Reanimation a me ka mālama nui malama

Mālama nui (pilikia) Inc - kekahi ano o ka hana maikaʻi mai, ke ola-na olelo hooweliweli au. Resuscitation - ke ola kaʻina nui (ola) oihana nalowale paha hapa 'ia' wahi e like me ka hopena o ka maʻi. Mau ohe. E ka mea e hiki ai e hookupaa aku i ka paʻa ka mālamaʻana a me ka koi oihana e intervene ma ke kaʻina hana i loko o ka hihia o ka hoʻokēʻaiʻana hana hoʻohaunaele i loko o ka hana ana o na nā loko, a nenoai. I mau, resuscitation a me ka mālama nui malama mau loa pono, a me ka hope o ka a ianoiyuaa a loaʻa ano o ka pale i ka make i loko o loa (ola-na olelo hooweliweli e) maʻi a me kā lākou mau complications, nā palapū.

walaʻauʻana manaÿo

Mālama nui Inc - he ala o ke lapaau a puni ka huahelu, e noi ana i ka hoʻohana 'ana o intravenous infusions a detoxification ki ina hana like me ka mau mana o ka nui na hoailona. Ka mea, i loaʻa mai ma ke koko a me ke kino fluids, i mea pinepine hai hou no ka hoʻokēʻai-ka hoʻokoloʻana o ka mea hōʻemi a me ka hana ana o somatic oihana o ka hoʻomanawanui. Ka lua o kaʻaoʻao e kū - ia mea ka mālamaʻana, a ua hoʻokō ma ka Lako ma ka hoʻohana 'ia cardiomonitors, kinoea analyzers, electroencephalograph a me nāʻano o ka lako a pan.

Resuscitation kaʻina kapaia lāʻau lapaʻau palapala noi a me ka lako e 'ana i kūpono kino hoi i ke ola ma ka pilikia ana ana. Inā i ka hoʻomanawanui i loko o ka noho ana, a hoʻohuʻu i ka hoʻoweliweli 'ana i ke ola, ala mai o ka maʻi a me kona complications, no kona noaaeeecaoee mālama nui Inc. Inā i ka hoʻomanawanui i loko o ka moku'āina o ka lapaʻau ka make, aʻaʻole e ola me ka hoopoina koke ana o ke ola o ka nalowale oihana, ua kapaia ke kaʻina hana o ka hoʻi a me ka uku resuscitation.

Komo i loko o kēia mau helu ma ka resuscitation. He He haiki hoʻomalu, he wahi o ka hana i mea i ka mālama nui malama pa alima. Loa pinepine, kauka wale hooiaio resuscitator hakuʻole, no ka mea, o ka hoʻomalu, e loaa i ka palapala puka o ka anesthesiology a me ka resuscitation. Ma ka wahiʻoihana, e like me ka pili kulanui, ka mea hiki ke lawe ekoluʻano o nā pou: "Anesthetist", e like me ke kaawale "resuscitation" a me "anesthesiologist".

Kauka i ka mālama nui mālama mokuna

Kauka o ka mālama nui Inc - ia anesthesiologist. He ma kēia a me ke kohoʻana i keʻano o ka anesthesia preoperative nā mea maʻi, a kanaka hoʻoponopono i ko lakou ano ma hope oʻoki kino. A hoʻomalu e hana ana i loko o kekahi mahi '' inikua ioauoa (pinepine o nā 'āina a me ka Apana), a me ke kaawale ana ua kapaia HITD. Aia paha e hoʻomanawanui iki mai ka poe i compensated hana, akā, ka mea e hooponopono ana i nui na hoailona. Eia hou kekahi, HITD e hoʻomanawanui iki mai i ke ola-hooweliweli nā palapū a me nā maʻi, e like me kā lākou mau complications. Postoperative nā mea maʻi e 'ike like ia HITD Kauka Anesthetist.

Ke kauka i ka resuscitation

Ke kauka i ka resuscitation wale i hana ia me ka hoihoi hou ia ana o ka nui oihana, a me ia mea pinepine mea he koa a substation ambulance he wahi o ka hana. Me ka 'ae' ana i ka ipu, i nā haumāna ke kaʻi resuscitation ambulance,ʻo ia ke hoʻopakele iā i ka hoomanawanui ma ke alanui, i mea pono ma nā wahi, i hiki pili i ka hewa lapaau. Loa pinepine, ua i hana i ke kauka-resuscitator i loko o ka mālama nui Inc ma HITD akā, e hoʻokauʻana mai o ka mea nui i hana 'o ka hoʻomanawanui i loko o ka ambulance. I ua hana ma ka 'inikua lapaʻau a me ka lako e hooponopono oihana o ka hoomanawanui a me ka make māinoino o ka make.

