Kufunsanso nzeru za chithandizo chachikulu choyambitsira chithandizo choyamba
Kwa nthawi yonse yomwe ndakhala ndikupempha thandizo lachipatala (EMS), chithandizo cha odwala osadziŵa kupuma ndikuwatsitsimula. Lingaliro ndikuteteza kupezeka kwa emesis (m'mimba mwake) m'mapapu, omwe ndi chikhalidwe chodziwika kuti aspiration . Pogwiritsa ntchito zachipatala, malo obwezeretsa amatchedwa " lateral recumbent position" , kapena nthawi zina amatchulidwa kuti positional decubitus position .
Pafupifupi nthawi zonse, opereka chithandizo choyamba amauzidwa kuti apereke wodwalayo kumbali yake ya kumanzere ndipo nthawi zonse amachitcha kuti mbali yotsalira .
Momwe Zimagwirira Ntchito (Zogwirizana)
Lingaliro la kupumula ndilololeza kuti m'mimba muli zinthu zotsekedwa ngati chirichonse chikubwezeretsedwa. Pamwamba pa phokoso (chitoliro cha chakudya) chiri pafupi ndi pamwamba pa trachea (mphepo yamkuntho). Ngati chirichonse chikuphulika kuchokera m'mimba, chikhoza kupeza njira yopita m'mapapu, makamaka kumumitsa wodwala kapena kupanga chomwe chimadziwika ngati aspiration chibayo (matenda a mapapo kuchokera kudziko lina).
Vuto lachirendo ndilofanana ndi mankhwala ena othandizira oyamba: zimveka bwino koma palibe amene akudziwa ngati zikugwira ntchito. Palibe ndalama zochuluka zothandizira pokhapokha ngati chithandizo chikufuna mankhwala kapena chidutswa cha zipangizo zamakono. Kuyika munthu wina kuti awatchinjirize kulakalaka kulibe mfulu.
Chifukwa palibe chimene chingapindule, anthu owerengeka amapanga kufufuza pa zinthu ngati momwe amachitira.
Umboni Wotsimikizira (Palibe Zambiri)
Tinathe kupeza ndondomeko imodzi yomwe inkawona momwe mphamvu za thupi zimagwirira ntchito pa aspiration. Phunziroli ndi lolakwika chifukwa silinali kuyerekezera malo a thupi ngati mtundu wa mankhwala.
M'malo mwake, phunziro ili likufanizira zotsatira za odwala omwe anagonjetsa ndi kusanza aliyense asanakhalepo. Olembawo adayang'ana momwe wodwalayo adapezera ndikuwunikira momwe aliyense wawonongera.
Phunzirolo, kupuma kwabwino kunali bwino kuposa ngati munthu wopanda chidziwitso anali atagona pansi pamsana pake, wotchedwa supine . Komabe, njira yabwino kwambiri yotetezera mlengalenga - osachepera molingana ndi phunziro limodzi - ngati wodwalayo anali wokonzeka , atagona pamimba mwake. Zimakhala kuti ngati mugona pansi ndi pakamwa (pakamwa panu) pamunsi pake, ndiye kuti zinthu zomwe zimachokera mumatumbo anu sizidzalowa m'mapapu anu.
Ndani ankadziwa?
Zoonadi, sizingakhale zosavuta. Iwo anali kuphunzira zochitika, osati kusankha kosankhidwa ndi opulumutsa. Ambiri aife tikhoza kumangokhalira kuponyera wodwala kwathunthu. Chifukwa chimodzi, muyenera kuyang'anitsitsa kupuma kwa wodwalayo ndi panjapo ngati wodwalayo akudwala. Zimakhala zovuta kutero ngati muli ndi nkhope ya wodwalayo ndikukankhidwa pansi. Mchenga wotentha sungakhale bwino kusiyana ndi kuyamwa chamasana, monga momwe kupulumuka kumapitira.
Pali Zambiri Zowonjezereka kuposa Puking
Phunziro lina limene ndinapeza poika odwala mopitirira muyeso limapangitsa zinthu kukhala zovuta kwambiri.
Chifukwa chakuti wodwala atayiritsa mapiritsi ambiri sizikutanthauza kuti watenga zonse zomwe zingakhale zoopsa. Kumeneko nthawi zonse amakhala makapulisi osagwiritsidwa ntchito komanso mapiritsi omwe ali pamimba. Gulu lina la ofufuza linayesa momwe thupi limakhalira kuti ziwalozo zopanda mapiritsizo zitha kupitilira m'magazi. Icho chimatchedwa kuyamwa, ndipo zimakhala kuti thupi lathu limakhala ndi mphamvu zambiri pa momwe ife timagwirira mofulumira.
