Goqa: ukunakekelwa eziphuthumayo (algorithm)

Ezweni izifo lanamuhla eziningi kangaka ezihlukene ngokuvamile alazi yini inkinga uhambisane esigabeni esilandelayo zokuphila. Kukhona ezinye izifo ukuthi umzimba wethu, futhi ngezinye izikhathi ngisho ukuphila, ayingozi kakhulu. Kwezinye izimo nciphisa kungenzeka yezinkinga ezinzima, usizo oluphuthumayo liyadingeka ngokushesha ukuze asindise ukuphila kwayo le ndoda.

Kuyini wokugoqa

In izifo eziningi kungavuka ukwephulwa kohlelo autonomic sezinzwa, okuyinto unomthwalo ukulawulwa ithoni semithambo. Ezimweni ezinjalo zingase ukuthuthukisa acute esingamahlalakhona semithambo.

Phakathi ingcindezi nciphisa lehla, ngoba kuza paresis izitsha ezincane. Umthamo wegazi ezihambayo ngabo, kakhulu kunciphisa, ukugeleza kwegazi kubambezela. Lokhu kuholela yokuthi ubuchopho iyeke ukuthola lemali edingekayo umoya-mpilo nezakhi. Kuyefana nasendleleni imisipha yenhliziyo.

Kuleli zinga kuphazamisekile ukugeleza kwegazi wonke umzimba, okuholela disorder umzimba. Akukhona nje nerve-reflekornye iziyaluyalu kungaholela isifo senhliziyo, kodwa futhi ezinobuthi amaprotheni nemvelo. Lokhu kuvamise kunjalo ngezifo ezithathelwanayo, ezifana nenyumoniya, typhus, ngesikhathi wahlaselwa isifo senhliziyo noma ezinzima ukopha.

izinhlobonhlobo wokugoqa

Kuye isithombe emitholampilo pathogenesis kokuwa ihlukaniswe yaba ezintathu izinhlobo:

1. Simpatotonichesky. Le ndlela wokugoqa kuhambisana ithoni anda nozwela isimiso sezinzwa, okuholela spasm kwemithambo yegazi wonke umzimba. Systole ingcindezi kulezo zimo, evamile noma kancane ephakeme, futhi diastolic kuphezulu. Uma kukhona nciphisa, usizo ophuthumayo bawadinga ngokuphuthumayo, ukuze ngingasebenzisi ukwenza eziyingozi kakhudlwana.
2. nciphisa Vagotonic. Kuleli zinga e ithoni iza uhlelo parasympathetic. Umthambo, kunalokho, kuthiwa elandayo, ingcindezi diastolic kuyehla, kukhona bradycardia. Isizathu salokhu yisimo sokuthokoza ukwethuka, ukwesaba, ikhoma hypoglycemic.
3. Kofé uhlangothi. Ngokuvamile nge Ukuwohloka eqinile zezinqubo banesibopho ukulawulwa kwegazi. Imikhumbi uvuleke, ingcindezi lehla, futhi lapho kufika nciphisa, ukunakekelwa okuphuthumayo kuyehla kube le ukuzinza of wegazi kuqala.

Izizathu ngokuwa

Imbangela kulesi simo njengoba ukuwohloka, kwangathi ngenxa yezizathu eziningana:

• Sinzima ukopha emva ukulimala, ukopha zangaphakathi.
• izifo ezithathelwanayo amaningi, njengamasayithi kwesibindi, scarlet fever, i-pneumonia.
• Girls - nokuthomba.
• Esimweni lapho isiguli isikhathi eside ilele phansi, ukuzama ngokucijile bavuke.
• Ukuphelelwa amanzi emzimbeni.
• umuntu abanjwe ugesi.
• Heat unhlangothi.
• Ukuchayeka ionizing emisebeni, ikakhulukazi ebulilini.
• Ushevu ukudla noma amaphilisi owaphuzayo.

Uma ngenxa yalezi zizathu kukhona nciphisa, ngosizo oluphuthumayo kuzoxhomeka. Esimweni ngasinye, isenzo zizohluka.

izimpawu kokuwa

Njengoba ojwayelekile, ukuqaphela wokugoqa akunzima. zako ngokuvamile ecacile futhi elikhanyayo, udidekile kanjalo nezinye izifo cishe akunakwenzeka. Ukuze izimpawu eziyinhloko zihlanganisa ukuwohloka ezilandelayo:

• Ukuwohloka abukhali kwesimo sabantu.
• ubuhlungu bekhanda futhi kungazelelwe.
• Tinnitus.
• Emehlweni ebumnyameni.
• Ubuthakathaka emzimbeni.
• Enhliziyweni zikhona emizweni ezingezinhle.
• A ebukhali ingcindezi ukunciphisa.
• Pale isikhumba, futhi kukhona izithukuthuku ebandayo.
• Nail livela tint bluish kwesikhumba ku ezandleni nasezinyaweni.
• izici zobuso ngensimbi.
• Ukuphefumula kuba njalo futhi ezingabalulekile.
• Ancishisiwe nezinga lokushisa komzimba.
• ishayela Thready, futhi kunzima ukuba palpate.
• Ngokuvamile nokulahlekelwa ukwazi.

ukunakekelwa eziphuthumayo e wokugoqa kufanele kwenziwe ngokushesha ukuletha njengomuntu ngalesi simo ngokushesha ngangokunokwenzeka.

