Taba ea pele, bakuli ba kulang haholo ke mokhoa oa mantlha oa tlhokomelo ea mantlha
- Kamohelo e mofuthu ea bakuli, mokuli a behiloe phaposing ea maemo a tšohanyetso kapa phaposing ea batho ba kulang haholo, Thepa ea Tlhokomelo ea Mokuli ho boloka moea oa ka tlung o le o hloekileng, o futhumetseng le o mongobo o loketseng;mokuli ea molemo le litho tsa malapa a sepetlele (Karolo) thomo.
⒉ tlhahlobo ka nako:
Ho kenyelletsa boemo ba motheo, matšoao a ka sehloohong, maemo a letlalo, tlhahlobo e ntle ea thuso, mefuta e sa tšoaneng ea liphaephe, phekolo ea lithethefatsi joalo-joalo.
⒊ mehato ea tlhokomelo ea tšohanyetso: ho thehoa ka potlako ho fihlella ha venous (ho itšetlehile ka boemo le thepa ea lithethefatsi ho fetola sekhahla sa ho rotha), oksijene (ho itšetlehile ka boemo ba ho fetola phallo ea oksijene), ho hlahloba ECG, catheterization ea ho lula, ho futhumala, ho etsa mefuta e sa tšoaneng. ea pokello ea mohlala, Thepa ea Tlhokomelo ea Mokuli ho thusa cheke e tsamaellanang, ha ho hlokahala, boitokisetso bo sebetsang ba pele ho ts'ebetso.
⒋ o ka holimo 'me o bolokehile
⑴ ho ea ka lefu ho nka boemo bo loketseng.
⑵ ho boloka moea oa patency, bakuli ba koma ba lokela ho ba ka nako e nepahetseng nko le nko le li-endotracheal secretions, ho hema oksijene.
⑶ meno a koetsoe, ho tsikitlanya ha mokuli ho ka sebelisoa liphahlo tsa meno, menyako, ho thibela ho loma ka leleme, sekoti sa leleme.
⑷ feberu e phahameng, komello, delirium, ho teneha, ho fokola le masea le bana ba banyenyane ba lokela ho ekeletsoa terata, haeba ho hlokahala, ho fana ka sehlopha, ho thibela bethe, ho netefatsa polokeho ea mokuli.
⑸ lokisa lisebelisoa tsohle tsa pholoso, lithethefatsi le lisebelisoa, pholoso ea ka tlung e behiloe boemo ba boemo bo emeng.
⒌ ho ela hloko boemo ka hloko: tlhokomelo ea botho, Thepa ea Tlhokomelo ea Mokuli matšoao a bohlokoa a mokuli, tsebo, ngoana, ho tsoa mali, SpO2, CVP, phallo ea mali le moroto le maemo a mang a ho shebella ka matla;le ngaka ka mafolofolo pholosa, etsa direkoto tsa booki.
⒍ meriana e laetsoeng, ts'ebetsong ea keletso ea ngaka ea molomo, e lokelang ho phetoa ntle le tumello ea ho e sebelisa.
⒎ boloka mefuta e fapaneng ea liphaephe tse boreleli, tse tsitsitseng hantle, sebaka se sireletsehileng ho thibela ho tima, ho sotheha, ho thijoa;thekenoloji e thata e sa hloekang ho thibela tšoaetso ea ho khutlela morao.
⒏ ho boloka ntloana e le boreleli: ho boloka moroto ho nka mekhoa ea ho thusa ho ntša metsi;ha ho hlokahala, catheterization;pipitlelano joalo ka boemo ba ho enema.
⒐ ho itšetlehile ka boemo ba ho ba tlhokomelo ea lijo: ho boloka metsi, ho leka-lekana ha electrolyte le ho finyella litlhoko tsa motheo tsa phepo ea 'mele;bakuli ba itima lijo e ka ba pheripheral venous phepo e nepahetseng.
Tlhokomelo ea mantlha
9, moriri, mahlo, 'mele, molomo, nko, letsoho, leoto, perineum, anus, letlalo le hloekile;tse hlano ho ea betheng: tse tharo tsa pele, Meriana, booki, raese, meriana, metsi ho bethe ea mokuli).
⑵ hoseng, tlhokomelo ea mantsiboea makhetlo a 2 ka letsatsi;tlhokomelo ea molomo oa urethral makhetlo a 2 ka letsatsi;tlhokomelo ea tracheotomy makhetlo a 2 ka letsatsi;ela hloko tshireletso ya mahlo.
⑶ ho boloka maoto le matsoho a sebetsa hantle, ho matlafatsa mesebetsi ea 'mele e sa sebetseng kapa ho thusa mesebetsi e sebetsang.
⑷ koetliso e ntle ea ho khohlela ho phefumoloha, 2h e 'ngoe le e 'ngoe ho thusa bakuli ho fetoha, ho thunya morao, ho tataisa moea o tebileng, ho thusa ho ntša liphiri.
⑸ matlafatsa tlhokomelo ea letlalo, ho thibela maqeba a khatello.
