Reanimation me whāomo

Kaha (ohotata) therapy - he tikanga o te rongoā mate, te ora-te whakawehi. Whakaora - tukanga whakaora faufaa (ora) mahi ngaro wāhanga āraia rite ki te hua o te mate ranei. Ēnei maimoatanga hanga reira taea ki te whakatū i te mahi aroturuki me te ora tūturu ki te wawao i te tukanga i roto i te take o raruraru nohopuku i roto i te mahi o nga okana me ngā pūnaha. I roto i te whānui, he whai hua te nuinga, me te whakamutunga o nga tikanga e wātea ana i tēnei wā o te ārai mate i roto i te kino mate (te ora-te whakawehi) me o ratou pōauautanga, whara whakaora me te whāomo.

ariā taketake

therapy tino - te ara o te maimoatanga huri noa te karaka, tono i te whakamahi o infusions rō-uaua tikanga detoxification ranei ki te mana tonu o nga tohu faufaa. kitea ratou i roto i roto i te toto me te tinana fluids, e maha nei toutou mo te nohopuku-aroturuki o ino me whakapai ake o ngā mahi somatic o te manawanui. Ko te ara tuarua ki te whakahaere - ko reira aroturuki, whakatinana nei i roto i te pūmārō mā te whakamahi cardiomonitors, analyzers hau, electroencephalograph me ētahi atu momo o te taputapu.

tukanga whakaora i huaina tono rongoa me ngā tūāhua pūmārō tinana hoki ki te ora i roto i ngā āhuatanga ohorere puta. Ki te ko te manawanui i roto i te āhua, e uhinga a te riri ki te ora, i puta ake i te mate ona fifi ranei, mo tona stabilization therapy kaha. Ki te ko te manawanui i roto i te āhua o te mate haumanu, me te kore e ora, kahore he ora tere o ngā mahi ngaro, ka karanga te tukanga o te hokinga mai, me te utu te whakaora.

Whai wāhi i roto i ēnei take i roto i te whakaora. Ko te mātanga kuiti, he wahi o te mahi e ko te wae tiaki kaha. Nuinga o ngā wā, tākuta anake tikanga resuscitator e kore e tīari, no te mea ka riro te mātanga he pōkairua o anesthesiology me whakaora. I roto i te wāhi mahi, kia rite ki nga whare e hāngai ana, ka taea e te tango i te reira e toru ngā momo o pou: "kairehu", me te he motuhake "whakaora" ranei "anesthesiologist".

Doctor i roto i kaha wae tiaki

Doctor o therapy kaha - i te reira anesthesiologist. Kei te āwangawanga ia ki te kōwhiri i te momo o te rehunga tūroro te pokanga, ka aroturuki ratou huru i muri i te pokanga. huaina te mātanga mahi i roto i tetahi pokapū hauora whänuitanga (maha rohe ranei takiwā), me te wehenga te HITD. He pea tūroro e kua utua mahi, engari e te reira mana o nga tohu faufaa. I tua atu, HITD he tūroro ki injuries ora-whakawehi me mate, me te ratou pōauautanga. kia wheako tūroro Postoperative rite ki HITD tākuta kairehu.

Te tākuta i roto i te whakaora

Te tākuta i roto i te whakaora anake mahi ki te faaho'iraa mai o ngā mahi faufaa, a ko reira maha he wahi o te mahi ko te teihana substation ranei waka tūroro. He uru ki te taputapu, i te āo te waka tūroro kaiako whakaora, ka taea e ia whakaorangia mai te manawanui i runga i te ara, i te mea whai hua i roto i ngā horopaki katoa e pā ana ki te rongoa kino. Nuinga o ngā wā, e kore e te tākuta-resuscitator whai wāhi i roto i te therapy kaha i roto i HITD engari te kaiwhakau ia mana o nga mahi faufaa o te manawanui i roto i te waka tūroro. mahi e te i roto i te hauora maimoatanga me te mana pūmārō mahi o te manawanui ki te riri o te mate.

