero a unyolo ndi mbedza kwa chikukonzekera.

zikuonetsa

chipangizo amagwiritsidwa ntchito ndi ogwira ntchito mosamalitsa pa umboni. ziwiya akamalimbikira ikuchitika milandu zotsatirazi:

• ndi magazi wolumikizira;
• pa ntchito kuletsa magazi;
• mtsempha jekeseni;
• potenga magazi mtsempha pa kuwunika;
• Nthawi zina tourniquet ntchito kwa carotid mtsempha wamagazi ntchito basi.

chipangizo akhoza ziletso ngati wolumikizira oyang'anira (kwa hemostasis) ndipo monga venous (potenga magazi kapena makonzedwe parenteral mankhwala). Iwo yodziwika ndi mphamvu psinjika.

Magawo kuika oyang'anira

Hemostatic tourniquet mtundu wotsukira kwa kufinya ndi mtsempha wamagazi superimposed motsatira malamulo awa:

1. Dzanja kapena phazi la wodwalayo ali ndi malo apamwamba pofuna kuchepetsa magazi.
2. Pofuna kupewa kukanikiza pakati pa khungu ndi kuchepetsa ululu pansi tourniquet kutsekeramo chopukutira kapena nsalu.
3. Pa m'munsi nthambi tourniquet wotsukira hemostatic ntchito pa ntchafu (kupatula lachitatu ake wapotalikira, pali ambiri tendons). Pa chapamwamba - phewa (kupatula gawo pakati, kumene makungwa mitsempha, pali ngozi kuphwanya).
4. Mu nthambi tepi Tambasula concave mbali mwa njira yotero kuti kumanzere anali wamfupi kusiyana lamanja.
5. Kukoka zingwe dzanja lako lamanja kuchokera pansi mmwamba, kuyikapo kulimbika n'kupatuka lamanzere, akumugwira nthambi.
6. Kuzungulira kotsatira kuchita N'chimodzimodzinso. Aliyense wosanjikiza wotsatira ndi pang'ono bwino ayenera alipo amapeŵa yapita kukanikiza pakati minofu zofewa.
7. Kukonza mbedza pa unyolo kapena tayi.
8. Pamene kutumikiridwa chomwa mankhwalawa analgesics choipa ndi nthambi immobilization imagwiridwa.

kuyan'anila mphamvu ya

Hemostatic tourniquet wotsukira ntchito moyenera ngati:

• magazi anaima;
• ripple pa mtsempha wamagazi palibe;
• mkono kapena mwendo, wotumbululuka ndi ozizira.

Pokhapokha kumene kumapeto kwa ndondomeko chasanduka buluu, zikutanthauza kuti mitsempha ali wothinikizidwa, ndi mtsempha wamagazi si oletsedwa. Ziletso venous tourniquet. M'pofunika kubwereza ndondomeko ndi kumangitsa lamba wamphamvu.

Mu koyilo chapamwamba anaika yaing'ono cholemba-amalembedwa nthawi ya mpheto. Mu nyengo yozizira, nthawi ya ndondomeko sayenera upambana Mphindi 30 (onetsetsani kuti kubisa), ofunda - mpaka 1 ora. Patapita nthawi imeneyi chipangizo kuchotsedwa kwa mphindi zochepa kubwezeretsa makope a. Panthawi imeneyi, mtsempha wamagazi ndi clamped ndi chala. Mpheto Mungathe kubwereza, koma kuposa malo m'mbuyomu. Iwo m'pofunika kuti anthu awiri kuchita tsokali. Mmodzi amachotsa tourniquet, ena wotsinidwa chotengera. Total nthawi sayenera upambana 2 h. Apo ayi necrosis angayambe.

Contraindications imposition ake

Koma sitingathe nthawi zonse ntchito tourniquet hemostatic wotsukira. Contraindicated magazi ngati akuima milandu zotsatirazi:

• ana osaposera zaka 3 (ntchito chala kukanikiza);
• Matenda anaerobic;
• purulent chotupa malo a ntchito;
• ngati pali atherosclerosis Amowabu ya mitsempha ya.

Pamene kayendetsedwe nthambi ayenera kutenga malo lokwezeka. Ngati unachitikira immobilization ake, tourniquet sayenera kutsekedwa. Wodwalayo kuchipatala mwamsanga potipatsa chomaliza cha thandizo lofunika kuchipatala.

Hemostatic tourniquet Esmarha - chida chotheka kuti achepetse magazi wolumikizira, ntchito kutha zosakhalitsa magazi. kukhalapo kwake chofunika pa okwelera onse ndi posts thanzi mwadzidzidzi. Kugwiritsa ntchito bwino izo anapulumutsa moyo kuposa wina.