Pachifuwa compressions: Njira ntchito. Mtima kutikita ndi kupuma yokumba

Mu zochitika mwadzidzidzi, pamene n'zotheka kupulumutsa moyo wa munthu, basi ayenera kudziwa ndizosowa thandizo. Mmodzi wa luso zazikulu ndi kunja mtima kutikita njira ya Yehova amene akambidwa mu buku lino. Phunzirani zidule ena tanthauzo lake, n'zotheka kuti apulumutse anthu.

Kuchita compressions pachifuwa

Choyamba umakhala mwadzidzidzi mtima kumangidwa: pakalibe kupuma, kutsitsimuka, kenako chitani litsatira odwala mwakayakaya wagawo, mu kufanana amachititsa ambulansi. Poyamba Pirira pamwamba zovuta.
Kuwatsitsimula ayenera idzachitika yomweyo mu malo kudziwika wolakwiridwayo, ngati si owopsa kwa reanimate.

Ngati thandizo si akatswiri mpulumutsi amaloledwa kuchita kokha ndi chiyeso sternum lapansi. Sitipereka mtima kutikita luso ntchito imene pansipa zikuphatikizapo mfundo zotsatirazi.

ndondomeko ya zochita

• Kuyamba umakhala psinjika wachitatu apansi sternum lapansi.
• protrusion A ndi dzanja limodzi volar padziko ( "chachisanu burashi") pafupifupi pansi kwambiri sternum lapansi. Pamwamba pa izo mwa njira yomweyo anapereka dzanja ena. Zikhatho malawi pa mfundo za m'linga.
• Kufinya zoyenda imagwiridwa manja, anaweramuka pa elbows, pa nthawi yomweyo anasamutsa zofuna tcheru ndi thupi lake. Pa psinjika dzanja si unachotsedwa pachifuwa.
• kukakamiza sternum pafupipafupi ayenera kukhala osachepera 100 nthawi pamphindi, kapena za 2 pa psinjika chachiwiri. The kusamutsidwa m'chifuwa kuti akuya masentimita osachepera asanu.
• Ngati anachita kupuma yokumba, ndiye 30 compressions ayenera chifukwa cha mpweya awiri.

Ndi zofunika kuti nthawi ya kukakamiza sternum ndi kupanda psinjika mu nthawi zofanana.

mokoma

Sitipereka mtima kutikita njira zimene ndi zodziwika kwa aliyense dokotala chimafuna kuti ngati ikuchitika intubation kuti kayendedwe pa mlingo wa nthawi mpaka 100 pa mphindi mosalekeza pa kupuma odwala mwakayakaya. Amakhulupirira mu kufanana ndi amathamanga 8-10 mpweya pa mphindi.

Kenako yopuma masekondi asanu kudziwa ayambe mtima (pamaso pa zimachitika ndi ziwiya zotumphukira).

Psinjika za sternum ana osaposera zaka khumi kapena khumi ndi ziwiri anachita ndi dzanja limodzi, ndi chiŵerengero chiwerengero cha compressions akhale 15: 2.

Popeza kutopa Kusangalala angathe kuchepetsa ubwino wa psinjika ndi imfa wodwalayo, pamene pali anthu awiri kapena kuposa, kupereka thandizo, izo m'pofunika m'malo kuchita kuthamanga pa chifuwa mphindi ziwiri zilizonse pofuna kupewa ndi kuchepa khalidwe la compressions pachifuwa. M'malo Kusangalala, ayenera lolimba salinso kuposa masekondi asanu.

Kumbukirani kuti malamulo a compressions chifuwa chofunika kuonetsetsa patency a dongosolo kupuma.

Mu anthu ndi wopanda chikumbumtima akufotokozera minofu atony ndi kutsekeka kwa airway ndi epiglottis ndi muzu wa lilime. Obturation amapezeka mu malo aliwonse Napempha kwa wodwala, ngakhale pamene atagona pa mimba yake. Ndipo ngati mutu linapendekeka chibwano wake m'chifuwa wake, ndiye ngati boma amapezeka 100% ya milandu.

