Ola kino, Lapaau
I aliʻi kau i ka lole wili a me ka tourniquet. Hooponopono e pili ana bintovyh dressings. Rula kau i ka lole wili manaʻo koikoi
First kōkua i ka mōhai a me nā palapū, fractures, sprains, ligament nā palapū, paopao koke mai oia,'ā a me nā lilo aneane hiki ole me ka 'āwīwī a me ka pono' ana i ka one. Ua, mahalo i ka ligation ua ālai 'hou ia maʻiʻaʻai o kaʻeha a me ka paʻa kahe ana ke koko i, ka fixation o fractures a hiki hoʻoili i ka pākōlea ia ma luna o ka eha.
Ua kahikoia a nani, a ano
A lala o ka lapaau ia haʻawina i nā rula o ka bandaging a me harnesses, i ko lakou ano a me ka palapala noi, i kapa desmurgy (Greek desmos - mea kaua, ua kahikoia a nani, a ergon - hooko hihia).
Ma ka ho'ākāka 'ana, i ka ua kahikoia a nani - he ano o ka lapaau ana o nā palapū a me nāʻeha, i mea e hoʻohana:
- ua kahikoia a nani mea i pili pololei i kaʻeha;
- Lole wili mawaho hapa, a fixes ka ua kahikoia a nani.
Ma ke kūlana o ka ua kahikoia a nani, no kela kumu, e ia:
- kūikawā ua kahikoia a nani nā pākeke;
- kahei;
- pulupulu swabs;
- gauze kala.
nānaina | hōʻikeʻano | ? ueo |
Aiiay a pahee | Ua ninoieo o kekahi mea i ua noi ai i ka eha, a me ka mālama 'i ka lole wili Hoʻohana 'ia i loko o ka hapanui o na hihia: no ka'ā, paopao koke mai oia, hamama eha |
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Immobilization a paa | Ua ninoieo o ka ua kahikoia a nani, a me ka luhi o Hoʻohana 'ia e lawe aku i ka luahi, ma ka iapaau ana o ka iwi nā palapū a me kā lākou mau laholio pili' o Randy |
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Helu ola mālama i nā palapū
Ke kaʻina hana o ana i ke one i kapaia o ligation. Kona pahuhopu o ka pono, e pani i kaʻeha:
- no ka Kāohiʻana o ka hou maʻiʻaʻai;
- e hooki i ka kahe ana ke koko;
- e kulia i ka pākōlea hopena.
General lula kau bandages ma luna o eha a me nā palapū.
- Holoi lima loa me ke kopa a me ka wai, ina keia mea i hiki, ka mea e ma ka liʻiliʻi pono ia me ka kūikawā antiseptic.
- Inā ka eha - he hamama eha, i ka ili a puni ia mālie lawelawe kanakaʻona mau pāʻoihana o ka hydrogen peroxide a iodine.
- E kau i ka luahi (ahonui) i loko o ka oluolu kulana (e noho ana, e moe ana ia), pela ka hoʻolako 'oluolu komo i ka poino paena.
- E lilo i ke kanaka i loko o ke alo o ke hoʻomanawanui, e makaala i kona naoh.
- Omaka, e hoʻomākaukau ia "e wehe ae" lole wili, mai haʻalele i ka akau, mai ka periphery o ka lala ma ke kino, i mea mai ka lalo mai, ka hoʻohana 'ana mau lima elua.
- Lima lole wili e e lena i ke kuʻekuʻe aku, moku'āina, a me ka uha mua - e kukulu mua.
- Ka mua elua a ekolu ana e haʻalele i (a) E e keakea no keia lole wili paa i ka wahiia a puni ka narrowest wahi kōna.
- E möakäka hou swathe penei kaʻaʻahu hoʻopilikia ole wrinkling.
- Kēlā me kēia mea kaua mua huli uhi ma kahi o hoʻokahi kolu ka laula.
