Ngakho-ke, ake sithi udlale nezingane nje emdlalweni ohambahambayo noma udla, into ethile yamhlekisa, wathinteka kakhulu - futhi wakhukhuka kakhulu. Noma wabamba into encane, ngokungalindelekile, futhi wayithumela emlonyeni wakhe. Lokhu kwalandelwa ukukhwehlela. Waqaphela ngokukwesaba ukuthi kukhona okungene emlonyeni wakho. Yini okufanele uyenze uma ingane isivele igwinya umzimba wangaphandle, okwamanje uvimbela ukuphefumula?
Okokuqala, uma ungakaze ubone ukuthi kukhona okungene emlonyeni wengane, ubheka ngokucophelela, ingabe unezimpawu zokuthola umzimba wangaphandle emgodini wokuphefumula? Lezi yizibonakaliso:
- kwaba nzima ukuthi ingane iphefumule, nakuba kungakapheli ngomzuzu owodwa edlule wayeseyidla ngokuzithokozisa i-kashka / idlala ngemininingwane encane, futhi akukho lutho olunezinkinga;
- ukuphefumula komntwana ngokuzumayo kubonakala sengathi kunzima futhi kuqhubeka isikhathi eside;
- ingane yaqala ukubamba intamo;
- Izwi lakhe lalincipha noma ithoni yezwi lakhe lishintsha;
- Lapho umntwana ephilisa, wenza umsindo ozwakalayo wesondo;
- umntwana unomkhuhlane oqinile, ovame ukuhambisana nokuhlanza okunamandla;
- ukuphefumula kwengane kwaqala ukugubha njalo njalo;
- Uma ingane yakho ikwazi ukukhombisa ukuthi ibuhlungu kuphi, khona-ke iyokhononda ngobuhlungu obusemva kwesifuba sakhe;
- waqala ukugubha, izindebe zakhe zathola i-tinge eluhlaza okwesibhakabhaka;
- Uqaphele ukuthi ingane izama ukumemeza, yisho okuthile noma ikhale, kodwa ayitholi.
Ngakho-ke, ungaqonda ukuthi umntwana unento ethile enamathele emoyeni ngezindlela ezimbili: noma ngabe uzibonele ngamehlo akho ukuthi le nto ishaya kanjani umntwana emlonyeni wakho, noma uqaphele ukuthi lezi zimfucumfucu zabonisa kanjani ukuthi zithinteka noma ziyafa emtholampilo.
Khona-ke izenzakalo zingathuthuka ngokuvumelana nezimo ezimbili, ezixhomeke enhlalakahleni yengane ngemuva kokugwinya lo mzimba omncane futhi onobungozi wangaphandle. Ingane isesimweni sokukhwehlela, mhlawumbe, i-burping; noma walahlekelwa futhi wabulawa.
Ake siqale ukucabangela ukhetho lokuqala: yini okufanele uyenze uma ingane encane ithola umzimba wangaphandle emlonyeni wakhe, kodwa izimpawu zokugcwala zivele zingabonakali okwamanje? Mhlawumbe, ngalesi sikhathi umntanakho uzokhukhumeza ukukhwehlela, ngakho-ke sizokunika okubaluleke kakhulu, mhlawumbe, iseluleko: ungalokothi unqume lokhu kukhwehlela! Kungenxa yokukhwehlela ukuthi ingane ikwazi ukukhipha into yangaphandle yona, futhi ayikho impahla yakho ngemuva kuzosiza kule simo kangcono kunokukhwehlela kwemvelo. Ngakho ungamkhathazi, ungamvimbeli ukuyeka ukukhwehlela futhi ungakhathazeki - makazame ukubhekana nesimo sakhe siqu.