Anesthesiologist

Anesthetist - mea he laʻana o ka hoʻomalu i loko o ka puali ololi holoʻokoʻa 'inikua-oaio? A, no ka laʻana, i loko o ka maʻi' aʻai? Aaieou paha i loko o ka perinatal waena. Eia, i ka papa kuhikuhi hana o ka hoʻomalu mea i ka manaʻo i ke 'ano o ka anesthesia ma luna o nā mea maʻi, ka poe e hooliloʻoki kino. Ma ka hihia o perinatal waena anesthetist hana mea koho ana o ke 'ano o ka anesthesia i nā mea maʻi i caesarean pauku ua hana. He mea nui i kekahi lawe mai mālama nui lapaʻau i keiki ua i loko o kēia waena. Naʻe, i ka mālama nui malama pa alima no nā mea maʻi a me nā pēpē i mea kūkulu. I HITD no na keiki (keiki) e hana neonatologists a me nā mākua i mālama ai ma ka anesthesiologist.

HITDʻoki lāʻau lapaʻau Ho 'Oponopono

Mālama nui malama pa alima i loko o ka haukapila, uaʻoki lāʻau lapaʻau pāʻewaʻewa, ecia ieaie? Oaony ke kaumaha ma muli o ka helu o nā mea maʻi e koi 'uao, a me ka oolea o ka hana. I ka uao ai 'ma oncological dispensaries awelika manawa o ka noho ana o luna ma mua i loko o ka mauʻoki kino i ka hoʻomanawanui i loko o HITD. Mālama nui mālama iʻaneʻi e lawe hou, e like me ia ma ka papa o ka hana inevitably poino nui anatomical hale.

Inā i ka maʻi 'aʻaiʻoki kino mākou noonoo, me ka piha hapanui o uao ai' i loa traumatic, a nui ka leo o resected hale. Ua lawe He lōʻihi manawa no ahonui koi, e like me ma hope oʻoki kino nei no ka pilikia o ka mea hōʻemi o ke ola, a me ka make, mai ka helu o nā kumumea. Aia He nui Kāohi 'uao ai' ole anesthesia complications, i hiki 'kākoʻo a me ka replenishment o ke koko buke, ka hapa o ka i inevitably nalowale i loko o ka papa o ka piʻiʻana. Mau hana, he mau loa nui iloko o kekahi kia-operative hoʻopulapula.

HITD cardiological Ho 'Oponopono

Cardiology a me ka pākōlea Ho 'Oponopono i kapa hoʻohanohano ma ka mea i loaʻa i nā compensated nā mea maʻi me ka olelo hooweliweli i ke ola a me ka lolelua ka hoʻomanawanui iki mai. Ka mea, Ua pono, e hooku paa, a malama i ka hooponopono ana o ko lakou kulana. Ma ka hihia o cardiological maʻi loa noonoo pono myocardial infarction me kona complications i loko o ka palapala o ka cardiogenic kŰia 'ole ulia cardiac make. Mālama nui Inc o myocardial infarction ho'ēmi i kā ka pilikia o ka make i loko o ka He kokekau wale makahiki, kaupalena i ka nui o ka eha ma ka hoihoi ana i ka patency o ka infarct-pili artery, e like me ka hoʻoikaika 'ana i ka prognosis no ka hoʻomanawanui.

E like me ke Kuhina o Health Hola Pūnaewele a me ka hoʻonohonoho 'koi, ma ka huʻi coronary nā mea maʻi e noi mai ana i hoʻokomo i loko o ka mālama nui malama pa alima e lawe mai pilikia ana. Kōkua ua hoakaka ia e ka limahana mua kokua ma ke kahua o ka haawi, a laila 'oe makemake e hoʻihoʻi patency o ka coronary arteries, a i occluded ma ka thrombus. A laila, i ka hoʻomanawanui ka iapaau ana e stabilize hana resuscitator: mālama nui Inc, ka lapaʻauʻia, a me ka lako e keʻena hoʻokolohuaʻana mai o ka moku'āina.

Ma HITD cardiological, kahiʻoki lāʻau lapaʻau ana i lawe mai ma na moku a me ka naau kiwikā, i ka hana o ka oihana o ke kakahiaka nui postoperative hoʻopulapula a me ke kūlana ka hoʻokoloʻana. Mau hana i vysokotravmatichnyh manao e hele pu me ia e ka wā lōʻihi o ke ola a me ka hoʻololiʻana. Aia He mau he pahiki kiʻekiʻe o ka thrombosis, vascular shunt paha e ku e kanu pūʻimi hoʻopunipuni a kūlohelohe kiwikā.

