Ukunyanzela umgogodla yindlela esetyenziselwa ukuthutha abaguli abenzakala ezibhedlela kwihlabathi jikelele. Ngapha koko, i-spineboards kunye ne-cervical collars zizixhobo ezibaluleke kakhulu kwiindawo ezahlukeneyo zokuhlangula. Nangona kunjalo, kwimeko yokungena kokulimala, uthini uphononongo?

Ngaphambi kokuthetha ngeengxaki ezizezakho kwizigulana ukukhutshwa, kufuneka sikhumbule ukuba izixhobo zangaphambi kokuchaphazela umgogodla, njengee-spineboards kunye iikholeji zomlomo wesibeleko, zibalulekile kwiimeko ezininzi ezahlukeneyo. Izigulana ezonxungupheleyo zigcinwa ngenxa yombulelo kwizixhobo zokuhambisa amandla emhlabeni wonke namhlanje. Umcimbi wokungathathi hlangothi kokufika ngaphambi kokuba sijongane nokulimala kokungena.

Ukunyanzeliswa kokunyanzelwa komgogodla ngaphambi kokungena kokulimala kokungena, ikliniki entsha, zithini iingxelo ezahlukeneyo?

Obunye bobungqina bokuqala bafika kwi-2010 xa uJohn Hopkins Medicine ekhupha iphepha kwi-prehospital spine immobilization kwi-gunshot and stab victims (ikhonkco kwisifundo esisemthethweni ekupheleni kwenqaku). Imbono yayiyeyokuba kwizigulane ezinjalo, ukukhutshwa akufanele kuqhutywe, ngakumbi nge- ikhola yomlomo wesibeleko ngoxa wona, xa kukho izithonga zompu okanye ukuhlatywa, kunokwenza kube nzima ngakumbi ukuphefumla komguli.

Nangona kunjalo, ubungqina buphantsi kwaye uluntu lwenzululwazi lusabuza imibuzo ngalo mbandela. Iphepha elinomdla kakhulu likhutshwe nguMbutho waseMpuma woNyango lweTrauma (EAST). Kolu papasho, i-EAST iqhube uhlalutyo olucwangcisiweyo lweemeta-analysis ukwakha iingcebiso kwi-prehospital spine immobilization.

 

Uphononongo lophononongo kwi-prehospital spine immobilization in ukungena kwengozi

Umbutho waseMpuma woPhando lweTrauma ufuna ukuvavanya ukuba ukungasebenzi kakuhle kwemigudu yaluphi na uhlobo kuyanceda okanye kuyingozi ekungeneni emngciphekweni, njengokuqhushumba okanye ukuhlaba. Imibuzo ebuzwe ziingcali:

• Ngaba ukunyanzeliswa komgogodla ngokuchasene nokungabikho kokuqaqanjelwa ngumgogodla kunciphisa ukusweleka kwabantu abadala abangena ngomothuko?
• Ngaba ukunyanzeliswa komgogodla ngokuchasene nokungabikho kokunyanzeliswa ngumgogodla kunciphisa imeko yokupheliswa kwe-neurologic okanye ukwenzeka kwesiphoso esinokuthi sibuyele umva?

Ukwenza olu phononongo, i-EAST yaqonda uhlalutyo lobungakanani kunye nomgangatho. Njengoko kungekho zifundo zibalaselisa isibonelelo sokuqaqanjelwa ngumqolo ekufeni kunye nokwenzakala kwe-neurologic, nkqu nakwizigulana ezenzakeleyo entanyeni, zinokucinga ukuba ukungasebenzi kakuhle komqolo kukonzakala okungena kungenakuba sisisombululo esihle. Ngolwazi oluthe kratya, ekupheleni kwenqaku, kuluhlu lwemithombo, uya kufumana iitafile ezisemthethweni ezihlelwe yi-EAST.

Ngokwezibalo, akukho mahluko ubalulekileyo phakathi kokungasebenzi kakuhle komqolo kwaye akukho kuncipha, nangona inqaku eliqikelelweyo belikhetha ukungabinakho ukwenzakala kokungena. Umahluko wokufunda ngaphesheya wawubaluleke kakhulu kwizifundo ezingafakwanga mntu, yiyo loo nto kukho umsantsa wokuhlangana ngokubaluleka kweenkcukacha manani.

 

Ukuba akukho bungqina buqinisekileyo, singakujonga njani ukuhanjiswa kwesisu ngaphambi kokungena kokulimala?

Olunye uphononongo lubonakalise ukusweleka njengombutho wokunyanzeliswa komqolo, nangona kunjalo, i-EAST yaqaqambisa ukuba ngamanye amaxesha ukusweleka kunokuphakanyiswa bubuzaza bamanxeba. Kwelinye icala, ukungasebenzi, ngamanye amaxesha ukwenzakala okungena emzimbeni kungazifihla amanxeba ekunyanzelekile ukuba anyangwe okanye, ubuncinci, achongwe ukuze kuqinisekiswe iinkqubo ezichanekileyo zokusindisa ubomi.

Omnye umxholo oqhubeka ngokuqinisa lo mbandela kwaye wongeza amathandabuzo kwi-prehospital immobilisation efayilwayo, kukuba zimbalwa kuphela izifundo ezichaza izixhobo ezinokusetyenziswa ukubonelela ukungakwazi ukwenziwa. Kwaye oku kwenza ukuba yonke ingcinga ingacaci. Njengoko bekutshiwo ekuqaleni kwenqaku, izixhobo zokuhambisa amandla zibalulekile kwaye zibalulekile kwiinkalo ezininzi zonyango ezingxamisekileyo, njenge-SAR, umzekelo. Nangona, uphononongo lwe-EAST oluhlolwe kweli nqaku lungathanda ukusasaza umbono wokuvavanya ngokuchanekileyo imeko yesigulana.

Kukho ngokwenene iimeko apho ukunganyanzeleki kufuneka kwenziwe kwaye kungenjalo abanye, kwaye oku kufanele kube ngumba ophambili apho i-paramedics kunye nemibutho yezonyango kufuneka igxile. Olunye uphononongo lunokunceda, kodwa kufuneka sikhumbule ukuba ubomi besigulana kufuneka bube kwindawo yokucinga kwethu.

 

FUNDA KUNYE

I-10 Amanyathelo okwenza ukuchithwa kweNcinci yokuLondolozwa koMguli weNgxaki

Utofelo-gazi kwiimeko ezixhwalekisayo: Isebenza njani eIreland

Yintoni omele uyenze xa ukhathazekile ekukhulelweni- Uluhlu olufutshane lwamanyathelo

SOURCES

Umbutho waseMpuma Wokuhlinzwa Kokwenzakala (EAST): the website esemthethweni Kwaye "Ukuthintela umgogodla womgogodla / umqobo wesithintelo somgogodla ekufumaneni ubunzima: Isikhokelo solawulo lokuziqhelanisa”Eneetafile nezalathiso.

 

Iphepha likaJohn Hopkins ngephepha lokunyanzeliswa komgogodla kwimipu kunye nokulimala kwenxeba, ngo-2010