Ngakho uma sekudlule imizuzu embalwa futhi ingane isazama ukuhlanza umphimbo wakhe, uma ukuphefumula kwakhe, noma ngabe kushaya umoya, kodwa kuzinzile futhi kungabeki isikhathi eside, uma kungaphenduki, bese uthatha izinyathelo ezinjalo. Ngokushesha shayela i-ambulensi bese udlulisela ingane endaweni lapho umoya omusha ungagudluki khona egumbini (igumbi elihle kakhulu elinamafasitela amakhulu angavulwa noma ibhaluni nhlobo) bese ucela ingane ukuba ikhwehle kahle. Uma ngabe ingane isenkingeni ebonakala ingakhululekile noma engeyona engokwemvelo - ungayilungisi, ngalesi sikhathi umbala obonakalayo ubonakala kakhulu, yikuphi okulula kakhulu ukuba ahlanze umphimbo wakhe. Kungcono uma ingane encane imile, noma ezimweni ezimbi kakhulu, ihlezi, kodwa uma ingenamandla okwanele okubamba lesi sikhundla, yifake eceleni kwakhe ukuze ilale kancane futhi ingathinti phezulu emhlane. Lindela odokotela ukuba bangene futhi bangakuqedi ukunakekelwa kwengane yakho okwesibili, ngokushesha nje uma uqaphela ukuthi isimo sakhe sibuhlungu, ukuthi ingane iyayeka ukukhwehlela, ayikwazi ukukhuluma nawe futhi iphefumule, noma ilahlekelwe ukwazi - ilungele ukuqhubeka nesigaba sesibili sesenzo , ukukhulula.
Ngakho-ke, kuthiwani uma ugqozi lwakho lugwinya into encane ebopha umoya womoya futhi ivimbela ukuphefumula? Uma ngabe ingane ilahlekelwe ukwazi, ngokushesha uqhubekele esenzweni. Ngokwemvelo, uzobe ukhathazekile ukwesaba ukuthi ungakwazi nje kwandisa isimo ngezenzo zakho. Kodwa-ke, shiya konke ukwesaba: ngeke kube kubi nakakhulu. "I-Ambulance" ekusebenzeni akusiyo njalo njalo, kufanele ukhumbule ukuthi kunezimo lapho impilo kanye nokuphila kwengane yakho kuxhomeke kuwe. Ngakho-ke, siyaqhubeka nokusebenza okuphuthumayo kokusindisa. Okokuqala udinga ukuhlola-mhlawumbe, umzimba wangaphandle awunamathele kakhulu emphinjeni wengane. Futhi ungayikhipha, ngaphandle kokulinda odokotela ukuba bafike. Ukuhlola lokhu, beka umntwana bese uvula umlomo wakhe. Umhlathi ophezulu ugcinwe ngomunwe wenkomba yesandla esisodwa, ophansi unamathele ngesinye kwesinye isandla, kufana nomunwe ofanayo ocindezela ulimi ukuze ungaphumeleli. Manje hlola ngokucophelela isigxobo somlomo: mhlawumbe uzobona umzimba wangaphandle futhi ungasusa kalula?
Kodwa-ke, kunesilumkiso esinamandla: uma ungaboni into ekhonjiwe, ungazami ukuyithola ngokungahleliwe, ngokungaboni kahle, ngoba kunengozi enkulu ukuthi uzongandisa isimo ngokucindezela isihloko ngokujulile esihlokweni.
Izenzo ezengeziwe zixhomeke ngokuqondile eminyakeni yengane, ngoba isinyathelo esilandelayo kuyoba umzamo wokukhipha umzimba wangaphandle emqaleni.
Uma ingane ingaphansi kwengonyaka ubudala ...
Beka isandla sakho, futhi isandla sakho emadolweni akho. Inhloko yomntwana kufanele ibe ngaphansi komzimba. Okulandelayo, udinga ukwenza ama-strokes amahlanu anembile, kodwa anamandla phakathi kwamabhodlela wengane - udinga ukushaya isisekelo sesundu, uqondise ukushaya njengokungathi kusuka ngemuva - kuya emakhanda.
