Tourniquet. Technique tourniquet kwi konyawo

Tourniquet - isixhobo bokumisa igazi. It is a ngumcu iirubber elide 125 cm. ububanzi balo - 2.5 cm, ubukhulu - 3 - 4 cm Enye ekupheleni kwe tape uyayinikwa umlobothi wakho, omnye -. chain zentsimbi. Esi sixhobo elula iyafumaneka kwi esifubeni amayeza imoto nganye akukho ngozi. Ngamanye amaxesha ukungabikho kwakhe yingozi. Person ngenxa yokulahlekelwa igazi kufa, ngaphandle kokulinda ukuba unyango.

Indlela yokwenza isicelo i tourniquet?

kuqala ubeke izandla zakho phezu iiglavu zerabha xa kufakwa a tourniquet. Emva koko, phakamisa kwesebe bachatshazelwa yi wokwenzakala, uze uhlole oko. Tourniquet lisetyenziswa ukuba eluswini, phezu ingaphakathi kwithishyu. Inokuba kukho umntu impahla, iitawuli, amabhandeji, cotton wool. Imali zempilo ndlela yokubopha akayi phambana kwaye musa zinyhasha esikhumbeni.

ukuphela kwayo kuyimfuneko ukuba ngesinye isandla, noluphakathi - kwezinye. Ke olule namandla, yaye kuphela emva koko bathreyise ingalo okanye umlenze. Nge ezilandelelanayo coil yokubopha ngasinye siya usasolulile ngaphantsi. Iziphelo free oxhulumene node okanye umlobothi esisigxina kunye chain. Phantsi nawuphi na umjikelo omnye ibhanti livalelwe qiniseka ukuba uqaphele leyo ebonisa ixesha nokubekwa layo.

Tourniquet akufuneki kusala ixesha elide ngaphezu kweeyure ezimbini, okanye zenzeka ukushwabana okanye antsi izandla okanye iinyawo. Yonke iyure ngexesha lonyaka efudumeleyo kwaye ebusika isiqingatha seyure-yeflakisi buyasikhulula okwemizuzu embalwa (ngexesha inqanawa licinezelwe nxamnye iminwe), nokubekwa tourniquet ukuba ukopha kwenziwa ngendlela efanayo okwesihlandlo sokuqala, kuphela ephakamileyo kancinci.

Ukuba igazi akupheli, lo tourniquet isicelo ngokungachanekanga. Ukuze ngempazamo tsala Kwangale. Oku kuya kukhokelela ekubeni ingcinezelo iza kuqalisa ukuba avuke imithambo yegazi nokunyusa ukopha. Xa kwemisipha ngokugqithiseleyo yokubopha ngemvumelwano ukuba yonakele, luvo izihlunu, nto leyo ekhokelela ukushwabana imilenze. Ixhoba nge tourniquet ithuthelwe kwiziko lonyango kwindawo yokuqala.

Le bethwele singasebenza usebenzisa ivili ngamaplanga. ebekwe laso phezu kwelinye icala isitya yonakele. Loo ndlela kuba nomphumela engashiyi. Ukuba eliphezulu ethangeni okanye igxalaba yokubopha owenzakeleyo Imithi ukopha siwiswa njenge nani ezisibhozo.

On izitya intamo ezonakeleyo yokubopha esilala kunye nokusetyenziswa ngezithandelo ngomthi okanye ibhasi kwindawo ileli. Ezi zixhobo ezibekwe icala isilonda. Ngenxa ivili aziyi acofwa uqhoqhoqho kunye umthambo carotid. Xa kungekho lwamavili ngesandla ukuba abeke isandla sakhe phezu kwentloko ngasemva, kuya ukuphumeza indima yalo. Tourniquet na indawo ethile twist, usebenzisa impahla busondele; iitshefu, izikhafu, imixwayo, amaqhina.

isicelo

Tourniquet xa kuyimfuneko enyanzeliswa phezu yifemur, lesiquluba, igxalaba, inyuke iye okanye namanye amalungu omzimba. Ukuba isiza isicelo is ultimate, khetha indawo ukuba ngaphezu isilonda, kodwa ukusondela kuyo. Oku kukuqinisekisa ukuba inxenye eseleyo lomzimba ngaphandle kwegazi mfutshane kangangoko kunokwenzeka.

