Iingqungquthela ziindawo ezixinyiweyo ezisetyenziselwa ukulawula ukuphuma kwegazi ngokumisa ngokupheleleyo ukuhamba kwegazi kwilonda. Iingqungquthela zisebenza kuphela kwingozi yengalo nomlenze; awukwazi ukumbamba kakuhle ibhande elixinyiweyo entanyeni yesigulane uze uyihlwithe ukuyeka ukuhamba kwegazi.
Ngokwesiko, ii-tourniquets zigcinwe ukuphuma kwegazi ngokugqithiseleyo ukuze kugcinwe isigulane.
I-Controversy ye-Tourniquet
Ukusetyenziswa kweethenkethe kwakubhalwe kuqala kwibala lemfazwe ngo-1674. Kuthiwa ukunyanzeliswa kokusetyenziswa kwe-tourniquet kuholele kumonakalo omkhulu weethambo. Amajoni aye anqunywe ngamalungu ayedla ngokubakho ekusebenziseni iithenethi kodwa ayenokuba lula ukusuleleka kwintsholongwane. Ekugqibeleni, ii-tourniquets zavelisa i-rap embi kwintsimi yoxakeko lokuqala .
Ukusebenzisa i-tourniquet kwilizwe elinobuhlanga lalibonwa njengento yokugqibela. Kwakucingelwa ukuba baqiqa ngamasoldati ngenxa yokuba amanxeba okulwa nawo anzima kwaye umphangi kufuneka alwe. I-tourniquet ingasetyenziswa kwaye inganyanzelwanga.
Oko akuthethi ukuba izitishi zokuhamba zihamba zingasebenzi. Ngokuchasene noko, ii-tourniquets zingabamba ukuphuma kwegazi kakuhle kwaye ziyabanceda kwiziganeko zokuphuma kwamanzi angenakuvalwa nayiphi na indlela. Zithandwa kakhulu empini ngenxa yokuba zingasetyenziswa ngokukhawuleza kwaye azidingeki ukuba zihlolwe rhoqo emva kokuba zikhona, zivumele ukuba amasosha asemazini ahlale eyazi kwaye aqhubeke elwa.
Abantu abahlali, ukucinga behamba, babe nexesha. Singahamba ngokulandelelana ngamanyathelo okulawula ukuphuma kwegazi. Siye safundiswa ukuqala ngcinezelo oluzeleyo kwaye ukuba oko akusebenzi, kukwandisa. Ukuba ukuphuma kwegazi kuqhubekile, i-tourniquet yaba yinto enzima. Ngenxa yoko, i-tourniquets yayicinga ukuba iqinisekisa ukulahleka kwesigxina ukuba zisetyenziswa. Ukulahlekelwa kukuba ukuhamba kwegazi kuya kubangela ukuba umonakalo weethambo ezinobungozi.
Inamhlanje, unyango olusisiseko lobungqina lugqithisa imibono eninzi ephathelele kwii-tourniquets. Ukuphazamiseka kwimiba enzima. Xa ikhona, kufuneka imiswe. Ukuba akunjalo, isiguli singafa. Akukho xesha lokungcola ngeenxa zonke.
Ixesha lokusebenzisa i-Tourniquet
Isicelo sokhenketho kufuneka senzeke kwiimeko ezimbini:
- Ukuba ukuphuma kwegazi akunakunqandwa ngokunyanzeliswa ngokuthe ngqo kunye nokuphakama xa zombini zisetyenziswa ngokukhawuleza kunye kunye.
- Ukuba kukho nayiphi na isizathu sokuba uxinzelelo oluthe ngqo alukwazi ukugcinwa, nokuba lusebenza.
Inombolo 1 yimbono yendabuko yokuhamba ngamanyathelo okulawula ukuphaphaka, kodwa ikhawuleza. Xa ndandingumntwana oncedisayo, ukufunda ukugxotha izifo nokugcina ubomi, ukulawulwa kwegazi kufundiswe njengezohlulo zesicelo. Okokuqala, wazama uxinzelelo oluthe ngqo kwaye, emva kwexesha, wanyuka waya phezulu. Kude kube nini ufanele ukulinda akuchaziwe kakuhle. Kungakhathaliseki ukuba yintoni, iphosakele kakhulu kwaye ayizange ibe nengqiqo.
Kutheni silinde? Ukuba uxinzelelo oluphezulu kunye nokuphakama kunokusebenza kunye, yenze kunye. Phakamisa ingalo ngaphezulu kwezinga lentliziyo njengoko ucofa kanzima kwi-laceration ukuze uxoxe umgodi. Ukuba ngelo xesha igazi liqhubeka liqhutywe nge-bandage okanye ngaphandle kweminwe yakho, i-tourniquet ayiyiyo ingcinga embi.
Inombolo yesi-2 isifundo esiyifunde kwimfazwe. Abahlaseli balwa, kwaye iindawo zokuvakasha zibavumela. Oku kusebenza nakubantu, nabo. Abahambahambayo bafuna ukunyuka ukuze bafumane uncedo. Izigulane ezinokulimala ezininzi zidinga unyango olwenza ukuba izandla zikhululeke. Ixesha elide lilindele ukuba i-ambulensi ibangela ukukhathala ezandleni zomhlanguli ozama ukubamba uxinzelelo oluchanekileyo.
Iingqungquthela nazo zingasetyenziswa ngokwazo ngumguli. Ukuzibhokoxa kokunyanzeliswa ngokuthe ngqo kunzima.
IQela lokuBambisana noTyelelo (CAT)
Isicelo sokulwa ne-tourniquet (i-CAT) yindawo ehamba phambili yokuthengisa i-tourniquet ekhoyo. Ihlangabezana neemfuno zezempi zase-US. Akuyi kutyhafaza, isebenzisa i-windlass (isisombululo sokumisa i-tourniquet), kwaye inokusetyenziswa sisigulane.
