Impilo, Imithi
Ukubusa ephoqelela ngebhandeshi futhi tourniquet. Regulations ngokuphathelene bintovyh kusaladi. Regulations ephoqelela ngebhandeshi ingcindezi
Usizo lokuqala ukuba izisulu ilimele, waphuka, Ukwenyela, ukulimala umsipha, nemivimbo, ukusha kanye nezinye kuba nzima ngaphandle ngesikhathi esifanele futhi ngokufanele isichibi. Ngempela, sibonga Ligation evimbela ukutheleleka obengeziwe enxebeni ukopha kwenzeka, nenkanuko edlulele ka waphuka ngisho ukuqala nomphumela oqabulayo ku isilonda.
Ukugqoka nezinhlobo
Igatsha lomuthi etadisha imithetho bandaging futhi amahhanisi, izinhlobo zazo kanye izicelo, ngokuthi desmurgy (desmos Greek - amahanisi, ukugqoka futhi Ergon - ukukhishwa icala).
Ngu definition, ibhandishi - indlela yokwelashwa yokulimala kanye amanxeba, okuyinto ukusebenzisa:
- ukugqoka impahla sisetshenziswa ngqo wamanxeba;
- Ukubopha ingxenye elingaphandle, okuyinto elungisa sigqoka.
Ekhuluma ewukuhlakanipha okwenziwe avale, ngenxa yezizathu ezihlukahlukene, kungase kube:
- amaphakethe sigqoka ekhethekile;
- napkins;
- swabs ukotini;
- gauze amabhola.
umbono | incazelo | zinhlobo |
Avikelayo noma ezithambile | Siqukethe impahla lisetshenzisiwe isilonda, ukuvikela ibhandishi Isetshenziswa ezimweni eziningi, ngokuba ukusha, nemivimbo, amanxeba avulekile |
|
Immobilization noma okuqinile | It siqukethe le sigqoka futhi isondo Esetshenziswa ukuthutha isisulu, ekwelapheni ukulimala kwamathambo nebudlelwano bawo nokunwebeka |
|
Usizo lwezempilo ngenxa yokulimala
I inqubo yokusebenzisa patch ngokuthi Ligation. Umgomo yalo iwukuba isidingo ukuvala isilonda:
- nokuvinjelwa ukutheleleka okwengeziwe;
- ukumisa ukopha;
- ukuze kunethonya nomphumela oqabulayo.
Imithetho General ephoqelela amabhandeshi on amanxeba kanye nokulimala:
- Geza izandla ngokuphelele ngensipho namanzi, uma lokhu kungeke kwenzeke, kufanele okungenani ukubaphatha isinqandakuvunda ekhethekile.
- Uma ukulimala - enenxeba elivulekile, esikhumbeni azungeze yakhe ngobumnene ukusingatha isixazululo utshwala of hydrogen peroxide noma iodine.
- Beka isisulu (isiguli) kule sikhundla ukhululekile (ehlezi, elala phansi), ngaleyo ndlela linikeze ukufinyelela okulula isayithi lilimele.
- Ilowo muntu phambi isiguli ukubukela asabela ngayo.
- Qala bona ambathe izembatho 'evulekile "ngebhandeshi kusuka kwesokunxele kuya kwesokudla, kusukela azungeze esitho maqondana umzimba, okungukuthi kusukela phansi kuze, usebenzisa izandla ezimbili.
- Ingalo ibhandishi kufanele ibheke endololwaneni, izwe, umlenze - uqonde.
- I zokuqala ezimbili noma ezintathu ematfuba (round) kufanele izibambe salokhu ngebhandeshi liboshwe laqina endaweni encane njengoba yayinjalo.
- Ngaphezu kwalokho Swathe kulandela ukungezwani mfaniswano ngaphandle imibimbi.
- inzuzo ngayinye amahanisi odlule ihlanganisa cishe ingxenye eyodwa ububanzi lwesithathu.
- Lapho endaweni elimele ezinkulu, ngebhandeshi akukwazi okwanele, kanti ngaphansi ukuphela lokuqala buyela ekuqaleni yesibili, gcizelela leli phuzu ikhoyili isiyingi.
