Ukwahlukana

Ukwahlukana kukwahlula amathambo amabini apho ahlangana khona ngokudibeneyo. Idibeneyo yindawo apho kudibana khona amathambo amabini, avumela intshukumo.

Ilungu elihlukaniswe ngumdibaniso apho amathambo engasekho kwizikhundla zawo eziqhelekileyo.

Kunganzima ukuxelela ilungu eliqhekekileyo kwithambo elaphukileyo. Zombini zezongxamiseko ezifuna unyango lokuqala.

Uninzi lokususwa kunokunyangwa kwiofisi kagqirha okanye kwigumbi likaxakeka. Unokunikwa iyeza lokukwenza wozele kwaye ubangele ukuba indawo leyo ibe ndindisholo. Ngamanye amaxesha, i-anesthesia ngokubanzi ekubeka kubuthongo obunzulu iyafuneka.

Xa uphathwa kwangoko, uninzi lokwahlulwa kwezinto akubangeli ukwenzakala okusisigxina.

Kuya kufuneka ulindele ukuba:

• Ukulimala kwizicubu ezijikelezileyo kuthatha iiveki ezi-6 ukuya kwezi-12 ukuzinyanga. Ngamanye amaxesha, utyando ukuze kulungiswe i-ligament elila xa idibeneyo ikhutshiwe iyafuneka.
• Ukonzakala kwimithambo-luvo kunye nemithambo yegazi kunokubangela iingxaki zexesha elide okanye ezisisigxina.

Nje ukuba idibaniselwano lisuswe, kunokwenzeka ukuba liphinde lenzeke. Emva kokunyangwa kwigumbi likaxakeka, kuya kufuneka ulandele ugqirha wamathambo (ithambo kunye nogqirha odibeneyo).

Ukukhutshwa kwezinto zihlala zibangelwa yimpembelelo ngesiquphe kwilungu. Oku kuhlala kwenzeka kulandela ukubetha, ukuwa, okanye olunye ukothuka.

Umdibaniso osusiweyo unokuba:

• Ikhatshwa bubundindisholo okanye ukurhawuzelela kwilungu okanye ngaphaya kwalo
• Kubuhlungu kakhulu, ngakumbi ukuba uzama ukusebenzisa indibaniselwano okanye ubeke ubunzima kuyo
• Inikwe umda ekuhambeni
• Ukudumba okanye ukonzakala
• Ngokubonakalayo ngaphandle kwendawo, ibala elibi, okanye i-misshapen

Ingqiniba kaMongikazi, okanye ukutsala ingqiniba, kukushenxiswa ngokuyinxenye okuqhelekileyo kubantwana abancinci. Uphawu oluphambili yintlungu ukuze umntwana angafuni ukusebenzisa ingalo. Oku kususwa kungaphathwa ngokulula kwiofisi kagqirha.

Amanyathelo okuqala onokuthatha:

1. Tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo ngaphambi kokuba uqalise ukunyanga umntu onokususwa, ngakumbi ukuba ingozi eyenzakeleyo inokubusongela ubomi.
2. Ukuba umntu wenzakele kakhulu, jonga umoya wakhe, indlela aphefumla ngayo, kwaye ajikeleze. Ukuba kuyimfuneko, qalisa i-CPR, okanye ulawulo lokopha.
3. Musa ukumshukumisa umntu ukuba ucinga ukuba intloko, umva, okanye umlenze wenzakele. Gcina umntu ezolile kwaye uzolile.
4. Ukuba ulusu lophukile, thabatha amanyathelo okuthintela usulelo. Sukuvuthela enxebeni. Yipule ngobunono le ndawo ngamanzi acocekileyo ukuze ususe nabuphi na ubumdaka obubonayo, kodwa musa ukukhuhla okanye ukuphanda. Yogqume loo ndawo ngezinto zokunxiba ngaphambi kokuthintela amalungu angonzakeleyo. Ungazami ukubeka ithambo endaweni yalo ngaphandle kokuba uyingcali yethambo.
5. Faka isicelo sokucheba okanye isilingi kumdibaniso owonzakeleyo kwindawo obukuyo. Musa ukuhambisa isihlanganisi. Kwakhona khupha lo mmandla ungasentla nangaphantsi kwendawo eyenzakeleyo.
6. Jonga ukujikeleza kwegazi ngokujikeleza ngokucinezela ngokuqinileyo kulusu kwindawo echaphazelekayo. Kuya kufuneka ijike ibe mhlophe, iphinde iphinde ifumane umbala kwisithuba semizuzwana embalwa emva kokuba uyekile ukuyicinezela. Ukunciphisa umngcipheko wokuba nosulelo, sukuyenza le nto ukuba ulusu lophukile.
7. Faka imithambo yomkhenkce ukuthomalalisa iintlungu nokudumba, kodwa musa ukubeka umkhenkce ngqo kulusu. Songela umkhenkce ngelaphu elicocekileyo.
8. Thatha amanyathelo okuthintela ukothuka. Ngaphandle kokuba kukho intloko, umlenze, okanye ukwenzakala emqolo, libeke phantsi ixhoba, uliphakamise iinyawo zalo malunga neesentimitha ezingama-30 (iisentimitha ezingama-30), uze umgqume umntu ngengubo okanye ngengubo.

