Polytrauma - he aha te mea te reira? āwhina Tuatahi i roto i te take o te polytrauma

E mea pinepine i roto i te aamu o te mate te tangata, i hinga i te teitei tika, ka eke ki te aituā motokā ranei, he reira taea ki te mau i te wā pērā i polytrauma. He aha te mea te reira a te aha e mea faufaa ki te whakarato āwhina tuatahi ki te manawanui? Ko te kupu tenei e kia kōrero i roto i te tuhinga. ako hoki matou pehea te tangata e tika e taea te whakaora i te ora o patunga aituā, me te e tono etahi tikanga tātaritanga me te maimoatanga i roto i tenei take.

whakaahuatanga

E rua atu o pāpaka ngaukino o ngā whēkau, me te kopa ranei e kīia ki rite polytrauma. He aha te mea te reira me aha tohumate e āhuatanga o tenei huru? Polytrauma - he whara okana taimaha polysystemic me maha i roto i nei i reira ko te tukanga pathological. Kei te hāngai te reira i runga i te takahi o ngā tukanga urutaunga rohe, me te whānui, homeostasis.

He mōrearea te huru pērā no te mea e kore e faaite mai i te reira iho tino. Kitea anake e taea e kino waho:

• ru pāmamae;
• toto whakapeka;
• hopu romahā;
• mate o te mahara.

Ētahi atu tohu anoo i runga i te momo o te polytrauma.

nekehanga

1. E kore te te ru kitea. pūkahukahu tūkinotia. faaho'ihia mai tino okana mahi.
2. He paorooro 1 ranei 2 nekehanga. Tūkino o tinana mahara reo. titau Rehabilitation mahi o whekau o te wā he wā roa.
3. Paorooro 2 ranei 3 nekehanga. kino taumaha. He he he mate wāhanga oti ranei o te mahi pāngia whēkau.
4. Paorooro 3 ranei 4 ngā wāhanga. Ko te tino taumaha, te ora-te whakawehi, me i roto i te wāhanga whakapeka kore anake, engari ano hoki i roto i te maimoatanga tūkino.

pānga

Various maha me ngā i roto i ngā o te ora-te whakawehi kino kia rerekē i roto i rohe whanui, na te mea e tika ana ki te whakarōpū ratou ki ngā kāwai taua:

• ora-te whakawehi;
• nezhizneopasnaya;
• polytrauma whakamate.

He aha te mea me te rerekētanga i waenganui i ia momo?

e kore e Nezhizneopasnoe kino meinga maumaui o te ora o te rauropi, e kore te ora whakawehi.

pānga whara Life-whakawehi nga whekau nui me ngā pūnaha e taea te ora ki te awhina o tokoni wā, me te whai tohu.

kino whakamate - te whakangaromanga o nga whekau, e kore kua taea te faaho'ihia mai ara i te pokanga.

-Āwhina tuatahi

Ko te tangata i tawhiti i te rongoā, e kore e taea e whakarato tiaki tonu hauora ki te pārurenga e kua tukua rite ki te hua o te aituā motokā, he aituā i te mahi, a na i runga i. N. Heoi, me kia hanga te āwhina tuatahi i roto i te take o te polytrauma. Tonu kapa mua hauora hohoro e tika ana kia kawe i te tangata maheni i roto i taua whawhe ohie ki ngā pārurenga, i e whakahaere ia ki kāwanatanga ranei:

• Kāti te toto te whakamahi i te pāpuni tetahi atu taputapu e wātea ana ranei.
• Te tuku i te pārurenga i kakahu (ki te tika).
• Whakaara i te tinana iti ki te pārurenga.

e kore e utu te haamau'araa i kahore atu whawhe. I muri i te katoa, he tangata i tawhiti i rongoa, e te mea e taea ki te matau he aha te ahua o te polytrauma riro. Ka taea e te whakatau te reira i te tākuta anake, a ka muri noa te hi'opo'a maitai o te manawanui.

Tuhinga o ngā faufaa

I muri kua kia rōpū hauora tirotiro i te manawanui tautoko i roto i te taua kore pūnahanaha rite polytrauma. nēhi Emergency tiaki i roto i tenei take, ko te rite whai:

• patency Whakaora o te airway runga. nekehia atu Mataotao hūpē me te ruaki i te kōhao-waha, ranei whakahaere ki te kanohi ngongo laryngeal hoatu i runga i te tukupūngao ma, me te maheni.
• Hei whakakahoretia o hypoxia. huihui Doctors ki ventilation tāwhaiwhai.
• mutu tonu toto waho.

Hei te mahi i enei whawhe kia waiho kaua e neke atu i te 4 meneti.

neke te manawanui

kia kawea maimoatanga polytrauma i roto i nga taiepa o te hōhipera. Na reira, te tikanga kia tukua te pārurenga i roto i te whare hauora. A hoki tenei ko reira nui ki te hoatu i te manawanui i runga i te moenga, (pakaru i runga i te tuaiwi rānei i roto i te mea wahi me te i roto i te mea ara) he moenga motuhake rōpū ranei.

