Mpikisano wothamanga ndi mawu omwe amalumikiza zithunzi za anthu omwe amaphedwa ndi mfuti akuyenda kudutsa sukulu kapena maofesi, akuwombera anthu osayang'ana osalakwa. Angathenso kutanthawuza anthu omwe akutsutsana nawo kapena magulu a magulu ogwira ntchito pamodzi kuti awononge masisonkhano a anthu m'malo amodzi. Kaya tikukamba za wojambula mmodzi kapena gulu, mawuwo ndi ofanana.
Kukonzekera mwachidwi kumagwiritsira ntchito zomwe mungachite mukakumana ndi vutoli. Dipatimenti ya Kutetezedwa Kwawo Kumatilangiza kuti tichite chimodzi mwa zinthu zitatu ngati tikukumana ndi chowombera:
- Thamangani . Njira imodzi yabwino yokhalira otetezeka pa chochitika chowombera ndikutsekera pa chochitika chowombera. Tuluka ndi kuchoka mwamsanga momwe mungathere.
- Bisani . Ngati simungathe kuthamanga, bisani. Khalani chete ndipo musayang'ane, makamaka pambuyo pa khomo lotsekedwa. Sungani foni yanu.
- Nkhondo . Pomalizira, ngati mulibe kusankha kwina, yesani kumbuyo. Kupititsa patsogolo zida ndikudzipereka ku zochita zako chifukwa moyo wako umadalira.
Itanani 911 ndipo muyembekezere kukhala wodandaula kamodzi apolisi atabwera. Sadziwa yemwe ndi ndani, kotero akadzafika kumeneko, adzasamalira aliyense. Tsatirani malangizo awo ndikukhala oleza mtima.
Nthaŵi zambiri, momwe-to sumaphatikizidwe zoti achite pa zovulala. Kuvulala kwa zochitika zojambulira-kuphatikizapo kuvulazidwa kwa zipangizo zowonongeka-tsatirani njira zowonongeka, zomwe zimakhala zofala kwambiri ndi zowonongeka ndi mabala.
Zojambulazo
Ulendo woyendayenda unayanjidwa kwambiri ndi gulu lothandizira loyamba. Kwa nthawi yayitali, ife (ine palimodzi tinaphatikizapo) ankakhulupirira kuti maulendo a maulendo anali mavuto ambiri kuposa omwe anali oyenera. Zinkaganiziridwa kuti maulendo a maulendo angapulumutse miyoyo, koma iwo amachititsa kuti munthu asatenge chiwalo.
Pano pali lingaliro: maulendo oyendayenda amagwira ntchito mwazidzidzidzi kumatenda kapena mwendo. Kutsekemera kumasiya, komanso kutuluka kwa zakudya ndi mpweya kumalo ena onse. Ngati wodwalayo sanachiritsidwe mofulumira, amakhulupirira kuti kutaya magazi kumalo osokonezeka kumapangitsa kuti thupi lizifa.
Chinthuchi ndikuti, panalibe maziko ambiri a malingaliro amenewo. Zomwe zikutuluka (palibe chilango chomwe chinkafunidwa) maulendo achilendo akhala akugwiritsidwa ntchito kwa zaka zambiri popanda mavuto. Chiphunzitso cha kuwonongeka chinapangitsa kuti kuchepa kwakukulu kugwiritsidwe ntchito kwa maulendo apadera kunja kwa asilikali.
Kufufuza bwinoko pa nthawi ya mikangano ku Iraq ndi Afghanistan kunathandiza kuti adziŵe mbiri ya maulendo otchuka ndipo tsopano ali ofunikira pa chida chilichonse chothandizira.
Gwiritsani ntchito maulendo othawirako pamene magazi akutuluka kwambiri kapena pali kuwonongeka kwakukulu kwa mkono kapena mwendo kuti chovala chokakamiza sichikuphimba. Kuwonongeka kwakukulu kumaphatikizapo kuchotsedwa. Chinyengo chokonzekera kugwiritsa ntchito zofufuzira ndikuti chikhale cholimba kwambiri. Kugwiritsa ntchito bwino kothamanga sikumveka kwa wodwalayo, ena anganene ngakhale zopweteka.
Kuvala Zovuta
Njira yabwino yophunzirira momwe mungagwiritsire ntchito kupondereza ndiko kuchita. Gulani awiri ndi kutseguka kuti muzichita nawo. Chimodzi mwa zothandiza kwambiri ndi kugoba kwa Israeli, komwe kumakhala ndi lever yomwe ikuphwanya pa bala kuti ikhale yogwira. Kugwiritsidwa ntchito ku Israeli kungagwiritsidwe ntchito mofulumira ndi kuchita, koma n'kosavuta kusokoneza ngati simunachitepo kangapo.
Ndikofunika kukumbukira kuti mukhala ndi vuto la adrenalin pamene ndi nthawi yogwiritsira ntchito zinthuzo m'kabuku lanu loyamba. Khalani ndi njira yokhayo yowonjezeretsa kuti manja anu agwedezeke ndipo muli ndi vuto lakuyikira.
Mosiyana ndi maulendo opanga maulendo, kuponderezedwa sikukhala ndi mbiri yofanana. Izi zimati, kupanikizika ndi zobvuta kwambiri kugwiritsa ntchito bwino. Pali mitundu yambiri ya kupanikizika kwa kunja ndi kwa mkati komanso mawonekedwe a hemostatic omwe amathandiza magazi kugwirana.
