Ukusetshenziswa Kanjani Nini Nini?
Esikhathini samanje sosizo lokuqala , ikakhulukazi lezo ezakhelwe ukusetshenziswa ezindaweni ezingahle zibe ngamakethi wokudubula, kukhona into ebizwa ngokuthi i-chest seal. Kungaba nokuvuthwa noma kungenjalo. Kungenzeka ukuthi ihlanganiswe ephakhejini elincane, eliphansi futhi ungase uzibuze ukuthi yenzani ngempela, ungasho ukuthi libukeka kanjani.
Ukujwayela izinto ezisekitsheni lokusiza kuqala kubalulekile ngaphambi kokudinga ukusebenzisa le kit. Ngisho noma ungazange uthathe inkambo yokuqala yokusiza-into engiyincoma kakhulu kuwo wonke umuntu-kufanele uphinde uthathe imizuzu embalwa ukubheka izinto ezisekitsheni bese ufunda ukuthi ungasebenzisa kanjani izinto ongaziqondi.
Isitifiketi se-chest yinto ecacile kakhulu enesisodwa esisodwa: ukuphatha isilonda sesifuba esisondayo . Izindwangu zesifuba zazingezengezo ze-esoteric kuphela ezinkampanini zokusiza kakhulu ezidlule kakhulu ngasekuqaleni kwawo-2000. Njengoba ukudubula okusebenzayo kanye nezimo zobuphekula ezingase zibe khona ezikhungweni zasekhaya zikhule kakhulu, cishe uzozibona zonke izindawo ezivela ezikoleni ukuya enkundleni.
I-Cheat Anatomy
Isifuba somuntu sashintshe ukwenza izinto ezintathu ezibaluleke kakhulu:
- Vikela inhliziyo, amaphaphu, umoya ohamba phambili, nemithambo yegazi emikhulu.
- Siza ukuhambisa emoyeni naphumeni emaphashini (lokhu kungukuthi ukudubula imali-ukukhokhela okuncane ngezansi).
- Siza ukubuyisela igazi emuva enhliziyweni. (Lokhu kuyinkimbinkimbi futhi ngeke ngiyichithe isikhathi lapha. Funda phezulu ukuthi ukucindezeleka kwesifuba kusebenza kanjani ngokucacile.)
Ukuvikelwa yiyona elula kakhulu ukubona: izimbambo zenza njengenjaji ezungeze isikhungo esithambile esifubeni ukuvikela ukulimala okunamandla. Kuphumelela kakhulu, ngisho noma izimbambo ziphuka . Kodwa-ke, bekungeke yini kube nomqondo ozwakalayo uma udonga lwesifuba luqinile, njenge-skull? Wake wake wazibuza ukuthi kungani sinemivimbo esikhundleni sezindonga eziqinile zethambo?
Ukuhamba emoyeni kungesizathu sokuthi sibe nezimbambo esikhundleni samacwecwe afana ne-skull. Ukuze udonsa umoya emaphashini uphinde uphinde uphinde uphinde uphume, isikhala ngaphakathi kwesikhumba sesifuba kufanele sikwazi ukwandisa futhi senze isivumelwano. Ama-Ribs enza lokhu kwenzeke. Imisipha ihanjiswe ngapha nangapha phakathi kwezimbambo izidonsa eceleni ukuze zandise isigxobo sesifuba noma zifake ndawonye ukuze zenze isivumelwano. Lapho isigxobo sesifuba sanda, umoya ugijima ukuwugcwalisa. Uma izivumelwano, umoya ugijima ngaphandle.
Amanxeba esifubeni Suck (at Theast Abanye Abanye)
Uma nje umoya unendlela eyodwa noma ngaphandle (i- trachea ), amaphaphu agcwalisa futhi angenalutho njengoba kufanele ayenze.
Kodwa uma kukhona umgodi omusha, umoya uzokwenziwa ungene lapho kanye nase-trachea. Futhi uma umoya ugijima ngaphakathi emgodini esifubeni, kubizwa ngokuthi isilonda sesifuba esisondayo .
Indlela kuphela yokuyilungisa ukufaka uphawu emgodini-nge-seal chest. Kubuye kusetshenziswe ukuthi kube nendlela yomoya oboshiwe esifubeni ukuphunyuka, ngaphandle kwalokho umuthi wesilonda esisondeza-ukuvimba ukuhamba emoyeni-uholela emoyeni oboshiwe ubeka ingcindezi kumaphaphu, okubizwa ngokuthi i- pneumothorax . Ukuze silungise le nkinga, ezinye izimpawu zesifuba ezitholakalayo ezithengiswayo ziza nezivungu ukuze kuvunyelwe umoya.
Lokhu okulandelayo yizimpawu zesifuba ezivamile ongazithenga noma, kwezinye izimo, zenzele.
I-Halo Chest Seal
I-Halo Chest Seal ingenye yezimpawu zokuqala zesifuba ezenziwe ezentengiselwano. Akuyona i-frills futhi isebenza kalula. Ngokuyinhloko ucezu olungaphelele lwepulasitiki olunamathele. Ukuze uyisebenzise, "hlambulula" isilonda (ngokuyisisekelo nje usula igazi kanye nanoma yikuphi ukungcola ukuqinisekisa ukuthi umthamo uyamathela) futhi usebenzise uphawu lwesifuba.
