Ama-tourniquets ayizinsimbi eziqinile ezisetshenziselwa ukulawula ukuphuma kwegazi ngokuvimba ngokuphelele ukugeleza kwegazi kuze kube yilonda. Ama-tourniquets asebenza kuphela engozini nasemlenzeni; awukwazi ukugoqa kahle ibhande eliqinile eduze kwentanyeni yesiguli bese uyigqamisa phansi ukuvimba ukugeleza kwegazi.
Ngokwesiko, izivakashi zazigcinwa ukuphuma kwegazi okungaphezulu kakhulu ukugcina isiguli singathuthuki .
Ukuphikisana kwe-Tourniquet
Ukusetshenziswa kwezinto zokuvakasha kwakubhalwe kuqala ebaleni lempi ngo-1674. Kuthiwa ukusetshenziselwa ukusetshenziswa kwe-tourniquet kuholela ekulimaleni okukhulu kwezicubu. Amasosha ayebanjwe izigxobo ezavame ukubhekwa ekusetshenzisweni kwezivakashi kodwa kwakungaba lula nje ukutheleleka. Ekugcineni, ama-tourniquets athuthukisa i-rap embi emkhakheni wezosizo oluphuthumayo lokuqala .
Ukusebenzisa i-tourniquet ezweni lomphakathi elivame ukubonwa njengento yokugcina. Kwacatshangwa ukuthi kunengqondo ngamasosha ngoba amanxeba okulwa nawo anzima futhi umpi olwaziyo ukulwa. I-tourniquet ingasetshenziswa futhi inganakiwe.
Lokho akusho ukuthi ama-tourniquets awasebenzi. Ngokuphambene nalokho, izivakashi zingabamba ukuphuma kwegazi kahle futhi ziwusizo lapho kwenzeka ukuphuma kwegazi okungenakuvalwa nganoma iyiphi enye indlela. Zithandwa kakhulu empini ngoba zingasetshenziswa ngokushesha futhi akudingeki zihlale ziqashwe uma zikhona, zivumele ngisho namasosha alimala ukuba ahlale eqaphela futhi aqhubeke elwa.
Izizwe, ukucabanga kwahamba, kwadingeka isikhathi. Singahamba ngokulandelana ngezinyathelo zokulawula ukuphuma kwegazi. Sifundiswa ukuqala ngokucindezela okuqondile futhi uma lokho kungasebenzi, khulisa. Uma ukuphuma kwegazi kuqhubekela phambili, i-tourniquet yaba yinketho eqondile. Ngakho-ke, ama-tourniquets ayecatshangelwa ukuthi aqinisekisa ukulahlekelwa isilwane uma esetshenzisiwe. Ukulahlekelwa ukugeleza kwegazi ngokuqinisekile kuyoholela ekulimazeni kwezicubu eziyingozi.
Imithi yesimanje, esekelwe ebufakazini ishintsha imibono ehlala isikhathi eside mayelana nama-tourniquets. Ukulimaza isifo esibucayi. Uma ikhona, idinga ukumiswa. Uma kungenjalo, isiguli singafa. Asikho isikhathi sokungcola nxazonke.
Nini ukusebenzisa i-Tourniquet
Isicelo se-Tourniquet kufanele senzeke ezimweni ezimbili:
- Uma ukuphuma kwegazi akukwazi ukumiswa ngokucindezela ngqo nokuphakama lapho kokubili kusetshenziselwa ngokushesha kanyekanyekanye.
- Uma kunesizathu esithile ukucindezela okuqondile akukwazi ukugcinwa, ngisho noma kusebenza.
Inombolo 1 yimbono yendabuko yokuhamba ngezinyathelo zokulawula ukuphuma kwegazi, kodwa isheshayo. Ngesikhathi ngisengumntwana ophuthumayo, ngifunda ukukhipha izifo futhi ngisindise izimpilo, ukulawulwa kwegazi kwafundiswa njengezingxenye zesicelo. Okokuqala, wazama ukucindezela okuqondile futhi, ngemva kwesikhashana, waqhubekela phezulu. Kuze kube nini ufanele ulinde akuchaziwe kahle. Kungakhathaliseki ukuthi yini, iphuze kakhulu futhi ayizange ibe nengqondo.
Kungani ulinde? Uma ukucindezela okuqondile nokuphakama kungasebenza ndawonye, yenze ndawonye. Phakamisa ingalo ngaphezu kwezinga lenhliziyo njengoba ucindezela kanzima ekuguleni ukuze ugobe umgodi. Uma ngaleso sikhathi igazi liqhubeka lihamba nge-bandage noma liphuma ngaphansi kweminwe yakho, i-tourniquet akuyona umqondo omubi.
Inombolo 2 yisifundo esifundwa empini. Abaqaphi balwa, futhi izivakashi zibavumela. Lokho kusebenza nakabantu, nabo. Abagibeli badinga ukugibela ukuze basize. Iziguli ezinokulimala okuningi zidinga ukwelashwa okuvumela izandla ukuba zikhululeke. Isikhathi eside silinde ukuthi i-ambulensi ibangele ukukhathala ezandleni zomkhululi ozama ukugcina ukucindezela okuqondile.
I-tourniquets ingase isetshenziswe ngokwesiguli. Ukuzibophezela kokucindezela okuqondile kunzima kakhulu.
Ukubambisana kwe-Application Application (CAT)
I-tourniquet yesicelo sokulwa (i-CAT) iyona ye-tourniquet evamile yokuhweba etholakalayo. Ihlangabezana nezimfuneko zezempi zase-US. Ngeke iphinde, isebenzisa i-windlass (isibambo sokuqinisa i-tourniquet), futhi ingasetshenziswa isiguli.