Ngemva kwalokhu, beka umntwana ngemuva, emadolweni, futhi ehlisa ikhanda lakhe ngaphansi kwesiqu. Ngokushesha kakhulu, yenza ukuchofoza okuyisihlanu nge-index yakho kanye nomunwe ophakathi esifubeni sakho, phakathi naphakathi, wehlisa i-sternum yakho phansi ngamasentimitha angu-2.
Uma uneschoolschooler ...
Izenzo zifana ngokufanayo: okokuqala ubeke ingane emadolweni ukuze umzimba uphezulu kunekhanda, futhi wenze izinhlangothi ezinhlanu ngesintendeni phakathi kwamahlombe ehlombe, uqondise ukushaya ngalunye kusukela emuva kuya ekhanda. Bese ubeka ingane engxenyeni ephansi, bese ubeka ingcindezi emihlanu esifubeni, kodwa ngesandla sonke, futhi wehlisa i-sternum ngesikhathi esifanayo ngamamitha angu-3.
Uma unomfundi wesikole ...
Ema ngemuva futhi kancane eceleni komntwana, ewusekela ngesandla esisodwa phezu kwesifuba, uyifake kancane phambili. Yenza yonke imivimbo emihlanu emhlane emkhatsini we-blades ekuqondeni kusuka ngezansi-up. Uma lokhu kungakusizi, ke uqhubekele ezinyathweni ezikhawulwayo - vuka ngemuva, uphaqa ingane eduze kwesinqe. Enye ibhande, cindezela phakathi kwendwangu kanye nokuqala kwe-sternum, futhi isandla sesibili sibambe ngokuqinile isibhamu. Yenza ama-punches amahlanu, uwaqondise njengokungathi uya phezulu, kanyekanye-ngaphakathi.
Uma isimo somntwana omdala singasakwazi ukuma, thatha izinyathelo ezilandelayo. Beka ingane endaweni ephepheni, mhlawumbe - phansi, ngoba uzodinga isikhala sokuhamba. Yima phezu komntwana emadolweni akho, uhlanganise imilenze yakhe phakathi kwabo. Gcwalisa izintende zezandla ezilodwa bese uwabeka endaweni yomzimba phakathi kokuphela kwe-thorax kanye nenkaba yomntwana bese wenza ama-jerks amahlanu aqinile, eqondisa ukucindezela phezulu nangaphakathi.
Lezi ziphazamiso nokuthuthumela okwenzayo, esikhundleni somntwana okhwehlelayo - bavusa ukubonakala kwengcindezi emoyeni, ngakho-ke bangakwazi ukukhipha into ehlanganisiwe. Ngakho-ke, ngemuva kwezinhlangothi zonke ezinhlanu ngemuva kokuchofoza kanye no-5 ukuchofoza ku-sternum, hlola umlomo womlomo - ingabe umzimba womzimba wangaphandle ongekho emthethweni uvele khona?
Ukuvuselelwa kwe-cardiopulmonary
Uma zonke izinyathelo zakho zokusebenza zingaholeli ekutheni udaba lwangaphandle luvela ngaphandle, futhi ingane isivele iqala ukulahlekelwa yimiqondo futhi iyeka ukuphefumula, bese uqhubeka ngokuqhubeka nokuvuselelwa kwe-cardiopulmonary.
Kuyini? Lona uhlobo lwezinyathelo ezihloswe ekususeni umuntu ekufeni kliniki. Ungazibona kanjani ukuqala kokufa komtholampilo? Ngezizathu ezintathu: uma kungekho umoya, akukho ukuqonda futhi akukho ukujikeleza kwegazi. Lezi yizici eziyisibonakaliso sokuqala kokuvuselelwa kwe-cardiopulmonary.
Yini okufanele uyenze lapho ingane ishona ekufeni ngenxa yokugwinya komzimba wangaphandle oqhubekile emoyeni? Uma usendaweni yedwa - fula, shayela omakhelwane bakho, vumela othile ukuba akusize. Phindela emuva ngokushesha, khumbula ukuthi unemizuzu engu-5-8 kuphela yokumphoqa ingane ukuba iphefumule, khona-ke kuyoba nokufa kwegazi, indlela okubuya ngayo, oya, cha.
