I-Esmarch harness ye-haemostatic: izici nesicelo

Uma kwenzeka ukulimala noma ukuvuleka okuvulekile, ukuphuma kwegazi kunokwenzeka. Kulezi, izimbangela - eziyingozi kunazo zonke kwezinye izinhlobo. Uma isitsha esikhulu sinakele, isiguli singase sife ngokuphuma kwamaminithi emizuzu emibili. Iziguli ezinjalo zidinga usizo lwezokwelapha oluphuthumayo, oluhlanganisa ukuvimba ukugeleza kwegazi kule ndawo. Uma umkhawulo ophezulu noma ophansi unobungozi, khona-ke i-hamstatic forceps Esmarch isetshenziswa. Kunezinye izinhlobo zezinto zokuvimba igazi, kodwa isimiso sokuqoqa kanye ne-algorithm yezenzo akufani.

I- Esmarch uhlobo ye- hemostatic ye- raber harness iyona elula kakhulu futhi ewusizo ezimweni ezinjalo. Ibhande le-rubber (kancane kancane - ithubhu) elinamamitha ama-1.5 ubude. Ngakolunye uhlangothi, ubuso buncane kancane, futhi ngakolunye uhlangothi - okuyi-concave. I- Esmarch i- hemostatic ye- rubber harness ine-chain kanye ne-hook yokulungiswa ekwakhiweni kwayo ekugcineni.

Izinkomba zokusetshenziswa

Le divayisi isetshenziswa abasebenzi bezokwelapha ngokweqile ngokusho kwezinkomba. Ukucindezelwa kwemikhumbi kwenziwa ezimweni ezinjalo:

• Ukuphuma kwegazi;
• Ngesikhathi sokusebenza ukuvimba ukugeleza kwegazi;
• Ngomjovo obomvu;
• Ukuthatha igazi emgqeni ukuze kuhlaziywe;
• Ngezinye izikhathi i-tourniquet ifakwa emshini we-carotid usebenzisa isondo.

Idivaysi ingafakwa njenge-tourniquet ehamba phambili (ukumisa ukuphuma kwegazi) futhi njengenhliziyo embi (ngokuthatha igazi noma ukuphathwa kweziguli). Ahlukile emandleni okucindezela.

Izigaba zokubamba

Izintambo ze-haemostatic ze-Esmarch uhlobo lokucindezela umshini ziphakanyisiwe ngokwemithetho elandelayo:

1. Ingalo noma umlenze wesiguli unesimo esiphakeme sokunciphisa ukugeleza kwegazi.
2. Ukuze uvimbele uketshezi kesikhumba futhi unciphise ubuhlungu, ithawula noma indwangu ibeka ngaphansi kwezinto eziwubhubhe.
3. Emkhawulweni ophansi, i-hamstasis harness i-Esmarch isetshenziswa ethangeni (ngaphandle kweyesithathu ye-distal, kunezinamba eziningi zamathenda). Ephezulu - ehlombe (ngaphandle kwesigaba esiphakathi, lapho kudlula khona amantongomane, kunesongo sokubacindezela).
4. Ngaphansi komlenze, welula i-Ribbon concave side side ukuze ingxenye engakwesokunxele ifinyelele kunelungelo.
5. Qinisekisa i-tourniquet nesandla sokunene kusuka phansi phansi, ukusebenzisa umzamo, yenza ukujika ngakwesobunxele, ukumbamba isitho.
6. Ukuphenduka okulandelayo kwenziwe ngokufanayo. Isendlalelo ngasinye esilandelayo sincane buthakathaka, kumele sithinte enye yangaphambili ukuze kuvinjelwe ukunamathiswa kwezicubu ezithambile.
7. Fasten the hook nge chain nobe knotted.
8. Uma ukulimala kujojowe nge-analgesics yama-narcotic kanye nokukhubazeka kwesilungu.

Ukuqapha ukusebenza

I-harmon i-Esmarch haremostatic isetshenziswa kahle uma:

• Ukuphuma kwamiswa;
• Ayikho ukudonsa emthonjeni;
• Ingalo noma umlenze ubala futhi ubanda.

Uma isigungu esiphezulu senqubo siphendukile okwesibhakabhaka, lokhu kusho ukuthi izindebe zicindezelwe, futhi umthamo awuvinjelwe. Kusetshenziswe i-tourniquet enobuhlungu. Kubalulekile ukuphinda inqubo bese uqinisa itekisi ngokuqinile.

Ngaphansi kwekhoyili ephezulu, faka inothi encane ngesikhathi sokubonisa ukuxhaphazwa. Ngenkathi ebandayo, isikhathi senqubo akufanele sidlule imizuzu engama-30 (kumele ihlanganiswe), ku-efudumele-kuze kube ihora eli-1. Ngemva kokuphela kwalesi sikhathi, idivayisi kufanele isuswe imizuzu embalwa ukubuyisela ukujikeleza kwegazi. Ngalesi sikhathi, i-artery iphoqelelwe ngendlela yomunwe. Ukukhwabanisa kungabuyekezwa, kodwa sekuvele kuphakeme kunendawo yangaphambilini. Kuyinto efiselekayo ukuthi abantu ababili babhekane nabalimele. Omunye ususa i-tourniquet, enye ishaya umkhumbi. Isikhathi sonke asifanele sidlule amahora amabili. Uma kungenjalo, i-necrosis ingenzeka.

Ukuqhathaniswa kwesicelo sakho

Kodwa akunakwenzeka njalo ukusebenzisa i-tournament ye-haemostatic ye-Esmarch. Ukuqhathaniswa nokuma kwegazi ezimweni ezilandelayo:

• Izingane ezingaphansi kweminyaka engu-3 (sebenzisa ukucindezela komunwe);
• Ukutheleleka kwe-Anaerobic;
• Ngesilonda esine-purulent yesayithi lokuchayeka;
• Uma kune-arteriosclerosis eqinile.

Ngesikhathi sokuthutha, ilungu kufanele liphakanyiswe. Uma kungenakulinganiswa, i-harness akufanele ivaliwe. Isiguli sisheshe sitholwa esibhedlela ngenxa yokuhlinzekwa kokugcina kokunakekelwa kwezokwelapha okudingekayo.

Intambo yeHemostatic Hemorrhagic I- Esmarch iyisidingo esidingekayo sokuvimba ukuphuma kwegazi, kuhlinzeka ukuphela kwesikhashana kokugeleza kwegazi. Ukuba khona kwayo kuyadingeka kuzo zonke izikhungo eziphuthumayo nezizokwelapha. Ukusebenzisa okulungile nokufika ngesikhathi kusilondoloze impilo engaphezu kweyodwa.