Mkaka kapena kusanza kungayambitse kupuma ndikumenyera mwana wamng'ono. Komabe, kodi nthawi iliyonse yovomerezeka yochotsa kayendedwe ka ndege?

Pali ena omwe amanena kuti "sayesa kuyendetsa njira zochotsera njira zowonongeka kwa ndege pokhapokha ngati zakumwa zamadzimadzi kapena zamadzimadzi", ndi omwe akutsatira "kutsata ndondomekoyi," ".

Monga tonse tikudziwira, kuchotsedwa kwa pandege ndi njira yachipatala yomwe yathandiza kupulumutsa moyo wa ana ambirimbiri, omwe sali mazana, omwe awonongedwa ndi mabungwe akunja kwa zaka zambiri.

Koma ndi liti pamene kuchotsedwa kwa panjapo kumalo osokoneza banjali kudzachitidwa?

Yankho la funso ili likuwoneka kuti ndi losavuta chifukwa ndi momwe liyenera kukhalira: lodziwika ndi aliyense. Kaya muli azimayi, alimi, mabwalo amilandu kapena omembala, malangizowa akulembedwa kuti muwamvetsetse, kaya mumaphunzira mankhwala kapena simungathe kuvutika mwa kuwerenga buku la 360 masamba onena za kuchotsedwa kwapansi ndi kachilombo koyambanso. Yankho la funso ili ndi: Kuchotsa njira yochotsa ndege kumayenera kuchitika pamene maulendo a ndege amaletsedwa.

Koma kodi ndi liti pamene wina anganene kuti maulendo a ndege amalepheretsedwa?

Kodi ndimaganiza liti kuti maulendo a ndege amalepheretsedwa? Ndiyenera kuyamba liti kuganizira njira zolepheretsa kuyenda? Pa dzanja limodzi, pali anthu amene amaganiza zimenezo mphepo amalepheretsedwa kokha ngati thupi lachilendo limeza kapena kupumitsidwa. Choncho, Kubwezeretsedwa sikungalepheretse mpweya chifukwa si thupi lachilendo ndipo sili olimba, koma nusu-madzi. Komabe, pali ena omwe amati semiliquids nawonso amatha kulepheretsa mphepo kuyenda moopsa komanso kuti musachite kanthu. Thupi lapamwamba kwambiri la sayansi mu kachilombo koyambanso ndi malo osadziletsa, ILCOR, adanena chinachake chosiyana ndi zambiri, zogwira mtima kwambiri, Izi zikugwirizana ndi zosiyana siyana: chifuwa.

Ndipo ndicho chifukwa chifuwa chiri chokhazikika za thupi lathu pamene chinthu chachilendo chikutseka miyoyo yathu. Ndipo nanga bwanji? Mukungofuna chifuwa? Nthawi zina, inde, ndipo pazinthu izi, tikukamba za chifuwa chothandiza. Nthawi zina, mwatsoka, sikokwanira. Pali maphunziro a sayansi omwe amayesera kumvetsa chifukwa chake kukoketsa - nthawizina - sikuli koyenera. Ndi chifukwa cha ichi chomwe pamene njira zochotseratu zapansi amachitika pali zokambirana zambiri SIDS, a Matendawa amagwirizanitsidwa ndi kubwezeretsa mkaka ndipo izo zikhoza kuwatsogolera kusokoneza maganizo. Popanda kukhala ndi luso lapadera, kuti mupitirize kulunjika pa mutu wakuti "kuchotsa njinga yochotsa inde / ayi", tiyeni tiwone zomwe zalembedwa mu European Resuscitation Council malangizo:

• Ganizirani momwe mphamvu ikuyendera (mwanayo watsekedwa nthawi yayitali bwanji?
• Ngati chifuwa sichigwira ntchito ndipo mwanayo amadziwa kupatsa mphuno za 5 ndi zojambula za 5.
• Ngati chifuwa sichigwira ntchito ndipo mwana sakudziwa ndipo sakupuma, tseguleni, pitirizani ndi mpweya wa 5 ndikuyamba CPR
• Ngati mwanayo akutsokomola ndikuwona kuti akhoza kupuma pakati pa chifuwa, um'limbikitseni kuti ayambe kutsokomola ndikupitiriza kuyesa ngati chizindikiro chilichonse chotsutsa chiwonetsero chikuwoneka, komanso ngati chifuwacho sichigwira ntchito kapena ngati chitetezo chimatha.

Kotero, kodi pali tsatanetsatane?

Inde, a Ndondomeko ziyenera kuchitidwa mwathunthu pamene mwana sangathe kukhwima, kulira kapena kulankhula, koma akadali ozindikira. Ngati iye akusowa kanthu, pitirizani ndi kachilombo koyambanso. Palibe umboni woti uchite mosiyana.

