Njani kunye nexesha lokuwasebenzisa
Kwi- kit yangoku yokunceda yokuqala , ngokukodwa ezo zakhiwe ukusetyenziswa kwiindawo ezinokuthi zibe yiithagethi zokudlala, kukho into ebizwa ngokuba yimbozo yesifuba. Ingaba novalo okanye kungenjalo. Mhlawumbi uhlanganiswe kwiphakethe elincinci, eliphambili kwaye unokuba uzibuza ukuba yintoni kanye okwenzayo, ungakhankanyi ukuba ubonakala ngathi.
Ukuziqhelanisa nezinto ezikwisixhobo sokuqala kubalulekile ngaphambi kokuba usebenzise i-kit. Nangona ungakhange uthathe ikhosi yokuqala-into into endiyincoma ngayo wonke umntu-kufuneka usebenzise imizuzu embalwa ukujonga phezu kwezinto kwiikiti uze ufunde indlela yokusebenzisa izinto ongaziqondiyo.
Isityikitya sesifuba siyinto ekhethekileyo enokusebenzisa eyodwa kuphela: ukunyanga isilonda sesifuba esusayo . Amatywina e-Chest ayongezelelweyo enee-esoteric kuphela kwiikiti zokuncedisa kakhulu kunokuqala kokuqala kwee-2000. Ekubeni i-shooter esebenzayo kunye neemeko zobungqina bezokhuselo zasekhaya zikhule ngokuqhelekileyo, unokubona kuzo zonke izikolo ukusuka kwiimidlalo.
I-Chest Anatomy
Isifuba somntu siye saqala ukwenza izinto ezintathu ezibaluleke kakhulu:
- Khusela intliziyo, imiphunga, umoya omkhulu kunye nemithambo yegazi.
- Uncedo luhambisa umoya kwaye uphume emiphungeni (le mali-intlawulo ye-shot-pay attention close below).
- Uncedo lokurhoxisa igazi enhliziyweni. (Le nto iyanzima kwaye andiyi kuchitha ixesha kulo apha. Funda phezulu malunga nendlela ukubethelwa kwesifuba kusebenza ngayo inkcazo ecacileyo.)
Ukukhusela yinto elula kakhulu ukuyibona: iimbambo zisebenza njengentambo ejikeleze isikhungo esithambileyo esifubeni ukukhusela kwingozi yokulimala. Kusebenza kakhulu, nangona iimbambo ziphula . Nangona kunjalo, bekungeke kwenzeke ingqiqo ukuba udonga lwesifuba luqinile, njengengqayi? Ngaba uye wakha wazibuza ukuba kutheni sinezimbambo endaweni yeendonga eziqinileyo zethambo?
Ukuhamba emoyeni sisizathu sokuba sibe nezibambo esikhundleni seeplate ezifana nekhanga. Ukuze ukutsala umoya kumaphaphu kwaye uphinde uphinde uphume kwakhona, isikhala ngaphakathi kwesikhumba somfuba kufuneka sikwazi ukwandisa kwaye sivumelwano. Iibhanki zenza oko kwenzeka. Imisipha isolula ngapha nangapha phakathi kwezimbambo zibahlula ukuze zandise isifuba okanye zifake kunye ukuze zikhontwe. Xa isifuba sesifuba sanda, umoya ukhawuleza ukuwuzalisa. Xa zivumelwano, umoya uphuma.
Amanxeba esifuba Suck (kwiNqabileyo Abanye Benza)
Ngethuba nje ukuba umoya unendlela enye okanye ngaphandle (i- trachea ), iimpompo zizalise kwaye zingenanto njengoko zifanele zenze.
Kodwa xa kukho umjelo omtsha, umoya uya kutsalwa khona apho nakwi-trachea. Yaye xa umoya ususelwa emgodini, ubizwa ngokuthi isilonda sesifuba eselisayo .
Indlela kuphela yokuyilungisa ukutywina umngxuma-ngesityikityu sesifuba. Kwakhona kunokuba luncedo ukuba nomoya ophethwe esifubeni ukuba ubaleke, ngaphandle koko ukuphilisa isilonda esiswini-ukuyeka ukunyakaza kwemoya-kubangela ukuba umoya obanjwe ngumngcipheko ubeka uxinzelelo kwimiphunga, okokuthiwa yi- pneumothorax . Ukulungisa loo ngxaki, ezinye iimpawu zesifuba ezifumanekayo zentengiso ziza neentshukumo zokuvumela umoya uphume.
Ezi zilandelayo zifowuni zesifuba eziqhelekileyo onokuzithenga okanye, kwezinye iimeko, zenzele.
Isalathiso seHalo Chest
I-Halo Chest Seal yayiyinye yeempawu zokuqala zesifuba ezenziwe ngezorhwebo. Ayikho i-frills kwaye isebenza ngokulula. Ngokuyinxalenye yecala leplastiki elinokubambelela. Ukuze uyisebenzise, "hlambulula" isilonda (ngokusuka nje usule igazi kunye naluphi ukungcola ukuqinisekisa ukuba umlenze uyakunamathela) kwaye usebenzise isalathisi sesifuba.
Ukusebenzisa isitywina ngaphandle kwentsholongwane kuthetha ukuba kufuneka uhlawule. Ukuba isigulane sinokuphefumlelwa kancinci okanye sitshonkotha, mhlawumbi kungenxa yokuba uphawu lwesikhumba lubamba umoya ophunyuka kwimiphunga kunye nokwenza i-pneumothorax iphuhlise. Ezinye iingcamango ziyakwazi ukuvakala umoya ovalwe ngedaliti ngodonga lwesifuba. Ungazami oko ngaphandle koqeqesho olufanelekileyo.