Anesthesiologist

Kairehu - Ko te tauira o te mātanga i roto i te kōtaha pokapū hauora kuiti, hei tauira, i roto i te whare hauora pukupuku ranei i roto i te pokapū perinatal. Here, te mahi matua o te mātanga, ko te ki te whakamahere i te momo o te rehunga i runga i tūroro e ka whakawhiti pokanga. I roto i te take o perinatal mahi kairehu pokapū ko kōwhiringa o te momo o te rehunga ki tūroro e whakamana wāhanga whakawhānau te. He mea nui e te hoki maimoatanga kaha i roto i ngā tamariki kawea atu i roto i tenei pokapū. Heoi, kei te hanganga te wae whāomo mō ngā tūroro me hou. I roto i te HITD mō ngā tamariki (kohungahunga) Kei te mahi neonatologists me ngā pakeke i mahi i te anesthesiologist.

HITD hōhipera hāparapara

wae whāomo i roto i te fare ma'i, he rītaha hāparapara, kua whakaritea ai i runga i te maha o te tūroro e rapua e te wawaotanga, me te pakeke o te mahi rānei. A, no te wawaotanga i roto i dispensaries oncological wa toharite o noho o te manawanui i roto i HITD runga ake i roto i te pokanga whānui. konei e tiaki kaha roa, rite i roto i te akoranga o ngā mahi te taniwha, pakaru hanganga kikokiko faufaa.

Ki te whakaaro tatou te pokanga mate pukupuku, te nuinga tūturu o wawaotanga he rōrahi tino ngaukino, me te nui o ngā hanganga resected. E te reira i te wa roa mō te ora manawanui, rite i muri i te pokanga ko tonu te mōrea o te ino o te hauora, a tae noa te mate i te maha o ngā āhuatanga. He he wawaotanga nui ārai ranei pōauautanga rehunga, tautoko oranga me te ētahi o te rōrahi toto, wahi o nei te heipü ngaro i roto i te akoranga o te wawaotanga. He tino nui i roto i tetahi whakanohonoho pou-operative ēnei mahi.

HITD hōhipera cardiological

E kitea e te meka e reira e rua tūroro utua, kahore tuma ki te ora me te tūroro iu Cardiology me whakaora hōhipera. I hiahiatia ratou ki te whakatū me te pupuri i te mana o to ratou huru. I roto i te take o mate cardiological titau te nuinga whakarongo infarction myocardial me ona pōauautanga i te puka o te ru cardiogenic mate cardiac ohorere ranei. therapy tino o te infarction myocardial te whakaiti i te tūponotanga o te mate i roto i te wā āwhiwhiwhi, whakawhāiti te nui o te whara i te whakaora i te patency o te iatuku e pā ana-infarct, me te whakapai ake i te waitohunga mo te manawanui.

E ai ki te Tāhuhu o Hauora tikanga me ngā tūtohutanga ao, i roto i tūroro coronary whakapeka rapua e whakanohonga i roto i te kōwae whāomo ki te kawe i roto i mehua whawhati tata. whakaratohia he āwhina e te kaimahi āwhina tuatahi i te wā o te tuku, ka e hiahia ana koe ki te whakahokia mai patency o nga pera coronary, e kua pōkia e te thrombus. Na ki te maimoatanga o te manawanui ū resuscitator taumau: therapy kaha, rongoā, taputapu, me te mana taiwhanga o te kāwanatanga.

I roto i te HITD cardiological, te wahi e kawea ngā mahi hāparapara i roto i runga i oko vaolo ngakau ranei, te mahi o te tari, ko wawe te whakanohonoho me te mana aroturuki postoperative. E E haere tahi ēnei ngā mahi hinengaro vysokotravmatichnyh i o te ora, me te urutaunga he wā roa. He he tonu he tūponotanga nui o Thrombosis, whakanekeneke iaia ranei tu kaiwhakato piha tāwhaiwhai tūturu ranei.

taputapu HITD

Reanimation me te tiaki kaha - ko te mahi ahumahi o te rongoā, e kua hāngai i te whakatika tuma ki te ora o te manawanui. E kawea ēnei mahi i roto i roto i te kōwae mātanga, e pai rawa. Kei te whakaaro te reira i te tino hangarau matatau, no te mea o te āhuatanga o te manawanui e hiahia ana tonu te mana pūmārō me te taiwhanga. Ano, therapy kaha tā te whakatūnga o te pūmau auau ranei whakahaere rō-uaua.

