Tarihi da kuma Kyawawan Ayyuka don Raunin Raunin Raba
An yi amfani da ƙuntataccen motsa jiki don rage manipulation na kashin kashin baya kuma ya kare, kamar yadda ya yiwu, ƙuƙwalwar ƙwayar cuta don ƙara ci gaba da wulakanci bayan rauni mai rauni. Kalmar ta kasance tun daga shekarun 1980s, amma ya samo asali ne na nufin wani abu da ya bambanta da ma'anar asali.
A halin da ake ciki na yau da kullum, ra'ayin ƙaddarar motsa jiki shi ne kiyaye lakabi a cikin matsakaicin matsayi da dangantaka da magunguna.
Rike mahimmin tsari na mai haƙuri yana da muhimmiyar mahimmanci a takaice. Kowane mai haƙuri yana da bambanci, kuma duk wani ƙoƙari na motsa sashin mai haƙuri zuwa abin da aka dauke da matsayin "hali" na yanayi shine ke fuskantar haɗarin sanya matsa lamba ga yankunan da ke da rauni wanda ba su ji rauni ba ko kuma ya motsa wani wuri mai raunin da ya ji rauni. daidaito na al'ada.
Don fahimtar abubuwan da aka hana ƙaddamar da motsi da kuma abin da muke ƙoƙarin cim ma, yana da amfani mu san tarihin da juyin halitta na wariyar cututtuka.
Juyin Halitta na Kariya
Da farko, akwai ƙaddarar lalacewa. Wannan shine tsinkaye na kowane mai kulawa a cikin gaggawa a ayyukan gaggawa na gaggawa (EMS) don magance cutar raunuka. A mafi yawan litattafai da littattafai na masana'antu, an samu ciwo ta musamman a duk lokacin da ake magana da shi azaman ciwon ciwon hanji na mahaifa kuma ainihin hanyar da aka kira shi a yau da kullum ana kiran shi ƙwallon ƙwayar mahaifa (ko c-spine).
An yi la'akari da raunin asibiti ya fara ne kamar yadda aka tsara. Wannan yana nufin cewa marasa lafiya marasa lafiya sun kasance ba su da komai ba ne kawai don amsawa ga hanyoyin da suka samu rauni . Maimakon haka, an yi wa marasa lafiya da ciwo mai wuyan ƙwayar zafi bayan rauni mai tsanani (hadari mai tsawo ko haɗari motar motar, alal misali), shaidar shanyayye , ko rashin sani .
Masu sauraron farko na farko suna da nau'o'in hanyoyin da suka ɗauka suna da muhimmanci sosai don tabbatar da lalacewa. A wurare da dama na kasar, ƙananan lalacewar ba a dauke su da yawa don dalili ba don haɓakar dabbar ta mai haƙuri, sau da yawa ko da a gaban ciwon wuyan wuyansa da kuma tabbacin shaida cewa mai haƙuri ya buge kansa.
A cikin rabin rabin shekarun 1980s, bambance-bambance na marasa lafiya da abin da aka sani da sunan "occult" ƙwallon ƙwayar mahaifa ya ɓad da hankalin likitocin gaggawa zuwa rayukan kwayoyin rayuka rayukan rayuka kusan kusan duk wani rauni na rauni tare da yiwuwar mummunar cututtuka zuwa kai ko whiplash sakamako (tayar da kai da baya, sa matsa lamba a wuyansa). Marasa lafiya za su gabatar wa ma'aikatan gaggawa gunaguni na ciwon wuyanta bayan an cire su daga ziyarar da suka gabata. Mafi yawan wa] annan marasa lafiya sun magance su, game da abin da, a lokacin, aka yi la'akari da irin raunin da ke cikin rauni tare da raunin ƙarami. Wasu daga cikin wadannan marasa lafiya sun gano cewa suna da fatar jiki a jikin mahaifa a kan x-ray bayan sun dawo cikin ER.
