Kuvulala kwa msana ndi njira yogwiritsidwira ntchito kwambiri kusamutsa odwala ovutika ndi zipatala zapadziko lonse lapansi. Kuphatikiza apo, ma spineboards ndi kolala yachiberekero ndi zida zofunika kwambiri pamawonekedwe osiyanasiyana opulumutsa. Komabe, pankhani yakuvulala kozungulira, ndemanga zimati chiyani?

Musanalankhule za zovuta zomwe zimadwala m'thupi kusokoneza, tiyenera kukumbukira kuti zida za prehospital spine immobilization, monga spineboards ndi makola achiberekero, ndizofunikira pamitundu yosiyanasiyana. Odwala ovulala ali ndi vuto chifukwa cha zida zobwezeretsa anthu padziko lonse lapansi masiku ano. Nkhani yakukhazikika kwa prehospital immobilization imafika pomwe tiyenera kuthana ndi kuvulala.

Odwala prehospital spine immobilization in kuloweza kuvulala, kuchipatala chatsopano, maphunziro osiyanasiyana akuti chiyani?

Umboni umodzi woyamba udafika mu 2010 pomwe John Hopkins Medicine adapereka chikalata cha prehospital spine immobilization pamfuti ndi omwe adabaya (cholumikizira ku kafukufuku wovomerezeka kumapeto kwa nkhaniyi). Lingaliro linali lakuti mwa odwala oterowo, immobilization sayenera kuchitidwa, makamaka ndi a khola lachiberekero pamene kuli kwakuti, ngati kuli kulira kwa mfuti kapena kubaya, kungapangitse wodwalayo kupuma movutirapo.

Komabe, umboniwo ndiwochepa ndipo asayansi akufunsabe mafunso pankhaniyi. Pepala losangalatsa kwambiri laperekedwa ndi Eastern Association for the Surgery of Trauma (EAST). M'bukuli, EAST idasanthula mwatsatanetsatane meta-kusanthula kuti amange malingaliro pazomwe zimalepheretsa msana kugwidwa.

 

Unikani chizindikiro pa prehospital spine immobilization pakupinda kuvulala

Eastern Association for the Surgery of Trauma idafuna kuwunika ngati kusagwira ntchito kwa msana kwa mtundu uliwonse kuli kopindulitsa kapena kovulaza pakulowerera, monga kuwombera mfuti kapena kubayana. Mafunso omwe akatswiri adafunsa:

• Kodi msana kudzichiritsa poyerekeza ndi kusakhazikika kwa msana kumachepetsa kufa kwa achikulire omwe amalowa muzoopsa?
• Kodi kufooka kwa msana sikufanana ndi kufooka kwa msana kumachepetsa vuto la kuchepa kwa mitsempha kapena zochitika zomwe zingabwezeretsedwe?

Pofuna kuwunikiranso, EAST idazindikira kuwunika kokwanira komanso koyenera. Popeza palibe maphunziro omwe akuwonetsa phindu lakuchepa kwa msana pakufa ndi kuvulala kwamitsempha, ngakhale kwa odwala omwe avulala khosi mwachindunji, atha kuganiza kuti kupunduka kwa msana pakuvulala kozama sikungakhale yankho labwino. Kuti mumve zambiri, kumapeto kwa nkhaniyo, mndandanda wazomwe mungapeze, mupeza matebulo ovomerezeka ndi EAST.

Kafukufuku, palibe kusiyana kwakukulu pakati pakulephera kwa msana kapena kuchepa kwa mphamvu, ngakhale kuti kuyerekezera kumeneku sikunali kotheka kuvulaza koopsa. Kusiyanasiyana kwa kafukufukuyu kunali kofunikira kwambiri pamaphunziro omwe sanaphunzitsidwe, ndichifukwa chake pali kusiyana pakukumana ndi kufunikira kwa ziwerengero.

 

Ngati palibe umboni wotsimikizika, tingaganizire bwanji za prehospital spine immobilization in kuloweza ovulala?

Ndemanga zina zidawonetsa zakufa monga cholumikizira kuperewera kwa msana, komabe, EAST idanenanso kuti nthawi zina kufa kumatha kuchitika chifukwa cha kukula kwa mabala. Kumbali inayi, kulephera kuyenda, nthawi zina kuvulala kozama kumatha kubisa zilonda zomwe zimayenera kuthandizidwa kapena, kuzindikirika kuti zitsimikizire njira zolondola zopulumutsa moyo.

Mutu wina womwe umapitilizanso kuvutitsa nkhaniyi ndikuwonjezera kukayikira pakubwezeretsa kwa prehospital kosungidwa, ndikuti kafukufuku wochepa chabe ndi omwe amafotokozera zida zomwe angagwiritse ntchito kuti apereke ulesi. Ndipo izi zimapangitsa kuti lingaliro lililonse kukhala losamveka bwino. Monga tanenera kumayambiriro kwa nkhaniyi, zida zogwiritsa ntchito mosamala ndizofunikira komanso zofunikira m'magulu azachipatala ambiri azadzidzidzi, mwachitsanzo SAR. Ngakhale, ndemanga ya EAST yomwe idawunikidwa m'nkhaniyi ikadakonda kufalitsa lingaliro la kuwunika molondola momwe wodwalayo alili.

Pali zochitika zina pomwe kulimbikitsa kuchitapo kanthu kumayenera kuchitike koma ena osatero, ndipo imeneyi iyenera kukhala mfundo yofunika kwambiri yomwe oyang'anira zaumoyo ndi mabungwe azachipatala ayenera kuyang'ana. Maphunziro ena atha kuthandiza, koma tiyenera kukumbukira kuti moyo wa wodwala uyenera kukhala pakati pazomwe tikuganiza.

 

WERENGANI ZINA

10 Njira Zowonetsera Mmodzi Wodwala Wopweteka

Kuthiridwa magazi pazinthu zoopsa: Momwe imagwirira ntchito ku Ireland

Zoyenera kuchita ndi zoopsa m'mimba - Mndandanda wachidule

SOURCES

Association yaku Eastern for Opaleshoni ya Trauma (EAST): the tsamba lovomerezeka ndipo "Prehospital spine immobilization / spinal motion poletsa zoopsa: Malangizo owongolera”Okhala ndi matebulo ndi malifalensi.

 

Pepala la Medicine la John Hopkins pa msana kufooketsa mfuti ndi kuvulala kwa mabala, 2010