Zokopa ndi magulu olimba omwe amagwiritsidwa ntchito poletsa kutaya magazi mwa kuimitsa magazi nthawi zonse. Zokopa zimagwira ntchito pa kuvulala kwa manja ndi mwendo; Simungathe kuyika ndodo yolimba pamutu mwa wodwala ndikuyikakamiza kuti muime magazi.
Mwachizoloŵezi, ma tourniquets anali osungirako magazi kwambiri kuti thupi lawo lisakhale loopsya .
Mtsutso Wotsutsa
Kugwiritsiridwa ntchito kwa maulendo oyendayenda kunali koyamba kulembedwa pa bwalo la nkhondo mu 1674. Zovuta zogwiritsidwa ntchito popanga maulendowa zinanenedwa kuti zimayambitsa kuwonongeka kwa minofu. Asilikali anali atagwidwa ndi ziwalo zomwe nthawi zambiri zimagwiritsidwa ntchito pogwiritsa ntchito maulendo achilendo koma zikanangokhalako mosavuta. Pambuyo pake, maulendo oyendayenda amapanga rap rap mofulumira pakuthandizira thandizo loyamba .
Kugwiritsa ntchito zofufuzira m'mayiko osauka kunkawoneka ngati njira yomaliza. Iwo ankaganiza kuti iwo anali omveka kwa asilikari chifukwa mabala a nkhondo ali ovuta ndipo wolimbana ayenera kumenyana. Kuwotchera kungagwiritsidwe ntchito ndi kunyalanyazidwa.
Izi sizikutanthauza kuti maulendo achiwerewere samagwira ntchito. M'malo mwake, maulendo amatha kuteteza magazi mwazidzidzidzi ndipo ndi othandiza kwambiri pakakhala magazi ochuluka omwe sangathe kulepheretsedwa. Amakhala otchuka pankhondo chifukwa amatha kugwiritsa ntchito mofulumira ndipo safunikira kuyang'aniridwa nthawi zonse akakhala, ndikulola asilikali omwe avulazidwa kuti akhalebe ozindikira ndikupitirizabe kumenyana.
Asirikali, kuganiza kumapita, anali ndi nthawi. Titha kupita moyenera kudzera mu masitepe oletsa kutaya mwazi. Tinaphunzitsidwa kuti tiyambire ndi kukanikizidwa kwachindunji ndipo ngati izi sizigwira ntchito, kweza. Ngati kutuluka kwa magazi kukupitirizabe, kuyendayenda kumakhala kovuta. Choncho, maulendo oterewa ankaganiziridwa kuti amathandizira kutayika kwa chiwalo ngati atagwiritsidwa ntchito. Kutaya magaziwo kungabweretse mavuto aakulu kwambiri.
Mankhwala amasiku ano, ozikidwa ndi umboni akusintha malingaliro a nthawi yaitali okhudza maulendo. Kuchetsa magazi ndi vuto lalikulu. Pamene ilipo, iyenera kuimitsidwa. Ngati sichoncho, wodwalayo angafe. Palibe nthawi yosokoneza pozungulira.
Nthawi Yomwe Muzigwiritsa Ntchito Zojambulajambula
Mapulogalamu oyendayenda ayenera kuchitika m'mabuku awiri:
- Ngati magazi sungakhoze kuimitsidwa ndi kuthamanga mozama pamene zonsezi zimagwiritsidwa ntchito mwamsanga komanso panthawi yomweyo.
- Ngati pali chifukwa china chokhazikika chokha, sichikhoza kusungidwa, ngakhale chikugwira ntchito.
Chiwerengero cha 1 ndichikhalidwe chachikhalidwe chotsatira njira zowononga magazi, koma imapita patsogolo. Ndili mwana wachipatala, ndikuphunzira kuchotsa matenda ndi kupulumutsa miyoyo, kulamulira kwa magazi kunaphunzitsidwa monga zigawo za ntchitoyi. Choyamba, inu munayesayesa mwachindunji, ndipo patapita kanthawi, munasunthira kukwera. Uyenera kuyembekezera nthawi yayitali bwanji? Ziribe kanthu, ndizowopsya kwambiri ndipo sizinali zomveka.
Bwanji mukudikirira? Ngati kukakamizidwa ndi kukwera mwachindunji kungagwire ntchito pamodzi, chitani pamodzi. Kwezani mkono pamwamba pa mlingo wa mtima pamene mukukankhira mwamphamvu pa laceration kuti mutseke dzenje. Ngati panthawiyi magazi akungoyendayenda kudzera mu bandage kapena kuchokera pansi pa zala zanu, zokopa alendo sizolakwika.
Nambala 2 ndi phunziro lomwe taphunzira pa nkhondo. Ankhondo amamenyana, ndipo maulendo achiwerewere amawalola iwo. Izi zikugwiranso ntchito kwa anthu wamba, nawonso. Oyendayenda amayenda kupita kukawathandiza. Odwala omwe akuvulala zambiri amafuna mankhwala omwe amalola manja kukhala omasuka. Kwa nthawi yaitali kuyembekezera kuti ambulansi imayambitsa kutopa m'manja mwa wopulumutsiyu akuyesera kugwira ntchito yovuta.
Zokopa zimatha kudzigwiritsiranso ntchito ndi wodwalayo. Kugwiritsa ntchito molimbika kwachangu n'kovuta kwambiri.
