ImpiloImithi

Tourniquet. Technique tourniquet egatsheni

Tourniquet - idivayisi bokumisa igazi. Kuyinto strip injoloba eside 125 cm. ububanzi - 2,5, ukujiya - 3 - 4 cm Omunye ekupheleni tape inikezwa ngodobo, elinye -. uchungechunge Metallic. Le divayisi elula itholakala esifubeni imithi imoto ngayinye ngephutha nje. Ngezinye izikhathi uma engekho kungasho ukufelwa. Umuntu ngenxa ukulahlekelwa igazi, ukuze sife, ngaphandle kokulinda ukuba ukwelashwa.

Indlela ukusebenzisa tourniquet?

kuqala izandla zakho phezu amagilavu iraba lapho ngokusebenzisa tourniquet. Khona-ke, phakamisa esitho ehlaselwe ukulimala, futhi ukuyihlola. Tourniquet sisetshenziswa hhayi esikhumbeni, futhi phezu ulwelwesi izicubu. Kungaba umuntu izingubo, amathawula, amabhandishi, uhala. Cash impilo ngaleyo ndlela amahanisi ngeke aphambana futhi musa aphula ama-isikhumba.

Ekupheleni kwalo kuyadingeka ukuthatha ngesandla esisodwa, futhi phakathi - in the kwamanye. Khona-ke ake welule namandla, futhi kuphela bese ugadangisa emhlabeni ingalo noma umlenze. Nge ngokulandelana ikhoyili emazombezombe amahanisi ngamunye sisalokhu kancane. Imikhawulo khulula axhunyiwe node noma hook fixed kanye chain. Ngaphansi iyiphi round omunye ibhande is okuvalelwe qiniseka uqaphele lapho ubonisa isikhathi ukunqunywa yayo.

Tourniquet akufanele kwesokunxele amade okudlula amahora amabili, noma kungavuka uhlangothi noma ukuba ndikindiki ezandleni noma ezinyaweni. Njalo ngehora kule sizini efudumele futhi ebusika isigamu sehora donsa ephumula imizuzu embalwa (ngesikhathi isikepe yayicindezele iminwe), ukunqunywa tourniquet uma ukopha kwenziwa ngendlela efanayo njengoba okokuqala, kuphela kancane ephakeme.

Uma igazi akuvimbi, le tourniquet isicelo ngokungalungile. Bangase ngephutha ukudonsa vein. Lokhu kuyoholela ekuthuleni yokuthi ingcindezi uzoqala yenyuka imithambo yegazi bese andise ukopha. Ngezinye imisipha ngokweqile kungase amahanisi izinkontileka kabana, nerve izicubu, okuholela ukukhubazeka yezingalo nemilenze. Isisulu nge tourniquet is uyiswa a isikhungo sokwelapha kwasekuqaleni.

I donsa singasetshenziswa usebenzisa isondo ipulangwe. Its elise ngakolunye uhlangothi lomkhumbi lilimele. Le ndlela kunomphumela uyazonga. Uma elimele engenhla ethangeni noma ehlombe amahanisi Imithi ukopha lusetshenziswa njengoba isibalo eziyisishiyagalombili.

On ezilimele izitsha entanyeni amahanisi ligamanxa ukusetshenziswa emapheshana ngokhuni noma ibhasi e esitebhisini. Lezi amadivayisi ezibekwe phezu esesayidini isilonda. Ngenxa isondo ngeke isibambo kuqhoqhoqho kanye Umthambo carotid. In the ukungabikho amathayi isandla ukubeka isandla sakhe enhloko kusukela ngasemhlane, ngeke afeze indima yayo. Tourniquet ungayithola enye ehlukile, usebenzisa okokusebenza isandla: amaduku, scarves, amabhande, izibopho.

isicelo

Tourniquet uma kunesidingo esikhulu kunawo wonke tibia, ehlombe, ibhodi lemisindo noma kwezinye izitho zomzimba. Uma isayithi kwesicelo is ultimate, khetha indawo ukuthi ingaphezu isilonda, kodwa eduze kwalo. Lokhu kwenzelwa ukuqinisekisa ukuthi leyongxenye esele esitho ngaphandle kwegazi njengoba short ngangokunokwenzeka.

