Polytrauma - chii? rubatsiro rwekutanga kana polytrauma

Kazhinji munhoroondo chirwere yevanhu, dzakawira kubva kwayo yakakwirira, kana vakapinda mutsaona yemotokari, zvinokwanisika kuchengeta izwi akadai polytrauma. Chii uye nei zvichikosha kuti vawane rubatsiro wokutanga kumurwere? Izvi ndizvo zvichakurukurwa munyaya ino. Uyewo tinodzidza kuti aipfuura munhu anogona kuponesa upenyu mutsaona vanobatwa, uyewo vamwe chirwere uye kurapwa nzira dziri kushandiswa iyi.

tsananguro

Maviri kana kupfuura dzechimwe maronda-siyana nadzo uye nyama dzinonzi polytrauma. Chii uye chii zviratidzo zviri yo ichi? Polytrauma - rinorema polysystemic uye vakawanda kukuvara nhengo iyo pane pathological muitiro. Kwakavakirwa kutyorwa omunharaunda uye zvayo urongwa kwadzakabva, homeostasis.

ezvinhu akadaro ngozi nekuti hazvina unooneka zvakazara. Pachena zvinogona chete kuva kwokunze kukuvadzwa:

• randakambosangana naro kugwinha;
• chenjera ropa;
• kufema kusungwa;
• kurasikirwa pfungwa.

Zvimwe zviratidzo kuitika zvichienderana norudzi polytrauma.

madhigirii

1. Ndakarohwa nehana haisi kuchengetwa. Wakaremara mumapapu. Nhengo basa zvakazara rakadzorerwa.
2. Pane kuvhundutsa 1 kana 2 inegumi. Kuzotadzira svikiro regiravhiti miviri. Rehabilitation basa nhengo dzomukati kunoda kwenguva yakareba.
3. Kuvhundutsa 2 kana 3 inegumi. Heavy kukuvara. Pane haasaruri kana zvakakwana nokurasikirwa basa sei nhengo.
4. Kuvhundutsa 3 kana 4 nzendo. Damage chakakomba zvikuru, upenyu pamutanhiko, uye kwete rikwanise chokutambudzika, asi panguva kurapwa.

migumisiro

Various mazhinji uye kubatanidzwa maererano kukuvara upenyu pamutanhiko dzinosiyana mukati kwazvo mwero, saka zvakakodzera kuti patsanura navo muzvikamu zvakadai:

• upenyu pamutanhiko;
• nezhizneopasnaya;
• zvinouraya polytrauma.

Yakadiniko uye musiyano mumwe mhando?

Nezhizneopasnoe zvakakanganisika haakonzeri kutyorwa upenyu muviri, kwete upenyu pangozi.

Upenyu pamutanhiko kukuvara kunokanganisa zvikuru nadzo uye hurongwa zvinogona kurapwa norubatsiro nenguva uye anokwanisa kubatsira.

Zvinouraya kukuvadza - kuparadzwa zvomukati, izvo kare haagoni ichadzorerwa kunyange kuvhiya.

rwekutanga

Munhu kure mushonga, havagoni kupa uzere kurapwa akuvara anenge atambura pamusana tsaona yemotokari, tsaona pabasa, uye zvichingodaro. N. Zvisinei, rubatsiro rwekutanga pakuparwa polytrauma anofanira kuitwa. Pakarepo chikwata asati zvokurapa nokukurumidza vaipfuura kana yaizivikanwa munhu anofanira kutakura kudaro manipulations nyore pamwe vakatambudzwa, izvo zvichaita aivabatsira kuti vanoti:

• Kumisa kubuda kweropa uchishandisa tourniquet kana zvimwe zvamuinazvo.
• Tisunungurirei wacho kubva zvipfeko (kana zvakakodzera).
• Simudza zvishoma muviri akuvara.

Hapana imwe manipulations havasi kukodzera kushandisa. Pashure pezvose, munhu kure mushonga, zvingava hazviiti kunzwisisa kuti polytrauma mhando akapiwa. Inogona kuona chete chiremba, uye ipapo chete pashure kumbonyatsoongorora kuzviongorora murwere.

Kuuraya zviitiko zvinokosha

Mushure kare kuva chikwata yezvokurapa kushanyira murwere kunotsigirwa yakadaro systemic kukundikana sezvo polytrauma. Emergency kutarisirwa vanamukoti hazvisi sezvinotevera:

• Recovery patency rokumusoro yemweya. Nyanzvi akabvisa madzihwa uye mumarutsi kubva nomumukanwa mhango, kana dzakabatwa kumicheto laryngeal chifukidzo kupfeka afemeruke yakachena uye kumeso.
• Maitiro kubvisa hypoxia. Doctors kushandisa chakagadzirwa kufefetedza.
• Full vanorega kwokunze kubuda ropa.

Kuita manipulations izvi tisiye hapana zvinopfuura 4 maminitsi.

ochinja murwere

polytrauma kurapwa yaifanira mukati mamasvingo kuchipatara. Naizvozvo, munhu anofanira kukumikidzwa mune utano jeri. Uye nokuti ichi zvakakosha kuisa murwere pamubhedha, mumwe metiresi chaiye kana mapuranga (zvichienderana nomuzongoza payakarovera mune nzvimbo uye munzira ipi).

