Ezosizo oluphuthumayo e wokugoqa: algorithm yezenzo

Goqa kwenzeka e-acute ukwehluleka kwegazi. Kulesi isifo uwela ithoni ngokucijile semithambo, ngakho amaseli igazi kakhulu. ezosizo oluphuthumayo e wokugoqa ngokushesha, ngoba ngenxa yokuntuleka kwezinhlelo ezibanzi isinyathelo esifanele, ukufa, zingaba khona ngenxa lemali enganele umoya-mpilo ekhiqizwa ubuchopho.

Lapho kufanelekile ukunikeza usizo lokuqala e wokugoqa?

Uma umuntu enenkinga semithambo nciphisa, ukwelashwa okuphuthumayo kufanele kwenziwe ngokushesha ngangokunokwenzeka. Lesi simo sivezwe ngokucacile kakhulu, ngeke kudidaniswe isiphi esinye isifo. Izinkomba ilezi:

1. Ukuwohloka masinyane futhi abukhali empilweni yomuntu, kanye izimfanelo sangaphandle lesi simanga ayikwazanga uyalandelwa.
2. Ukubukeka ikhanda ngamabomu okukhulu kakhulu.
3. Ubumnyama phambi kwamehlo isiguli bazwakalisa ukunwetshwa enamandla abafundi bakhona.
4. Umuntu nje ubona ukubonakala umsindo ezindlebeni.
5. Ubuhlungu syndrome enhliziyweni. Bangase balwisane ukungakhululeki ngokulinganisela.
6. ubuthakathaka Sinzima, disorientation njalo. Lesi simo libhekene yokufikelwa, ngoba ngisho ne ukufika muntu akanayo amabutho ngokushesha bavuke.
7. ukwehlisa wegazi.
8. Skin buphela ngokushesha. Lokhu kwenzeka njengoba fast lonke ukubukeka izimpawu kokuwa. Ngemva kwemizuzu embalwa ngaphandle isikhumba usizo oswakanyiswe kakhulu, babe abandayo. Okulandelayo wenza cyanotic.
9. Kukhona imimese izici ebusweni.
10. izinguquko manifest ukuphefumula. Kuba njalo kakhulu, ngomsindo yayo ngokucacile, njengoba kwenziwe ijubane gusty.
11. Kunzima kakhulu ukuhlola ishayela lesiguli.
12. Ngokuvamile umuntu ulahlekelwa ukwazi isikhathi eside, akukho zinyathelo nokuvuselelwa awukwazi ukuthola phezu kwalo.

zosizo lokuqala

Nikeza usizo lokuqala ukuwa wonke umuntu uyakwazi. Lokhu akusho khona udokotela. Kufanele wazi ukuthi ukunikeza usizo oluphuthumayo e wokugoqa. I algorithm ngempela voluminous. isidingo sakhe ukuze ufunde futhi bakwazi ukufeza, hhayi ulahleke uma kwenzeka isimo esibucayi eyomunye umuntu.

Uma ungenalo ukwenza isenzo letifanele, isimo sengqondo esibi, kungenzeka kugcine ekufeni. Lapho zonke izinto udinga ukukhumbula ukuthi noma ikuphi ukuzindela luba nomthelela ongemuhle nesineke, ngakho kufanele basize ngokushesha futhi esiwujuqu.

Uma kwakuba khona nciphisa endaweni yomphakathi umuntu futhi inikele usizo lokuqala ungakhululekile, kubalulekile ukubeka kahle. Isiguli usesimweni lisalele. Kuyadingeka ukuba abeke emhlane wakho ukuletha ibhalansi. Kungcono ukukhetha endaweni eqinile ngaphandle uhlevane, ngakho abangele ukulimala.

Embhedeni ukuba baphathe isiguli zingenzeki ngenxa umsungulo yayo ukuvimbela ezinye izinyathelo. Uma lutho watholakala bushelelezi, singakwazi ukubeka indoda phansi, pre-walala endaweni ngendwangu. Inhloko kuyinto izimisele kancane. Kungenzeka ukubeka ngaphansi kwaso umcamelo encane noma enye into ethambile. Izinyawo kumele isuswe futhi ikhiyiwe kulesi sikhundla. Kungaba zithweswe kubo isixha noma iyiphi impahla, roll roll ozungezayo. Uma kungekho izinto ezifanayo, ezinye ababekhona abakwazanga ukubamba izinyawo zabo kule sikhundla ephakanyiswe.