Ukuba tourniquet kufuneka bazi ukuba asisayi kuwiswa:

• Kwingingqi wesithathu ongentla emagxeni (uyakwazi kunokwenzakalisa luvo iphiramidi ebonisa) kwaye eyesithathu esezantsi yifemur (kwemithambo femoral woku-nokubotshwa inyama owenzakeleyo).
• Xa wesithathu asezantsi zengalo kunye umzantsi womlenze izihlunu abangekhoyo, kwaye ukuba tourniquet kule ndawo, angaqala wesikhumba necrosis. Ezi ndawo zomzimba kufuneka imilo cone, ngoko tourniquet nga ezitshibilizayo xa uhambisa nexhoba. Lula, lula kwaye ikhuseleke kakhulu ukubeka tape emagxeni okanye hip.

ukopha wegazi. First Aid nokufika logqirha

Ukulahleka igazi ngokusebenzisa kwemithambo ntonje unobangela wokufa nexhoba, ngoko ke kufuneka ukuba ukumiswa ngokukhawuleza. Umntu omdala umthamo wegazi lomntu iilitha 4-5. Ukuba ixhoba yalahleka enye esithathwini yale mali, afe.

Into yokuqala ukuyenza, ndincedisa esimbaxa ukopha, kukuba buthi umthambo ukuze igazi akazange enze kwisiza owenzakeleyo kwaye kugquma. Ukuze ubone ukuba ibekwe kuyo, kufuneka ukuba iphande ukubetha. Apho ke, kukho umthambo. iminwe siqinisekile cinezela phantsi le ndawo, kodwa 2-3 sentimitha amanxeba mde.

Ukuba ixhoba kufuneka kuthuthwa, a tourniquet kunye emithanjeni ukopha kuyimfuneko. Kuphela oko kufuneka kwenziwe ngokuchanekileyo, njengoko kuchaziwe apha ngasentla kweli nqaku. Kodwa ukuba ngenxa kwingozi yemoto umntu lilahlekelwe umlenze, yaye inxeba kwemali igazi, uzaleke igazi nezikrweqe ekufuneka yenziwe ukuze kwakhe 5 cm ngaphezu kwindawo eyonakeleyo, kunokuba 2-3. Buthathaka kwayo nayiphi na imeko engenakwenzeka. Ayizizo zonke isandla kukho iintambo. Uyakwazi indawo ujijo. Kodwa kunjalo akunakwenzeka ukusebenzisa iintambo emxinwa, ngeentambo izinto inelastic.

Xa ixhoba lokuqala uncedo pre-medical, kufuneka kukhunjulwe ukuba xa tourniquet eyeka umthombo wegazi kuwo onke amasebe ukuba esingezantsi. Kufuneka wazi ukuba ukuhamba kwegazi ngokusebenzisa kwemithambo yenziwa ngentliziyo zonke iindawo peripheral.

yophela yangaphakathi

Blood kukulahlekelwa ngenxa yomonakalo yabantu amalungu zangaphakathi luyingozi kakhulu ebomini, njengoko kudla kwenkcazelo walibala kangangexesha elithile.

• Ukopha le kwisisu lwenzeka xa ngesibetho ngamandla, nto leyo ikhokelele udakada eqwengiweyo nesibindi. Kulo mzekelo, ixhoba lifumana esiswini intlungu, ukothuka kwaye angalahlekelwa seengcamango.
• ukopha Esophageal kwenzeka ngenxa komsipha ye imithambo, ekubeni ezinye izifo zesibindi kukhokelela ekubeni ukwanda lwabo.
• ukopha kakhulu esiswini kwenzeka ngenxa izilonda, umhlaza isisu okanye umothuko. Olona phawu lubalulekileyo kukuba ngokulenza emnyama igazi elibomvu okanye clotted. Kulo mzekelo, ixhoba kuyimfuneko ukuqinisekisa uxolo kunye nesiqingatha ukuma nkqo amadolo imilenze onke. Kwi indawo peritoneum kufuneka ufake cutha hayi badla, basela. Ixhoba imfuneko engxamisekileyo ukuba esibhedlele, apho lwakhe utyando.
• Ukopha kuloo ndawo ibinomthwebeba esifubeni na ngenxa yempembelelo okanye esifubeni ukulimala olomeleleyo. Babize igazi iqala ukuba noxinzelelo emiphungeni, nto leyo ukuphazamisa umsebenzi wabo eqhelekileyo. Ukuphefumla nzima, ukutsarhwa zinokwenzeka. Ixhoba nangoko kuthuthwa ukuya esibhedlele, lo gama ukufika ugqirha bafakwa esifubeni cutha umkhenkce, amnike indawo isiqingatha tye kunye nemilenze onke.

ukopha lwemithambo. ukunakekelwa predoctor

Ukuba uhlolo ixhoba watyhila ukuba umonakalo yegazi ezincinane ngokwaneleyo ukuze ndimqhame phantsi ngomnwe isitya ngezantsi kwisiza ukwenzakala, njengoko eli gazi lihamba ukusuka ezantsi ukuya phezulu, yaye awunakho ukwenza ngolunye uhlobo. Ukuba oku akwanelanga ukuba ayeke igazi evela ngemithambo indawo ukwenzakala kuyimfuneko ukuba ukunyanzelisa umhlabelo, xi. Lo uncedo lokuqala.

