Wolumikizira magazi: thandizo, akulamulira makonzedwe ake

Magazi - madzimadzi mu thupi la munthu amagwira ntchito zingapo zofunika. Iwo akukamba mpweya kwa ziwalo, zakudya, mahomoni, michere, kumatithandiza kukhalabe zonse thupi kutentha, kuteteza ku matenda, kuyambira zinabala oteteza. Ndi breakage wa chotengera magazi si bwino ntchito yake. Izi amakwiya kusintha kwenikweni mu thupi ndi moyo pachiswe. Chimodzi mwa zinthu zimene zingachititse kuti zotsatira zofanana - ndi wolumikizira magazi. thandizo kwa ndikofunikira.

A pang'ono magazi ndi Matupi awo

Musanawerenge magazi wolumikizira, ayambe kupeza yankho la funso la magulu a kuyan'anila ndi mtima wosagawanika. Izo zimatengera kuti kupereka thandizo. Magazi zimachitika:

• magazi;
• venous;
• capillary.

Pamene magazi maselo ofiira anatayika. Kuopsa chachikulu cha kuwonongeka kwa ziwiya magazi ndi kuchepetsa voliyumu ya magazi kufalitsidwa thupi ndi matenda hemodynamic.

ndi wolumikizira magazi, omwe ali chibadidwe zizindikiro zotani?

Akatswiri kuitana wolumikizira magazi kuchokera zofunika kwambiri kwachilengedwenso madzimadzi ku thupi kudzera mtsempha wamagazi zowonongeka. Iwo amapereka magazi mpweya, moyenda kwa mapapo ndi ziwalo zina. Wolumikizira magazi makamaka mkatimkati zoopsa kwambiri, chifukwa mitsempha ya zili kwambiri minofu, izo kufupi ndi mafupa.

Ali wolumikizira magazi zizindikiro ndi thandizo ayenera kuperekedwa pambuyo kudziwika awo:

• Magazi chibadidwe azioneka yowala mlangali;
• Zimakatulukirabe ku bala kasupe;
• mtsinje umayenda, pulsing malinga ndi kumenyedwa mtima;
• mofulumira kukula kwa dziwe la magazi wathuyo (by muyezo ichi, kudziwa wolumikizira magazi milandu kumene wathuyo bala zosaoneka).

Kodi kusiyanitsa wolumikizira magazi kuchokera capillary ndi venous?

thandizo kwa capillary, venous, wolumikizira magazi ndi osiyana. Mu mitundu ya zizindikiro mtima zosiyana:

• ndi venous magazi kwachilengedwenso madzimadzi chitumbuwa mthunzi utuluke uniformly kwa chilonda;
• ndi magazi a capillary umayenda uniformly pa nkhope yonse ya bala, monga zamphongo zimapereka bere zimakhala anthu kuonongeka.

Popeza magazi msanga ndi kutaya magazi wolumikizira umatheka thupi, ndiye Mwina mantha ndi imfa mkulu. Pofuna kupewa izi, mukufunika zizindikiro woyamba zagwira munthu thandizo.

mfundo za thandizo vuto la kuwonongeka kwa mitsempha ya

thandizo kwa magazi wolumikizira mogwirizana ndi mfundo zingapo:

1. Magazi asiye kutuluka ndipo itanani ambulansi.
2. Disinfection mabala. Pofuna kupewa kulowa tizilombo toyambitsa matenda ayenera kukhala zotheka kugwira ntchito ndi manja oyera. M'pofunika kusamalira m'mbali mwa chilonda ndi mowa, vodika, onunkhiritsa, odzola kapena njira zina zilipo; pamaso bandaging kukakamiza pamwamba kuonongeka kwa nkhani wosabala; tepi mpaka bala.
3. Kukonza nthambi kuonongeka mpango kapena basi.
4. Mankhwala ochititsa dzanzi. Ngati munthu ali ndi kuvulala kwambiri, Ndi bwino kugwiritsa ntchito analgesics (mapiritsi analgin, makapisozi tramadol, ayezi) kwa kupewa mantha chopweteka.
5. mayendedwe abwino malo dokotala kapena kuyembekezera kubera madokotala ambulansi.

wolumikizira magazi asiye ntchito oyang'anira

Pamene m'pofunika kupereka thandizo kwa wolumikizira magazi ndi tourniquet ndi, kuchita zinthu zina:

• clamped womwe ndi mtsinje kuonongeka chala pamwamba chilonda;
• kupereka malo kumene magazi, okwera malo;
• ntchito ndi tourniquet ndi kulemba nthawi pamene zonse.

Pali malamulo ena a ntchito pa Kulumikizana (m'malo mungagwiritse ntchito chingwe wandiweyani, lamba, chidutswa cha nsalu mphamvu). Amanena kuti zovala pafupi ndi dera lomwe linakhudzidwa (3-5 cm pamwamba chilonda) ndipo molimba knotted. Mu oyang'anira zachipatala, pali mabowo wapadera kwa kukonza. Ndi ntchito lamanja la nthambi amakhala wotumbululuka, ndipo zimachitika ake si zimadziŵika.

