Ngoko ke, masithi nje udlale kunye nebhokhwe kwimidlalo ehambayo okanye udle, into ethile yamenza umxhwele, wathatha umoya ophefumlelweyo-kwaye wakhupha ngamandla. Okanye wabamba into encinci, engalindelekanga, wayithumela emlonyeni wakhe. Oku kulandelwa ngumkhuhlane. Wayeqonda ngokukrakra ukuba into ethile yayingene emlonyeni wakho. Yintoni enokuyenza xa umntwana sele eginyile umzimba wangaphandle, owamkhuphelayo ukuphefumla?
Okokuqala, ukuba awuboni ukuba into ethile ingene emlonyeni womntwana, ekhangelelisayo, ingabe unayo imiqondiso yokufumana umzimba wangaphandle kwimpumlo? Le miqondiso:
- Kwaba nzima ukuba umntwana aphefumle, nangona uqobo ngomzuzu omnye odlulileyo wahlala esidla i-kashka / edlala ngeenkcukacha ezincinci, kwaye akukho nto ibonakalisa iingxaki;
- Ukuphefumula komntwana ngokukhawuleza kwakubonakala kunzima kwaye kuninzi;
- umntwana waqala ukubamba intamo;
- Ilizwi lakhe lalinokutshatyalaliswa okanye ithoni yelizwi lakhe litshintshile;
- Xa umntwana engenelela, wenza isandi esingaqhelekanga sesandi;
- umntwana usenomkhuhlane oqinileyo, odla ngokuhambisana nokuhlanza okunzulu;
- Ukuphefumula komntwana kwandipha kwaye kudla rhoqo;
- Ukuba umntwana wakho unako ukubonisa apho a buhlungu khona, uya ku khalaza ngeentlungu ezisemva kwesifuba sakhe;
- Waqala ukuphazamisa, umlomo wakhe ufumene i-blue tinge;
- Uqaphele ukuba intsana izama ukukhawula, itsho into ethile okanye ikhale, kodwa ayifumani.
Ngoko, unokuqonda ukuba umntwana unento enamathele kwiindlela zomoya: mhlawumbi uzibonele ngamehlo akho ukuba into leyo ibetha ngayo umntwana emlonyeni wakho, okanye uqaphele ukuba iimvumba zibonise njani iimpawu zokuxhatshazwa okanye ukufa kweklinikhi.
Emva koko iziganeko zingaphuthuka ngokwemizekelo emibini, exhomekeke kwimpilo yomntwana emva kokugwinya eli lizwe elincinci nelinobungozi. Ingane isesimweni sokukhwehlela, mhlawumbi, i-burping; okanye waphelelwa ingqondo waza wafa klinikhi.
Masiqale sicinge ngolu hlobo lokuqala: yintoni enokuyenza xa umntwana encinane efumana umzimba wangaphandle emlonyeni wakhe, kodwa imiqondiso yokuxhatshazwa ayibonakali okwamanje? Kungenzeka ukuba, ngeli xesha umntanakho uya kukhwehlela ngokukhawuleza, ngoko ke siya kukunika into ebaluleke kakhulu, mhlawumbi, icebiso: ungalokothi unqande le ngqungquthela! Siyabulela kwisikhwehlela ukuba inkunzi ikwazi ukutshiza into yangaphandle, kwaye akukho mpahla yakho ngasemva iya kunceda kule meko ingcono kunokukhuphaza. Ngoko musa ukumkhathaza, musa ukumyeka ukukhwehlela kwaye ungakhathazeki-makangabe ezama ukujamelana naye.
