Amabhandlela okucindezela

Isikhathi Nendlela Yokufaka Ukucindezela Kwisilonda Ukusebenzisa Ama-Bandages

Indlela ephumelela kakhulu yokulawula ukuphazamiseka kwengculazi ukusebenzisa ingcindezi. Uma ucabanga ngokusebenzisa ukucindezela, mhlawumbe ucabanga ngokubamba i-gauze pad ngokumelene nesilonda ngesandla sakho (ngethemba lokuthi uzogqoka amagilavu).

Inkinga ngokubambelela ngokucindezela ngqo ukuthi awuhlali unesandla samahhala ngaso sonke isikhathi. Kunezikhathi lapho ukulimala kusesandleni noma kufanele usebenzise izandla zakho ukwenza okuthile okubalulekile, njengokungena ekuphepha. Udinga ukhetho lokunakekelwa ngehendisfri olusalungisa inkinga.

Enye inketho i- tourniquet , okuyinto, uma isetshenziswa kahle, ngokuvamile idivayisi yokulawula ukuphuma kwegazi esheshayo futhi ephelele kunazo zonke. I-tourniquet inezilinganiso zayo, noma kunjalo. Kuzosebenza kuphela uma ukulimala sekuphelile futhi kunciphisa ukujikeleza kuwo wonke umlenze, okungenzeka unikeze umgogodla ongapheli futhi awusizo kakhulu.

Ukugqoka ukucindezela kunikeza enye indlela ephephile yokugcina ukucindezela ngesandla. Ngokugqoka ukucindezela, ukulawulwa kwegazi kuhloswe ekunqandeni ukuphuma egazini ngqo kunokuba ususe ukuphuma kwegazi kuwo wonke umlenze. Ngokungafani ne-tourniquet, ukugqoka ukucindezela kungasetshenziswa amanxeba phezu kwesiqu somzimba noma ekhanda.

Isikhathi Sokusebenzisa Ukugqoka Ukucindezela

Sunitha Pilli / Getty Izithombe

Uma kufanele usebenzise izandla zakho nezinyawo, ukugqoka ukucindezela kungase kube inketho engcono kune-tourniquet noma kunokubambelela ngokucindezela ngqo ngesandla. Kungcono kakhulu kunezandla zakho uma kungase kudingeke ubambe ukucindezela isikhathi eside, njengezimo ezinzima (ikamu noma i-backpacking, zombie apocalypse, izinhlekelele zemvelo, njll) nasezimo ezizolibaziseka usizo (isithuthuthu izigameko).

Ukugqoka ukucindezela kufinyelela kuzo zonke izimo nobukhulu, kodwa kukhona izingubo ezenziwe ngaphambilini ezithathwe ngezindlela ezihamba phambili. Uhlu olulandelayo lokugqoka kanye nama-agent ukuze usize ukuyeka ukuphuma kwegazi luyengeze kakhulu kithini lakho lokuqala lokusiza . Lezi yimikhiqizo ebalulekile, ikakhulukazi uma uzobe ususize kakhulu kunoma yisiphi isikhathi.

I-Israeli Bandage

Ama-bandages ase-Israel yi-granddaddy kuwo wonke amadivaysi agqoke ukucindezela. Zisetshenziswa emhlabeni wonke futhi ziyintandokazi phakathi kwezempi zase-United States. I-bandage yasungulwa umuthi wezempi wakwa-Israyeli futhi isakhiwa kwa-Israyeli, ngakho-ke isiteketiso.

Lezi zibopho zokugqoka zisebenzisa ifreyimu encane epulasitiki (ebizwa ngokuthi ibha ye-pressure) ukugxila kwengcindezi ngokuqondile esilonda. Umsindisi uhlanganisa i-bandage ezungeze isitho (noma ikhanda) futhi ngokusebenzisa uhlaka nebhasi ebeke ngqo phezu kokulimala. Khona-ke, ukuqondiswa kwe-bandage kuguqulwa, futhi ibha igxuma ekalini.

Njenge-tourniquet, i-bandage yakwa-Israyeli iwusizo kuphela uma idivayisi isetshenziswa kahle ngokucindezela okwanele.

Kuthatha umkhuba ukusebenzisa kahle amabhande ase-Israel, ngakho-ke uma uthenga owodwa, uthole okunye okumele ukwenze ukuze usebenzise.

Ama-Hemostatic Agents

Ezinye zokugqoka ziza nezithasiselo ezibizwa ngokuthi ama-hemostatic agents. Lezi zithasiselo zishukumisa ukuqeda ngokusebenzisa amafomu ahlukahlukene (kuye ngokuthi i-agent). Lezi zinto zathola idumela elibi kusenesikhathi ngoba zizoba nesisulu esiphezulu sokuphendula (sishise kakhulu). Ekugcineni, amafomula aye ngcono futhi ama-agent manje akwazi ukukhuthaza ukuvala ngaphandle kokukhiqiza ukushisa.