Ngaahi Tefito'i Mo'oni o te maimoatanga i HITD

I roto i te tari tuku iho, e kore e tūroro i roto i te ati o te mate i te mate ona pōauautanga i roto i te pūnaha whaowhia te maturuturunga wā poto ranei kei te whakamahia hoki tenei whakaaro. I roto i te HITD maha e whakakapi i te reira e te papua e whaowhia. Tenei taputapu taea ki te whakauru i tonu he tetahi horopeta o taonga, i waho te hiahia ki te poka, He rua titau wa katoa whakahaere i te tarukino. whaowhia papu taea hoki urunga o medicaments tonu hoki ra atu ranei.

te mau parau tumu Modern o therapy kaha me āhua mate akiaki kua whakawhanakehia me e te e whai ake nei:

• Ko te whāinga tuatahi o te maimoatanga - stabilization o te manawanui, me te ngana te rapu tātaritanga taipitopito;
• faaotiraa o te mate e whāriki ana, e whakaoho kinonga me te kitea i runga i te āhua o te hauora, me te mau mai i te mate pea;
• maimoatanga o te stabilization kāwanatanga mate e whāriki ana i te therapy symptomatic;
• whakakorenga o ngā āhuatanga ora-whakawehi me tohu;
• whakatinanatanga o te taiwhanga, me te aroturuki mauhaa o te huru o te manawanui;
• iritiraa i te manawanui i roto i te kōtaha wehenga i muri i stabilization me whakakorenga o ngā āhuatanga ora-te whakawehi.

Laboratory me te mana mauhaa

Te aroturuki i huru o te manawanui e hāngai ana i runga i te aromatawai o te puna raraunga e toru. Ko te tuatahi - te rangahau manawanui, te whakatūnga o amuamu, te tāutu akiaki hauora. Tuarua - whakamana rangahau taiwhanga i mua i whakauru me te wā maimoatanga, te whakataurite o nga hua o tätari. Ko te puna tuatoru - mōhiohio whiwhi i roto i te whakamātautau mauhaa. Ano hoki tenei momo o te puna o ngā mōhiohio e pā ana ki te hauora o te manawanui, me te pūnaha ngā aroturuki o pini, oxygenation toto, auau, me te manawataki o te mahi cardiac, pēhanga toto, mahi roro.

taputapu rongoā, me te motuhake

E te tühonohono te taua peka o rongoā mahi rite anesthesiology me whāomo. Ngaio e mahi i roto i ēnei wāhanga, te whai i te tītohu ki te kupu "rata anesthesiologist." tikanga tenei kia kia whai wāhi ngā take o anesthesiology, whakaora me te whāomo i roto i tetahi me te mātanga taua. Ano, tenei te tikanga e ki te whakatau i nga hiahia o pekanga whakaurunga tiaki hauora, tae atu ki ngā tari tūroro noho o te haukume hāparapara, me te whakaora, kotahi anake HITD. Kei te rite rawa te reira ki te taputapu mo te whakaora, maimoatanga me te rehunga i mua i pokanga.

Whakaora me te tiaki tino rapu kotahi-wā (ranei biphasic) defibrillator cardioverter ranei defibrillator, ine hilo-, he pūnaha o ventilation aunoa, karo manawa (ki te hiahiatia e te hauora institution motuhake), pūoko me analizatorskih pūnaha e hiahiatia ana ki te aroturuki tohu o te ngakau, me te roro mahi . He mea nui hoki ki te whai papua e whaowhia hiahiatia mō te whakatikatikanga o ngā pūnaha o tamau taero whaowhia whaowhia.

titau Anesthesiology taputapu ki te tuku rehunga inhalation. Tenei pūnaha kati āhua-tuwhera ranei, i roto i nei ngā te tuku ranunga faataoto te i roto i te pūkahukahu. hanga tenei reira taea ki te whakatū i endotracheal rehunga endobronchial ranei. He mea nui kia nga hiahia o te rehunga hiahiatia laryngoscopes me endotracheal (endobronchial ranei) ngongo, catheters hoki catheters tōngāmimi, me te poka o te uaua pokapū, me te piringa. He hiahiatia me mo te therapy kaha nga taua taputapu.

