Gwiritsani Ntchito Zithunzizi Kuti Muzindikire Frostbite

by Rod Brouhard, EMT-P; Yofotokozedwa ndi Richard N. Fogoros, MD

Galimoto ya Zithunzi za Frostbite Kuyambira Pang'ono mpaka Pang'ono

Frostbite amawononga matupi a thupi mofanana ndi momwe amawotchera. Ndipotu, kuvulala kwa frostbite ndi kuvulala kumawoneka mofanana, ndipo chisanu chikhoza kugawidwa mofanana.

Zizindikiro za Frostbite

Frostbite ikhoza kuchitika m'njira zosiyanasiyana, zomwe zikuwoneka mosavuta kuchokera ku zithunzi zosiyana. Kaya kukwera phiri la Everest kapena kuyimitsa kuvulaza kwa kanthaŵi kochepa kwambiri, chisanu ndi chiwombankhanga ndi chovulaza chotheka kuti chichoke kwamuyaya.

Kuchiza kwa Frostbite

Simungathe kusamalira chisanu koma musachidziwe. Tikukhulupirira kuti zithunzi izi zidzakupatsani lingaliro momwe chisanu chikhoza kuyang'ana.

Frostbitten Face

Ulendo Wokafufuza Umene Umayambitsa Frostbite pa Masaya Maso otentha akukwera snowmobile. Japeofapes

"Ili linali sabata lachitatu la Januwale ndipo ine ndinaganiza zopita kukasaka," akutero Japeofapes wowerenga. "Tinali kufunafuna caribou ndi mphepo yanga yotchinga zowonongeka."

Japeofapes akuti iye ndi mnzake adayima tiyi. Wokondedwa wake atawona nkhope ya Japeofape, adati, "Owe munthu! Nkhope yako yayamba!"

Ndimagwirizana ndi "Munthu wamba!" Izo zikuwoneka ngati izo zimapweteka.

Japeofapes akunena kuti "adayambanso ndi chipale chofewa kuti ndisamve ululu wambiri pambuyo pake ndipo zinagwira ntchito." Osati motsimikiza kuti ndikukondana ndi "kudula" chisanu ndi chisanu. Kuika chipale chofewa pa khungu la frostbitten ndi minofu ya minofu kungakhale kupitirizabe kuzizira. Pano pali njira yabwino yochitira tizilombo toyambitsa matenda .

Japeofapes sanena momwe nkhope yake inachitira kapena sanachiritse. Amanena kuti zala zake zimadwalanso ndi frostbite. Akuti amadzimva kuti ali ndi chibwibwi komanso akudumpha ndila zala zake ndipo amadandaula kuti "sagwedezeka" ndi chipale chofewa.

Mng'alu Wophulika Wachimanga Wachimanga

Kuyenda Mamiriyoni 9 M'nyengo Yoziziritsa Kuvala Nsapato Zokha Zimayambitsa Blister Yopweteka Frostbite pazitoli mpaka ku fupa. Timothy J. Kosier

Timothy J. Kosier akuti adakakhala pafupi ndi nyumba yake kunja kwa Westcliffe, Colorado, ndipo amayenera kuyenda mtunda wa makilomita 9 atavala masokosi, nsapato, magalasi owala ndi malaya. Akuti iye sanazindikire kutayika kwakumverera ndi kutupa pala zala ndi zala zake mpaka tsiku lotsatira-makamaka chithunzithunzi chala.

"Ndinadabwa chifukwa anali m'ma 20s," akutero Timoteo mu kujambula kwake kwachisanu ndi chiwombankhanga, "osati kuzizira konse.

Kwa mnyamata wa California monga ine, kutentha kumtunda wa 20s kumveka kokongola kwambiri. Ndikulingalira kuti zonsezi ndizochibale. Mosasamala kanthu ngati mukuganiza kuti ndizozizira kapena ayi, pansi pazizizira ndipo Timoteo amayenda makilomita 9 popanda chitetezo chokwanira. Icho chinali phunziro lovuta kuphunzira, koma iye anachita.

Timoteo akuchenjeza kuti, "Sungalephere kukonzekera, palibe chofunika kuti chikhale chapafupi kuti ndipeze chisanu.

White Frostbite pa Mankhwala

White, Waxy Skin ndi Chizindikiro Choopsa cha Frostbite. (c) Dan Darley

Frostbite ndi kuvulaza kwa khungu. Mwachidziwikire, chisanu chotchedwa frostbite chimapangidwa ndi matenda ndi madzi. Frostbite imawononga khungu lofanana ndi momwe ntchito ikuwotchera. Zizindikiro za Frostbite zikhoza kukhala zofanana ndi zotentha; Nthendayi imayambitsa kupweteka, kutupa ndi minofu imfa ( necrosis ).

