Simbisa kana mununuri wacho arasikirwa nepfungwa, kurova kwemoyo uye kumira kufema. Inoratidzwa nekureba kwemaziso uye kurasikirwa nechiedza. Tsinga yefemoral netsinga yecarotid zvaisagona kubatwa nekurova kwemoyo. Ruzha rwemoyo rwakanyangarika; Cyanosis (Mufananidzo 1).
2. Nzvimbo: Isa mununuri pasi pakaoma kana kuisa bhodhi rakaoma shure kwake (Mufananidzo 2).
3. Chengeta nzira yekufema isina kudzivirirwa: Kutanga tarisa nzira yekufema (Mufananidzo 3), bvisa zvinobuda, marutsi uye mitumbi yekunze kubva munzira yekufema. Kana paine mazino ekugadzira, anofanira kubviswa. Kuti uvhure nzira yekufema, ruoko rumwe runoiswa pahuma kuitira kuti musoro urerekere kumashure, uye minwe yepakati nepakati yerumwe ruoko inoiswa pahuma iri pedyo nechirebvu (shaya) kuti chirebvu chisimudzwe mberi uye chikweshe chikweshe (Mufananidzo 4).
Mufananidzo 1 Kuongororwa kwekuziva kwemurwere
Mufananidzo 2 Tsvaga rubatsiro uye uzviise panzvimbo yako
Mufananidzo 3 Kuongororwa kwekufema kwemurwere
4. Kufema kwekugadzira uye kudzvanywa kwechipfuva
(1) Kufema kwekugadzira: kufema kubva pamuromo kuenda kumuromo, kufema kubva pamuromo kuenda kumuromo, uye kufema kubva pamuromo kuenda kumuromo (vacheche) zvinogona kushandiswa. Maitiro aya akaitwa uku nzira dzekufema dzichiramba dzakatenderwa uye tsinga dzeropa dzakaongororwa kuti hadzina kupwanya here (Mufananidzo 5). Mushandi anodzvanya huma yemurwere neruoko rwake rweruboshwe uye anobaya magumo ezasi emhino nechigunwe chake chikuru nechinongedzo. Nemunwe wechinongedzo nepakati werumwe ruoko, simudza shaya yepasi yemurwere, tora mweya wakadzika, vhura muromo kuti uvhare muromo wemurwere zvachose, uye kufema zvakadzika uye nekukurumidza mumuromo wemurwere, kusvika chipfuva chemurwere chasimudzwa. Panguva imwe chete, muromo wemurwere unofanira kuvhurika, uye ruoko runobaya mhino runofanirawo kusununguka, kuitira kuti murwere agone kufema kubva mumhino. tarisa kupora kwechipfuva chemurwere, uye kuti mweya ubude mumuviri wemurwere. Kuwanda kwekufemera kunoitika ka12-20 paminiti, asi kunofanirwa kuenderana nekumanikidzwa kwemoyo (Mufananidzo 6). Pakuvhiyiwa kwemunhu mumwe chete, kudzvinyirirwa kwemoyo ka15 uye kufemera mweya kaviri kwakaitwa (15:2). Kudzvinyirirwa kwechipfuva kunofanira kumira panguva yekufemera mweya, sezvo kufemera mweya zvakanyanya kunogona kukonzera kuputika kwealveolar.
Mufananidzo 4 Kuchengetedza patent yemhepo inofambisa mweya
Mufananidzo 5 Kuongororwa kwekuputika kweropa mudumbu
Mufananidzo 6 Kuita kufema kwekugadzira
(2) Kudzvanya mwoyo pachifuva chekunze: kudzvanya mwoyo wekugadzira uku uchifema.
(i) Nzvimbo yekumanikidzwa yaive panosangana 2/3 yepamusoro ne1/3 yepasi pesternum, kana kuti 4 kusvika 5 cm pamusoro pe xiphoid process (Mufananidzo 7).
Mufananidzo 7 Kuona nzvimbo chaiyo yekudzvanya
(ii) Nzira yekudzvanya: mudzi wechanza cheruoko rwemununuri unoiswa zvakasimba panzvimbo yekudzvanya, uye chimwe chanza chinoiswa kumashure kweruoko. Maoko maviri akaenzana uye minwe inoyambuka uye inobatwa pamwe chete kuti minwe ibviswe pamadziro echipfuva; Maoko emununuri anofanira kutwasanudzwa akatwasuka, nzvimbo yepakati yemapfudzi ese inofanira kunge yakatarisana nenzvimbo yekudzvanya, uye huremu hwemuviri wepamusoro uye simba retsandanyama dzemapfudzi nemaoko zvinofanira kushandiswa kudzvanya pasi zvakamira, kuitira kuti sternum itsvedze 4 kusvika 5 cm (makore mashanu kusvika gumi nematatu ekuberekwa 3 cm, mucheche 2 cm); Kudzvanya kunofanira kuitwa zvakanaka uye nguva dzose pasina kukanganiswa; Chiyero chenguva yekudzvanya pasi uye kuzorora kumusoro i1:1. Kudzvanya kusvika panzvimbo yakaderera, panofanira kuva nekumira kuri pachena, hakugone kukanganisa type thrust kana jump type press; Pakuzorora, mudzi wechanza haufanirwe kubva panzvimbo yekugadzika kwechipfuva, asi unofanirwa kusununguka sezvinobvira, kuitira kuti sternum isave pasi pekumanikidzwa chero kupi zvako; Kumanikidzwa kwe100 kwaidiwa (Mifananidzo 8 ne9). Panguva imwe chete yekumanikidzwa kwechipfuva, kufema kwekugadzira kunofanirwa kuitwa, asi usambomira kudzoreredza mwoyo kakawanda kuitira kuti uone kurova kwemoyo uye kurova kwemoyo, uye nguva yasara yekumanikidzwa haifanirwe kudarika masekondi gumi, kuitira kuti isakanganisa kubudirira kwekudzoreredza.
Mufananidzo 8 Kuita kudzvanya chipfuva
Mufananidzo 9. Chimiro chakakodzera chekudzivirira mwoyo kubva kunze
(3) Zviratidzo zvikuru zvekumanikidzwa kunobudirira: ① palpation ye arterial pulse panguva yekumanikidzwa, brachial artery systolic pressure > 60 mmHg; ② Ruvara rwechiso chemurwere, miromo, nzara neganda zvakashanduka kuva zvitsvuku zvakare. ③ Mwana wepamuviri akavhurika akadzokera shure zvakare. ④ Kurira kwekufema kwe alveolar kana kufema kwega kwega kwaigona kunzwika panguva yekufemerwa nemhepo, uye kufema kwakavandudzika. ⑤ Kuziva kwakadzoka zvishoma nezvishoma, coma yakava isina kudzika, reflex uye kurwisana kwaigona kuitika. ⑥ Kuwedzera kwekubudisa weti.
Nguva yekutumira: Ndira-14-2025