Syncopal poho iho la lakou: na hoailona, mua kōkua

Ka loa pinepine kumu o ka make e make i ke kai ma ka ano. At kamepiula ua pono ka poe i hiki ole au ole, akā, na kanaka e noho ana i loko o ka moku'āina o ka hoololi ae, ike paka, me pōmaikaʻi me nā keiki a me nā Kora naʻEsau.

terminology

E like me ka mea hope hoʻololi 'poho iho la lakou - he kaʻina hana i nā hualoaʻa ma ka poho i ka ÷ naehana hanu'āpana aie i ke alo i loko o ka kinowai meakino. Mamua aku nei nō i kēia ho'ākāka 'ana kani me ka make, mai ka wai (' ole 'ē aʻe ke kinowai) i loko o ka Hawaiian Airlines a me ia maʻiʻaʻai. Akā, ka mea, ua i lawa ka pololei.

ʻO kēia hoʻomanaʻo hoʻohuʻu i ka wai a lilo i ke'ākeʻakeʻa mai i ka ingress o ka lewa i loko o ka Air. Akā, i kēia 'aʻole i manaʻo i kanaka i ka make. Ma kekahi ano, ka mea e e noʻonoʻo me waterboarding.

'ano o ka make i ke kai

Kekahi mau okoa ke ano o na make i ke kai, ke kaumaha ma muli o kaʻano papa hana o ke kaʻina hana:

1. Oiaio (pulu), iʻikeʻia me omo - ia lŘlŘ ka wā o nā maʻiʻaʻai a Hawaiian Airlines i piha me ka nui o ka fluids. He aha IeAUPIIe, IAa IO ka hana i ka wā kanaka floundering i ka hope ke kākoʻo 'ana.
2. Wahahee (maloo), poho iho la lakou a asphyxial - ia lŘlŘ aie i ka reflex spasm glottis. Ma keia hihia, aole hoi i ka makani, aole hoi i ka wai a 'aʻole i komo i ka ia maʻiʻaʻai a me ke kanaka make ana o ka suffocation.
3. Syncope poho iho la lakou - ia lŘlŘ i ka wai huihui. Ua hoʻololi i nā hana reflex spasm o na moku ke koko a me ka naʻau 'ole. Make i loko o ka wai, ma ka mea,ʻo ia ke hoʻowahāwahā i ka hana a me ka wai e komo i ka ÷ naehana hanu'āpana ma hope o ka tutua kai a hiki i ka lalo o nā mōhai.
4. I hui pūʻia - wehewehe aku ma ke alo o ka mauʻano o ke kailaʻae poho iho la lakou.

Kumu o ka make i ke kai

Kuhikuhi poho iho la lakou ia lŘlŘ ma muli o ka auau malama ole na rula o ka hana i loko o ka wai, e like me "ole i ka 'auʻau' ana no na buoys," "mai i ka 'auʻau' ana ma loko me ka ike ole lalo," "mai i ka 'auʻau' ana ma o ka ino." Eia hou kekahi, kanaka i hiki ole au, a me ka hina i loko o ka wai ma ka hohonu, e hoomaka ana i ka flounder, koke Noho ka mana a me ka lewa, a pela hōʻeleu i kā lākou he tutua kai.

Scuba kela a me kânaka luʻu pinepine hiki ole pono e ho omaulia ana i ka manawa, a mokuhia e, a me ka mea, hoouka hoʻomaka huakai hele nui hoʻokēʻaiʻana. A mau mea nui nā kumumea like me ke alo o waterfalls a me whirlpools, ikaika paialewa a muddy lalo.

Keʻano papa hana o ka make i ke kai

Make i loko o ka wai hiki ke maheleia i mau ano: freshwater a me ka saltwater, no ka mea, ke kaula o ka pathological reactions e e okoa. Wai ma ka paia o ka alveoli i loko o ke koko, a dilutes ia. Nolaila, i ka hoʻomaka koke mahuahua ka leo o ka hoʻolahaʻia loli (BCC), maoli ka haawe ana ma luna o ka naʻau, a me ka mea a pau e hiki aku i ai i kona holo ana. Eia kekahi, no ka mea, mea hemolysis (luku) o erythrocytes wai. A popo palaoa i loko o ke kino maoli o ka nui o ka noa bilirubin, hemoglobin a me ka potasiuma. Hakuʻala hiki ole Makuakane me ia i ka haawe ana, a i ole.

