Ngokumphefumlela yazo nolandelelwano

Xa yezonyango, kukho iimeko apho kukho amathuba ukubuyisela imisebenzi ebalulekileyo emzimbeni womntu. Oku kwakhokelela kwimfuneko yophuhliso namacebo ezithile amanyathelo ezinokuthi zibe negalelo ekusekweni imvuselelo. Okulandelayo, cinga into yokurhaxwa ezintsonkothileyo.

Overview

Kukho isebe emithi esifunda yokurhaxwa. Njengenxalenye yale uqeqesho iphanda imiba eyahlukeneyo imvuselelo yabantu, liqulunqe iindlela zokuthintela kunye nonyango lwe iimeko terminal. Eli candelo zamayeza onyango ekuthiwa bazamile, kwaye isicelo ngqo iindlela ezithile zokuziphilisa recovery ebizwa yokurhaxwa.

Xa usebenzisa iindlela imvuselelo?

Kukho iimeko ezahlukeneyo apho ubuchule kuyimfuneko kwakhona ebomini. Ngoko, xa isetyenziswa bazamile zokuma (engabalulekanga kwisiqalo ngenxa ugesi, njalo-njalo), okuphefumla (xa umzimba langaphandle esilala uqhoqhoqho kunye t. D.), Ityhefu Ityhefu. uncedo lwabasebenzi efunekayo xa ilahleko enkulu igazi, etsolo sezintso insufficiency okanye isibindi izifo, umothuko kakhulu njalo njalo. Amaxesha amaninzi ngexesha bazamile alinganiselwe kakhulu. Kulo mba, izenzo uncedo enikiweyo iya kuba ngokucacileyo kwaye ngokukhawuleza.

into ebaluleke

Kwezinye iimeko, yokurhaxwa alifanelekile. Ngokukodwa, kwiimeko ezinjalo kufuneka iquke umonakalo ongenakulungiseka amalungu ebalulekileyo kunye neenkqubo kwindawo yokuqala - ingqondo. Bazamile ekufeni clinical olungasebenziyo emva kwemizuzu 8 emva ozibonayo yayo. Iindlela ekuvuseleleni ayisetyenziswa xa ukubuyekeza zoke izibonelelo ezikhoyo eziphilayo (umz, nxamnye yamathumba yingozi, ezithi zivele kunye ngokuncipha jikelele). Nokulunga bazamile ngokubonakalayo ngcono ekusebenziseni kwiiyunithi zabo ezizodwa, apho uuba lixhotyisiwe ngezixhobo eziyimfuneko.

iindlela ezisisiseko

Ezi ziquka massage ezesifuba nokuphefumla ngumntu. Le yokugqibela yi nenkqubo endaweni umoya emiphungeni kwixhoba. Umoya kunceda ukuze alondoloze exchange nerhasi ukusilela okanye ukungakwazi uphefumlayo zendalo. massage wentliziyo inokuba ngqo okanye ivaliwe. Eyokuqala ufezwa umzimba ucinezelo ngqo. Le ndlela lisetyenziswa ngexesha lomsebenzi kule Isifuba kuvulo kwisisu yayo. Esifubeni Compressions - a ucinezelo umzimba phakathi kwentamo kunye lomqolo. Khawuqwalasele ezi yokurhaxwa iinkcukacha.

CPR: ulwazi ngokubanzi

Imfuneko yokuba ukuphunyezwa umoya ivela kwimeko kwephulwa amaziko ummiselo imvelaphi nokudumba okanye ukuphazamiseka kwegazi apha ebuchotsheni. Lenquba yenzelwa kwi sisilonda esidumbileyoesingaphakathi ye-luvo kunye nezihlunu ezibandakanyekileyo uphefumla isenzo (ngokusekelwe sepoliyo, ityhefu ngqi Ityhefu), ezimbi enzima (inyumoniya olubanzi, isimo somoya kunye nabanye). Oku yonke ukubonelela bazamile usebenzisa iindlela iintsimbi. Ukusetyenziswa baphefumla oluzenzekelayo igcina wotshintshiselwano igesi emiphungeni ixesha elide. Xa umoya - njengoko kuboniswe iimeko zonxunguphalo - vula iimeko imvelaphi ezifana ukumka namanzi, zizalwa (ukutsarhwa), ukufa icala (ilanga okanye ubushushu), ingozi zombane, ityhefu. Kwiimeko ezinjalo, badla ukubhenela usebenzisa internal ngumntu iindlela expiratory: ngomlomo okanye impumlo.