Ukusebenzisa uphawu olungenawo uhambo kusho ukuthi kufanele unake. Uma isiguli sibhekene nokuphefumula kakhudlwana noma silele, kungenzeka ukuthi uphawu lwesikhumba lubamba umoya ophunyuka emaphashini futhi kubangele ukuthuthukiswa kwe-pneumothorax. Ezinye izidakamizwa zikwazi ukuvula umoya oboshiwe ngenaliti ngokusebenzisa udonga lwesifuba. Ungazami lokho ngaphandle kokuqeqeshwa okufanele.
Uma kungekho ukukwazi ukusebenzisa inaliti-ngokusebenzisa-the-chest, indlela elula yokuvotela emoyeni ukukhipha uphawu lwesifuba. Ngiyazi ukuthi ucabangani: kungani uphawu lwesilonda uma kungabangela inkinga ehleliwe kuphela ngokususa isilonda?
Ngoba isikhathi esiningi ngeke kwenzeke. Umphathi wezempi wayenselele ukucabanga kwesitifiketi esingekho emgodini ngesibindi esifanayo. Ukuze avivinye ukwelashwa, ibutho laqala ukulinganisa umoya ogijima emaphashini. Kulolu cwaningo, amanxeba esifubeni ahlanganisiwe aqhutshwa ama-pneumothoraces kaningi kunamahlombe angabonakali ekhanda, ngisho noma umoya uvela emaphashini.
I-Asherman Chest Seal
Ngakho ukuvimbela le nkinga yonke, kwafakwa izitifiketi zesifuba. Enye yezindala kunazo zonke futhi ezihlonishwa kakhulu yi-seal ye-Asherman. It has a vent ebonakala njengendlela chimney.
Ukuze usebenzise uphawu lwe-Asherman, kufanele uhambise u-vent up kahle kahle nomgodi esifubeni. Ezimweni zokulwa-okusho ukuthi kukhona umuntu okwamanje odubulayo-ukuthatha isikhashana ukukhipha umoya uzwa ukuhlushwa. Uma usuqhubeke, noma kunjalo, isebenza kahle kakhulu.
I-wind is a valve yendlela eyodwa. Ivumela umoya ukubaleka, kodwa hhayi ukungena esifubeni. Lokhu kuxazulula inkinga ngophawu oluqinile. Ngisho noma kukhona imbobo emaphashini, umoya uzoba nendlela yokuphuma uma uphawu lwe-chest lukhona.
Isikhonkwane se-Hyfin Vent Chest
Ngenxa yokuthi abanye abantu abazange bathande umqondo wokugubha umshini ngesikhathi sokulwa kwempi, kwafakwa izinhlobo ezihlukahlukene zezimpawu zesifuba. Lezi zimpawu akudingeki ukuba zibekwe ngokuphelele ukuze izivungu zisebenze.
Iziteshi ze-Hyfin esifubeni sezindiza emoyeni ngezindlela ezahlukene ukuze isilonda singabekwa kahle kunoma yikuphi ngaphansi kwephawu. Uphawu lusasebenza njenge-valve eyodwa-indlela.
Ngezinye izikhathi ngezimpawu ezivaliwe, igazi lingangena emagumbini bese ligaxa, livula ama-wind. Imithetho efanayo iyasebenza njengemigqa engavumelekile: buka isiguli sakho. Uma isiguli siphelile noma silele, kuyisibonakaliso esihle ukuthi uthuthukisa i-pneumothorax.
Usuvele Unayo
Kukhona ezinye izimpawu zesifuba ezivaliwe nokuningi okuqalwa minyaka yonke. Njengoba sifundile, noma kunjalo, ukuvota akudingeki ngaso sonke isikhathi. Futhi uma kuziwa esitokisini esingekho emgodini, cishe usuvele unesitokisi sakho esisodwa.
Bheka ikhi lakho lokuqala lokusiza. Ingabe unembethe oyinyumba ehlanganiswe epulasitiki? Ezinguqukweni eziningi, ukupakisha kuneplastiki ecacile kolunye uhlangothi kanye nephepha kwenye. Umqondo wukuthi ungakwazi ukususa uhlangothi olulodwa lwephakheji bese ubeka ugqoke oyinyumba esilonda ngaphandle kokungcolisa.
Lokhu kusho ukuthi ngaphakathi kwepulasitiki nakho kuyinyumba, okusho ukuthi une-chest seal eyenziwe ngomumo khona lapho. Vula ukupaka bese uphonsa ukugqoka, bese ufaka isilonda sesifuba ne-plastic (side oyinyumba ethinta isilonda) bese uyibamba phansi.
Abanye abantu bathi uma uthayipha ipulasitiki ngezinhlangothi ezintathu, uphawu luzovame ukuba "umoya" (uma isiguli sigxuma, umoya uzophunyuka futhi lapho isiguli sigula, ipulasitiki izomunca futhi imise umoya ukungena). Lena yinkimbinkimbi. Kungenzeka ukuthi igazi lizosebenza njengeglue futhi lenze ukuthi yonke into isebenze njengento engavunyelwe isifuba noma kunjalo. Ngincoma ukweqa i-fanciness engamaceleni amathathu bese nje ngiyifaka leyo nto kahle.
> Umthombo:
> Butler FK, Dubose JJ, Otten EJ, Bennett DR, Gerhardt RT, Kheirabadi BS, Gross KR, Cap AP, Littlejohn LF, Edgar EP, Shackelford SA, Blackbourne LH, Kotwal RS, Holcomb JB, Bailey JA. Ukuphathwa kwe-Pneumothorax evulekile ekunakekelweni kokuhlukumezeka kokulwa nokulwa nokulwa: Izikhombandlela ze-TCCC zishintsha 13-02. J Spec Oper Med. 2013 Fall; 13 (3): 81-6.