Sebenzisa Lezi Zithombe Ukuze Uthole i-Frostbite

by U-Rod Brouhard, i-EMT-P; Ibukezwe nguRichard N. Fogoros, MD

Igalari yezithombe ze-Frostbite kusuka eMncane kuya ePhezulu

I-frostbite ilimaza izicubu zomzimba ngendlela efanayo evuthayo. Eqinisweni, ukulimala kwama-frostbite kanye nokulimala kungabonakala kufana kakhulu, futhi ama-frostbite angabalwa ngendlela efanayo.

Izimpawu ze-Frostbite

I-frostbite ingenzeka ngezindlela eziningi ezahlukene, okubonakala ngokucacile kusuka ezithombeni ezahlukene. Kungakhathaliseki ukuthi ukukhuphuka eNtabeni i-Everest noma ukuchofoza ukulimala nje isikhathi eside kakhulu, i-frostbite kungukulimala okungase kushiye uphawu lwayo kuze kube phakade.

I-Frostbite Treatment

Awukwazi ukuphatha kahle ama-frostbite ngaphandle uma uyibona. Sethemba ukuthi lezi zithombe zizokunika umbono wokuthi amahlumela angabonakala kanjani.

I-Frostbitten Face

Ukuhamba Ukuzingela Kuholela E-Frostbite Emathunzini Ubuso obunamafutha obugibele i-snowmobile. I-Japeofapes

"Kwakuyiviki lesithathu likaJanuwari futhi nganquma ukuhamba," kusho umfundi uJapeofapes. "Sasifuna i-caribou ne-windmoeld yami ye-snowmobile iphrofayili ephansi kakhulu."

UJapeofapes uthi yena nomlingani wakhe bayeka itiye. Ngesikhathi umlingani wakhe ebona ubuso bukaJapeofape, wathi, "Oww man! Ubuso bakho buqothule!"

Ngiyavuma ngempela "Owww man!" Lokhu kubonakala sengathi kubuhlungu.

I-Japeofapes ithi "uyayisondeza ngeqhwa ngakho angizange ngizwe ubuhlungu obukhulu kamuva futhi kwasebenza." Akuqiniseki ukuthi ngithandana no "thawing" frostbite ngeqhwa. Ukubeka iqhwa esikhumbeni se-frostbitten kanye nezicubu ze-muscle cishe kuzoqhubeka nenqubo yokuqandisa. Nakhu indlela yokuphatha kahle ama-frostbite .

I-Japeofapes ayisho ukuthi ubuso bakhe bunjani noma abuphilanga. Uthi iminwe yakhe nayo ibhekene ne-frostbite. Uthi usalokhu ezwa enganqamuki futhi ehlaba iminwe eminwe yakhe futhi esola ngokuthi "akawatholi" ngeqhwa.

I-Big Toe Frostbite Blister

Ukuhamba ngamamitha angu-9 kuColding Cold egqoke izicathulo kuphela ezibangelwa ama-blister amahle kakhulu ama-Frostbite onozinyosi kuya etheni. UTimoti J. Kosier

UTimoti J. Kosier uthi uhlangene eduze kwekhaya lakhe ngaphandle kweWestcliffe, Colorado, futhi wayefanele ahambe amakhilomitha angu-9 egqoke amasokisi, izimbadada, amagilavu alula kanye nengubo. Uthi akaqapheli ukulahlekelwa kwenzwa nokuvuvukala eminwe nasezinzwaneni zakhe kuze kube usuku olulandelayo-ikakhulukazi umshayeli onzwane zakhe ezinkulu.

"Ngangimangale ngoba kwakungaphezulu kwama-20," kusho uThimothewu ekuhambisweni kwakhe kwesithombe esibandayo, "hhayi kubanda kakhulu.

Ngomfana waseCalifornia onjengaye, amazinga okushisa kuma-20s angenhla azwakala kahle kakhulu. Ngicabanga ukuthi konke kuhlobene. Kungakhathaliseki ukuthi ucabanga ukuthi kubanda noma cha, kungaphansi kweqhwa futhi uThimothewu wahamba ngamamayela angama-9 ngale ndlela ngaphandle kokuvikelwa okwanele. Kwakuyisifundo esinzima ukufunda, kodwa wenza.

UThimothewu uyaxwayisa: "Ungalokothi ulungele ukulungiswa, akudingeki ukuba ube ngaphansi ngezansi ukuze uthole u-frostbite. Ngibambezele phansi ngezansi, kungekho nkinga-ngangikulungele ngaleso sikhathi."

I-White Frostbite ku-Fingertips

I-White, i-Waxy Skin iyisignali engozini ye-Frostbite. (c) uDani Darley

I-Frostbite ukulimala okubandayo esikhumbeni. Ngempela, isithwathwa sakhiwa ama-tissue afriziwe namanzi. I-frostbite yonakalisa isikhumba esinjengendlela eshisa ngayo. Izimpawu ze-Frostbite zingafana kakhulu nokushisa; I-frostbite idala ukubola kwegazi, ukuvuvukala nezicubu zokufa (i- necrosis ).

