Pab plab hauv tsev. Gastric lavage algorithm

Cov txheej txheem:

Pab plab hauv tsev. Gastric lavage algorithm
Pab plab hauv tsev. Gastric lavage algorithm
Anonim

Ntau yam tshuaj lom hauv lub neej niaj hnub tshwm sim ntau zaus. Hmoov tsis zoo, tsis paub txog cov cai ntawm kev pab thawj zaug hauv cov xwm txheej zoo li no tuaj yeem ua rau muaj kev puas tsuaj loj heev, kev hem thawj rau tib neeg kev noj qab haus huv thiab lub neej. Gastric lavage yog ib qho yuav tsum tau ua thaum tsis zoo, muaj teeb meem lossis tshuaj lom nkag mus rau hauv lub cev. Cov txheej txheem zoo li no yuav tsum tau ua raws li qee qhov algorithm, tsuas yog qhov no koj tuaj yeem txhim kho tus mob ntawm tus neeg raug tsim txom thiab pab nws.

Cov lus qhia rau dej ntws

Thaum twg thiaj li yuav tsum tau ua plab hnyuv? Cov ntaub ntawv no tseem ceeb heev thiab yuav tsum paub rau txhua tus. Yog li, ib daim ntawv zoo sib xws ntawm kev ntxuav lub cev yog qhia nyob rau hauv rooj plaub ntawm:

  • poisoning;
  • plab hnyuv;
  • teem sijhawm kuaj mob plab hnyuv.

Qee tus poj niam yeem ua haujlwm li no los txo lawv qhov hnyav. Txawm li cas los xij, cov lus nug ntawm qhov tsim nyog ntawm cov txheej txheem ntawm kev poob phaus ua rau muaj ntau qhov kev sib tham.

plab lavage
plab lavage

Contraindications rau dej ntws

Flushing tsis yog qhov yuav tsum tau ua yog tias tus neeg mob tau ntuav ntuav hnyav, cov co toxins uas tau noj tsis muaj teeb meem lossis muaj tsawg kawg nkaus, tsis muaj cov tsos mob ntawm kev lom ob peb teev tom qab cov tshuaj lom nkag mus rau hauv lub cev. Kev ntxuav yuav tsum tsis txhob ua yog hais tias tus neeg raug tsim txom muaj xws li contraindications xws li:

  • stroke;
  • epilepsy, mob siab;
  • mob pre-infarction;
  • fainting, tsis nco qab lub xeev;
  • tshuaj lom neeg;
  • ntshav tawm hauv;
  • gastritis;
  • luag.
gastric lavage algorithm
gastric lavage algorithm

Basic algorithm of actions

Gastric lavage thaum muaj tshuaj lom yuav tsum tau nqa tawm sai li sai tau. Cov tshuaj lom, kab mob thiab lwm yam khoom tsis zoo yog absorbed rau hauv cov ntshav tam sim ntawd, lawv qhov kev txiav txim tsuas yog tso tseg nrog kev pab los ntawm ntuav. Ob peb teev tom qab lawv nkag mus rau hauv lub plab, qhov ua tau zoo ntawm nws qhov kev ua kom huv tau poob qis, thiab qee zaum nws yuav tsis muaj txiaj ntsig. Nws yog ib qho tsim nyog sau cia tias thawj cov tsos mob ntawm kev lom tshwm sim tsuas yog 4 teev tom qab noj cov khoom noj uas tsis zoo.

gastric lavage thaum muaj tshuaj lom
gastric lavage thaum muaj tshuaj lom

Yog li, yuav ua li cas ntxuav plab? Lub algorithm ntawm kev ua hauv tsev yuav tsum muaj cov kauj ruam xws li:

  • haus dej ntau;
  • stimulating gag reflex;
  • ntuav nws tus kheej;
  • rov qab lub sijhawm.

Pab daws teeb meem

Npaj ib qho kev daws ntawm baking soda thiab boiled dej ntawm chav tsev kub nyob rau hauv qhov ratio ntawm ib tug tablespoon rau ib khob. Nyob rau hauv tag nrho, koj yuav xav tau 1-1.2 litres ntawm xws li ib tug haus. Haus cov neeg raug tsim txom thiab mus rau theem tom ntej ntawm kev ntxuav lub plab. Koj tuaj yeem hloov cov khoom zoo li no nrog dej ntxiv ntawm cov khoom nqus dej - cov khoom tshwj xeeb uas pab cuam tshuam cov co toxins. Raws li txoj cai, activated charcoal los yog Enterosgel yog siv rau lub hom phiaj no. Ib qho kev daws teeb meem zoo sib xws yog cov tshuaj tsis muaj zog ntawm poov tshuaj permanganate. Ua ntej siv nws, cov kua yuav tsum tau ua tib zoo lim kom tsis txhob muaj cov kab mob microscopic ntawm cov khoom nkag mus rau hauv lub plab - lawv tuaj yeem ua rau mob hnyav heev. Thaum npaj cov tshuaj, tsis txhob hnov qab tias cov dej nyob rau hauv nws muaj pes tsawg leeg yuav tsum tsis txhob txias heev los yog kub.

gastric lavage txheej txheem
gastric lavage txheej txheem

Gag reflex stimulation

Tom qab tus neeg mob tau noj cov dej uas xav tau, pab nws kom ua tiav txoj haujlwm zoo. Yog li, koj yuav tsum zaum, nyem koj ob txhais ceg ua ke, thiab tso koj txhais tes rau hauv lub plab, nias me ntsis rau ntawm nws. Tig koj lub cev rau pem hauv ntej, txhawb ntuav yog tias tsim nyog. Tus neeg raug tsim txom tuaj yeem siv cov ntiv tes huv lossis ib rab diav los nias ntawm lub hauv paus ntawm tus nplaig, ua rau muaj kev xav kom huv. Nws ntseeg tau tias ntuav yuav tsum txuas ntxiv mus txog thaum qhov tso tawm los ua pob tshab. Cov txheej txheem ntawm plab hnyuv hauv tsev no yog qhov zoo tshaj plaws, vim tias kev siv cov cuab yeej tshwj xeeb tsis yog ib txwm muaj, thiab nws kuj tsis muaj kev nyab xeeb yam tsis muaj kev txawj siv lawv.

