Ibimenyetso byerekana ivuriro hamwe no kurwanya ibicuruzwa byoroheje bivura hypothermia

Kurinda ubwonko

Injury Gukomeretsa bikabije.⑵ Ischemic hypoxic encephalopathie.Injury Gukomeretsa ubwonko.C Ischemia yubwonko.Hem Amaraso ava mu bwonko.(6) Amaraso ya Subarachnoid.(7) Nyuma yo kuzura umutima.

Kugeza ubu, kuvura hypothermia byoroheje byashyizwe ku rutonde nk'ubuvuzi busanzwe ku barwayi bafite ibikomere bikabije mu bwonko, cyane cyane ku barwayi bafite ubwonko bukabije bwo mu bwonko ndetse no gukomeretsa hamwe na hypertension yo mu nda bigoye kugenzura, gukomeretsa hypothalamic hamwe na hyperthermie yo hagati, gukomeretsa mu bwonko hamwe hamwe na ankylose ya decancephalic.

Ubuvuzi bwumubiri kubarwayi bafite umuriro mwinshi

Fever Hagati yumuriro mwinshi bigoye kuyirwanya.Ubushuhe bukabije.Guhungabana cyane.

Kurwanya

Nta kwivuguruza rwose.Ibijyanye no kwirinda ni ibi bikurikira:

1. Kera kandi iherekejwe no kubura umutima gukabije cyangwa indwara z'umutima.

2. Biragoye no guhungabana, bitarakosowe rwose.

3. Muburyo bwo gutsindwa kwa sisitemu.

4. Hypoxia ikabije ntabwo yakosowe.

Igikorwa cyo gusobanura ibikoresho byoroheje hypothermia ivura

Kwitegura mbere yo gukora

1. Umwuka uva mucyumba cyo gutegura ibidukikije uroroshye;Bifite ibikoresho byo gutanga amashanyarazi, kugenzura amashanyarazi hamwe ninsinga zizewe;Intera iri hagati yinyuma yikintu igomba kuba irenze 20cm.

2. Tegura ibikoresho byoroheje bivura hypothermia, umugozi wamashanyarazi, insinga zubutaka, sensor yubushyuhe, umuyoboro, urupapuro rwigitanda, amazi yatoboye, imvange yisinzira, imitsi iruhura imitsi, ibikoresho bya tracheotomy, nibindi.

3. Gutegura abarwayi

Sobanurira abarwayi cyangwa abagize umuryango mbere yo gukoresha.

Suzuma uko ibintu bimeze.

⑶ Gukoresha Imvange ya Hibernating: Mbere yo kuvura hypothermia yoroheje, koresha chlorpromazine, promethazine, na dolantine kuri 100 ㎎, wongeyeho 0.9% NS Dilute kugeza kuri 50ml.Koresha pompe yo gutera inshinge hanyuma uyite mumitsi.Nyuma yuko umurwayi yinjiye buhoro buhoro, ashobora kuvura hypothermia yoroheje.

Imvange yo gusinzira ntabwo isabwa kugirango umutwe ukonje gusa.

4. Igikoresho kigomba kuba cyiteguye guhuza imiyoboro, ibiringiti na sensor.

ibintu bikeneye kwitabwaho

1. Umurwayi ntagomba kwimurwa cyangwa guhindurwa bikabije mugihe cyo kuvura hypothermia yoroheje kugirango yirinde hypotension ya orthostatike.

2. Gushimangira imiyoborere yubuhumekero no gushyira mubikorwa byimazeyo ibikorwa bitandukanye bya aseptic kugirango wirinde kwandura.

3. Menya neza ko umwuka wimbere mu nzu kandi ugumane uburiri bwumye kandi busukuye.

4. Komeza umuyoboro wamazi woroshye wibikoresho byoroheje bya hypothermia bivura kandi wirinde kugundwa cyangwa kunama.

5. Igipangu cya barafu kigomba gukwirakwizwa kuva ku rutugu kugeza ku kibero cy’umurwayi, kandi ntigomba gukora ku ijosi kugira ngo wirinde bradycardia iterwa no kwishima kw’impuhwe.

6. Igipangu ntabwo gishyizwe hamwe nibikoresho byose byokoresha ubushyuhe kugirango wirinde ingaruka.Igice kimwe cyimpapuro zifite amazi akomeye gishobora gukoreshwa mugukuramo amazi yatanzwe kubera itandukaniro ryubushyuhe.

7. Igipangu cya barafu kigomba gushyirwaho neza kandi kiringaniye, kandi ntigomba kuzingirwa kugirango wirinde kuzenguruka.

8. Amabati amaze gutose, agomba gusimburwa mugihe kugirango yirinde umurwayi.

9. Ihanagura amazi yegeranye hejuru yigitambaro cya bara kugirango mugihe wirinde kugira ingaruka kumikorere isanzwe yimashini no kwirinda ko amashanyarazi atemba.

10. Mugihe cyo gukoresha ikiringiti gikonjesha, witegereze aho iperereza rigeze, hanyuma ukosore mugihe iyo iguye cyangwa iri mumwanya udakwiye.

11. Gufunga ibikoresho byoroheje bivura hypothermia bigomba gushingirwaho kugirango birinde umutekano w’abarwayi n’abakozi b’ubuvuzi.

12. Reba impuruza mbere yo kuyikoresha.