The othandizira. Zida chifukwa kupuma yokumba. zipatala

Mawotchi mpweya chakupulumutsa anthu mamiliyoni ambiri, ndi imodzi mwa njira yochizira. Uliwonse dipatimenti reanimation kapena tima mankhwala sachiza othandizira munthu kuthandiza munthu kugonjetsa mphindi yovuta matendawa.

Kupuma - izi ndi moyo

Yesani kukoka mpweya wanu, kuyang'ana pa wotchi yoyimitsa lapansi. Munthu wosaphunzitsidwa sangathe kupuma zosaposa 1 yokha, ndiyeno mukubwera mpweya kwambiri. Akatswiri kupirira kuposa mphindi 15, koma - chifukwa cha zaka zambiri za maphunziro.

Sitingathe kukoka mpweya wanu chifukwa njira zobwera chifukwa cha okosijeni mu thupi lathu mabasi konse - bola ngati tili amoyo, kumene. Zonse amasonkhana carbon dioxide, ndipo lifunika kusonyeza. Zonse muyenera mpweya, popanda moyo pawokha ndi zosatheka.

Kodi anali woyamba kupuma zida?

The othandizira woyamba yoyerekeza kayendedwe thorax, kukweza nthiti ndi kukulitsa nthiti. Iwo ankatchedwa "Chapachifuwa" ndipo ankavala pa chifuwa. Iwo amalenga mpweya makhalidwe oipa, ndiko kuti, mpweya involuntarily mawere mu kapepala kupuma. Ziwerengero za mmene kwenikweni izo, sanakhale ndi moyo.

Kenako m'zaka ntchito zipangizo monga kulipira bellows. Zokula mpweya anzawo anali zopanda "ndi diso". Mkulu zochitika za m'mapapo anawononga chifukwa kwambiri kuthamanga kotunga mpweya.

Modern zipangizo zogwiritsa ntchito.

Kuwala jekeseni chisakanizo cha mpweya ndi mpweya. Mavuto osakaniza pang'ono kuposa m'mapapo. njira izi ndi zosiyana ndi Maphunziro Akakhalidwe Kazolengedwa, koma mphamvu ya kwambiri wake: anthu onse olumikiza wagawo ndi, kupuma - kukwaniritsa.

Kodi zipangizo zamakono?

Aliyense othandizira ali ndi ulamuliro komanso kuphedwa mayunitsi. ulamuliro wagawo - ndi kiyibodi ndi chophimba kuti amasonyeza zolembedwa zonse. Makina ochapira zitsanzo kale dongosolo chosavuta, pali mandala chubu yosavuta, mkati chimene chimatichititsa ndi cannula. Movement wa cannula ndi kusonyeza mlingo kupuma. Palinso n'zotsimikizira kuthamanga, lomwe limasonyeza mavuto osakaniza jekeseni.

Akuphedwa wagawo - ya zipangizo. Choyamba, ndi paipi chipinda wosakanizira mpweya koyera ndi mpweya wina. M'chipinda, mpweya akhoza amaperekedwa ku payipi chapakati kapena yamphamvu. Centralized mpweya okwanira kukhuta mu zipatala zazikulu, kumene okwerera oxygen. Onse zonenepa zina okhutira, koma khalidwe la kupuma yokumba izi sizisintha.

Liwiro Mtsogoleri chofunika mpweya osakaniza. wononga ichi, chimene chimasintha awiri a chubu kupereka mpweya.

Zipangizo komanso wabwino kusanganikirana chipinda ndi kutentha kwa mpweya. Palinso mabakiteriya fyuluta ndi humectant.

Pakuti wodwala kupuma dera kupereka mpweya kulemera mpweya osakaniza ndi kumaliseche mpweya.

Pamene chipangizo amamangiriridwa ku mtima?

Izo zimatengera chikhalidwe cha munthuyo. Odwala amene anali Pomeza ndi kulankhula, mungalandire wopatsa moyo mpweya kudzera chinyawu. Unit n'cholinga choti "kupuma" m'malo mwa munthu ndi mtima, zoopsa kapena khansa.

Anthu amene sadziwa chilichonse, umayamba mu trachea chubu - intubated kapena tracheostomy ntchito. Womwewo wachitira anthu amene amazindikira koma ndi gravis, odwala ngati sangathe kumeza ndi kulankhula paokha. Pa nthawi zonsezi, ndi othandizira - njira yokhayo kupulumuka.

zipangizo zina zachipatala

Various zipangizo zogwiritsa ntchito intubation: laryngoscope ndi kuyatsa palokha ndipo endotracheal chubu. Mpheto amanyamula dokotala ndi zinachitikira chokwanira. Poyamba anayambitsa laryngoscope - chipangizo kuti amakankhira kwa epiglottis ndi kupitirira muyezo pawokha timinofu. Pamene dokotala akuona bwino lomwe zomwe zili trachea, ndi chubu wokha sukhalira tikubweretsazi laryngoscopy. Pakuti akukonzekera chubu kumapeto khafu wake ndi mpweya ndi mpweya.

Chubu ndi anaikapo kudzera pakamwa kapena mphuno, kudzera pakamwa koma yabwino.