Kev Ua Phem Rau Tus Me Nyuam: Txoj Cai Pabcuam Thawj Coj

Yuav ua li cas yog tus menyuam raug tshuaj lom? Cov lus teb yog tib yam: gastric lavage yog tsim nyog. Lub algorithm ntawm kev ua ntawm ib tug neeg laus nyob rau hauv cov ntaub ntawv no yuav zoo li no:

  • Pab koj tus menyuam mus rau qhov raug. Ua li no, nws yuav tsum tau cog, tom qab kho ob txhais ceg, caj npab thiab lub taub hau. Thaum tsis muaj neeg pab, qhov no nyuaj heev, yog li nws yuav txaus los tuav nws nruj nreem thiab tso nws rau ntawm nws sab.
  • Yog tus menyuam tsis kam haus cov dej uas xav tau, yuav tsum muaj kev sojntsuam - ib lub cuab yeej tshwj xeeb tso rau hauv txoj hlab pas. Nws yuav tsum tau siv kom zoo kom tsis txhob ua mob rau tus menyuam.
  • Siv cov dej sov nrog cov khoom nqus tau pom zoo ua cov kua dej ntws tawm. Nws tus nqi yog txiav txim siab nyob ntawm lub hnub nyoog ntawm tus menyuam. Rau cov me nyuam mos, 30 ml yuav txaus, rau tus me nyuam thaum muaj hnub nyoog 6 lub hlis - 100 ml, rau ib tug me nyuam me - 150-200 ml. Tsis txhob siv dej ntau dhau kom tsis txhob muaj teeb meem ntxiv.
tom qab gastric lavage
tom qab gastric lavage

Kev

Nws yuav tsis yog superfluous kom paub seb lub plab lavage li cas hauv tsev kho mob. Txhua tus kws kho mob yuav tsum muaj peev xwm ua raws li cov txheej txheem no. Feem ntau, cov cuab yeej tshwj xeeb yog siv rau nws, uas yog qhov kev sojntsuam (muaj ob ntu: funnels thiab kav). Muaj ntau yam qauv ntawm cov cuab yeej no, ua ntej ntawm tag nrho lawv feem ntau yog cais raws li txoj kab uas hla ntawm cov yeeb nkab. Thaum ua tiav kev tswj hwm, ob txoj haujlwm tseem ceeb raug tso cai: ntawm sab thiab zaum. Nws yog nruj me ntsis txwv tsis pub txav mus rau lub sijhawm ua haujlwm, vim qhov no yuav ua rau muaj kev cuam tshuam tsis zoo. Tom qab lub plab lavage tiav lawm, cov tshuaj lossis cov khoom nqus tau tuaj yeem nkag mus rau hauv plab.

gastric lavage tom tsev
gastric lavage tom tsev

Txoj kev tsis zoo tshwm sim

Gastric lavage thaum muaj tshuaj lom tuaj yeem ua rau qee yam tsis zoo. Cov kev mob tshwm sim no tsis tshua muaj tshwm sim, tab sis koj yuav tsum paub txog lawv. Yog li, kev siv cov tshuaj ntsuam xyuas tuaj yeem ua rau muaj kev puas tsuaj rau lub ntsws, lub plab nws tus kheej lossis txoj hlab pas. Yog vim li cas cov xwm txheej zoo li no yuav tsum tau ua raws li kev saib xyuas ntawm cov kws kho mob.

Tricks kom rov qab lub cev

Tom qab plab plab, tus neeg raug tsim txom yuav muaj kev qaug zog thiab tsis xis nyob (xws li qaub saj hauv qhov ncauj). Qee qhov xwm txheej, cov txheej txheem rov ua dua, tom qab siv me me ntawm kev daws nrog dej qab zib. Xws li manipulations pab txo acidity nyob rau hauv lub cev. Ntawm lwm yam, tus neeg mob yuav tsum tau ceev faj. Nws yuav tsis yog superfluous los noj cov tshuaj tua kab mob uas muaj pov thawj (piv txwv li Levomycetin), ib qho nqus (piv txwv li, thee lossis Polysorb), muab dej sov, dej lossis tshuaj yej raws li xav tau. Koj tseem tuaj yeem pom cov lus pom zoo rau kev siv lub tshuab cua sov sov li 5-10 feeb.

Npaj plab hauv tsev - cov txheej txheem yooj yim heev, tab sis tseem ceeb heev. Nrog rau txoj kev pabcuam thawj zaug, koj tuaj yeem txo qhov xwm txheej ntawm tus neeg raug tsim txom thiab txawm cawm nws txoj sia. Ua raws li qee qhov algorithm thiab tsis txhob txhawj, tsuas yog hauv qhov no koj yuav tuaj yeem ua tiav qhov xav tau.

Pom zoo: