Amagqabhoko eSinxantathu seNeck angatyhalwa okanye ahlulwe
Amathambo omlenze entanyeni, eyaziwa njenge-vertebrae yomlomo wesibeleko, angahle aphulwe okanye aphelelwe yintsapho xa intamo iphihliwe, icinezelekile, okanye i-hyper-extended. Ukuqhekeka okanye ukufuduka kwentsholongwane yomlomo wesibeletho (C-spine) kunokunquma okanye ukucofa kwintambo yomthambo.
Ukuba kukho intlungu yentlungu emva kokulimala okukhulu, kufuneka uhlale usolisa ukulimala kwe-C-spine. Kukho iindlela ezininzi apho intamo inokulimala ngendlela enokubangela ukulimala kwe-C-spine.
Ezinye izizathu eziqhelekileyo zokulimala kwe-C-spine ziquka:
- izingozi okanye izithuthuthu
- ukulimala kwezemidlalo
- kuwa
- hlaselo
Ukuba ungathandabuzeki, kwaye awuqinisekanga ukuba ngaba yintlungu engumlenze wesibeleko, kufuneka uhlale ucinga ukuba umonakalo womlomo wesibeleko wonakaliswe kude kube yingozi ukuba uvavanyo olwenziwa kakuhle ngabasebenzi bezonyango.
Uncedo loNcedo lokuQala lweNtsholongwane yeNtsholongwane
- Khu seleko kuqala ! Qinisekisa ukuba indawo ikhuselekileyo yomhlanguli kunye nesigulane ngaphambi kokubonelela naluphi na uncedo lokuqala. Zisoloko uziqhelanisa nezixhobo zokukhusela kunye nokusetyenziswa kwezixhobo zokukhusela xa usenokudibana negazi okanye umzi womzimba.
- Qinisekisa ukuba isigulane siphefumula. Ukuphefumula kubonakala kuyimfuneko ebomini, kwaye ngoko ke kubaluleke ngakumbi kunokuba ungaphili umkhuhlane wesibeletho. Khangela ukubona ukuba isigulane siphefumula. Ukuba baphefumula ke unokuqala ukuya kwintlungu yomlomo wesibeleko somlomo wesibeleko. Ukuba isiguli asiphefumli, qha ga mshelana ne-911 uze uqale iCPR .
- Nokuba ukrokrela ukulimala kwe-C-spine, kuyimfuneko ukuqinisekisa ukuba yintoni umcimbi. Konke okukrokrwe ukulimala kwintlungu kufuneka kuhlolwe yi- x-ray . Ifowuni 911 ukubiza i-ambulensi. Qinisekisa ukuba uyazi umahluko phakathi kweefowuni zomnxeba kunye neefowuni eziqhelekileyo ngaphambi kokubiza 911 kwifowuni .
- Ukuba isiguli asikwazi , khusela isiguli sengqondo ngokumbeka kwindawo yokubuyisela. Faka ipakethe, njengomsila, phantsi kwentloko yesigulane emva kokugulisa isigulane kwicala lakhe. Umcamelo unceda ukugcina intamo ngqo.
- Ukuba isigulane siphakamise, faka zombini izandla kwihlangothi zonke zekhanda lomguli ukuba lizinze. Gcina intloko yesigulane ngobumnene kodwa ngokuqinisekileyo ukuyigcina ekuhambeni. Nayiphi na intshukumo yomkhuhlane wesibeleko inokwenza i-C-spine injongo ibe yimbi. Mkhulule kuphela intloko ukunceda ngesigulane, ukuphefumla okanye ukusabalalisa, okanye ukuba indawo ingaphephile.
- Qhubeka ukukhubaza intloko yesigulane deze ufike uncedo lwezokwelapha kwaye ukhumbuze isigulane ukuba ungahambi. Khumbula, nayiphi na intshukumo eyongezelelweyo yomlomo wesibeleko esele yalimala ingabangela umonakalo owongezelelweyo, kwaye yenze ingozi ngakumbi. Yingakho kubaluleke kakhulu ukugcina intloko yesigulane ingenakulungiswa kwaye umzimba wayo usenokwenzeka.
Iingcebiso zoKhuseleko lomhlaza wesibeleko
- Ukutshatyalaliswa kwamanzi, ukulimala kwentsholongwane yentsholongwane kunqabile kakhulu. Akufanele uzinikele ekukhuseleni umlenze wesibeleko ukuba isiguli singadinga ezinye iintlobo zoncedo lokuqala okanye ukuba zikhona ezinye izigulane zokuya kuzo.
- Musa ukulwa nesigulane ukugcina intloko yakhe iqonde. Unokwenza umonakalo omkhulu ngokunyanzelisa isigulane ukuba ungadluli nje kunokuvumela ukuba kwenzeke. Ubungqina bubonisa ukuba izigulana zingenakukwazi ukunyakaza ukuhamba phambi kobunzima bomkhuhlane wesibeletho.
- Ukuba kuninzi umhlanguli okhoyo, kufuneka usebenzise ubugcisa bomntu obini ukuze uqhube isigulane kwisimo sokubuyisela.
> Imithombo:
> Hong, R., Meenan, M., Prince, E., Murphy, R., Tambussi, C., uRohrbach, R., & Baumann, B. (2014). Uthelekiso lweeNtathu zeProproical Cervical Spine Protocols zeZiphumo ezingabikho. Western Journal Of Medicine Ephuthumayo, 15 (4), 471-479. i-doi: 10.5811 / westjem.2014.2.19244
> Morrissey, J., Kusel, E., & Sporer, K. (2014). Isithintelo soMgcini weSipinal: Inkqubo yezeMfundo kunye nokuPhunyezwa kweNkqubo yokuFundela ukuHlola okuPhezulu nokuNakekela. Uncedo lwe-Prehospital Uncedo oluphuculweyo , 18 (3), 429-432. i-doi: 10.3109 / 10903127.2013.869643