Ukraine: 'ena ke mokhoa oa ho fana ka thuso ea pele ho motho ea lemetseng ka lithunya'

By Cristiano Antonino On Feb 3, 2023

Thuso ea pele ho batho ba lemetseng ka lithunya: Tšebeletso ea Tšireletso ea Ukraine e phatlalalitse letoto la lithuto tsa thuto mabapi le meriana ea maqheka - thuso ea pele ea sepetlele.

Tsebo ena maemong a nako ea ntoa e ka thusa ho pholosa bophelo ba motho ka pele.

Video, koetliso ea masole a amehang likhohlanong, e ile ea lokolloa ke koranta ea Pravda, kaha ha e le hantle litima-mollo li ameha haholo-holo baahi.

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Thuto ea video 1. Ho thusa motho ea lemetseng tlas'a mollo

Videong ena, mabotho a khethehileng a tsoang Setsing sa Ts'ebetso e Khethehileng sa Ts'ireletso 'A' a hlalosa mokhoa oa ho thusa motho ea lemetseng ha a le tlas'a mollo le ho bontša mokhoa oa ho thibela likotsi tse ling nakong ea mesebetsi ea ntoa.

Ho na le mefuta e 'meli ea thuso ho motho ea lemetseng tlas'a mollo: ho ithusa le ho thusana.

E le ho fana ka thuso e kopanetsoeng ho ba lemetseng, ho hlokahala ho etsa ka tsela e latelang

qoba mollo
fumana setshabelo se bolokehileng.

Joale hoa hlokahala ho lekola botebo ba kotsi le boemo ba motho ea hlokofalitsoeng, ebe o mo fa litaelo, ho latela maemo:

kgutlisa mollo
fumana sebaka sa bolulo se haufi se sireletsehileng 'me u lebe ho sona,
theha ho ithusa ha motho ya hlokofalitsoeng a khona ho etsa joalo a le mong.

Haeba motho ea lemetseng a sa khone ho sisinyeha kapa a ilibane, ho tlameha ho etsoa moralo oa ho mo fihlela.

Ntho feela e ka etsoang molemong oa thuso ea "under fire", haeba maemo a maqheka a lumela, ke ho emisa mali a mangata ka ho sebelisa tourniquet.

U ka ithuta ho eketsehileng ka matšoao a ho tsoa mali a mangata, ho ithusa, melao ea ho sebelisa tourniquet karolong ea 'tlas'a mollo', ho etsa bonnete ba hore ho na le patency ea moea, ho tsamaisa motho ea lemetseng ho tloha lebaleng la ntoa ho ea sebakeng sa bolulo ho video ea pele ea SBU.

Thupelo ea video 2. Ho thusa lehlatsipa le lemetseng la sethunya maemong a maqheka le ho hlahloba lisebelisoa tsa thuso ea pele.

Ka mor'a hore ba lemetseng ba tlosoe sebakeng se chesang ho ea sebakeng se sireletsehileng, ho hlokahala thuso tlas'a maemo a maqheka.

Ts'ebeletso ea Ts'ireletso ea Ukraine e khothalelitse se lokelang ho ba ho lesole ka leng thuso ea pele kit le hore na mopholosi oa motho ea lemetseng o lokela ho etsa joang pele a qala ho fana ka thuso ho latela algorithm ea MARCH.

Algorithm ea MARCH e etsa qeto ea lintho tse tlang pele le tatellano ea liketso ho fana ka thuso ho ba lemetseng.

E sebelisoa ha bahlabani ba se ba sa chesoe 'me ba ka tsepamisa maikutlo ho pholosa balekane ba bona.

Ke eng e lokelang ho ba ka har'a setsi sa thuso ea pele sa mohlabani:

phekolo ea meriana sekere,
liatlana tsa bongaka,
tourniquet,
li-swabs - gauze e nang le haemostat le ntle le eona;
tlamisa ho emisa ho tsoa mali,
nasopharyngeal cannula bakeng sa pampiri ea ho hema,
sekhomaretsi sa occlusive ho maqeba a koalehileng,
kobo e futhumetseng,
tlamisa mahlo
Pill-pack, e nang le lithibela-mafu le lithethefatsi tse thibelang ho ruruha,
li-tissue patches,
'karete ea maqeba' le lesupa le sa feleng.

Ka video u ka boela ua ithuta ho eketsehileng ka:

tlhophiso le taolo ea pherimitha ea ts'ireletso,
ho amoha ba lemetseng lihlomo;
maemo a ho chechisa phalliso,
ho beha thepa ea thuso ea pele le mothinya holim'a thepa.
tlhaloso ea sebopeho sa setsi sa thuso ea pele.

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Thuto ea 3. Algorithm ea MARCH. M - Ho loantša mollo le ho tsoa mali a mangata

Videong ena, SBU e hlalosa mokhoa oa ho laola mali a mangata ho motho ea lemetseng, hobane motho a ka shoa ka mor'a metsotso e seng mekae ka lebaka la ho lahleheloa ke mali ka potlako.

SBU e hlalositse hore na liketso tsa lesole e lokela ho ba life ha a pholosa comrade.

