Qhov thib peb qhov kub hnyiab xav tau kev kho mob tam sim. Lawv nkag mus rau tag nrho cov tuab ntawm koj cov tawv nqaij, los ntawm epidermis mus rau dermis thiab hypodermis subcutaneous txheej. Lub qhov txhab yuav zoo li dawb thiab ci, xim av thiab hlawv, lossis tsa thiab tawv; tseem yuav tsis muaj qhov mob ntawm qhov chaw vim kev puas hlwb. Tau txais kev pab kho mob tam sim yog tias koj xav tias qhov kub thib peb tuaj yeem ua tau. Nyob rau lub sijhawm no, muab kev pabcuam thawj zaug saib xyuas thiab saib xyuas qhov tshwm sim ntawm kev poob siab. Cov txheej txheem kho thiab kho kom zoo rau qib thib peb kub hnyiab tau siv sijhawm thiab yuav txawv raws qhov xwm txheej ntawm qhov raug mob.
Cov kauj ruam
Ntu 1 ntawm 3: Tau Txais Kev Pab thiab Muab Kev Pab Ua Ntej
Kauj Ruam 1. Hu rau cov kev pabcuam xwm txheej tamsid
Tsis txhob nkim sijhawm sim los xyuas seb nws puas yog qib thib peb hlawv. Tshwj xeeb tshaj yog yog tias nws zoo li dawb los yog xim av xim av, ua rau mob me me lossis tsis muaj mob, lossis npog thaj tsam loj, xav tias qhov phem tshaj. Hu rau 911 hauv Teb Chaws Asmeskas, lossis tus xov tooj xwm ceev uas koj nyob.
Yog tias koj yog tus raug tsim txom thiab nyob ib leeg, koj tuaj yeem poob siab sai tom qab. Hu rau kev pab tam sim thiab - yog tias ua tau - pw nrog koj txhais taw thiab lub qhov txhab nce
Kauj Ruam 2. Tshem tus neeg raug hlawv kom nyab xeeb thaum ua tau
Yog tias koj pom ib tus neeg raug kub hnyiab, lossis nyob ze rau qhov chaw hlawv, rub lawv kom deb ntawm nws yog tias nws muaj kev nyab xeeb rau koj ua. Khaws nplaim taws rau ntawm lawv cov khaub ncaws lossis lub cev nrog ntub (yog ua tau) lossis daim pam qhuav, lossis lub tsho hnyav. Yog tias lawv tsis nco qab lossis koj xav tias lub taub hau lossis caj dab raug mob, txav lawv tsuas yog koj xav tau thiab tsuas yog kom deb li koj xav tau.
Ceev faj tshwj xeeb ib puag ncig kub hnyiab los ntawm hluav taws xob, xws li cov kab hluav taws xob poob qis. Kuj yuav tsum paub txog cov pa roj lossis cov pa tawg hauv thaj chaw, xws li tom qab tsheb sib tsoo
Kauj Ruam 3. Maj mam npog lub qhov txhab thiab tsis ua dab tsi ntxiv rau nws
Tsis txhob nchuav dej lossis tso dej khov rau qhov kub hnyiab. Yog tias muaj khaub ncaws kub hnyiab rau ntawm qhov txhab, cia nws nyob ib leeg. Koj tsuas yog ua kom cov nqaij tawv puas ntxiv. Muab daim ntaub huv si, tsis muaj lo lo lo lo lo lo lo ntxhuav lo lo lo lo lo ntxhuav lo lo lo lo lo ntxhuav lo lo lo lo ntxhuav lo lo lo lo ntxhuav lo lo lo lo ntxhuav tso rau ntawm qhov txhab.