Xa ezi zinto zifika kuqala kwiimarike, zafika kuphela ezimnyama, engingaziphakamisi ukuba zenze i-tourniquet. Ingqiqo ngokupheleleyo kwiimeko zokulwa ukuba zingabonakali ngokukhawuleza kwintambo ye-orange ejikeleze ingalo yakho yokuphuma, kodwa umnyama ufihla igazi kwaye kunzima ukubona kumbane ophantsi. Oogqirha esibhedlele bangalahlekelwa i-tourniquet ukuba ibumnyama.
I-CAT kufuneka ilungiswe ngaphambi kokuba isebenzise ngokusondeza intonga yomgca nge-bridge. Ukuba awukwazi, kunokuba nzima kakhulu ukwenza phantsi koxinzelelo ngexesha lokutshisa, ngokukodwa xa unxibe iiglavu (nitrile okanye isikhumba). Impendulo yodwa yokulungiselela i-tourniquet kusengaphambili kukuba kufuneka utyithele ngaphaya komda wokufumana indawo.
I-Special Operations Force Tactical (SOFT) I-Tourniquet
I-SOFTT iyafana ngokufanayo neCAT, ngaphandle kwe-buckle. I-CAT inomngxube onokuqhawulwayo onokuyingozi ngexesha lokusetyenziswa, ingakumbi ukuba unxibe naziphi na iiglavu zokukhusela.
I-buckle kwi-SOFTT idibanisa kunye, okukuvumela ukuba ube nokuphela kwesambatho esele isondliwe ngokusebenzisa islayidi ye-fliction. Kule meko, akudingeki ukuba udibanise isangqa se-clock yesikhombi ekupheleni kwesalo okanye umlenze owonzakeleyo. Unokwenza nje ukugubungela i-tourniquet ecaleni kwilungu kwaye uyifake.
Lo msebenzi uyakunceda xa usebenzisa i-tourniquet kumnye umntu. Ngokubhekiselele kwisicelo sokusebenza, akunakwenzeka ukuba uyifake kunye ngesandla esinye, ngoko ukubeka kwisandla sakho kufana nokusebenzisa i-CAT.
SWAT-T
I-SWAT-T yinto eyahlukileyo ye-tourniquet kunokuba i-CAT okanye i-SOFTT. Ukucatshulwa ngaphezulu kwiindawo zoluntu, isebenzisa i-rubber enamandla ukufeza into efanayo njengoko i-windlass iyenzela ezinye ezimbini. I-SWAT-T ayikwazi ukuzisebenzisa, kodwa ngokungafani neCAT okanye i-SOFTT, inokusetyenziswa kubantwana kunye nabantu abadala kakhulu.
Iingqungquthela ezinefestile zomoya kufuneka zibe ne- pinch plate , indawo enobumba engaphantsi kwimizi yecala ekhupha ikhuni ekhutshwe kwi-strapping. Ngaphandle kwendawo yokucoca, i-skin kunye nezicubu ezinotshontsho zingaphambukiswa kwaye zitsalwe, zenze intlungu, kunye nezigulane ezinesikhumba esikhathekayo, ukulimala okungakumbi.
Ukufakela amacwecwe kwi-CAT kunye ne-SOFTT kwenza kube nzima ukuba banciphise ubuncinci ngokwaneleyo kubantwana kwaye bancinane kakhulu, ngokuqhelekileyo bekhulile, izigulane zabantu abadala. Ukudibanisa okongezelelweyo kwizigulana ezincinci: i-SWAT-T inokunqunyulwa kwii-tourniquets ezimbini zokulimala ezininzi okanye izigulane ezininzi.
Iimpazamo eziqhelekileyo zoKhenketho
Ingxaki eqhelekileyo kwii-tourniquets ibabeka ngokukhululekile. Ukuba i-tourniquet ayinakunzima kangangokuba ayihlali kakuhle, ayisebenzi.
Ukutyelela okuphucukisiwe kunenani eliphezulu kakhulu lokungaphumeleli, ngoko kufuneka uhlale ugcina ithenkethe yezorhwebo kwikiti yakho yokuqala yokuncedisa ukuphuma kwegazi. Ngaphezu kweyodwa, enyanisweni, kuba enye ithenketiti-nangona xa isetyenziswe ngokuchanekileyo-isenokungabi nanele ukumisa ukuphuma kwegazi. Ungesabi ukusebenzisa ezimbini okanye ezintathu zethenkethe, ngakumbi kwimilenze kunye nezigulane ezingaphezu komzimba.
Ukongezelela ekukhuseleni ukusetyenziswa kakubi kweendwendwe, iifettiquets akufanele zisuswe ngabani na ngaphandle kogqirha kwisebe elingxamisekileyo. Xa beshiya i-tourniquet endaweni eninzi kakhulu kunokuthi ibangele ukulimala komzimba, andizange ndifumane nawaphi na amaphepha afanelekileyo okuchithwa kunye nokususwa kunakhokelela ekuphumeni okukhulu kwegazi.
> Imithombo:
> Beebe, uRichard, noDeborah Funk. Iimfuno zoNcedo oluPhezulu. 2001. Delmar.
> Mabry, uRobert L. "Ukusetyenziswa kwe-Tourniquet kwibala lemfazwe." LweMithi yoMkhosi. Meyi 2006.
> Walters, Thomas J, kunye noBabry, uRobert L. "Imiba ehambelana nokusetyenziswa kweethenkethe kwiMfazwe." LweMithi yoMkhosi. Sep 2005.