Chest compressions: ukusebenza inqubo. massage senhliziyo futhi afakwe emishinini yokuphefumula

Ezimweni eziphuthumayo, uma kungenzeka ukuze asindise ukuphila wale ndoda, nje kudingeka ukwazi izinto eziyisisekelo usizo lokuqala. Enye yalezi amakhono ayisisekelo kuyinto zangaphandle inhliziyo massage inqubo elichazwa salolu shicilelo. Funda amanye amaqhinga kwesicelo yayo, kungenzeka ukulondoloza ukuphila kwabantu.

Buciko esifubeni compressions

Okokuqala, chaza okungazelelwe ukuboshwa inhliziyo: ukungabi emishinini yokuphefumula, ukwazi, bese uqhubeke ukusebenzisa labagula, ngokulinganisa kubangela i-ambulensi. Ekuqaleni, isiguli endaweni eqinile.
Yokusiza umuntu ukuba aphefumule kufanele kwenziwe ngokushesha endaweni ye ukuthola isisulu, uma akusiyo yingozi reanimate.

Uma usizo akunakudluliswa professional umkhululi ovunyelwe ukwenza kuphela ingcindezi sternum. Ongaqondile massage inhliziyo, ukusebenza inqubo elichazwa ngezansi kuhlanganisa amaphuzu alandelayo.

ukulandelana izenzo

• Ukuze uqale, ichaze kokucindezelwa ngowesithathu engezansi sternum.
• A protrusion ngesandla esisodwa ebusweni Volar ( "ibhulashi lesihlanu") cishe ngaso kakhulu phansi sternum. Phezu ke ngendlela efanayo ukusetha nezinye ingalo. I yokuhlala izintende isimiso enqabeni.
• Ecindezela ezinyakazayo wenziwa ngezandla, waqonda ngesikhathi izindololwane, ngesikhathi esifanayo yokwedlulisela azwela umfutho futhi isisindo somzimba wakhe. Phakathi kokucindezelwa esandleni ingathathwa kude esifubeni.
• ingcindezi imvamisa sternum kumele kube izikhathi ezingengaphansi kwezingama-100 ngomzuzu, noma mayelana 2 ngayinye kokucindezelwa yesibili. I displacement esifubeni kuya ngamasentimitha okungenani ezinhlanu ukujula.
• Uma kwenziwa umuntu afakwe emishinini yokuphefumula, bese 30 compressions kufanele akhawunti umoya ezimbili.

Kuyinto efiselekayo ukuthi izinkathi ingcindezi sternum kanye nokuntuleka kokucindezelwa ngesikhathi ayafana yini.

umehluko wemisindo nemiqondo yamagama

Ongaqondile inhliziyo massage inqubo okuyinto ajwayelekile zonke udokotela, kudinga ukuthi uma kwenziwe intubation ukunyakaza ngesilinganiso izikhathi-100 ngomzuzu ngaphandle kokuphazamiseka phezu zokuphefumula labagula. Kunenkolelo parallel ugijimela 8-10 umoya ngeminithi.

Ngemva kwalokho, yenza ikhefu amasekhondi amahlanu ukuze sithole nokuvulwa inhliziyo (khona ishayela izitsha neuropathy).

Kokucindezela we sternum e izingane ezingaphansi kweminyaka eyishumi noma nambili owazenza ngesandla esisodwa, kanye isilinganiso isibalo compressions kufanele kube 15: 2.

Njengoba ukukhathala yokutakula ikhwalithi yokuthi ogulayo uphelelwa kokucindezelwa nokufa, lapho kunabantu ababili noma ngaphezulu, ekubasizeni, kungcono esikhundleni ingcindezi enza phezu kwesifuba njalo ngemva kwemizuzu emibili ukuze kuvinjelwe ukwehla izinga esifubeni compressions. Yomiselela yokutakula, kumele kutsatse ayisekho kuka imizuzwana emihlanu.

Kumele kukhunjulwe ukuthi imithetho compressions esifubeni edingekayo ukuqinisekisa patency umgudu wokuphefumula.

Ngo ngabanye ngenxa yokuntula ukwazi eba imisipha atony futhi ukuvimbela umgudu yi epiglottis kanye impande olimi. Obturation kwenzeka kunoma iziphi isikhundla oyifunayo isiguli, ngisho elele ngesisu sakhe. Futhi uma ikhanda esitshekile kwesilevu sakhe esifubeni sakhe, khona-ke isimo esinjalo kwenzeka e-100% amacala.

