Indlela yokujova izimfudu

Kubanikazi abaningi, ukujova izimfudu kubonakala kuyinto engenakwenzeka, futhi umuntu angakwazi ukuzwa isimangalo esithi "Ngabe banikezwa imijovo ngempela?!". Yiqiniso, izilwane ezihuquzelayo, ikakhulukazi izimfudu, zenza izinqubo ezifanayo nezinye izilwane, ngisho nakubantu. Futhi ngokuvamile ukwelashwa akuphelele ngaphandle kwemijovo. Ngokuvamile, imijovo ayinakugwenywa, ngoba kuyingozi ukunikeza izidakamizwa emlonyeni wezimfudu ngenxa yengozi yokungena ku-trachea, futhi inqubo yokunikeza ithubhu esiswini ibonakala kubanikazi besabisa nakakhulu kunomjovo. Futhi akuzona zonke izidakamizwa ezitholakala ngendlela yamaphilisi, futhi ngokuvamile kulula kakhulu futhi kunembe kakhudlwana ukudosa umuthi ngendlela yomjovo ngesisindo sofudu ngalunye.

Ngakho-ke, into eyinhloko ukulahla ukwesaba inqubo engaziwa, okuyinto, eqinisweni, engeyona inkimbinkimbi futhi ingakwazi ukuqondiswa ngisho nabantu abangahlobene nemithi kanye nemithi yezilwane. Imijovo enganikezwa ufudu lwakho ihlukaniswe yaba i-subcutaneous, intramuscular and intravenous. Kukhona futhi i-intra-articular, intracelomic kanye ne-intraosseous, kodwa azivamile futhi kudingeka ulwazi oluthile ukuze uzenze.

Ngokuya ngesilinganiso esinqunyiwe, ungase udinge isirinji engu-0,3 ml; I-0,5 ml - engavamile futhi ikakhulukazi ezitolo eziku-inthanethi (itholakala ngaphansi kwegama elithi tuberculin syringe), kodwa ibalulekile ekwethuleni imithamo emincane kuzimfudu ezincane; I-1 ml (isipetu se-insulin, okungcono amayunithi ayi-100, ukuze ungadideki ngokwezigaba), 2 ml, 5 ml, 10 ml.

Ngaphambi komjovo, hlola ngokucophelela ukuthi ingabe udonse inani eliqondile lomuthi kusipetu futhi uma unokungabaza, kungcono ukubuza uchwepheshe noma udokotela wezilwane futhi.

Akufanele kube khona umoya kusirinji, ungawuthinta ngomunwe wakho, ubambe inaliti phezulu, ukuze amabhamuza akhuphukele esisekelweni senaliti abese ephuma. Umthamo wonke odingekayo kufanele uthathwe umuthi.

Sicela uqaphele ukuthi kungcono ukuthi ungaphathi isikhumba sezimfudu nganoma yini, ikakhulukazi ngezixazululo zotshwala ezingabangela ukucasuka.

Senza umjovo ngamunye ngesirinji ehlukile elahlwayo.

Imvamisa, izixazululo ze-saline yesondlo, i-glucose 5%, i-calcium borgluconate inqunywa ngaphansi kwesikhumba. Ukufinyelela endaweni engaphansi kwesikhumba kulula kakhulu ukukwenza endaweni engaphansi kwamathanga, ku-inguinal fossa (kancane kancane endaweni yesisekelo sehlombe). Kunesikhala esikhulu esingaphansi kwesikhumba esikuvumela ukuthi ufake inani elikhulu loketshezi, ngakho-ke ungathuswa umthamo wesirinji. Ngakho-ke, udinga umgodi phakathi kwe-carapace engaphezulu, ephansi kanye nesisekelo sethanga. Ukuze wenze lokhu, kungcono ukwelula i-paw ubude bayo obugcwele, futhi ubambe i-turtle emaceleni (kulula kakhulu ukwenza lokhu ndawonye: umuntu ubamba eceleni, owesibili udonsa i-paw futhi ugwaze). Kulokhu, ukugoqa kwesikhumba okubili kwakha unxantathu. Kolem phakathi kwalawa mafolda. Isirinji akufanele ijovwe nge-engeli elungile, kodwa ngama-degree angama-45. Isikhumba sezilwane ezihuquzelayo siminyene impela, ngakho-ke lapho uzwa ukuthi ubhoboze isikhumba, qala ukujova umuthi. Ngomthamo omkhulu, isikhumba singase siqale ukuvuvukala, kodwa lokhu akusabi, uketshezi luzoxazulula phakathi nemizuzu embalwa. Uma, ngokushesha ngemva komjovo, ibhamuza laqala ukufutheka esikhumbeni endaweni yomjovo, khona-ke cishe awuzange ubhoboze isikhumba kuze kube sekugcineni futhi usijove nge-intradermally, vele uhambise inaliti ngaphakathi ngomunye umbhangqwana wamamilimitha. Ngemuva komjovo, cindezela futhi uhlikihle indawo yomjovo ngomunwe wakho ukuze imbobo evela yenaliti iqiniswe (isikhumba sezilwane ezihuquzelayo asinwebekanga futhi inani elincane lomuthi lingavuza endaweni yomjovo). Uma ungakwazanga ukwelula isitho, khona-ke indlela yokuphuma iwukugwaza phansi kwethanga, eduze konqenqema lwe-plastron (igobolondo eliphansi).