- I ka wā o ka poino wahi nui, i ka lole wili hiki ole e lawa, akā, ma lalo o ka hopena mua apo ai hoʻomaka o ka lua, ka ikaika i kēia wahi hoʻopoepoe'ōwili hao.
- Hoʻopau ua kahikoia a nani, ana elua a ekolu huli ke haka pono maila lole wili.
- E like me ka hou fixation lole wili hiki ke oki i loko o nā hopena māhele kela kapa ma waena o lākou, i ka p ÷ ai puni i ka ua kahikoia a nani, a nakii knot ikaika.
Walaʻauʻana ano o bandages bintovyh
Mua oe aʻo na rula kau bintovyh dressings e e kama'āina i nāʻano o nā harnesses a me nā koho no kā lākou hana.
'ano o nā bandages | hana hihia |
Lahilahi bandages, laula, 3 knm, 5 knm, 7 knm a me ka lōʻihi o ka 5 m + | Ka mea, perebintovyvayut iki i lima |
Ka lole wili akea o 10 a hiki i 12 knm, a me ka lōʻihi o ka 5 m + | Pono no ka ligation me ka poo nā palapū, forearms, luna, a malaloʻaoʻao (mau lima, na wawae) |
Large lole wili me ka laula oi aku mamua o 14 knm, a me ka lōʻihi o ka 7 m + | Hoʻohana 'ia no ka ana bandages ma luna o ka pahu, uha |
Mea Maluna bintovyh dressings:
1. ByʻAno:
- Aseptic maloo;
- antiseptic maloo;
- hypertension pulu dries;
- koiʻana iā;
- occlusive.
2. Ma kau i ka papa hana:
- hoʻopoepoe pahaʻoni iho;
- vosmiobraznaya ole cruciform;
- serpentine a kolo;
- spicate;
- honu lole wili: divergent a me nń.
3. IIeEeAIEUAA:
- ma luna o kona poʻo;
- ka luna lala;
- ma ka lalo palena;
- ma ka abdomen a me pelvis;
- ma luna o ka pahu;
- 'ā'ī.
Hooponopono e pili ana pahee bandages
Bintovye dressings i pili i loko o ka hapanui hihia nā palapū. Ka mea, pale aku haumāna eha maʻiʻaʻai a kń i ka adverse 'ole o ke kaiapuni.
Hooponopono e pili ana pahee lole wili e like penei:
1. ke hoomanawanui ua waiho ia ma ka oluolu wahi:
- i eha o ke poo,'ā'ī, umauma, luna lala - noho;
- trauma o ka abdomen, pelvis, uka māhele o nā'ūhā - prone.
2. E koho i ka lole wili e like me ke 'ano o ke poho.
3. E pana aku au i perebintovki kaʻina ka hoʻohana 'ana i ka walaʻauʻana rula o ua kahikoia a nani ano.
Inā ua hana 'oe i ka lole wili, malama ana i na rula o ka uhi ana o sterile bandages, compresses ka mea, e halawai me ke kēia mau ana hoʻohālike.
- loa uhi i ka poino wahi;
- 'Aʻole i ālai ia' aʻe me ka maʻamau ke koko a me ka lymph holo;
- i mea hoʻomaha no ka hoʻomanawanui.
