Tourniquet. Njira tourniquet panthambi

Tourniquet - chipangizo kwa wotseka magazi. Ndi Mzere wa mphira 125 masentimita yaitali. m'lifupi - 2.5 cm, makulidwe - 3 - 4 cm Mbali imodzi ya tepi amaperekedwa ndi mbedza, wina -. zachitsulo unyolo. chipangizo imeneyi alipo mankhwala chifuwa aliyense galimoto Sichangozi. Nthawi zina kulibe akanakhoza kutsimikizira amapha. Munthu chifukwa cha imfa ya magazi mungafe, popanda kudikira chithandizo.

Mmene angagwiritsire ntchito tourniquet?

kaye manja anu pa magolovesi pamene ntchito ndi tourniquet. Ndiye, kukweza nthambi anakhudzidwa ndi zoipa, ndipo tione ichi. Tourniquet umagwiritsidwa osati khungu, ndi pamwamba pa minofu akalowa. Kungakhale munthu zovala, matawulo, nsalu, thonje ubweya. Cash Choncho oyang'anira thanzi sadzakhala intersect ndipo musati kungapondereze pa khungu.

mapeto ake m'pofunika kuti atenge mu dzanja limodzi, ndi pakati - mu ena. Ndiye kutambasula mphamvu, ndi pamenepo pokha mme- mozungulira mkono kapena mwendo. Ndi aliyense motsatizana koyilo kumulowetsa oyang'anira lidakali zochepa. Malekezero ufulu ogwirizana mfundo kapena mbedza atathana ndi unyolo. Ngakhale wozungulira umodzi wa lamba ndi akachita zedi kuona zimene zikusonyeza nthawi ya imposition ake.

Tourniquet ayenera sudzasiyidwa yaitali kuposa maola awiri, kapena angayambe ziwalo kapena dzanzi la manja kapena mapazi. Ola lililonse mu nyengo ofunda ndi m'nyengo yozizira theka la ora chingwe chabwazi pansi kwa maminiti pang'ono (pa nthawi chotengeracho unkagunda zala), ndi imposition wa tourniquet ngati magazi zichitike monga momwe kwa nthawi yoyamba, pang'ono kokha apamwamba.

Ngati magazi silitiletsa, ndi tourniquet ntchito molakwa. Iwo akhoza mwangozi kukokera m'mitsempha. Adzatsogolera chakuti kuthamanga adzayamba kuuka mu zotengera magazi ndi kuonjezera magazi. Pa minofu kwambiri kudwala oyang'anira akhoza kuonongeka minofu mitsempha, imbaenda ziwalo za nthambi. Wozunzidwayo ndi tourniquet ndi kuwapititsa ku malo zachipatala mu malo oyamba.

chingwe chabwazi The ingagwiritsidwe ntchito tayala plywood. Ake ili pa mbali ina ya chotengera kuonongeka. Njira imeneyi imagwira ali yosalekerera kwenikweni. Ngati wovulalayo chapamwamba ntchafu kapena phewa oyang'anira Medicine kwa magazi chikangoperekedwa monga chithunzi eyiti.

Pa kuonongeka ziwiya khosi oyang'anira overlaps ntchito n'kupanga matabwa kapena basi mu makwerero. zipangizozi anayikidwa pa mbali ina ya chilonda. Chifukwa tayalalo sati cholizira trachea ndi mtsempha wamagazi carotid. Popeza matayala dzanja kuti ayike manja ake pa mutu kuchokera kumbuyo, izo agwire ntchito yake. Tourniquet akhoza m'malo ndi kupiringizika, pogwiritsa ntchito zinthu pa dzanja: mipango, mipango, malamba, ubwenzi.

ntchito

Tourniquet ngati n'koyenera superimposed pa femur, tibia, phewa, mkono kapena ziwalo zina. Ngati malo a ntchito ndi wotsiriza, kusankha malo kuti ali pamwamba pa chilonda, koma kuyandikira kwa izo. Izi ndi kuonetsetsa kuti mbali otsala nthambi popanda makope yaifupi ngati nkotheka.

