Mabhepa Emapapiro Emakumbo Anogona Kuputsika kana Kudzingwa
Mafupa emumapapiro emutsipa, anozivikanwa semuchechebrae wemudzimai, anogona kuputsika kana kuputika kana mutsipa wakakombama, wakamanikidzwa, kana kuti hyper-yakawedzerwa. Kuparara kana kuparadzaniswa kwepervical spine (C-spine) kunogona kucheka kana kusungira pamutsipa wepelinha.
Kana paine kurwadziwa kwemutsipa mushure mekukuvara kukuru, iwe unofanira kugara uchifungidzira kuora kwe C-spine. Kune nzira dzinoverengeka umo mutsipa unogona kukuvadzwa nenzira yakadai yekukonzera kukuvara kweC-spine.
Zvimwe zvinokonzera zvinokonzerwa nekukuvara kweC-spine zvinosanganisira:
- njodzi dzemotokari kana bhasikoro
- mitambo yakakuvara
- falls
- kurwisa
Kana iwe usina chokwadi, uye iwe hauna chokwadi kana iri chirwere chepervical bless, iwe unofanirwa kugara uchitarisa kuti chirwere chepervical chinokuvadzwa kusvikira kukuvadzwa kwakanyatsoongororwa nevashandi vezvehutano.
Kubatsira Pakutanga Nhanho dzeCervical Spine Injury
- Kudzivirirwa Pakutanga ! Iva nechokwadi chekuti nzvimbo yakachengetedzwa yakachengeteka kune vose vanunura uye vane murwere vasati vapa chero rubatsiro rwekutanga. Chengetedza tsika dzose dzekuchengeteka uye shandisa zvishandiso zvako zvekudzivirirwa chero nguva iwe ungasvika pakuonana neropa kana muviri wemvura.
- Iva nechokwadi chokuti murwere ari kufema. Kupisa kunonzwisisika kudikanwa kuhupenyu, uye zvino zvakakosha kudarika kusimbisa mutsara wemukati. Tarisa kuona kana murwere ari kufema. Kana ivo vachifema ipapo iwe unogona kutanga kupinda kune chirwere chepervical injury. Kana murwere asingapfuuri, ona 911 pakarepo uye utange CPR .
- Kunyange kana iwe uchifungidzira kukuvadzwa kweC-spine, zvinokosha kuti uone kuti iyi ndiyo nyaya. Vose vanofungidzirwa kuti zvikukutu zvepervical spine zvinofanira kuongororwa ne x-ray . Dana 911 kudana ambulensi. Iva nechokwadi chekuti unoziva kusiyana kwemafoni efoni uye mafoni nguva dzose usati wadana 911 pane foni .
- Kana murwere asina chaanoziva , chengetedza murwere wegwara nekumuisa panzvimbo yekudzorera. Gadzira padding, yakadai senzami, pasi pemusoro wemurwere mushure mekudzinga murwere kumativi ake. Mutsipa unobatsira kuchengeta mutsipa wakarurama.
- Kana murwere akazuka, isa maoko maviri kumativi ose emusoro wemurwere kuti awedzere. Bata musoro wemurwere zvinyoronyoro asi zvakasimba kuti urege kubva. Chero humwe hutachiona hwepervical spine hunoita kuti chirwere cheC-spine chiwedzere. Ingosunungura musoro kuti ubatsire nemurwere, kufema kana kupararira, kana kana chiitiko chacho chisina ngozi.
- Ramba uchidzikisa musoro wemurwere kusvikira rubatsiro rwechiremba ruchiuya uye chiyeuchidza murwere kuti asafambise. Yeuka, chero kuwedzera kwechikwata chekare chinokonzerwa nekervical spine kunogona kukonzera kumwe kukuvadza, uye kuita kukuvara kwakaipisisa. Ndicho chikonzero nei zvakakosha kuchengetedza musoro wemurwere usina simba uye muviri wavo uchiri kuita.
Mazano eCervical Spine Injury
- Muchidimbu, kukuvara kwemakwenzi echirwere hakusi nyore. Iwe haufaniri kuzvipa kuti usakanganise mutsara wemukati kana murwere achida mamwe mhando yekubatsira kwekutanga kana kana kune vamwe varwere kuti vauye.
- Usarwisana nemurwere kuti uchengetedze musoro wake zvakananga. Iwe unogona chaizvo kuita zvakanyanya kukuvadza nekumanikidza murwere kuti asafambisa pane kungozvitendera kuti zviitike. Uchapupu hunoratidza kuti varwere vasingazivi vanorega kushamwaridzana muhupo hwechirwere chepervical injury.
- Kana vakawanda vanoponesa varipo, iwe unofanira kushandisa maitiro maviri evanhu kuitira kuti udzore murwere mumuzinda wekudzorera.
> Sources:
> Hong, R., Meenan, M., Prince, E., Murphy, R., Tambussi, C., Rohrbach, R., & Baumann, B. (2014). Kuenzaniswa kweTatu Prehospital Cervical Spine Protocols For Missed Injuries. Western Journal Of Emergency Medicine , 15 (4), 471-479. doi: 10.5811 / westjem.2014.2.19244
> Morrissey, J., Kusel, E., & Sporer, K. (2014). Chirwere chemupfungwa Chigadziriswa: Chidzidzo chekudzidza uye chekushandura kuronga kujekesa Prehospital Spinal Assessment nekutarisira. Prehospital Emergency Care , 18 (3), 429-432. doi: 10.3109 / 10903127.2013.869643