Patency le iphecana sokuphefumla

Esi salathisi yimeko ebalulekileyo umoya olusebenzayo. Ngoko ke, ngaphambi kokuba nokusebenzisa iindlela expiratory ayimfuneko okubonelela umoya ezamahala permeability ye phecana sokuphefumla. Indiva lo senzo kukhokelela kakuhle umoya iindlela umlomo emlonyeni okanye impumlo. permeability Poor zingaqondwa kubangelwa ngokunamathela lo epiglottis kunye ulwimi. Oku, kungenxa ukunyenyiswa kwizihlunu masticatory nokususa mandibular isekwimo zingqondweni yesigulana. Ukubuyisela patency nexhoba lilo umva intloko yakhe kangangoko kunokwenzeka - kwi ayinakolulwa umqolo kunye Occipital ngokuhlangeneyo. Kulo mzekelo, tyhala umhlathi ongezantsi ukuze kwesilevu wakhe kwindawo ephakamileyo ngakumbi. Kuba epiglottis yaziswa nge pharynx ochaphazelekayo duct egosogoso.

izakhi lokuqala

Kukho ulandelelwano article of bazamile ukubuyisela ephefumla ixhoba. Umntu kufuneka kuqala kubekwa ngomqolo tye. Esiswini, isifuba nentamo ayichatshazelwa ingasiphulukanisi impahla: umchilo iqhina, ukukhulula umbhinqo kunye entanyeni. Umlomo ixhoba kufuneka bakhululwe vomitus, yencindi, ematheni. Ngaphezu koko, abeke kwindawo isithsaba ngesandla mnye, owesibini inikezelwa ngentamo abaphose umva intloko yakhe. Ukuba ixhoba sele ebambe ngamandla umhlathi, kuhlabana ephantsi, ihlaba iimbombo kwisalathisi yakhe iminwe.

Ukuphuhliswa kwenkqubo

Ukuba CPR lwenziwa umlomo-to-impumlo, umlomo ixhoba kufuneka ivalwe ngokuphakamisa emhlathini asezantsi. Lunceda, ukuthatha uphefumle, Azigubungele imilebe empumlweni yomguli kunye nokukhupha ngamandla. Xa usebenzisa ezinye ntshukumo ulwamkelo yesibini. Ukuba CPR lwenziwa emlonyeni, ngoko ivaliwe impumlo yexhoba. Uwukhuphe ukunika uncedo ithatha indawo emlonyeni, zigqutyuthelwe yi isikhafu. Emva kokuba oku kwenzeke ukubaleka angenzi umoya ovela emiphungeni yesigulana. Ukwenza oku impumlo yakhe umlomo kancinane. Ngeli xesha, ukunika uncedo osusa intloko yakhe ecaleni kwaye yenza 1-2 Ukuphefumla eziqhelekileyo. Umbandela ukuze zisetyenziswe oluchanekileyo isenzo excursion (motion) esifubeni abachaphazelekayo iiseli Ukuphefumla iisoyi kunye ngexesha ingumphunga kwisixando sokwenziwa. Xa kungekho sesindululo kufuneka ukuchonga utho- unobangela. Oku kunokuba iindlela enganelanga permeability, umthamo omncinci ukungena komoya umtyangampo, uphawu ihlwempu phakathi impumlo / umlomo nexhoba kunye nomniki-nyango ngomlomo.

Ukuze ufumane inkcazelo engakumbi,

Kwisithuba somzuzu omnye ngokomlinganiselo, kuyimfuneko ukwenza 12-18 Ukuphefumla. Kwiimeko ezingxamisekileyo, umoya yenziwa usebenzisa 'baphefumla ncwadi. " Umzekelo, oku kuba ingxowa eyodwa inikwa ngohlobo iirubber gumbi self-yanda. Kuye isivingco okhethekileyo enika ukwahlulwa komoya engenayo nephumayo kwisixando sokwenziwa. Ukuba kusetyenziswa ngolu hlobo uyakwazi ukugcina exchange gas phezu kangangexesha elide.

nokuphulula intliziyo

Njengoko sesitshilo ngasentla, kukho indlela ngqo okanye engangqalanga zokubuyiselwa umsebenzi yomzimba. Kwimeko yokugqibela, ngenxa ucinezelo kwentliziyo phakathi umnqonqo kunye kwentamo ithombo legazi kwenzeka pulmonary ukusuka ventricle ekunene kwaye ukusuka ekhohlo - isangqa esikhulu. Oku kukhokelela nokubuyiselwa ngamandla ingqondo kunye nemithambo yenhliziyo. Kwiimeko ezininzi, oko elungele ukuya kut- kwentliziyo. compressions esifubeni efunekayo xa ngequbuliso stop okanye ilungu rate kubola. Oku kuba zokuma okanye ventricular fibrillation xa izigulane electrocution, isifo sentliziyo kunye nezinye izinto. Xa kumiselwa imfuneko yokusebenzisa compressions zesifuba kufuneka zijolise kwiqela iimpawu. Ngokukodwa, la manyathelo resuscitative wenziwe kumiwe ngesiquphe ukuphefumla kungekho le carotid kwemithambo ukubetha, mydriasis, ilahleko osezingqondweni, uphuhliso yesikhumba isiyezi.

inkcazelo ebalulekileyo

Ngokuqhelekileyo, massage, uqalile kwixesha lokuqala emva kokuyeka okanye kukwehla intliziyo, basebenze kakhulu. Enye into ebaluleke kakhulu ixesha emva koko ukuphululwa yaqala. Ngoko ke, bazamile ngexesha lokufa lwezonyango, wenziwe ngokukhawuleza emva kweso sehlo yayo impembelelo ngaphezu intshukumo emva kwemizuzu 5-6. zazo Kakuhle babulawa kukuvumela ukuba ukubuyisela umsebenzi umzimba ngokukhawuleza. Njengoko kwezinye iimeko, kukho ulandelelwano oluthile yokurhaxwa. Ulwazi su compressions zesifuba ukuvumela olungxamisekileyo ukusindisa ubomi.

