Zoncedo lokuqala (PMP) kwizaphuko: uzaleke isondo yokubopha hemostat, ekuthwaleni ixhoba

Ngena kwi imeko kaxakeka ngayo umntu ngamnye. Kwaye kulo mzekelo, ulwazi imithetho zoncedo lokuqala unako ukusindisa ubomi. Eyona nto ibalulekileyo - yokulondoloza ukucacisa izimvo, kwaye zama ukulawula, nto leyo ifuna uqeqesho olulodwa.

CPR PMP

Umsebenzi womntu, ngubani na uncedo lokuqala - ukwenza ezichaphazelekayo okubi kunokuba kunjalo ngoku. Kufuneka ukudambisa iintlungu kunye nokubonelela ukuphumla indawo yonakele. Lo msebenzi engundoqo yokhathalelo lwempilo (PHC) kwizaphuko.

Inyathelo lokuqala kukuba ukuvavanya ubuzaza imeko yexhoba baze babone yokwenzakala. Emva koko, ukuba kuyimfuneko, ukunqanda ukopha. Ngaphambi kokufika uncedo ngobuchule kucetyiswa ukuba umntu, ingakumbi xa sele ukwaphuka emqolo okanye ukulimala zangaphakathi. Kwezinye ngobungxamo likaxakeka kuloo ndawo kubalulekile. Kulo mzekelo, sebenmzisa i lokukhwelisa ngqwabalala okanye namakhaka.

ukonzakala Asihlali kufuna indlela eyahlukileyo kancinane. Kuyimfuneko ukuba icele i bachaphazelekayo yalityatya ibhasi, amnike indawo physiologic ngakumbi. Qiniseka ukuba ukulungisa ilunga phambi nasemva ezinjengokwaphuka. Ukuba akukho ezinye izikhalazo, ixhoba ihanjiswa esibhedlele.

Vula okanye zivalwe zaphuka?

PMP ku Ukophuka ixhomekeke imilo, uhlobo nobukhali umonakalo. Ngethuba loviwo lwe ixhoba kuyimfuneko ukumisela uhlobo ngokwaphulwa, njengoko kuxhomekeke ukuba uncedo lokuqala liya kuba sisemi ezahlukeneyo. Ekuqulunqeni nasiphi na isifo lusekelwe kwindlela ethile. Kwimeko apho ngokwaphulwa zikhona iimpawu lwezizalwane ingundoqo ezibonisa ubukho yokwenzakala.

eziveza ahlobene:

1. Pain. Xa uthinte, zama ukutshintsha indawo kwesebe owenzakeleyo kuvela ubuhlungu.
2. Ayanda. Ifihle indlela ngokwaphulwa, yinxalenye impendulo yokukrala kukwenzakala, Oluma inyama ithambile kwaye ungahambisa iziqwenga ithambo.
3. Hematoma. Oku kubonisa ukuba isidima vasculature uphazanyiswe kwisiza yokwenzakala.
4. umsebenzi kwamehlo. Kubonakala ukunciphisa iihambo okanye bokungakwazi ukumelana nomthwalo njengesiqhelo.

eziveza Kuphelele:

1. Strange, ukuma ithambo nemvelo, deformation yayo.
2. Ubukho ukuhamba, apho zange zabakho.
3. Ubukho crepitation (amaqamza) phantsi kwesikhumba.
4. Ngenxa ukwa evulekileyo ngeliso lenyama kolusu ebonakalayo namaqhekeza ithambo.

Yiloo ndlela ubukho kunye nohlobo ngokwaphulwa na kumiselwa ngaphandle kokusebenzisa izixhobo ezintsonkothileyo.

