Reanimation kunye labagula kakhulu

Ngokunzulu (emergency) unyango - indlela kwezifo ukuphatha, ezisongela ubomi. Bazamile - isenzo kubalulekile (ubomi) imisebenzi ezilahlekileyo okanye inxalenye uvalekile, ngenxa yesifo. Ezi unyango zenza ukuba ukumisela esisigxina imisebenzi esweni kunye nokufunyanwa ukuba angangenelela kwinkqubeko kwimeko ukuphazamiseka nkqi kumsebenzi amalungu kunye neenkqubo. Ngokubanzi, bazamile kunye labagula kakhulu izezona ngempumelelo, kwaye wokugqibela ndlela ekhoyo okwangoku zokuthintela ukufa izifo (ubomi emngciphekweni) kakhulu kwaye iingxaki zabo, ukwenzakala.

nezimaphambili ezingundoqo

unyango ngokunzulu - indlela konyango imini nobusuku, efuna ukusetyenziswa infusions efakwa okanye iindlela ezigulela kunye nolawulo rhoqo imiqondiso ebalulekileyo. Bafumana uphume igazi neencindi zomzimba, ezo izihlandlo eziliqela ngenxa yokukhawulezisa imandundu kunye nokuphuculwa kwemisebenzi somatic malunga nesigulane eso. Indlela yesibini ukulawula - kuba esweni, nto leyo ukusebenza yi cardiomonitors kusetyenziswa, analyzers igesi, electroencephalograph kunye nezinye iintlobo zezixhobo zokusebenza hardware.

inkqubo ngokumphefumlela ebizwa izicelo amayeza kunye nobuchule iintsimbi umzimba ebuyela ebomini kwiimeko ezingxamisekileyo zenzeke. Ukuba isigulana sikwimo, nto leyo ithetha isoyikiso ebomini, evela isifo okanye iingxaki zawo, kuba uzinziso unyango yayo kakhulu. Ukuba isigulana sikwimo yokufa zonyango kwaye akuyi kuphila ngaphandle recovery ekhawulezayo imisebenzi elahlekileyo, inkqubo lokubuya kunye nembuyekezo kuthiwa yokurhaxwa.

Ethatha inxaxheba kule miba yokurhaxwa. It is a ingcali emxinwa, indawo yomsebenzi apho labagula kakhulu. Amaninzi, oogqirha kuphela umsebenzi resuscitator ayikho, kuba ingcali ziya kufumana nezidanga anesthesiology yokurhaxwa. Emsebenzini, ngokutsho amaziko afanelekileyo, kuthatha iindidi ezintathu izithuba: "imizwa", kwakunye njenge "bazamile" separate okanye "anesthesiologist".

Ugqirha labagula kakhulu

Doctor unyango olunzulu - it anesthesiologist. ikhathazekile kokukhetha uhlobo zomzimba izigulane ipreoperative esweni imeko yabo emva kotyando. Incutshe ukusebenza naziphi kumaziko ezahlukeneyo zonyango (kaninzi yengingqi okanye yesithili), kwaye okuhlamba kuthiwa HITD. Kusenokubakho izigulane abaye babuyekezwe umsebenzi, kodwa kuthatha ulawulo kweempawu ebalulekileyo. Ukongeza, HITD zizigulane kunye zokonzakala ezisongela ubomi kunye nezifo, kwakunye iingxaki zabo. izigulane Postoperative banokufumana efanayo HITD ugqirha imizwa.

Ugqirha in bazamile

Ugqirha ku bazamile kusingathwa kuphela kunye nokubuyiselwa imisebenzi ebalulekileyo, kwaye isoloko indawo yomsebenzi isikhululo okanye sikagesi zezigulane. Ukuba ufikelelo izixhobo, nto leyo eliqeqesha ambulensi nomqeqeshi ngokumphefumlela, unako ukuba bavuse isigulane endleleni, leyo luncedo kuzo zonke iimeko ezinxulumene amayeza intlekele. Amaninzi, ugqirha-resuscitator engaganwanga kwi kunyango kakhulu kwi HITD kodwa umisela ulawulo imisebenzi ebalulekileyo isigulana ambulensi. Oko ukwenza unyango kunye nolawulo hardware yezonyango imisebenzi isigulane kunye nesisongelo sokufa.