Ka ho khetheha:

mokhoa oa ho etsa tlhahlobo e nepahetseng le e sebetsang ea motho ea lemetseng,
joang le neng ho sebelisa tourniquet,
ha u sebelisa tamponade,
nako ea ho tlamisa bandage,
mokhoa oa ho hlahloba ho tšoha

Thuto ea 4. Algorithm ea MARCH. A - Airway patency

Ka mor'a ho emisa ho tsoa mali a mangata, mohato o latelang oa tlhokomelo ke ho hlahloba kutloisiso ea motho ea lemetseng, ho itšoara ka lentsoe, ho itšoara ka bohloko.

Haeba a sa arabele ntho leha e le efe e susumetsang, hoa hlokahala ho hlahloba hore na motho ea lemetseng o phefumoloha.

Ho etsa sena, lebanta la helmete le tlameha ho tlamolloa 'me molomo oa molomo o hlahlojoe bakeng sa 'mele oa linaha tse ling.

Haeba ho na le leha e le efe, li tlameha ho ntšoa ka ho lebisa hlooho ea motho ea lemetseng ka thōko, joalokaha ho bontšitsoe videong ea manikin.

Lintlha tse ling mabapi le liketso tse latelang tsa mopholosi - ho bula tsela ea moea, ho beha sebaka sa moea sa nasopharyngeal le ho fetisetsa motho ea lemetseng sebakeng se tsitsitseng - puong ea SBU.

Thuto ea 5: MARCH. R – Ho phefumoloha

Ha u se u netefalitse hore motho ea hlasetsoeng o na le matla a ho tsamaisa moea, hoa hlokahala ho hlahloba matšoao a ho hema le ho fana ka thuso tabeng ea leqeba la sefuba.

Taba ea pele, mopholosi o tlameha ho lekola phefumoloho ea motho ea lemetseng:

tseba lebelo la ho hema ka metsotsoana e 10 (tloaelo bakeng sa motho ea lemetseng ke phefumoloho e 10-30 ka motsotso),
fumana botebo ba ho hema ka ho beha letsoho karolong e ka tlaase ea sefuba,
etsa qeto ea ho lekana ha phefumoloho ka ho beha liatla ka bobeli likarolong tse ka tlaase tsa sefuba ka mahlakoreng a mabeli.

Ka mor'a moo, mohlabani o lokela ho hlahloba sefuba le mokokotlo oa ba lemetseng.

Mokhoa oa ho e etsa ka nepo, hammoho le nako ea ho sebelisa sekhomaretsi sa occlusive, thuso efe e ka fanoang nakong ea pneumothorax (ho bokellana ha khase (hangata, moea) ka har'a pleural cavity le keketseho e ts'oanang ea khatello ho eona) le mokhoa oa ho nka khato. ho thibela hypothermia (ho theola mocheso oa 'mele) - puong ea SBU.

Thuto ea 6: Algorithm ea MARCH. C - Phallo ea mali

Karolong ena, hoa hlokahala ho etsa ts'oaetso e bohloko le ho hlahloba ho tsoa mali ho sa hlokahaleng ho motho ea lemetseng le ho e emisa.

Hape hoa hlokahala ho netefatsa katleho ea mekhoa e fetileng ea ho laola mali a mangata a sebelisitsoeng karolong ea 'M - Ho tsoa mali a mangata' ea algorithm ea MARCH.

Ntho e 'ngoe ea bohlokoa ea mohato ona ke tlhahlobo ea pelvis bakeng sa ho ba teng ha fractures le ho lokisoa ha eona.

SBU e ile ea hlalosa mokhoa oa ho hlahloba matšoao a ho tsieleha ho motho ea hlokofalitsoeng ka mor'a kotsi, thuso ha a robehile pelvic, le ho kenya li-bandages ka nepo maqebeng.

Lithunya, thuto ea 7. MARCH Algorithm: H - Ho sithabela ha hlooho, hypothermia le ho lokisa lehlatsipa bakeng sa ho falla

Mohato oa ho qetela oa ho hlokomela motho ea lemetseng ho latela algorithm ea MARCH ke ho hlahloba boteng ba kotsi ea craniocerebral le liketso tsa pele ha ho fumanoa.

Ka mor'a moo, re tlameha ho lokisa motho ea lemetseng bakeng sa ho tsoa le ho kenya tšebetsong algorithm ea PAWS.

Ho lemoha matšoao a kotsi ea boko, hoa hlokahala ho hlahloba

hlooho bakeng sa matetetso, matetetso le maqeba,
matetetso a pota-potileng mahlo - haeba a le teng ntle le matšoao a ho sithabela nkong, sena se bontša kotsi e mpe ea hlooho,
symmetry ea bana (asymmetry ke letšoao la TBI),
karabelo ea ngoana ho khanya ka ho koala le ho bula mahlo a motho ea lemetseng ka matsoho – bana ba bona ba lokela ho honyela haeba ho se na leqeba la hlooho. Haeba ho se na leseli, u ka sebelisa toche, empa u se ke ua e supa ka ho toba mahlong a motho ea lemetseng: tsamaisa sefate ho ntho e 'ngoe e haufi.

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