HITD lako a

Reanimation a me ka mālama nui mālama - o ka oihana hana o ka oihana lapaau, i mea nona kamaʻilio akula olelo hooweliweli i ka hoʻomanawanui ka ola. Mau hana i lawe mai i loko o ka hoʻomalu mokuna, a pono e iai? Oaiaaiiua. Ua Ua noʻonoʻo pono i ka loa technologically nui, no ka mea, o ka hiʻona o ka hoʻomanawanui manawa e pono ai Lako a me keʻena hoʻokolohua e hooponopono. A, mālama nui Inc komo ai i ka paa ana o ka paʻa 'ole pinepine intravenous hooponopono.

Loina o ka hana maikaʻi i loko o HITD

Ma ku una oihana, i nā mea maʻi i loko o ka pilikia o ka make mai ka maʻi a me kona complications i loko o ka pōkole makahiki infusion drip'ōnaehana ua hoʻohana 'ia no kēia mea. Ma HITD pinepine ka mea, ua UAIAaIN ma infusion EII ni. Kēia ipu apono 'i ka noke mai i kekahi mahele lāʻau o ka waiwai, me ka nele i ka puncture kekahi aa koko kela manawa pono ka lawelawe ana i ka waiʻona. infusion EII ni kekahi e leie aku e komo aku ai o medicaments noke no ka lā a oi.

Hoikehonua, nā loina o ka mālama nui Inc a me ka mamao mai Hawaii mua ulu, a i ka kēia:

• Ka mua pahuhopu o ka lapaʻau - noaaeeecaoee o ke ahonui a me ka ho'āʻo i ka piha PalekanaEND_LINK hulina;
• hoʻoholo 'ana o ka nń ku maʻi, i ka hoʻonāukiukiʻana hoʻololi iho, a ua lewa ma luna o ka moku'āina o ke ola, e lawe mai ana i ka make paha;
• lapaau o ka nń ku maʻi moku'āina noaaeeecaoee ma symptomatic Inc;
• hoʻopau o ke ola-hooweliweli aku ana a me symptoms;
• manaʻo o ke keʻena hoʻokolohua, a vocal ka mālamaʻana o ka hoʻomanawanui kaʻano;
• unuhi i ka hoʻomanawanui i loko o ka Profile pahu ma hope o noaaeeecaoee a me ka hoʻopau o ke ola-hooweliweli kumumea.

Keʻena hoʻokolohua a vocal e hooponopono

Ka mālamaʻana i ka hoomanawanui i ka ano o ka nānā 'ana ma luna o ka auhau ana o ka ikepili kumu ekolu. Ka mua - ka hoʻomanawanui anamanaʻo, i ka hooponopono ana o hoopii, näʻano ola. Lua - keʻena hoʻokolohua haʻawina i hana mua i ka noi komo a me i lapaʻau, e like no ka hopena o ke kālailai. Ke kolu o kahi - 'ike i loaa mai ma ka vocal examinations. Hoi kekahi poe kanaka no kēia 'ano o ke kumu o ka' ike e pili ana i ke ola kino kūlana o ke ahonui, a me ka'ōnaehana kikowaena ka mālamaʻana o ka pana, koko oxygenation, alapine (frequency) a me ka pāpana o cardiac haʻawina, ke koko, lolo hope.

Anesthetic a kūikawā lako a

Mau lālā o ka mea hiki lapaau like anesthesiology a me ka mālama nui malama e inextricably ua hoʻopili. 'Oihana e hana i kēia mau mau mea, i ka palapala puka me ka hua'ōlelo "kauka anesthesiologist." Kēia 'o ia hoʻi i hiki ke hoʻoili kumuhana o ka anesthesiology, resuscitation a me ka mālama nui malama i loko o kekahi, a me ka ia hoʻomalu. Eia hoʻi, i kēia 'o ia hoʻi ia e hālāwai me na pono o multidisciplinary ola malama pono, a me inpatient Oihana oʻoki lāʻau lapaʻau a me ka pākōlea pāʻewaʻewa, wale kekahi HITD. Ua Ua lako pono me ka lako a pan no ka resuscitation, lapaau a me ka anesthesia muaʻoki kino.

Resuscitation a me ka mālama nui malama i kauoha mai hookahi-pae (ole biphasic) defibrillator paha cardioverter defibrillator, electrocardiograph, he nenoaiu a me mechanical hoʻokomo ea, cardiopulmonary holo alaʻokoʻa (ina koi 'ia ma kekahi mau' ola kino kula), nā mea e loaʻa ka mea nalo, a analizatorskih nenoai e pono e kanaka hoʻoponopono nā hoailona o ka naau a me ka lolo aayoaeuiinoe . Ua mea i nui ia i infusion EII ni e pono ai no ka hoʻoponopono o nenoai o mau infusion infusion ai '.