Ngemuva kweminithi yokuvuselela okusebenzayo, zihlwitha kude okwesikhashana, bese ubiza i-ambulensi - bese uqala kabusha ukuvuselelwa kuze kube yilapho abasebenzi bezokwelapha befika ekusizeni. Uma kunomunye umuntu endlini, funa uxhumane ne-ambulensi nabathumeli kuye, bavumele ukuba baqaphele lokho odokotela abasebenza khona, baphinde baqhubeke, kuze kube yilapho odokotela befika.
Khumbula izinyathelo ezintathu zokuvuselelwa kwe-cardiopulmonary, ngaphandle kokulahlekelwa umbono nokulandelana kokuziphatha kwabo, njengoba lokhu kubaluleke kakhulu .
Isigaba 1 - ukukhululwa komgudu wokuphefumula kusuka emzimbeni wangaphandle;
Isigaba sesi-2 - ukuphefumulela okufakelwayo;
Isiteji sesi-3 - ukuhlunga inhliziyo.
Sesivele sichaze ngaphezu kwalokho okufanele ukwenze ukuze ukhiphe into eyingozi emthonjeni wokuphefumula. Uma uqiniseka ukuthi ayikho enye entanyeni yengane - ungaqala ukuphefumulela okufakelwayo (uma, ngempela, ingane ingaphefumuli ngemva kokususwa komzimba wangaphandle). Kodwa uma ungazange ukwazi ukuwuthola - ukuvuselelwa kwe-cardiopulmonary ngeke kwenzeke, ngoba ukuphefumula okufakelwayo kuzokwenza nje ukuthi into eyingozi iqhubekele phambili.
Ngakho-ke, uma ukukhishwa kwemimoya kukhishwa - yibeke phansi bese uphonsa ikhanda lakhe, uphakamise isikhumba sakhe kancane - ngakho-ke umoya ozovula futhi ulungele ukudlulisa oksijini. Susa izingubo uma ziphazamisa ukunyakaza kwesifuba, uma ukhathazekile futhi awukwazi ukususa ngokushesha futhi ngokunembile - ukusipha noma ukusika.
Manje ake sikhulume ngekhono lokwenza umoya wokuphefumula. Ngakho-ke, isikhundla sokuqala: ingane ilele phansi futhi ikhanda lakhe liphonswe emuva, uphakamisa isikhumba sakhe futhi uvula umlomo wakhe. Manje bhala, bese uphuma ngesikhathi esisodwa emlonyeni nasempumeni lomntwana, njengokungathi uzimboze ngenhla ngezindebe zakho. Uma ingane ikhulile futhi awukwazi ukuphuma emzimbeni emibili ngesikhathi esisodwa, bese uphonsa umuthi wengane bese wenza ukuphefumula komlomo ngomlomo. Uma, ngesizathu esithile (ukusika, isibonelo), awukwazi ukuvula umlomo umntwana, yenza umlomo wakho uphefumule emakhaleni akho, kodwa kuphela uma uvula izindebe zakho akunakwenzeka.
Vula umoya emaphashini wengane ngamasekhondi angu-1.5 - ungasaphinde, ungakhohlwa ukuthi namanje kuncane kakhulu. Khumbula, emva kokuphuma kwakho kwesinye isifuba somntwana kufanele sikhuphuke. Ngemuva kokuphuma kwezingu-5, hlala kancane bese ubukela esifubeni kancane kancane. Uma uqaphela ukuthi isifuba asihambeli nhlobo, zama ukugxilisa ikhanda lomntwana ngokwengeziwe futhi wenze amanye amahlanu ngaphezulu. Futhi uma, emva kwalokhu, i-thorax ayishukumisi, khona-ke umuntu angadonsela isiphetho esisodwa kuphela: emoyeni, kukhona okunamandla. Zama futhi ukuphoqa into yangaphandle ngaphandle kwekhanda lomntwana.