Ngoko ukuba iipestile ezimbalwa zidlulile kwaye umntwana usazama ukucima umqala wakhe, ukuba ukuphefumla kwakhe, nokuba kukhwela umlozi, kodwa kuzinzile kwaye akuyi kuyeka ixesha elide, ukuba akuyi kuguqulwa okomhlaza, uze uthathe amanyathelo anjalo. Ngokukhawuleza kubiza i-ambulensi kwaye udlulisele umntwana kwindawo apho umoya omtsha ungagudluli ujikeleza egumbini (igumbi elincinane kakhulu kunye neefestile ezinkulu ezinokuvulwa okanye i-balcony nonke) kwaye ucele umntwana ukuba akhonse kakuhle. Ukuba umntwana unesisombululo esibukeka singakhululekile okanye esingavumelekanga - ungayilungisi, okwangoku umonakalo ubonakala ngokubonakalayo, kwindawo efanelekileyo kakhulu ukuba acime umqala wakhe. Kungcono ukuba umntwana omileyo okanye, kwiimeko ezimbi kakhulu, ehleli, kodwa ukuba akanako amandla okwaneleyo okubamba esi sikhundla, asibeke ecaleni lakhe ukuze alala ngokukhawuleza kwaye akayi kukhwela emhlane. Lindela oogqirha ukuba baze bangayi buthathaka ingqalelo kwimeko yomntwana okwesibini, ngokukhawuleza ukuba uqaphela ukuba imeko yakhe ibuhlungu, ukuba umntwana uyayeka ukukhwehlela, akakwazi ukuthetha nawe nokuphefumla, okanye ukulahlekelwa ingqondo - lungele uqhube kwisigaba sesibini senxaxheba , ukuhlangula.
Ngoko, kuthekani ukuba ukukhutshwa kwakho kukugwinya into encinci eyayithintela umoya kwaye ikhusele ukuphefumla? Ukuba umntwana ulahlekelwe ingqalelo, khawuleza uqhube kwisenzo. Ngokwemvelo, uya kuphazamiseka kukuba unokwandisa imeko ngezenzo zakho. Nangona kunjalo, shiya konke ukwesaba: akuyi kuba kubi ngakumbi. "I-ambulance" ekusebenzeni ayisoloko ikhawuleza, kufuneka ukhumbule ukuba kukho imeko apho impilo kunye nokuba ngumntwana wakho kuxhomekeke kuwe. Ngoko ke, siyaqhubeka nokusebenza ngokukhawuleza. Okokuqala kufuneka uhlolisise-mhlawumbi, umzimba wesinye ilizwe awuxhomekekanga kakhulu entanyeni yomntwana. Yaye unako ukuzikhupha ngaphandle, ngaphandle kokulinda oogqirha ukuba bafike. Ukujonga oku, faka umntwana uze uvule umlomo wakhe. Umhlathi ophezulu ubanjwe ngomnwe womnxeba wesandla esinye, isezantsi sijongiwe ngesinye isinye sandla, sifana nomnwe ofanayo ukunyusa ulwimi ukuze kungaphumeleli. Ngoku uhlolisise umlomo ngomlomo: mhlawumbi uya kubona umzimba wasemzini kwaye unokususa kalula?
Nangona kunjalo, kukho isilumkiso esinamandla: ukuba awuboni into ekhonjiweyo, ungazami ukuyifumana ngokungaqhelekanga, ungaboni kakuhle, kuba kukho umngcipheko omkhulu ukuba uya kuphucula le meko ngokunyusa isifundo ngokujulile kwisigxina.
Izenzo ezithe ngqo zixhomekeke ngqo kwiminyaka yabantwana, kuba isinyathelo esilandelayo siya kuba sisilingo sokususa umzimba wasemzini ukusuka emqaleni.
Ukuba umntwana ungaphantsi konyaka ubudala ...
Beka isandla sakho sandla, nesandla sakho emadolweni. Intloko yesana kufuneka ibe ngaphantsi komzimba. Emva koko, kufuneka wenze izilwanyana ezichanekileyo ezintlanu, kodwa zomeleleka phakathi kwamacangcwana omntwana - kufuneka ubethe isiseko sesundu, uqondise ukubetha njengokungathi ukususela kwimva - ukuya kwiintonga.
