Ukwaziswa, Usizo lokuqala lweSkull Break & Ukuvalwa kweNtloko
Ukulimala entloko kungabangela umonakalo kwikhanda, kwesikhumba, okanye kwingqondo. Ingqondo ihlala ngaphakathi kwekhayi ekhuselwe yintambo ephathekayo ebizwa ngokuba yi-meninges.
Ukuphulwa kweSkull
Ukulimala kwentloko kubangelwa ngumsindo okanye ukungena entle. Ikhayi akufanele iphulwe, kodwa ingaba. Ukuba itheyidi ithambile xa ithatyathwa, okanye ilahlekile, ixhoba linokuphulwa kwegazi elivulekileyo okanye elixinekile.
Ukuba ukukhanyeka kwekhayi kukhankanywa, fowuna 911 ngokukhawuleza .
Ezinye iimpawu zeqhekeza lekrele ziquka igazi okanye kucima ukucoca kwamanzi kwiindlebe okanye ngeempumlo, kunye nokutyhawula phakathi kwamehlo okanye emva kweendlebe.
UkuLawulwa kwentloko
Ukulimala kwentloko evaliweyo kukulimala kwingqondo ngaphakathi kwekrele elingenalutho. Ukulimala ebuchosheni kubangela ukuvuvukala, okukhawuleza kwandisa uxinzelelo ngaphakathi kwekhanga (uxinzelelo lwe-intracranial). Uxinzelelo olongezeleyo lubangela umonakalo omkhulu engqondweni, okubangela ukukhukhuma okukhulu, njalo njalo. Amagama aqhelekileyo ukwenzakaliswa kwentloko avaliweyo aquka:
- ngxubusho
- hematoma
- hematoma epidural
- intrarebral hemmorrhage
- uxinzelelo olusandayo
Ezinye iintlobo zokulimala kwentloko evaliweyo ziyeka umjikelo ngokuzenzekelayo (ingqungquthela), ngelixa abanye baya kuqhubeka bebi kakhulu de ixhoba lifa (epidural hematoma). Indlela yodwa yokuchazela umahluko uhamba nge- CT scan , ejonge ubuchopho kunye nekrele nge-x-rays .
Izibonakaliso kunye neempawu zoKhuseleko lweNtloko eValiweyo
Ixhoba elibethelelwe into ephosakeleyo kufuneka ilindelwe iimpawu kunye neempawu zokulimala kwentloko. Ukuba ixhoba leentlungu zentloko elineziphumo ezilandelayo zibiza 911 ngokukhawuleza :
- ukulahlekelwa kwengqondo ngexesha lokulimala (ukukhutshwa)
- Ukulahleka kwememori yesikhashana (ixhoba liqhubeka liphinda le mibuzo)
- akakwazi ukuvusa ixhoba ekulaleni
- kudideka
- ukuhlanza
- ukungcola
- uxinzelelo oluphezulu lwegazi
- ukuphuza kakhulu
Inkonzo yokuqala yoNcedo
Kuzo zonke iimeko zokulimala entloko nasentanyeni, kubalulekile ukuba ungadlulanga intamo yentlungu. Ukuxhasa yakhe intloko kwindawo oyifumene nayo. Amathambo yomgudu (vertebra) anokulimala ekuqhutyeni kwentloko ngexesha loxinzelelo. Amathambo omlomo okanye aphethwe ngumkhumbi angaphinda atye okanye afake uxinzelelo kwiimbilini zomgcini womgogodla, obangela ukukhubazeka okwethutyana okanye okusisigxina kunye nokulahlekelwa yintliziyo.
Ukutshabalalisa kungakhokelela kwiingxaki kwi-victim's airway. Ukuba ixhoba liqala ukuhlanza kwaye lingenalo nto , faka ixhoba kwisikhundla sokubuyisela ukuvumela i-emesis (ukuhlanza) ikhuphe kumlomo wexhoba.
Inkolelo yokuba ixhoba lokulimala kwentloko kufuneka ligcinwe liphapheme . Ukuba ixhoba lexinzelelo ekhanda alikho nayiphi na imiqondiso okanye iimpawu zokulimala kwentloko okanye ukuphazamiseka kwegazi, akukho sizathu sokumgcina esiphapheme. Xa sele ulele, vusa ixhoba malunga nemizuzu engama-30 emva kokulala ubuthongo ukuze uqiniseke ukuba unokuvuswa. Ukuba awukwazi ukuvusa ixhoba leentlungu zentloko engama-30 emva kokulala, fonela 911 ngokukhawuleza .
Imithombo:
UHenry, uMark C., no-Edward R. Stapleton.
Uncedo lwe- EMT Prehospital . Umhla we-3. 2004. UMosby / Jems