Ukwaphuka nemilenze

PMP kwizaphuko le yengalo ukunika indawo yokugqibela echanekileyo yilungise umzimba. Ukuze wenze oku, Wayitsala ingalo uyibhekise ukuze zakha esinekona sasekunene, ndizifaxange izandla zakhe esifubeni nexhoba. Ukukhetha izinto splinting endana ngaphezu ingalo eliphezulu kunye brush. It lukhuselekile ukuba kwesebe kwindawo emihle, ngoko ke ingalo lunqunyanyisiwe kwi yokuxhela, nto leyo kwilaphu enxulumene icici aphoswe ngapha entanyeni ukuthintela umthwalo kunokwenzeka.

Gxalaba Ukwaphulwa ifuna maqhinga eyahlukileyo kancinane. Indawo kwesebe iqhotyoshelwe kwinkalo enye degrees alithoba, kodwa abeke amavili amabini:

• nomlenze ngaphandle kangangokuba wayeza kuwa ngezantsi engqinibeni;
• kumphezulu engaphakathi izandla ukusuka axilla ukusa engqinibeni.

Amavili pribintovyvayut kuqala ngokwahlukileyo, uze emva koko ukhuselekile kunye. Isandla kufuneka sixhonywe ibhanti, isikhafu okanye iqhekeza zenkqunto likufuphi. Ukuze kuthuthwe ixhoba esibhedlele kufuneka ehleli nje.

Ukwaphuka konyawo elisezantsi

Ukuze enze loo srl xa Ukophuka imilenze kufuneka Stock inani elikhulu amavili elide kwaye ububanzi (iiplanga shtaketin kunye m. P.). Ilungu immobilizing a yifemur nokunye, isondo wokuqala kufuneka uye phandle, isiphelo eliphezulu yaxokomezela nxamnye kwekhwapha fossa, kunye nezinye - ngaphambi kokuba afike mfumba. Ibhasi yesibini kuqhuba ukususela perineum ukuya elunyaweni, amanye ukuthetha kuye. Ngamnye kubo pribintovyvayut ngokwahlukeneyo zaza kunye.

Ukuba akukho nezinto amavili, ngoko ke unako kuyibopha ixhoba ukuya umlenze uninjured.

Ukwaphuka lesiquluba kufuna kumise efanayo hip zaphuka. Kwisibhedlele ixhoba bazihlangula kuphela elele.

Ukophuka ubambo bemihlathi

Ekubeni ezinjengokwaphuka imiphetho ukulungisa ukuba alinanto, isifuba zilurhangqile ebekwe bandage tight. Ixhoba ecetyiswayo ukuphefumla kuphela ngoncedo izihlunu esiswini ngaphandle zingaphazamisi esifubeni. Ukuba iqhiya akwanelanga, ungasebenzisa amaqhosha zelaphu okanye ngezikafu. Kubalulekile ukuba abantu kuyo nayiphi na imeko ongenakuxoka, njengoko ezibukhali amaqhekeza ukonakalisa imiphunga, intliziyo, uvalo punctured.

A umhlathi eyaphukileyo - amaninzi kwesiphumo umlo okanye ukuwa. Ngoko ke, kusengqiqweni ukucinga ubukho ixhoba kwakhona mala. uncedo lokuqala kulo mzekelo kukuba yokuzunguleza umlomo womntu, ukuba umnike iintlungu kwaye yokutshixa bemihlathi umhlabelo, kuqhina iziphelo ngaphezulu. Eyona nto ibalulekileyo - esweni imeko ulwimi, ngoko ke ayithethi zilala phezu iphecana sokuphefumla. Ukuba ixhoba zingqondweni, kuyimfuneko ukuba ndiyibeke phezu ecaleni layo okanye ngobuso phantsi. immobilization Uthutho for kwamathambo intloko kufuneka ube ukwimeko tye. Oku kuya kuthintela umthwalo kwi ithambo ezonakeleyo ukunqada ukutsarhwa.

uncedo lokuqala waphuka ezivulekileyo

PMP kunye ngokwaphulwa evulekileyo kufuneka zinikwe ngokukhawuleza kangangoko kunokwenzeka. Kulo meko, umngcipheko iingxaki ezifana njengomothuko buhlungu, ukuwa, ukunyuka ukopha omkhulu kakhulu.

