Amabhontshisi Esihluthulelo Emgodini Angase Aphulwe noma Ahlukaniswe
Amathambo omgogodla entanyeni, eyaziwa njenge-vertebrae yomlomo wesibeletho, angase aphulwe noma aphuthelwe uma intamo iphikisiwe, igxiliwe, noma ixhunyiwe. Ukuqhekeka noma ukufuduka komgogodla womlomo wesibeletho (C-spine) kungayinquma noma icindezele intambo yomgogodla.
Uma kukhona ubuhlungu bentamo emva kokulimala okukhulu, kufanele ngaso sonke isikhathi usola ukulimala kwe-C-spine. Kunezindlela eziningi lapho intamo ingalimaza ngendlela yokwenza ukulimala kwe-C-spine.
Ezinye izimbangela ezivamile zokulimala kwe-C-zihlanganisa:
- imoto noma izingozi zamabhayisikili
- ukulimala kwezemidlalo
- uyawa
- ukuhlaselwa
Uma ungabaza, futhi awuqiniseki ukuthi ukulimala kwesibeletho somlomo wesibeletho, kufanele ngaso sonke isikhathi ucabange ukuthi umgogodla wenzalo ulimale kuze kube yilapho ukulimala kuhlolwa kahle ngabasebenzi bezokwelapha.
Izinsiza Zokuqala Izinyathelo Zokulimala Kwesibeletho Sesibeletho
- Ukuphepha Okokuqala ! Qinisekisa ukuthi imvelo iphephile kokukhulula kanye nesiguli ngaphambi kokuba unikeze noma yimuphi usizo lokuqala. Njalo sebenzisa izinyathelo zokuqapha emhlabeni wonke futhi usebenzise imishini yakho yokuvikelwa noma nini lapho ungase uhlangane negazi noma umzimba wamanzi.
- Qinisekisa ukuthi isiguli siyaphefumula. Ukuphuza kubonakala kuyadingeka empilweni, ngakho-ke kubaluleke kakhulu ukudlula imithi yomlomo wesibeletho. Hlola ukubona ukuthi isiguli siyaphefumula yini. Uma bephefumula khona-ke ungaqala ukuya emlonyeni wesibeletho somlomo wesibeletho. Uma isiguli singaphefumuli, xhumana no-911 ngokushesha bese uqala i- CPR .
- Ngisho noma usola ukulimala kwe-C-spine, kubalulekile ukuqinisekisa ukuthi yiyona nkinga. Konke okusolakala ukuthi ukulimala komgogodla kufanele kuhlolwe yi- x ray . Shayela u-911 ukubiza i-ambulensi. Qinisekisa ukuthi uyazi umehluko phakathi kwamafoni omakhalekhukhwini namafoni avamile ngaphambi kokubiza 911 kumakhalekhukhwini .
- Uma isiguli singenalutho , vimbela umoya wesiguli ngokumbeka endaweni yokutakula. Indawo yokufaka impahla, njengenduku, ngaphansi kwekhanda lesiguli ngemuva kokugulisa isiguli eceleni kwakhe. Umcamelo usiza ukugcina intamo iqonde.
- Uma isiguli siphapheme, faka kokubili izandla ngaphesheya kwekhanda lesiguli ukuze uzinze. Ubambe ikhanda lesiguli ngobumnene kodwa ngokuqinile ukuligcina lihambe. Noma yikuphi ukunyakaza komgogodla wesibeletho kungenza ukulimala kwe-C-spine kubi nakakhulu. Vele ukhulule ikhanda ukuze usize ngesimo sezindiza, ukuphefumulela noma ukujikeleza kwesiguli, noma uma indawo ingaphephile.
- Qhubeka ukuvimbela ikhanda lesiguli kuze kube yilapho usizo lwezokwelapha lufika bese ukhumbuza isiguli ukuba singashukuthi. Khumbula, noma yikuphi ukunyakaza okungaphezulu komgogodla womlomo wesibeletho okwenziwe kakade kungabangela umonakalo owengeziwe, futhi kwenzeke ukulimala okubi nakakhulu. Yingakho kubaluleke kakhulu ukugcina ikhanda lesiguli lingenakulinganiswa futhi umzimba wabo usaqhubeka.
Amathiphu okulimala kwesibeletho somlomo wesibeletho
- Ngokwesibalo, ukulimala kwesibeletho somlomo wesibeletho akuvamile kakhulu. Akufanele uzibophezele ukuvimbela umgogodla womlomo wesibeletho uma isiguli singase sidinge ezinye izinhlobo zosizo lokuqala noma uma kunezinye iziguli okufanele zihambele.
- Ungalwi nesiguli ukuze uqondise ikhanda lakhe. Ungenza umonakalo omkhulu ngokucindezela isiguli ukuba ungashukumisi kunokuvumela ukuthi kwenzeke. Ubufakazi bubonisa ukuthi iziguli ziyeka ukuhamba ngokungahambi kahle phambi kokulimala kwesibeletho somlomo wesibeletho.
- Uma kungaphezulu kweyodwa umsindisi kuyatholakala, kufanele usebenzise izinyathelo zomuntu ezimbili ukuze uguqe isiguli endaweni yokutakula.
> Imithombo:
> Hong, R., Meenan, M., Prince, E., Murphy, R., Tambussi, C., Rohrbach, R., & Baumann, B. (2014). Ukuqhathaniswa kwezinhlelo ezintathu ze-Prehospital Cervical Spine Protocol for Ukulimala Okulahlekile. Western Journal Of Medicine Emergency , 15 (4), 471-479. doi: 10.5811 / westjem.2014.2.19244
> Morrissey, J., Kusel, E., & Sporer, K. (2014). Ukunciphisa Ukunyakaza Kwesipelingi: Uhlelo Lwezemfundo Nokuqalisa Ukuhlenga Ukuhlola Nokunakekelwa Kwama-prehospital. Ukunakekelwa kokuphuthumayo kwe-Prehospital, 18 (3), 429-432. doi: 10.3109 / 10903127.2013.869643