Qinisekisa ukuba umsindisi ulahlekelwe zingqondo, ukubetha kwentliziyo kunye nokuma kokuphefumla. Ibonakaliswa zii-pupil ezivulekileyo kunye nokulahlekelwa yi-reflex yokukhanya. Umthambo we-femoral kunye nomthambo we-carotid azikwazanga ukuchukunyiswa yi-pulse. Izandi zentliziyo zanyamalala; i-Cyanosis (Umfanekiso 1).
2. Indawo: Beka umsindisi phantsi emhlabeni oqinileyo okanye ubeke ibhodi eqinileyo emva kwakhe (Umfanekiso 2).
3. Gcina indlela yokuphefumla ingaphazanyiswa: Okokuqala jonga indlela yokuphefumla (Umfanekiso 3), susa ukungcola, ukuhlanza kunye nemizimba yangaphandle kwindlela yokuphefumla. Ukuba kukho amazinyo okufakelwa, kufuneka asuswe. Ukuvula indlela yomoya, esinye isandla sibekwe ebunzini ukuze intloko ithambekele ngasemva, kwaye iminwe yesalathisi kunye neyaphakathi yesinye isandla ibekwe kwi-mandible kufutshane nesilevu (umhlathi) ukuze kuphakanyiswe isilevu phambili kwaye kutsalwe intamo (UMfanekiso 4).
Umfanekiso 1 Uvavanyo lwengqondo yesigulana
Umfanekiso 2 Funa uncedo uze uzibeke kwindawo yakho
Umfanekiso 3 Uvavanyo lokuphefumla kwesigulana
4. Ukuphefumla okwenziwayo kunye nokucinezelwa kwesifuba
(1) Ukuphefumla okwenziwayo: ukuphefumla ngomlomo, ukuphefumla ngomlomo, kunye nokuphefumla ngomlomo (iintsana) kungasetyenziswa. Le nkqubo yenziwe ngelixa iindlela zomoya zigcinwe zilungile kwaye imithambo ye-carotid ihlolwe ukuba ayiphefumli na (Umfanekiso 5). Umqhubi ucinezela ibunzi lesigulana ngesandla sakhe sasekhohlo aze acinezele isiphelo esisezantsi sempumlo ngobhontsi wakhe nomnwe wakhe wokukhomba. Ngeminwe yokukhomba neyesibini, phakamisa umhlathi ongezantsi wesigulana, uphefumle nzulu, uvule umlomo ukuze uvale umlomo wesigulana ngokupheleleyo, uze uvuthele nzulu kwaye ngokukhawuleza emlonyeni wesigulana, de isifuba sesigulana siphakame. Kwangaxeshanye, umlomo wesigulana kufuneka uvuleke, kwaye isandla esicinezela impumlo kufuneka siphumle, ukuze isigulana sikwazi ukuphuma umoya siphume empumlweni. sijonge ukubuyiselwa kwesifuba sesigulana, kwaye kubekho ukuphuma komoya emzimbeni wesigulana. Ukuvuthela rhoqo yi-12-20 amaxesha/ngomzuzu, kodwa kufuneka kuhambelane nokuxinwa kwentliziyo (Umfanekiso 6). Kutyando lomntu omnye, kwenziwe ukuxinwa kwentliziyo ezili-15 kunye nokuvuthela umoya oku-2 (15:2). Ukuxinwa kwesifuba kufuneka kumiswe ngexesha lokuvuthela umoya, njengoko ukuvuthela umoya kakhulu kunokubangela ukuqhekeka kwe-alveolar.
Umfanekiso 4 Ukugcina i-patent yomoya
Umfanekiso 5 Uvavanyo lwe-carotid pulsation
Umfanekiso 6 Ukwenza ukuphefumla okwenziweyo
(2) Uxinzelelo lwentliziyo olungaphandle kwesifuba: yenza ucinezelo lwentliziyo olungeyolwemvelo ngelixa uphefumla ngokungekho mthethweni.
(i) Indawo yokucinezelwa yayikwindawo edibana kuyo i-2/3 ephezulu kunye ne-1/3 esezantsi ye-sternum, okanye i-4 ukuya kwi-5 cm ngaphezulu kwenkqubo ye-xiphoid (UMfanekiso 7).
Umfanekiso 7 Ukuchonga indawo echanekileyo yokucinezela
(ii) Indlela yokucinezela: ingcambu yesandla somsindisi ibekwa ngokuqinileyo kwindawo yokucinezela, kwaye esinye isandla sibekwe ngasemva kwesandla. Izandla zombini zihambelana kwaye iminwe inqamlezwe kwaye ibanjwe kunye ukuze kuphakanyiswe iminwe eludongeni lwesifuba; Iingalo zomsindisi kufuneka zolulwe ngokuthe nkqo, indawo ephakathi yamagxa omabini kufuneka ijonge kwindawo yokucinezela, kwaye ubunzima bomzimba ophezulu kunye namandla emisipha yamagxa kunye neengalo kufuneka zisetyenziswe ukucinezela ezantsi ngokuthe nkqo, ukuze i-sternum igobe nge-4 ukuya kwi-5 cm (5 ukuya kwi-13 yeminyaka ubudala yi-3 cm, usana 2 cm); Ukucinezela kufuneka kwenziwe kakuhle kwaye rhoqo ngaphandle kokuphazamiseka; Umlinganiselo wexesha loxinzelelo olusezantsi kunye nokuphumla phezulu yi-1:1. Cinezela ukuya kwinqanaba eliphantsi, kufuneka kubekho ikhefu elicacileyo, akunakuchaphazela uhlobo lokutyhala okanye ukucinezela uhlobo lokutsiba; Xa uphumla, ingcambu yesandla akufuneki ishiye indawo yokubambelela emqolo, kodwa kufuneka ikhululeke kangangoko, ukuze i-sternum ingabi phantsi koxinzelelo; Kukhethwa izinga lokucinezelwa eliyi-100 (Iifig. 8 kunye ne-9). Ngexesha elifanayo lokucinezelwa kwesifuba, kufuneka kwenziwe ukuphefumla okwenziweyo, kodwa ungaphazamisi ukuvuselelwa kwentliziyo rhoqo ukuze kujongwe ukubetha kwentliziyo kunye nesantya sentliziyo, kwaye ixesha eliseleyo lokucinezelwa akufuneki lidlule imizuzwana eli-10, ukuze kungaphazamisi impumelelo yokuvuselelwa.
Umfanekiso 8 Ukwenza ukucinezelwa kwesifuba
Umfanekiso 9 Indlela echanekileyo yokuma xa ucinezelekile kwintliziyo yangaphandle
(3) Iimpawu eziphambili zoxinzelelo olusebenzayo: ① Ukubethelwa kwentliziyo ye-arterial pulse ngexesha loxinzelelo, uxinzelelo lwe-systolic artery ye-brachial > 60 mmHg; ② Umbala wobuso bomguli, imilebe, iinzipho kunye nolusu lwajika lwaba bomvu kwakhona. ③ Umfundi ovulekileyo waphinda washwabana. ④ Izandi zomoya we-alveolar okanye ukuphefumla okuzenzekelayo kwakuvakala xa umoya uvuthuza, kwaye ukuphefumla kwaphucuka. ⑤ Ingqondo yabuyela esiqhelweni, i-coma yaba nzulu, i-reflex kunye nobunzima bunokwenzeka. ⑥ Ukuphuma komchamo okwandileyo.
Ixesha leposi: Jan-14-2025