Ukuphuhliswa kwenkqubo

Phambi kokuba ukufeza bazamile, ixhoba kufuneka sibekwe kwindawo nzima ngasemva. Ukuba isigulana ebhedini, xa kungekho kwesingqengqelo nzima shift yakhe emgangathweni. Ixhoba ugwetyelwe, wakhululwa kuso ingubo yokwaleka, sithulwe ibhanti. Ingongoma ebalulekileyo indawo efanele kwezandla umkhululi lowo. Intende ibekwe phezu wesithathu esezantsi esifubeni, zibekwe phezu owesibini. Zombini iingalo kufuneka ibe ngqo kwi iingalo. Imilenze ezi aa Incopho phezu kwentamo. Kwakhona, namasundu kufuneka kangangoko imeko unbent kwi esihlahleni joint - ngeminwe avuswe. Kwesi sikhundla, uxinzelelo kwentamo kwi wesithathu esezantsi inxalenye yokuqala entendeni luyenziwa. Ngokucindezela bamele uphakamisa olukhawulezileyo kwentamo. Kuba nokolula iingalo zayo lwasuswa kumphezulu emva press nganye. Amandla afunekayo ukuze kuka-cm kwentamo 4-5 inikwa kuphela izandla zakhe, kodwa ubunzima osindisayo. Kulo mba, ukuba ixhoba ungqengqe esofeni okanye kwesingqengqelo, ngoko ekuncediseni ngcono ukuma ukwindlela yokuma. Ukuba isigulana phezu komhlaba, kuya kuba lula phezu amadolo ono-. Nezihlandlo compressions - 60 imivumbo ngomzuzu. Kwimeko wokuziphatha enxuseneyo yokuthanjiswa ezesifuba umoya nabantu ababini kwelinye umoya wenza 4-5 utsalo emabeleni, umntu 1 - 2 Ukuphefumla ngenxa 8-10 compressions.

ukwengeza

Ukusebenza okubi ihlolwe ubuncinane 1 ngexesha ngomzuzu. Kufuneka ngexesha elifanayo banikele ingqalelo kule izinga intliziyo kwingingqi kwemithambo carotid, imeko abafundi kunye nobukho ukuphefumla zidityaniswe, noxinzelelo lwegazi kunye nokwehla cyanosis okanye isiyezi. Phambi nezixhobo ezinxulumene bazamile ukuba intw nokubandakanywa intracardiac 1 ml ka 0.1% epinephrine okanye 5 ml ezilishumi ekhulwini isisombululo ngecalcium chloride. Kwezinye iimeko, ukufunyanwa ubuchule contractile komzimba enokwen- Punch elibukhali kwiziko kwentamo. Xa efumanise ventricular fibrillation wasebenzisa mshini. Ukupheliswa bazamile kwenzeka ngemizuzu 20-25 emva kokuba isiqalo ukungabikho result nokuqhathwa.

iingxaki kunokwenzeka

Isiphumo oqhelekileyo compressions zesifuba yi iimbambo ngaso. Eyona nto kunzima bakuphepha le amaxhoba ebantwini abadala ngenxa yabo esifubeni akukho inokusityeda kunye nezimo njengoko omncinane izigulane. Alufane ezenzeka umonakalo intliziyo kunye nemiphunga, iqhuma esiswini, udakada nesibindi. Ezi iingxaki isiphumo ukuphululwa ngokobuxhakaxhaka Umthamo ezingachanekanga kunye noxinzelelo ebonakalayo phezu kwentamo.

ifile

Eli xesha ithathwa iqonga yokufa kwaye ingathityazwa. Yena kukhatshwa yokuduka wabonakala lwangaphandle ubomi babantu: ukuphefumla, izinga intliziyo. Kodwa ke oko akuthethi uphawu utshintsho ayibuyiseki umva zomzimba kunye namaziko. Ngokuqhelekileyo, ubude bexesha yimizuzu 5-6. Ngeli xesha, usebenzisa ebomini loo mntu ukubuyisela imisebenzi ebalulekileyo. Emva eli xesha uqale utshintsho vuhlayiseki. Bona ichazwa kwimeko yokufa eziphilayo. Kule meko akunakwenzeka ukuba ukuphumeza ukuphucuka ngokupheleleyo amalungu kunye neenkqubo. Ubude lokufa onyango ixhomekeke ubude kunye nohlobo aqhawukayo, ubushushu bomzimba, ubudala. Umzekelo, xa usebenzisa emzimbeni ngumntu kakhulu (yandisa t ukuya degrees 8-12) ixesha angandiswa iiyure 1-1.5.