Kodwa ngaphambi kokuba inwebu le ndawo wokwenzakala iphathwa nge-ayodini, isilonda ivalwe ngokubopha ludlolo, yaye ngaphezulu, kunye ilungiselelo bone lo, le bead ukutywina isicelo. Ngoku ukonzakala imfuneko ngokuqinileyo wrap anike lomzimba elimele ndawo iphakamileyo. ngebhandishi Compressive imiswe ngokuchanekileyo ukuba ukopha uya kuyeka kwaye kuya enze ibala igazi.

Kwimeko apho uncedo loo akwanelanga ukunqanda ukopha, uzaleke lwemithambo uthatha ngezantsi nje kunokuba ngaphezu kwendawo iimpahla achaphazelekayo. Kufuneka nje ukwazi oko uya kwelinye icala, ithetha ukuba intliziyo ngexesha igazi lwemithambo.

ukopha

Xa zaphazanyiswa ukuthembakala emithanjeni, apho igazi yhuu. Oku kuthiwa ukopha. ingozi yayo siyifumana yokuba umthamo wegazi liyancipha, nto leyo atyhutyhela nasezimpahleni. Oku kukhokelela ukonakala kweendlela umsebenzi kwentliziyo, kunye nokunqongophala amalungu oluntu nge-oksijini.

Ngexesha ukopha elide iqala ukuphuhlisa anemia. Oku kuyingozi kakhulu abantwana kunye nabantu abadala. imizimba yabo kakubi ukhona ngokunciphisa ngokukhawuleza umthamo wegazi. Ngoko ke, kukho iintlobo ezintathu ukopha. Kuxhomekeke ekubeni ukuba ibekwe empahleni ethile.

• Blood. It lula bungabonakala: igazi elibomvu iyayilwa umthombo ezincinane.
• Lwemithambo. Benqanawa owenzakeleyo ilandela igazi umbala emnyama.
• Capillary. Le yindlela elula ukopha, apho ezineengqayi ezincinane yonakele.
• Parenhitamoznoe. Oku kwenzeka xa amalungu oluntu non-yonakele ezifana udakada, isibindi, nezintso. wopha okunjalo mixed. Inxulunyaniswa komsipha komzimba. Ngaphandle utyando ukunqanda ukopha ngokupheleleyo parenhitamoznoe akunakwenzeka. Kodwa, ukunika uncedo lokuqala ukuya ixhoba, kufuneka ubeke endaweni umonakalo sityholo ukuya ngumkhenkce.

Ukopha kwenzeka:

• Ngaphandle.
• Internal. Kulo mzekelo, igazi ukusuka isitya ochaphazelekayo obegalelwe yendlela adalwe ngayo umzimba.

Iimpawu, nto leyo ukumisela ukopha

Eyona nto ibalulekileyo igazi owawuphuma isitya. Noko ke, ukopha yangaphakathi abakwazi ukubona oko. Ngoko ke, kukho ezinye iimpawu:

• Isikhumba kunye imifinya yangaphakathi kuba luthuthu.
• Kuyabonakala nesiyezi, linxano.
• Kunciphisa uxinzelelo lwegazi.
• Okwanamhlanje ukubetha kwentliziyo avelayo kwaye kubonakala tachycardia.
• Umntu ulahlekelwa abazi lutho. Oku kwenzeka xa kukho ilahleko igazi ngesiquphe.

Emithanjeni kunye nokopha lwemithambo in amanxeba. lokuqala zoncedo

Nxeba - le umonakalo, nto leyo iphazamisane ukuthembakala eluswini, amalaphu, iinwebu, kwaye sikhatshwa intlungu nelahleko negazi. Xa nxeba ezenza intlungu yaye ebangela umonakalo komboko luvo, kwaye wopha ezinxulumene ngqo uhlobo kunye semithambo ezonakeleyo. Yiyo loo nto kuqala ukubeka ubunzulu yokwenzakala kwaye uzimisele ukusuka isitya igazi lulandelayo: emthanjeni okanye umthambo. Ingakumbi imfuneko yokwenza ngokukhawuleza xa inxeba linzulu kakhulu kwaye zinqunqwe, yaye awongamela xa wayosela imithambo yegazi enkulu.