Emva koko, beka umntwana emhlane, emadolweni, kwakhona ehlisa intloko yakhe phantsi kwesiqu. Ngokukhawuleza, yenza utshintshi ezintlanu kunye nesicatshulwa sakho kunye nomnwe ophakathi phakathi kwesifuba sakho, phakathi phakathi, ukuhlahlisa i-sternum yakho phantsi malunga no-2 cm.
Ukuba unesikolo sokufundela ...
Izenzo zifana ngokufanayo: kuqala ubeke umntwana emadolweni ukuze umzimba uphakamileyo ngaphezu kwentloko, wenze iintlanu ezintlanu ngentendelezo phakathi kwamagxa ehlombe, uqondise umqhubi ngamnye ukusuka ekhanda ukuya entloko. Emva koko mbeke umntwana kwindawo ephahleni emva, kwaye wenze uxinzelelo lwesihlanu kwisifuba, kodwa ngesandla sonke, kwaye unciphise i-sternum ngexesha elifanayo ngo-3 cm.
Ukuba unomntwana wesikolo ...
Ema ngasemva kunye ncinane kwicala lomntwana, ekuxhaseni ngesandla esinye phezu kwesifuba, siyiqhube phambili. Yenza yonke imivimbo emihlanu emva phakathi kwamacangca kwicala elivela ngaphantsi-up. Ukuba oku akunakunceda, ke uqhube kwiimilinganiselo zekhadikhadi - sukuma emva, ufihle umntwana kumqolo. Elinye iqhosha, cindezela phakathi kwendoda kunye neyokuqala kwe-sternum, kwaye isandla sesibini sibambe iqhosha. Yenza izihlwitho ezihlanu, zibaqondise ngokungathi ziphakanyisiwe, kunye nanye - ngaphakathi.
Ukuba imeko yomntwana omdala ingenako ukuma, thatha amanyathelo alandelayo. Beka umntwana kwi-flat surface, mhlawumbi - phantsi, kuba uya kufuna indawo yokuhamba. Yima phezu komntwana ngamadolo akho, ubambe imilenze phakathi kwabo. Gcwalisa intendelezo enye kwelinye uze uyibeke endaweni yomzimba phakathi kwesiphelo esisezantsi se-thorax kunye nenamba yomntwana kwaye wenze i-jerks ezinamandla ezinhlanu, uqondise uxinzelelo ngaphakathi nangaphakathi.
Ezi zibetho kunye neengqungquthela ozenzayo, zitshintshe umntwana ngokukhwehlela - zikhupha ukubonakala koxinzelelo kwi-airways, ngoko ziyakuchukumisa into enamathele. Ngenxa yoko, emva kwemivalo emihlanu emva kunye no-5 ukuchofoza kwi-sternum, jonga umlomo womntwana-ingabe umzimba ovela ngaphandle ungabonakali khona?
Ukuvuselelwa kweCardiopulmonary
Ukuba zonke izenzo zakho zokusebenza azikhokeli ekugqibeleni izinto ezivela ngaphandle kwindlela yokuphefumula, kwaye umntwana sele sele eqala ukulahlekelwa ingqondo aze ayeke ukuphefumula, kwaye ngokukhawuleza uqhubeke nokuvuselelwa kwe-cardiopulmonary.
Yintoni na? Olu luhlu lwezenzo ezijoliswe ekususeni umntu ekufeni klinikhi. Ungazifumana njani ukuqala kokufa kweklinikhi? Ngezizathu ezintathu: ukuba akukho moya, akukho nto iyazi kwaye akukho ukujikelezwa kwegazi. Le yimiba engumqondiso wokuqalisa ukuvuselelwa kwe-cardiopulmonary.
Yintoni omele uyenze xa umntwana efa klinikhi ngenxa yokuba wagwinya umzimba wangaphandle onamathele kwi-airways? Ukuba usendaweni yedwa - khamuluka, bizela abamelwane bakho, vumela umntu ukuba eze kukuhlangula. Hlaziya ngokukhawuleza, khumbula ukuba unemizuzu emi-5 ukuya ku-8 ukunyanzelisa umntwana ukuba aphefumule, ngoko kuya kubakho ukufa kwezinto eziphilayo, indlela yokubuya apho, yeha, hayi.
