Njikota hemostatic Esmarch: e ji mara na ngwa

Na omume nke unan ma ọ bụ na-emeghe fractures nwere ike arọ ọbara ọgbụgba. N'ime ndị a, ọbara - kasị dị ize ndụ ndị ọzọ umu. Ọ bụrụ na ndị mebiri bụ nnukwu arịa ọrịa nwere ike anwụ agba mmee nke 2-3 nkeji. Ndị dị otú ahụ ọrịa na-achọ ozugbo ọgwụ aka, site ịkwụsị ọbara na saịtị. Ọ bụrụ na mebiri emebi aka ma obu ukwu, mgbe ahụ, iji a tourniquet hemostatic douches. E nwere ndị ọzọ ụdị nke ngwa kwụsị ọbara, ma ụkpụrụ nke machie na algọridim nke omume na-adịghị dị iche iche.

Hemostatic tourniquet roba ụdị douches kasị adaba na bara uru na ọnọdụ ndị dị otú. Ọ bụ a roba gbalaga (dịkarịa ala - a tube) ogologo nke 1.5 mita. On otu akụkụ n'elu bụ ubé convex, na ndị ọzọ - concave. Njikota hemostatic roba Esmarch ya imewe na nsọtụ a yinye na a nko n'ihi nsogbu.

egosi

Ngwaọrụ a na-eji ndị ọkachamara ahụ ike nditịm na-agba akaebe. arịa ịpịsi a rụrụ na-esonụ mgbe:

• na ọbara ọbara ọgbụgba;
• n'oge arụmọrụ kwụsị ọbara eruba;
• igba ogwu n'akwara ọgwụ;
• maka ewere ọbara a akwara na analysis;
• mgbe ụfọdụ tourniquet etinyere na carotid akwara eji a ụgbọ ala.

The ngwaọrụ nwere ike a ga-amanye ka ọbara njikota (maka hemostasis) na dị ka venous (maka ewere ọbara ma ọ bụ maka parenteral ochichi nke ọgwụ). Ha na-ji mkpakọ ike.

Nkebi ebikwasị njikota

Hemostatic tourniquet ụdị douches maka apịpụta ihe akwara karịrị ihe ndị a iwu:

1. Aka ma ọ bụ ụkwụ nke onye ọrịa enyene elu iji belata ọbara oruru.
2. Iji gbochie apị akpụkpọ n'ibelata ihe mgbu n'okpuru tourniquet itiba a towel ma ọ bụ ákwà.
3. Na ala N'ịdị tourniquet hemostatic douches eji na apata ụkwụ (ma e wezụga ya distal atọ, e nwere ọnụ ọgụgụ buru ibu nke akwara). Na elu - ubu (ma e wezụga n'ihi n'etiti akụkụ, ebe akwara Kporo, e nwere ihe ize ndụ nke a zọpịa).
4. N'okpuru N'ịdị gbatia teepu concave n'akụkụ ndị dị otú ahụ n'ụzọ na-ekpe bụ mkpumkpu karịa nri.
5. Sere njikota na aka nri gị na ala elu, na-etinye na mgbalị na-atụgharị ekpe, clasping N'ịdị.
6. The ọzọ gburugburu nke na-eme yiri nke ahụ. Onye ọ bụla ụdi oyi akwa a ubé isi, ọ ga-yitewere gara aga ezere apị nke rọrọ anụ ahụ.
7. Idozi nko na a yinye ma ọ bụ tie.
8. Mgbe ndinọ narcotic analgesics mmerụ ahụ na N'ịdị Immobilization a rụrụ.

nlekota irè nke

Hemostatic tourniquet douches etinyere n'ụzọ ziri ezi ma ọ bụrụ na:

• ọbara na-agba kwụsịrị;
• ripple na akwara anọghị;
• ogwe aka ma ọ bụ ụkwụ, ọtọ na oyi na-atụ.

Ọ bụrụ na ọ bụ ya na njedebe nke usoro agbanwewo-acha anụnụ anụnụ, ọ pụtara na veins na-abịakọrọ, na akwara na-adịghị egbochi. Amanye venous tourniquet. Ọ dị mkpa na-ekpeghachi usoro na ikesiike ájị ike.

N'okpuru elu eriri igwe enịm obere ihe odide-akara oge nke aghụghọ. Na oyi ihu igwe, oge nke usoro ekwesịghị gafere 30 nkeji (jide n'aka na-ezo ezo), a na-ekpo ọkụ - ruo 1 hour. Mgbe oge a na ngwaọrụ na-ewepụ maka a nkeji ole na ole iji weghachi mgbasa. N'oge a, ndị akwara clamped site ndị mkpịsị aka. Jisie nwere ike ugboro ugboro, ma elu karịa gara aga na saịtị. Ọ bụ ihe amamihe na mmadụ abụọ na-eme ndị ahụ tara. Otu ewepu tourniquet, ndị ọzọ pinched arịa. Total oge ekwesịghị gafere 2 h. Ma ọ bụghị necrosis nwere ike ime.

Contraindications ya imposition

Ma anyị nwere ike ọ bụghị mgbe niile tinye a tourniquet hemostatic douches. Contraindicated dị otú ahụ na ọbara na-akwụsị ndị na-esonụ mgbe:

• ụmụ n'okpuru afọ 3 (eji mkpịsị aka ịpị);
• anaerobic na-efe efe;
• purulent lesion saịtị nke ihe;
• ma ọ bụrụ na e nwere nnọọ ihe atherosclerosis nke akwara.

Mgbe ụgbọ njem na N'ịdị kwesịrị ogide elu ọnọdụ. Ọ bụrụ na e nwere ya Immobilization, na tourniquet ekwesịghị emechi. Ndidi ụlọ ọgwụ ozugbo nke ikpeazụ ndokwa nke dị mkpa ọgwụ aka.

Hemostatic tourniquet Esmarha - a dị mkpa ngwá ọrụ iji kwụsị ọbara ọbara ọgbụgba, na-eji maka nwa oge cessation nke ọbara. Ya edidu a chọrọ mgbe niile ụgbọ na mberede ike posts. N'ụzọ kwesịrị ekwesị nke ya zọpụta ihe karịrị otu ndụ.