Ukuvela kwale ofisi kuye kwanciphisa izinga lokufa kwabantwana. Iiyunithi zokunyamekela ezincinci zabantwana okwangoku zisebenza phantse kuwo onke amaziko amakhulu enyango. Kule masebe, amaqela okuphendula ngokukhawuleza anokusebenza, ezithutha izigulane ezincinci kwizibhedlele ezincinci ukuya kumaziko amakhulu enyango kunye nokuqinisekisa ukuzinza kwezigulane ngexesha lothutho kwi-ambulensi. Iinkqubo ezahlukeneyo zonyango zisetyenziselwa kwiiyunithi zokunyamekela abantwana. Kwinqaku elithi "Unyango olunzulu lweemeko zentsholongwane eziza kutshatyalaliswa" uya kufumana ulwazi olunomdla noluncedo.
Ukuvelisa umoya
I-ventilation yokufakelwa (IVL) yindlela eqhelekileyo yokunyamekela okunzulu, esetyenziselwa umlinganiselo ophezulu wokuphefumula ukuphefumula okanye usongelo lophuhliso lwayo. Ukutshatyalaliswa kwamanzi kungadinga ukusuleleka kwizifo zokuphefumula, ezifana ne-bronchiolitis, eqhelekileyo kwiintsana zokuqala. Ukungaphumeleli kokuphefumula kungaba yinxalenye yesifo se-disy functional syndrome.
Ukugcina umsebenzi wentliziyo kunye noxinzelelo lwegazi
Ukunciphisa uxinzelelo lwegazi kudla rhoqo kubantwana abasemgangathweni. Oku kungakho ngenxa yefuthe entliziyweni, ephula amalungelo ayo okupompa igazi, okanye ukungena kwezinto ezibangelwa ukunciphisa itoni ye-vascular. Amanye amachiza akwandisa uxinzelelo lwegazi, kunye nentlawulo yenhliziyo kunye namandla.
Ukunikezelwa kwamandla
Ukubonelela ngesondlo kubalulekile kumntwana ogula kakhulu. Akayidla ngokuqhelekileyo ukutya, ngelixa amandla omzimba wakhe adingekayo. Kwiyunithi yonyango enzulu, ukutya okunomsoco okanye ngokusebenzisa ityhubhu efakwe kwisisu (gastrostomy) isetyenziswe. Ulwaphulo lwamazinyo (ukungaphumeleli kweengtso kunokuvela kwimvelaphi yokuphazamiseka kwentsholongwane, ngenhlanhla, iintso ziyakwazi ukubuyisela umsebenzi wazo emva kokuphazamiseka kwesikhashana.) Umsebenzi wokuhlanjululwa kwe-Renal unokuxhaswa ngu-heathdialysis. iimveliso ezinobuthi.
Unyango lwe-antibiotic
Abantwana abane-sepsis (ukusuleleka kwegazi) kufuneka baphiliswe ngamayeza anokuchaphazela i-arhente yokutshitshiswa. Xa ezi zi gulane zikhona kwiyunithi yonyango olukhuselekileyo, ukusabalala kweso sifo kufuneka kuthathelwe ingqalelo.
Ukunakekelwa kweNkukhu
Abantwana abanomlilo badinga ingqwalaselo eyongeziweyo ngenxa yokungabikho kokukhuselwa kwintsholongwane kunye nokulahlekelwa ngumzimba womzimba, oqhelekileyo owenziwe ngesikhumba. Kuzo zonke iiyunithi ezinonophelo zokunakekela abantwana, kufuneka kunikwe unonophelo ukukhusela umonakalo wesikhumba kwixinzelelo okanye ezinye izinto ezibuhlungu. Unonophelo olunzulu lwabantwana kunye neenkonzo zokunyamekela ezinzulu zifakwe kubantwana abaneemeko ezahlukeneyo. Ukuxilonga nokuphatha izigulane ezigula kakhulu, izakhono zempilo ezizodwa kunye nezixhobo ezizodwa zifunekayo. Kukho izibonakaliso ezininzi zokubhedlelelwa kwiiyunithi ezizinzileyo.