Emva komzuzu wokuvuselela ngokukhawuleza, gxotha kude kwithuba elifutshane, kwaye ubize i-ambulensi - kwaye uphinde uphinde uvuselele kude kube kufike abasebenzi bezonyango. Ukuba kukho omnye umntu ohlala nawe endlini, misela uxhulumaniso kunye ne-ambulensi kunye nabathumeli kuye, mayeke ukuba baxelele ukuba ngaba ogqirha baseburhulumenteni bathini, baphinde baphinde bafike, kwaze kwafika oogqirha.
Khumbula izigaba ezintathu ze-cardiopulmonary resuscitation, ngaphandle kokulahlekelwa yimbeko kunye nokulandelelana kokuziphatha kwabo, njengoko oku kubaluleke kakhulu .
Isigaba 1 - ukukhululwa kwendlela yokuphefumula evela kumzimba wasemzini;
Isigaba sesi-2 - ukuphefumula okufakelwayo;
Isigaba sesi-3 - ukuhlaziya intliziyo.
Sivele sichaze ngaphezu koko kufuneka uyenze ukuze ukhiphe into eyingozi kwindlela yokuphefumula. Xa uqinisekile ukuba akukho nto enye entanyeni yomntwana - ungaqala ukuphefumula (ukuba, ngokuqinisekileyo, umntwana akaphefumli emva kokususwa komzimba wangaphandle). Kodwa ukuba awuzange ukwazi ukuwufumana-ke ukuvuselelwa kwe-cardiopulmonary ayikwazi ukwenza, kuba ukuphefumula okufakelwayo kuya kuphelisa into eyingozi.
Ngoko ke, ukuba i-airways ikhutshwe - yifake i-crumb phantsi kwaye uyiphose intloko, yiphakamise intsimbi yakhe encinci - ngoko i-airways iya kuvula kwaye ilungele ukudlulisa i-oksijeni yokutya. Susa izambatho xa ziphazamisa ukunyakaza kwesifuba, ukuba unenkxalabo kwaye awukwazi ukususa ngokukhawuleza nangokuchanekileyo - ukusila okanye ukusika.
Ngoku makhe sithethe ngeteknolo yokwenza ukuphefumla okwenziweyo. Ngoko, indawo yokuqala: umntwana ulele phantsi kwaye ikhanda lakhe liphonswe ngasemva, uphakamisa isikhumba sakhe waza wavula umlomo wakhe. Khawubhale, uze uphume ngokufanayo emlonyeni nasempumlweni yomntwana, njengokungathi ubambathisa ukusuka phezulu ngomlomo wakho. Ukuba umntwana usekhulile kwaye awukwazi ukukhupha emzimbeni emzimbeni ngokukhawuleza, uze uname ukutshiza umntwana kwaye wenze ukuphefumula ngomlomo ngomlomo. Ukuba, ngenxa yezizathu ezithile (umxube, umzekelo), awukwazi ukuvula umlomo umntwana, yenza umlomo wakho uphefumle ekhaleni lakho, kodwa kuphela xa uvula umlomo wakho akunakwenzeka.
Vuthela umoya kumaphaphu omntwana malunga nemizuzwana eyi-1.5 - kungekho, ungakhohlwa ukuba kusebancinci. Khumbula, emva kokuphuma komntwana ngamnye isifuba somntwana kufuneka siphume. Emva kwemihlanu ephumayo, yima kancane uze ubuke isifuba sitshise endaweni. Ukuba uqaphela ukuba isifuba asihambeli nonke, uzama ukugxilisa intloko yesana ngakumbi kwaye wenze ezinye iziqhamo ezinhlanu. Yaye ukuba, emva koko, i-thorax ayifuduki, ngoko umntu unokuthabatha isigqibo esisodwa: kwi-airways, into ehlanganisiwe. Zama kwakhona ukuphoqa into yangaphandle ngaphandle komntwana.