Mabuku ochuluka amasonyeza kuti mvula imakhala yoyera komanso yosalala. Sikuti nthawi zonse zimakhala choncho, koma chithunzichi chimasonyeza momwe chisanu chimawonekera. Dan Darley akundiwuza ine chisanu chomwecho chinawonetsedweratu tsiku lotsatira ku malo obwerera. Tsamba lake lajambula la zithunzi likusonyeza kuti anali ku Yellowknife, NT, Canada akukonzekera ulendo wopita ku North Pole. Mu imelo, Dan akufotokozera momwe adapezera chisanu ndi momwe adasungira kuti zisapitirire:

"Ndinawonongeka pa ulendo wobwerera kumbuyo - zomwe zinachitika m'mawa ndipo pamene tinali kusamuka sindinatengere magalasi anga mpaka madzulo - choncho sitinachite chilichonse chowongolera zala. masiku ena angapo tisanabwererenso ku motel koma ndinatha kuwatentha kwambiri koma sanapitirirebe, ngakhale kuti ndinali ndi nkhawa kwambiri. "

Chimodzi mwa zinthu zofunika kwambiri zomwe Dan anachita sizinathetsere chisanu pamene anali m'chipululu. Ndikofunika kwambiri kuti musamachite chisawawa mpaka mutakhala ndi mwayi wokha. Pamene matendawa amaundana, kudumphidwanso ndi kuzizira, kuwonongeka kumakhala koopsa nthawi zonse.

Dan's frostbite amawoneka bwino mwezi umodzi popanda mankhwala, koma akuti amatenga milungu yambiri kuti amve bwino.

Frostbite Patatha milungu iwiri

White, Waxy Skin Ikutembenukira Mdima Ngati Mzere Wopambana Umachokera. (c) Dan Darley

Dan Darley akugawana chithunzithunzi cha zala zake zozizira 2 milungu itatha. Tsamba lake lajambula la zithunzi likusonyeza kuti anali ku Yellowknife, NT, Canada akukonzekera ulendo wopita ku North Pole.

Izi zowonongeka zinayamba kuyang'ana wonyezimira ndi zoyera, zomwe ndizofotokozera mwachidule za chisanu m'mabuku ambiri. Patadutsa milungu iwiri, chovulalacho chinasanduka chakuda ndipo khungu likuyang'ana, mofanana ndi momwe machiritso amayamba kuyambira.

Frostbite Atatha Masabata Anai

Nsalu Yatsopano Yatsopano Ikani Malo Amtundu wa Frostbitten. (c) Dan Darley

Dan Darley akugawana chithunzichi chala zala zake zowonongeka zitatenga masabata 4 atatha kuzizira. Tsamba lake lajambula la zithunzi likusonyeza kuti anali ku Yellowknife, NT, Canada akukonzekera ulendo wopita ku North Pole.

Pambuyo pa minofu yowonongeka imatha, kachilombo katsopano kamalowa m'malo mwake. Pankhani iyi, Dan akunena kuti zala zozizira zimayang'ana bwino mwezi umodzi, koma zinatenga masabata angapo kuti chovulalacho chichiritsidwe.

Frostbite ndi kuvulaza kwa khungu. Frostbite imawononga khungu lofanana ndi momwe ntchito ikuwotchera. Zizindikiro za Frostbite zikhoza kukhala zofanana ndi zotentha; Nthendayi imayambitsa kupweteka, kutupa ndi minofu imfa ( necrosis ).

Frostbite pa Zala

Madera Osiyana ndi Mtima Wowonjezereka Kupeza Zowamba za Frostbite za Mtchaina wa ku China pambuyo pa blizzard yaikulu kumpoto chakumadzulo kwa China mu 2006. Kutentha pa nthawi ya mkuntho kunali kotsika mpaka madigiri 45 pansi pa zero. Chithunzi ndi China Photos / Getty Images

Thupi liri ngati galimoto yamoto. Timayaka mafuta (shuga) ophatikiza ndi mpweya kuti apange mphamvu. Ndipo monga ngati njinga-ife timatentha.

Thupi lanu limatentha kwambiri pamtima, pafupi ndi mtima. Imodzi mwa ubwino wa mtima wanu kupopera magazi pozungulira ndikugawana kutentha kwa thupi lanu lonse.

Monga momwe mungaganizire, magazi ena amachokera pamtima ozizira amapeza. Ndicho chifukwa chake manja anu, zala ndi mphuno nthawi zonse zimakhala zikuzizira poyamba-sizili ngati magazi otentha monga nonse a inu.