Uma tourniquet kufanele uqaphele ukuthi asikwazi eziphoqelelwe:

  • Esifundeni eyesithathu engenhla ehlombe (kungaba ona emsipheni osabalalayo) kanti eyesithathu engezansi kunawo wonke (Umthambo femoral nge cross-clamping izicubu abalimele).
  • Ngekhulu lesithathu engezansi ibhodi lemisindo nasemlenzeni aphansi imisipha bengekho, futhi uma tourniquet kulezi zindawo, usungaqala ukuthuthukisa isikhumba necrosis. Lezi izindawo umzimba ube ukuma Izigaxa, ngakho tourniquet lengashelela uma kususwa isisulu. Kulula, kuwusizo kakhudlwana futhi ephephile ukubeka itheyiphu ehlombe noma hip.

ukopha kwemithambo yegazi. First Aid ukuze ukufika udokotela

Ukulahlekelwa igazi ngokusebenzisa Umthambo ngokuvamile kuba imbangela yokufa of isisulu, ngakho-ke kumele wayeka masinyane. Kuvele womuntu igazi ivolumu omdala 4-5 amalitha. Uma isisulu ilahlekelwa eyodwa kuleso samba, angafi.

Into yokuqala okumele uyenze, esiza lwemithambo ukopha, iwukuba ngawakhamela Umthambo ukuze igazi awazange enze kusayithi abalimele singenalo angena. Ukucacisa lapho itholakala, udinga ukuba kuphenywe ishayela. Lapho yena, kukhona umthambo. iminwe Eqiniseka ucindezele phansi le ndawo, kodwa 2-3 sentimitha amanxeba zinde.

Uma isisulu kudingeka ziyiswe kwenye indawo, i-tourniquet nge lwemithambo ukopha kuyadingeka. Kuphela kumelwe kwenziwe ngendlela efanele, njengoba kuchaziwe ngenhla kulesi sihloko. Kodwa uma ngenxa engozini yemoto umuntu walahlekelwa umlenze, leli nxeba ageleza igazi, igazi Imbondela amahanisi kudingeka kwenziwe kangangokuthi wayengasaboni at 5 cm ngenhla endaweni ezilimele, kunokuba 2-3. Buthaka ke noma kunjalo engenakwenzeka. Akuwona wonke esandleni kukhona wiring. Ungashintshanisa twist. Kodwa noma kunjalo akunakwenzeka ukusebenzisa izintambo emincane, ngamagoda impahla inelastic.

Lapho isisulu ungowokuqala usizo pre-ezokwelapha, kumelwe kukhunjulwe ukuthi uma tourniquet okuvimba enomopho bonke eminyangweni ingezansi ke. Udinga ukwazi ukuthi ukuhamba kwegazi ngokusebenzisa imithambo buthwalwa busuka enhliziyweni liya kuzo zonke izingxenye neuropathy.

ukopha zangaphakathi

Igazi ukulahlekelwa ngenxa umonakalo wesintu kwezitho kuyingozi kakhulu empilweni, njengoba kuvame ukuba njalo iyona definition imisiwe isikhathi esithile.

  • Ukopha we komgodi ongaphakathi kwamathumbu kwenzeka uma bhaklu eqinile, okwaphumela ubende edabukile futhi isibindi. Kulokhu, isisulu ihlangabezana ezinzima besisu ubuhlungu, ukushaqeka ungase ulahlekelwe ukwazi.
  • ukopha ngomphimbo kwenzeka ngenxa ukudabuka ka imithambo kusukela izifo abanye isibindi kuholele ukunwetshwa yabo.
  • ukopha kakhulu esiswini kwenzeka ngenxa izilonda, umdlavuza isisu noma ukuhlukumezeka. Into eyenza lohulumeni iyona ebuhlanzweni igazi amnyama obomvu noma clotted. Kulokhu, isisulu kuyadingeka ukuqinisekisa ukuthula futhi isigamu isikhundla iqotho ngamadolo imilenze insaliwe. On endaweni peritoneum kumele nibeke cindezela hhayi ukuba badle futhi baphuze. Isisulu esiphuthumayo ukuba alaliswe esibhedlela, nalapho efike wahlinzwa khona.
  • Ukopha phakathi komgodi esifubeni kungenxa ukulimala oqinile nomthelela noma esifubeni. Yebo, ukuqongelela igazi iqala ingcindezi emaphashini, okuholela kwaphazamisa umsebenzi sabo esivamile sokuphila. Ukuphefumula kunzima, ukufuthelana singenzeka. Isisulu ngokushesha uyiswe esibhedlela, kanti ukufika udokotela wagqoka esifubeni cindezela ice, mnike isikhundla isigamu iqotho imilenze insaliwe.

ukopha emithambo yegazi. ukunakekelwa predoctor

Uma ukuhlolwa isisulu wembula ukuthi ukulimala ngemithambo encane ngokwanele ukuba athunge phansi ngomunwe isitsha ngezansi isayithi ukulimala, njengoba lokhu igazi uhamba kusukela phansi kuze, hhayi okuphambene nalokho. Uma lokhu kunganele ukuyeka igazi eligeleza kusukela emithanjeni esikhundleni ukulimala kuyadingeka ukuze abeke ngebhandeshi ingcindezi. Lona usizo lokuqala.

