Na farko, marasa lafiya marasa lafiya na yau da kullun na kulawa
⒈ liyafar ɗumi na marasa lafiya, mai haƙuri da aka sanya shi a cikin dakin gaggawa ko sashin kulawa mai zurfi, Kayan aikin Kula da marasa lafiya don kiyaye iskar cikin gida sabo, dumi da zafi dacewa;nagari masu hakuri da yan uwa na asibitin (Section) manufa.
Ƙididdigar lokaci:
Ciki har da ainihin halin da ake ciki, manyan alamun bayyanar cututtuka, yanayin fata, jarrabawar taimako mai kyau, nau'in bututu, maganin miyagun ƙwayoyi da sauransu.
⒊ matakan kulawa na gaggawa: saurin kafawar samun damar shiga jini (dangane da yanayin da kaddarorin magunguna don daidaita yawan drip), oxygen (dangane da yanayin daidaita yanayin iskar oxygen), saka idanu na ECG, catheterization na ciki, dumi, yi iri-iri. na tarin samfura, Kayan aikin Kula da Mara lafiya don taimakawa daidaitaccen Dubawa, idan ya cancanta, shirye-shiryen riga-kafi mai aiki.
⒋ kwanciyar hankali da aminci
⑴ bisa ga cutar don ɗaukar matsayi mai dacewa.
⑵ don kula da patency na iska, marasa lafiya na coma ya kamata su zama hanci da hanci da kuma ɓoyewar endotracheal, zuwa iskar oxygen.
⑶ a rufe hakora, za a iya amfani da majiyyaci tabarbarewar hakora, bude baki, don hana cizon harshe, karin harshe.
⑷ zazzabi mai zafi, coma, delirium, irritability, rauni da jarirai da yara ƙanana ya kamata a ƙara shinge, idan ya cancanta, don ba da bandeji, don hana gado, don tabbatar da lafiyar marasa lafiya.
⑸ shirya duk kayan aikin ceto, magunguna da kayan aiki, ceton cikin gida ya kafa jihar jiran aiki.
⒌ Kusa da lura da yanayin: kulawa na sirri, Kayan Aikin Kulawa na Mara lafiya, Alamomin lafiya na majiyyaci, sani, almajiri, zubar jini, SpO2, CVP, wurare dabam dabam da fitsari da sauran yanayi na lura mai ƙarfi;tare da likita rayayye ceto, yi reno records.
⒍ magungunan da aka ba da izini, aiwatar da shawarar likita na baka, da za a maimaita ba tare da izinin amfani ba.
⒎ kiyaye bututu iri-iri masu santsi, gyarawa yadda ya kamata, wuri mai aminci don hana kashewa, karkace, toshe;m fasahar bakararre don hana retrograde kamuwa da cuta.
⒏ don kiyaye bayan gida santsi: riƙe fitsari don ɗaukar hanyoyin taimakawa fitsari;idan ya cancanta, catheterization;maƙarƙashiya a matsayin yanayin enema.
⒐ dangane da yanayin da za a kula da abinci: don kula da ruwa, ma'auni na electrolyte da kuma saduwa da ainihin bukatun abinci na jiki;masu azumi na iya zama abinci mai gina jiki na jijiyoyi.
Kulawa na asali
9, gashi, idanu, jiki, baki, hanci, hannu, kafa, perineum, dubura, tsabtar fata;biyar zuwa gado: uku na farko, Medicine, reno, shinkafa, magani, ruwa ga mara lafiya gado).
⑵ safiya, kulawar maraice sau 2 a rana;kula da baki na urethra sau 2 a rana;kula da tracheotomy sau 2 a rana;kula da kare ido.
⑶ don kula da aikin gaɓoɓi, don ƙarfafa ayyukan da ba a so na jiki ko don taimakawa ayyukan aiki.
⑷ horarwar tari mai kyau, kowane 2h don taimakawa marasa lafiya juyowa, harbi baya, jagora don zurfin numfashi, don taimakawa fitar da sirruka.
⑸ ƙarfafa kula da fata, rigakafin ciwon matsi.
⒒ kulawa ta hankali: sintiri na lokaci, kula da marasa lafiya, Kayan aikin Kula da marasa lafiya bisa ga halin da ake ciki don sadarwa tare da danginsu, kafa kyakkyawar dangantakar jinya da haƙuri, don samun amincewar haƙuri, haɗin gwiwar dangi da fahimtar juna.