ʻAno | ano laulā, ua kahikoia a nani |
abnet | Superimposed ma ka pulima oʻu wahi, i ka lalo o ka malalo wāwae, lae, a no laila, ma luna o. Bint superimposedʻoni iho like me excesses, a me ka ia. Lole wili me excesses ua maikaʻi hana ma luna o māhele o ke kino e i ka canonical ano |
mea kolo lole wili | Ua 'ano me ka mea o ka mua fixation o ka ua kahikoia a nani a hiki i ka iki i wahi |
kea lole wili | Superimposed e ka luna 'kahua hoʻonohonohoʻia Ma ka papa o ka ua kahikoia a nani lole wili e hōʻike ewalu. No ka laʻana, cruciform one ma ka pahu i hana like penei: 1 papa - e kekahi mau hoʻopoepoe Hope ma ka pahu; 2 mapuna - i ka lole wili ma kona umauma naperekos hana o ka pono axillary wahi i ka forearm hema; Kalapona 3 - e huli ma luna o ke kua ma ka forearm akau ma, mai kahi lawe i ka lole wili hou ma luna o ka pahu ma ka armpit hema, a me crisscross ka mua, ahu iho; hahau 4 a me 5 - i ka lole wili hou laweia aku la oia ma ke kua i loko o ka olelo o ka armpit akau, e vosmiobrazny anu u; hoʻopunipuni ka papa - ka lole wili wahi a puni o ka pahu a me ka paʻa |
spica | He Heʻano o ka vosmiobraznoy. Kona uhi, e like me ka'ūhā mua ami ua hana like penei: papa 1 - wili ua lawe mai ma ka pahu ma ke olakino axilla i ke ku pono poʻohiwi; mapuna 2 - Front poohiwi lole wili lepa, ma kaʻaoʻao ma waho, e kūkulu, axilla, a ma kona obliquely hoala hou poohiwi, no laila, i ke kapa ma luna o ka mea mua, ahu iho; 3 papa - pana aku au i lole wili ma ka armpit hoʻi hoʻi e ola; hahau 4 a me 5 - ka repetition o hahau ana o ka mea mua, e kolu, ka nānā i kēlā hou, ahu iho ua superimposed lole wili iki ma luna o ka mea mua kekahi, ho okumu i ke kumu ma ke kuʻina o "SPIKE" |
honu lole wili | Hoʻohana 'ia no ka ua kahikoia a nani na ami Divergent honu lole wili.
Converging honu lole wili.
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ligation o ka poo
He nui na ano o ka bandages ma luna o kona poʻo.
1. "chap";
2. Easy;
3. "kaulawaha";
4. "Hippocratic chap";
5 i loko o kekahi maka;
6. nā maka;
7 Neapolitan (pepeiao).
inoa | ka wā pili |
"Chepets" | I eha o ka frontal a me ka hope o ke poo |
poe noonoo ole | I ka akemāmā lesions o ka occipital, parietal, frontal hapa o ka poo |
"Kaulawaha" | I eha o ka frontal hapa o ka puniu wale no, he maka, a malalo iwi |
"Chap o Hippocrates" | Aia o kekahi hapa o ka parietal poino |
I kekahi maka | I Ina o ka poino o kekahi maka |
He mau maka | I ka wa aʻu i hana ino iki mai na maka |
Neapolitan | I ka eha pepeiao |
Ke kumu o na rula kau bandages ma luna o kona poʻo o ka mea e nānā 'ole o ka' ano o dressings i bandages awelika laula, - 10 knm.
E like me kekahi poino, ia mea nui ia i 'āwīwī mālama', alaila, o ka huina o ka pōʻino o ke poʻo ua waiho e pili i ka simplest mana o ka ua kahikoia a nani - "chap".
Na rula ana i ke one "chap":
1. Mai ka lole wili e oki i kekahi'āpana o ma kahi o hoʻokahi mika ma ka lōʻihi, a e e hoʻohana like kaula.
2. O kona konu hapa ua noi i ka luna o ke poo.
3. ka welau o na kaula i paa na aoao elua, ua hiki ke hanaia kekahi hoalawehana na a me ke ahonui o ia iho, ina oia ka manao.
4. Ua pili i ka ke haka pono maila ahu iho la ka ka lole wili a puni ke poo, ma mua e holo ai na kaula.
5. E ho omaka hoʻi i wahīʻia i ka lole wili a puni ka Hawai i, a laila, ma luna o ke poʻo.
6. Ma hiki i ka kekahiʻaoʻao aʻe o ka drawstring, i ka lole wili ua wahiia no a puni o ka puniu wale no ua hana iki ma luna o ke ahu iho la mua.