Xa yonke into ibuyela kwisimo esiqhelekileyo, kwaye isifuba siza kuvuka emva kokuvuthela umoya emiphakeni, kwaye-ke-uyehla, uze uqhubeke ukuya kwesithathu, isigaba sokugqibela sokuvuselela i-cardiopulmonary-to massage of the heart.
Ukuqwalasela: ngexesha lokubutha kwentliziyo yomntwana (nangona kunjalo, njengomntu omdala) kufuneka ulale kwindawo eqinile kunye nomgangatho, le mqathango iyimfuneko yokusebenza. Indawo ofuna ukuyicinezela nayo iyafana nayo yonke into: yinto ephakathi kwesifuba.
Ukuba unomntwana kuze kube unyaka, ngoko kufuneka ucinezele inkcazo kunye neminwe ephakathi yesandla sakho, ukuba umntwana usekhulile - ngesandla esinye okanye ezimbini.
Isichukumiso ngasinye kufuneka sinciphise isifuba malunga nesithathu. Udinga ukucinezela rhoqo, ukwenza malunga neepesenti eziliqela ngomzuzu. I-akhawunti "enye" ihamba ngokunyakaza: ukuchukumisa iseli kunye nokukhupha i-cage (le ntshukumo ezimbini kufuneka ithathe malunga nexesha elifanayo, ungagcini kwaye ungaqhubeki ukukhawuleza nokukhulula).
Xa wenza amanqaku angama-30 e-massage - ayeke. Ukuguqula intloko yakhe nokuphakamisa intsana yomntwana, yenza ukuphefumla okuphefumlelweyo ngokuthatha umoya ophefumlelweyo emiphakeni. Lo ngumlinganiselo olinganisiweyo we- akhawunti ye-massage ye-2 yokuphelelwa yisikhathi kwimiphepha .
Ukuba unesifo esikuvimbela ukwenza ukuphefumula komntu othile, akusikho isizathu sokwenza intliziyo ye-massage - kungcono kunanto! Kanye nje ukuba ubuphelelwe ngumzimba kwaye awukwazi ukuchukumisa esifubeni sakho ngejubane elinjalo eliphambeneyo - kungcono nje ukuthoba isantya, uze unciphise izandla zakho. Unokugqiba ukusilalisa xa oogqirha befika, okanye xa umntwana eqala ukuphefumula.
Njengoko uyakubona, ngamanye amaxesha isiphumo semeko apho umntwana usenokugwinya umzimba omzimba onobungozi kwaye uvale iimpapasho zakhe zokuphefumula zixhomekeke kwisantya sempendulo yakho nokwazi oko kufuneka ukwenze. Khumbula iinyaniso ezimbini ezilula: kungcono ukwenza okungenani into kunokungenzi nto; Kubalulekile ukwazi ukulandelelana kwamanyathelo okuvuselela ukuze kuncede umntwana. Ukholo lwesisu luyiyo into enamandla, kodwa ekusongeni ubomi, iimeko ezixinzelelekileyo, "zinokutshatya" ngokwazo, kwaye ke kufuneka uthembele kwizinto owaziyo. Kwaye, uyazi, kwiimeko ezinjalo akukho nanye ixesha lokufunda imiyalelo neengcebiso. Ngoko ke, isicwangciso sokuvuselela kufuneka sifunde ngentliziyo. Siyathemba ukuba, eli nqaku liyakunceda ukuba ubeke isiseko ngolwazi oluyimfuneko oluya kuba luncedo kwiimeko ezinzima. Kodwa uninzi lwazo zonke siyanxusa ukuba unakekele abantwana bakho, ngakumbi kakhulu kakhulu, kuba ukulawula okuqinileyo kuya kunceda ukuphepha ukuba kwenzeke oko kuleso simo esisongela ubomi.