Kuthamanga Kuthandizira Kugwiritsa Ntchito (CAT)
Kugwiritsa ntchito maulendo olimbitsa thupi (CAT) ndiwowonjezereka wogulitsa nsomba. Zimakwaniritsa zofunikira za asilikali a US. Sichidzatha, imagwiritsa ntchito kanjo (chogwirira ntchito kuti likhale lolimba), ndipo likhoza kudzigwiritsira ntchito ndi wodwalayo.
Pamene zinthu izi zimabwera koyamba msika, zimangobwera zakuda, zomwe sindikupempha kuti zikhale zokopa alendo. Zimakhala zomveka bwino mukumenyana kosaoneka bwino ndi mkanjo wokongola wa lalanje kuzungulira mkono wako wamagazi, koma wakuda amaphimba magazi ndipo ndi kovuta kuwona pang'onopang'ono. Madokotala ku chipatala amatha kuphonya zojambulazo ngati zili zakuda.
CAT iyenera kukhala yokonzeka musanagwiritse ntchito podyetsa nsonga yachitsulo kudzera mumtsutso. Ngati simukutero, zingakhale zovuta kuchita panthawi yozizira kwambiri, makamaka ngati mukuvala magolovesi (nitrile kapena chikopa). Chokhachokha chokonzekera chokonzekera chiwonetsero pasadakhale ndikuti iwe umayenera kuwukankhira iwo pamapeto kuti ukawonekere.
Zochita Zapadera Zogwira Ntchito Zovuta (SOFT)
SOFTT imakhala yofanana ndi ya CAT, kupatulapo buckle. CAT imakhala ndi ziphuphu zomwe zingakhale zovuta panthawi yogwiritsira ntchito, makamaka ngati mukuvala magulovesi oteteza.
Nkhumba pa SOFTT imasonkhanitsa pamodzi, zomwe zimakulolani kuti mukhale ndi mapeto a nsapato zomwe zadyetsedwa kale kupyolera muzitsulo. Pachifukwa ichi, simusowa kuti muzembera bwalo lambala pamapeto pa mkono wovulala kapena mwendo. Mungathe kukulumikiza zojambulazo kuzungulira m'mbande ndi kuzijambula pamalo pomwepo.
Ntchitoyi ndi yothandiza ngati mukugwiritsa ntchito zofufuzirazi kwa wina. Malinga ndi momwe akugwiritsira ntchito, zimakhala zosatheka kuziphatikizira limodzi ndi dzanja limodzi, kotero kuyika pa mkono wanu ndikofanana ndi kugwiritsa ntchito CAT.
SWAT-T
SWAT-T ndi mtundu wosiyana wa zokopa alendo kuposa CAT kapena SOFTT. Pofuna zambiri pa anthu osauka, amagwiritsira ntchito mphira wakuda kuti achite chinthu chomwecho ngati mphepo yamoto imachitira ena awiriwo. SWAT-T sangathe kudzigwiritsira ntchito, koma mosiyana ndi CAT kapena SOFTT, imatha kugwiritsidwa ntchito kwa ana komanso akuluakulu.
Zokopa zokhala ndi mpukutu wa mphepo ziyenera kukhala ndi tsinde lachitsulo , malo otupa a nsalu pansi pa khungu lalitali lomwe limatchinga khungu kuti lisakokedwe mu nsonga yopotoka. Popanda pinch mbale, khungu ndi zofewa zikhoza kupotoka ndi kuzungulira, kupweteka, ndi odwala okhala ndi khungu losasunthika, kuvulala koopsa.
Phatikizani mbale pa CAT ndi SOFTT kuti zikhale zosatheka kuti iwo azikhala ochepa kwa ana komanso ang'onoang'ono, makamaka okalamba, odwala akuluakulu. Zowonjezerapo kwa odwala ang'onoang'ono: SWAT-T ikhoza kudulidwa mu zipilala ziwiri zovulala kapena odwala ambiri.
Kawirikawiri Zochitika Zochitika Zolakwika
Vuto lalikulu kwambiri ndi maulendo a zionetsero ndikuwayika momasuka. Ngati zofufuzira sizingakhale zovuta kwambiri kuti sizikumveka, sizigwira ntchito.
Kupititsa patsogolo maulendo a maulendo omwe ndi ofunika kwambiri, choncho nthawi zonse muzionetsetsa kuti malo ogulitsira malonda akuthandizira kuti muthe magazi. Oposa mmodzi, chifukwa chakuti ulendo umodzi wokhawokha-ngakhale pamene wagwiritsidwa ntchito molondola-sangakhale wokwanira kuimitsa magazi. Musaope kugwiritsa ntchito maulendo awiri kapena atatu, makamaka pa miyendo ndi odwala kunenepa kwambiri.
Kuwonjezera pa kupewa kugwiritsidwa ntchito kosayenera kwa maulendo achilendo, maulendo achilendo sayenera kuchotsedwa ndi wina aliyense kupatula dokotala mu dipatimenti yosautsa. Pamene ndikuchoka ku malo okwera maulendo aatali kwambiri, ndiye kuti sindingathe kupeza zochitika zowonongeka ndi kuchotseratu ndikutheka kuwonetsa magazi kwambiri.
> Zotsatira:
> Beebe, Richard, ndi Deborah Funk. Zomwe Zing'onozing'ono za Thandizo Labwino. 2001. Delmar.
> Mabry, Robert L. "Kupitako kumagwiritsa ntchito pa nkhondo." Military Medicine. May 2006.
> Walters, Thomas J, ndi Mabry, Robert L. "Nkhani Zogwirizana ndi Kugwiritsa Ntchito Maulendo Othamanga pa Nkhondo." Military Medicine. Sep 2005.