Iningi lezincwadi zezifundo lichaza ama-frostbite njengamhlophe futhi aqhamuka. Akusi njalo njalo, kodwa lesi sithombe sibonisa ukuthi ubusika bungabonakala kanjani. UDan Darley ungitshela lokhu kukhwabanisa kuboniswe ngemuva kosuku ekulandeleni. Ikhasi lakhe le-flickr lezithombe uthi wayese-Yellowknife, NT, Canada elungiselela uhambo oluya eNyakatho Pole. E-imeyli, uDan ulandisa indlela athole ngayo amaqhwa nokuthi wayigcina kanjani ekubi nakakhulu:

"Ngathola umonakalo ohambweni lokubuyela emuva - kwenzeka ekuseni futhi njengoba sisendleleni angizange ngithathe amagilavu ami kuze kube kusihlwa - ngakho angenzanga lutho oluqondile lokufudumala iminwe. nezinye izinsuku ezimbalwa ngaphambi kokuba sibuyele ehhotela lethu kodwa ngakwazi ukubenza bahlale befudumala ngaphandle kokungahambi kahle, nakuba ngangikhathazekile kakhulu. "

Enye yezinto ezibaluleke kakhulu uDan azenza kwakungeke kuthungele amaqabunga ngenkathi esesehlane. Kubaluleke kakhulu ukuthi ungaphathi ama-frostbite kuze kube yilapho kungenakwenzeka ukuthi ungavuma. Uma izicubu ziqhwaza, zikhuphuka futhi ziqhwaza futhi, umonakalo uthola isikhathi ngasinye.

I-frostbite kaDani ibheke kangcono inyanga ngaphandle kokwelashwa, kodwa kuthiwa kuthatha amasonto amaningana ukuze uzizwe uphulukiswe ngokuphelele.

I-Frostbite Ngemva Kwamaviki Amibili

I-White, i-Waxy Skin iphenduka Black njengoba Layer Top iphela. (c) uDani Darley

UDani Darley wabelane ngalesi sithombe ngeminwe yakhe efrijiweyo ngemuva kwamasonto amabili ngemuva kokuba iqhwa. Ikhasi lakhe le-flickr lezithombe uthi wayese-Yellowknife, NT, Canada elungiselela uhambo oluya eNyakatho Pole.

Le frostbite iqalile ukubuka okulindile nomhlophe, okuyinto incazelo classic of frostbite ezincwadini eziningi. Ngemva kwamasonto amabili, ukulimala kwaphenduka mnyama futhi isikhumba sasibukeka, sifana nendlela ukushisa okuqala ukuqala ukuqala.

I-Frostbite Emva Kwamaviki amane

Isikhumba Esisha Esiqhamuka Esikhundleni Samahlumela Ase-Frostbitten. (c) uDani Darley

UDani Darley wabelane ngalesi sithombe ngeminwe yakhe enqabile eyathatha amasonto amane ngemuva kokuba iqhwa. Ikhasi lakhe le-flickr lezithombe uthi wayese-Yellowknife, NT, Canada elungiselela uhambo oluya eNyakatho Pole.

Ngemuva kokuthi izicubu zesikhumba ezilimele, i-new, isikhumba esiluhlaza siyayifaka esikhundleni sayo. Kulolu daba, uDan uthi iminwe efrijini ibonakala ingcono ngenyanga, kodwa kuthatha amasonto ambalwa ukulimala ukuzizwa uphulukiswe ngokuphelele.

I-Frostbite ukulimala okubandayo esikhumbeni. I-frostbite yonakalisa isikhumba esinjengendlela eshisa ngayo. Izimpawu ze-Frostbite zingafana kakhulu nokushisa; I-frostbite idala ukubola kwegazi, ukuvuvukala nezicubu zokufa (i- necrosis ).

I-Frostbite ku-Toes

Izindawo ezivela enhliziyweni kunokwenzeka ukuthi zithole ama-Frostbite onobuhlungu obunzima bokuthi umhlengi waseChina aphethwe yi-blizzard enamandla enyakatho-ntshonalanga yeChina ngonyaka ka-2006. Ukushisa ngesikhathi sezulu kwakungaphansi kwamazinga angu-45 ngaphansi kwezinga. Isithombe ngu-China Izithombe / i-Getty Images

Umzimba unjengemoto yemoto. Sishisa uphethiloli (ushukela) ohlanganiswe ne-oksijeni ukwenza amandla. Futhi njengenjini-sishisa.

Umzimba wakho ushisa kakhulu emgodeni wayo, eduze nenhliziyo. Enye yezinzuzo zenhliziyo yakho ephoqa igazi nxazonke ukusabalalisa lokho kushisa kuwo wonke umzimba wakho.