7. Ke hana hou 'hana lole wili loa uhi i ka ili poo.
8. E hoolilo ana i ka puni hope, i ka pau ana o ka lole wili ua nākiʻi i kekahi o na kaula.
9. Ua hoʻopaʻaʻia nā kaula ma lalo o ka chin.
ʻAno | ano laulā, ua kahikoia a nani |
poe noonoo ole | Pana aku au i ka lole wili palua puni ke poo. I kekahi anu u aku e hana i ka hoʻohei, a hoʻomaka e pili i ka lole wili obliquely (mai ka lae a hiki i ka nape o ka'ā'ī), iki kiekie mai ka hoʻopoepoe, ahu iho. Ma ka hope o ke poo o kekahi inflection wahi a me keia manawa, wili mai ka kekahiʻaoʻao o ke poo. Neʻe aku i koho, a laila, haʻi hou aku i ke kaʻina hana, e hoʻololi i ka olelo o ka lole wili. ua hai 'ana i kūpono a ua pau ka uhi o ka luna, oiai e hoʻopoina i ka palapala o kela mea keia mau kēlā hahau lole wili |
"Kaulawaha" | E mau ana e haʻalele i puni i ke poo. Next lole wili kupenu iho ma lalo o ka lalo ā, he lalo i kona pepeiao akau. Hoala mai au ia hoʻi e temechko ma ka pepeiao hema, niioaaonoaaiii. E like me ekolu vertical'ōwili hao, i kau ai i ka lole wili mai o ka pepeiao akau ua lawe ia ma ke alo o ka ai, ke poo obliquely ma a puni ke poo, pela hoʻopunipuni ka mua papa. I kekahiʻanuʻu hou mai ma kaʻaoʻao'ākau, ma lalo o ka lalo ā, ho'āʻo ana e uhi ia pau papamoe. A laila, i ka lole wili ua lawe mai a hiki i ka hope, hou keia anu u. I haʻi hou kekahi manawa hou holo i loko o ka'ā'ī, a laila, ma hope mai ai i ka lole wili a puni ke poo |
I kekahi maka | Ua hoʻomaka ua kahikoia a nani me nā ikaika papa o ka lole wili, a ua lawe mai i loko o ka hihia o ka akau maka ino, mai haʻalele i ka akau, haʻalele -'ākau. A laila, ua kuu iho la i ka lole wili e ka poino ma ke poo, ua waiho ma lalo o ka pepeiao, obliquely ma ka papalina uhi ka maka, a paa hoʻopoepoe papa. Kai hou kekahi mau manawa, kēlā hou, ahu iho e uhi ana i ka mua lole wili e pili ana i ka hapalua o |
Ligation no ka kahe ana ke koko
Kahe ana ke koko - He kahe o ke koko ma ka 'aʻe' ana i ka pono o ka ipu koko.
ano o ke kahe ana ke koko | hōʻikeʻano | ano laulā, ua kahikoia a nani |
arterial | Ke koko Ua olinolino ulaula ma ka waihoʻoluʻu a me ka mai i ka ikaika pulsating mokulele hēkī | Hopena kulana ma luna o ka eha ma ka lima, i ka pilina, a me ke Kai o ka lole. ʻAno lole wili - palaoa |
venous | Koko pena ma ka pouli kamako iki waihoʻoluʻu a kahe uniformly | I ka pōʻino, ua make loa o ke kino, e hookiekie ae maluna, e auhau ia ma luna o kaʻeha sterile gauze a me ka lole wili paa, i mea e hana i ka puʻuwai lole wili Tourniquet ua pili mai ka lalo o kaʻeha! |
capillary | Koko ku mai kōā kaulike, mai nāʻeha | Pili i ka sterile lole wili, ma hope a kahe ana ke koko e hooki koke |
Blend | Ua hiehie i nā hiʻona o kekahi palapala ano | Hoʻokō i kekahi manaʻo koikoi lole wili |
Parenchymal (na) | Capillary kahe ana ke koko mai na nā loko | E ka ua kahikoia a nani ka hoʻohana 'ana i ka lula ea Ke eke me ka hau |
General lula no ka bandaging me kahe ana ke koko mai ka lala:
- Lole wili hoonoho iho ma lalo o ka lala iki ma luna o kaʻeha paena.