Kodwa ngaphambi esikhumbeni azungeze indawo yokulimala iphathwa iodine, isilonda ivaliwe ngebhandeshi oyinyumba, futhi phezulu, eduze ilungiselelo ithambo, le bead ukubekwa uphawu sisetshenziswa. Manje ukulimala isidingo uvalwe bopha futhi unike esitho abalimele endaweni ephezulu. ngebhandeshi compressive ibekwe ngendlela efanele uma ukopha ziyoma futhi ngeke abe ibala igazi.

Esimweni lapho usizo olunjalo akwanele ukumisa ukopha, Imbondela emithambo yegazi enqwabelanisa ngezansi nje kunokuba ngaphezu esikhundleni izitsha ethintekile. Udinga nje ukwazi ukuthi kwenzekani kolunye uhlangothi, okusho ukuthi inhliziyo phakathi igazi emithambo yegazi.

ukopha

Lapho siyabhubha ubuqotho izindonga isitsha, okuyiqembu igazi ageleza. Lokhu kubizwa ngokuthi yi ukopha. ingozi yayo itholakala iqiniso ukuthi inani legazi incipha, okuyinto ukhiphela izitsha. Lokhu kuholela Ukuwohloka umsebenzi inhliziyo, kanye nokuntuleka kwezitho zomzimba ne-oksijini.

Phakathi isikhathi eside igazi ukulahleka iqala ukuba nesifo sokuntuleka kwegazi. Lokhu kuyingozi ikakhulukazi izingane nasebekhulile. Imitimba yato kabi ubhekana lincibilika ngokushesha umthamo wegazi. Ngakho, kukhona izinhlobo ezintathu ukopha. Kuya ngokuthi kungakhathaliseki ukuthi atholiwe kwezinye isitsha.

  • Igazi. It bungabonakala kalula: abomvu ishaya umthombo kwemithambo.
  • Emithambo yegazi. Bomkhumbi abalimele kulandela igazi umbala omnyama.
  • Capillary. Lena ifomu kulula ukopha, lapho lilimele vials amancane.
  • Parenhitamoznoe. It kwenzeka uma kwezitho zomzimba non-ezilimele ezifana ubende, isibindi, izinso. ukopha njalo is okuxubile. Lihlobene nokubhekana ubuso ukudabuka zomzimba. Ngaphandle ukuhlinzwa ukuze kunqandwe ukopha ngokuphelele parenhitamoznoe engenakwenzeka. Kodwa, ukuhlinzeka usizo lokuqala ukuba isisulu, kufanele oluzobhekelela umonakalo nezinsolo eqhweni.

Ukopha kwenzeka:

  • Ngaphandle.
  • Langaphakathi. Kulokhu, igazi isitsha abathintekayo is batheleka kudala umzimba.

Izimpawu, okungase ukucacisa ukopha

Isici esibaluleke kakhulu kuyigazi ugeleza bomkhumbi. Nokho, ukopha zangaphakathi abakwazi ukuyibona. Ngakho-ke, kukhona ezinye izimpawu:

  • Skin futhi nolwelwesi lwamafinyila iyaphaphatheka.
  • Kubonakala isiyezi, ukoma.
  • Inciphisa blood pressure.
  • Wavuma ishayela selitholakala futhi livela tachycardia.
  • Umuntu ulahlekelwa ukwazi. Lokhu kwenzeka uma kukhona ngokushesha futhi ezinzima ukopha.

Arterial ukopha emithambo yegazi e izilonda. zosizo lokuqala

Balimaze - lokhu umonakalo, okuyinto ephazamisa ubuqotho isikhumba, izindwangu, ulwelwesi, futhi okuyinto kuhambisana izinhlungu kanye nokungakwazi igazi. Lapho nilimaza zobuhlungu futhi kubangela ukulimala iziqu kwenzwa nokungenwa ukopha ngokuqondile okuhlobene ubunjalo kanye nenani izitsha lilimele. Yingakho lokuqala zonke ukusetha yokulimala ukujula futhi uzimisele aphuma kuso igazi elandelayo: umthambo noma Umthambo. Ikakhulukazi isidingo isinyathelo ngokushesha uma isilonda sijule kakhulu oqoshiwe, futhi lapho kwalimala awusibekela imikhumbi emikhulu igazi.

