Inkolelo ye-Tourniquet

Xa usebenzisa i-Tourniquet Meant Choosing Between Life and Limb

Ukusetyenziswa kweethenkethe , iintambo eziqinileyo ngeengalo okanye umlenze kwaye ziqiniswe ngesikhululo somoya ukuze siyeke ukuphuma, siye sajikeleza iminyaka engama-400. Icala lokuqala elibhaliweyo le-tourniquet elisetyenziswe kwinqaba liye ngo-1674. Iingxoxo zamagqabantshintshi (kodwa ngaphandle kokusebenzisa i-windlass) zibuyela ngaphaya koko.

Iibhenketho zibaluleke kakhulu kwibala lemfazwe.

Banikezela ngezandla ezingenasandla ukuyeka ukuphuma kwegazi , okwenza ijoni inkululeko yokuqhubeka nokulwa kwaye ikhusela ukufa ekuqhumeni. Ukususela ngo-2001-2010, ukusetyenziswa kwe-tourniquet ngamaxhoba kwanda, kunye nokuphila. Ngelo xesha, ukulimala kwanda. Ukusetyenziswa kwe-Tourniquet yaba ngumgangatho wegolide kwaye onke amajoni ase-US Army afundiswa ukuwasebenzisa. Wonke umntu waseMelika wasejoni wanikezwa i-tourniquet xa befika kwindawo yokulwa.

Inkolelo

Kule minyaka, i-tourniquets yaba zibophelelwane ngokugqithiseleyo ekugqibeleni. Ukucinga ukuba ukusetyenziswa kwe-tourniquet kwakukhokelela ekulahlekelweni kwesilungu esasetyenziswa kuyo. Akucaci ukuba le nkolelo yavela phi. Kungaba yiphumo elichanekileyo lokusetyenziswa kwamatyelelo okuqala ukulungiselela ukukhishwa. Masijamelane nayo; Kulula ukukhupha iqela xa unokuyeka ukuphuma egazini ngexesha lotyando.

Ekubeni i-tourniquet kunye nesigxina satshata omnye komnye kwiprogram yezokwelapha zamandulo, yaguquka ekubeni yimbono ye- paramedics kunye nabahlanguli ukuba ukusebenzisa i-tourniquet kwakukhokelela ekuthinjeni.

Ukuxhasa iingcamango zadalwa, kubandakanywa nembono yokuba ukulahleka kwegazi kusemlenzeni kwakuya kubulala zonke izicubu, kufuneke ukuba kunqunywe. Kwaye kwakubonwa njengento ebalulekileyo, nangona kunjalo, ukugcina ubomi bomguli.

Le nkonzo yezokwelapha eziphuthumayo, asizange sivumele ukungabikho kobubungqina bokusikhusela kwienkolelo zethu.

Emva kobungqina bempi ukusuka e-Iraq kunye nase-Afghanistan baqala ukumbamba bathi iindawo zokuvakasha zikhuselekile kwaye ziyimpumelelo, abagadi bezandla eziphuculweyo baphakamisile baze baqaphela.

I nyaniso

Umonakalo weTishu-ngokuqhelekileyo uhlala kwindawo apho i-tourniquet isetyenzisiweyo kwaye ayiyiyo yonke into eyenzekayo. Kodwa akutshintshi omnye, omnye umphefumlo ngomlenze. Kukho ubungqina obuncinane bokuthi ukusetyenziswa kongxamiseko kwe-tourniquet kubangele nawuphi na umonakalo omkhulu kwixesha eliqhelekileyo elilimele. Masibhekane nalo, awuyi kubeka i-tourniquet kwisandla okanye umlenze ngaphandle kokuba ingalo okanye umlenze sele uwonakele kakhulu. Kwimeko apho, akukho phantse indlela yokukwazi ngokuqinisekileyo ukuba i-tourniquet yenza into engalunganga.

Akusiyo isizathu esilungileyo sokusebenzisa i-tourniquet-um, asikwazi ukuxelela ukuba umonakalo uvela kwonyango, ngoko ke qhubeka phambili-kodwa i-tourniquets iyakusindisa ubomi. Ukulondoloza ubomi sisizathu esihle sokuwasebenzisa.

Imithombo:

Jgh Jr, Dublin MA, Aden JK, McKeague AL, Rasmussen TE, Baer DG, Blackbourne LH. Ukusetyenziswa kweMpi yama-US okutyelela kwii-tourniquets ukususela ngo-2001 ukuya ku-2010. 2015 Matshi-Juni; 19 (2): 184-90. i-doi: 10.3109 / 10903127.2014.964892.

Ode G, Studnek J, Seymour R, Bosse MJ, Hsu JR. Iingqungquthela eziphuthumayo zentlalo: Ngaba isifundo semikhosi esiphezulu segazi singaguqulelwa?

J Trauma Surger Care. 2015 Oct; 79 (4): 586-91. i-doi: 10.1097 / TA.0000000000000815.

Saied, A., Ayatollahi Mousavi, A., Arabnejad, F., & Ahmadzadeh Heshmati, A. (2015). I-Tourniquet kwi-Surgery ye-Limbs: Ukuhlaziywa kweMbali, iintlobo kunye neengxaki. Iranian Red Crescent Medical Journal , 17 (2). i-doi: 10.5812 / ircmj.9588