Bayyanin filla-filla
Kuna nan: Gida » Labaru » Labaran Masana'antu » Yin rigakafin da kuma kula da cutar hyridopotheria - Part 2

Yin rigakafi da kula da cutar hypothermia - Part 2

Ra'ayoyi: 0     marubucin: Editan shafin: 2023-10-08 Asali: Site

Bincika

Buting na Facebook
Butomar Rarrabawa Twitter
maɓallin raba layi
Wechat Rarring Bann
LinkedIn Raba Button
maɓallin keɓaɓɓiyar
Whatsapp Rarrabawa
ShareShas

Vi. Tasirin yanayin zafin jiki

1


(I) tasirin kan tsarin zuciya

2


(II) A kan coagulation

Aikin Platelet yana rage aikin saiti mai yawa, yana haifar da tsawaita lokacin zubar jini da ƙara yawan zubar jini. Yawan zafin jiki shima yana haifar da hargitsi na jini a cikin tasirin jini a cikin jijiyoyin, wanda zai iya haifar da jijiya mai zurfi.



Zazzabi na jiki yana ƙasa da 35 ° C, masu alamomi suna faduwa da zazzabi masu zuwa suna tsawan raguwa sosai da rage yawan zafin jiki:

An kunna prochnyated phothrombin lokacin (Aptt)

Prothrombin Lokaci (PT)

Prothrombin lokaci (tt)



(Iii) ya karu da kamuwa da cuta

Ƙananan zafin jiki na jiki na iya yin aikin rigakafi kai tsaye, rage samar da iskar jini na jini zuwa fata, da furotin da furotin mai haske; A lokaci guda, matalauta tursasasshen kyallen takarda da kuma jinkirin karkatarwa waraka yana haifar da haɓaka ƙwararrun kamuwa da cuta yana ƙaruwa.



Yawan zafi da ke ƙasa da 35 ° C suna da alaƙa da haɓakar uku a cikin kamuwa da cuta da kamuwa da cuta da tsawon asibiti 20%.

Kenan daga: Zhang Y kula da cututtukan fata na [J]. Magungunan Sinanci na Xinjiang, 2011.29 (04) .92-94.perating dakin aikin jinya 512



(Iv) jinkiri farkawa

-Daga jini na ciki yana gudana cikin hypothermia

-Daga aikin hanta

-Reduke kwarara na jini da kuma tacewa mai tsayi

-Slowlowlower metism


Hypothermia yana hana aikin jijiya da kuma rage martani na catecholamine, yayin da methetics ana cinyewa a cikin jiki a cikin satar kudi, wanda ya haifar da tsawon lokaci zuwa farkawa da kuma rayuwa.



(V) damuwa na rayuwa

Yana shafar tsarin metabolism na jiki

-Slowlowging jijiya

-Acidosis, rashin daidaituwa na lantarki

-Immin dyfunction

-Acrreasdaddamar da yawan oxygen

- Canji a cikin yanayin gida



Hypothermiiya yana rage ƙimar rayuwa ta jiki, kuma ga kowane ƙananan ruwan sama na ruwa, ƙimar marita ta ragu da 6%. A zazzabi na jiki na 28C, ƙimar rayuwa shine 50% na al'ada.

An raba shi daga: yu duo, Li Duo, haɗarin hycothermia da jiyya [j]. Magungunan kasashen waje: Magungunan ƙasar waje: tiyata, 2004,31 (5): 258-261.




Vii.Methood na gano zafin jiki a lokacin tiyata

3


A zahiri, bambanci tsakanin yanayin yanayin yanayin jiki yana da wahala kimantawa ba tare da dangantaka ta layi ba, don haka ana bada shawara don amfani da madaidaiciyar yanayin jiki na gano ainihin yanayin zafin jiki lokacin da yanayin yanayi



465


Viii..peryarfin cututtukan fata da kulawa

(I) ayyukan kulawa na hankali

Ziyarar aiki ta musamman (kimantawa):

Ta hanyar ziyarar da aka gabatar, yanayin mai haƙuri yana da kyau kimantawa, yin nasarar da aka yiwa, ba da cikakken shiri, da aiwatar da matakan dumama a ranar tiyata zuwa

hana hypothermia.