Sim tsis txhob cia daim npog npog rau ntawm lub qhov txhab, thiab tsis txhob tshem nws tom qab siv nws
Kauj Ruam 4. Tswj cov cim ntawm kev poob siab kom txog thaum kev pab tuaj txog
Kev poob siab, uas tuaj yeem tshwm sim los ntawm cov ntshav tsis txaus, yog kev txhawj xeeb rau lub neej rau cov neeg raug mob hnyav. Yog tias tus neeg tsis nco qab, zoo li tsis muaj zog lossis tsis meej pem, muaj lub plawv dhia nrawm tab sis tsis muaj zog, lossis lwm yam zoo li tau tawm tsam hauv txoj hauv kev uas tsis cuam tshuam nrog kev hlawv nws tus kheej, xav tias lawv yuav poob siab.
- Muab cov neeg raug hlawv pov tseg rau ntawm lawv nraub qaum, yog tias nws nyab xeeb txav tau lawv.
- Tsa lawv txhais taw li 12 ntiv tes (30 cm), yog tias ua tau. Tsis tas li, yog tias koj tuaj yeem ua tau, ua kom thaj chaw hlawv ntau dua lawv lub siab.
- Npog lawv xoob nrog daim pam lossis lwm yam npog yog tias lawv co. Sim tsis txhob cia daim npog lo rau qhov hlawv.
- Yog tias tus neeg tsis ua pa lossis tsis muaj mem tes, pib CPR yog tias koj muaj peev xwm.
Ntu 2 ntawm 3: Kho Mob Kub Ntxhov Hauv Tsev Kho Mob
Kauj Ruam 1. Tau txais kev saib xyuas tseem ceeb rau txhua yam kev phom sij rau lub neej
Yog tias qhov hlawv tau ua rau lub cev tseem ceeb puas tsuaj, ua rau cov ntshav poob loj, lossis ua rau poob siab, koj lub neej yuav muaj kev pheej hmoo. Thaum hais txog qhov raug mob kub hnyiab sai li sai tau tuaj yeem txhim kho qhov pom kev rov zoo, pab neeg kho mob yuav xav tau kom ruaj khov koj cov cim tseem ceeb ua ntej. Cia chav kho mob xwm txheej ceev thiab pab saib xyuas mob hnyav rau lawv txoj haujlwm. Thaum lawv tau ruaj khov koj, lawv yuav koom nrog qhov txhab hlawv.
Kev ruaj ntseg tus neeg raug mob ntawm qhov kub thib peb yuav suav nrog siv IV's, muab cov pa oxygen, tso pa lossis tso pa rau cov neeg raug mob tsis nco qab, ua CPR lossis siv thiab AED defibrillator
Kauj Ruam 2. Raug ntxuav thiab tshem tawm qhov txhab
Cov khib nyiab zoo li khaub ncaws hnav, nrog rau cov ntaub so ntswg tuag, yuav tsum tau muab tshem tawm ntawm lub qhov txhab sai li sai tau txhawm rau txo qhov kev pheej hmoo kis mob hnyav lossis lwm yam teeb meem. Raws li qhov xwm txheej ntawm koj qhov kub hnyiab, tej zaum koj yuav tau muab tso rau hauv lub tub tshwj xeeb rau kev tu thiab debriding, lossis cov txheej txheem phais yuav xav tau.
Kauj Ruam 3. Tau txais cov kua dej (IV)
Qhov thib peb qhov kub hnyiab ua rau cov dej ntws los ntawm cov hlab ntshav, txwv tsis pub lub cev tsis tau txais cov as -ham uas lawv xav tau. IV cov kua dej tawm tsam qhov no, muab lub cev cov as -ham thiab lub zog uas nws xav tau los kho.
Qhov kub thib peb tuaj yeem ua rau koj lub cev qhuav dej, uas IV cov kua nrog electrolytes tuaj yeem pab tua
Kauj Ruam 4. Cia siab tias yuav tau txais kev kho mob ECMO
Hauv ECMO, lossis cov pa oxygen ntxiv, cov kws kho mob yuav kos koj cov ntshav rau hauv lub raj yas. Cov pa roj carbon dioxide raug tshem tawm ntawm cov ntshav, cov pa oxygen ntxiv, thiab cov ntshav rov qab los rau hauv lub cev. Qhov kev kho mob no, nrog rau lub tshuab ua pa qis kom ua rau koj lub ntsws txav mus, yuav yooj yim ua haujlwm ntawm koj lub ntsws thaum lawv kho.