- Qeda sigqoka, okwenza ezimbili noma ezintathu inzuzo kokungathembeki ibhandishi.
- Njengoba i nenkanuko edlulele ngebhandeshi ezengeziwe kungenziwa uthathe amabili izingxenye ekupheleni ukuwela phakathi kwawo, ukuze indulungu sigqoka futhi tie ifindo eqinile.
izinhlobo eziyisisekelo amabhandeshi bintovyh
Ngaphambi ufunde imithetho ephoqelela bintovyh kusaladi kumele ayejwayele izinhlobo amahhanisi ongakhetha ukusetshenziswa yabo.
izinhlobo amabhandeshi | ukusebenzisa |
amabhandeshi Izacile, ububanzi 3 cm, 5 cm, 7 cm ubude 5 m | Bona perebintovyvayut iminwe olimele |
Isilinganiso ngebhandeshi ububanzi 10 kuya 12 cm kanye nobude 5 m | Ifanele Ligation nge ukulimala ekhanda, ngemilenze, engenhla futhi emikhawulweni aphansi (izandla, izinyawo) |
ibhandishi elikhulu kokuba ububanzi mkhulu kuka-14 cm, futhi ubude 7 m | Isetshenziselwa ukusebenzisa amabhandeshi phezu kwesifuba, emathangeni |
Ukwahlukanisa bintovyh kusaladi:
1. By hlobo:
- Aseptic owomile;
- ezomile isinqandakuvunda;
- nomfutho wegazi ophezulu uDries ezimanzi;
- ukuphokophela;
- occlusive.
2. ephoqelela indlela:
- isiyingi noma Kuvunguza;
- vosmiobraznaya noma cruciform;
- oyinyoka noma ezinwabuzelayo;
- spicate;
- ufudu ngebhandeshi: etshiyeneyo kanye convergent.
3. kwasendaweni:
- ekhanda lakhe;
- esitho elingenhla;
- emkhawulweni aphansi;
- ku esiswini kanye ukhalo;
- phezu kwesifuba;
- entanyeni.
Regulations ngokuphathelene amabhandeshi ezithambile
Bintovye kusaladi ehambisana abalimele kakhulu izimo. Bona ukuvimbela yesibili isilonda ukutheleleka ukunciphisa imiphumela emibi imvelo.
Regulations ngokuphathelene ngebhandeshi ezithambile zimi kanje:
1. isiguli esamnika ukhululekile:
- e izilonda ikhanda, entanyeni, esifubeni, nemilenze engenhla - Uhlezi;
- uhlukunyezwe esiswini, ukhalo, izingxenye engenhla kwamathanga - yizikhukhula.
2. Khetha ngebhandeshi ngokuvumelana nohlobo umonakalo.
3. Chitha perebintovki nqubo besebenzisa imithetho eyisisekelo sigqoka ukugqagqana.
Uma wenze ngebhandeshi, sigcina imithetho Imbondela ye amabhandeshi oyinyumba, licindezele ngeke bahlangabezane nalezi zidingo ezilandelayo:
- kutsetselelwe endaweni ezilimele;
- kungaphazamisi igazi evamile futhi lymph ukuzungeza;
- ngikhululekile isiguli.
