I-Tourniquet iyibhande eliqinile elisetshenziselwa ukulawula ukopha ngokumisa ngokuphelele ukugeleza kwegazi enxebeni

Ama-tourniquets asebenza kuphela ekulimazeni kwengalo nemilenze; awukwazi ukusonga ibhande eliqinile entanyeni yesiguli futhi ulicinene ukuze umise ukugeleza kwegazi

Ngokwesiko, ama-tourniquets ayegcinelwe ukopha okubi kakhulu ukuze isiguli singathuthuki shock.1

UKUQEQESHWA KOSIZO LOKUQALA? VAKASHELA I-DMC DINAS MEDICAL CONSULTANTS BOOTH EMBUMBENI OPHUTHUMAYO

I-Tourniquet Controversy

Ukusetshenziswa kwama-tourniquets kwabhalwa okokuqala enkundleni yempi ngo-1674.

Izinkinga zokusetshenziswa kwe-tourniquet kuthiwa ziholela ekulimaleni okukhulu kwezicubu.

Amasosha ayenqanyulwe izitho zomzimba ngokuvamile okwakuthiwa asetshenziswa ama-tourniquets kodwa okwakungenzeka ukuthi angenwe isifo.

Ekugcineni, ama-tourniquets athuthukisa i-rap embi emkhakheni wezimo eziphuthumayo Insiza yezimo eziphuthumayo.

Ukusebenzisa i-tourniquet emhlabeni wezakhamuzi kwakuvame ukubonakala njengendlela yokugcina.

Kwakucatshangwa ukuthi anengqondo kumasosha ngoba amanxeba okulwa anzima futhi umuntu olwayo udinga ukulwa.

Kwaba ingozi okufanele ukuthatha waya theory.

I-tourniquet ingasetshenziswa futhi inganakwa.

Lokho akusho ukuthi ama-tourniquets awasebenzi.

Ngokuphambene nalokho, ama-tourniquets angabamba ukopha kahle futhi awusizo kakhulu ezimeni zokopha okukhulu okungenakuvinjelwa nganoma iyiphi enye indlela.

Adumile enkundleni yempi ngoba angasetshenziswa ngokushesha futhi awadingi ukugadwa njalo uma esesendaweni, okuvumela ngisho namasosha alimele ukuthi ahlale eqaphile futhi aqhubeke nokulwa.

Izakhamuzi, ukucabanga kwahamba, kwadingeka isikhathi.

Singahamba ngezinyathelo ngezinyathelo zokulawula ukopha.

Safundiswa ukuqala ngengcindezi eqondile futhi uma lokho kungasebenzi, phakamisa.

Uma ukopha kuqhubeka, i-tourniquet yaba inketho enzima.

Ngakho-ke, ama-tourniquet ayecatshangelwe kabi, kwakucatshangwa ukuthi ayeqinisekisa ukulahlekelwa isitho uma esetshenziswa.

Ukulahlekelwa lokho kugeleza kwegazi ngokuqinisekile kungaholela ekulimaleni kwezicubu eziyingozi.

Imithi yesimanje, esekwe ebufakazini ishintsha imibono osekunesikhathi eside ikhona mayelana nama-tourniquets.

Ukopha kuyinkinga engathi sína.

Uma ikhona, idinga ukumiswa.

Uma kungenjalo, isiguli singafa. Asikho isikhathi sokumosha.

Lapho Kufanele Usebenzise I-Tourniquet

Isicelo se-Tourniquet kufanele senzeke ezimweni ezimbili:

• Uma ukopha kungeke kumiswe ngomfutho oqondile kanye nokuphakama lapho kokubili kusetshenziswa ngokushesha nangesikhathi esisodwa.
• Uma kukhona noma yisiphi isizathu ingcindezi eqondile ayikwazi ukugcinwa, ngisho noma isebenza.

Inombolo 1 umbono wendabuko wokudlula ezinyathelweni zokulawula ukopha kodwa kuyasheshiswa.

Inombolo 2 yisifundo esitholakala ekulweni.

Ama-Fighters alwa, futhi ama-tourniquets ayawavumela.

Lokho kuyasebenza nakubantu abavamile.

Abahamba ngezinyawo badinga ukuqwala izintaba ukuze bathole usizo.

Iziguli ezinokulimala okuningi zidinga ukwelashwa okuvumela izandla ukuthi zikhululeke.

Ilinde isikhathi eside i- i-ambulensi kuholela ekukhathaleni ezandleni zomhlengi ezama ukubamba ingcindezi eqondile.

Ama-tourniquets nawo angasebenza yisiguli.

Ukuzisebenzisa ngokwakho ukucindezela okuqondile kunzima kakhulu.

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I-Combat Application Tourniquet (CAT)

I-combat application tourniquet (CAT) iwuhambo olujwayeleke kakhulu lwezohwebo olutholakalayo.

Ihlangabezana nezimfuneko zamasosha ase-US.