Poho iho la lakou i ka wai, ma ka Akä, hiki aku ai i ke koko clots, a me ka hopena - mahuahua thrombogenicity. Loa pinepine, cardiac hopu mea ku pono i ka thrombosis o ka coronary arteries. Syncope poho iho la lakou reflexʻano papa hana ia i pili i ka kinowai mea pōhaku haku mele 'ana, akā, hilinaʻi nui ma luna o kona ka mahana a me nā kumu i loko o a ke kanaka i loko o ka wai (e laʻa me, heʻoi loa i ka haule ana).

noho pilikia manawa

I ka oiaio poho iho la lakou i ka wai, he ekolu lapaʻau manawa:

1. Ka loiloi mua, i ka wā a ka luahi hiki nō paʻa i kou hanu. Inā he kanaka hoola i keia wahi, ka mea eʻaʻole ponoʻole pane i ke kulana, i kaʻili a me mucous kona cyanotic, ha kokololio, pāpaʻu, walaʻau. Malia paha cough. High ke koko, ua UAIAaIN e hypotension a me ka bradycardia. Ka'ōpū hiki e he nui ka nui o ka wai, no ka mea, o keia hiki ka luaʻi. A kanaka ana ua ho'ōla mai kēlā koke ma hope o ka hana 'ia.
2. Agonistic wā ua wehewehe aku ma ka mea i ka luahi mea unconscious. He no ka mea he Kal a me ka hanu, Muscle hope akā, pio. Skin cyanotic a me ka anu. Ma keia wahi ke hele mai pulmonary edema, a me ka waha hana anuanu a pink hua.
3. Lapaʻau make nana i okoa mai agonistic wā. Ke kanaka mea ole, i ka lāʻau ikiʻai wale mea,ʻaʻole hiki i nui arteries, cardiac hopu ia lŘlŘ. Haumana i dilated, me ka naoh i ka malamalama. Inā 'oe e unuhi i ke kanaka mai o ka wai ma kēia wahi, i ka CPR meaʻaʻole paha ia e holomua.

symptoms

Oiai ke kanaka mea nō i loko o ka wai, he mea hiki, e ike i na hoailona o ka poho iho la lakou penei:

• ke ano kulana o ka poo pili i ke kino (ina ka luahi ua e moe ana ma luna o kona kua, ka poo kiola hope, me he mea ma luna o kona'ōpū - ke poo ua bapetizoia loa i loko o ka wai);
• maka paa a hūnāʻia ma lalo o ka lauoho;
• e gasp;
• ke kanaka e hana ana ma ka ho'āʻo e hoʻokahuli.

No ka asfekticheskogo poho iho la lakou wehewehe aku ma kaʻona a me ka poo eha. Pāpaʻa pohihihi arrhythmic, detectable wale ma na moku nui. Lower naehana'āpana, ano laulā, maemae, a me ka mea, iloko o ka uuku nui o ka wai. Make ia lŘlŘ iloko o eha a elima minuke. Resuscitation laryngospasm a kāohi 'ia paha clenching.

Syncopal poho iho la lakou me ke kūʻokoʻa, a hiki mai ka uuku nui o ka wai. Ma keia hihia, lapaʻau ka make e hiki koke mai. ili ano me ka syncopal make i ke kai loa haikea, na haumana mai i pane koke i ka malamalama, e hoʻomōhala ana i "hau kŰia".

Forensic 'inikua ninaninau

Syncopal poho iho la lakou make i ke ano hiʻona, a ke ike hiki ma autopsy ma forensic 'inikua ninaninau Buro. Mawaena o nā hiʻona o ka maʻamau hookeai make ana, e like me he ao alohilohi i bluish hookaheia'ku kino make wahi lilelile, wai koko i loko o ka cavities o ka naau a me ka ipu nui, e like me ka wa e kaawale aku o nonono-hoʻopale hua ma ka waha.

Eia hou, i ka wa a ka mea oiaio, poho iho la lakou wai a ua 'akomi i loko o ka maʻi loa o ka bronchial paipu, a me ka sphenoid iwi o ka puniu wale no, e inflated na maʻiʻaʻai, ka mea, i e kahe ana ke koko ma lalo o ka pleura pīhoihoi lākou eʻike iwi aoao. Plankton e noho ana i loko o ke kino o ka wai, ka mea, ua i wale nō i loaʻa i loko o ka opu a me ka ia maʻiʻaʻai, akā, i loko o nā nā loko, a paipai ia ia i hiki ai i laila ma ke koko.