uhlobo | ngokuvamile ukugqoka |
abnet | Okubekwe phezu endaweni esihlakaleni, the ephansi engezansi umlenze, ebunzini nokunye. Bint esikhulu Kuvunguza njengokungathi ukweqisa, futhi ngaphandle kwazo. Ngebhandeshi nge ukweqisa is best kwenziwa izingxenye zomzimba ukuthi isimo okukakhenoni |
ezinwabuzelayo ibhandishi | It ligamanxa injongo nenkanuko edlulele kwangaphambilini we sigqoka endaweni elimele |
ngebhandeshi engu- | Okubekwe ngumuntu ukucushwa ensimini eziyinkimbinkimbi Ngokuhamba sigqoka ibhandishi kufanele uchaze eziyisishiyagalombili. Ngokwesibonelo, patch cruciform phezu kwesifuba kwenziwa ngendlela elandelayo: 1 Yiqiniso - ukwenza eziningana linemibhikisho isiyingi yonkana esifubeni; 2 unhlangothi - ngebhandeshi yonkana ukuziphatha esifubeni naperekos kwelungelo endaweni axillary kuya ibhodi lemisindo kwesokunxele; Cycle 3 - ukwenza phendula ngemuva phezu ibhodi lemisindo onqamula kusuka lapho ibhandishi baphinde bayiswa phezu kwesifuba bubheke ikhwapha ngakwesokunxele, kanye ezabekwa ungqimba kwangaphambili; unhlangothi 4 no-5 - ibhandishi baphinde bayiswa ezweni emuva isiqondiso ikhwapha kwesokudla, okwenza vosmiobrazny isinyathelo; ukulungisa Yiqiniso - ngebhandeshi laqina esifubeni okungaguquki |
Spica | Kuyinto uhlobo vosmiobraznoy. Imbondela zayo, ezifana ngokuhlanganyela ehlombe wenziwa ngendlela elandelayo: Yiqiniso 1 - ngebhandeshi Kwenziwa ngokusebenzisa esifubeni ngumuntu axilla enempilo ehlombe okuphambene; unhlangothi 2 - Front ngebhandeshi ehlombe isiketi, Ohlangothini olungaphandle, misa, axilla, futhi ngokusebenzisa emahlombe obliquely ephakanyiswe, ukuze uwele ungqimba kwangaphambili; 3 Yiqiniso - ukuchitha ngebhandeshi yonkana ikhwapha emuva emuva impilo; unhlangothi 4 no-5 - ukuphindaphindwa imivimbo ngowokuqala wesithathu, kokubona ukuthi ungqimba omusha ngamunye is esikhulu ngebhandeshi kancane ngenhla sangaphambilini, ukwakha iphethini ezimpambanweni zomgwaqo "spike" |
Turtle ibhandishi | Isetshenziselwa ukugqoka emalungeni Etshiyeneyo ufudu ngebhandeshi:
Bebuthanela ufudu ngebhandeshi:
|
Ligation ikhanda
Kunezinhlobo eziningana amabhandeshi ekhanda lakhe:
1. "cap";
2. Easy;
3. "amatomu";
4. "cap Hippocratic";
5 kwelinye iso;
6. kokubili amehlo;
7 Neapolitan (indlebe).
igama | lapho isicelo |
"Chepets" | Ngo amanxeba engaphelele kanye ngemuva ekhanda |
elula | Lapho wamaphaphu izilonda occipital, parietal, ingxenye okuqondile ikhanda |
"Amatomu" | Ngo amanxeba ingxenye frontal Yekhanda, ubuso kanye umhlathi ongezansi |
"Cap sikaHippocrates" | Kukhona ingxenye umonakalo parietal |
Kokunye iso | Uma kwenzeka yokulimala wenye iso |
Bobabili amehlo | Lapho ngalimala kokubili amehlo |
Neapolitan | Lapho ukulimala indlebe |
Ngesisekelo imithetho ephoqelela amabhandeshi ekhanda lakhe lokuthi kungakhathaliseki ukuthi hlobo kusaladi wenza amabhandeshi ububanzi isilinganiso - 10 cm.
Njenganoma iyiphi ukulimala, kubalulekile ukuhlinzeka okufika ngesikhathi ukunakekelwa kwezokwelashwa, bese umonakalo ingqikithi ikhanda Kunconywa ukusebenzisa inguqulo elula we sigqoka - "cap".
Imithetho ukusebenzisa patch "cap":
1. Kusukela ngebhandeshi usike ucezu mayelana elilodwa ubude, ezizosetshenziswa njengoba izintambo.
2. ingxenye zayo phakathi lisetshenzisiwe okhakhayini.
3. semikhawulweni ezizibeni zibambe izandla zombili, lokhu kungenziwa noma umsizi noma yena nesineke, uma ezazi.
4. Isebenza ungqimba kokungathembeki ka ibhandishi emhlabeni ikhanda, engakafiki izintambo.
5. Qala evala ibhandishi emhlabeni uthayi bese, ekhanda.
6. Lapho befika ngasekugcineni kolunye uhlangothi drawstring, ibhandishi zihambisana phezu futhi ugebhezi wenziwa kancane ngaphezu ungqimba wokuqala.