Ama-hmostatic agents atholakalayo njengezinto ezixekethile, ezinokugcoba ezingathululelwa ngqo kwilonda. Eziningi zazo zifana ne-cat litter (ezingeke zisebenze). Izinto ezixekethile zilungile uma ufuna ukuzithwala ngokwehlukana. Sincoma i-bandage nge-agent ye-hemostatic engene ngaphakathi kwento yokubopha.

Kulula ukusebenzisa i-bandage, nje ukumboze nxazonke zomlenze bese umboza isilonda. Njengamanye amadivaysi okulawula ukulimaza, ugcine uqinile. Ungadonseli i-bandage ngaphandle kokulimala ngaphambi kokuthola isiguli kudokotela. Ukudonsa i-bandage kungasusa i-clot bese uqala ukuphaphaza futhi. Uma igazi lingena nge-bandage yanoma yiluphi uhlobo, engeza elinye ibhande noma enye ingqimba yokulawula ukuphuma kwegazi.

Uma unamandla futhi udinga ukukwenza: sebenzisa i-tourniquet.

Ukufakela isilonda

Enye indlela yokugqoka ingcindezi esebenza ngokuhlukile ukupakisha isilonda. Lokhu kusengcindezi, kodwa kusetshenziselwa isilonda kusuka ngaphakathi kunokungaphandle. Umqondo uwukupakisha isilonda nge-gauze, eyokhula njengoba ithola igazi elitholakalayo.

Ezimweni eziningi, i-bandage eyenzelwe ukupakisha ine-bandage eminingi yamahhala engafakwa ngaphakathi kwilonda lensiza eyodwa ngomunye ngesikhathi, noma ibekwe isikhathi eside isikhathi eside emuva njenge-"Z" kuze kube yilapho i-gauze igubha isikhumba ekuvuleni kwesilonda.

Uma isilonda siphelile, sibophe nge-bandage ecacile ukuze ugcine impahla yokufaka ngaphakathi kokulimala.

Izinguqulo eziningana zezinto zokupakisha ezilonda manje sezifakelwe ama-hemostatic agents. Lokhu kwengeza ingqimba engaphezulu yokuvikela.

Ama-Bandage Wokunciphisa Ukuzikhandla

Ama-bandage wokuzibophezela azijwayele ukucatshangwa njengokulawula ukugaya igazi. Lezi zibopho zokugqoka zivame ukusetshenziswa njengama-bandage wokucindezela ukusetshenziswa kwemithi yama-orthopedic (njenge- RICE ). Isibonelo esivame kakhulu sokusebenzisa kwabo ukulawula ukuphuma kwamanzi ukuwasebenzisa ezinyembezini zesikhumba .

Noma kunjalo, ama-bandages abambelela ngokuzikhandla asebenza kakhulu ngokucindezela, ikakhulukazi uma ubeka umqulu (noma umquba omncane) we-gauze ngqo phezulu kwesilonda bese uwubopha ngalezi zingubo zokuqina eziqinile.

> Imithombo:

> Usuku lweM MW. Ukulawulwa Kwemiphumela Yokulimaza Okudabukisayo Okumangalisayo. Crit Nurse Care . 2016 Feb; 36 (1): 40-51. i-doi: 10.4037 / ccn2016871.

> Drew B, Bennett BL, Littlejohn L. Ukusetshenziswa kwamasu okulawulwa kwamaphashazi amanje okunakekelwa kwe-backcountry: ingxenye eyodwa, izivakashi kanye nokulawulwa kwesimiso sokulawula igazi. Wilderness Environ Med . 2015 Jun; 26 (2): 236-45. i-doi: 10.1016 / j.wem.2014.08.016.

> Littlejohn L, Bennett BL, Drew B. Ukusetshenziswa kwamasu okulawula isisu sokunakekelwa kwe-backcountry: ingxenye yesibili, ukugqoka kwe-hemostatic nezinye izigqoko. Wilderness Environ Med . 2015 Jun; 26 (2): 246-54. i-doi: 10.1016 / j.wem.2014.08.018.

> Navarro A, Brooks A. Ukusetshenziswa kwama-haemostatic ase-pro-coagulant wendawo yokulawulwa kwe-intra-cavity yokulimala ngemuva kokuhlukumezeka. I-Eur J Trauma Emerg Surg . 2015 Okthoba; 41 (5): 493-500. i-doi: 10.1007 / s00068-014-0441-4