Ngeke incinyane, isebenzisa i-windlass (isibambo ukuze iqinise i-tourniquet), futhi isiguli singazifakela sona.2

I-CAT kufanele ilungiswe ngaphambi kokusetshenziswa ngokuphakela isihloko sebhande ngokusebenzisa ibhande lokukhuhlana.

Uma ungenjalo, kungase kube nzima kakhulu ukwenza ngaphansi kwengcindezi lapho kushisa ngaleso sikhathi, ikakhulukazi uma ugqoke amagilavu ​​(i-nitrile noma isikhumba).

Okuwukuphela kwe-drawback ekulungiseleleni i-tourniquet kusengaphambili ukuthi kufanele uyishelele phezu komkhawulo ukuze uyifake endaweni.

I-Special Operations Force Tactical (SOFT) Tourniquet

I-SOFTT icishe ifane ncamashi neCAT, ngaphandle kwebhande.

I-CAT inebhande lokungqubuzana elingase libe nzima ngesikhathi sokusetshenziswa, ikakhulukazi uma ugqoke noma yiluphi uhlobo lwamagilavu ​​okuzivikela.

Ibhande ku-SOFTT liyaxhumeka ndawonye, ​​​​okukuvumela ukuthi ube nesiphetho sebhande esivele sondlekile ngesilayidi sokungqubuzana.

Kulesi simo, akudingekile ukuthi ushelele indilinga yebhande lekhanvasi ekugcineni kwengalo noma umlenze olimele.

Ungakwazi ukuvele ugoqe i-tourniquet eduze kwengalo bese uyihlwitha endaweni.

Lokhu kusebenza kusiza kuphela uma usebenzisa i-tourniquet komunye umuntu.

Mayelana nokuzifaka isicelo, cishe akunakwenzeka ukukuhlanganisa ngesandla esisodwa, ngakho ukuyibeka engalweni yakho kuyefana nokusebenzisa i-CAT.

I-SWAT-T

I-SWAT-T iwuhlobo oluhlukile lwe-tourniquet kune-CAT noma i-SOFTT.

Iqondiswe kakhulu kubantu abavamile, isebenzisa irabha ewugqinsi ukufeza into efanayo njengoba i-windlass yenza kwabanye ababili.

I-SWAT-T ayikwazi ukuzenzela yona, kodwa ngokungafani neCAT noma i-SOFTT, ingasetshenziswa ezinganeni nakubantu abadala abancane kakhulu.2

Ama-tourniquets ane-windlass kumele abe nepuleti elincane, indawo ewugqinsi yendwangu ngaphansi kwe-windlass evimba isikhumba ukuthi singadonselwa kubhande elisontekile.

Ngaphandle kwepuleti elincane, isikhumba nezicubu ezithambile zingasonteka futhi zidonswe, kubangele ubuhlungu, futhi ezigulini ezinesikhumba esithambile, ukulimala okuqhubekayo.

Ncinza amapuleti ku-CAT kanye ne-SOFTT akwenza kungenzeki ngabo ukuthi banciphe kancane ngokwanele izingane kanye neziguli ezincane kakhulu, ngokuvamile esezikhulile, ezingabantu abadala.

Okungeziwe okungeziwe ezigulini ezincane: i-SWAT-T ingasikwa ibe ama-tourniquets amabili ngokulimala okuningi noma iziguli eziningi.

Amaphutha e-Tourniquet ajwayelekile

Inkinga evame kakhulu ngama-tourniquets ukuwagqoka ngokukhululeka kakhulu.

Uma i-tourniquet ingaqinile kangangokuthi ayikhululekile, ayisebenzi.

Ama-tourniquet athuthukisiwe anezinga eliphezulu kakhulu lokuhluleka, ngakho-ke kufanele uhlale ugcine i-tourniquet yezohwebo kukhithi yakho yosizo lokuqala ngokopha okukhulu.

Eqinisweni, ezingaphezu kweyodwa, ngenxa yokuthi i-tourniquet eyodwa—ngisho nalapho isetshenziswe kahle—ingase inganele ukumisa ukopha.

Ungesabi ukufaka ama-tourniquets amabili noma amathathu, ikakhulukazi emilenzeni nasezigulini ezikhuluphele.1

Ngaphandle kokugwema ukusetshenziswa okungalungile kwama-tourniquets, ama-tourniquets akufanele asuswe yinoma ubani ngaphandle kukadokotela emnyangweni ophuthumayo.

Ngenkathi ukushiya i-tourniquet endaweni isikhathi eside kungaholela emonakalweni wezicubu, angikwazanga ukuthola noma yimaphi amacala abhaliwe omonakalo onjalo futhi ukususwa kungenzeka kuholele ekopheni okubi kakhulu.

Izinkomba ze-Bibliographic:

1. I-Rowe B. Tourniquets ku-First Aid. Ama-tourniquets ku-First Aid.
2. I-American College of Emergency Physicians. I-Tactical Emergency Medicine.

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Impilo Kahle Kahle