Sungai hemostatic Esmarch: unhu uye mafomu

Mune chiitiko kukuvara kana akazaruka mitswe kungava rinorema kubuda ropa. Izvi, arterial - zvikuru ngozi pakati dzimwe mhuka. Kana kukuvara mudziyo guru murwere anogona kufa kubva ropa kwemaminitsi 2-3. Vanaamai vakadaro zvinoda nokukurumidza zvokurapa rubatsiro, nokuda kumbomira ropa riyerere pa nzvimbo. Kana akakanganisa ruoko kana gumbo, zvino kushandisa tourniquet hemostatic douches. Kune mamwe marudzi nenhumbi kumisa ropa, asi nheyo nemisoro uye algorithm zvinoitwa hazvina kusiyana.

Hemostatic tourniquet rabha mhando douches zvikuru yokuita uye zvinoshanda ezvinhu akadaro. Zviri rekeni (kanenge - kumicheto) kureba 1.5 metres. Rimwe divi pamusoro iri zvishoma convex, uye mumwe - concave. Kusunga hemostatic rabha Esmarch ari kugadzirwa kwayo mativi nengetani uye chiredzo nokuda kutara.

zvairatidza

Kombiyuta rinoshandiswa utano nenyanzvi kunoparirwa yechipupuriro. midziyo kudzvinya rinoitwa zvinotevera nyaya:

• pamwe arterial svota;
• panguva akavhiyiwa kumisa ropa kubuda;
• intravenous jekiseni;
• nokuti kutora ropa kubva tsinga pamusoro kuongorora;
• dzimwe nguva tourniquet kureva carotid tsinga uchishandisa bhazi.

Mudziyo anogona kunzi sezvo arterial joko (nokuti hemostasis) uye sezvo venous (nokuti kutora ropa kana kuti parenteral vaitarira mushonga). Vari kuzivikanwa compression simba.

Nzendo kuisa joko

Hemostatic tourniquet mhando douches kuti kudzvinya imwe tsinga seari maererano nemitemo iyi:

1. Hand kana rutsoka murwere anopindura ane yakakwirira kuitira kuderedza ropa riyerere.
2. Kudzivirira kusunga ganda uye kurerutsa marwadzo pasi tourniquet komberedza jira kana jira.
3. On rezasi muzvidimbu tourniquet hemostatic douches kushandiswa pechidya (kunze kwayo distal wechitatu, pane vazhinji nemarunda). On rokumusoro - papfudzi (kunze pakati chikamu, apo etsinga hunde dzacho, pane ngozi Kupwanywa).
4. Under muzvidimbu tatamuka tepi concave divi nenzira kuti kuruboshwe divi yaiva pfupi kupfuura zvakanaka.
5. Kudhonza joko uye rwenyu rworudyi kubva pasi kumusoro, kuisa kuedza kuita kutsaukira kuruboshwe, clasping richiripo.
6. Inotevera ose kuita saizvozvo. Mumwe unozotevera rukoko iri vakadhakwa zvishoma, chinofanira bindepinde rapfuura vasingatongi kusunga pamusoro nyoro tishu.
7. Kugadzirisa chirauro chain kana kusingagumi.
8. Kana achiita marwadzo analgesics kukuvara kuzviremadza immobilization rinoitwa.

vachiongorora kubudirira

Hemostatic tourniquet douches aishanda nemazvo kana:

• kubuda kweropa yamira;
• ripple pamusoro tsinga vasipo;
• ruoko kana gumbo, akacheneruka uye kuchitonhora.

Kutoti Zvechokwadi pakupera nzira yachinja zvitema, zvinoreva kuti mutsinga dziri compressed, uye tsinga haisi kuvharidzirwa. Rinorambidzwa venous tourniquet. Zvakakodzera kudzokorora nzira nekusunga bhandi kusimba.

Under yokumusoro coils wakaiswa duku kucherechedza-akacherekedza nguva evanhu. Kuchitonhora, ya nzira haafaniri kupfuudza maminitsi 30 (kuva nechokwadi kuviga), noushamwari - kusvika 1 awa. Shure kwenguva ino mudziyo kuti kubviswa kwemaminitsi mashoma kudzorera riparadzirwe. Panguva iyi, tsinga iri clamped nomunwe. Bata inogona kudzokororwa, asi kupfuura yapfuura nzvimbo. Zvinokurudzirwa kuti vanhu vaviri kuita vakaurayiwa. Mumwe anobvisa tourniquet, mumwe pinched mudziyo. nguva Total haafaniri kupfuudza 2 h. Zvikasadaro necrosis anogona kuitika.

Contraindications wayo nokuiswa

Asi isu hatigoni nguva dzose kushandisa tourniquet hemostatic douches. Contraindicated ropa kwakadaro Anodzivisawo zvinotevera nyaya:

• vana pasi 3 years (kushandiswa munwe kudzvanya);
• anaerobic noutachiona;
• purulent lesion nzvimbo chiito;
• kana paine anyatsoona atherosclerosis pakati arteries.

Kana rokutakura pabazi chinofanira kutora nzvimbo yakakwirira. Kana akabata immobilization zvayo, tourniquet rirege kuvharwa. Patient muchipatara pakarepo chokupedzisira Zvokudya zvakafanira kubatsira yezvokurapa.

Hemostatic tourniquet Esmarha - rinofanirawo chishandiso kumisa arterial ropa, rinoshandiswa nokuda kwenguva kumira ropa kuyerera. Kuvapo Its kunodiwa pazviteshi zvose uye nechimbichimbi utano mbiru. kushandisa nayo vakaponeswa kupfuura imwe upenyu.