I-Vitamin complexes, ama-antibiotics, i-hemostatic, i-diuretic nezinye izidakamizwa zilawulwa nge-intramuscularly. Kubalulekile ukukhumbula ukuthi ama-antibiotics (kanye neminye imithi ye-nephrotoxic) yenziwa ngokuqinile ezidlalweni zangaphambili, ehlombe (!). Eminye imithi ingajovwa emisipha yethanga noma ezinqeni.

Ukwenza umjovo ehlombe, kuyadingeka ukwelula i-paw yangaphambili bese ucindezela umsipha ongenhla phakathi kweminwe. Sinamathisela inaliti phakathi kwezikali, kungcono ukubamba isirinji nge-engeli engu-45 degrees. Ngokufanayo, umjovo wenziwa emsipheni wesifazane wemilenze yangemuva. Kodwa ngokuvamile, esikhundleni sengxenye yesifazane, kulula kakhulu ukujova endaweni ye-gluteal. Ukuze wenze lokhu, susa umlenze wangemuva ngaphansi kwegobolondo (goqa endaweni yemvelo). Khona-ke ilunga libonakala kahle. Sigwaza phezu kwelunga eliseduze ne-carapace (igobolondo eliphezulu). Kunezihlangu eziminyene emilenzeni yangemuva, udinga ukuhlaba phakathi kwazo, ufaka inaliti ngamamilimitha ambalwa ukujula (kuye ngokuthi ubukhulu besilwane esifuywayo).

Inqubo yomjovo onjalo ayilula futhi yenziwa udokotela wezilwane. Ngakho-ke, igazi lithathwa ukuze lihlaziywe, ezinye izidakamizwa zilawulwa (ukumnika okusekela uketshezi, i-anesthesia ngesikhathi sokusebenza). Ukuze wenze lokhu, kukhethwa umthambo womsila (kudingeka uhlabe phezu komsila, uqale uphumule emgogodleni bese uhlehlisa inaliti ngamamilimitha ambalwa ukuya kuyo), noma i-sinus ngaphansi kwe-arch ye-carapace (engenhla). igobolondo) ngaphezu kwesisekelo sentamo yofudu. Ukuhlaziywa ngaphandle kokulimala empilweni, igazi lithathwa ngevolumu ye-1% yesisindo somzimba.

Kudingeka ukwethulwa komthamo omkhulu womuthi. Indawo yomjovo iyafana neyomjovo ongaphansi kwesikhumba, kodwa ufudu kufanele lubanjwe lubheke phansi ukuze izitho zangaphakathi zihambe. Sibhoboza ngenaliti hhayi isikhumba kuphela, kodwa futhi nemisipha engaphansi. Ngaphambi kokujova umuthi, sidonsela kithina i-syringe plunger ukuze siqiniseke ukuthi ayingeni esinyeni, emathunjini noma kwesinye isitho (umchamo, igazi, okungaphakathi kwamathumbu akufanele kungene kusijethi).

Ngemuva kokujova, kungcono ukuthi izimfudu zasemanzini zibambe isilwane emhlabeni imizuzu eyi-15-20 ngemuva komjovo.

Uma ngesikhathi sokwelashwa, i-turtle inqunywe, ngaphezu kwemijovo, ukunikeza izidakamizwa nge-probe esiswini, khona-ke kungcono ukunikeza imijovo kuqala, bese ngemva kwesikhashana unikeze imithi noma ukudla nge-tube, kusukela ngokulandelana. yezenzo, ukuhlanza kungase kwenzeke ngomjovo obuhlungu.

Iyini imiphumela yemijovo?

Ngemva kwezidakamizwa ezithile (ezinomphumela ocasulayo) noma uma zingena emithanjeni yegazi ngesikhathi sokujova, kungase kwakheke ukucasuka kwendawo noma imihuzuko. Le ndawo ingagcotshwa izinsuku ezimbalwa ngamafutha e-Solcoseryl ukuze iphole ngokushesha. Futhi, isikhathi esithile ngemva komjovo, ufudu lungaxhuga, ludonse noma lwelule isitho lapho umjovo owenziwe khona. Lokhu kusabela okubuhlungu kuvame ukuxazulula phakathi nehora.