⒒ tlhokomelo ea kelello: ho paterola ka nako, tlhokomelo ea bakuli, Thepa ea Tlhokomelo ea Bakuli ho latela maemo a ho buisana le malapa a bona, ho theha kamano e ntle ea mooki le mokuli, molemong oa ho fumana tšepo ea mokuli, tšebelisano ea lelapa le kutloisiso.
Ea bobeli, kemiso ea tlhokomelo ea bakuli ba coma
(I) Ela hloko lintlha
⒈ ho shebisisa matšoao a bohlokoa (T, P, R, BP), boholo ba seithuti, karabelo e bobebe.
⒉ lekola tšitiso ea GLS ea index ea kelello le tekanyo ea karabelo ho utloisisa tekanyo ea koma, e fumane liphetoho hang-hang tse tlalehiloeng ho ngaka.
⒊ tlhokomeliso ea bakuli ba nang le metsi, tekanyo ea electrolyte, rekota lihora tse 24, ho fana ka tataiso bakeng sa motheo oa ho khutlisa metsi.
⒋ ela hloko ho hlahloba mantle a mokuli, ho sheba hore na ke karabelo e ka bang teng.
(2) lintlha tsa booki
⒈ bitsa mokuli: opereishene, oa pele oa ho bitsa lebitso la eona, hlalosa sepheo sa opereishene le mehato ea ho itšireletsa.
⒉ ho theha le ho boloka moea o boreleli: nka lehlakore la hlooho ho ea ka lehlakore, ka nako leha e le efe ho hlakola li-secretions tsa tracheal, ho itokisetsa ho anya lintho, ka nako leha e le efe ea ho hula.
⒊ ho boloka intravenous infusion: tlaleho e tiileng ea palo ea lithethefatsi tse sebelisoang.
⒋ ho boloka maoto le matsoho a sebetsa, ho ikoetlisa kamehla le ho silila ho fana ka 'mele, thibelo ea letsoho, leoto le ho honyeleha, ho holofala le methapo ea kutlo.
⒌ ho khothalletsa ho hlaphoheloa ha boko: phahamisa bethe ho 30 ho ea ho likhato tse 45 kapa ho fana ka boemo ba semi-recumbent, phekolo ea meriana e behiloeng le ho hema oksijene.
⒍ ho boloka ts'ebetso e tloaelehileng ea ho ntša metsi: tlhahlobo ea kamehla ea bakuli ba nang le ts'oaetso ea mokokotlo oa senya, ka nako ea ho fana ka ntloana ea bethe, ho thusa ho silila mpa e ka tlaase ho khothalletsa ho ntša metsi, catheterization kapa ho fetola mekotla ea moroto e lokela ho ela hloko theknoloji ea aseptic.
⒎ ho lula u hloekile ebile u phutholohile: tlosa menoana ea maiketsetso, hairpin, ho pruning monoana (monoana) A;letsatsi le letsatsi tlhokomelo ea molomo habeli, boloka molomo o hloekile ebile o le mongobo, o ka penta oli ea parafine (lipstick) ho thibela ho petsoha ha molomo;ho hlatsoa lehlabathe kamehla le ho hlatsoa perineal, Ho nkela liaparo tse hloekileng sebaka.
⒏ ela hloko tšireletseho: pherekano e lokela ho ba bethe e eketsehileng, haeba e mpefetse haholo, e loketse ho fana ka lithibelo;ho tseba ka feberu e matla, ho teneha ha meningeal, Thepa ea Tlhokomelo ea Mokuli e lokela ho fuoa pholiso e sebetsang le ho beha leino la meno, ho thibela lerama le lomang;Mefuta eohle ea liphaephe, ho qoba ho thella.
⒐ ho thibela tšoaetso ea matšoafo: ho khutlela kamehla ho khutlela ho thunya, ho susumetsa mokuli ho khohlela, ho monya ka nako;lula u futhumetse, ho qoba serame, tšebeliso ea metsi a chesang ha mocheso oa metsi o se bonolo ho feta likhato tse 50, o ke ke oa ikopanya ka ho toba le letlalo ho thibela ho chesa.
⒑ Thibelo ea liso tsa khatello: tšebeliso ea bethe ea moea, karolo e hlahelletseng ea lesapo la seponche, boloka bethe e hloekile ebile e boreleli.Ka 1 ~ 2h ema hang.
⒒ tlhokomelo ea mahlo: tlosa li-contact lense ho lefa tekelo.Bakuli ha ba khone ho koala mahlo, tšebeliso e tloaelehileng ea li-saline bristles ho hlatsoa leihlo, ka mafura a mahlo kapa khoele ea oli ea Vaseline ho sireletsa cornea, Thepa ea Tlhokomelo ea Mokuli e thibela ho omella ha cornea le ho ruruha.
(Iii) Thuto ea bophelo bo botle
⒈ fumana lelapa ka tataiso ea litho tsa lelapa ho etsa tlhokomeliso e tsamaellanang ea bakuli hore ba qalelle koetliso ho thusa bakuli ka boikoetliso ba 'mele le ho silila.
⒉ tlhokomelo ea kelello: tlhokomelo ea ho khothaletsa bakuli, Thepa ea Tlhokomelo ea Bakuli e le hore bakuli ba lemohe litekanyetso tsa bona ka lapeng le sechabeng ho eketsa boitšepo ba ho hlola lefu lena.