Lapho usebenzisa i-Tourniquet Kusho Ukukhetha Phakathi Kokuphila Ne-Limb
Ukusetshenziswa kwamathambo , izibopho ezinzima ezizungezile ingalo noma umlenze futhi ziqiniswe nge-windlass ukuze ziyeke ukuphuma kwegazi, ziye zazungeze iminyaka engaba ngu-400. Icala lokuqala elibhalwe phansi le-tourniquet elisetshenziselwa empini laliyi-1674. Izingxoxo zokuvimbela amaqembu (kodwa ngaphandle kokusebenzisa i-windlass) zibuyele emuva kakhulu kunalokho.
Ama-Tourniquets abaluleke kakhulu empini.
Banikezela ngezindlela zokungena ngezandla ukuze bayeke ukuphuma , okwenza isosha likhululeke ukuqhubeka lilwa futhi livimbela ukufa ekuguleni kwamanzi. Kusukela ngo-2001-2010, ukusetshenziselwa i-tourniquet ngamabutho kwakhula, kanye nokuphila. Ngesikhathi esifanayo, ukulimala kwaba kubi nakakhulu. Ukusetshenziswa kwe-Tourniquet kwaba yindinganiso yegolide futhi wonke amasosha ase-US Army afundiswe ukuyisebenzisa. Wonke umuntu waseMelika wasezempi wanikezwa i-tourniquet lapho engena endaweni yokulwa.
Izinganekwane
Eminyakeni edlule, izivakashi zathinteka ngokungahambisani nokuqothulwa kokuqedwa. Ukucabanga ukuthi ukusetshenziswa kwe-tourniquet kuzoholela ekulahlekelweni kwesilwane esasetshenziswa kuso. Akucaci ukuthi lokhu kuvela kuphi. Kungaba umphumela oqondile wokusetshenziswa kokuqala kwezinkambo zokuvakasha ukuze kube lula ukukhishwa. Masibhekane nakho; Kulula ukukhishwa isisu uma ushiya ukuphuma kwegazi ngesikhathi sokuhlinzwa.
Njengoba i-tourniquet ne-amputation zashadelana endabeni yezokwelapha zasendulo, yaphenduka yaba umbono wezimo eziphuthumayo nabahlengikazi ukuthi ukusetshenziswa kwe-tourniquet kuzoholela ekuthathweni kwe-amputation.
Ukusekela imibono kwakhiwe, kuhlanganise nomqondo wokuthi ukulahlekelwa kwegazi kuleso sitho kwakuzobulala zonke izicubu, okudinga ukuxoshwa. Kwakubhekwa njengento ebalulekile, kodwa, ukusindisa impilo yesiguli.
Lokhu kube izinsizakalo zezokwelapha eziphuthumayo, asikaze sivumele ukungabi nalutho kobufakazi kusisusa ezinkolelweni zethu.
Ngemuva kobufakazi bezempi obuvela ekulweni e-Iraq nase-Afghanistan baqala ukubamba ukuthi izivakashi zaziphephile futhi zisebenzayo, izimo eziphuthumayo ezihlala emphakathini zahlala futhi zaqaphela.
Iqiniso
Umonakalo we-tissue-ngokuvamile otholakala endaweni lapho i-tourniquet isetshenziswa khona hhayi yonke imilenze-eyenzekayo. Kodwa akuyona ukushintshaniswa okukodwa, impilo yomlenze. Kukhona ubufakazi obuncane kakhulu bokuthi ukusetshenziswa kwezimo eziphuthumayo ze-tourniquet kubangela noma yimuphi umonakalo omkhulu emkhakheni ovame ukulimala kakade. Ake sibhekane nakho, ngeke ubeke i-tourniquet engalweni noma emlenzeni ngaphandle uma ingalo noma umlenze usuvele ubonakaliswe kakhulu. Kuleso simo, cishe akukho ndlela yokukwazi ngokuqinisekile ukuthi i-tourniquet yenza into ebuhlungu kakhulu.
Lesi akusona isizathu esihle sokusebenzisa i-tourniquet-um, asikwazi ukutshela ukuthi umonakalo uvela ekunakekeleni, ngakho-ke qhubeka-kodwa izivakashi zigcina izimpilo. Ukulondoloza izimpilo kuyisizathu esihle sokuwasebenzisa.
Imithombo:
I-JF Jr, i-Dubick MA, i-Aden JK, i-McKeague, i-Rasmussen TE, iBaer DG, i-Blackbourne LH. Ukusetshenziswa kweMpi yama-US kusukela ngo-2001 kuya ku-2010. Prehosp Emerg Care. 2015 Apr-Jun; 19 (2): 184-90. i-doi: 10.3109 / 10903127.2014.964892.
Ode G, Studnek J, Seymour R, Bosse MJ, Hsu JR. Izivakashi eziphuthumayo zezakhamuzi: Kungenzeka yini ukuthi izifundo zasempi ekupheleni kwesimiso segazi zihunyushwe?
J Trauma Surging Okumangalisayo. 2015 Oct; 79 (4): 586-91. i-doi: 10.1097 / TA.0000000000000815.
Saied, A., Ayatollahi Mousavi, A., Arabnejad, F., & Ahmadzadeh Heshmati, A. (2015). Lalela Funda Kudivayisi kuphela Kwengeziwe Buka Kufakiwe Okuningi kusuka kunjiniyela Tourniquet in Surgery of Limbs: Review of History, Types and Complications. I-Iranian Red Crescent Medical Journal , 17 (2). doi: 10.5812 / ircmj.9588