Ngaphandle kokukwazi ukusebenzisa inaliti-through-the-chest iqhinga, indlela elula yokuvotela emoyeni kukuba kususwe uphawu lwesifuba. Ndiyazi into ocinga ngayo: kutheni utywinela isilonda ukuba kuya kubangela ingxaki echaneke ngokungaqhenqanga isilonda?
Ngenxa yokuba ixesha elininzi aliyi kwenzeka. Umthetheli womkhosi wasinxininisa ukucinga kwesityikityu esingekho esivumelwaneni ngesinye isizathu esifanayo. Ukuvavanya unyango, umkhosi wavelisa ukulinganisa umoya ophumayo kwimiphunga. Kuloo sifundo, amanxeba okufelwa uphawu lwesifuba aqhutywe abe yi-pneumothoraces kangangoko kunamaqanda angabonakaliyo esifubeni, nokuba ngaba umoya uvela kwimpompo.
Umgca we-Asherman Chest Seal
Ngoko ukukhusela le mbambano yonke, kwakhiwa izitifiketi zesifuba. Omnye wemdala kunye ohloniphekileyo uyisitampu se-Asherman seal. Inomoya okhangeleka njengekhenkce.
Ukusebenzisa isitywina se-Asherman, kufuneka udibanise ukuphakama ngokukhawuleza kunye nomgodi kwisifuba. Kwimimandla yokulwa-kuthetha ukuba kukho umntu ophengulayo-ukuthatha isikhashana ukudibanisa umoya uvakalelwa kukuhlushwa. Xa sele ikhona, kunjalo, isebenza kakuhle.
I-vent is a valve yendlela enye. Ivumela umoya ukuba ubaleke, kodwa ungangeni kwisifuba. Oku kusombulula ingxaki ngesitywina esiqinileyo. Nangona kukho imingxuma emphumpuseni, umoya uya kuba nendlela yokuphuma xa isalathisi sesifuba siphelile.
I-Hyfin Vent Chest Seal
Ngenxa yokuba abanye abantu abayithandanga imbono yokucima ityhimpi ngexesha lemfazwe yempu, kuye kwaqulunqwa iintlobo ezahlukahlukeneyo zesibindi. Ezi zimpawu akufanele zibekwe ngokugqibeleleyo ukwenzela ukuba izivungu zisebenze.
I-Hyfin chest seal iziteshi zomoya ngeendlela ezihlukeneyo ukwenzela ukuba isilonda sinokubeka indawo eninzi ngaphantsi kwetywina. Isitywina sisasebenza njenge-valve enye.
Ngamanye amaxesha kunye nezilwanyana ezinamanzi, igazi lingena kwiimvenge kwaye lidibanise, lifake i-vents. Imithetho efanayo iyasebenza njengamanqaku angabonakaliyo: jonga isigulane sakho. Ukuba isigulane siphezulu okanye silele, sisisiginci esihle ukuba uhlakulela i-pneumothorax.
Usube Unayo
Kukho ezinye iimpawu zesifuba kunye nezinye ezakhiwayo minyaka yonke. Njengoko sifunde, nangona kunjalo, umbane awusoloko unyanzelekile. Kwaye xa kuziwa kwisimboli esingekho esikhwameni, mhlawumbi sele usenayo ikiti yakho.
Khangela iteksi yakho yokuqala yokunceda. Ingaba unxibe ongeyinyumba ehlanganiswe ngeplastiki? Kwiinguqulelo ezininzi, ukupakisha kuneplastiki ecacileyo kwicala elinye kunye nephepha kwelinye. Ingcamango kukuba unako ukususa ihlangothi elilodwa lokupakisha kwaye ubeke unxibe onxibe kwilonda ngaphandle kokungcolisa.
Oko kuthetha ukuba ngaphakathi kwiplastiki nayo iyinyumba, nto leyo ithetha ukuba unesimboli esenziwe ngokulungeleyo khona. Vula ukupakisha kwaye uphonsa ngaphandle kokugqoka, uze udibanise isilonda sesifuba kunye neplastiki (icala elingenakunqamle elichaphazela isilonda) kwaye uyilonge.
Abanye abantu bathi uthayipha iplastiki emacaleni amathathu, itywina iya kuthi "i-burp" emoyeni (xa isigulane siphefumula, umoya uya kupheka kwaye xa isigulane sithengisa, iplastiki iya kunceda kwaye imise umoya ungangeni). Le ngxaki. Kunokwenzeka ukuba igazi liza kuba njengeglue kwaye lenze ukuba yonke into isebenze njengento engeyiyo ifakwe kwisifuba. Ndiyincoma ukunqumla i-fanciness emithathu emithathu kwaye nje ndiyifake le nto ngokufanelekileyo.
> Umthombo:
> Butler FK, Dubose JJ, Otten EJ, Bennett DR, Gerhardt RT, Kheirabadi BS, Gross KR, Cap AP, Littlejohn LF, Edgar EP, Shackelford SA, Blackbourne LH, Kotwal RS, Holcomb JB, Bailey JA. Ulawulo lwe-Pneumothorax evulekileyo kwiNkcazo yokuLawulwa kweNtshukumo yokuLawulwa kweTictical: I-TCCC Izikhokelo zenguqu 13-02. J Spec Oper Med. 2013 Ukuwa; 13 (3): 81-6.