Vuto lenileni ndi mantha kwa amene akuyang'ana, kaya akhale woyamba kapena wopulumutsa. Chifukwa chiyani?

Kuti tikwanitse kuthetsa mkangano, tinapempha ambiri anaesthesist, kotero ife tikhoza kupereka chithunzi chokwanira ndi chowonadi chokwanira cha mkhalidwewo. Monga lero, ndizoona kuti kuyimilira kupulumutsa moyo zathandiza kupewa zovuta zambiri, koma nthawi zina - pamene njira zophunzitsidwa bwino kapena njira yothetsera mantha sizifotokozedwa - zowonjezera zakhala zikuchitika zomwe zatsogolera zenizeni mavuto a zachipatala. Ndipotu, deta yoperekedwa ndi Utumiki imaphatikizapo kuphedwa komwe kunayambitsidwa ndi kuwonongedwa kwa kayendetsedwe ka ndege, komanso zomwe zimayambitsidwa ndi asphyxiation, meconium kumeza or mchere wothira m'mimba. Izi zakhala zowonjezera chiwerengero cha vutoli kulenga - kupatula kuyenera ndi kuwonetsetsa - kuopanso, nthawi zambiri chifukwa cha zolakwika. Deta yokhayo yomwe ilipo pa zoletsedwa za thupi zakunja - ku Italy - ndi zomwe zinaperekedwa ndi ISTAT, ndipo zimafotokozedwa m'ma tebulo omwe ali pansipa.

Ndani ali kulondola, ndiye?

Potsata malangizo a ILCOR, palibe njira yodziwira yemwe ali wolondola ndi yemwe akulakwitsa kusiyana pakati pa madzi / olimba, chifukwa zizindikiro zimasiyanitsa pakati pa kusokoneza ndi zosadziletsa. Dokotala aliyense (ndipo ife tinakambirana ndi 5 mwa iwo musanalembere nkhaniyi) adzakuuzani kuti bMusanayambe njira yothandizira njira yothetsera, m'pofunikanso kufufuza bwinobwino, chifukwa chiwerengero cha madzi kapena regurgitation chinachititsa kuti zisawonongeke zomwe zimadzipangitsa okha kudzipangitsa kuti matupi athu ayambe kuyenda kwambiri. Koma ndi zosiyana ndi zomwe zimalepheretsa thupi (kuyang'ana mabatire, maolivi, etc.). Komabe, malangizo, pa tsamba 117, akunena kuti zoyambitsa zowonongeka kwapansi ndi:

“Kutsekereza kwa ndege kumatha kukhala pang'ono kapena kwathunthu. Zitha kuchitika pamlingo uliwonse, kuyambira mphuno mpaka pakamwa, mpaka trachea. Wodwala wosazindikira, malo omwe nthawi zambiri atsekeredwa ndi mpweya ndi mkamwa wofewa ndi epiglottis. Kutsekerezako kungayambitsidwenso ndi kusanza kapena magazi (kubwerera m'mimba kapena kuvulala) kapena ndi matupi akunja. Kutsekeka kwa larynx kumatha kukhala kwachiwiri pakuwotcha edema, kutupa kapena anaphylaxis. Kukondoweza kumtunda kwa mpweya kungayambitse kupindika kwa laryngeal. Kutsekeka kwa njira ya mpweya kuchepera pa kholingo sikochitika kawirikawiri, koma kungabwere ngati munthu atatuluka kwambiri mkamwa, mucosal edema, bronchospasm, pulmonary edema kapena kuyamwa chapamimba.

Kotero, kodi ndiyenera kuyesa njira iliyonse yodzitchinjiriza?

Inde, kupititsa patsogolo kuyenda Zimayenera kuchitika mukatsimikiza kuti mwana sakupuma komanso samakopera njira yowonongeka yokhayokha, kupereka zizindikiro zomveka bwino zowonongeka. Ndipo izo zikuyenera kuti zizichitidwa popanda kugonjera mantha, yemwe ali mdani weniweni weniweni wa aliyense woyamba kuyankha. Pamene mukulimbana ndi mwana yemwe ali ndi chitetezo chochepa kapena chokwanira, chinthu chofunika kwambiri ndi kukhala chete, kuyembekezera zizindikiro zomveka zomwe zimathandiza kuti ntchitoyi isayambe, ndipo pakalipano tilimbikitseni yemwe akugwidwa chifuwa. Kuwopsya ndi kusokonezeka maganizo ndizo zopweteka zomwe sizikusowa kuti zitha kuchotsedwa. Ndipo angatipangitse kupweteka kosafunikira kumbuyo, zomwe zingasokoneze chifuwa kapena kuyambitsa matenda kwa mwana, kuwonetsa chikhalidwe china choopsa kwambiri; otchedwa mwana wodwala. Nthawi zonse samalani ndipo osasokonezeka: tsatirani malangizo ndipo musataye mtima.