7. izenzo okuphindaphindayo ukubopha ngokuphelele amboze sezinwele.
8. Ukwenza round kokugcina, ekupheleni ibhandishi kuboshelwe omunye ezizibeni.
9. I ezizibeni kuthiwa abethela ngaphansi kwesilevu.
uhlobo | ngokuvamile ukugqoka |
elula | Chitha ibhandishi kabili emhlabeni ikhanda. Isinyathelo esilandelayo phambili ukwenza goba bese uqalisa ukusebenzisa ibhandishi obliquely (kusuka esiphongweni kuya nape entanyeni), ethe xaxa kusukela ungqimba isiyingi. On the ngemuva ekhanda elinye futhi iphuzu inflection futhi kakade ukubopha kusukela kolunye uhlangothi ikhanda. Ihamba ulungise, bese usuphinda ukushintsha isiqondiso ibhandishi. Technique iyaphindwa kuze phezulu ihlanganiswa ngokuphelele, kuyilapho ungakhohlwa ukuze abhale yonke ezimbili etshekile unhlangothi ibhandishi |
"Amatomu" | Yenza ematfuba ezimbili emhlabeni ikhanda. ngebhandeshi Landelayo bacwilisa ngaphansi umhlathi ongezansi, kokuba ngaphansi indlebe yesokunene. Liphakamise emuva temechko ngokusebenzisa umbhalo endlebeni yangakwesokunxele, ngokulandelana. Yenza ezintathu ikhoyili ikhangele phansi ezifana whereupon ibhandishi kusukela yokunene wenziwa phezu kwegilo ngaphambili entanyeni, ikhanda obliquely edabula futhi izungeze lo ikhanda, ngaleyo ndlela ukulungisa izingqimba odlule. Isinyathelo esilandelayo futhi singaphindi ohlangothini lwesokudla ngaphansi umhlathi ongezansi, bezama ukucoshela ke ovundlile ngokuphelele. Khona-ke ibhandishi wenziwa ngemuva, ukuphinda lesi sinyathelo. Ngiyaphinda waphinda ukuhambisa ngokusebenzisa entanyeni, bese ekugcineni ukuvikela ibhandishi emhlabeni ikhanda |
Kokunye iso | It uqala ukugqoka enezingxenye ezimbili yokugcizelela ka ngebhandeshi, okuyinto eyenziwa esimweni ukulimala iso langakwesokunene kusuka kwesokunxele kuya kwesokudla, kwesokunxele - kwesokudla. Khona-ke ibhandishi is sehliswe ukulimala ekhanda, lufakwa ngaphansi indlebe, obliquely ngokusebenzisa esihlathini ihlanganisa iso futhi fixed Yiqiniso isiyingi. Isinyathelo liphindwe izikhathi eziningana, ungqimba omusha ngamunye esehlanganise ibhandishi odlule cishe isigamu |
Ligation ngoba ukopha
Ukopha - ukulahlekelwa igazi ephula ubuqotho imithambo yegazi.
uhlobo ukopha | incazelo | ngokuvamile ukugqoka |
lwemithambo | Igazi kuxhopha ubomvu futhi indiza kakhulu ejabhile | Umthelela isikhundla ngenhla isilonda ngesandla, wiring, noma twist sendwangu. Uhlobo ngebhandeshi - kwasani |
emithambo yegazi | Igazi ababethi amnyama cherry umbala bese ugelezela nombala | Ingxenye ezilimele zomzimba ukuthi siphakamise ephakeme, ukuphoqelela isilonda gauze luhlanzekile futhi ngebhandeshi uvalwe, okungukuthi ukwenza ngebhandeshi ingcindezi Tourniquet sisetshenziswa kusuka phansi isilonda! |
capillary | Igazi ivelele ngokulinganayo kuzo zonke amanxeba | Sebenzisa ngebhandeshi oyinyumba, ngemva kwalokho ukopha Kufanele uyeke ngokushesha |
ezihlangene | Sihlanganisa netimphawu tetinhlobo odlule | Abeke ngebhandeshi ingcindezi |
Parenchymal (yangaphakathi) | Capillary opha izitho zangaphakathi | Yenza sigqoka usebenzisa upulasitiki nge ice |
Imithetho jikelele for bandaging nge opha ithambo:
- Ngebhandeshi ibekwe ngaphansi esitho kancane ngenhla isayithi isilonda.
