Umhlahlandlela womfishane omfushane wokucacisa engqondweni yenqubo yokukhubazeka ngaphambi kokuba uwenze ngesiguli esithuthumayo.

Isiguli esibuhlungu, njengomkhuba ojwayelekile, kufanele ubekwe isikhathi eside ibhodi emuva (LBBs) futhi uzobona kusetshenziswa a ikhola yomlomo wesibeletho (C-collar) ukuze ulondoloze okulungile ukuchithwa kwempahla lomgogodla. Amacala wesibeletho avimbela ukuhamba kwe umgogodla wesibeletho, kuyilapho ama-backboards avimbela Umgogodla ukunyakaza futhi lula extrication of the iziguli ngesikhathi esifanayo. I-immobilization kufanele yenziwe ukuze kuvinjelwe ukulimala kwentambo yomgogodla yesibili okungase kuvele kuyo ukuthutha, ukuhlola, futhi inqubo yokukhipha.

 

Yimiphi imithetho ebalulekile okufanele uyazi lapho isiguli esihlukumezayo singavinjelwa?

Izinto ezenziwayo kanye nemihlahlandlela yokulimaza isiguli esihlukumezanayo kuyaqhubeka ukuvela ngocwaningo kanye nobufakazi. Okufanele kusuka eminyakeni eyi-10 edlule kungenzeka kunganconywa namhlanje.

Ngokusho kwabaqondisi be-Clerkship ku Imithi Ephuthumayo, ukupholisa imfucuza (isixhumanisi sokukhishwa okusemthethweni ekugcineni kwendatshana) kukhonjiswa kuphela uma ohlukunyeziwe ehlaselwe isimo sengqondo esishintshiwe, esifiphele ukuhlukumezeka, izikhalazo ze-neurologic noma okutholakele, umjikelezo we-midline ubuhlungu noma ububele, ukukhubazeka kwe-anatomic yomgogodla, nokuphakama indlela yamandla yokulimala okungabandakanya utshwala or ukuphuza izidakamizwa futhi abakwazi ukuxhumana.

 

Izinyathelo eziphambili ekulimazeni isiguli esibuhlungu

Ubufakazi bubonisa ukuthi ukusetshenziswa imishini yokulimaza umgogodla iphikisana neziguli ezibhekene nokungena ukuhlukunyezwa ekhanda, entanyeni, noma e-torso, noma abukho ubufakazi bokulimala komgogodla.
Ukuphumelela ukufeza imfucuza yomgogodla ngempumelelo:

 

I-1. Isiguli ikhanda futhi amahlombe kufanele ibanjwe yi udokotela obekwe kuphi

inhloko yombhede, iqinisekise ukuthi umgogodla uqondaniswe nekhanda.

 

I-2. Umsizi kufanele afake isicelo ikhola yomlomo wesibeletho ngaphandle kokuphakamisa ikhanda embhede kanye no ukulungiswa komgogodla kugcinwe.

 

 

I-3. Ukuze uqoqe isiguli, umsizi oyedwa noma ababili kufanele babeke izandla zabo ohlangothini oluhlukile lwesiguli, ezibekwe eceleni ihlombe, i-hip namadolo.

 

4. Umuntu osekhanda lombhede kufanele agcine ukuqondana komgogodla. Lapho abasebenza kahle bemi futhi belungele ukusigingqa isiguli, lowo ogcina ukuqondanisa komgogodla kufanele abale kathathu lapho umsizi (s) kufanele azigingqele khona isiguli. Omunye umsizi kufanele asheshe hlola ngemuva kwesiguli bese ufake i-backboard ngaphansi. Uma ibhodi livikelekile, isiguli sizobuyela ebhodini.

 

 

I-5. Isiguli kufanele sibekwe endaweni maphakathi nebhodi ngenkathi egcina ukulungiswa komlomo wesibeletho.

 

I-6. Udokotela kufanele kuqala uvikele i-torso engenhla ngezintambo.

 

7. The isifuba, i-pelvis, nemilenze engenhla zivikelekile ngezintambo futhi.

 

I-8. Inhloko yesiguli kumele ivikeleke nayo amadivaysi okumisa imishini ezifana ithawula elihlanganisiwe noma isikhumba se-immobilization yokudoba.

 

I-9. A tape isetshenziselwa ikhanda lesiguli ukuze livikeleke.

 

I-10. Qiniseka ukuthi konke izintambo zivikelekile futhi ziyashesha, zilungise kabusha uma kudingeka.

 

 

 

Umbhali:

UMichael Gerard Sayson

Umhlengikazi Obhalisiwe oneBachelor of Science ku-Nursing Degree evela eSaint Louis University kanye ne-Master of Science ku-Nursing Degree, Major ku-Nursing Administration and Management. Amaphepha omqondo we-2 obhalisiwe kanye nababhali ababambisene nabo 3. Ukwenza umsebenzi wobunesi iminyaka engaphezu kwengu-5 manje ngokunakekelwa okuqondile nokungaqondile.

 

 

SOURCE

Abaqondisi Bokufundisa Ngokuphathelene Nezimo Eziphuthumayo - Ukulimala komgogodla