Ukunika uncedo lokuqala amanxeba phambi kokuba bafike amaqela ambulensi ngesiqhelo yenziwa ngabantu ezikufuphi. Ukumisa ukopha kwindawo kukwenzakala wamisa tourniquet.

Esibhedlele zoncedo lokuqala emithanjeni kunye lwemithambo ukopha yenziwe intsumpa. Xa isayithi ye yokwenzakala semithambo ukwenza suturing kweendonga zayo.

uncedo lokuqala ukwenzakala entloko, esifubeni, intamo, emzimbeni kunye nezinye iindawo umzimba olwenziwe ukunyanzelwa ibotshwe loxinzelelo. Xhobani inxeba igozi abulawe tape up.

Kufuneka kuqatshelwe: Ukusebenzisa ezibandayo kunye nokopha ukusuka apho iphuma khona okanye Umthambo ayikho kuyimfuneko, njengoko oku kwenza mqondo. Ezi mpahla enkulu musa Taper ukusuka iqabaka.

orifices Natural komzimba womntu. Ukopha kubo

ukopha kwenzeka, xa aqukuqela ephuma empumlweni. Oku ibe negalelo elikhulu okanye ngenxa yokwenzakala kwengqondo esibuhlungu. Ukumisa ixhoba ukopha kufuneka alale ngomqolo, phakamisa intloko yakho kancinci. Kwi impumlo, intamo, kummandla intliziyo kufuneka abeke ngumkhenkce. Ngeli xesha, awukwazi nihlamba empumlweni okanye ukuvuthela impumlo yakho.

Ukuba umntu wonzakele ekuva meatus okanye ukhakhayi ukwaphulwa yenzekile, oku kungavula ukopha evela indlebe. Kulo mzekelo, oko iwise umhlabelo igozi okungenazintsholongwane, kwaye ixhoba makayirhole icala waza waphakamisa intloko yakhe. Akuvunyelwe ngokungqongqo ukuhlamba indlebe.

Indlela ukunqanda ukopha esebenzisa imilenze kruthu?

• Ukuba inxeba ibunjiwe oko kuthetha igazi, kuyimfuneko ukubeka engqinibeni bend umqulu igozi umhlabelo okanye ilaphu, bagobe ingalo yakho esihlahleni okanye yengalo indawo. Ukulungisa ngayo kule ndawo, zengalo kufuneka ebotshelelwe egxalabeni. Ukopha uza kuyeka.
• Ukuyeka ukusuka kwemithambo le komqamelo ngesa- obekwe phantsi kwengalo yakhe, lo Ingalo igotywe engqinibeni, yalala esifubeni sakhe pribintovyvayut.
• Xa axillary ukopha iingalo isongwe, kubuyiswe ubanxibe iingalo. Le meko ivumela subclavian umfula snuggle collarbone ukuya elunxwemeni. Le ndlela ayikwazi ingasetyenziswa xa umntu unalo ithambo lomzimba eyaphukileyo.

Car kwikhithi. isixhobo

Abantu abaninzi bakholelwa ukuba le kithi iyafuneka kuphela ukuze oyenzayo. Kodwa ke akunjalo. Akukho mntu owaziyo ukuba imeko inokuba kwindlela imoto. Mhlawumbi isimo sakho enobuntu komnye umntu, ulwazi imithetho uncedo lokuqala ukuya ixhoba kunye ayimfuneko iseti ye sithuthi umntu kuyakusindisa ubomi babantu.

Okwangoku, izixhobo lokuqala zoncedo izixhobo ngomatshini ezenziwe imigangatho ezintsha. Oku kuquka: isixhobo ezinokusetyenziswa ukwenza yokuphefumla ngumntu, amabhandeji, hemostatic tourniquet, irabha iiglavu kunye zokuthena imithi. Ukususela ngeekhithi ngaphandle izibulali onke amayeza. Ayenzi dipyrone, aspirin, carbon luvuliwe, validol, nitroglycerin, nkqu iodine ngepeyinti eluhlaza.

imoto iinketho Iikhithi iye Boza kakhulu. Yintoni kutshintsha? Okokuqala, lo mkhwa yaseYurophu uncedo lokuqala ngaphambi kokufika oogqirha. Bakholelwa ukuba uninzi abaqhubi eRashiya abazazi iindlela zokusebenzisa amayeza ayimfuneko. Ngenxa yoko, babiza ugqirha kwaye uyeke amaxhoba ilahleko igazi liya kuba umsebenzi ophambili.