Mu phunziro ili, kuchoka kwa decubitus kumbuyo kunabwera pamwamba. Supine analidi wopambana, koma ngakhale olemba awa adavomereza kuti kupuma kwa m'mimba m'mapapu anu kunagonjetseratu cholinga chochepetsetsa kuyamwa kumalo oyamba.
Kuyika wodwala mimba yake ndiko kosavuta kuchepetsako kuchepetsa kuyamwa. Pa malo ovuta, odwala amamwa mapiritsi mofulumira.
Bwanji ngati Wodwala ali ndi Matenda a Mtima?
Monga ngati madzi sanali osakwanira mokwanira, pali vuto lina lomwe lingathe kuganizira. Odwala omwe ali ndi matenda a mtima omwe amatchedwa congestive heart failure (CHF) salola kuti pakhale bwino. Anthu awa ali ndi mavuto kusunga magazi kupyolera mu mtima ndipo pamene iwo amagona pambali pawo, mtima umakhala wodzaza kwambiri kuposa nthawi zonse.
Gulu lachitatu la ofufuza anayerekezera anthu 14 odzipereka omwe ali ndi odwala 14 CHF (omwe anali odzipereka). Odwala omwe ali ndi CHF sanasinthe mochuluka pamene iwo ankakhala pansi n'kumakhala pansi. Koma pambali pawo, iwo anali ndi mpweya wochepa komanso osasangalatsa.
Zimene Zimatanthauza Kwa Inu
Mwina mukhoza kusokonezeka tsopano kusiyana ndi pamene munayamba nkhaniyi, koma ndilo mfundo. Mankhwala ambiri omwe amaphunzitsidwa pothandiza poyamba amachokera ku chiphunzitso osati umboni. Ngati izo ziri zomveka, ndi momwe izo zakhalira. Nthawi zina, ziphunzitsozo ndizolakwika. Nthawi zina, umboniwo ndi wolakwika ndipo umasintha momwe thandizo loyamba limagwirira ntchito, koma kusintha kokha kamodzi kowonjezera umboni. CPR ndi chitsanzo chabwino kwambiri cha momwe njira yoyamba yothandizira yowonjezera ibbs ndiyendayenda ndi kuphatikiza ndale, mafashoni ndi umboni wochuluka wa umboni.
Mosiyana ndi CPR, chizoloŵezi choika anthu osadziŵa chidziwitso kuchipatala sichinasinthe kwa zaka zambiri. Ndikulingalira kuti chifukwa chakuti zokhumba sizomwe zimakhala zofala kwa odwala ambiri. Ndipotu, chilakolako chimakhala vuto lalikulu kwa odwala achikulire omwe akuvutika kwambiri kumeza.
Kupeza bwino kumaphunzitsidwa mwachindunji. Mabuku ena oyambirira othandizira - komanso malemba apamwamba kwambiri - apulumutseni amupatse wodwala pambali pake ndi mwendo umodzi wopindika ndipo mutu ukutsamira pa mkono. Dziko lenileni silili lolondola. Kumvetsa zomwe mukufunikira kukwaniritsa ndikofunika kwambiri kuposa momwe mukuchitira. Sungani zinthu m'mapapu anu odwala. Ngati izo zikutanthauza kuti iwe ukuwapukuta iwo pafupi njira yonse pa mimba zawo, kotero zikhale izo. Onetsetsani kuti mukuyang'ana kupuma kwawo ndipo ngati ayimitsa, lembetseni ndi kuyamba CPR.
Zotsatira:
Adnet F, Borron SW, Finot MA, Minadeo J, Baud FJ. "Ubale wa thupi panthawi imene anapeza ndi chilakolako chofuna chifuwa cha chibayo mwa odwala omwe ali ndi poizoni." Crit Care Med . 1999 Apr; 27 (4): 745-8. PubMed PMID: 10321664.
Palermo P, Cattadori G, Bussotti M, Apostolo A, Contini M, Agostoni P. "Kupuma kwapadera kumayambitsa mavuto ndipo kumapangitsa kuti mapapo azigwira ntchito mosalekeza." Chifuwa . 2005 Sep; 128 (3): 1511-6. Adatuluka PMID: 16162751.
Vance MV, Selden BS, Clark RF. "Malo odziwika bwino okhudzidwa ndi oyendetsa komanso oyang'anira oyamba poizoni." Ann Emerg Med . 1992 Mar; 21 (3): 243-6. Adatuluka PMID: 1536482.