Paunenge uchishandura Mutambo Unosarudza Pakati Peupenyu uye Limb
Kushandiswa kwetambo dzekushongedza , kusungirirwa kwakasimba kwakapoteredza ruoko kana gumbo uye kwakasimbiswa negirasi remhepo kuti rirege kubuda ropa, rave rakapoteredza kwemakore anenge 400. Nhamba yekutanga yekunyorwa kwerutendo yakashandiswa pakurwi yehondo yaiva muna 1674. Hurukuro dzekudzivirira mapoka (asi pasina kushandiswa kweklasslass) yakadzoka zvakanyanya kupfuura izvozvo.
Tourniquets inonyanya kukosha pahondo.
Vanopa nzira dzisina maoko kuti dzisiye kubuda ropa , izvo zvinopa musoja rusununguko rwekuramba achirwisana uye kudzivirira rufu kubva pakupera ropa. Kubva muna 2001-2010, kutenderera kunoshandiswa nevarwi kwakawedzera, pamwechete nekupona. Panguva imwecheteyo, kukuvadzwa kwakaipisisa. Kuratidzwa kwekushandiswa kwakashanduka muchengeti wegoridhe uye varwi vose veUnited States vaidzidziswa kuishandisa. Munhu wose weuto reUnited States akabudiswa mutambo wekutambira pavakapinda munzvimbo yekurwa.
The Myth
Mumakore ose aya, mararamiro akashandurwa asinganzwisisiki kusvika kumagumo ekupedzisira. Iko kufungidzira kwaiva kuti kushandiswa kwetamboi kunotungamirira ku kurasikirwa kwechikwata kwairi kushandiswa. Hazvisi pachena kuti kutenda uku kwakatanga kupi. Iyo inogona kuva mugumisiro wakananga wekushandiswa kwekutanga kwevashniquets kuti zvive nyore kutora. Ngatitarisei; Zviri nyore kuvhiya chikwata kana ukarega kubuda ropa panguva yekuvhiyiwa.
Sezvo kutenderera uye kubviswa kwacho kwave kwakaroorana kune imwe yekare mune zvekurapa, yakashanduka kuva maonero evanochera varwere nevanoponesa kuti kushandiswa kwevashandi kunotungamirira kune kuregererwa.
Kutsigira mafungiro kwakasikwa, kusanganisira pfungwa yokuti kurasikirwa kweropa kunopinda mumutsipa kunouraya mhuka dzose, zvichida kubviswa. Zvaifunga kuti zvakaipa zvakakosha, zvisinei, kuponesa hupenyu hwomurwere.
Ichi chiri mishonga yekurapa inokurumidzira, hatitomboregi kusasha kweuchapupu kunotitadzisa kubva pane zvatinotenda.
Mushure mokunge uchapupu hwechiuto kubva kuhondo muIraq uye Afghanistan yakatanga kuungana kuti maitiratiquets akanga akachengeteka uye akabudirira, varwi vakagadziriswa vakagadzikana vakagara ndokucherechedza.
The Reality
Kukanganisa kwemavara-kazhinji kunowanikwa munzvimbo inoshandiswa tourniquet uye kwete iyo yese nhengo-inoitika. Asi haisi imwe-ye-imwe yashandura, hupenyu hwechikwata. Pane humwe humwe uchapupu hwokuti kushandiswa kwekukurumidzira kwekushanyirwa kunokonzera chero kukanganisa kwakanyanya kune avo vanowanzotambura kukurumidza. Ngatitarisei, hausi kuzoisa marashiro paruoko kana pamakumbo kunze kwekuti ruoko kana jumbo ratove rakakuvara. Muchiitiko ichocho, pane anenge asina nzira yekuziva nayo chokwadi kana tourniquet ichiita chimwe chinhu chakaipa.
Icho hachisi chikonzero chakanaka chekushandisa tourniquet-um, hatigoni kuudza kana kukanganisa kunobva mukurapa, saka famba mberi-asi mavarai anochengetedza upenyu. Kuponesa upenyu chikonzero chakanaka chekushandisa.
Sources:
Kragh JF Jr, Dubick MA, Aden JK, McKeague AL, Rasmussen TE, Baer DG, Blackbourne LH. US Kushandiswa kwehondo kushandiswa kubva ku2002 kusvika muna 2010. Prehosp Emerg Care. 2015 Apr-Jun; 19 (2): 184-90. doi: 10.3109 / 10903127.2014.964892.
Ode G, Studnek J, Seymour R, Bosse MJ, Hsu JR. Emergency tourniquets kuvanhu vemauto: Zvidzidzo zvemashure pamagumo ekudzivirira ropa zvinogona kushandurwa here?
J Trauma Zvakanyanya Care Care Surg. 2015 Nha. 79 (4): 586-91. doi: 10.1097 / TA.0000000000000815.
Saied, A., Ayatollahi Mousavi, A., Arabnejad, F., & Ahmadzadeh Heshmati, A. (2015). Tourniquet mu Kuvhiya kweMikomo: Ongororo YezveNhoroondo, Mhando uye Matambudziko. Iranian Red Crescent Medical Journal , 17 (2). doi: 10.5812 / ircmj.9588