- Kuvele iphakethe ice (kuhle).
- Tourniquet elula kakhulu.
- Tie uphela.
Umthetho eyinhloko ngokusebenzisa isichibi - a tourniquet ibekwe phezu izingubo noma indwangu itshalwe ngokukhethekile (gauze, ithawula, isikhafu nokunye).
Nge izenzo kwesokudla, ukopha kumele kumiswe, futhi indawo amahanisi - Blanch. Qiniseka ukuthi ufake ngebhandeshi ngaphansi nothi usuku nesikhathi (amahora nemizuzu) kusaladi. Ngemuva usizo lokuqala ngeke sidlule eyodwa 1.5-2 amahora ukuletha olimele esibhedlela, kungenjalo esitho olimele ngeke ukwazi ukulondoloza.
Regulations ephoqelela ngebhandeshi ingcindezi
Ingcindezi ibhandishi kufanele zisetshenziswe ukunciphisa zonke izinhlobo ukopha yangaphandle endaweni ukulimala, kanye ukunqinda ukuvuvukala.
Regulations ephoqelela ngebhandeshi ingcindezi:
- Eduze isilonda isikhumba (mayelana emibili kuya kwemine cm) ziphathwe isinqandakuvunda.
- Uma isilonda has into angaphandle, kufanele ngokushesha asuswe ngokucophelela.
- Ngenxa sigqoka sebenzisa iphakethe ngomumo-ezenziwe sigqoka noma oyinyumba ukotini gauze roll, uma kungekho anjalo, kuyoba asondele ngebhandeshi, iduku elihlanzekile, napkin.
- Ngebhandeshi eqondiswa isilonda usebenzisa ngebhandeshi, isikhafu, scarves.
- Zama ukwenza ngebhandeshi Friend, kodwa musa overtighten endaweni ezilimele.
Qualitatively esikhulu ngebhandeshi compressive kufanele ukopha. Kepha uma ezala intombazana ayesengayigcina ofakwe igazi, akudingekile ukuba isuse ngaphambi kokuza esibhedlela. Kufanele kube nje Friend podbintovat phezulu ngaphambili esakhiwe ngaphansi ngebhandeshi entsha elinye iphakethe gauze.
Izici occlusive kusaladi
sigqoka Occlusive sisetshenziswa ukuqinisekisa hermetic ukwahlukanisa endaweni ezilimele ukuze ugweme ukuxhumana ngamanzi nomoya. Isetshenziselwa eyenza umuntu acabange eseZwini amanxeba.
Regulations ngokuphathelene kusaladi occlusive:
- Hlela isisulu endaweni awulutho kuNkulunkulu.
- Inqubo eseduze isikhumba nilimaza ejenti isinqandakuvunda (i-hydrogen peroxide, chlorhexidine, utshwala).
- Isilonda nasezindaweni ezizungezile yomzimba engaba cm emihlanu kuya kweyishumi isicelo usula isinqandakuvunda.
- Isendlalelo esilandelayo sisetshenziswa wamanzi futhi impahla emoyeni-eliqinile (ohlangothini ngempela oyinyumba), isibonelo, upulasitiki, epulasitikini, Indwangu rubberized, iraba ishidi.
- Isendlalelo yesithathu siqukethe pads ukotini gauze, edlala indima ukuqunjelwa.
- Zonke izingqimba uvalwe fixed ngebhandeshi ububanzi.
Lapho ngebhandeshi nekwendlala Kumele kukhunjulwe ukuthi ungqimba entsha ngayinye sigqoka Kufanele libe likhulu owedlule 5-10 cm.
Yiqiniso, uma kukhona kungenzeka esinjalo, kungcono ukusebenzisa IPP - ngamunye sigqoka iphakethe, okuyinto ngebhandeshi enamathiselwe amabili pads ukotini gauze. Omunye wabo iduduzekile kanye nezinye uhamba ngokukhululekile ngokusebenzisa ke.