Ngati tourniquet ayenera kudziwa kuti simungathe chokhwima:

• M'chigawo cha wachitatu chapamwamba phewa (akhoza kuvulaza mitsempha zozungulira) ndi wachitatu apansi femur ndi (mtsempha wamagazi femoral ndi mtanda clamping anavulala minofu).
• Wachitatu m'munsi wa mkono ndi mwendo m'munsi minofu ndi kwina, ndipo ngati tourniquet pa malo awa, mukhoza kuyamba kukhazikitsa khungu necrosis. Mbali zimenezi za thupi ndi mawonekedwe a cones, kotero tourniquet mukhoza Wopanda pamene kusuntha wovulalayo. Kosavuta, yabwino kwambiri ndi otetezeka kuika tepi pa phewa kapena ntchafu.

Wolumikizira magazi. Lothandiza Choyamba kubwera kwa dokotala

Kuchepa kwa magazi kudzera mtsempha wamagazi zambiri chifukwa cha imfa ya munthu ochitiridwayo, choncho ayenera kusiyidwa msanga. Wachikulire anthu magazi buku ndi malita 4-5. Ngati wovulalayo wotaya gawo limodzi la ndalama zimenezi, iye akhoza kufa.

Chinthu choyamba kuchita, kuthandiza ndi magazi wolumikizira, ndi Finyani mtsempha wamagazi kuti magazi Samakonza pa malo anavulala ndipo alibe kutayikira. Kudziwa kumene ili, muyenera kufufuzanso zimachitika. Kumene ali, pali mtsempha wamagazi ndi. zala chidaliro akanikizire pansi lino, koma 2-3 masentimita mabala thupi.

Ngati wovulalayo ayenera kunyamulidwa, ndi tourniquet ndi magazi wolumikizira n'kofunika. Only ziyenera kuchitika molondola, monga tafotokozazi nkhaniyi. Koma ngati chifukwa cha ngozi ya galimoto munthu anataya mwendo, ndi chilonda umayenda magazi, magazi anakuta oyang'anira ayenera kuchita kotero kuti iye anali pa masentimita 5 pamwamba malo zowonongeka, osati 2-3. Kufooketsa mu Mulimonsemo zosatheka. Osati dzanja lirilonse pali Kulumikizana. Mukhoza m'malo ndi kupindika. Koma Mulimonsemo sikutheka ntchito zingwe yopapatiza, zingwe za chuma inelastic.

Pamene wovulalayo ali woyamba chithandizo chisanadze mankhwala, tiyenera kukumbukira kuti pamene tourniquet kugwira nthenda yotaya magazi kwa m'madipatimenti onse amene ali m'munsi mwake. Muyenera kudziwa kuti kayendedwe ka magazi kudzera mitsempha imachitidwa ndi mtima mbali zonse zotumphukira.

magazi mkati

kutaya magazi chifukwa cha kuwonongeka anthu kuti ziwalo ndi choopsa kwambiri kwa moyo, monga zambiri tanthauzo kuchedwa kwa nthawi yaitali.

• Magazi a zonse m'mimba kumachitika pamene nkhonya lamphamvu, chimene chinachitika mu ndulu ong'ambika ndi chiwindi. Pankhaniyi, munthuyo akukumana aakulu m'mimba ululu, mantha, ndi kutaya kutsitsimuka.
• Esophageal magazi kumachitika chifukwa cha chotupa cha mitsempha, popeza ena matenda chiwindi kuyambitsa kuwonjezeka awo.
• Muzituluka magazi kumachitika chifukwa zilonda, khansa ya mmimba kapena kupwetekedwa mtima. Mbali liwulo ndi masanzi mdima ofiira kapena clotted magazi. Pankhaniyi, wozunzidwayo pofuna mtendere ndi theka woongoka malo ndi mawondo miyendo wopindidwa. Pa malo a peritoneum ayenera kuika compress osati kudya ndi kumwa. Wozunzidwayo Akufunika kuti m'chipatala, kumene opaleshoni.
• Magazi mu chifuwa M'mimbamo ndi chifukwa kuvulala amphamvu zimakhudza kapena chifuwa. KUCHULUKA magazi ayamba amaumiriza mapapo, chifukwa mu akusokoneza ntchito zawo. Kupuma ndi zovuta, suffocation angayambe. Wozunzidwayo yomweyo kuwapititsa ku chipatala pamene kubwera kwa dokotala kuvala pachifuwa compress ayezi, ndimupatse hafu woongoka malo ndi miyendo wopindidwa.

