Resuscitation a me kā lākou ke kaʻina,

I ka 'inikua hana, eia nā hihia ma i he mea ka Loaʻaʻia, e hoʻihoʻi i nāʻoihana nui o na kanaka kino. Ua alakai aku ai i ka pono, e hoʻoikaika i kekahi ano o ka hana e hiki he hoʻonui i ka hou. Next, e noonoo i ka mea a ka luna 'resuscitation.

Overview

Aia He He lala o ka lapaau e haʻawina o ka resuscitation. E like me ka hapa o keia hahau noiʻi likeʻole, ao ke ano o kanaka hou, 'epekema o Kāohiʻana a me ka hana o ka maʻi ana. Kēia māhele o ka lapaʻau lapaau i kapaia o resuscitation, a me ka pololei noi o kekahi ana i hiki ke ola 'ana i kūpono i kapa resuscitation.

I ka hoʻohana 'ana i kāu kiʻina hana o ka hou?

Aia nō nā hihia ma kahi e pono ai ke ola 'ana i kūpono o ke ola. Penei, ka wā hoʻohana resuscitation cardiac (myocardial ma luna o ke kāʻei kua ma muli o ka uila kŰia, etc.), naehana (wā i ke kino haole 'ano o ka trachea a me ka' ole. D.), kaʻapu kōheoheo hoomake iho no hoi. kanaka kōkua ua pono ai ma ka hihia o ka nui koko poho, huʻiʻaʻa puʻuwai insufficiency a ake maʻi, loa trauma, a no laila, ma luna o. Loa pinepine i resuscitation ka loa i kaupalena '. Ma keia manao, i ka hana o ke kokua i hoakakaia e e maopopo a koke.

nui ololi

Ma kekahi mau hihia, resuscitation mea ole. Ma kekahi, i na wahi, i hiki e komo irreversible poino i nui nā loko, a nenoai ma ka wahi mua - o ka lolo. Resuscitation i lapaʻau make e ineffective ma hope o 8 minuke ma hope o ka loaʻaʻana kona. Nā Papahana revitalizing i hoʻohana 'ia ka wā compensating ka ho'āʻo' o ka loaʻa waiwai o ka meaola (e laʻa me, e ku e malignant hikoko, a hana ana me ka mau depletion). I ka laulā o ka resuscitation me ka nui loa hou i loko o ka hoʻokō 'ana i kā lākou mau hana kūikawā huahelu, a i lako pono me ka pono lako a pan.

kumu o ki ina hana like

Mau nā cardiac lomilomi a me kaʻimi hoʻopunipuni ka hanu. I ka hope o ke kaʻina hana no ke kūapoʻana i ke ea i loko o nā maʻiʻaʻai o ka nāna. Hoʻokomo ea kōkua e malama i kinoea e loaa hou mai ana me ka holo pono a me ka hikiʻole o ka hanu maoli. cardiac lomilomi paha e kauoha a paa. Ka mua ua hooko ma ka pololei mīkini'opihia kino. Kēia papa hana ua hoʻohana 'ia i ana i loko o ka thorax ma ka puka o kona lua. Pahu Compressions - he mīkini'opihia o ke kino ma waena o ka sternum a me ka spine. E hoomanao i kēia mau resuscitation au mamuli.