Ua mea i hiki ke ho oholo i ka hoailona o ke kupapaʻu i loko o ka wai: o ka ili o kona maka, shrunken ma ka fingertip (ka ai-kapaia "lima laundresses" ..), A no ka hou lima i loko o ka wai ka mea i slazit pu me kui no Loan type. Ke alo aku o ke one, silt a me ka līoho ma luna o ke kapa a me ka lauoho o ka luahi, hoi, paipai i ke kino kuʻu mai o ka wai.

Ke hou i ke kino o loko o ka wai, i ka oi ole, e hooholo i ke kumu o ka make, akā, ina ia i kekahi nā palapū, loaʻa laila meaola ola koke ana i ka make, a me ke hanaʻino i ka i koe iho, e like me ka ho'ākāka 'ana no ka hoike a pau e e lukuia.

Algorithm o ka pilikia

Mau rula i na mea no a pau ano o ka kōkua i ka mōhai i loko o ka wai. Pilikia mālama i loko o ke kai o ka sequential algorithm o ka hana, a e kōkua i ka hana i ka hoʻoholo koke i loko o ka ulia pōpilikia.

Mua, e pono hōʻoia 'ia ai ke ola o ka hoʻopakele mea,ʻaʻole i loko o ka pilikia. Kēia mea nui, no ka pono e oi aku ma mua o ka Loaʻaʻia ino na pomaikai o ke ola. Ka luahi ua wehe 'ia mai o ka wai. Kēia E e hana me ka mālama nui, e like me ke kanaka i loaʻa i ka fracture o ka spine, a nolaila, e pono ia e kaʻi aku, mai ka? Aieeeua ma ka papa a me ka papa.

ʻO ka lua, huli hoomanawanui no laila, i ka mea, hoomaha iho la i kona opu kukuli saver, akā, wale ma ke ano i ka mea i hanaia i oi aku ekolu, mai ka manawa o ka make i ke kai - elima minuke. Inā ma ka manawa o ka mea e lālau ia mai o ka loko i lōʻihi Ua unconscious, oe e ike koke hoʻomaka cardiopulmonary resuscitation. Hoʻomaʻemaʻe i ka moʻolelo lua no ka maikaʻi ea pele. Ma keia kahua, eʻoiaʻiʻo, e hea aku i ka ambulance.

I ke kolu o ka mua, e hoʻomaka mua kōkua make i ke kai - e pono e kikoo i ka haumana, pana, ha alo. A laila, eʻoiaʻiʻo i nā mea a pau o ka luna hiʻona i ole loaʻa, e pono e hoʻomaka CPR. E hoomau pumping naau, a hanu i loko o ka lewa me lōʻihi i kou hiki ana i ka ambulance luina. Inā noho'na makaainana i ulu hanu 'Aʻole e hōʻike, ka mea hiki ke hoola i ke ola o ka mea nāna.

Kōkua make i ke kai ma hope o ka hoihoi hou hanu, naʻau ana a me ka ike paka i ua lalana ana ia ia a me kanaka mana o ke ola nā hoailona. Ma mua o hele mai ana i ka hoʻohuli ai i nā kāhuna, Eia naʻe, ia mea ole hou e hiki ke hana i kekahi mea nui loa.

lapaʻau

Competently i pilikia kōkua no ka make i ke kai ke kōkua kauka e stabilize i ke ano o ka luahi i loko o ka wā e hiki mai. I ka noho'na makaainana i ulu hanu ua i hoʻihoʻi, ka hoʻomanawanui ua hoololiia no kaʻimi hoʻopunipuni akemāmā hoʻokomo ea ua lawe sanitation trachea a me ka bronchi. Uluwehi O Inc Pono e komo Kāohiʻana o pulmonary edema a me ka huʻi mea'ōnaehana mānowai koko ole. Inā 'oe i poho iho la lakou i ka wai, alaila, i hoakaka ia diuretics a me ke koko eiiiiiaiou, a poho iho la lakou i ka paakai wai - Saline a me ka monakō koko. Pono hana? Iaea oʻakika-kumu you. Ma hope o ka manaʻo ana e ana i koi 'ia he pōkole papa o antibiotics e pale maʻiʻaʻai.