Anesthesiology pono lako a pan e lawa inhalation anesthesia. Ua paʻa 'ole kalaka nui-hamama'ōnaehana, ma a ka anesthetic läÿau, haawi ua hōʻike' ia ma ka ia maʻiʻaʻai. Keia i ka mea hiki ke hookupaa aku endotracheal a endobronchial anesthesia. He mea nui i na pono o ka anesthesia koi laryngoscopes a me endotracheal (ole endobronchial) paipu, catheters no bladder catheters a me puncture o ka Central a me kaʻike ākea aa koko. ʻO ia lako a mea i koi ', a no ka mālama nui Inc.

HITD perinatal oaio?

Perinatal-oaio? A - he ola hale kahi e hanau lawe wahi, a hiki palena papaha e hele me complications. Kēia E e hoʻouna i ka wahine i ae aku miscarriage paha i extragenital pathology, palena papaha hiki ke pilikia ma ka hana ola. Nō hoʻi, he pono e ka wahine me ka hāpai keiki pathologies e noi ana i ka wanaʻao e haawi a me ka keiki malama. Mālama nui neonatal Inc - o kekahi o nā hana o kēia mau ioauoa a me ka hoʻolako 'anesthesia mālama i nā mea maʻi, ka poe e hanaʻoki kino.

Hana 'Ōlelo malama HITD perinatal-oaio?

Branch Perinatal mālama nui Care Center ua e iai? Oaiaaiiua ke kaumaha ma muli o ka n ieaie? Helu o nā mea maʻi. Kēia pono anesthesia nenoai a me ka mālama nui malama pono, o ka papa inoa i haawiia ma luna. Pela HITD perinatal-oaio? A i a me ka pediatric iauaeoia. Ka mea pono i kuikawa lako a pan. Mua, makuaʻimi hoʻopunipuni ka hanu a me ka holo mau i kupono keiki nui like 'ole o ke kino a i ka palena haʻahaʻa.

I kēia lā, i hānauʻia ma 27 pule 'gestation pediatric iacia hoʻoili ma ka waiu, na kamalii uuku he 500 nā huna,. Eia hou kekahi, e pono i ka kūikawā ma kaʻai o ka laau lapaau, no ka mea, keiki hanau pono ma mua o ka hālāwai hoʻolohe lā, koi 'ia i ka hookohu o ka surfactant hoomakaukau. Kēia kumu kūʻai ai ', me ka a he mea hiki ole i ka waiu, me ke keiki hele mai i ke kūpono' ana o ka malamalama, akā, me ka surfactant. Keia mea ua ālai 'akemāmā alveoli moe i lalo, i underlies ke kaʻina efficient mawaho ka hanu.

Hiʻona o ka hoʻolālā o ka hana HITD

HITD hana a ka uaki, a me ke kauka ma ka hana o ka hebedoma i nā lāʻehiku. O ke kumu ho i ka hikiʻole, e huli aku lako a pan ia ia mea kuleana no ke ola o kekahi 'Isaaka. Ke kaumaha ma muli o ka helu ana o nā mea maʻi, a me ka haawe ana ma luna o ka lālā, ua hanaʻia ka helu o ka moe. Kēlā me kēia berth E hoi e lako pono me ka ventilator a me nā kahu nānā. Imua o ka emi o ka helu ana o lakou i na moe, ka nui o ka hoʻokomo ea manaʻo, nā kahu nānā a me nā mea e loaʻa ka mea nalo.

Ka 'Oihana, i ua papahana no 6 nā mea maʻi, e hana ana i 2-3 resuscitator kauka anesthesiologist. Ka mea, Pono, e ke hoʻololi i ka lua o ka lā ma hope o 24 hola o ka hana. Ua apono 'oe, e malama i Track o ka hoʻomanawanui a puni ka huahelu, a ma luna o Kanalua, i ka wa a ka ka mālamaʻana o nā mea maʻi maʻamau oihana mea wale nō i ka hana kauka. Anesthetist E kanaka hoʻoponopono nā mea maʻi e noho ana ma HITD. No hoi, oia ua koiia e komo i loko o ke kūlana malama me ka hālāwai kūkā, a me nā mea maʻi kokua somatic lala a hospitalization HITD.

E kōkua i ke kauka kahu Anesthetist a me ka mālama nui malama kahu nona. Ka i ka ho omaulia ana o ka helu o ka pahee, me ka mākaʻi ke kaumaha ma muli o ka helu o nā mea maʻi. 6 moe noi aku i ke alo o kekahi kauka, elua la ia i kahu a me kekahi kahu nona. pono e ike i kēlā me kēia hana i ka lā kēia helu o? aaiuo eaa. Koʻokoʻo laila UAIAaIN ma kekahi hoololi, a me ka ia, ma ka huli, - ke kolu.