anesthesiologist

Imizwa - ngumzekelo oyingcali kwiziko lonyango emxinwa iprofayili, umzekelo, ekliniki umhlaza okanye kwiziko osana. Apha, umsebenzi ongundoqo ingcali kukuba ukucwangcisa uhlobo zomzimba kwizigulane abaya ukudlulisela utyando. Kwimeko osana task oogqirha weziko kukhethwe uhlobo zomzimba kwizigulana abo Uqhaqho luyenziwa. Kubalulekile ukuba unyango kakhulu ebantwaneni nako kuthwalelwa phandle kweli ziko. Nakuba kunjalo, iyunithi labagula kwizigulane kunye kuzalwa sakhiwe. In HITD for abantwana (iintsana) ziya neonatologists kunye abadala bakhonza yi anesthesiologist ukusebenza.

HITD ezibhedlela zotyando

labagula kakhulu esibhedlele, ukuba icala ngotyando, sihlelwe ngokuxhomekeke inani lezigulane abafuna ungenelelo, nobukhali yokusebenza. Xa amangenelelo dispensaries oncological avareji ixesha isixhaso isigulana HITD ngaphezulu kule utyando jikelele. labagula kakhulu apha ithatha ixesha elide, njengoko ngethuba imisebenzi ekugqibeleni ezonakeleyo izakhiwo ezibalulekileyo yokwakheka.

Ukuba sicinga utyando umhlaza, uninzi olungagungqiyo zokungenelela umthamo kwakubuhlungu kakhulu kwaye ezikhulu izakhiwo resected. Kuthatha ixesha elide sokubuyisela nomonde, njengokuba emva kotyando isekhona ingozi imandundu yempilo, nkqu nokufa evela eziliqela. Kukho ungenelelo ebalulekileyo ukuthintelwa okanye iingxaki zomzimba, inkxaso empilo wemvula na umthamo wegazi, inxalenye yayo ekugqibeleni elichithwe ngethuba longenelelo ngoncedo. ibalulekile kakhulu ngexesha nayiphi nokuvuselelwa post-operative Le misebenzi.

HITD ezibhedlela cardiological

Cardiology nezinyangayo izibhedlele ahluka yi yokuba kukho omabini izigulane imbuyekezo ngaphandle eziyingozi ebomini kunye nezigulane ezingazinzanga. Baye ezifunekayo ukuseka nokugcina ulawulo ngemeko yabo. Kwimeko kwezifo cardiological kakhulu ingqalelo kufuna iposi engabalulekanga kunye iingxaki zayo ngokohlobo ukothuka cardiogenic okanye ukufa intliziyo ngesiquphe. unyango olumandla iposi engabalulekanga lunciphisa ubungozi yokufa kwikota ilingane, ukunciphisa ubungakanani yokwenzakala ngokubuyisela i patency kwemithambo enxulumene infarct, kwakunye nokuphuculwa ALS umguli.

Ngokutsho Ministry of Health iiprotokoli kunye neengcebiso ngamazwe, xa izigulane zosulele coronary zifuna ukubekwa kwi iyunithi labagula kakhulu ukuphumeza amanyathelo likaxakeka. Uncedo lunikezelwa ngumqeshwa zoncedo lokuqala kwinqanaba of delivery, ngoko ufuna ukubuyisela patency kwemithambo yenhliziyo, apho occluded yi thrombus. Ke unyango lomguli ukuzinzisa resuscitator abangene: unyango olunzulu, amayeza, hardware kunye nolawulo kwilebhu ombuso.

E HITD cardiological, apho imisebenzi zotyando ziqhutywa ezitsheni mbobo intliziyo, umsebenzi wesebe ekuqaleni postoperative kwimeko yesiqhelo kunye nobume yokulandelela. Ezi imisebenzi iqhutywa ingqondo vysokotravmatichnyh zihamba ixesha elide ukubuyiselwa kunye nokuziqhelanisa. Kusoloko kukho amathuba eliphezulu thrombosis, shunt imithambo okanye kwindawo yokumisa emzimbeni isivalo ngokwendalo okanye.

izixhobo HITD

Reanimation kunye labagula kakhulu - umkhuba kushishino amayeza, ezo zijolise ekujonganeni ezisongela ubomi yesigulane. Le misebenzi kwenziwa iyunithi lwengcali, leyo ifakwe kakuhle. Kucingwa kakhulu enobuchwepheshe, ngenxa iimpawu isigulane kusoloko kufuneka ulawulo hardware kunye elabhoratri. Ngaphezu koko, unyango olunzulu kubandakanya ukusekwa osisigxina okanye rhoqo ulawulo efakwa.