A lokaci guda, ta hanyar ziyarar da gaba, ƙara mai haƙuri-mai haƙuri, wanda ke dacewa don mafi kyawun sadarwa tsakanin masu jinya da marasa lafiya. Amincewa, wanda ke da dacewa don mafi kyawun sadarwa tsakanin marasa lafiya da ma'aikatan aikin jinya da rage juyayin marasa lafiya. Marasa lafiya 'na juyayi da rage bakin su na motsa jiki don motsa jiki. Dole ne a saukar da bakin mai haƙuri don maganin sanyi.



(Ii) zafin jiki na muhalli

Dognicolicy da aka ƙaddara ɗakin zazzabi 21-25 ° C. Kulawa da zafi a 30-60%


Kula da yanayin zafi da kyau da zafi na iya rage asarar zafi daga fata kuma hanya ce mai amfani don hana hypothermia.


Zazzabi da zafi ɗakin sarrafawa yana sarrafawa ta tsakiyar kwandishan, zafin jiki za a daidaita shi zuwa 25 ° C kafin fara aikin mai haƙuri, kuma bayan farkon aikin zai daidaita zuwa 21-23 ° C. An tabbatar da cewa mai haƙuri ba zai shafi yanayin da zai shafi canjin zafin jiki ba.


(Iii) ruwa mai zafi

A. Jaƙyama ruwa da ruwa zuwa 37 ° C:

Sankin Physirological ko ruwa don yin allura da aka yi amfani da fata da kuma rufe an sanya shi a cikin thermostat kuma an daidaita shi da 37 ° C. A cire shi daga zafin rana kafin a yi amfani da shi don rage asarar zafin jiki.



B. Yi amfani da jiko dinshi lokacin juyawa jini:

Lokacin aiwatar da damar zubar da jini mai yawa, za a yi amfani da na'urar tayar da na'urar isar da jini don tabbatar da cewa ruwan da aka shigar a jikin mai haƙuri yana kusa da yawan zafin jikin mai haƙuri.



(Iv) amfani da kayan rufewa

Ana amfani da bargo mai laushi don rufe yankin da ba yankin da ba a amfani da yanayin jikin ƙasa ba, yana rage zafin da ke cikin ƙasa, fata mai gudana aiki mai zafi.


7



(V) rage lokacin bayyanar don yanayin canji

A.Da Tsarin Matsayi Matsayi don rage lokacin fallasa don canje-canje na matsayi



B.positioning ga manyan mukamai na tiyata

Orthoppedics: Matsayi mai yiwuwa

Thoracic: Matsayin-kwance

Urology: matsayin-kwance

Lithotomy → Prone Matsayi: Percutaneous Tephrittotomy (PCNL), da dai sauransu.



(Vi) ruwa

Guji ko rage yawan zubar da zanen gado.

Rufe takarda bakararre tare da jakar filastik (wanda ya tanadi cewa ba ya gurbata kuma yana shafar filin takaici ba).

Yana hana yin haƙuri da luben gado tare da likkafar da yawa yayin tiyata.


Don harkar da ke buƙatar yawan ruwa mai yawa, kamar su harkar tattalin hankali (prostate ɗaya cephrolithotomy, da sauransu magani na zubar da ciki, da sauransu magani, da sauransu), ciwon daji na ciwon ciki, da sauransu.



Takaitawa:

Farkon abin hoda na hypothermia ya jawo hankalin mutane masu aikin asibiti da na lantarki, kuma suna ɗaukar nau'ikan yanayin jinya da ke ciki don ƙirƙirar ƙwayoyin cuta na ciki da rashin lafiya. Rage shi zai iya rage yawan rikicewa da ke haifar da cutar hypothermia, kuma rage zafin asibitin marassa lafiya, wanda ke da karbar dawo da lafiya.



Haɗin labarin da ya gabata: HTTPS://www.mecanMedical.com/Preentency-and--Naperare-photherm-ypothermia-part6125288817.html


领英封面