Spine immobilization inzira inoshandiswa zvakanyanya kuendesa varwere vekunetseka kuzvipatara pasirese. Uyezve, masipinodi uye cervical collars zvishandiso zvakakosha kwazvo munzvimbo dzakasiyana dzekununura. Nekudaro, mune iyo yekupinda kwekukuvara, kuongororwa kunoti chii?

Usati wataura nezvematambudziko anozoitika mune varwere immobilization, isu tinofanira kuyeuka kuti prehospital spine immobilization zvishandiso, se spineboards uye cervical collars, dzakakosha mune zvakawanda zvakasiyana mamiriro. Varwere veTrauma vakaponeswa nekuda kwehunyanzvi hwekushandisa pasi rese nhasi. Iyo nyaya ye prehospital immobilization inosvika kana tichifanira kubata nekupinda mukukuvara.

Patient prehospital spine immobilization mukupinda mukukuvara, kiriniki nyowani, chii chidzidzo dzakasiyana dzinoshuma?

Humwe humbowo hwekutanga hwakasvika muna 2010 apo John Hopkins Medicine akaburitsa bepa pamusoro peprehospital spine immobilization papfuti uye nevakabaiwa (chinongedzo chepamutemo chidzidzo pakupera kwechinyorwa). Mafungiro aive ekuti muvarwere vakadaro, immobilization haifanirwe kuitwa, kunyanya nea cervical collar nepo, kana pfuti kana kubayiwa, zvingaita kuti murwere anyanye kuoma kufema.

Zvisinei, humbowo hwakaderera uye vesaenzi vachiri kubvunza nezvenyaya iyi. Pepa rinonakidza kwazvo rakapihwa neEastern Association yeKuvhiya kweTrauma (EAST). Mune ino chinyorwa, EAST yakaitisa yakarongeka ongororo meta-ongororo kuvaka zvirevo pane prehospital musana kusagadzikana.

 

Ongorora chiratidzo che prehospital spine immobilization mukupinda mukukuvara

IEastern Association yekuvhiya kweTrauma yaida kuongorora kuti kusagadzikana musana kudzikisira chero mhando kunobatsira kana kukuvadza mukupinda kwekutambudzika, sepfuti kana kubaya. Mibvunzo yakabvunzwa nenyanzvi:

• zvinoita kuti musana ubatike nekusapindirana nehure.
• zvinoita kuti musana ubatidze kusapindirana neye musana kudzikisira kushomeka kwemhedzisiro yekukanganisika kwemutsipa kana chiitiko chekukanganisika?

Kuti iite ongororo iyi, iyo EAST yakaona zvese kuwanda uye kuongorora kwehunhu. Sezvo pasina zviongorori zvinojekesa kubatsirwa kwepfungwa kusagadzikana mukufa uye neurologic kukuvara, kunyangwe kune varwere vane yakakuvara mutsipa, vanogona kufungidzira kuti musana wemvura mukukuvara kunopinza inogona kunge isiri mhinduro yakanaka. Kuti uwane rumwe ruzivo, pakupera kwechinyorwa, mukati mezvinyorwa zvinyorwa, iwe unowana iwo epamutemo matafura akarongedzwa neEAST.

Statistically, hapana musiyano wakakosha pakati pekusagadzikana kwemuzongoza uye kushaya simba, kunyange hazvo fungidziro yacho yaive yekufarira kusagadzikana mukukuvara kunopinda mukati. Iko kusiyanisa-kudzidza kusiyanisa kwaive kwakakosha kune izvo zvisina kufambiswa zvidzidzo, ndosaka paine mukaha pakusangana kwehuwandu hwehuwandu.

 

Kana pasina humbowo hwechokwadi, isu tinga funga sei prehospital spine immobilization mukupinda mukukuvara?

Dzimwe ongororo dzakaratidza kufa sekubatana nemusana kusagadzikana, zvisinei, EAST yakaratidza kuti dzimwe nguva kufa kunogona kutaurwa nekukura kwemaronda. Kune rimwe divi, kudzikamisa, mune zvimwe zviitiko zvekukuvara zvinopinda kunogona kudzikamisa maronda angave achifanirwa kurapwa kana, zvirinani, kuzivikanwa kuitira kuvimbisa nzira dzakaponesa dzehupenyu.

Imwezve nyaya inowedzera kuomesa nyaya iyi uye inowedzera kusahadzika pakukonzeresa kwepamberi yekusimbisa, ndeyekuti chete zvidzidzo zvishoma zvinotsanangura zvishandiso zvekushandisa kupa immobilization. Uye izvi zvinoita kuti kufungidzira kwese kusanyatsojeka. Sezvakataurwa pakutanga kwechinyorwa, zvigadzirwa zvekusimudzira zvakakosha uye zvakakosha munzvimbo dzakawanda dzekurapa, senge SAR, semuenzaniso. Kunyangwe zvakadaro, iyo yekuongorora yeEX yakaongororwa mune ino chinyorwa inoda kuparadzira pfungwa yekunyatsoongorora mamiriro emurwere.

Pane zviitiko chaizvo izvo izvo kushungurudza kunofanirwa kuitwa uye vamwe kusadaro, uye ichi chinofanira kuve chinhu chakakosha icho paramedics uye vezvokurapa masangano vanofanirwa kutarisa. Zvimwe zvidzidzo zvinogona kubatsira, asi isu tinofanira kuyeuka kuti hupenyu hwemurwere hunofanira kunge huri pakati pekufungidzira kwedu.

 

VERENGA ZVIMWE

10 Matanho ekuita Chirwere Chisinganzwisisiki cheMurwere weTrauma

Kuwedzerwa ropa muzviitiko zvekushungurudza: Mashandiro ainoita muIreland

Zvekuita nenjodzi mune nhumbu - Chidimbu rondedzero yematanho

SOURCES

Eastern Association yeKuvhiya kweTrauma (EAST): iyo pamutemo Website Uye "Prehospital spine immobilization / spinal kufamba kwekudzora pakupinda kwekushushikana: Iyo yekudzidzira manejimendi yekuraira”Ine matafura uye mareferenzi.

 

John Hopkins Mushonga pepa pane spine immobilization mune pfuti uye kukuvara kwemaronda, 2010