Principles of unyango HITD

Ngo-ofisi yemveli, kukho izigulane sisesichengeni sokufa ngenxa yesifo okanye iingxaki zayo kwinkqubo ukumnika yokutofa zexesha elifutshane lisetyenziswa le njongo. In HITD badla indawo yayo ithathwe iimpompo ukumnika. Le izixhobo ivumela yokuqhubekeka ukwazisa idosi ethile wenkqu, ngaphandle kwesidingo kwenzakalani emthanjeni lonke ixesha ufuna kulawulo ichiza. Impompo ukumnika kwakhona ivumela ukungena imithi ngokuqhubekayo iintsuku okanye ngaphezulu.

imigaqo Modern unyango olunzulu nokungamandla ithi izifo sele ziphuhlisiwe kwaye ezi zilandelayo:

• Injongo yokuqala yonyango - nokuzinziswa kumguli izame uphendlo eneenkcukacha diagnostic;
• nokuzimisela kwesi sifo engundoqo, apho bekuhleli ukuthotywa kwaye kubonakala ngobume bempilo, sithwele ukufa mhlawumbi;
• unyango lwe ebangela uzinziso karhulumente isifo therapy lingaze;
• kubulawe iimeko ezisongela ubomi kunye neempawu;
• ukuphunyezwa elebhu kunye esweni isisixhobo imeko yomguli;
• iguqulela umguli kwi gumbi yabucala emva uzinzo kunye nokupheliswa iimeko ezisongela ubomi.

Laboratory nokulawula instrumental

Esweni imeko isigulana azasekelezwa kuvavanyo lwe imithombo yedatha ezintathu. Lokuqala - uphando nomonde, ukusekwa izikhalazo, ekuboneni amandla zempilo. Okwesibini - izifundo laboratory eyenziwa phambi yokwamkelwa ngexesha unyango, uthelekiso ngeziphumo wohlalutyo. Lo mthombo sesithathu - iinkcukacha ezifunyenwe kwiimviwo instrumental. Kwakhona olu hlobo mthombo ulwazi malunga nemeko yempilo yomguli kunye nenkqubo iquka esweni ukubetha, oxygenation igazi, rhoqo nesingqisho yomsebenzi kwentliziyo, uxinzelelo lwegazi, umsebenzi kwengqondo.

izixhobo iintlungu kunye ezizodwa

ngamasebe zezonyango lweprakhthikhali anesthesiology kunye labagula kakhulu ukuba kuhlangene. Iingcali abasebenza kwezi nkalo, kufuneka idiploma ngala mazwi, "ugqirha anesthesiologist." Oku kuthetha ukuba imiba anesthesiology, bazamile kunye labagula kakhulu ukuze inxaxheba kwenye kunye specialist efanayo. Ngaphezu koko, oku kuthetha ukuba ukuhlangabezana neemfuno kwamaziko eyahlukeneyo zononophelo lwempilo, kubandakanywa amasebe izigulane icala zoqhaqho nezinyangayo, omnye HITD kuphela. Lixhotyiswe izixhobo bazamile, unyango kunye zomzimba phambi uqhaqho.

Ngokumphefumlela labagula kakhulu ifuna olunye-isigaba (okanye biphasic) yokuzenzela okanye esisa umbane, electrocardiograph, inkqubo yomatshini, esa cardiopulmonary (ukuba kuyimfuneko liziko lwempilo ethile), abenzi boluvo kunye analizatorskih neenkqubo eziyimfuneko ukuze esweni izalathi si zokunikwa umsebenzi sentliziyo kwengqondo . Kubalulekile kwakhona ukuba iimpompo ukumnika ezifunekayo hlengiso iinkqubo iziyobisi rhoqo ukumnika ukumnika.