Ngoko ke, ukulandelelana yezenzo ngolu hlobo lulandelayo:

1. Hlola ixhoba kunye ukuvavanya imeko yawo.
2. Mnike ndindisholo ukuthintela umothuko esibuhlungu.
3. Inkqubo inwebu inxeba kunye nesisombululo peroxide, ayodini, okanye nayiphi na enye kubola.
4. igozi wawuqalekisa ngobunono koma emazantsi kunye nokuphela kwegqabi inxeba.
5. amaxesha siphindwe eziliqela ukuba ukunyanzelisa umhlabelo, engenazintsholongwane enxebeni, kodwa hayi sicinezelweyo.
6. Ukuvelisa immobilization izixhobo ezikhoyo.
7. Xa kungekho tyala musa ukunciphisa i ziqwenga!
8. Biza i-ambulensi.

PMP nge ngokwaphulwa avaliweyo aya kuba amanyathelo ezifanayo, ngaphandle kwezo zezo zinto, elibhekisela unyango isilonda.

immobilization

Immobilization - le immobilization le ezonakeleyo omzimba. Oku nakanjani okuba kwamathambo kwamathambo kunye namalungu, ezinjengokwaphuka luvo neerhali kwezihlunu, ukutsha. Ngenxa yobuhlungu isiguli usenza iintshukumo ivele zombukiso umonakalo.

immobilization Transport kukunika ixhoba ngelixa ukugogeka, wada wasiwa esibhedlele. Ekubeni ngoxa uqhuba ezithile Abokuhlunguzelelwa alinakuze, i nitrogen kakuhle isigulane ukuba mandundu le meko.

Kukho imithetho phantsi apho okubekwe ivili uya kuthabatha buhlungu okwelo kwixhoba.

1. Iso- kufuneka zibe nkulu ngokwaneleyo ukuba zifake ilunga ngasentla ngezantsi site zaphuka. Kwaye ukuba ezonakeleyo hip yenze umlenze yonke ngokupheleleyo.
2. Akha ibhasi okanye impilo kwesebe ochaphazelekayo, okanye ngokwabo, kungekhona ukuba ukuphazamiseka eyongezelelweyo isigulane.
3. emoto eyalekeneyo kuvelisa phezu kwempahla ukuthintela usulelo inxeba.
4. Ukuze siphephe izilonda uxinzelelo kwiindawo ezikufutshane indawo wethambo nolusu, phantsi ibhasi, ufake impahla ethambileyo.
5. Bus azifani ngecala apho thambo eyaphukileyo kuphuma kuba akuvumelekanga ngokungqongqo ukuba anciphise ukufika pre-esibhedlele.

Types of isondo yezonyango

khathala Medical ingaba utshintsho ezininzi ngokuxhomekeke ngenjongo yokuba ukusetyenziswa kwayo. Kukho ibhasi-afakelweyo, abagcina kummandla ochaphazelekayo endaweni enye, kwaye endaweni inxalenye ithambo elishiyiweyo.

Ezi ndidi zilandelayo amavili immobilization:

• ITire Kramer - wasenzela uthango, umsebenzi iingcingo ocoliweyo, apho phezulu isale ngeengcamba eziliqela kwithishyu ethambileyo okanye bandage. Le Isakhelo Anizukunikwa imilo, apho kuyimfuneko kwimeko ethile, loo nto yenza kube jikelele.
• ITire Dieterichs - imele iibhodi ezimbini ngomthi ezinemingxuma eweva khona apho iirholithi anaba okanye kwithishyu. Nditsho isethi kuquka izingxobo ezincinane tyaba, nto leyo lifakwa emnyango, ukulungisa ivili kwi kwinqanaba elifanelekileyo.
• Le ivili womoya Medical - kwigumbi etywiniweyo ngaphakathi apho umlenze owenzakeleyo ibekwa. Emva koko, phakathi kweendonga zayo Bavuthela emoyeni, yaye inxalenye umzimba ngokuthembekileyo ezisisigxina.
• Bus Schantz - inekhola-yokutshixa, nto leyo lisetyenziswa izifo yomqolo, kwakunye nokuthintela dislocation wesibeleko ngexesha yokwenzakala umva.

