Chitetezo cha ubongo
⑴ Kuvulala koopsa kwa craniocerebral.⑵ Ischemic hypoxic encephalopathy.⑶ Kuvulala kwa tsinde muubongo.⑷ Cerebral ischemia.⑸ Kutaya magazi muubongo.(6) Subarachnoid hemorrhage.(7) Pambuyo potsitsimutsa mtima.
Pakalipano, chithandizo chochepa cha hypothermia chatchulidwa ngati chithandizo chachizoloŵezi kwa odwala omwe ali ndi vuto lalikulu la ubongo, makamaka kwa odwala omwe ali ndi vuto lalikulu la ubongo ndi laceration kuphatikizapo intracerebral hypertension yomwe imakhala yovuta kulamulira, kuvulala kwa hypothalamic pamodzi ndi hyperthermia yapakati, kuvulala kwa tsinde la ubongo pamodzi. ndi decancephalic ankylosis.
Thandizo la thupi kwa odwala omwe ali ndi malungo
⑴ Kutentha kwapakati komwe kumakhala kovuta kuwongolera.⑵ Kutentha koopsa.⑶ Kukomoka kwambiri.
contraindication
Palibe contraindication mtheradi.Ma contraindications ofanana ndi awa:
1. Zakale komanso limodzi ndi vuto lalikulu la mtima kapena matenda a mtima.
2. Zovuta ndi mantha, zomwe sizinakonzedwe kwathunthu.
3. Mu mkhalidwe wolephera mwadongosolo.
4. Hypoxia yoopsa sinakonzedwe.
Mafotokozedwe opangira zida zochizira za hypothermia
Kukonzekera musanayambe ntchito
1. Kuyenda kwa mpweya m'chipinda chokonzekera chilengedwe kumakhala kosalala;Okonzeka ndi magetsi, magetsi owongolera ndi waya wodalirika wapansi;Mtunda pakati pa cholowera chakumbuyo ndi chinthucho uyenera kukhala wamkulu kuposa 20cm.
2. Konzani zida zochizira zofatsa za hypothermia, chingwe champhamvu, waya wapansi, sensa ya kutentha, payipi, pepala logona, madzi osungunuka, kusakaniza kwa hibernating, kupumula kwa minofu, tracheotomy zipangizo, etc.
3. Kukonzekera kwa odwala
⑴ Fotokozerani odwala kapena achibale musanagwiritse ntchito.
⑵ Onani momwe zinthu zilili.
⑶ Kugwiritsa Ntchito Kusakaniza kwa Hibernating: Musanalandire chithandizo chochepa cha hypothermia, gwiritsani ntchito chlorpromazine, promethazine, ndi dolantine kwa 100 ㎎, kuphatikizapo 0.9% NS Dilute mpaka 50ml.Gwiritsani ntchito chopopera jekeseni yaying'ono ndikuyibaya kudzera m'mitsempha.Wodwalayo atalowa pang'onopang'ono m'nyengo ya hibernation, chithandizo chochepa cha hypothermia chikhoza kuchitidwa.
⑷ Kusakaniza kwa hibernating sikofunikira kuti mutu uziziziritsa thupi.
4. Chidacho chidzakhala chokonzeka kulumikiza mapaipi, mabulangete ndi masensa.
zinthu zofunika kuziganizira
1. Wodwala sayenera kusunthidwa kapena kutembenuzidwa mwamphamvu panthawi yochepa ya mankhwala a hypothermia kuti apewe orthostatic hypotension.
2. Kulimbitsa kasamalidwe ka kupuma thirakiti ndikukhazikitsa mosamalitsa maopaleshoni osiyanasiyana a aseptic kuti mupewe matenda.
3. Onetsetsani kuti mpweya ukuyenda m'nyumba ndikusunga bedi louma komanso laukhondo.
4. Sungani chitoliro chamadzi chofewa cha chida chochizira cha hypothermia chofewa ndipo pewani kupindika kapena kupinda.
5. Chofunda cha ayezi chidzafalikira kuchokera paphewa mpaka m'chiuno cha wodwalayo, ndipo sichidzakhudza khosi kuti chipewe bradycardia yomwe imayambitsidwa ndi chisangalalo cha mitsempha yachifundo.
6. Chofundacho sichimapakidwa ndi zida zilizonse zotchinjiriza kuti zipewe zotsatira zake.Mapepala amodzi okhala ndi madzi amphamvu amatha kugwiritsidwa ntchito kuti atenge madzi opangidwa chifukwa cha kusiyana kwa kutentha.
7. Chofunda cha ayezi chiyenera kuikidwa chathyathyathya ndi chophwanyika, ndipo sichidzakulungidwa kuti zisatseke kuyendayenda.
8. Masambawo akamanyowa, ayenera kusinthidwa munthawi yake kuti apewe zovuta kwa wodwalayo.
9. Pukutsani madzi osungunuka mozungulira chinsalu cha ayezi mu nthawi kuti musasokoneze kagwiritsidwe ntchito ka makina komanso kupewa kutayikira kwa magetsi.
10. Pogwiritsa ntchito bulangeti loziziritsa, yang'anani kuyika kwa probe, ndikuwongolera mu nthawi ngati itagwa kapena ili pamalo osayenera.
11. Kuyika kwa chida chothandizira chochepa cha hypothermia chiyenera kukhazikitsidwa kuti chiteteze chitetezo cha odwala ndi ogwira ntchito zachipatala.
12. Yang'anani alamu musanagwiritse ntchito.
Mbiri Yakampani
Thekampaniili ndi zakefakitalendi gulu la mapangidwe, ndipo wakhala akugwira ntchito yopanga ndi kugulitsa mankhwala achipatala kwa nthawi yaitali.Tsopano tili ndi mizere yotsatirayi.
①Makina a compression massage(ma suti oponderezedwa ndi mpweya, zomata za mwendo wamankhwala, nsapato zopondereza mpweya, etc.)Chithunzi cha DVT.
③Zogwiritsidwanso ntchitotourniquet cuff
④Kutentha ndi kuziziratherapy Pads(ozizira psinjika bondo kukulunga, ozizira compress chifukwa ululu, ozizira mankhwala makina paphewa, chigongono ayezi paketi etc.)
⑤Ena ngati zinthu zapagulu za TPU.dziwe losambira lotentha panja,anti-bedsore inflatable matiresi,makina opangira ayezi pamapewaect）
Nthawi yotumiza: Dec-23-2022