Venous magazi. chisamaliro predoctor

Ngati anayendera wovulalayo anasonyeza kuti kuwonongeka kwa mitsempha laling'ono mokwanira kulasa pansi pa chala chotengera m'munsimu malo choipa, monga chimachititsanso izi magazi kuchokera pansi, si mosemphanitsa. Ngati izi sikokwanira kuletsa magazi otsika kuchokera mitsempha m'malo choipa n'kofunika zoika kuthamanga bandeji. Izi ndi thandizo.

Koma pamaso pa khungu kuzungulira malo kuvulazidwa amaliona ndi ayodini, bala kutsekedwa ndi bandeji wosabala, ndipo pamwamba, pamodzi dongosolo fupa, kusindikiza mkanda umagwiritsidwa ntchito. Tsopano zoipa kufunika mwamphamvu kukulunga ndi kupereka anavulala nthambi lokwezeka. Compressive bandeji ali pabwino molondola ngati magazi adzaleka ndipo sadzachita zinthu monga banga magazi.

Ngati kumene kuchita zimenezi si kokwanira kuti magazi asiye kutuluka, venous anakuta mitolo basi pansipa osati pamwamba pa malo ziwiya akhudzidwa. Inu muyenera kudziwa zimene zikuchitika ku Nineve, mwachitsanzo mtima pa magazi venous.

magazi

Pamene kusokonezedwa kukhulupirika kwa mpanda chotengera, amene magazi umayenda. Zimenezi zimatchedwa magazi. kuopsa kwake kwagona kuti kuchuluka kwa magazi amachepetsa, amene amazungulira mu ziwiya. Zimenezi zimathandiza munthu kuwonongeka kwa ntchito mtima, ndi kusowa kwa ziwalo ndi oxygen.

Pa imfa yaitali magazi wayamba kukhala magazi m'thupi. Izi ndi owopsa kwa ana ndi okalamba. matupi awo ndi zoipa amavutikira mofulumira kucheperachepera magazi buku. Choncho, pali mitundu itatu ya magazi. Izo zimatengera kaya inali mu chiwiya.

• Magazi. Iwo akhoza amadziwikanso: magazi wofiira ukugunda kasupe wa mitsempha.
• Venous. A chotengera anavulala motere mwazi wa mtundu mdima.
• Capillary. Izi ndi njira zosavuta magazi, imene kuonongeka mbale zing'onozing'ono.
• Parenhitamoznoe. Kumachitika pamene sanali kuonongeka ziwalo monga ndulu, ndi chiwindi, impso. magazi amenewa ndi losanganikirana. Iwo amagwirizana ndi chotupa cha thupi. Popanda opaleshoni kuti magazi asiye kutuluka kwathunthu parenhitamoznoe zosatheka. Koma, kupereka thandizo kwa wozunzidwayo, ayenera kuikidwa pamalo kuwonongeka ankaimbidwa kwa ayezi.

Magazi zimachitika:

• Kunja.
• Internal. Mu nkhani iyi, magazi chotengera anakhudzidwa udzathiridwa mu nsalu za thupi.

Zizindikiro, amene angathe kudziwa magazi

Mbali yofunika kwambiri ndi magazi kutuluka chombocho. Komabe, magazi mkati simungakhoze kuziwona izo. Choncho, pali zizindikiro zina:

• Khungu ndipo zimagwira ntchito zosiyanasiyana mucous kukhala wotumbululuka.
• Zikuoneka chizungulire, ludzu.
• Amachepetsa magazi.
• Ofooka zimadziŵika zimachitika ndipo zikuoneka tachycardia.
• munthu watha kutsitsimuka. Izi zimachitika pamene pali mofulumira ndi aakulu magazi otayika.

Wolumikizira ndi magazi venous ku mabala. choyamba-chithandizo

Namkulunga - vuto limeneli, lomwe zina ndi kukhulupirika kwa khungu, nsalu, zikopa, ndi chimene limodzi ndi ululu ndi imfa ya magazi. Pamene chilonda ululu zolandilira ndipo amachititsa kuwonongeka kwa thunthu ndi mitsempha, ndipo magazi mwachindunji ndi chikhalidwe ndi kuchuluka kwa ziwiya kuonongeka. N'chifukwa chake choyamba cha zonse anapereka akuya choipa ndipo watsimikiza kuchokera magazi chotengera motere: mtsempha kapena mtsempha wamagazi. Makamaka kufunika mwamsanga ngati chilonda chiri chakuya kwambiri ndi akanadulidwa, ndipo pamene anavulazidwa wapanikizika ziwiya lalikulu magazi.

Kupereka chithandizo choyamba mabala chivulalireni oyeretsa ambulansi kaŵirikaŵiri anthu pafupi. Kuti magazi asiye kutuluka pa malo choipa ntchito ndi tourniquet.

Mu chithandizo kuchipatala woyamba pa wolumikizira ndi venous magazi anachita opaleshoni. Pamalo kuvulazidwa mtima kupanga suturing makoma ake.

thandizo kwa kuvulala kwa mutu, chifuwa, khosi, pamimba ndi m'madera ena a thupi wopereka imposition wa bandeji kuthamanga. Ikani pa bala wosabala gauze ndi tepi mmwamba.

Tikumbukenso: Kugwiritsa ozizira ndi magazi kuchokera mtsempha kapena mtsempha wamagazi Sikuti, monga izi zimapangitsa sazindikira. Izi ziwiya lalikulu musati taper ku chisanu.

Natural orifices wa thupi. Magazi kwa iwo

kutaya magazi kumachitika, pamene wasefukira kwa mphuno. Izi zikhoza kukhala pa amadza amphamvu kapena chifukwa cha kuvulala ubongo zoopsa. Kuti magazi asiye kutuluka wovulalayo ayenera kugona pa nsana wanu, tukulani mitu yanu pang'ono. Pamphuno, khosi, m'chigawo cha mtima ayike ayezi. Panthawi imeneyi, inu simungakhoze kuyeretsa mphuno kapena kuwomba mphuno yanu.

Ngati munthu akavulala Makutu meatus kapena chigaza wovulala zinachitika, kuti atitsegulire magazi kuchokera khutu. Mu nkhani iyi, zoika wosabala bandeji gauze, ndi wovulalayo yaikidwa pa mbali ina ndi wotukulidwa mutu wake. Izo kutiletsa kusamba khutu.

Kodi magazi asiye kutuluka mwa nthambi wopindidwa?

• Ngati chilonda likakhazikitsidwa komanso amasonyeza magazi, m'pofunika kuyikamo chigongono unakhota mpukutu wa gauze bandeji kapena nsalu ndipo pindani mkono wanu pa dzanja kapena mkono m'deralo. Vutolo mu udindo uwu, forearm ayenera womangidwa kwa phewa. Magazi adzaleka.
• Kusiya izo kwa mtsempha wamagazi wa mkono khushoni aikidwa pansi pa mkono wake, mkono akufunitsitsa pa chigongono, kugona pachifuwa pake ndi pribintovyvayut.
• Pamene axillary magazi manja apangidwe, retracted ndi kumumanga elbows. Zimenezi akulola subclavian mtsempha wamagazi snuggle phewa m'mphepete mwa. Njira imeneyi sangathe ntchito ngati munthuyo ali ndi wosweka nthambi fupa.

Car zida. zida zake

Anthu ambiri amakhulupirira kuti zida izi chofunika chokha kuti mayesowo. Koma si choncho. Palibe amene akudziwa zimene kungakhale pa njira galimoto. Mwina maganizo anu uweme kwa munthu wina, kudziwa malamulo a thandizo kwa wozunzidwayo ndi zofunika ya pagalimoto munthu osathandiza.

Panopa, zida loyamba thandizo zida magalimoto anapanga ndi miyezo yatsopano. Pamafunikanso: zida ndi amene angagwiritsidwe ntchito kuti kupuma yokumba, nsalu, hemostatic tourniquet, mphira magolovesi ndi zosadzira mitengo. Kuyambira zida lilibe disinfectants ndi mankhwala. Izo sizitero dipyrone, aspirin adamulowetsa mpweya, validol, nitroglycerin, ndipo ngakhale ayodini ndi utoto wobiriwira.

Mungasankhe zida galimoto wakhala osauka kwambiri. Kodi kusintha? Choyamba, mchitidwe European thandizo loyamba isanafike madokotala. Iwo amakhulupirira kuti ambiri madalaivala ku Russia sadziwa njira ya ntchito mankhwala zofunika. Choncho, dokotala ndi kusiya kutaya magazi akuvutika adzakhala ntchito yaikulu.