Yayinda aka kyange ƙuruwan marasa lafiya a cikin sashen x-ray, an sami karin fractures. An sanya zaton cewa ya fi sauƙi don karya gashin daji fiye da yadda tunanin zai yiwu.
Daɗaɗɗa a wasu lokuta saboda jin tsoron ladabi, laifuka na gaggawa sun kara yawan mayafin yaduwar mahaifa har sai sun kasance a cikin kowane abu daga matakin kasa zuwa ga raunuka.
Harkokin horo na bazuwa ya fadada cewa duk wata hanyar da za ta yiwu ta sanya matsin lamba a wuyansa ya nuna da bukatar yin tsabtace kashin baya. An sanar da EMT da magungunan likita don ɗaukar rauni a cikin rauni a kan duk wani mai haƙuri wanda ya fadi kuma ya ɗauka a matsayin wani rauni na kowane mai haƙuri wanda aka fara gabatar da shi ba tare da saninsa ba.
Kalmar labaran ƙwayoyin halitta ta ba da izinin maganin cututtuka yayin da magani ya zama kamar na oxygen.
An yi la'akari da lalacewa ta asali a matsayin daidaitacce tare da kula da iska da kuma yin zub da zub da jini a cikin rashin lafiya.
Rage rawanin X yana kaiwa zuwa canji
Duk waɗannan hasken-radiyoyi masu tsada ne masu tsada da kuma yiwuwar bayyanar da marasa lafiya zuwa radiation ba dole ba. Ƙungiyoyin likitoci biyu masu zaman kansu sun kaddamar da kayan aikin kima don taimakawa likitocin gaggawa su gano marasa lafiya waɗanda suke buƙatar samun ƙuƙumansu. An gudanar da mulkin NEXUS da mulkin Kanada C-Spine a cikin wasu sassa na gaggawa a kusa da Amurka da Kanada.
Magunguna sun kara da kwarewa akan takardun ER wanda ke karye kullun mahaifa kuma suna karkatar da shugabannin marasa lafiya daga gefen zuwa gefe. Da zarar aikin ya karu da yawa, likitoci sun fara tambayar dalilin da ya sa ya kamata a sanya mai haƙuri a cikin tsararraki a cikin filin kawai don samun likitocin gaggawa su cire kayan aiki a cikin hallway na ER.
Ba da da ewa ba, an gudanar da nazarin don yin amfani da kayan aiki kamar yadda masu lura da kwayoyin halitta suka kamata su zama marasa lafiya a farkon wuri. An jarraba magunguna don ganin ko za mu iya gane marasa lafiya da kuma takardun ER. Midway ta farkon shekaru goma na wannan karni, tsarin tsarin EMS da ke kewaye da Amurka yana da mahimmanci ba don "share" suturar mahaifa ba a wuri mai dadi.
Tambayar Sakamakon Yanayin
Yayin da hasken ya haskakawa kan aikin tsararraki ko tsabtace tsabtace jiki, wasu masu bada taimako da likitoci sun fara tambayar wannan aiki gaba daya. Yin amfani da kwakwalwan ɗakunan ajiya sunyi mummunar mummunan abu, yana haifar da matsanancin matsananciyar zafi da ciwo a marasa lafiya waɗanda suka kwanta a kan allon a cikin hanyoyi na ER har tsawon sa'o'i.
Hakanan ana amfani da ƙananan kwakwalwan mahaifa (wanda aka fi sani da ƙwanƙarar ƙwanƙara ko c-collars) don tabbatar da yaduwar kwayar halitta da kuma hana motsin kai bayan an samu rauni mai rauni. Ana yin amfani da su ko kuskure sau da yawa kuma akwai wasu shaidu da ke nuna cewa zasu iya ƙara matsa lamba a cikin marasa lafiya tare da jikkata .