Njengoba ungase ucabange, igazi eliqhubekayo lithola enhliziyweni ipholile. Yingakho izandla zakho, izinzwane nekhala zibonakala sengathi ziqala ukubandayo-azikona njengegazi elishisayo njengalo lonke.

Lapho imvelo ibanda kakhulu, njenge-blizzard enyakatho-ntshonalanga yeChina ngonyaka ka-2006 ewehla emazingeni angu-45 ngezansi zero, yilokho izindawo ezikude nenhliziyo ezithinta kakhulu. I-frostbite ivame kakhulu lapho igazi lingenawo ngokusheshisa noma njengokushisa.

Ngokuqapha okufanele, ungakwazi ukugwema i-hypothermia ne-frostbite. Ukwelapha ama-frostbite kuyinkinga ebucayi futhi kufanele kwenziwe nje ngaphandle kwesibhedlela uma kungekho enye inketho etholakalayo.

I-Black Frostbite ku-Fingertips

Ukulimala kwaphakade kusuka eFreestbite eNew Zealand nomkhumbi wamabhilidi uMark Inglis wahlushwa amaqabunga ngenkathi ekhuphuka eNtabeni Everest ngo-2006. Isithombe nguSandra Mu / Getty Images

Ezimweni ezinzima ze-frostbite, isikhumba kanye nezicubu ezijulile zingase zibe yizinhlanzi futhi ziguqule noma zibe zimnyama uma zifa. Ukuzwa, ukunyakaza nokugeleza kwegazi konke kulahlekile. Uma izicubu zingasuswa ngokuhlinzwa, lesi sifo singasakaza futhi sibe nesifo sofuba.

I-frostbite ingenzeka emaminithini ambalwa nje ezimweni ezimbi kunazo zonke, njengamazinga okushisa angaphansi kwe-Mount Everest. Endaweni enjalo eqhelile cishe akunakwenzeka ukudonsa izicubu ezibandayo ngaphambi kokulimala okungunaphakade.

Njengoba i-frostbite ibuhlungu kakhulu ezindaweni lapho igazi ligeleza khona-njengalokhu kutholakale kalula-awekho igazi elifudumele lokumisa izicubu ezinqamule ekupholiseni izicubu eduze kwalo. Yileyo ndlela amaqabunga asakazeka ngayo. Ukukhipha izicubu emkhathini obandayo kuyindlela ewukuphela kokumisa ama-frostbite.

I-Frostbite evela ku-Ice Pack

Qaphela Lapho Ushaya Injabulo Akubanga Ukubangela I-Frostbite Frostbite emagqeni emva kokuphatha nge-iphakethe leqhwa elisetshenziswa ngokungafanele esikhumbeni. (c) uMelanie Martinez

Ukusebenzisa i-ice (ingxenye yezokwelapha lokuqala i- RICE yokwelashwa) kunganciphisa ukuvuvukala ngemuva kokuba othile enesifo sokulimaza noma ukulimala kabi, kodwa ukusebenzisa ice ngokungalungile kungabangela iqhwa.

Kubalulekile ukuthi ungafaki iqhwa ngqo esikhumbeni noma ushiye i-ice isikhathi eside kakhulu. Kunamacala amaningana aqoshiwe we- frostbite kusuka kumaphakethe e-ice .

I-Frostbite Enamandla Eminwe

Ama-blisters amasha abonisa i-Frostbite evelele. (c) i-Winky kusuka ku-flickr

Amaqanda asekuqaleni angase ahlukaniswe kalula nokushisa. Umonakalo wesikhumba ubangela cishe ukuvuvukala nama-blister ekuqaleni. Ngempela, njengoba iphilisa, i-frostbite ingabangela isikhumba ukuba siphume futhi siphume njenge-burn.

Qaphela ukubomvu nokuvuvukala eminwe yowesifazane. Amathanga akhe abonisa umonakalo omkhulu, okungenxa yokuthi amajoyina anesisindo esingaphansi kwamathambo. (Igazi eligeleza nge-muscle liyakusiza lihlale lifudumele.) Iminwe kakade ayinayo ukugeleza kwegazi okuningi ngoba ide kakhulu nenhliziyo, kodwa nxazonke zamalungu, ukugeleza kwegazi kungcono kakhulu.

Nakuba izibhansela ezisezintweni zisobala, kungenzeka ukuthi ubone ukuthi iminwe yakhe ivimba kanjani ngokubheka indandatho yakhe. Indandatho ibukhali kakhulu, ebonisa ukuthi umunwe ukhulu kakhulu kunokujwayelekile.

Lesi simo se-frostbite sasinzima. Lo wesifazane kuthiwa ulahlekelwe izingxenye zeminye iminwe yakhe kulokhu kulimala. Isibonelo esihle sokubukeka kwesikhumba esinzima kakhulu.

> Umthombo:

> Handford C, Thomas O, Imray CHE. I-Frostbite. Emerg Med Clin North Am. 2017 Meyi; 35 (2): 281-299. doi: 10.1016 / j.emc.2016.12.006. Buyekeza.