Izimpawu nciphisa ezinganeni

umzimba wengane Sinemandla kunanoma iyiphi izinkinga beqonda emsebenzini wakhe, ngakho lapho kuqala nciphisa ingalungiswa ngokunembile. Izimpawu zalesi ngokuvamile lokhu okulandelayo:

• Ingane agule kakhulu.
• He is evilaphayo, akusiyo intshisekelo yezwe elisizungezile yokuthanda.
• Skin iba ugodo, embozwe obondayo.
• Kukhona cyanosis sezindebe.
• Barely selitholakala ishayela thready.
• Ngokuvamile tachycardia, kodwa kungase kube bradycardia.
• Ephawulekayo kwehlisa umfutho wegazi.
• Izingane ngenxa yalokhu hypoxia kungenzeka Ukudlikizela.

Ezimweni ezinjalo bawadinga ngokuphuthumayo oluphuthumayo ukuwa izingane.

Usizo lokuqala uma wokugoqa

Kungenzeka ukuthi umuntu othandana uzodinga usizo ngesikhathi wokugoqa. Kule akekho iphephile, Ngakho-ke, ukuba amakhono ayisisekelo ekunikezeni kwayo kufanele wonke umuntu. Ukuhunyushwa kwawo algorithm eziphuthumayo wokugoqa , nakuba voluminous, kodwa uyakwazi nowodwa ngempela.

1. Shayela i-ambulensi.
2. Esimeni i attack enjalo kuyadingeka ukubeka nesineke emhlane wakhe phezu flat.
3. Unbutton inkinobho phezulu ku izingubo zakho, uma ikhona.
4. Egumbini kuyinto efiselekayo ukuvula iwindi ukufika umoya ohlanzekile ngaphezulu.
5. Imilenze lingavuswa kancane ukwandisa igazi ligeleze ikhanda.
6. Njengoba ukwehla ebonwe lokushisa komzimba, isiguli kufanele sekuqala ukufudumala usebenzisa Ukushisa pad.
7. Letha i-swab ekhaleni elicwiliswe ammonia liquid.
8. Faka i solution 0.1% "Epinephrine", 0.5% isixazululo of "ephedrine".
9. Uma wokugoqa kubangelwa ukopha esindayo, kumele kumiswe.
10. Isiguli ukunikeza lokuphumula okuphelele.
11. Endabeni ukuboshwa inhliziyo kufanele sigcwaliswe esifubeni compressions kuhlangene wokutakula ukuphefumula.

Sesihlole yini ukuwohloka. ezosizo oluphuthumayo, i-algorithm ka Ukuqaphela yayo - mibuzo nawo athinteka kithi, kodwa kunamanye amaphuzu okumele kubhekwe kulesi simo.

It kungavunyelwe wokugoqa

Uma ufuna ukuba sinikele usizo lokuqala ukusiza umuntu wokugoqa, akusho ukuthi zonke izindlela zinhle. Kukhona izinto angeke kwenziwe:

1. Akunakusetshenziswa abakwazi ukunikeza izidakamizwa nesineke inhliziyo, njengoba ukwandisa imithambo yegazi.
2. Ngesikhathi nokulahlekelwa ukwazi hhayi ungazama uthele amanzi ezinye emlonyeni, noma ukusunduza tablet.
3. Futhi hhayi Kunconywa iphendukele nokushaywa ukuletha izinzwa womuntu.

Ngokuvamile kulezi zimo ngokuya imizuzu, ngakho ngisho ngaphambi kokufika ambulense kumele inikezwe ukunakekelwa eziphuthumayo siwufanelekele yokufikelwa futhi nciphisa.

ukwelashwa ngesikhathi wokugoqa

Ambulensi efika ngokuqinisekile uthathele isiguli esibhedlela. Phakathi kwezindonga zayo uzosizwa, kodwa ukusetshenziswa kwezidakamizwa. Ngokuyinhloko esimisiwe ukumnika emthanjeni "sodium chloride". Inani izidakamizwa kunqunywa ngezimo zesiguli. Udokotela siqokomisa izici ezilandelayo:

• Isimo somuntu kanye isiqalo nesigcino zonke izinkomba.
• Umbala unxantathu Nasolabial: uma Uphaphathekile kakhulu, vasodilator uzodinga ngaphezulu.
• Diuresis.
• Inani blood pressure.
• HR.

Njengoba ukwelashwa adjunctive ezinqunyiwe:

• izidakamizwa eqeda ukuvuvukala, njengokuthi "metipred", "Prednisolone".
• Ngemithambo yegazi iqondiswa vasopressor imithi.
• iqondiswa "Novocaine" Ukuze spasmolysis okusheshayo.

Uma isiguli wabuyela esimweni esivamile, uqhubekele ekwelapheni lesi sifo, eyavusa wokugoqa. Ngaso sonke isikhathi khumbula ukuthi uma umuntu othandana kwenzeka ukuze ugoqe, ukunakekelwa okuphuthumayo, uyonikela kuye, kungasindisa ukuphila. Ngakho-ke kudingekile ukuba bazi uhlu lwezenzo ngalesi simo, wonke umuntu kufanele. Impilo yonke, ake Esimweni esinjalo ngeke ekuphileni kwakho akwenzekanga.