Ukunikeza usizo lokuqala for izilonda ngaphambi kokufika ambulensi nabasebenza ngokuvamile yenziwa abantu eseduze. Ukuze nigweme ukusaphaza kusayithi ukulimala isicelo a tourniquet.

Kuleso sibhedlela usizo lokuqala ngaso lwemithambo futhi emithambo yegazi ukopha kwenziwe surgically. At the site yokulimala semithambo ukwenza suturing kwezingange zawo.

Usizo lokuqala for ukulimala ekhanda, esifubeni, entanyeni, esiswini kanye nezinye izindawo umzimba kwenziwe ukunqunywa ngebhandeshi ingcindezi. Nigqoke isilonda gauze luhlanzekile futhi iteyipu up.

Kufanele kuqashelwe: Ukusebenzisa abandayo nge opha umthambo noma Umthambo akudingekile, njengoba lokhu kwenza akukho mqondo. Lezi imikhumbi emikhulu musa Taper kusuka frost.

orifices Yemvelo zomzimba womuntu. Ukopha kuzo

Igazi ukulahlekelwa kwenzeka, lapho ogeleza usuka ekhaleni. Lokhu kungaba ngesikhathi negalelo elinamandla noma ngenxa kuhlasimulise nokulimala engqondweni. Ukumisa isisulu ukopha aqambe amanga emhlane wakho, phakamisa ikhanda lakho kancane. On the ekhaleni, entanyeni, esifundeni inhliziyo nigqoke ice. Ngalesi sikhathi, ngeke ukwazi uhlanze ekhaleni noma nishaye impumulo yakho.

Uma umuntu elimele sokuzwa meatus noma skull ukwa iphutha, kungase ukuvula ngopha indlebe. Kulokhu, it Sigcizelela oyinyumba ngebhandeshi gauze, futhi isisulu selibekiwe ngakolunye uhlangothi futhi laphakamisa ikhanda lalo. It is nhlobo ukugeza indlebe.

Indlela ukumisa ukopha esebenzisa izitho izimisele?

  • Uma kwakheka Isilonda futhi kusho igazi, kubalulekile ukubeka emqulwini indololwane bend of gauze ngebhandeshi noma indwangu bese ugobisela ingalo yakho ngesikhathi esihlakaleni noma ibhodi lemisindo ndawo. Ukuze usilungise kulesi sikhundla, le ibhodi lemisindo kufanele alibophe afike emahlombe. Ukopha uzoyeka.
  • Ukuze umise it kusukela Umthambo we isiguqo ibhodi lemisindo ibekwe ngaphansi kwengalo yakhe, ingalo uzimisele endololwaneni, walala phezu esifubeni pribintovyvayut.
  • Lapho axillary ukopha izingalo eligoqiwe, kubuyiswe futhi ubopha izindololwane. Lesi simo ivumela subclavian Umthambo Snuggle ingqwababa emaphethelweni. Le nqubo ngeke likwazi ukusebenziseka kwi uma umuntu has a ephukile esitho amathambo.

Car ungakuphi. imishini yayo

Abantu abaningi bakholelwa ukuthi lokhu ikhithi idingeka kuphela ukuze baphumelele ekuhlolweni. Kodwa akunjalo. Akekho owaziyo ukuthi isimo kungenzeka emzileni imoto. Mhlawumbe isimo sakho nomusa komunye umuntu, ulwazi imithetho usizo lokuqala ukuba isisulu kanye ezidingekayo iqoqo umshayeli othile kuzokwenza ukuphila kwabantu.

Okwamanje, zosizo lokuqala kits imishini yezimoto eyenziwe nemithetho emisha. Kuhlanganisa: waphansi engasetshenziswa ukwenza umuntu afakwe emishinini yokuphefumula, amabhandishi, hemostatic tourniquet, iraba amagilavu kanye imithi. Kusukela kits ayifakiwe izibulali-magciwane futhi yonke imithi. Akukona dipyrone, aspirin, i-carbon yasebenza, validol, nitroglycerin, ngisho iodine ngopende eluhlaza.

Izinketho kits imoto isibe ampofu kakhulu. Kwakunjani ukushintsha? Okokuqala, umkhuba European usizo lokuqala ngaphambi kokufika odokotela. Bakholelwa ukuthi iningi abashayeli eRussia bengase bangaqapheli ukuthi izindlela zokusebenzisa imithi edingekayo. Ngakho-ke, ushayele udokotela futhi ayeke izisulu ukopha kuyoba umsebenzi oyinhloko.

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