Medical zida zonse zofunika pa moyo

Kupulumutsa moyo ndi kusunga matenda, othandizira sikokwanira. Tiyenera zipangizo zosiyanasiyana mankhwala: defibrillators, endoscopes, zida zasayansi, makina ultrasound, ndi zambiri.

The Makina amenewa kubwezeretsa kayendedwe mtima ndipo makope ogwira. Iwo amakhala okonzeka ndi kuvomerezedwa ambulansi mtima ndi tima mayunitsi chisamaliro.

Cholinga ziyenera a chikhalidwe thanzi la thupi n'zosatheka popanda analyzers zosiyanasiyana: hematological, amuzolengedwa analyzers ndi homeostasis cha mthupi.

achipatala limakupatsani kufufuza njira yonse ndi kusankha chithandizo choyenera pa nkhani iliyonse.

Zida kwa magulu opulumutsa

Tsokalo, masoka achilengedwe kapena ngozi kumachitika nthawi iliyonse ndi aliyense. Man mwakayakaya angapulumuke, ngati ilipo kuwatsitsimula zida. Magalimoto a magulu kupulumutsidwa Moe, tsoka mankhwala ndi cardiology "posakhalitsa" onetsetsani kuti othandizira kunyamula chimene chimathandiza kunyamula ovutikawo mogwirizana ndi zipatala n'kupuma.

zipangizo zam'manja ndi osiyana ndi kuliika yekha ndi kukula ndipo chiwerengero cha modes. Koyera mpweya kusungidwa mu zonenepa, chiwerengero cha zimenezi amangosankha lalikulu.

Modes wa ntchito chipangizo kunyamulika chofunika ntchito yaukapolo ndipo anathandiza mpweya wabwino.

Zipangizo chithandizo mwadzidzidzi

Mu dziko anatsatira mfundo zina, komanso zipangizo zachipatala ndi zipangizo ayankhe mwadzidzidzi. Choncho, galimoto ayenera kukhala mkulu denga, ndi ndodo kuthandiza akhoza kuima. Amafunika zoyendera othandizira, zimachitika oximeters, ciliates kwa n'zimene mankhwala, catheters zotengera lalikulu amapereka kwa konikotomii, intracardiac kukondoweza ndi msana puncture.

zochita mwadzidzidzi ndi zida makina zachipatala ogwira adzapulumutsa moyo wa munthu mpaka nthawi m'chipatala.

Anabadwa mwana azikhala

Kubadwa kwa munthu - osati mwambo zikuluzikulu ndi zosangalatsa m'banja, komanso nthawi yoopsa. Nthawi yobereka mwana kukumana ndi nkhawa kwambiri, ndipo nthawi zambiri amafuna kuwatsitsimula. Kulenganso wakhanda yekha ndi neonatologist odziwa, chifukwa thupi la mwana wongobadwa lili ndi zinthu zenizeni.

Nthawi yomweyo pambuyo pa kubadwa, dokotala amayankha i 4:

• mowiriza kupuma;
• kugunda kwa mtima;
• ufulu kayendedwe;
• pulsation wa chingwe umbilical.

Ngati mwana sakusangalala chizindikiro chimodzi cha moyo, ndiye Mwina kupulumuka ndi mkulu.

Kulenganso ana akhanda

Amapanga mpweya wakhanda ali mbali: pafupipafupi kayendedwe kupuma ndi mu osiyanasiyana kuchokera 40 mpaka 60 (mu wamkulu pa mpumulo 20), kupuma diaphragmatic. Mapapo tingakhale mbali osatsegulidwa, ndi mphamvu zofunika ndi ml ya 120-140 yekha.

Chifukwa cha zinthu izi kugwiritsa ntchito zipangizo wamkulu kuti utipatse mphamvu akhanda zosatheka. Choncho, kupuma kuchira mfundo yokha wina, ndicho mkulu pafupipafupi ndege mpweya wabwino.

othandizira kulikonse kwa ana anamanga kuti zimatengera thirakiti kupuma wa wodwalayo ml ya 100 ndi 200 kupuma mpweya ndi pafupipafupi kuposa 60 m'zinthu / miniti. The osakaniza anadyetsedwa kudzera chigoba ndi, intubation mu kupondereza zochitika ntchito.

The ntchito njira imeneyi ndiye kuti makhalidwe oipa amakhalabe pachifuwa. Nkofunika moyo, chifukwa anasunga yachibadwa Maphunziro Akakhalidwe Kazolengedwa a dongosolo kupuma. Inflowing magazi wolumikizira limayenda ndi mpweya ngati kuli kotheka, amene kumawonjezera mlingo kupulumuka.

zipangizo zamakono zili ndi mkulu tilinazo, akamagwira ntchito ya synchronizing ndi zonse kusinthasintha. Choncho, mowiriza kupuma ndi mode yabwino ya mpweya thandizo othandizira. Guide to makina akuphunzitsa kuyeza zing'onozing'ono osefukira buku, kuti kubisa mowiriza kupuma akhanda. Izi zimathandiza kusintha ntchito zida kwa mwana makamaka, kuti akamkole mungoli yake ya moyo ndi kuthandiza iwo atengere chilengedwe kunja.