Anesthesiology ifuna izixhobo ukunika Ukubulawa inhalation. Le nkqubo evaliweyo okanye semi-evulekileyo, ngalo ukuziswa umxube iintlungu lunikiwe emiphungeni. Oku kwenza kube lula ukuseka endotracheal okanye Ukubulawa endobronchial. Kubalulekile ukuba iimfuno zomzimba efunekayo laryngoscopes kunye endotracheal (okanye endobronchial) iityhubhu, catheters ngenxa catheters lwesinyi okuhlatywa le mithambo engundoqo neuropathy. Isixhobo efanayo efunekayo kunye nonyango kakhulu.

HITD Amaziko osana

Amaziko osana - kwiziko lezempilo okuzala kwenzeka, nto leyo ngokumandla kuhamba iingxaki. Ezi kufuneka ithunyelwe abafazi ababandezelekileyo kwesisu okanye ngezifo extragenital, ngokumandla nako ingozi empilweni yabasebenzi. Kwakhona, kufuneka kubekho ibhinqa ezimbi ukukhulelwa ofuna unikezelo kwangethuba nokukhathalelwa kuzalwa. Ngokunzulu therapy ezisanda kuzalwa - ngomnye wemisebenzi kula maziko kunye ekuboneleleni ngenkathalo zomzimba kwizigulana abaya enze uqhaqho.

Isixhobo yesondlo HITD Amaziko osana

Branch osana Care ngokunzulu Centre baxhotyiswe ngokuxhomekeke awayecwangcisiwe lezigulane. Oku kufuna iinkqubo zomzimba kunye nezixhobo labagula kakhulu, uluhlu ezinikwe apha ngentla. Ngaloo ndlela HITD amaziko osana ukuba kunye namaziko yabantwana. Kufuneka ube nezixhobo ezizodwa. Okokuqala, omdala internal iisoyi kunye ejikelezayo ayifanele ubungakanani usana lwemizimba leyo sakugcina.

Namhlanje, izakhiwo ezingabantwana inxaxheba nabanyayo zalishumi 500 grams, bazalwa kwi yokumitha kwiiveki 27 '. Ukongeza, kufuneka esisodwa isibonelelo samayeza, ngokuba abantwana abazalwa kakuhle ngaphambi komhla omiselweyo, kufuneka kuqeshwe amalungiselelo lunezinto. Oku amachiza anqabileyo, ngaphandle apho akunakwenzeka ukuba yinesi kuba nosana uyeza kuphuhliso ukukhanya, kodwa ngaphandle lunezinto. Le nto kuthintela alveoli lung uwela phantsi, nto leyo oxhasa inkqubo nokuphefumla kakuhle lwangaphandle.

Iimpawu lombutho umsebenzi HITD

HITD isebenza imini nobusuku, kwaye ugqirha emsebenzini iintsuku ezisixhenxe ngeveki. Oku kungenxa ekungakwazini ukucima izixhobo xa linoxanduva ukondliwa umntu othile. Kuxhomekeka inani lezigulane kunye umthwalo yesebe, inani leebhedi yenziwe. awumise nganye kufuneka ibe nendlu mpilo kunye nokuhlolwa. Ubukho ngaphantsi kwe inani leebhedi, isixa izixhobo umoya, esweni kwaye utsale abenzi.

Isebe, nto leyo yenzelwe izigulane 6, ukusebenza 2-3 resuscitator ugqirha anesthesiologist. Kufuneka ukuba itshintshwe ngosuku lwesibini emva kweeyure ezingama-24 zokusebenza. Oku kukuvumela ukuba ungagcina umkhondo isigulana imini nobusuku kunye veki, xa esweni izigulane ofisi standard kuphela ugqirha umsebenzi. Imizwa kufuneka esweni izigulane abakulo HITD. Kwakhona, ubophelelekile ukuba bathathe inxaxheba kwiinkomfa care ngokusesikweni, kunye nokunceda izigulane amasebe somatic de esibhedlele HITD.

Nceda imizwa ugqirha Nurse impelesi labagula kakhulu. Ukubalwa kwenani yokubheja lwenziwa ngokuxhomekeke inani lezigulane. iibhedi 6 ifuna ubukho ugqirha, abongikazi ezimbini umanyise omnye. Eli inani labasebenzi kufuneka abe khona semsebenzini ngalinye emini. Abasebenzi ke ngoko indawo ngomnye utshintsho, kwaye, yena, - owesithathu.