Sizolakwika kuti mukhale ndi njira zingapo zopangira makapu opanikizika mu kachipangizo kanu koyamba. Mabanki omwe amabwera ndi antmostatic mawotchi ndi okongola kwa mabala akunyamula. Mabanki omwe amadzimangira okha popanda kugwiritsitsa khungu ndi abwino kwa okalamba.
Zisindikizo Zachifuwa
Mbalame ndi zowonongeka zouluka kuchokera kuphulika koopsa zikhoza kuyika mabowo pafupifupi chirichonse. Phokoso lililonse m'thupi limene siliyenera kukhalapo lidzatuluka magazi. Khungu ndi ziphuphu za thupi ndizo magazi ndi madzi a thupi. Sungani dzenje mu chidebe ndipo madzi akutha.
Mabokosi m'chifuwa, kuphatikizapo kumbuyo, osati magazi okha komanso amalola mpweya kutuluka mkati ndi kunja. Ndi vuto lodziwika bwino lomwe mabowo omwe ali m'chifuwa amaonedwa kuti akuyamwa mabala . Sikofunika kuti mumve kapena kuona mpweya. Nthawi zambiri zimakhala zovuta kwambiri.
Ngati simukutsatiridwa, kuyamwa mabala a chifuwa kungachititse kuti mapapu akugwa, chomwe chimatchedwa pneumothorax . Mpweya umalowetsa pakati pa khoma la chifuwa ndi mapapo, kukankhira pamapapo ndikuwoneka kuti "akugwa" pa x-ray.
Njira yolimbana ndi chilonda cha chifuwa chotsatira ndi kusindikiza . Kuletsa kayendetsedwe ka mpweya kudzasunga pneumothorax kuti isayambe. Nthawi zambiri, kusindikiza chifuwa cha chifuwa kungachititse kuti mpweya uzilowetsa m'kati mwa chifuwa. Ndizomveka kuti chipolopolo choyendayenda mofulumira kuika mthunzi mu mitsempha yambiri ya chifuwa chimaikanso dzenje m'mapapo.
Popeza kuti mpweya ukhoza kutuluka m'mapapo komanso kuyamwa kudzera mu dzenje, zizindikiro zina za chifuwa zimabwera ndi mphepo. Mpweya umalola mpweya kuthawa koma umatulutsa mpweya kuti usalowe mu bala. Kuthamanga ndi kuwonjezera kwakukulu, koma sikofunika-makamaka ngati wodwala atalandira chithandizo mu nthawi yochepa. Kuvulala kwakukulu kwa anthu aumphawi kudzachitiridwa mofulumira mofulumira kuposa anzawo a ankhondo.
Pomwe mukuphunzira pang'ono ndi kumvetsetsa momwe zisindikizo zimagwirira ntchito, izi ndi chimodzi mwa zipangizo zomwe zingagwiritsidwe ntchito mosavuta pogwiritsira ntchito kuvala kosabalalitsa komwe kakakhala kale mu kachipangizo chanu choyamba. Kaya mumalongosola kapena kugwiritsa ntchito chidindo chamalonda, phunzirani kuzichita musanayambe kutero.
> Zotsatira:
> Kukonzekera Kowonjezera | Kutetezeka Kwawo. Kukonzekera Kogwira Ntchito | Kutetezeka Kwawo . (2016). Dhs.gov .
> Butler FK, Dubose JJ, et al. Kuyang'anira Pneumothorax Yoyamba mu Zowonongeka Zowonongeka Zotsutsana: TCCC Guide kusintha 13-02. J Mwapadera Op Med Med . 2013 kugwa; 13 (3): 81-6.
> Edwards S, Smith J. Advances mu kubwezeretsa usilikali. Nurse wa Emerg . 2016 Oct 6; 24 (6): 25-29.
Kuwathandiza Poyamba Kuvulala Kwowonjezera Kwachangu
Pamene kuwombera kwaima, pangakhale nthawi yaitali kuyembekezera kuti chipulumutso chifike. Panthawiyi muyenera kusankha ngati mukufuna kukhala woyimilira kapena woyankha mwamsanga . Kodi iwe uzingoyima pafupi kapena kuchita chinachake? Chisankho chimenecho chimakhala chosavuta ngati mwakonzekera pasadakhale zoyenera kuchita.
Choyamba, phunzirani thandizo loyamba . Palibe chinthu chofanana ndi maphunziro omwe akuyenera kukukonzerani inu mosayembekezereka.
Chachiwiri, khalani ndi chithandizo chabwino choyamba chothandizira . Kachitidwe kabwino kawirikawiri kamakhala kamangidwe kameneka, komabe mungathe kumanganso kuchokera pachiyambi. Mulimonsemo, pali zinthu zomwe mukufunikira mu kitakonzedwe chanu kuti mukonzekeretse zinthu zomwe zingakhale zovuta zowonjezera zomwe zingakhale zosafunikira ku mtundu uliwonse wa chithandizo choyamba.
M'munsimu muli mndandanda wa zinthu zomwe zimagwira ntchito zowonongeka komanso zokambirana za mtundu uliwonse. Zinthu izi ndizofunikira pa chida chilichonse chothandizira choyamba ku ofesi, sukulu, kapena chida chapayekha. Phindu limene zinthu zonsezi zimagwirizana ndizimene zingagwiritsidwe ntchito ndikulola wopulumutsiyo kukhala wopanda manja. Mwanjira imeneyo, wopulumutsi angathandize kusuntha wodwalayo kapena ngakhale kumenyana ndi shooter ngati kuli kofunikira.