Kauj Ruam 5. Rov qab los hauv qhov chaw sov, ntub
Khaws qhov kub hnyiab kom sov thiab noo tuaj yeem pab ua kom zoo. Qhov no tej zaum yuav muab los ntawm cov tshuab cua sov tshwj xeeb uas tsim los hauv chav thiab lub tshuab ua kom txias, lub txaj txaj dej, thiab lwm yam cuab yeej siv hauv tsev kho mob hnyav (ICU).
Tham nrog koj tus kws kho mob txog ib qho kev hloov pauv ib puag ncig - xws li tig lub ntsuas cua sov lossis ntxiv lub tshuab ua kom ntub dej - koj yuav tsum ua hauv tsev thaum koj tso tawm
Kauj Ruam 6. Siv tshuaj kho mob
Thaum qib thib peb kub hnyiab qee zaum tsis hnov mob thaum xub thawj vim ua rau lub paj hlwb puas tsuaj, koj yuav zoo li muaj mob loj thaum kawg. Pab neeg kho mob yuav tsim txoj kev tswj hwm qhov mob kom haum rau qhov tshwj xeeb ntawm koj tus mob. Tej zaum koj yuav tsum tau siv tshuaj kho mob mus sij hawm ntev.
Kauj Ruam 7. Cia siab tias yuav muab cov tawv nqaij tshem tawm thiab phais dua
Cov ntaub so ntswg uas raug puas tsuaj los ntawm qhov kub thib peb yuav tsis rov zoo, txhais tau tias koj lub qhov txhab yuav tsum tau npog los ntawm daim tawv nqaij tawv - cov nqaij zoo noj tau los ntawm lwm qhov ntawm koj lub cev. Qhov chaw pub dawb yuav zoo li lub hauv caug tawg tom qab, thiab yuav xav tau kev saib xyuas yooj yim yooj yim. Nyob ntawm qhov xwm txheej ntawm koj qhov kub hnyiab, ntau txheej txheej txheej tawv nqaij yuav tsum tsim nyog.
Koj kuj tseem yuav xav tau mus rau ib lossis ob peb kab ntawm kev phais kho kom rov zoo nkauj. Tsis txhob tso tseg los ntawm lo lus "tshuaj pleev ib ce" - Hom kev phais no tuaj yeem pab koj li txheej txheem kho lub cev thiab kev xav
Kauj Ruam 8. Nug txog kev siv tsom iav tiag tiag thaum hnav khaub ncaws hloov
Hnav tsom iav qhov tseeb muaj peev xwm tuaj yeem pab txo tus neeg mob hlawv kev ntxhov siab vim lawv cov khaub ncaws tau hloov pauv. Yog tias koj lub tsev kho mob muab qhov no, koj yuav hnav tsom iav uas tso koj rau hauv "Snow World," qhov twg koj yuav tau pov pob snowballs thiab txaus siab rau lub caij ntuj no, ntiaj teb qaum ntuj. Qhov no yuav pab cuam tshuam thiab so koj li koj cov khaub ncaws raug hloov pauv.
Ntu 3 ntawm 3: Kev Kho Mus Ntxiv Hauv Tsev
Kauj Ruam 1. Ua raws li koj txoj kev npaj tswj kev mob
Kev sib xyaw ua ke ntawm kev puas tsuaj, kev txiav tawv nqaij, thiab/lossis phais tuaj yeem ua rau koj mob hnyav. Nyob ntawm qhov xwm txheej ntawm koj lub qhov txhab, koj tuaj yeem raug tshuaj pleev, qhov ncauj, lossis tshuaj txhaj tshuaj. Cov tshuaj kho mob hnyav kuj tseem tuaj yeem ua rau muaj kev vam khom - xws li kev quav yeeb quav tshuaj opioid - yog li ua raws koj li kev npaj tshuaj rau tsab ntawv thiab tshaj tawm cov teeb meem rau koj tus kws kho mob.
