Rashin motsi na kashin baya ɗaya ne daga cikin manyan ƙwarewa waɗanda dole ne ma'aikacin likitancin gaggawa ya ƙware. Shekaru da yawa yanzu, duk wadanda suka kamu da cutar da suka ji rauni sun kasance marasa motsi kuma, saboda nau'in haɗari, bisa ga ka'idodin ma'aikacin, ya zama dole don hana kashin baya.

Waɗannan su ne shekarun da yake da ma'ana da fahimta don tunanin cewa duk wanda ya sami hatsari mai girma, kamar fadowa daga tsayi, hadarin mota ko makamancin haka, ya kamata a yi watsi da shi saboda akwai haɗarin rauni na kashin baya. wanda ya kamata mu guje wa ko ta yaya.

Wannan ya haɗa da rashin motsa jiki waɗanda ba su sami wata alamar rauni ta kowace iri ba, ko da wuyansa zafi.

A matsayinka na gaba ɗaya, za mu hana duk wanda ya shiga cikin haɗari, duk wanda ya shiga cikin yanayin da zai iya haifar da karaya ko rauni na kashin baya.

MAFI KYAKKYAWAN KWANAKI? ZIYARAR BOTH SPENCER A EXPO Gaggawa

Sakamakon wuce gona da iri na rashin motsa jiki:

Wannan ya sa asibitoci suka cika da wadanda abin ya shafa suna tafiya ta kofa a cikin takalmin wuyan wuya, ba a motsi a kan wani hukumar ko vacuum katifa, wanda ya kawo rushewar tsarin gaba daya.

Ba da da ewa, ɗakin gaggawa ma’aikatan lafiya sun fara fahimtar cewa kamewa da yawa yana lalata sashen gaggawa na asibitin.

Wannan ya haifar da ci gaba da jerin ka'idoji don sanin ko marasa lafiya da ke tafiya ta ƙofar dakin gaggawa sun hadu da ka'idoji don yin amfani da fasahar rediyo don sanin ko suna da kashin baya.

Ƙunƙarar kashin baya: An haɓaka manyan ka'idoji guda biyu, Nexus Low Risk Criteria (NLC) da Dokokin C-Spine na Kanada (CCR)

Dukansu Nexus da ka'idar Kanada sun nemi su ware marasa lafiya waɗanda ba su cika ka'idodin gwajin gwaje-gwaje na rediyo ba saboda ganewar asali na asibiti ba su da kyakkyawan zato na kashin baya ko rauni na kashin baya.

Waɗannan sharuɗɗan da sauri sun tafi daga matsayin asibiti, kusan na ilimin rediyo, zuwa amfani da su a cikin magungunan da ba sa zuwa asibiti don sanin ko waɗanne marasa lafiya ya kamata a daina motsi a titi da kuma waɗanda bai kamata ba.

Hakanan akwai wasu ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun abubuwan gaggawa na waje, kamar ma'aunin PHTLS, duk sun dogara ne akan ɗimbin ka'idojin kimiyya bisa binciken ƙididdiga ko gwajin ɗan adam.

Misali na yau da kullun shine gwajin da ƙungiyar masu aikin sa kai suka daina motsi na dogon lokaci, tsakanin rabin sa'a zuwa sa'o'i biyu, sannan aka yi tambaya game da yiwuwar rikice-rikicen da ke tasowa daga wannan tsawan lokaci. har abada.

Bayan haka an gano cewa rashin motsin majiyyaci yana haifar da damuwa da jin zafi a wuyansa da baya wanda zai iya ɗaukar tsawon sa'o'i, kuma a wasu lokuta na iya haifar da raunukan fata a wuraren tallafi tare da allon.

Don haka, jagororin tushen shaida da yawa sun bayyana, kamar jagororin NICE 2 ko makamantansu.

A cikin watan Agusta 2018, Kwamitin Kwaleji na Kwaleji na Amurka akan Trauma (ACS-COT), Kwalejin Likitocin Gaggawa na Amurka (ECEP) da Ƙungiyar Ma'aikatan Kiwon Lafiyar Gaggawa (NAEMSP) sun kai matsayin haɗin gwiwa kan abin da ake kira Spinal Motion. Iyakance (SMR) 3 .

A shekara mai zuwa wani labarin mai ban sha'awa ya bayyana a cikin Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine mai suna "Sabbin Sharuɗɗa na Clinical on Spinal Motion Restriction. Babban majinyacin raunin rauni: yarjejeniya da tushen shaida 4”, wanda aka buga akan 19 ga Agusta 2019.

Za mu iya taƙaita shi cikin shawarwarinsa mafi mahimmanci guda biyar, shawarwarin tushen shaidar kimiyya guda huɗu da algorithm ɗaya:

• Akwai ƙaƙƙarfan shaidar kimiyya game da yin amfani da kwanciyar hankali na kashin baya ga marasa lafiya da keɓaɓɓen raunin shiga ciki, wanda ke nufin bai kamata a yi shi ba.
• Taimakon kimiyya don hana mara lafiya tare da barga A B C D E tare da katako na kashin baya da kashin baya abin wuya yana da rauni, wanda ba a ba da shawarar yin aiki akai-akai ba.
• Taimakon kimiyya don hana majiyyaci a cikin madaidaicin katifa don jigilar kaya yana da rauni, watau ana iya yin hakan amma akwai 'yan kaɗan a cikin fa'idarsa.
• Ana ba da shawarar yin amfani da algorithm na asibiti.

BIBLIOGRAPHY

1. García García, JJ Immobilizzazione cervicale selettiva basata sull'evidenza. Yankin TES 2014 (3): 1; 6-9.
2. Linea guida NIZZA. Febbraio 2016. Trauma maggiore: erogazione del servizio. https://www.nice.org.uk/guidance/ng40/chapter/Recommendations
3. Peter E. Fischer, Debra G. Perina, Theodore R. Delbridge, Mary E. Fallat, Jeffrey P. Salomone, Jimm Dodd, Eileen M. Bulger & Mark L. Gestring (2018) Ƙuntatawar Motsi na Spinal a cikin Marasa lafiya - Una dichiarazione di posizione comune, Assistenza preospedaliera di gaggawa, 22:6, 659-661, DOI: 10.1080/10903127.2018.1481476. https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1481476
4. Maschmann, Elisabeth Jeppesen, Monika Afzali Rubin da Charlotte Barfod. Nuove linee guida cliniche sulla stabilizzazione spinale dei pazienti adulti con trauma: consenso e prove basate. Jaridar Scandinavian na Trauma, Resuscitation da Magungunan Gaggawa 2019: (27):77. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-019-0655-x

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Source:

Farashin TES