E mea pinepine i reira he wā i te whiwhi polytrauma rite ki te hua o te aituā waka. I roto i tenei take, i muri i te patunga aituā kei roto i te coma, whakauria te tinana o te mīhini te ranei. I roto i tenei take, i mua i nekehia atu te te pārurenga i te wehenga pāhihi ko reira e tika ana ki te whakarato i patency noa o te airway runga. Ka taea te mahi i tēnei ki te motuhake kara Schanz, taea ki te whakatika i te tuaiwi waha.

mahere tātaritanga

I te whakauru e hanga te manawanui i roto i taua nga mehua tiaki kaha paroita ki a ia:

1. whakamātautau akiaki. arowhai Matatau ranei te tangata he kainga kahore ranei, decompensated mate ranei. Ano, ko te tākuta i te wa ano e tūhura ana te manawa, te pēhanga toto.
2. He rōpū o ngā tohunga te mauria i ngā mahi e te hunga kaha ki te tautoko i te ora o te manawanui: uru ki nga uaua, airway patency, pana o kōhao pleural, te whakaora o te ora.
3. Hono i te manawanui ki te wae hāora, normalizes respiration, aroturuki o ventilation.
4. Whakahaere tātaritanga whawhati tata:

• Examination o te pouaka, upoko, puku, tuaiwi me wahi.
• Taupānga o te pū tōngāmimi ki te tōngāmimi.
• Tātaritanga o pulsations piringa.

5. whakamātautau Laboratory:

• upoo- Toto.
• Hemogram.
• rōpū Toto tamataraa hototahi.
• āta Toxicology.

6. Sonography.
7. X-ray.
8. computed tomography.

tiaki Medical i roto i te polytrauma i roto i te hōhipera

Kia kawea te pārurenga ki te hōhipera, tonu i ratou ki te tīmata mahi tohunga. Kei te rite e whai ake nei i te tātaritanga o te manawanui mō pokanga ki te mutu te pakaruhanga toto (hei tauira, whaturama o te ate kōateate ranei, kino iaia, me te t. D.).

Tukutahi ki te pokanga ki te āwhina i roto i te polytrauma tahi e te maimoatanga kaha o te ru. patia i te manawanui kei te taero motuhake.

polytrauma mahi pea:

• Craniotomy ki wharanga roro.
• maimoatanga hāparapara o tunga e e toto kaha.
• Tapuhia o wahi.
• Maimoatanga o piere tuwhera, hononga, oko toto, ka raru ko.

I muri i te pokanga, kawea te manawanui kei roto i whaowhia therapy nei whāinga ko ki haerenga te mahi o te Cardiovascular, ngā pūnaha romahā. I tenei wā ki te manawanui kawe i taua akoranga rite:

• matawai o te angaanga;
• X-ray o te papatoiake, uma, puku, pito.

whakaritenga hinengaro

Iwi e Kua tukua he whētuki, mo te urutaunga tonu ki te ora i roto i te hapori, ko te tika ki te haere i te faaho'iraa mai. A e kore e anake i runga i te tinana, engari i runga i te taumata hinengaro ano hoki. Taua hokinga whakamuri ko te pau hoki te iwi nei i heke kaha mahi, ngā hononga pāpori, te pūkenga taketake o te whaiaro tiaki-, a kia kia pera i runga i. D. tokoni Psychological i roto i polytrauma i tohunga me i whanaunga o te patunga. kia āwhina i te wā o te whakanohonoho kāinga te manawanui ki te kia reira tonu, engari i roto i kahore take e kore e tamata ki te mahi i nga mea katoa hoki ia ia. tupu te reira i e i muri i ngaro i te manawanui polytrauma pūkenga taketake o te mahi-whaiaro. Ko te raruraru o te whānau - ki te āwhina i te pārurenga ora tere, anō-whakarite ki te ora.

Me uru whakaauraki Psychological me pāpori tūemi pēnei i:

• Whakaako whaiaro tiaki-o te patunga.
• hōtaka mātauranga mō te whānau o te manawanui.
• Organization o te ora o te manawanui i roto i te kāinga (te urutaunga o te ruma i roto e ora te tangata, ki ana hiahia).
• Whakaako ngā pūkenga ora.
• Whakarite tonu o te takoto pāpori.
• aroturuki haere tonu me te mahi ki te kaimātai hinengaro.

Mataotao whai wāhi i roto i te whakanohonoho

Whakarato āwhina hinengaro, me te tinana i roto i te polytrauma i taua tākuta rite:

• Rehabilitator.
• Hinengaro.
• mātanga i tua.
• Kairangahau mate.
• Tākuta.
• Kaiwhakaora hinengaro.
• Toketā neave.
• Podiatrist.
• Social Worker.

Ko te mau parau tumu o te tukanga maimoatanga mō ngā tūroro

1. Te kaha. Whakahaere me tango he tātaritanga whānui wahi mo 1 haora i muri i te raruraru.
2. Haumarutanga. kawea atu No whawhe ki te manawanui, e kore e whakawehi i tona ora.
3. Wā kotahi. kia kawea atu synchronously mehua tātaritanga, me te whakaora katoa.

pū polytrauma

Doctors uaua ki te mahi ki te iwi e kua tukua nui rite ki te hua o te aituā. Āhuatanga polytrauma, a konei ko nga uauatanga e whai ake:

• Ko te kaimahi whakapeka o te wā.
• Whāiti te taea o te pärurenga waka noa noa i roto i te fare ma'i.
• Whāiti whānui o ngā tikanga tātaritanga, me te whakaora e tika ana ki te meka i ko tonu te manawanui i roto i te tūranga te maungārongo, e kore e taea ki te tahuri.
• Tere rapu puku injuries, angaanga, uma, puku, tātaritanga tere, me te whakakorenga o raruraru.

ngā kitenga

I roto i tenei tuhinga, ako koe e pā ana ki te kaupapa nui, me te faufaa pērā, rite āwhina tuatahi i roto i te tātaritanga o "polytrauma". He aha te mea te reira me aha whānuitanga e tohaina taua pakaru, kua kitea ano hoki. ua ite matou e te tōtika, tika me te reo matatini mahi o ngā kaimahi hauora taea te tangata ki te ora i te aituā e kore anake, engari ano hoki ki te tino ora.