CPR: mau 'ike

Ka nele no ka manaʻo o ke hoʻokomo eaʻia i loko o ka hihia o ka 'aʻe' ana o ka hooponopono-oaio? A ma luna o ke kāʻei kua o ka edema a circulatory kāna hana i loko o ka lolo. Ke hana ua hana ma ka lesion o ke aʻalolo olona, a me na nāʻiʻo kākou ma ka ha e (ma luna o ke kumu o ke polio, tetanus kaʻapu kōheoheo toxins), kaumaha pathologies (nui pneumonia, asthmatic kūlana haʻahaʻa a me na mea e ae). Ua Ua hoʻomano hoʻomaʻamaʻa i ka i resuscitation hoʻohana 'Lako ki ina hana like. Ke hoʻohana no 'akomi respirator malama kinoea, e loaa hou i loko o nā maʻiʻaʻai no ka hooloihi ae i wā. By hoʻokomo ea - like pilikia ana - huli ma kāʻei kua aku ana e like me ke kai, asphyxia (suffocation), hahauʻana (lā a me ka wela), uila ulia, kaʻapu kōheoheo. Ma na hoopii, pinepine, Kamuela i ka hoʻohana 'ana iʻimi hoʻopunipuni ka hanu nā expiratory aoao: waha i ka waha a me ka ihu.

Patency o ka naehana'āpana

Kēia 'inideka mea nui he ano no ka hoʻokō hoʻokomo ea. No laila, ma mua ana o ka expiratory kāu kiʻina hana e pono ai, e hōʻike i noa ea permeability o ka naehana'āpana. Ignoring keia hana hiki aku ai i inefficiency hoʻokomo ea 'ana i kūpono waha i ka waha a me ka ihu. Ilihune permeability hiki pinepine e kena ae la ma ka sticking o ka epiglottis a me ke alelo. Kēia, ma ka huli, mea aie a hiki i ka hoʻomaha o ka masticatory nāʻiʻo a me ka mandibular naeaeaa i loko o ka hoʻomanawanui ka unconscious moku'āina. E hoihoi patency o ka luahi Ka Wailele O hoʻi i kona poʻo me ka nui i hiki - i loko o ka straightened spine a me ka occipital ami. Ma keia hihia, pahu i ka lalo iwi ā no laila, i kona chin ua i loko o ka oi ae ke kiekie kūlana. No ka mea epiglottis ua hoʻolauna ma ka pharynx loli uma leki uea.

ka mua manipulation

Aia He He definite kaʻina o ka resuscitation e hoihoi maʻamau hanu i ka nāna. A kanaka pono mua e kau ma luna o kou kua horizontally. Opu, umauma a me ka'ā'ī i kaawale mai iaʻi lakou lole: wehe i ka Hawai i, wehe i ke kāʻei, a me nā pūliki koa. pono e hookuuia oia i ka waha o ka luahi mai vomitus, mucus, tuha. Eia, ana ma luna o ka pāpale aliʻi āpana o kekahi lima, i ka lua o ka ua lako ma ka ai a me Ka Wailele O hoʻi i kona poʻo. Inā ka luahi ua ikaika clenched iwi, ka lalo pahu aku ai i, e hookuke na kihi o kona 'inideka manamanalima.

? Ac? O ke kaʻina hana

Inā ua hana 'CPR waha-i-ihu, ka luahi ka waha e e pani ma ka hookiekie ana i ka lalo iwi ā. Ke kōkua pū mai, e lawe i ka hanu nui, uhi nā lehelehe o ke ahonui i ka ihu, a Exhale vigorously. I ka hoʻohana 'ana i kekahi mau hana' ē aʻe o ka lua o? Eaia. Inā CPR ua hana i loko o ka waha, laila paa hou mai la ka luahi o ka ihu. Exhale hoomaopopo ana kōkua i wahi i loko o ka waha, uhi ma ke scarf. A mahope iho o keia e hanaia OE pakele ai o ka lewa, mai ka ia maʻiʻaʻai o ka hoʻomanawanui. E hana i kēia kona ihu a me ka waha iki hamama. Iloko o keia manawa, ka hoʻolako 'kōkua e lawe aku oe i kona poʻo a hiki i kaʻaoʻao, aʻo ia 1-2 maʻamau breaths. Ke ana no ka pololei manipulation o ka hele Kanawai (noi) umauma loli aeee iʻimi hoʻopunipuni breaths a me ka manawa OE exhalation. I ka wa e kaawale aku ana o ka noi e kuhikuhi, a hoʻopau i ke kumu. Kēia paha e lawa permeability mau kuamoo, he uuku ka leo o ka puhi lewa pele, a me ka poe ilihune hoailona iho la i waena o ka ihu / waha o ka luahi, a ku una malama pūnaewele.