Kazhinji pane nguva apo polytrauma rwaiwanikwa somugumisiro mutsaona yomumugwagwa. Panyaya iyi, mushure metsaona akuvara ari pakoma, kana muviri mumuchina clamped. Panyaya iyi, pamberi wacho rinobviswa mufambi mupanda zviri pakuraramisa dzose patency rokumusoro yemweya. Izvi zvinogona kuitwa pamwe chaiwo chipika Schanz, kukwanisa kugadzirisa remuromo nomuzongoza.

chirwere urongwa

On kubvuma murwere ari yevanorwara zvikuru wadhi matanho yakadai kwaari:

1. Urgent ongororo. Nyanzvi macheki kana munhu akatsiga kana kwete, decompensated kana afa. Uyewo, chiremba panguva imwecheteyo rinoongorora kufema, BP.
2. Boka nyanzvi anoita mabasa kuti vanokwanisa kutsigira murwere upenyu: kuenda mutsinga, kufema patency, abudise kuti pleural mhango, kununura upenyu.
3. Unobva murwere yakachena Unit, normalizes afemeruke, richiona nezvezvabuda kufefetedza.
4. Kuitisa chimbichimbi kuongorora chirwere:

• Kuongorora mubhokisi, musoro, dumbu, nomuzongoza uye maoko nemakumbo.
• Pokushandisa anobudisa mushonga zvishoma nezvishoma kusvikira dundira.
• Chirwere pamusoro peripheral pulsations.

5. Laboratory miedzo:

• Kweropa.
• Hemogram.
• Blood boka kugarisana kutongwa.
• Toxicology kuongorora.

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

Kurapwa mune polytrauma mu muchipatara

Kamwe akuvara vakauya kuchipatara, vakabva vave kutanga kudzidzira unyanzvi. Zvichitevera Kuongororwa murwere yakagadzirirwa kuvhiyiwa kumisa zvikuru ropa (semuenzaniso, atsamwira chiropa kana chirwatata, vascular kukuvara uye t. D.).

Panguva imwe chete Kuvhiya kubatsira polytrauma pamwe zvakasimba kurapwa nehana. The murwere jekiseni gadziriro chaidzo.

Possible oparesheni polytrauma:

• Craniotomy pamwe pfungwa kukuvara.
• Kuvhiya mabatiro mavanga zviri kubuda ropa zvakanyanyisa.
• Kugura Mbabvu.
• Mabatirwo rakavhurika mitswe, majoini, tsinga, tsinga.

Pashure pokuvhiyiwa, murwere rinoitwa pasi mvura kurapa, chinangwa chiri kuti normalize kushanda zvemwoyo uye kufema nehurongwa. Panguva iyi murwere kuita zvidzidzo zvakadai:

• atarise of dehenya;
• X-ray pakati chiuno, chipfuva, dumbu, migumo.

mupfungwa kuchinja

Vanhu vakatambura pachiitiko chinotyisa, nokuti zvizere kwadzakabva kuupenyu munharaunda zvinokosha kupfuura kudzorerwa. Uye pamusoro asiwo pamusoro mupfungwa yakati kwete chete. Kudzorerwa kwakadaro kunokosha vanhu vapiswa dzichipfekeka kugona, zvemagariro ukama, unyanzvi dzinokosha anozvipira hanya, uye zvichingodaro. D. rubatsiro Psychological mu polytrauma kunofanira kubva nyanzvi nekuhama wemunhu. Nguva vapore musha kunofanira kubatsira murwere kuti nguva dzose ikoko, asi hapana nyaya usaedza kuita zvose iye. Zvinoitika kuti mushure polytrauma murwere akarasikirwa unyanzvi hunokosha nokuzvidzora basa. Dambudziko mhuri - kuti abatsire munhu kupora mhanyisa, kunenge kuchinja upenyu.

Psychological uye munzanga vapore zvinofanira kusanganisira zvinhu zvakadai:

• Kudzidzisa kuzvicheka-care rechipfuwo.
• Educational purogiramu murwere mhuri.
• Sangano woupenyu murwere mumba (ari kwadzakabva mukamuri umo munhu mupenyu, kuti zvaaida).
• Kudzidzisa unyanzvi upenyu.
• Nechokwadi chamazuva evanhu kurara.
• Kuramba kuongorora uye basa wepfungwa.

Nyanzvi munyaya vapore

Zvinopa pfungwa uye mumuviri kubatsirwa polytrauma vanachiremba akadai:

• Rehabilitator.
• Kwepfungwa.
• physiotherapy nyanzvi.
• Pathologist.
• Optometrist.
• Psychotherapist.
• Wetsinga.
• Podiatrist.
• Social Worker.

Misimboti kurapwa kwacho varwere

1. Kunyatsoshanda. Kuitisa nzwisisika chirwere anofanira kutora nzvimbo 1 awa pashure pokunge zvaitika.
2. Security. No kuchinja kuitwa murwere, haafaniri kukanganisa upenyu hwake.
3. Panguva imwe chete. chirwere uye dzokurapwa matanho All yaifanira synchronously.

Specificity polytrauma

Doctors akaoma kubata nevanhu vakatambura zvikuru pamusana petsaona. Features polytrauma, uye nokudaro zvinetso ndeinotevera:

• The chenjera kwekushomeka kwenguva.
• Kuderedza mukana wacho chakaipa chokufambisa kunyange mukati kuchipatara.
• Kuderedza siyana chirwere uye dzokurapwa nzira nokuti kuti murwere anogara ari supine nzvimbo, hazvibviri kuti vadzoke.
• Quick kutsvaka dumbu kukuvara, dehenya, muchipfuva, abdominal, nokukurumidza chirwere uye kubviswa matambudziko.

zvakawanikwa

Munyaya ino, iwe wakadzidza pamusoro nyaya yakadaro inokosha uye kukamura uchishandisa, sezvo rwekutanga iri nechirwere kuti "polytrauma". Chii uye zvakadini zvinoparadza dzakadaro anoparadzirwa, inowanikwawo. Takaona kuti zvinhu, yakarurama uye kuverenga nezviito vanachiremba kunoita munhu kurarama kwete chete tsaona, asi kuti uzonyatsotanga.