- An hau pack (maikaʻi loa).
- Tourniquet nui'ō.
- Ka Hawai i na welau.
I ka papa kuhikuhiE rula o ana i ke one - he tourniquet kau ma ke kapa paha pela kanu lole (gauze, pepa, scarf, a no laila, ma luna).
A me ka hana pono, i ke kahe ana ke koko E pono ke hoopaaia, a me ka wahi i loko o ka mea kaua - blanch. Mai poina e kau i ka lole wili ma lalo o ka leo a me ka (hola a me nā minuke) lā a me ka manawa dressings. Hope i mua kōkua e oi aku mamua o kekahi 1.5-2 hola, e haawi aku i ka ino no ka haukapila, i ole ia eʻaʻole e hiki ke hoola i ka iki i ka lala.
Rula kau i ka lole wili manaʻo koikoi
Puʻe lole wili e e hoopili i ka ho'ēmi i nāʻano a mawaho kahe ana ke koko ma ke kahua o ka hewa, e like me ka emi ka nui o ka nani.
Rula, kau iho la i kekahi manaʻo koikoi lole wili.
- E pili ana i ka ili eha (ma kahi o elua i eha knm) ia me ka antiseptic.
- Inā kaʻeha i ka haole e hoopii mai ai, ka mea e e koke akahele wehe.
- E like me ka ua kahikoia a nani ke hoʻohana i ka makaukau-i AEeAaOA o ua kahikoia a nani a me ka sterile pulupulu-gauze'ōwili, ina he mea ole ia, ka mea e hookokoke lole wili, he maʻemaʻe hainaka, kahei.
- Lole wili paa i kaʻeha ka hoʻohana 'ana i ka lole wili, scarf, scarves.
- E ho'āʻo i ka hana i ka lole wili pilipaa, akā, mai overtighten i ka poino wahi.
Qualitatively superimposed compressive lole wili e hooki lakou i ke kahe ana ke koko. Akā, inā ua hiki nōʻona nō i loko o ke koko, ia mea,ʻaʻole e pono ke wehe i ka mea mua e hele mai ana i ka haukapila. It E e pono pilipaa luna podbintovat mua ka lehu o lalo o ka hou lole wili i kekahi gauze pack.
Hiʻona occlusive dressings
Occlusive ua kahikoia a nani ua noi ia e hōʻoia i ka hermetic'īpale poino wahi, e pale aku hui 'ana me ka wai a me ka lewa. Ua Ua hoʻohana 'ia no ka penetrating eha he nui.
Hooponopono e pili ana occlusive dressings:
- Hoʻoponopono ai i ka luahi i loko o ka noho kūlana.
- Kaʻina e pili ana i ka wahīʻili antiseptic Agena (hydrogen peroxide, chlorhexidine, ka waiʻona).
- Ka eha, a me ka puni ana o ka kino i ke kahahńnai o elima a hiki i ka umi knm noi antiseptic wipes.
- I kekahi, ahu iho ua pili i ka wai a me ke ea-impermeable mea (pono sterileʻaoʻao), no kekahi laʻana, he ea eke, ea wahī, rubberized lole, laholio kuina.
- Ke kolu o ka papa ninoieo o ka pulupulu-gauze nā pale poʻohiwi, a Radio ke kūlana o ka constipation.
- All papa i paa i paa i ke ākea lole wili.
I ka uhi ana lole wili e e hoʻomanaʻo i kēlā hou, ahu iho o ka ua kahikoia a nani, e kela aku kona nui ma mua o ka mua 5-10 knm.
O ka holo ana, ina he mea ia he manawa kūpono, ia mea maikaʻi, e hoʻohana i ka IPP - paʻia ua kahikoia a nani AEeAaOA, i mea i ka lole wili pili ana me nā pulupulu-gauze nā pale poʻohiwi. Kekahi o ia mea paʻa a me ka mea'ē aʻe e neʻe aku o ka 'elele ma ia.
