Ukunqunyulwa okwenzakeleyo

Ukunqunyulwa okwenzakalisayo kukuphulukana nelungu lomzimba, ngesiqhelo umnwe, uzwane, ingalo, okanye umlenze, okwenzeka ngenxa yengozi okanye yokwenzakala.

Ukuba ingozi okanye ukwenzakala kubangela ukunqunyulwa okupheleleyo (ilungu lomzimba linqunyulwe ngokupheleleyo), inxenye ngamanye amaxesha inokuphinda idityaniswe, rhoqo xa kuthathelwa ingqalelo efanelekileyo kwinxalenye ekhutshiweyo kunye nesiphunzi, okanye ilungu elishiyekileyo.

Kukwahlulahlulwa inxenye, uqhagamshelo lwethishu ethambileyo luhlala luhleli. Kuxhomekeka ekubeni ubuzaza benzakalise kangakanani, umda ohlukaniswe ngokuyinxenye unakho okanye ungabinakho ukubanjwa kwakhona.

Iingxaki zihlala zenzeka xa ilungu lomzimba linqunyulwa. Eyona nto ibaluleke kakhulu kwezi ukuphuma kwegazi, ukothuka kunye nosulelo.

Isiphumo sexesha elide somntu otyumkileyo kuxhomekeke kuxinzelelo olungxamisekileyo kwangoko kunye nolawulo lokhathalelo olubalulekileyo. Ukufakelwa ngokufanelekileyo kokusebenza kunye nokusebenza kwakhona kunokukhawulezisa ukulungiswa.

Ukunqunyulwa okwenzakalisayo kuhlala kubangelwa ngumzi mveliso, ifama, iingozi zezixhobo zamandla, okanye iingozi zeemoto. Iintlekele zemvelo, imfazwe, kunye nohlaselo lwabanqolobi nako kunokubangela ukunqunyulwa izitho zomzimba.

Iimpawu zingabandakanya:

• Ukopha (kunokuba kuncinci okanye kubenzima, kuxhomekeke kwindawo kunye nohlobo lokwenzakala)
• Ubuhlungu (inqanaba lentlungu alisoloko linxulumene nobunzima bokwenzakala okanye isixa sokopha)
• Izicubu zomzimba ezityumkileyo (ezixutywe kakubi, kodwa ziqhotyoshelwe kancinci yimisipha, ithambo, umsipha, okanye ulusu)

Amanyathelo okuthatha:

• Jonga indlela yomoya yomntu (vula ukuba kukho imfuneko); jonga ukuphefumla nokuhamba kwegazi. Ukuba kukho imfuneko, qalisa ukuhlangula ukuphefumla, ukuvuselelwa kwe-cardiopulmonary (CPR), okanye ukulawula ukopha.
• Biza uncedo lwezonyango.
• Zama ukuzola kwaye umqinisekise loo mntu kangangoko kunokwenzeka. Ukunqunyulwa kwamalungu kubuhlungu kwaye kuyothusa kakhulu.
• Lawula ukopha ngokusebenzisa uxinzelelo ngqo kwilonda. Nyusa indawo eyonzakeleyo. Ukuba ukopha kuyaqhubeka, phinda ujonge umthombo wokopha kwaye uphinde ufake uxinzelelo ngqo, ngoncedo lomntu ongadinwanga. Ukuba umntu wopha ngokusongela ubomi, ibhandeji eqinileyo okanye i-tourniquet kuya kuba lula ukuyisebenzisa kunokucinezela ngokuthe ngqo kwilonda. Nangona kunjalo, ukusebenzisa ibhandeji exineneyo ixesha elide kunokuba yingozi kunokulungileyo.
• Gcina nawaphi na amalungu omzimba ahlukileyo kwaye uqiniseke ukuba ahlala nalo mntu. Ukuba kunokwenzeka, susa nayiphi na into emdaka enokuthi ingcolise inxeba, emva koko uyihlambe ngobunono ilungu lomzimba ukuba isiphelo esisikiweyo singcolile.
• Songela indawo ekhethiweyo kwilaphu elicocekileyo nelifumileyo, uyibeke kwisingxobo seplastiki esitywiniweyo kwaye uyibeke kwindawo yokuhlambela amanzi e-ice.
• MUSA ukubeka ilungu lomzimba ngqo emanzini okanye kumkhenkce ngaphandle kokusebenzisa iplastikhi.
• SUKUYIBEKA ngqo indawo ekhethiweyo kumkhenkce. UNGAYisebenzisi umkhenkce owomileyo kuba oku kuya kubangela iqabaka kunye nokwenzakala kwenxalenye.
• Ukuba amanzi abandayo akafumaneki, yigcine kude nobushushu kangangoko kunokwenzeka. Yigcinele iqela lezonyango, okanye uyise esibhedlele. Ukupholisa isahlulo esinqunyiweyo kuvumela ukufakelwa kwakhona kungenziwa kamva. Ngaphandle kokupholisa, indawo ekhethiweyo ilungile kuphela ukuphinda unamathele malunga neeyure ezi-4 ukuya kwezi-6.
• Gcina umntu eshushu kwaye ezolile.
• Thatha amanyathelo okuthintela ukothuka. Beka umntu tyaba, phakamisa iinyawo malunga neesentimitha ezingama-12 (iisentimitha ezingama-30), kwaye umgqume umntu ngengubo okanye ngengubo. SUKUMBEKA kule ndawo umntu ukuba ukrokrelwe entloko, entanyeni, emqolo okanye emlenzeni okanye ukuba lenza ixhoba lingonwabi.
• Xa ukopha kuphantsi kolawulo, jonga umntu ukuba akukho zimpawu zonzakeleyo zidinga unyango olungxamisekileyo. Phatha amaqhekeza, ukusika okongeziweyo, kunye nokunye ukulimala ngokufanelekileyo.
• Hlala naloo mntu de kufike uncedo lwezonyango.

• Ungalibali ukuba ukusindisa ubomi bomntu kubaluleke ngakumbi kunokugcina ilungu lomzimba.
• SUKUJONGA okunye ukwenzakala okungacacanga.
• SUKUZAMA ukutyhala nayiphi na indawo endaweni yayo.
• SUKUGQIBA ukuba ilungu lomzimba lincinci kakhulu ukuba lingagcinwa.
• UNGAYIBEKI i-tourniquet, ngaphandle kokuba ukopha kusongela ubomi, njengoko ilungu lonke linokwenzakala.
• SUKUPHAKAMISE amathemba obuxoki okokuphinda unxibelelane kwakhona.

Ukuba umntu utyhoboza ilungu, umnwe, iinzwane, okanye elinye ilungu lomzimba, kuya kufuneka ubize kwangoko uncedo lwezonyango olungxamisekileyo.

Sebenzisa izixhobo zokhuseleko xa usebenzisa umzi-mveliso, ifama, okanye izixhobo zombane. Bhinqa amabhanti xa uqhuba imoto. Soloko usebenzisa ingqiqo elungileyo kwaye uqaphele amanyathelo okhuseleko afanelekileyo.

Ukuphulukana nelungu lomzimba

• Ukunqunyulwa kweenyawo - ukukhutshwa
• Ukunqunyulwa umlenze - ukubhobhoza

• Ukulungiswa kwamalungu

IAmerican Academy yeOthopedic Surgeons iwebhusayithi. Ukulimala kweminwe kunye nokunqunyulwa. orthoinfo.aaos.org/en/diseases--conditions/fingertip-injury-and-amputations. Ukuhlaziywa kukaJulayi 2016. Kufikeleleke ngo-Okthobha 9, 2020.

URose E.Ulawulo lwezinto ezinqunyulweyo. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeklinikhi zaseRoberts naseHedges kunyango olukhawulezileyo kunye noKhathalelo oluQatha. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 47.

ISwitzer JA, iBovard RS, iQuinn RH. Intlango yamathambo. Ku: IAuerbach PS, Cushing TA, Harris NS, ii-eds. Amayeza ase-Auerbach Wilderness. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 22.