Izifo ezithintekayo zesistim
Ezinye izifo ziyakunzima ukuwa kweenkqubo kunye nokuhluleka komzimba. I-Meningococcal meningitis eyenziwa yi-british Neisseria meningitidis, eyona nto idume kakhulu kubo. Ukungaphumeleli kokuphefumula okufuna ukungena kwemimoya yokuphefumula Ukuphulukana nokuphefumula kungenzeka ngokuzimeleyo, umzekelo, kwi-bronchiolitis, okanye kwisakhiwo se-multiple dysfunction syndrome, eyenziwa ngokulimala okanye ukutsha.
Ukulimala
Izingozi zezithuthi ezibandakanya abantwana (njengabahamba ngeenyawo, abahamba ngeebhayisekile okanye abagibeli) yizona zizathu eziqhelekileyo zokulimala kakhulu. Ezinye izizathu, ezifana nokuwa kwephakamileyo okanye uhlobo oluthile lokulimala, luya kwenzeka.
Burns
Ukutshisa emlilweni womlilo ngokuqhelekileyo kudibaniswa nokufuthwa komsi, obangela ingozi enkulu ebomini. Abantwana abachaphazelekayo badla ngokudinga ukuvuselelwa kunye nophando lweplastiki.
Ukubuyiswa emva kokusebenza ngokukhawuleza
Emva kwesifo senhliziyo, inyolo kunye nezinye iindlela zokungenelela ezinzulu, umntwana udla ngokudinga unyango olusemva kweyunithi. Ukuqhuba izigulane ezinjalo, ngaphezu kwezakhono zokusebenza, oogqirha kunye nabahlengikazi badinga ulwazi olukhethekileyo.
Ukuxhatshazwa okukhulu okanye i-coma
Ukuqubuka okanye i-coma ingabangelwa zizizathu ezahlukahlukeneyo. Utyhefu, ukuphazamiseka kwemizimba ezinjenge-hypoglycaemia (iyanciphisa amazinga e-glucose egazi, ukuxhatshazwa okungaqondakaliyo kufuneka kuthathelwe ingqalelo ngabasebenzi bezonyango kwi-diagnostic.) Ukubhedlelelwa kwabantwana kwinqanaba lokunyamekela kakhulu kunokubakhokisa abazali, ingakumbi ukuba ingekho ekhaya kwaye ixhoba lihanjiswa. Abazali kwimeko kwaye baphendule imibuzo yabo. Izihlobo eziseduze zibonelelwa ngeemeko eziyimfuneko ukuze zichithe ixesha kunye nomntwana , kunokufuna ukuba bahlale esibhedlele bobusuku okanye nangona ixesha elide.
Xa umntwana efa
Kwiyunithi yonyango enzulu, ukufa komntwana kungenzeka. Kwiimeko ezinjalo, abazali kufuneka banikezwe ukufikelela emzimbeni wakhe. Umntwana unokufumanisa ukuba unokufa kwengqondo, okwenza kube lula ukuthatha izitho zokufakelwa kwezityalo. Umcimbi onzima uxoxwe ngokucokisekileyo kunye nabazali bomfi. Ngamanye amaxesha bayavuma ukwenza oku ukuzisa iingenelo ezixabisekileyo komnye umntwana. I-brigades ekhethekileyo inikezela ukuthunyelwa komntwana kwiyunithi yonyango ekhuselekileyo evela esibhedlele apho wayethumele khona ekuqaleni kwaye, ukuba kuyimfuneko, kuqhutywe ukuhlaziywa ngexesha lokuthutha. Oogqirha kunye nabahlengikazi bee-brigades bafumana uqeqesho olukhethekileyo kwinkxaso yokuthutha kunye nokuvuselelwa ngokubanzi.