Phakathi kwazo zonke izinhlobo zokuphapha, ukuphuma kwegazi kuyingozi kakhulu, kusongela ukuphila komuntu. Ngakho-ke, kubalulekile ukuthi wonke umuntu abe nolwazi mayelana nokuyeka ukuphuma kwegazi ukuze asize ngesikhathi, kokubili kubathandekayo babo nakwabo.
Izimpawu zokuphuma kwegazi
Ukuphuma kwegazi kuwukukhululwa kwegazi ngaphesheya kwegazi emithanjeni ngenxa yomonakalo wabo obangelwa izici ezihlukahlukene ezibuhlungu. Imishanguzo yimizila yegazi lapho igazi lihamba khona enhliziyweni kuya kuzo zonke izitho nezicubu. Izindonga zabo zinyene futhi ziqinile, futhi igazi eligeleza kuzo ligcwele oksijini futhi lihanjiswa ngaphansi kwengcindezi ephezulu.
Igazi legazi lilula ukubona umbala obomvu obomvu. Kuyinto egazini futhi igeleza isilonda ngomsakazo ogelezayo, ngenkathi igxuma ekushayweni kwemisipha yenhliziyo. Ukulahlekelwa igazi ngenxa yalolu hlobo lokugaya kwenzeka ngokushesha kakhulu. Ngenxa yalokho, kuvame ukuhlaselwa kwemithambo yegazi nokulahlekelwa kokuqonda.
Ukulimala kunoma iyiphi i-artery kusongela ukulahleka kwegazi okubulalayo ngaphakathi kwamaminithi angu-30 kuya kwangu-60. Futhi uma ulimaza imishanguzo emikhulu, ngokuvamile etholakala ohlangothini lwe-concave womzimba, futhi ezinyangeni - ezindaweni zokuphoqa, umuntu unemizuzu engaba ngu-2 kuphela ongayilondoloza.
Yeka Ukuvotela Okumnyama - Usizo Lokuqala
Igazi elinokuphuma kwegazi kumele lime, liqondiswe yimithetho, kuye ngokuthi indawo yendawo yokuphuma kwegazi ikhona.
Ukuhlwitha kusuka emithanjeni emikhulu emaphethelweni
Kulesi simo, indlela eyinhloko yokumisa ukulahleka kwegazi ukusebenzisa i-tourniquet. Ngaphambi kwalokhu, kuyadingeka ukuthi ucindezele umshini othungwini lwethambo ngaphezu kwesayithi elimele ngale ndlela elandelayo:
- Uma ulimaza ihlombe, faka isibhahla emgqeni bese ucindezela ingalo esihlahleni.
- Uma ulimaza isikhumbuzo, faka amaphakheji amabili we-bandage emgqeni wesigqoko bese ufaka ingalo ngokubambisana.
- Uma ithanga lilimala, cindezela okwesithathu kwethanga endaweni yangasese ye-inguinal nge-isibhamu sakho.
- Uma ulimaza i-shin - ubeke amaphakheji amabili e-bandage bese ugoba umlenze ekuhlanganyeleni.
Njengesisindo, ungasebenzisa noma yiluphi ulwazi oluqinile - ithrebhu yerabha, indwangu, ucingo, intambo, njll. Uma kwenzeka ukuphuma kwegazi, ukusetshenziswa kwe-tourniquet kwenziwa ngokucabangela lezi zidingo:
- I-tourniquet ifakwa ngenhla kwesilonda esikhwameni noma ehlombe.
- Ukusetshenziswa kwe-tourniquet kwenziwa enyeni ephakanyisiwe.
- I-tourniquet isetshenziswa kuphela phezu kwe-padding eyenziwe ngezicubu ezithambile (futhi hhayi ukukhomba isikhumba).
- Ngemva kwalokhu, faka inothi ezembathweni zesisulu ezibonisa isikhathi esiqondile sokunamathiselwe kwe-harness.
- Emlenzeni, i-tourniquet ingabanjwa okungaphezu kwamaminithi angu-90, futhi engalweni - engengaphezu kwemizuzu engu-45 (ebusika - hhayi emaminithi angaphezu kuka-30).
- Ekupheleni kwalesi sikhathi, i-tourniquet ikhululiwe noma isusiwe imizuzu engu-15, bese isetshenziswe kabusha (isikhathi sokukhululwa, umshini kufanele ucindezelwe iminwe).
Ukuphuma kwegazi lapho kulimazwa izinyawo namabhulashi
Kulesi simo, i-tourniquet ayinakubekwa phezulu. Kwanele ukufaka iphakethe le-bandage bese uphakamisa isilonda esilonda.
Ukuphuma kwamagciwane kusuka kwamanxeba ekhanda, entanyeni nesikhuni
Lokhu kungase kube iseri se-temporal, umthambo we-carotid, imithambo ye-aliac ne-subclavian. Ukuphuma kwelesi sikhundla sekumiswe ukufakwa kwe-tamponade eqinile yesilonda. Ukuze wenze lokhu, usebenzisa i-pair of tweezers noma izigqoko, ama-wipe angenayo afakwa kakhulu emgodini wendawo ewonakele, engaphezulu ongayifaka ibhande elivulekile futhi uliqinise.
Zonke izinyathelo ezichazwe ngenhla ziwukuphela kokunakekelwa kwezempilo kwangakapheli, khona-ke isisulu kufanele sihanjiswe ngokushesha esibhedlela.