E kāhiko i hemostatic Esmarch: 'ano a me ka noi

Ma ka hanana o nā palapū a hamama fractures paha e kaumaha kahe ana ke koko. O kēia mau mea, arterial - ka noho pilikia loa i waena o nā? Ueo. Inā ka poho mea nui moku i ka hoʻomanawanui ke make mai kahe ana ke koko no ka 2-3 minuke. Oia nā mea maʻi koi koke 'inikua kōkua, ma ka noho koko ma ka paena. Inā poino lima a me ka wāwae, a laila, e hoʻohana i ka tourniquet hemostatic douches. Aia nō 'ē aʻe ke ano o ka accessories, e hooki i ke koko, akā, i ka loina o ka uhi ana a me ka algorithm o ka hana i oleʻokoʻa.

Hemostatic tourniquet laholio type douches loa pono a me ka mea hiki i loko o ia mau wahi, i hiki. He He laholio poʻe (ma ka liʻiliʻi loa - he Tube) lōʻihi o 1.5 mika. Ma kekahiʻaoʻao ili o kānaka convex, a me ka mea 'ē aʻe - concave. Mea kaua hemostatic laholio Esmarch i loko o kona manao ma na welau o ka kaulahao a me ka makau no ka haka pono maila.

nāʻikepili

Keia mea ua hoʻohana 'ia e ola' Oihana ikaika ma luna o ka pahu kānāwai. moku'ōpā ua lawe mai i loko o ka kēia hihia.

• me ka arterial kahe ana ke koko;
• i hana, e pau ana i ke koko;
• intravenous ka pahu kui;
• no ka lawe ana i ke koko, mai ke aa koko ma luna o ke Ka Ikepili;
• kekahi manawa, tourniquet pili i ka carotid artery ka hoʻohana 'ana i ke kaʻa'ōhua.

Ka mea hiki ke hoʻokō 'like arterial mea kaua (no ka hemostasis) a me venous (no ka lawe ana i ke koko a no parenteral hooponopono ana i ka lāʻau'). Ka mea, i wehewehe aku ma ka mīkini'opihia poe ikaika no lakou.

Kahua o ka hoʻonaʻauao waiho mea kaua

Hemostatic tourniquetʻano douches no ka'ōpā pū i artery superimposed e like me kēia mau rula:

1. Lima a me na wawae o ka hoʻomanawanui ninoaaeyao he kiʻekiʻe e manao ma ka mea e ho'ēmi i ke koko pele.
2. E pale aku iniki i ka ili, a minimizing eha ma lalo o tourniquet apo ai i ke kawele a lole.
3. Ma ka lalo lala tourniquet hemostatic douches hoʻohana 'ia ma ka uha (koe nae kona distal kolu, aia no he nui helu o tendons). Ma ka luna -'ūhā mua (koe wale no ka mea mawaena hapa, ma ke aʻalolo nui ilpko o, aia no he pilikia o ka hoea).
4. Ma lalo lala'ō leki concaveʻaoʻao i loko o ia ke alanui i kaʻaoʻao hema ua pōkole ma mua o ka mea pono.
5. Huki i ka mea kaua a me kou lima akau, mai ka lalo mai, kau aku la i hoʻoikaika e huli i ka hema, puuki ae lālā.
6. I kekahi a o ka hana ana i ka like ala. Kēlā me kēia hope, ahu iho ua kānaka hihia hoʻi, ka mea pono ano i ka muaʻaloʻana iniki o ka pahee'aʻaʻa.
7. Lokomaikaʻi i ka makau ma ka kaulahao a me Ka Hawai i.
8. Wā lawelawe narcotic analgesics ino a me ka lala immobilization ua hana.

ka mālamaʻana i ka laulā o

Hemostatic tourniquet douches pili pono inā:

• ke kahe ana ke koko i ke ahulau;
• ripple ma ka artery mea ma kahi'ē;
• lima a me ka wāwae, haikea a me ke anu.

Ināʻaʻole o ka papa ma ka pau ana o ke kaʻina hana i huli uliuli, ka mea, 'o ia hoʻi ia e'opihia na aa koko, a me ka artery ua ole wahi. Kau mai venous tourniquet. He mea pono e 'oe i ke kaʻina hana a me tighten i ke kāʻei ikaika.

Ma lalo o ka luna'ōwili hao waiho uuku memo i-ia manawa o ka manipulation. Ma anu ino, ka lōʻihi like 'ole o ke kaʻina hana e ole oi aku mamua o 30 minuke (eʻoiaʻiʻo, e hūnā), he mehana - mai i 1 hora. Ma hope iho o kēia manawa o ka mea e e wehe 'ia no kekahi mau minuke, e hoihoi i ka holo. I keia manawa, ke artery ua clamped ma ka manamana lima. Manipulation hiki e hou, akā, ma luna ma mua o ka mua paena. He pono i mau kanaka e hana i ka mōhai. Kekahi e lawe aku oe i ka tourniquet, ka mea'ē aʻe,ʻoiai nō moku. Huina manawa e ole oi 2 h. I ole ia necrosis hiki ke kānāwai.

Contraindications i kona kau ana

Akā, ua hiki ole mau pili i ka tourniquet hemostatic douches. Contraindicated ia koko aɃe i loko o ka kēia hihia.

• na keiki ma lalo o 3 makahiki (hoʻohana manamana lima e ae e hooikaika);
• anaerobic nā mea palahēhē;
• purulent lesion kahua o ka hana;
• ina he mea he hiohiona atherosclerosis o na arteries.

I ka transporting i ka lala e noho i ka hoʻokiʻekiʻe kulana. Inā pilipu iho la kona immobilization, ka tourniquet e ole e paa. Hoomanawanui hospitalized koke no ka hoʻolako 'hope loa o ka pono' inikua kōkua.

Hemostatic tourniquet Esmarha - he mea e pono ai i nā mea hana, e hooki aku i arterial kahe ana ke koko, ua hoʻohana 'ia no ka? Aiaiiuie cessation o ke koko. Kona alo ua koi 'ia i nā mea a pau wahi a me ka pilikia ola pou. Pololei no ka mea i ho'ōla oi ma mua o kekahi ola.