Wolumikizira magazi, chithandizo choyamba: mokoma ntchito oyang'anira

The chingwe chabwazi sangathe yaitali gwiritsitsani malo owonongeka. Nthawi pazipita mu imposition wa nthawi ofunda - 2 maola nthawi ozizira pa chaka - 1 ora. Ngati nthawi ndi otetezeka tourniquet, ndiye aliyense theka la ora kufooketsa kwa mphindi 5 mpaka zinkakhala m'dera umaperekedwa ndi magazi. Ngati musiya chipangizo magazi ndi wosamangidwa, koma kupitiriza kuwunika tsokali. Ngati madzimadzi kwachilengedwenso kachiwiri akuyamba kuyenda, ndi tourniquet umagwiritsidwa kachiwiri pamwamba pomwe inali kale.

Ngati pazifukwa zina si kufooketsa oyang'anira ndipo si kuchotsedwa mu nthawi, anali pa thupi la maola oposa 3, n'zosatheka kuchotsa. chakuti maselo anamwalira chifukwa cha kusowa mpweya ndi zakudya khungu anasonyeza zizindikiro za imfa minofu. Pamene pochotsa magazi oyang'anira idzayenda ku dera limeneli. Mu madzi kwachilengedwenso kupeza poizoni aumbike mwa minofu akufa. Iwo kufalitsa thupi lonse. Kufalitsa zinthu zoipa zotsatira zake zidzakhala imfa ya chamoyo wonse.

Hemostasis mu m'madera akutali chifukwa tourniquet ndi

oopsa kwambiri magazi kuchokera mtsempha wamagazi ndi femoral. Pamene umphumphu wa magazi chotengera chotupa wovulalayo akhoza kufa masekondi 30-40, chithandizo kotero choyamba kwa wolumikizira magazi kumalekezero ayenera kuperekedwa msanga. Dziwani kuti tourniquet pa malo si mophweka. Pa minofu ntchafu ndi wamkulu kwambiri ndi mafuta misa. Kudzera zovuta kutsina mtsempha wamagazi ndi. Kuti magazi asiye kutuluka tikulimbikitsidwa kuti akanikizire nkhonya m'dera limene magazi chotengera, ndipo pa tourniquet ayenera kuikidwa pansi pa chinachake molimba (mwala, foni), wodzigudubuza bandeji.

Pamene wapezeka kuphwanya umphumphu wa khungu la khosi ndi wolumikizira magazi, chithandizo choyamba motere:

• umagwiritsidwa ntchito pa chidutswa bala la nsalu ndiye clamped carotid mtsempha wamagazi ndi chotupa;
• ndiye munthu akavulala aikidwa, dzanja lake kuchokera chilonda, adzabereka mutu wake;
• umagwiritsidwa ntchito mayina chilonda cha bandeji kapena thaulo ndi ntchito ndi tourniquet, kukokera iye kupyolera pa dzanja akhudzidwa (Kulumikizana ayenera unkagunda wodzigudubuza a).

Zolakwa kuti akhoza sadzaloledwa popereka thandizo loyamba

Ngati wapezeka magazi wolumikizira, thandizo ayenera kupatsidwa ufulu, chifukwa cha miyeso anatengedwa zimadalira moyo wa anthu akhudzidwa:

1. Inu simungakhoze ntchito tourniquet pa malo umboni za thupi. Pamene kumanga ingawononge khungu. M'dera anakuta zovala, chiyenera kuikidwa pansi nsalu chingwe chabwazi.
2. Sitingathe kutseka oyang'anira bulangeti kapena zovala. Izo ziyenera kuonekera kwa munthu amene linamasulira thandizo.
3. Izo sizingakhoze ntchito monga oyang'anira waya, woonda chingwe, twayini. Zonsezo khungu.
4. Musati kuchotsa chotuluka ku zinthu bala. Kuwachotsa akatswiri pamene wovulalayo ali kuchipatala.
5. Ngati m'dera la thupi pansipa tourniquet anali kutupa ndi yotengedwa ndi kum'chitira bluish, izi zikutanthauza kuti tourniquet anali ntchito molakwa. M'pofunika kumasula ndi kukonzanso ntchito, kusunga malamulo onse thandizo.

chodabwitsa pafupipafupi imatengedwa wolumikizira ndi magazi venous. thandizo - nkhani yomwe ifunika akuyendayenda munthu aliyense, chifukwa palibe wina yemwe ali otetezeka ku choipa, igunda mu ngozi zapamsewu. Mwachidule, tingachite bwino kunena za mfundo zingapo zofunika. Ngati munthu akhudzidwa ndi magazi lolemera kwambiri, muyenera tisawononge nthawi pa kusamba m'manja. Zikatero, tiyenera kuchita molondola ndi mwamsanga pofuna kupewa mantha. Ngati wodwalayo wataya magazi ambiri, mufunika kuleka wolumikizira magazi, anagona munthu, kutukula miyendo m'munsi ndi kumwa madzi kapena tiyi wokoma.