Tilmaamaha bukaan-socodka iyo iska-hor-imaadyada tilmaanta qalabka daaweynta hypothermia fudud

Ilaalinta maskaxda

⑴ Dhaawac daran oo craniocerebral ah.⑵ Ischemic hypoxic encephalopathy.⑶ Dhaawaca stem maskaxda.⑷ ischemia maskaxda.⑸ Dhiigbaxa maskaxda.(6) Dhiigbaxa Subachnoid.(7) Ka dib dib u soo kicinta wadnaha sambabada.

Waqtigan xaadirka ah, daawaynta yar-yar ee hypothermia ayaa loo taxay sidii daaweyn caadi ah oo loogu talagalay bukaanada qaba dhaawaca maskaxda ee daran, gaar ahaan bukaanada qaba xanuunka maskaxda ee ballaaran iyo jeexjeexa oo ay weheliyaan hypertension intracerebral oo ay adag tahay in la xakameeyo, dhaawaca hypothalamic oo lagu daray hyperthermia dhexe, dhaawaca stem maskaxda oo la isku daray. oo leh ankylosis decancephalic.

Daawaynta jireed ee bukaanka qandho sare leh

⑴ Xummada dhexe oo ay adag tahay in la xakameeyo.⑵ Kuleyl aad u daran.⑶ Gariirka kulaylka.

diidmo

Ma jiro diidmo buuxda.Caqabadaha qaraabada ah waa sida soo socota:

1. Duq ah oo ay weheliso ku filnaan la'aan daran oo wadnaha ah ama cudurrada wadnaha iyo xididdada dhiigga.

2. Naxdin daran, oo aan si buuxda loo sixin.

3. In xaalad nidaam darro ah.

4. hypoxia daran lama saxin.

Qeexitaanka qalliin ee qalabka daaweynta hypothermia fudud

Diyaarinta ka hor qaliinka

1. Socodka hawada ee qolka diyaarinta deegaanka waa siman yahay;Ku qalabaysan sahay koronto, nidaamiye danab iyo silig dhulka lagu kalsoonaan karo;Masaafada u dhaxaysa dabada danbe iyo shayga waa in ay ka badan tahay 20cm.

2. Diyaari qalabka daweynta hypothermia fudud, xadhig koronto, silig dhulka, dareeraha heerkulka, dhuumaha, xaashida sariirta, biyaha la miiray, isku dhafka hibernating, nasinta muruqa, qalabka tracheotomy, iwm.

3. Diyaarinta bukaanka

⑴ U sharax bukaanka ama xubnaha qoyska ka hor isticmaalka.

⑵ Qiimee xaaladda.

⑶ Isticmaalka Isku-dhafka Hibernating: Kahor daawaynta hypothermia fudud, isticmaal chlorpromazine, promethazine, iyo dolantine 100 ㎎, oo lagu daray 0.9% NS Dilute ilaa 50ml.Isticmaal bamka duritaanka yar oo ka duri xididada.Ka dib markii uu bukaanku si tartiib tartiib ah u galo gobolka hibernation, daaweynta hypothermia fudud ayaa la samayn karaa.

⑷ Isku darka hibernation looma baahna qaboojinta jirka madaxa oo kaliya.

4. Qalabku waa inuu diyaar u ahaadaa inuu isku xidho tuubooyinka, bustayaal iyo dareemayaasha.

arrimaha u baahan fiiro gaar ah

1. Bukaanku waa in aan la dhaqaajin ama aan si xoog leh loo rogin inta lagu jiro daawaynta hypothermia fudud si looga fogaado hypotension orthostatic.

2. Xoojinta maaraynta hab-mareenka neefsiga oo si adag loo fuliyo hawlgallada kala duwan ee aseptic si looga hortago caabuqa.

3. Hubi wareegga hawada gudaha oo cutubka sariirta ka dhig mid engegan oo nadiif ah.

4. Ka dhig tuubada biyaha jilicsan ee qalabka daweynta hypothermia fudud oo ka fogow laablaabashada ama foorarsiga.

5. Bustaha barafka waa in laga soo qaadaa garabka ilaa miskaha bukaanka, waana in aanu taaban qoorta si looga fogaado bradycardia oo ay keento dareenka dareenka dareenka.

6. Bustaha laguma dhejin wax walxo kuleylka kuleylka ah si looga fogaado saameynta.Hal lakab oo go'yaal ah oo leh nuugista biyaha xooggan ayaa loo isticmaali karaa in lagu nuugo biyaha ka dhashay farqiga heerkulka.

7. Bustaha barafka waa in uu ahaado mid siman oo fidsan, waana in aan la laabiin si looga fogaado xannibaadda wareegga.

8. Marka go'yaasha qoyan yihiin, waa in la beddelaa wakhtiga si looga fogaado raaxo la'aanta bukaanka.

9. Ka masax biyaha cufan ee ku hareeraysan bustaha barafka wakhtiga si aad uga fogaato in ay saamayn ku yeelato shaqada caadiga ah ee mishiinka oo aad uga hortagto daadad koronto.

10. Inta lagu jiro isticmaalka bustaha qaboojinta, u fiirso meelaynta baaritaanka, oo sax waqtiga haddii ay dhacdo ama ay ku jirto meel aan habboonayn.

11. Daboolka qalabka daaweynta hypothermia fudud waa in la dejiyaa si loo ilaaliyo badbaadada bukaanka iyo shaqaalaha caafimaadka.

12. Hubi alaarmiga ka hor isticmaalka.