HITD pokapū perinatal

pokapū Perinatal - he wāhi hauora i reira tango whakatupuranga wahi, pea i taea e haere ki pōauautanga. kia tonoa e ēnei ki nga wahine e mamae materoto ranei i māuiuitanga extragenital, pea taea ki te kino i roto i te hauora mahi. Ano, i reira me waiho tetahi wahine ki pathologies hapūtanga tono tuku wawe me te tiaki hou. Kaha therapy fā'ele'i - ko tetahi o nga mahi o enei pokapū me te whakarato tiaki rehunga ki tūroro e e mahi pokanga.

Tool tiaki HITD pokapū perinatal

rawa Manga Perinatal Care arotahi Centre kei i runga i te maha whakaritea o tūroro rānei. E titau te reira pūnaha rehunga me kaha taputapu tiaki, te rārangi homai i runga ake. Ko te kupu HITD pokapū perinatal i me whakaurunga pediatric. Me whai taputapu motuhake ratou. Tuatahi, pakeke tukupūngao horihori me te tohanga e kore e tika te rahi hou o tinana e he iti.

I teie mahana whakaurunga pediatric mahi i roto i te mea ngote u kotahi 500 karamu i whanau,, i te hapūtanga 27 wiki '. I tua atu, e hiahia ana koe he motuhake kai o ngā rongoā, no te mea pēpi whanau pai i te aroaro o te rā e tika ana, e hiahiatia ana te whakarite o te faaineineraa surfactant. Tenei taero utu nui, kahore nei e kore e taea ki te u, rite te hou mai ki te whanaketanga o te te marama, engari i waho te surfactant. Ko tēnei rauemi ārai alveoli pūkahukahu taka iho, e niu nei i te tukanga respiration tōtika waho.

Āhuatanga o te whakahaere o te mahi HITD

mahi HITD tawhio te karaka, me te tākuta i runga i te ohipa e whitu nga ra i te wiki. Ko tenei e tika ana ki te ngoikore ki te tahuri atu taputapu i te mea e te kawenga mo te oranga o te manawanui ngā. Tei runga i te maha o ngā tūroro, me te kawenga i runga i te peka, i hanga te maha o moenga te. kia hoki kia rite rawa ia moenga ki te ventilator me te aroturuki. Aroaro o te iti iho i te maha o moenga, te nui o ngā pūrere ventilation, te aroturuki me te pūoko.

Te tari, e hangaia nei mo te 6 tūroro, mahi 2-3 resuscitator tākuta anesthesiologist. Me ratou ki te puta ke i te rua o nga ra i muri i te 24 haora o te ohipa. Tenei taea ki a koe te pupuri i ara o te manawanui huri noa te karaka, me te i runga i ngā mutunga wiki, ka ko anake te tākuta ohipa te aroturuki o te tūroro tari paerewa. kia aroturuki kairehu tūroro e te hunga i roto i HITD. Ano, kei te takoto hoki te ki whai wāhi i roto i te mau amuiraa tiaki ōkawa, ka āwhina tūroro manga somatic tae noa hohipera HITD.

Āwhina i te kairehu tākuta Nurse me kaha nēhi tiaki. whakahaere te tātaitanga o te maha o peti i runga i te maha o te tūroro rānei. rapu 6 moenga te aroaro o tetahi tākuta, e rua nēhi me kotahi nēhi. Me kia tenei maha o ngā kaimahi i ohipa ia i roto i te ra. ka whakakapi ngā kaimahi i tētahi atu huringa, a reira, i roto i te tahuri, - te tuatoru.