Lisanafike kumalo a compressions pachifuwa akutsatira koyamba mtima:

• Chinthu choyamba kuchita: kukhazikitsa pakalibe chikumbumtima - kuitana (kufunsa Kukawatsegulira maso awo, kuti apemphe - ndichiyani?).
• Kenako, kumenya masaya ake, mokoma kugwedeza mapewa ake.
• Pamene pakalibe chikumbumtima unakhazikitsidwa, m'pofunika matenda kayendedwe ka mpweya mundawo kupuma.

"Tri" ndi tracheal intubation ndi golide muyezo mu njira kuchira mpweya.

"Tri"

Safar zachitika zinthu zitatu zotsatizana bwino za kuwatsitsimula:

1. Sunthani mutu kumbuyo.
2. Kuulula pakamwa wodwalayo.
3. M'munsi nsagwada wodwalayo kuti apitirize.

Pamene akuchita kutikita mtima ndi kupuma yokumba, kutsogolo khosi minofu ali omangika, kenako trachea lidzatsegulidwa.

chenjezo

Mmodzi ayenera kusamala ndi osamala, chifukwa n'zotheka kuwononga msana pa khosi pamene akuchita zochita pa airway.

Ambiri mwina ndi choipa msana angayambe magulu awiri odwala:

• Anavutika ngozi zapamsewu;
• mu nkhani ya kugwa kuchokera kumwamba ndi.

odwala kungatenge kupinda khosi lake atumiza mutu pambali. Ziyenera kukhala amtengo kukoka mutu wake, kenako agwire mutu, pakhosi, torso mu ndege chimodzimodzi ndi osachepera tilting mutu kumbuyo, malinga ndi phwando Safar. Pachifuwa compressions, amene ntchito njira Zikatero pamafunika chisamaliro chapadera, kokha mogwirizana ndi malangizo awa.

Chotsegula pakamwa pa, kafukufuku wake

Airway pambuyo tilting mutu si nthawi zonse kwathunthu kubwezeretsedwa chifukwa ena odwala chikomokere pamene atony minofu ndime m'mphuno atsekedwa m'kamwa zofewa pa kupuma.

Zingakhalenso zofunika kuchotsa kukamwa kwa zinthu zakunja (magazi aumirira, dzino zinyalala, vomitus, kupeza mano otere)
Poyamba Choncho, odwala awa tione pakamwa ndi kutimasula kuti ndi zinthu zakunja.

Kutsegula pakamwa, ntchito "phwando zala anawoloka." dokotala afika kuzungulira mutu wa wodwala, chimatsegula ndi anayendela pakamwa. Ngati pali zinthu dziko lililonse, onetsetsani kuti kuchotsa iwo. Kumanja index chala atachotsedwa pansi pomwe ngodya ya kamwa, izo kumathandiza paokha kumasulidwa ku pakamwa pa nkhani madzi. Zala atakulungidwa chopukutira, kuyeretsedwa ikuchitika mkamwa ndi pharynx.

Muzicheza pofuna intubation Airways (palibe masekondi oposa 30). Ngati cholinga si anafika, siyani pofuna ndipo anapitiriza makina mpweya ntchito nkhope chigoba kapena Ambu thumba. Ntchito ngati zipangizo "pakamwa kukamwa", "pakamwa ndi mphuno." Mtima kutikita ndi kupuma yokumba mu Zikatero ikuchitika malingana chotsatira.

Patapita mphindi 2, kuwatsitsimula n'kofunika kubwereza Pofuna intubation.

Kodi compressions pachifuwa njira imene utoto, ndiyeno pa kupuma "pakamwa kukamwa" nthawi iliyonse mpweya akhale 1 mphindikati. Njira imatengedwa ogwira pamene pali kayendedwe ka chifuwa cha wovulalayo pa kupuma yokumba. Nkofunika kupewa mpweya wabwino kwambiri (500 Botolo), chifukwa zingayambitse mavuto mu mawonekedwe a kuponya kuchokera m'mimba ndi ingestion kapena kukhumba mu mapapo nkhani zake. Komanso, mpweya kwambiri kumawonjezera kuthamanga pamtima M'mimbamo, womwe amachepetsa venous magazi kubwerera ku mtima ndi kupulumuka kwa mwadzidzidzi mtima kumangidwa.