Na biyu, marasa lafiya suna kulawa na yau da kullun
(I) Kula da maki
⒈ Kusa da lura da alamun mahimmanci (T, P, R, BP), girman almajiri, amsa haske.
⒉ tantance rikicewar GLS na ma'anar sani da kuma matakin amsa don fahimtar matakin coma, an sami canje-canje nan da nan da aka sanar da likita.
⒊ lura da marasa lafiya da ruwa, ma'auni na electrolyte, rikodin adadin sa'o'i 24, don ba da jagora ga tushen rehydration.
⒋ Kula da duba stool maras lafiya, duba ko yuwuwar amsawa.
(2) wuraren jinya
⒈ kiran majiyyaci: aiki, wanda ya fara kiran sunansa, ya bayyana dalilin aikin da matakan tsaro.
⒉ don kafawa da kuma kula da hanyar iska mai santsi: Ɗauki gefen kai zuwa gefe, a kowane lokaci don share ɓoyayyun tracheal, shirye don tsotsa abubuwa, a kowane lokaci tsotsa.
⒊ don kula da jiko na ciki: cikakken rikodin adadin magungunan da aka yi amfani da su.
⒋ don kula da aikin ɗan gaɓoɓi, motsa jiki na yau da kullun da tausa don samar da jiki, rigakafin hannu, ƙafa da kwangila, nakasawa da jijiyoyi.
⒌ don inganta farfadowar aikin kwakwalwa: tada gado daga digiri 30 zuwa 45 ko don ba da matsayi na tsaka-tsaki, maganin likita da aka tsara da kuma iskar oxygen.
⒍ don kula da aikin zubar da ciki na yau da kullun: jarrabawar yau da kullun na marasa lafiya tare da riƙewar fitsari na mafitsara, a kan lokaci don ba da bayan gida, don taimakawa tausa ƙananan ciki don haɓaka fitsari, catheterization ko maye gurbin jakar fitsari ya kamata a kula da fasahar aseptic.
⒎ don kula da tsabta da jin dadi: cire hakoran haƙora, gashin gashi, yatsa mai yatsa (yatsa) A;kula da baki yau da kullun sau biyu, tsaftace baki da danshi, ana iya fentin man paraffin (lipstick) don hana tsage leɓe;wanka yashi na yau da kullun da wankin perineal, Sauya tufafi masu tsabta.
⒏ kula da aminci: tashin hankali ya kamata ya zama karin gado, idan akwai matsananciyar wahala, ya dace don ba da ƙuntatawa;sani tare da matsananciyar zazzaɓi, ciwon sankarau, Kayan aikin kula da marasa lafiya yakamata a ba su sanyaya mai inganci da sanya kushin hakori, don hana cizon kunci;Duk nau'ikan bututu, don guje wa zamewa.
⒐ don hana kamuwa da cutar huhu: juyawa na yau da kullun don harba, don tayar da tari mai haƙuri, tsotsawar lokaci;ci gaba da dumi, don kauce wa sanyi, yin amfani da ruwan zafi lokacin da zafin ruwa ba shi da sauƙi zuwa fiye da digiri 50, ba zai iya tuntuɓar fata kai tsaye don hana ƙonewa ba.
⒑ Rigakafin ciwon matsa lamba: yin amfani da gadon iska, kashi wanda ke fitowa daga sashin soso, kiyaye sashin gado mai tsabta da santsi.Kowane 1 ~ 2h ya tashi sau ɗaya.
⒒ Kulawar ido: cire ruwan tabarau don biyan kulawa.Marasa lafiya ba za su iya rufe fatar ido ba, yin amfani da salin bristles na yau da kullun don wanke ido, tare da maganin shafawa ido ko zaren mai Vaseline don kare cornea, Kayan aikin Kula da Mara lafiya rigakafin bushewar corneal da kumburi.
(Iii) Ilimin lafiya
⒈ sami iyali tare da jagorancin 'yan uwa don aiwatar da daidaitaccen wayar da kan marasa lafiya don dawo da horo don taimakawa marasa lafiya tare da motsa jiki da tausa.
⒉ kulawa da hankali: kulawa don ƙarfafa marasa lafiya, Kayan aikin Kula da haƙuri don marasa lafiya su gane dabi'un kansu a cikin dangi da al'umma don ƙara ƙarfin gwiwa don shawo kan cutar.