Pamene chilengedwe chimakhala chimfine, ngati blizzard kumpoto chakumadzulo kwa China mu 2006 chomwe chinatsikira ku madigiri 45 pansi pa zero, ndizo malo omwe ali kutali ndi mtima omwe ndi ovuta kwambiri. Frostbite amavomereza kwambiri pamene magazi samathamanga mofulumira kapena otentha.

Ndibwino kuti muteteze, mungapewe matenda a hypothermia ndi frostbite. Kuchiza tizilombo toyambitsa matenda ndi kovuta ndipo tiyenera kuyesedwa kunja kwa chipatala ngati palibe njira ina yopezeka.

Black Frostbite pa Mankhwala

Kuwonongeka Kwamuyaya kwa Mbalame Yaikulu Yambiri ya Frostbite Marko Inglis anadwala mazira ozizira pang'onopang'ono pamene anakwera phiri la Everest mu 2006. Chithunzi cha Sandra Mu / Getty Images

Pa milandu yoopsa ya chisanu, khungu ndi minofu yowonjezereka ingakhale yowopsya ndipo imakhala yobiriwira kapena yakuda ikafa. Kumverera, kuyenda ndi magazi kumatayika. Ngati minofuyo siidachiritsidwe, chifuwachi chikhoza kufalikira ndikuyamba kukhala matenda aakulu.

Frostbite ikhoza kuchitika mu maminiti ochepa okha mu zovuta kwambiri, monga kutentha kwapansi pa Phiri la Everest. Kumalo akutaliko kulibe kuthekera kwa kuchotsa minofu ya frostbitten kusanawonongeka kwamuyaya.

Popeza nthenda yotentha yamkuntho imakhala yoipa kwambiri m'madera kumene magazi amatha kutsekemera-monga ngati pamanja-palibe magazi ambiri otentha kuti asiye minofu yowonongeka kuchokera ku kuzizira minofu pafupi nayo. Ndimo momwe mphepo yamkuntho imafalikira. Kuchotsa minofu mu malo ozizira ndiyo njira yokhayo yothetsera kufalikira kwa chisanu.

Frostbite kuchokera ku Ice Pack

Samalani Mukamayesa Kuvulaza Osati chifukwa cha Frostbite Frostbite pamatumbo pambuyo pochiza ndi ayezi osagwiritsidwa ntchito molunjika pakhungu. (c) Melanie Martinez

Kugwiritsa ntchito madzi oundana (mbali ya chithandizo choyamba cha RICE mankhwala) akhoza kuchepetsa kutupa munthu atakhala ndi vuto kapena kuvulaza koipa, koma kugwiritsa ntchito ayezi molakwika kungayambitse chisanu.

Ndikofunika kuti musayambe kuika khungu pa khungu kapena kuchoka ku ayezi kwa nthawi yayitali. Pali maulendo angapo olembedwa a chisanu ndi madzi oundana .

Frostbite Yaikulu pa Zala

Mabultter atsopano Onetsani Frostbite Yoyamba Kwambiri. (c) Winky kuchokera ku flickr

Kumayambiriro kwa chisanu kungakhale kosazindikiritsidwa ndi kutentha. Kuwonongeka kwa khungu kumachititsa pafupifupi kufanana ndi zotupala poyamba. Inde, pamene chimachiza, chisanu chikhoza kupangitsa khungu kugwedezeka ndi kumanga ngati moto.

Taonani kufiira ndi kutupa pa zala zazimayi. Zingwe zake zimasonyeza kuwonongeka kwakukulu, chifukwa chakuti ziwalo zimakhala ndi minofu yochepa komanso mafupa ena. (Magazi omwe akuyenda kupyolera mu minofu amathandiza kuti ukhale wotentha.) Zalala zilibe kale magazi ambiri chifukwa zimakhala kutali kwambiri ndi mtima, koma pamalumikiza, kuthamanga kwa magazi kumakhala kochepa kwambiri.

Ngakhale kuti zotupa pamapikowa ndizowonekeratu, n'zotheka kuwona kuti zala zake zimakhala zotupa poyang'ana pa mphete yake. Chovalacho ndi cholimba kwambiri, kusonyeza kuti chala chimakhala chachikulu kwambiri kuposa chizolowezi.

Mlandu uwu wa chisanu ndi chowopsa. Mkazi uyu akuti adataya mbali za zala zake kuvulazidwa. Ndi chitsanzo chabwino cha kuyang'ana koopsa kwa chisanu.

> Chitsime:

> Handford C, Thomas O, Imray CHE. Frostbite. Emerg Med Clin North Am. 2017 May; 35 (2): 281-299. lembani: 10.1016 / j.emc.2016.12.006. Onaninso.