Abaqaphi futhi beka abahlengikazi ezingozini babhekene nokukhathazeka okukhulu ngokugcina iziguli zilimale ikhanda ngemva kokulimala. Bakhathazekile ukuthi isiguli singaba nengxabano. Inkolelo ukuthi uma evunyelwe ukulala, isiguli sizofa. Ingabe kudingekile ukugcina iziguli ezinobungozi bekhanda ngokushiya ukungenazi lutho?
Cha. Ukukhukhumeza iziguli ezikhanda ikhanda njalo njalo ihora noma kunjalo bekuyi thuluzi lokuhlola elijwayelekile eminyakeni eminingi edlule, kodwa ukwelashwa kushintshwe ngobuchwepheshe obunjengobacwaningi be- CT ne-MRI .
Ngisho nanamuhla, kulula ukubona ukuthi iziguli ezilimazayo ezikhukhumezekile (hhayi ukuthi zigcina ziphapheme) zibonakala ithikithi labo lokusinda.
I-Glasgow Coma Scale (noma i-Score)
Ithuluzi elilodwa le-tech elisezingeni eliphansi esisazisebenzisayo ukuhlola iziguli zokulimala kwekhanda libizwa ngokuthi i-Glasgow Coma Scale (GCS), elenza ikhono lobuchopho likwazi ukusebenza. Izilinganiso zicabangela izimpendulo ezingcono kakhulu zesiguli eziqondisweni, ukuthintana, nokuzungezile. Zihlanganisa ukuthi isiguli siphendula kanjani izwi nokubuhlungu. Esigulini esingenalwazi , ukuhlola ubunzima bokulimala kwekhanda okungase kusho ukuthi kufanele umvuse. Eqinisweni, kulula kangakanani ukumvusa kuyingxenye ye-Glasgow Coma Scale.
Isikali mhlawumbe yisimiso esibi kunawo wonke ohlelweni oluphuthumayo (landela kanye futhi uzobona ukuthi kungani). Izilinganiso ezintathu zamehlo, amazwi, nezithuthuthu.
Amehlo anquma ukuthi yini eyenza amehlo ogulayo avule. Lona "kulula kangakanani ukuwavusa" ukulinganisa.
Isiguli esiqaphile ngokugcwele sinamehlo akhe avulekile sonke isikhathi. Uthola amaphuzu amane. Uma kufanele uthi okuthile ukuze umenze avule amehlo akhe, sisho ukuthi uyasabela ekuvuseleleni amazwi (hhayi ukudideka ngesilinganiso somlomo ) futhi uthola amaphuzu amathathu. Ukugcoba ama-knuckles emgodleni wakhe ukuze amvule amehlo akhe kusho ukuthi uyasabela ekuvuseleleni okubuhlungu futhi uthola amaphuzu amabili.
Ngokwenza lutho neze-ngisho nokuvula amehlo akhe-uthola iphuzu.
Izinyathelo zokukhuluma ukuthi isiguli sakho siphendula kanjani imibuzo. Uma ephendula imibuzo ngendlela efanele futhi engakwazi ukuxoxa, kuthiwa uhleleke futhi uthola amaphuzu amahlanu. Ungakwazi ukuphendula imibuzo ngokufanele ukuthi udidekile noma udidekile futhi uthola amaphuzu amane. Uma esebenzisa amagama, kodwa angenzi kahle, uthola amaphuzu amathathu wokuzama. Uma engumngcwabo wangaphandle, unikezwa amaphuzu amabili okwenza umsindo. Ulale nje? Iphuzu.
I-Motor yisilinganiso sokunyakaza kwesiguli. Uma engakwazi ukulandela imiyalo (blink uma ucela noma ucindezela izandla zakho), unikezwa amaphuzu ayisithupha. Uma engenzi lokho okutshela khona, kufanele umlimaze (kancane, ungaphili). Abantu baphendukela ekuvuseleleni okubuhlungu ngendlela engalindelekile. Gubha ama-knuckles akho emgodleni wakhe (isifuba). Uma ebamba izandla noma ewaxosha, lawo amaphuzu amahlanu futhi abizwa ngokuthi indawo . Ukuzama ukukhipha kude kuthiwa ukuhoxiswa futhi kuwufanele amaphuzu amane. Ukufakela i-Flexor (izandla zenza izimbambo nezinzwani ezikhomba kude) zithola amaphuzu amathathu. Ukwandisa ukuthumelela (iminwe iqondile nezinyosi zikhomba ngasekhanda) amaphuzu amabili. Khumbula, zombili izinhlobo zokuthumela okubalwa kuphela uma kwenzeka ngoba ubangele ubuhlungu.
Nakulokhu, uma isiguli silele nje, mnike iphuzu.
I-GCS ibalwa ngokungeza zonke izilinganiso ezintathu ndawonye. Iningi isiguli singathola amaphuzu angu-15. Lona amaphuzu aphelele. Isiguli esingasabeli sithola amaphuzu angu-3. I-GCS iye yahlala isikhathi eside kakhulu.
CT Scans
Kwaze kwaba yilapho izithwebuli ze-CT zitholakala kalula, abantu abasola ukuthi babelokhu beqhubekile bathunyelwa ekhaya bevela ER kanye namalungu omndeni abaye bafundiswa ukuvusa iziguli njalo ihora noma ngaphezulu. Uma umndeni ungakwazanga ukuvusa isiguli, bafundiswe ukushayela u-911 noma ukumbuyisela ku-ER.
Manje lezi ziguli zengxabano zingasetshenziswa ukuze zikhishwe ukulimala okungathí sina kobuchopho, odokotela abasasadingeki batshele amalungu omndeni ukuba avuse iziguli. Icala ngalinye lihlukile, kanti odokotela abathile bazobe batshela amalungu omndeni ukuba avuse iziguli kanye noma kabili ngobusuku, kodwa ngokuvamile akudingeki.
Akusekho icala lokugcina ukulimala kwekhanda isiguli siphapheme ukwelashwa okukhethiwe. Uma isiguli singapheli lutho, akukho lutho esingakwenza ngaphandle kwesibhedlela esifanele ukuze sihlale siphapheme. Uma ungeke ukwazi ukuvusa isiguli esicatshangelwa ukuthi ulimale ikhanda, shayela u-911 noma umyise kumnyango ophuthumayo ngokushesha.