PMP nge ukopha

Ukopha - njengesiphumo phula ingqibelelo kodonga inqanawa. Kunokuba zangaphandle okanye zangaphakathi, emithanjeni, lwemithambo okanye capillary. Ukukwazi ukumisa igazi kuyimfuneko ukuphila kwabantu.

PMP ne ukopha kuthetha nokugcina imithetho ethile.

1. Hlamba le inxeba elophayo kuyimfuneko kuphela xa kuthe ukuba kwakukho izinto abuhlungu okanye ezinetyhefu. Kwimeko ubumdaka (intlabathi, intsimbi, umhlaba) indawo yokuhlamba amanzi akakwazi zonakale.
2. Xa kungekho tyala musa kuthambisa inxeba. Oku kuthintela impiliso.
3. Inwebu inxeba bomatshini ukuwuhlamba ziphathwe isisombululo kubola.
4. Musani ukubachukumisa izandla zakho onenxeba elivulekileyo okanye susa egazi igazi njengoko ezi egazi zinqanda ukopha.
5. Susa imizimba angaphandle ukusuka inxeba inokuba ngugqirha kuphela!
6. Emva tourniquet kufuneka ngoko nangoko ubize inqwelo yezigulana.

bandaging

Le lokunxibela lisetyenziswa ngqo enxebeni. Ukuze wenze oku, sebenzisa umhlabelo, engenazintsholongwane okanye ngelaphu elicocekileyo. Ukuba uyathandabuza malunga inzalo ka umbandela, kuya kuba kuhle ukuba athontsize iodine kuyo, ukuze ndawo lwaba phezu inxeba. On top of the laphu elele mqengqeleki umhlabelo okanye cotton wool kunye tight ngayo pribintovyvayut. Nge bandaging olufanelekileyo ukopha wayeka, yaye akukho manzi.

• Qaphela: Ngenxa ngokwaphulwa evulekileyo thambo lithe tso umhlabelo ekhaya yaye ubeke amathambo akuvumelekanga! Ngokwaneleyo ukuze benze umhlabelo!

Tourniquet okanye ukujijwa kusini

tourniquet Hemostatic abe njenge uncedo ukopha ekulweni, nokwandisa ubukhulu karhulumente ixhoba. Le entamo babhenela kuphela xa ukopha enzima kakhulu ukuba ayikwazi ukumiswa zezinye iindlela.

Ukuba ke isandla yezonyango rubber band, ngoko ilingane umbhobho eqhelekileyo obhityileyo. Ukuze songe eluswini, kusenokwenzeka ukuba inyanzelise twist impahla (ingalo okanye umlenze), okanye ubeke isiziba nayiphi na inyama eqinileyo. Le finiteness le tourniquet isongwe izihlandlo eziliqela, kangangokuba jiko hayi abangelwa kwi omnye komnye, kodwa kwakhona izikhewu phakathi kwabo na. Lokuqala - songqamano, kwaye kwimfuno ngamnye emva qinisa ngakumbi. tourniquet Hemostatic kungenziwa nto zibambene nayo xa igazi, okha ayeke khona. Qiniseka ukuba babhale phantsi ixesha ngokubekwa awayezinxibile ikhuselekile kwindawo esemboniselweni. Kwiinyanga ezifudumeleyo, uyakwazi ukugcina ukuya kwiiyure ezimbini, kwaye engqeleni - ngeyure kuphela.