Ka hoʻokō 'ana o aseptic dressings
Aseptic lole wili ua pili i ka hihia ma kahi o ka he hamama eha a me 'oe makemake e hōʻalo ai i ka noho i loko o kona lepo a me ka haole (particles). Kēia pono ole wale i ka pono keʻauhau iā lākou i ka ua kahikoia a nani, a pono e sterile, akā, maluhia ka laka 'ia.
Hooponopono e pili ana aseptic dressings:
- Pono i ka eha me ka kūikawā antiseptic, akā, ma kekahi hihia,ʻaʻole e hoʻohana i ka wai no keia mea.
- Paʻa 'ana i ka poino gauze, wahi iho la nui ma mua o 5 knm, mālama'-ʻolokaʻa aʻela i loko o kekahi mau papa.
- Top uhi ahu iho la ka absorbent pulupulu (hoopuni peelable) i mea i oi aku mamua gauze i mau a hiki i ekolu mau kenimika.
- Paa i koho i ka ua kahikoia a nani ka hoʻohana 'ana i ka' inikua lole wili a lina puna.
Maikaʻi loa, e mea maikaʻi, e hoʻohana kūikawā maloo aseptic lole wili. Ka mea, komo no ka ahu iho la ka absorbent mea, i ka loa pono absorbs koko a me ka osushivaetʻeha.
E pono e mālama i ka eha, mai ka lepo a me ka maʻiʻaʻai, ma ka hou glue pulupulu-gauze lole wili ma nāʻaoʻao a hiki i ka ili hoʻohana lina lola. A laila, koho i ka lole wili.
I ka impregnated i ka lole wili loa me ke koko, ka mea pono e akahele auou caiaiai me ka hou: loa paha wale ka luna, ahu iho. Inā keia mea,ʻaʻole e hiki, no ka laʻana, ma muli o ka nele o kekahi sterile ua kahikoia a nani kini puʻe wale, ka mea hiki ke wahi iho la podbintovat, mālama '-lubricated aloha `lole wili iodine tincture.
Ka hoʻokō 'ana o Turo dressings
I ka ma fractures mua kōkua nui - e immobilize i ka poino paena, kūpono i ka ho'ēmi i kā ka eha, a me ka pale pohupani hale o ka iwi koena ai i loko o ka wā e hiki mai.
I ka papa kuhikuhiE na hoailona o ka fracture:
- Hanahana loa kaʻeha ma ke kahua o ka hewa, a 'aʻole i ana no kekahi mau hola.
- Ola kŰia.
- I ka wā i hoʻopau ai fracture - hoʻokano, edema,'aʻaʻa deformation ma ke kahua o ka hewa.
- Me ka hamama fracture - he eha mai a ka iwi koena ai.
- Limited ka hele a piha i emi kana mau mea.
XIX. Lula kau bandages no fractures o nāʻaoʻao:
- I ka lole wili e e immobilization type.
- I ka wa e kaawale aku o ispetsialnyh papale hainaka hiki ke hoʻohana 'improvised mea: he lāʻau, he ke ko, he uuku ele ele, aliʻiʻai moku, a no laila, ma luna o.
- E immobilize i ka nāna.
- E hana mau fracture fixation Turo wahiia me ka pahee lole a me ka pulupulu.
- Pili i ka luhi o ma kekahiʻaoʻao o ka fracture, ka mea e hoʻopio i ka ami ma luna a ma lalo o ka poino.
- Inā ka fracture ua pu ma ka hamama eha, a me ka profuse kahe ana ke koko, laila:
- ma luna o ka fracture a me kaʻeha superimposed mea kaua;
- kaʻeha lole wili;
- ma ka aoao o ka pōʻino, ua make ka lala i superimposed mau papale hainaka.
Inā mākou e hoʻokō i kekahi 'ano o ka lole wili hewa, kahi o ka mua kōkua, hiki i irreparable ino i ke ola o ka luahi, a hiki alakai i ka make.
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