Muchidimbu mutsva unotungamirira kuti uve pachena mupfungwa nzira yekudzivirira kusati wamboita izvi pane chirwere chinotambudza.

Murwere wekushungurudzika, Sezvo nevakawanda tsika, anofanira kuiswa refu bhodhi rekuseri (LBBs) uye kuona Zvakarurama munhu cervical collar (C-kola) kuchengetedza chakakodzera immobilization of spine. Remuromo uketani kutadzisa kwebasa cervical spine, nepo mabhodhi ekumashure achidzivirira Musipinha kufamba uye kufambisa kuwedzera kwevarwere panguva imwe chete. The immobilization inofanira kuitwa kuitira kudzivirira yechipiri musana musana kukuvara kunogona kubuda kubva kutakura, kuongorora, uye kuburitsa nzira.

 

Ndeipi mitemo mikuru yekuziva pane kusabatisa kwemurwere wekushungurudzika?

Tsika uye nhungamiro pamusoro immobilization pfungwa murwere kuramba ichishanduka kuburikidza researches uye uchapupu. Izvo zvakanaka kubva makore gumi apfuura zvinogona kunge zvisiri kukurudzirwa nhasi.

Sekureva kweClerkship Directors mukati Emergency Medicine, spinal immobilization (batanidziro yekuburitswa kwepamutemo panoperera chinyorwa) inongoratidzwa kana munhu anenge arwadziswa nemamiriro ezvinhu epfungwa akachinja, akapokana kushungurudzika, kunyunyuta kwepfungwa neurologic kana zvakawanikwa, midline spinal marwadzo kana unyoro, kutomic kwechimiro chepona, uye yakakwirira simba muchina wekukuvara izvo zvinogona kusanganisira doro or kudhakwa kwezvinodhaka uye kusakwanisa kutaura.

 

Matanho Main pamusoro pachiitiko chinotyisa murwere immobilization

Uchapupu hunoratidza kuti kushandiswa kwe spinal immobilization zvishandiso zvinopesana nevarwere vanopinda nepakati dambudziko kusvika kumusoro, mutsipa, kana torso, kana kuti hapana humwe uchapupu hwekukuvara kwepamuviri.
Kuti zvibudirire kuita basa repelinha risingakwanisi:

 

1. Murwere Musoro uye mapepa inofanira kubatwa ne practitioner uyo akaiswa pana

musoro wemubhedha, uchisimbisa kuti musana unoenderana nemusoro.

 

2. Mumwe mubatsiri anofanira kushandisa cervical collar pasina kusimudza musoro kubva pamubhedha uye kuenzaniswa kwepamusoro rakachengetedzwa.

 

 

3. Kuti udziputse mwoyo murefu, Mumwe kana vaviri vabatsiri vanofanira kuisa maoko avo kune rumwe rutivi rwomurwere, akamira pa fudzi, hip nemabvi.

 

4. Munhu ari pamusoro pemubhedha anofanira kuchengetedza musana. Kana varapi vakagadzwa uye vakagadzirira kumonera murwere, iye munhu anochengetedza musana wakarongeka anofanira kuverenga kusvika matatu panguva iyo mubatsiri (s) anofanira kumonera murwere kwaari. Mumwe mubatsiri anofanira kukurumidza chengeta mushure memurwere uye uise chikamu chemashure pasi. Apo bhodhi rakachengetedzwa, murwere achadzoswa zvakare pabhodhi.

 

 

5. Murwere anofanira kuiswa panzvimbo pakati pebhodhi pavanenge vachiri kuchengetedza kubatana kwekervical.

 

6. Nyanzvi inofanira kutanga chengetedza tambo yepamusoro nemabhanhire.

 

7. The chifuva, pelvis, uye makumbo okumusoro dzakachengetedzwa nemabhanhire zvakare.

 

8. Musoro wemurwere unofanira kuchengetedzwa zvigadziriswa zvombo dzakadai sechirasi chakavharidzirwa kana mabiko ekutengesa mhepo.

 

9. A tepi rinoshandiswa kumhupa wevarwere kuti uchengete.

 

10. Iva nechokwadi chokuti zvose mabhanhire dzakachengetedzwa uye dzinotsungirira, dzogadzirisa zvakare sezvinodiwa.

 

 

 

Munyori:

Mikael Gerard Sayson

Akanyoreswa Mukoti neBachelor yeSainzi muDhigiri reNursing kubva kuSaint Louis University uye Master weSainzi muNursing Degree, Major mu Nursing Administration neManagement. Authored 2 thesis mapepa uye akabatanidzwa-akanyorwa 3. Kudzidzira mukoti basa kweanopfuura makore mashanu ikozvino neakananga uye zvisina kunangana kuchengetwa kwevanamukoti.

 

 

SOURCE

Clerkship Directors muna Emergency Medicine - Spinal immobilization