Rike a kan kwalliya mai kwakwalwa tare da kai da aka ajiye a na'urar, koda lokacin da aka ƙuƙasar da ƙuƙwalwar, an ba da gudummawa mai mahimmanci yayin hawa zuwa asibiti. Kwayar kimiyya ta zamani tana ɗaukar cewa rarraba nauyi da kuma siffar jikin mutum mai haƙuri zai ba da damar ƙwaƙwalwarta ta motsawa fiye da kanta, yana maida karfi a kan layi na kwakwalwa da kuma damfara da kuma rarrabe kalma.
Rashin bazuwar, sarrafa gwaje-gwajen don yin amfani da ɗakunan kwakwalwa masu wuya da ƙuƙwalwar ƙwayar mahaifa sun jagoranci wasu tsarin EMS don rage yawan amfani da wadannan hanyoyi guda biyu. San Joaquin County, California ita ce tsarin farko na EMS a kasar don ki yarda da izinin EMT da kuma masu kwakwalwa don amfani da su ko kuma sanya kwaskwarima akan ambulances.
Ƙuntatawa na Kayan Gasa na zamani
Yayinda kullun da aka gano sun sami sababbin rayuka a matsayin dutsen kaya da dusar ƙanƙara, dasuwar hanya ta bi hanya, ta hanyar kasancewa mai tsabta kuma an tsara shi ga wani abu da ya fi sauƙi kuma ya fi ƙarfin rarraba. Lalle ne, yawancin maganin likitoci suna da wuya a rubuta takardun hanyoyin da ake amfani da su don "ƙuntata" motsi, wanda zai hada da wani abu mai sauki kamar tunatar da mai haƙuri kada ya motsa kansa.
Ayyuka mafi kyau sun hada da yin amfani da fasahar kima kamar irin na NEXUS ko Kanada C-Spine Rule. Ana tambayar masu haƙuri da ƙayyadaddun zafi. Idan mai haƙuri ba shi da ciwo ko zafi wanda ya nuna a kai tsaye zuwa tsakiyar tsakiya domin ya nuna cewa ba a cikin kusurwar kusurwa na kashin baya ba, paramedic yana nuna alamar kashin baya. Idan ba'a sami taushi ko nakasar ba, paramedic zai jagoranci mai haƙuri ta hanyar jerin sassauki da tsawo, juyawa, da kuma motsi na wuyansa. Idan, a lokacin wannan motsi, marasa lafiya ba su koka sabon ko ƙara yawan ciwo na tsakiya ba, ƙila za a yi watsi da ƙuntatawar motsi.
Binciken da ya dace daidai yana dogara ne akan ikon mai yin haƙuri don sadarwa tare da mai kulawa. Idan mai hakuri yana ƙarƙashin rinjayar barasa ko magungunan kwayoyi, dole ne marasa lafiya su kula da matsananciyar zato don rauni na kashin baya. Koda a cikin wannan misali, duk da haka, ƙwararren ƙwayar cuta ba zai iya zaɓar yin amfani da kwalliya ba kuma mai mahimmanci c-collar don kulawa ta kashin baya.
Hanyoyin motsa jiki na ƙuntatawa maimakon ƙaddarar ƙwayar ƙwayar jiki shine ikon iya yin haƙuri don hana ƙwayar motsin jikinta. Maimakon kwance kwance kuma an ajiye shi a cikin kwakwalwa, ana barin marasa lafiya suna zaune a kan gurney kuma an sanya sutura mai laushi don tunatarwa kada su motsawa fiye da gagarumin ƙuntataccen motsi.
Marasa lafiya waɗanda ba su iya bin dokoki da wadanda suke da matsananciyar zato ga rashin tausayi na kashin baya zasu amfane su daga na'urar da aka sani dashi. Hannun raƙuman ruwa sunyi dacewa da nauyin jikin marasa lafiya kuma zasu iya yin gyare-gyare da kyau yadda ya kamata ba tare da tasiri na ɗakoki ba.
Yin amfani da ƙuntatawar ƙwayar ƙwayar ƙwayar cuta maimakon ƙaddarar kashin baya shine mataki a hanya mai kyau don kulawa da cututtuka.
> Sources:
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