Ezandulela eliyifa esifubeni compressions elandelayo izenzo kokuqala inhliziyo:

• Into yokuqala okumele uyenze: ukusungula ukungabi ukwazi - ucingo (buza ukuba uvule amehlo azo, ukubuza - kuyini?).
• Ngokulandelayo, ukushaya ezihlathini zakhe, ngomusa nithintithe kwamahlombe akhe.
• Lapho ukungabikho ukwazi Kumiswa, kubalulekile ukuba kulesetayelekile ukuhamba emoyeni ipheshana zokuphefumula.

"Tri" futhi tracheal intubation liyindinganiso igolide ngokuhamba yokutakula umoya.

"Tri"

Safar isungule izenzo ezintathu ngokulandelana kwazo ukuthuthukisa ukusebenza kwe-yokusiza umuntu ukuba aphefumule:

1. Sitsheke inhloko emuva.
2. Dalula umlomo lesiguli.
3. Umhlathi ongezansi isiguli ukuba aqhubekele phambili.

Uma wenza massage inhliziyo futhi afakwe emishinini yokuphefumula, Imisipha yentamo phambi kuthiwa some, ngemva kwalokho uqhoqhoqho ivulekile.

ngokuqapha

Omunye kumele uqaphele futhi baqaphe, ngoba kungenzeka ngokonakalisa emgogodleni entanyeni lapho ukwenza izenzo ku umgudu.

Kungenzeka i-Ukulimala umgogodla singenzeka amaqembu amabili eziguli:

• Izisulu zezingozi zomgwaqo;
• uma bokuwa besuka endaweni ephakeme.

Iziguli ezinjalo kungaba bend entanyeni yakhe phaka ikhanda eceleni. Kufanele kube ngokulinganisela ukudonsa ikhanda lakhe, bese ubamba ekhanda, emqaleni nasemhlane, esifubeni indiza efanayo ne ubuncane ngokutshekisa ikhanda emuva, njengoba kukhonjisiwe reception Safar. Chest compressions, okuyinto ukusebenza inqubo ezimweni ezinjalo kudinga ukunakekelwa okukhethekile, kuphela kuhambisana lezi zincomo.

Ukuvula umlomo, audit yakhe

Umgudu emva Itshekisela ikhanda is hhayi njalo ngokugcwele esimweni ngoba ezinye iziguli equlekile atony imisipha amavesi acinene zivaliwe ulwanga ezithambile ngesikhathi ukuphefumula.

Kungase kudingeke ukuba kususwe emlonyeni kusuka lezinto angaphandle (igazi ihlule, izinyo doti, vomitus, amazinyo okufakelwa)
Ekuqaleni, Ngakho-ke, kulezi iziguli ukuhlola umlomo nokukhulula ke kusukela lezinto angaphandle.

Ukuvula umlomo, wasebenzisa "reception iminwe zihlangene." Udokotela uthola azungeze ikhanda lesiguli, kuvula futhi uhlola umlomo. Uma kukhona izinto zangaphandle, qiniseka uzisuse. Kwesokudla index ngomunwe isuswe kwesokudla phansi ekhoneni lomlomo, ke kusiza ngokuzimela ezikhishwe emlonyeni okuqukethwe ketshezi. Iminwe zihambisana napkin, ukuhlanzwa Kwenziwa emlonyeni pharynx.

Chitha umzamo intubation yomoya (akukho ngemizuzwana engaphezu kwengu-30). Uma umgomo azifinyelelanga, ayeke umzamo futhi baqhubeka ukupholisa mechanical usebenzisa buso ubuso noma isikhwama Ambu. Isetshenziswa njengesici zikagesi "umlomo nomlomo", "umlomo-to-ekhaleni." massage senhliziyo futhi afakwe emishinini yokuphefumula ezimweni ezinjalo Kwenziwa kuncike yi.

Ngemuva kwemizuzu engu-2, lo yokusiza umuntu ukuba aphefumule kuyadingeka ukuphinda i intubation umzamo.

Lapho is esifubeni compressions amasu zazo ngesineke, bese phakathi kwezimila "umlomo nomlomo" ubude umoya ngasinye kufanele kube 1 isekhondi. Le ndlela kubhekwa ngempumelelo uma kukhona ukunyakaza esifubeni isisulu ngesikhathi umuntu afakwe emishinini yokuphefumula. Kubalulekile ukugwema ukupholisa ngokweqile (500 namamililitha), ngoba kungabangela yezinkinga ngesimo a nokujikijela kusukela esiswini futhi ukungenisa noma isifiso emaphashini lokuqukethwe zayo. Ngaphezu kwalokho, umoya omncane ngokweqile kwandisa umfutho ngalo ingaphakathi esifubeni, nakho kunciphisa emithambo yegazi igazi ukubuya inhliziyo nokusinda kusukela okungazelelwe ukuboshwa inhliziyo.