• Musa ukumhambisa umntu ngaphandle kokuba ukwenzakala kukhubazekile ngokupheleleyo.
• Musa ukuhambisa umntu okonzakeleyo, isinqe, okanye umlenze ongaphezulu ngaphandle kokuba kunyanzelekile. Ukuba nguwe wedwa umkhuseli kwaye umntu makasuswe, barhuqe ngempahla yabo.
• Ungazami ukolula ithambo elingalunganga okanye indibaniselwano okanye uzame ukutshintsha indawo emi kuyo.
• Sukuvavanya ithambo elingaxutywanga okanye indibaniselwano yokuphulukana nomsebenzi.
• Musa ukumnika nantoni na umntu ngomlomo.

Tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo ngoko nangoko ukuba umntu unale nto ilandelayo:

• Ithambo livela kulusu
• Ukuqhawulwa okwaziwayo okanye okukrokrelwayo okanye ithambo elaphukileyo
• Indawo engezantsi kwendibano eyonzakeleyo ephaphathekileyo, ebandayo, e-clammy, okanye eluhlaza okwesibhakabhaka
• Ukopha kakhulu
• Iimpawu zosulelo, ezinje ngokufudumala okanye bomvu kwindawo eyenzakeleyo, ubofu, okanye umkhuhlane

Ukunceda ukukhusela ukulimala kubantwana:

• Yenza imeko-bume engqonge ikhaya lakho.
• Nceda ukuthintela ukuwa ngokubeka amasango kwizinyuko kunye nokugcina iifestile zivaliwe kwaye zitshixiwe.
• Gcina iliso elibukhali ebantwaneni ngalo lonke ixesha. Akukho sithatha indawo yokujonga ngokusondeleyo, nokuba imeko-bume okanye imeko ikhuseleke kangakanani na.
• Fundisa abantwana ukuba bakhuseleke njani kwaye bazikhathalele.

Ukunceda ukunqanda ukusasazeka kubantu abadala:

• Ukuthintela ukuwa, sukuma kwizitulo, kwiitafile okanye kwezinye izinto ezingazinzanga.
• Ukuphelisa ukuphosa iiragi, ngakumbi kubantu abadala abadala.
• Nxiba izixhobo zokuzikhusela xa uthatha inxaxheba kwezemidlalo.

Kuwo onke amaqela eminyaka:

• Gcina ikiti yoncedo lokuqala ilungile.
• Susa iintambo zombane kwimigangatho.
• Sebenzisa izinto zokubamba kwizinyuko.
• Sebenzisa iimethi ezingekho mthethweni emazantsi ebhafu kwaye ungasebenzisi iioyile zokuhlamba.

Ukwahlula ngokudibeneyo

• Ukulimala kwentloko
• Ukususwa kwenyonga
• Ukudibana kwamagxa

I-Klimke A, i-Furin M, i-Overberger R.I-prehospital immobilization. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 46.

IMascioli AA. Ukwahlukana okungathandekiyo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 60.

I-Naples RM, i-Ufberg JW. Ulawulo lokwahlukana okuqhelekileyo. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 49.