Omunye uqinisekisa ukuthi umhlengi ulahlekelwe ukwazi, ukushaya kwenhliziyo kanye nokuphefumula ukuphefumula. Kuboniswa ngabafundi abahlanjululwe kanye nokulahleka kwe-Reflex ekhanyayo. Umthambo wesifazane kanye ne-artery ye-carotid akunakuthinteka nge-pulse. Umsindo wenhliziyo wanyamalala; I-Cyanosis (Umdwebo 1).
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3 Uma kukhona ama-denture we-prostetic, kufanele asuswe. Ukuvula i-airway, isandla esisodwa sibekwe ebunzini ukuze ikhanda ligxishwe, futhi inkomba neminwe eliphakathi nendawo yabekwa endle eduze kwe-chin (umhlathi) ukuphakamisa i-chin phambili nokudonsa intamo (Fig. 4).
Umdwebo wokuhlola okungu-1 wokuqashelwa kweziguli
Umdwebo 2 funa usizo bese uzibeka wena
Umdwebo 3 ukuhlolwa kokuphefumula kweziguli
I-4. Ukuphefumula kokufakelwa kanye nokucindezelwa kwesifuba
. Le nqubo yenziwa ngenkathi imigwaqo yomoya igcinwe ilungelo lobunikazi kanye nemithambo ye-carotid yahlolwa ukuthi i-pulsotion (Umdwebo 5). U-opharetha ucindezela ibunzi lesiguli ngesandla sakhe sobunxele futhi linqwabelana ekugcineni kwe-alar ekhaleni ngesithupha sakhe kanye nomunwe wenkomba. Ngezinkomba kanye neminwe ephakathi yakolunye uhlangothi, phakamisa umhlathi ophansi wesiguli, thatha umoya ojulile, uvule umlomo ukuze umboze ngokuphelele umlomo wesiguli, bese ushaye phezulu emlonyeni wesiguli, kuze kube yilapho isifuba sesiguli siphakanyisiwe. Ngasikhathi sinye, umlomo wesiguli kufanele uvuleke, futhi isandla esicindezela ikhala kufanele futhi siphumule, ukuze isiguli sikwazi ukuvela ekhaleni. Bheka ukululama kwesifuba sesiguli, futhi uphume umoya emzimbeni wesiguli. Imvamisa yokuqhuma kwezikhathi eziyi-12- 20 / min, kepha kufanele ihambisane nencindezelo yenhliziyo (Umdwebo 6). Ekusebenzeni komuntu sinye, kwenziwa izingcindezi ze-cardiac kanye nokushaywa komoya okungu-2 (15: 2). Ukucindezelwa isifuba kufanele kumiswe ngesikhathi kuvunguza umoya, njengokushaya komoya ngokweqile kungadala ukuqhuma kwe-alveolar.
Umdwebo 4 ukugcina i-airway paiteency
Umdwebo 5 ukuhlolwa kwe-carotid pulsation
Umdwebo 6 wenza ukuphefumula kokufakelwa
(2) Ukucindezelwa kwesifuba sangaphandle: Yenza ukucindezelwa kwenhliziyo okufakelwa ngenkathi kuphefumula okwenziwe.
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Umdwebo 7 Ukuthola isikhundla sabezindaba esifanele
. Lezi zindlalo zombili zigcwele ngokulinganayo futhi iminwe iwela futhi yahlanganiswa ndawonye ukuphakamisa iminwe edongeni lwesifuba; Izingalo zomsizi kufanele zeluleke ziqonde, iphuzu eliphakathi lamahlombe kufanele libe nge-perpendicular kusayithi elicindezelayo, kanye nesisindo somzimba ongenhla namandla emisipha kufanele kusetshenziselwe ukucindezela phansi, ukuze i-sternum uzothola ama-4 kuye ku-5 cm (iminyaka emi-5 kuye kwayi-13 ubudala 3 cm, usana 2 cm); Ukucindezela kufanele kwenziwe kahle futhi njalo ngaphandle kokuphazamiseka; Isilinganiso sesikhathi sokucindezela phansi nokuphumula okuphezulu ngu-1: 1. Cindezela eqopheni eliphansi kakhulu, kufanele kube nokumisa okwesikhashana, akunakuba nomthelela othandweni noma weqa uhlobo cindezela; Lapho uphumula, impande yesandla akufanele ishiye iphuzu lokulungiswa kwe-startal, kepha kufanele ilulame ngangokunokwenzeka, ukuze i-sternum ingaphansi kwanoma yikuphi ukucindezela; Izinga lokushintshana elingu-100 lakhethwa (amakhiwane. 8 no-9). Ngasikhathi sinye sokucindezelwa kwesifuba, ukuphefumula okwenziwe ngokungemthetho kufanele kwenziwe, kepha ungaphazamisi ukuvuselelwa kwe-Cardiopulmonary njalo ukuze kubhekwe ukushaya kwenhliziyo kanye nenhliziyo, futhi isikhathi sokuphumula akufanele sidlule impumelelo yokuvuselela kabusha.
Umdwebo 8 wenza ukucindezelwa kwesifuba
Umdwebo 9 Ukuma okulungile kwe-Cardiac Compression yangaphandle
. ② Umbala wobuso besiguli, izindebe, izipikili nesikhumba kwaphenduka ubomvu futhi. ③ Umfundi we-dilated shrank futhi. ④ Imisindo yokuphefumula ye-alveolar noma ukuphefumula okuzenzakalelayo kungazwakala ngesikhathi kuvunguza umoya, futhi ukuphefumula okuthuthukile. Ukwazi kancane kancane kutholakale kancane, i-coma yaba yintukuthelo, kwenzeke ama-Reflex nomzabalazo. ⑥ Ukukhishwa komchamo okhuphukile.
Isikhathi Sokuposa: Jan-14-2025