Ukunqunywa kusaladi aseptic
ngebhandeshi Aseptic sisetshenziswa ezimweni lapho kukhona enenxeba elivulekile futhi ufuna sigweme ukuphindaphinda into ukungcola kwakhe nezinhlayiyana angaphandle. Lokhu akuhileli nje ilungelo lokubeka ibhandishi, okufanele kube oyinyumba, kodwa ngokuphepha uyivale.
Regulations ngokuphathelene kusaladi aseptic:
- Phatha inxeba ngamanzi ekhethekile isinqandakuvunda, kodwa noma kunjalo hhayi ukusebenzisa amanzi le njongo.
- Namathisela ngqo gauze ukulimala, nilimaza kunangendlela 5 cm, pre-esigingqwe izingqimba eziningana.
- Top Imbondela ungqimba zikakotini umswakama (kalula peelable) okuyinto mkhulu kunezinhliziyo gauze ngoba ngamasentimitha amabili kuya kwamathathu.
- Uvalwe silungise ukugqoka usebenzisa ngebhandeshi yezokwelapha noma kakhonkolo ingcina.
Kahle kahle, kungcono ukusebenzisa ezomile ngebhandeshi elikhethekile aseptic. Zakhiwa ungqimba impahla umswakama, okuyinto kahle ubamba igazi osushivaet isilonda.
Ukuvikela kangcono isilonda kusuka ukungcola kanye ukutheleleka, ngaphezu glue ukotini gauze ngebhandeshi nxazonke isikhumba usebenzisa ngethephu enamathelayo. Bese ulungise konke ibhandishi.
Lapho ibhandishi elifakwe ngokuphelele ngegazi, ke kufanele kuthathelwe indawo ngokucophelela nge entsha: ngokugcwele noma kuphela ungqimba phezulu. Uma lokhu kungeke kwenzeke, isibonelo, ngenxa yokungabi bikho lomunye oyinyumba sigqoka ikhithi, kungashiwo nilimaza podbintovat, pre-agcotshisiwe ngebhandeshi ofakwe iodine tincture.
Ukunqunywa isondo kusaladi
Lapho ngezinye waphuka lokuqala ziyolekelela ezibalulekile - kubathene isayithi ukulimala, kwabangela nobuhlungu enciphile futhi kuvimbele displacement izinsalela esikhathini esizayo.
Izibonakaliso eyinhloko ukwa:
- ubuhlungu obukhulu endaweni ukulimala, okuyinto akagcini amahora ambalwa.
- ukushaqeka esibuhlungu.
- Lapho ivaliwe ukwa - ukuvuvukala, edema, izicubu ukusonteka endaweni ukulimala.
- Nge i ukwa evulekile - isilonda kuyiphi kwezingcezu ithambo.
- ukunyakaza Limited noma ukungabakhathaleli nhlobo yalo.
Imithetho eyisisekelo ephoqelela amabhandeshi ngoba waphuka wemikhawulo:
- Ibhandishi kufanele kube immobilization hlobo.
- In the ukungabikho amathayi ispetsialnyh ingasetshenziswa izinto ngcono induku, umhlanga, nebhodi elincane, umbusi nokunye.
- Kubathene isisulu.
- Ukusebenzisa ezimbili ukwa nenkanuko edlulele isondo zihambisana ngendwangu elithambile noma ukotini.
- Sebenzisa isondo ku zombili ukwa, kufanele uthwebule emalungeni nangaphezulu umonakalo.
- Uma ukwa kuhambisana enenxeba elivulekile, ukopha kakhulu, bese:
- ngaphezu ukwa nesilonda esikhulu amahanisi;
- ibhandishi wamanxeba;
- ezinhlangothini esitho ezilimele kuthiwa esikhulu amasondo amabili.
Uma thina abeke yiluphi uhlobo ngebhandeshi okungalungile, esikhundleni usizo lokuqala, kungabangela umonakalo ongalungiseki impilo isisulu, okungase kubangele ukufa.
Similar articles
Trending Now