Uma konke kubuyela emuva evamile, futhi isifuba siyovuka ngemva kokushaya emoyeni emaphashini, bese-yehlela phansi, khona-ke ungaphumelela okwesithathu, isigaba sokugcina sokuvuselelwa kwe-cardiopulmonary - ukusikhipha kwenhliziyo.
Ukunakwa: ngenkathi i-massage yenhliziyo ingane (noma kunjalo, njengomuntu omdala) kufanele ilale endaweni eqinile nephezulu, lesi simo sinesibopho sokusebenza. Indawo okudingayo ukucindezela nayo ifana nayo wonke umuntu: kungaphakathi kwesifuba.
Uma unomntwana kuze kube unyaka, khona-ke udinga ukucindezela inkomba kanye neminwe ephakathi yesandla sakho, uma ingane ikhulile - ngesandla esisodwa noma ezimbili.
I-push yakho ngayinye kufanele ihlehlise isifuba cishe ingxenye yesithathu. Udinga ukucindezela kaningi, wenza cishe amaphuzu ayikhulu ngomzuzu. I-akhawunti "eyodwa" ukunyakaza okubili kokusikhipha: ukucindezela iseli nokukhulula i-cage (lezi zinyathelo ezimbili kufanele zithathe cishe isikhathi esifanayo, ungaqinise futhi ungasheshi ukucindezela nokukhulula).
Uma wenza izikolo zokusikhipha ezingamashumi amathathu - yeka. Ukugcoba ikhanda lakhe nokuphakamisa ingane yomntwana, yenza ukuphefumula okufakelwayo ngokuthatha umoya ophefumula emaphashini. Lona isilinganiso esilinganiselwe sama- akhawunti ama-massage angu-2 okuphelelwa yisikhathi kumaphaphu amabili .
Uma unesifo esikuvimbela ukwenza ukuphefumulela okufakelwa umuntu, lokhu akusona isizathu sokwenza ukushaya kwenhliziyo - kungcono kunanoma yini! Njengokungathi usuke uphelelwe ngokomzimba futhi ungasakwazi ukucindezela isifuba sakho ngejubane elinjalo eliyingozi - kungcono nje ukuba unciphise ijubane, bese wehlisa izandla zakho. Ungaqeda ukusikhipha lapho odokotela befika, noma uma kwenzeka ingane iqala ukuphefumula.
Njengoba ubona, ngezinye izikhathi umphumela wesimo lapho umntwana egwinya khona umzimba onobungozi obuthakathaka wangaphandle futhi wavala amapheshana akhe okuphefumula ancike kwijubane lokuphendula kwakho futhi wazi ukuthi yini okudingeka ukwenze. Khumbula amaqiniso amabili alula: kungcono ukwenza okungenani into kunokungenzi lutho; Kubalulekile ukwazi ukulandelana kwezinyathelo zokuvuselela ukuze kusize ingane. Isimiso somama siyizinto ezinamandla, kodwa ekusongeni ukuphila, izimo ezibucayi ezicindezelayo, "zingesabisa" ngokwalo, bese-ke kufanele uthembele kulokho owaziyo kakade. Futhi, uyazi, ezimweni ezinjalo akusoze isikhathi sokufunda imiyalo nezincomo. Ngakho-ke, uhlelo lokuvuselela kufanele lufundwe ngenhliziyo. Sithemba, isihloko sethu sizokusiza ukuba ubeke ulwazi oludingekayo oluzosiza esimweni esibucayi. Kodwa ngaphezu kwakho konke sikhuthaza ukuba uqaphele izingane zakho, ikakhulukazi ezincane kakhulu, ngoba ukulawula okuqinile kuzosiza ukugwema okwenzekayo okunjalo okusongela impilo.