Cov cim ntawm kev quav yeeb quav tshuaj tuaj yeem suav nrog kev hloov pauv kev pw tsaug zog thiab kev coj ua niaj hnub; tsaug zog los yog ua tsis taus pa; txo kev txhawj xeeb txog kev nyiam huv kev hloov tus kheej; poob phaus thiab txo kev qab los noj mov; thiab cov tsos mob zoo li mob khaub thuas
Kauj Ruam 2. Siv cov tshuaj hydrocolloid lossis hydrogel raws li tau hais tseg
Ob qho ntawm kev hnav khaub ncaws no pab ua kom dej huv thiab tiv thaiv qhov txhab hlawv, thiab feem ntau tau sau tseg rau ntau qhov kev raug mob hlawv. Yog tias koj tus kws kho mob sau ntawv ib ntawm lawv ua ib feem ntawm koj txoj kev saib xyuas mob, nco ntsoov tias koj nkag siab zoo tias yuav thov li cas thiab hloov pauv lawv li cas.
- Kev hnav khaub ncaws Hydrocolloid yog ib qho yooj yim, ib thooj, ua thaj ua rau thaj uas tiv thaiv tsis tau dej thiab cov kua nplaum rau qhov txhab. Txhua thaj tuaj yeem siv sijhawm 3-5 hnub. Cov no tshwm sim ntau dua rau qhov kub nyhiab me me.
- Kev hnav khaub ncaws Hydrogel muaj cov kua dej ua kom dej uas yuav tsum tau qhwv xoob nrog cov ntaub qhwv ntaub qhwv kom nyob twj ywm hauv qhov chaw. Kev hnav khaub ncaws ib leeg tuaj yeem kav ntev txog 4 hnub. Lawv feem ntau tau sau tseg rau qhov txhab qhov txhab.
Kauj Ruam 3. Noj zaub mov muaj protein ntau thiab ua kom muaj kev noj zaub mov zoo
Nws siv lub zog ntau rau koj lub cev los kho nws tus kheej, yog li koj yuav tsum tau muab nws nrog roj kom noj qab haus huv ntxiv thaum koj rov zoo. Cov protein yog cov roj zoo rau kev kho, yog li ua kom koj tau txais cov nqaij ntshiv, cov txiv ntseej, taum, yogurt, qe, taum paj, thiab cov khoom ua kua.
- Vitamin A, vitamin C, thiab zinc kuj tseem tuaj yeem pab kho qhov txhab. Ua kom koj tau txais cov txiv hmab txiv ntoo thiab zaub tshiab - tshwj xeeb yog txiv kab ntxwv rau vitamin C thiab nplooj ntsuab tsaus rau cov vitamin A - thiab ntxiv cov nqaij nruab deg, ntxiv dag zog rau cov nplej, thiab cov nqaij liab rau zinc.
- Koj tus kws kho mob kuj tseem yuav pom zoo kom muaj cov vitamins ntau lossis zoo ib yam ntxiv rau kev noj haus.
- Tham nrog tus kws noj zaub mov noj rau npe rau kev pab hauv kev tsim kho qhov txhab kho kom zoo tshaj plaws rau koj.
Kauj Ruam 4. Nrhiav kev kho mob rau koj lub cev thiab kev xav tau
Thaum koj kho los ntawm koj qhov kub hnyiab, koj yuav pom tias koj lub zog thiab kev sib koom ua haujlwm tsis zoo los ntawm cov ntaub so ntswg puas, puas paj hlwb, nqaij tawv nqaij, thiab mob ntev. Kev kho lub cev tas li tuaj yeem pab txhim kho koj lub neej zoo thaum koj rov zoo. Piv txwv, hlawv rau koj xib teg, tuaj yeem ua rau muaj kev puas tsuaj tas mus li uas yuav tsum tau kho lub cev ntau ntxiv thiab kev qhia kom siv koj txhais tes dua.