No ka 'ike hou aku,

I loko o kekahi minuke ma awelika, ia mea pono e hana 12-18 breaths. Ma kaʻenaʻena hoopii, hoʻokomo ea ua lawe mai ka hoʻohana 'ana "e manual respirator." No ka laʻana, ua hiki ia he kūikawā eke i ka hōʻike ma ke ano o ka laholio pakiko-hoʻonui keʻena. Ua loaʻa he kūikawā kiwikā e hoʻolako kaawale ana o ka hoʻopā ai a me kona mau mokuna; OE airflow. Inā hoʻohana 'ia i loko o keia ano ke malama i kinoea e loaa hou mai ma luna o kekahi, ua kīkoʻo akula wā.

naau lomilomi

E like me ka olelo mai ma luna, ma laila mea he pololei pahaʻauhau'ēʻaʻe iaoia o ka hoihoi hou ia ana o ke kino hope. Ma ka hope Ina, ma muli o ka mīkini'opihia ana o ka naau ma waena o ka spine a me ka sternum koko ia lŘlŘ i loko o ka pulmonary artery mai ka ventricle akau, a mai ka hema - i loko o ka nui kaiapili. Ua hiki aku i ka hoihoi hou ana o ka mana o ka lolo a me ka coronary arteries. Ma na hihia a pau, ia mea conducive i ka resumption o ka naau. Umauma compressions koi 'ia ka wā i koke ana, a me ka hui, kēia mea hōʻemi kōmi. Kēia paha e ka cardiac hopu a ventricular fibrillation i loko o nā mea maʻi me ka electrocution, naau pepehi a me nā mea a pau. I ka hoomaopopo ana i ka pono e hoʻohana umauma compressions e kālele ana ma luna o ka helu ana o na hoailona. Ma 'ana, ka resuscitative ana lawe mai ma ka ulia cessation o ka hanu i loko o ka wa e kaawale aku o ka carotid artery pana, mydriasis, lilo o ka ike paka i,? Acaeoey o ka ili mae.

nui 'ike

IeAUPIIe, IAa IO, lomilomi, hoomaka ma ke kakahiaka wā ma hope o noho a me mea hōʻemi o ka naau, Ua nui loa ka hoʻokō. O ka nui o ka manawa ma hope i ka manipulation hoʻomaka. No laila, resuscitation iloko lapaʻau make, lawe mai koke ma hope o kona hanana oi hopena ma mua o ia hana ma hope 5-6 minuke. Pono i manipulations ae oe a hiki i ka ha awina o ke kino hoihoi kŘpa koke. Like i loko o nā hihia, aia no he kekahi kaʻina o ka resuscitation. Knowledge o keʻano hana o ka umauma compressions ae pilikia, koe ke ola.