Uhlu izenzo ezidingekayo

1. ezosizo oluphuthumayo e wokugoqa kuhilela nesidingo sokuqinisekisa ukuthi konke kungaba cindezela umzimba wesiguli, ukungayeki sikwazi ukuphefumula, kubalulekile ukususa noma ukuhlehlisa. Kuyadingeka ukuba asuse ibhande, ukuhlehlisa cuffs kanye collar. Ungakwazi ukudubula izingubo amaningi ngangokunokwenzeka, kodwa kufanele zonke kwenziwe ngokushesha.
2. Othile kufanele ngokuthi "fast" kuze ezosizo oluphuthumayo kuzoba wokugoqa. Uma phakathi kwalabo abakhona kukhona udokotela noma umuntu onolwazi usizo lokuqala, kubalulekile ukuthi nguye emisebenzini nokuvuselelwa. Uma umuntu okwaziyo ukusiza, eyedwa, kuyatuseka parallel ukubiza i-ambulensi bese uqhubeke ukusebenzisa izinyathelo ezidingekayo ukubuya ukwazi isiguli.
3. Ikamelo kufanele abe amaningi umoya ohlanzekile. Kuyadingeka ukuba uvule iwindi. Uma kungenzeka, yenza umoya-mpilo ephefumula.
4. Isiguli ukushisa ewusizo. Ngaphambi kokufika odokotela kudingeka senze kube nokwenzeka ngathi emoyeni efudumele egumbini usebenzisa heater, amabhodlela ashisayo-amanzi ukuphoqelela esigulini phakathi kwazo zonke izinhlangothi zomzimba.
5. Ukuze Ikhala lomuntu kulethwa ammonia. Kungaba aphaphame. Uma leli thuluzi ayitholakali, ungase uthande ukuvuselela umsebenzi ubuchopho. Lokhu massage kokubili izindlebe, amathempeli, kanye nezindawo lapho kukhona ikhefu udebe eliphezulu.

Izici usizo

Phakathi wokugoqa, okuyinto is phetho ukopha okusezingeni eliphezulu, kubalulekile ukuba imbangela ukopha kakhulu ngokushesha. Ngokuvamile-ke umthetho tourniquet ukuvimbela ukufa, lapho kwakukhona wokugoqa. Umtholampilo, ukunakekelwa okuphuthumayo oyokuba ngemva ukufika udokotela, obangela ezinye izinyathelo ukwelashwa. Lapho lesi siguli evuka, ungamniki luwukuphumula okuphelele. Akubalulekile ukugcina abawucela kuye mayelana nesimo sezempilo. Kungcono ukuyibuka kusuka isimo.

izenzo kungavunyelwe

1. Lapho kwenziwe usizo lokuqala e wokugoqa, akunakwenzeka ukunikeza isiguli ukuba baphuze amaphilisi ezinhlungu noma uthathe noma imithi yokwelapha engiyisebenzisayo ethonya ukunwetshwa imithambo yegazi. Lokhu kungaholela imiphumela ebuhlungu ngisho nokufa.
2. Ukuzama athutha kwaphoqa emphinjeni isiguli noma nganoma imaphi amalungiselelo ketshezi medicamentous, uma yena wayelele, akunakwenzeka. Lapho ngomzamo singenzeka reflex ukuboshwa zokuphefumula.
3. Ukunikeza ngempama indoda, okwamenza ukwazi. action izibalo ngokuvamile musa ngcono isimo, kodwa ukwandisa ukucindezeleka lesiguli kuphela.

Nokufaneleka imithi e wokugoqa

imithi ngokuvamile udokotela, kodwa khona iziqu efanele phakathi kwabanye iyakwazi noma uma ungakwazi ukufaka isikhalazo esibhedlela amalungiselelo abo. Lapho ukushaqeka kwenzeka, nciphisa, usizo lokuqala kubaluleke kakhulu. Uma imithi ayitholakali, kufanele ngokushesha athumele othile kubo ikhemisi. Okokuqala, ketshezi busuka umzimba kulesetayelekile kwegazi inqubo.

izidakamizwa Basic ngesikhathi wokugoqa

Ngokuvamile ngokuyinhloko kusetshenziswa ukumnika emthanjeni izidakamizwa ezifana sodium chloride noma solution, Ringer. inombolo Fixed is ayizange inikezwe. Ekunqumeni umthamo kumele baholwe izimpawu ezibonisa ukuthi ngiyagula isiguli:

1. isimo sokungapheleli komuntu Jikelele, iqoqo izinkomba ukuthi ukucacisa ukusebenza futhi Izibikezelo lesi sifo.
2. Shade zesikhumba. ebaluleke nakakhulu ngebala, ikakhulukazi unxantathu Nasolabial. Akufanele kube eliphaphathekile kakhulu. Uma umbala iseduze ezimhlophe, kuzodinga isixazululo vasodilator ngaphezulu.
3. Ukungabi noma khona diuresis.
4. Umfutho wegazi.
5. Imvamisa kwenhliziyo uhlanganise umfutho ezingxenyeni ezihlukahlukene zomzimba.

imikhiqizo eyengeziwe

1. Sidinga imithi ethile eqeda ukuvuvukala. Phakathi wokugoqa kuyatuseka ukuba libhekele ejenti ezifana: "metipred", "Triamcinolone" noma "prednisolone".
2. Futhi, ungakwazi ukungena emthanjeni pressor ejenti.
3. Kuyadingeka ukuba asuse masinyane spasm. Ukuze wenze lokhu, ngisho i solution ajwayelekile novocaine, ungafaka. Uma uthanda ukwenza intramuscularly umjovo, kungcono ukusebenzisa "Chlorpromazine".

Eziphuthumayo Usizo lokuqala ukuwa isidingo, akusiyo njalo ambulense angafinyelelwa ngokushesha. Ukuze ukwazi ngempela ukusiza umuntu ukukhumbula iqoqo imiyalelo nangokunembile enze wona uma kunesidingo. Ngokuvamile usizo phezu okuvela nciphisa iyona kuphela indlela yokuphila komuntu asindiswe.