Lapho lezi zinto zifika kuqala emakethe, zafika kuphela ezimnyama, engingasikhuthazi ukuba zihambele umphakathi. Kunengqondo ngokuphelele esimweni sokulwa ukuze ungabonisi ngendwangu ekhanyayo ye-orange ezungeza ingalo yakho yokuphuma, kepha omnyama kufihla igazi futhi kunzima ukubona ekukhanyeni okuphansi. Odokotela esibhedlela bangaphuthelwa i-tourniquet uma kumnyama.
I-CAT kufanele ilungiselelwe ngaphambi kokusetshenziswa ngokudla isicu se-strap ngokusebenzisa ukuqhuma kwesibindi. Uma ungenjalo, kungaba nzima kakhulu ukucindezeleka ngesikhathi sokushisa, ikakhulukazi uma ugqoke amagilavu (nitrile noma isikhumba). Impendulo kuphela yokulungiselela i-tourniquet kusengaphambili ukuthi kufanele ube yi-slip phezu komkhawulo ukuze uyifinyelele.
I-Special Operations Force Tactical (SOFT) Yokuvakasha
I-SOFTT ifana ncamashi neCAT, ngaphandle kwe-buckle. I-CAT inomfutho wezingxabano ezingase zibe nzima ngesikhathi sokusetshenziswa, ikakhulukazi uma ugqoke noma yiluphi uhlobo lweglavu elivikelayo.
Isibhamu ku-SOFTT sihlangana ndawonye, okukuvumela ukuthi ube nokuphela kwesibhande esivele usondliwe ngokusebenzisa isilayidi sokuvuvukala. Kulesi simo, akudingeki ukuba usule umjikelezo wendwangu yesikhumba phezu kokuphela kwengalo noma umlenze olimele. Ungamane ugobe i-tourniquet ezungeze isilwane bese uyifake endaweni.
Lokhu kusebenza kuyasiza kuphela uma usebenzisa i-tourniquet komunye umuntu. Ngokuqondene ne-self-application iya, cishe akunakwenzeka ukuyihlanganisa ngesandla esisodwa, ngakho ukubeka engalweni yakho kufana nokusebenzisa i-CAT.
I-SWAT-T
I-SWAT-T iyinhlobo ehlukile ye-tourniquet kune-CAT noma i-SOFTT. Ukucatshangwa okuningi emiphakathini yabantu, isebenzisa i-raber enzima ukufeza into efanayo ne-windlass eyenzela abanye ababili. I-SWAT-T ayikwazi ukuzisebenzisa, kodwa ngokungafani ne-CAT noma i-SOFTT, ingasetshenziswa ezinganeni nakubantu abadala kakhulu.
Ama-tourniquets ane-windlass kufanele abe ne-platech pin , indawo ebanzi yendwangu engaphansi kwe-windlass evimbela isikhumba ekudonseni ekukhoneni okuboshwe. Ngaphandle kwekhasi elimnandi, isikhumba kanye nezicubu ezinomsoco zingadukiswa futhi zithwetshwe, zidale ubuhlungu, futhi ezigulini zesikhumba esibucayi, zilimale nakakhulu.
Ukufaka amapuleti ku-CAT kanye ne-SOFTT kwenza kube nzima ukuba banciphise amancane ngokwanele abantwana futhi bancane kakhulu, ikakhulukazi asebekhulile, iziguli ezikhulile. Okunye okunye okukhona kweziguli ezincane: i-SWAT-T ingahle ibe yizivakashi ezimbili zokulimala okuningi noma iziguli eziningi.
Iziphambeko ezivamile ze-Tourniquet
Inkinga ejwayelekile kunawo wonke ama-tourniquets ukuwabeka ngokukhululekile. Uma i-tourniquet ingasebenzi kakhulu ukuthi ayinakakhululekile, ayisebenzi.
Izithameli ezithuthukisiwe zinezinga eliphakeme kakhulu lokuhluleka, ngakho kufanele njalo ugcine i-tourniquet yezokuhweba esitokisini sakho sokuqala sokukhipha igazi. Ngaphezu kwalokho, eqinisweni, ngoba i-tourniquet eyodwa-ngisho nalapho isetshenziswe kahle-kungenzeka ukuthi ayanele ukunqanda ukuphuma kwegazi. Ungesabi ukusebenzisa ama-tourniquets amabili noma amathathu, ikakhulukazi emilenzeni nasezigulini ezikhulu kakhulu.
Ngaphandle kokugwema ukusetshenziswa okungalungile kwezivakashi, ama-tourniquets akufanele asuswe nanoma ubani ngaphandle kwedokotela emnyangweni ophuthumayo. Ngenkathi ngishiya i-tourniquet endaweni ende kakhulu kungase kuholele ekulimaleni komzimba, angizange ngithole noma yimaphi amacala aqoshiwe alo monakalo kanye nokususwa cishe okuholela ekuphumeni okukhulu kakhudlwana.
> Imithombo:
> Beebe, uRichard, noDeborah Funk. Okusemqoka kokunakekelwa okuphuthumayo. 2001. Delmar.
> Mabry, uRobert L. "Ukusetshenziselwa ukuvakasha embonini yempi." Imithi YamaMpi. May 2006.
> Walters, Thomas J, noBabry, uRobert L. "Izinkinga ezihlobene nokusetshenziswa kwezivakashi ezibhekene nempi." Imithi YamaMpi. Sep 2005.