? Ac? O ke kaʻina hana

Mua oe i lawe mai resuscitation, ka luahi e hoonohoia ma ka paakiki ili ma luna o ke kua. Inā i ka hoʻomanawanui i loko o kahi moe, i ka wa e kaawale aku o ka hana moe o kona naeaeaa ma luna o ka papahele. Ka luahi, ua hookuuia oia mai ka lole mawaho, lawe ae la i ke kāʻei. Ke nui wahi o ka pololei kulana o ka hoʻopakele i ka lima. Ka lāʻau ua kau ma luna o ka lalo kolu o ka pahu, waiho ma luna o ka lua. He mau lima e e pololei ma na kuʻekuʻe lima. Na lala i ÷ haku i ka ili o ka sternum. Nō hoʻi, e ia i ka lāʻau like ka nui me unbent moku'āina i loko o ka na pulima oʻu ami - me hoalaia manamanalima. Ma keia kulana, puʻe ma ka sternum i loko o ka haahaa hapakolu o ka hapa mua o ka lāʻau ua hana. Koiʻana iā ho i kokololio jerks i loko o ka sternum. No ka straightening kona mau lima i laweʻia aku, mai ka ili ma hope o kēlā me kēia ahakanaka. Ka ikaika koi 'ia no ka deflection o ka sternum 4-5 knm ua hoomakaukau ole wale me kona mau lima, akā, i ke kaumaha o ka hoʻopakele. Ma keia manao, ina ka luahi ke e moe ana ma luna o ka moe a me ka moe, a laila, kōkua i ka maikaʻi, e ku ma ke kū. Inā ka hoʻomanawanui mea ma ka lepo, ke hoʻopakele nō e aho ma na kuli. Ke alapine (frequency) o compressions - 60 hahau ana no minuke. I Ina o ka laua hana cardiac lomilomi a me ka hoʻokomo ea me ka mau kanaka ma kekahi hanu i 4-5 pushes i loko o ka umauma, 1 kanaka - 2 breaths no 8-10 compressions.

aiiieieoaeuii

I ka laulā o ka manipulation kulana kupono i ka liʻiliʻi 1 manawa no minuke. Oe pono i ka mea ia manawa e lohe ai i ka naau ana i loko o ka wahi o ka carotid arteries, i ke ano o na haumana a me ke alo o ka noho'na makaainana i ulu hanu, mahuahua ke koko, a ua hoʻemi cyanosis a mae. Ma ke alo o ka resuscitation pili lako a pan e complemented intracardiac infusion o 1 ml o 0,1% epinephrine a 5 ml o umi pakeneka pāʻoihana o ke kalipuna koloriside. Ma kekahi mau hihia, loaa o ka contractile hiki ana o ke kino hiki ke loaʻa ma kaʻoi kuʻina i ka waenakonu o ka sternum. Ma ka loaʻaʻana o ka ventricular fibrillation hoʻohana i ka defibrillator. Hoopau wale o ka resuscitation ia lŘlŘ ma 20-25 minuke ma hope o ka hoʻomaka 'ana i loko o ka wa e kaawale aku o ka hopena manipulation.

hiki complications

Ka loa, he pono ole no o ka umauma compressions mea fractured iwi aoao. Ka loa paʻakikī, e pale aku i kēia i loko o ka mōhai i loko o ka poʻeʻelemākule, no o ko lākou umauma mea,ʻaʻole like maʻemaʻe a me ka'ōlewa me kaikaina nā mea maʻi. Emi pinepine 'ia hanaʻino i ka naau a me ka ia maʻiʻaʻai, ruptures o ka opu, a me ka spleen akepaʻa. Mau complications mea heʻilihune o ka manipulation technically pololei ole dosing a physical puʻe ma ka sternum.

ka nohoaliʻi make

Kēia manawa ua noʻonoʻo pono i ke kahua o ka make a me ka mea reversible. He ua pu ma ka nalowaleʻana o ka mea mawaho hoikeana o ke kanaka ola: hanu, naau kōmi. Akā, ka mea, aole e hoailona i ka loli irreversible i loko o nā'aʻaʻa a me nā loko. Nō kāu, i ka lōʻihi o ka wā o 5-6 minuke. Iloko o keia manawa, hoʻohana i kekahi resuscitation hiki hoihoi nui i hana '. Ma hope iho o kēia wā hoʻomaka irreversible loli. Ka mea i hoakakaia ma ka moku'āina o liluwelo make. Ma keia hihia ia mea 'ole ke hoʻokō piha hou ana o na nā loko, a nenoai. Duration o ka lapaʻau make hilinaʻi nui ma luna o ka lōʻihi, a 'ano o ka make ana, kino ana wela, makahiki. No ka laʻana, ka wā hoʻohanaʻimi hoʻopunipuni walaau ole hypothermia (hakumakuma 'ole i 8-12 degere) hiki e mahuahua ai ka wā i 1-1.5 hola.