Kudulidwa koopsa

Kudulidwa modetsa nkhawa ndikutaya gawo la thupi, nthawi zambiri chala, chala, dzanja, kapena mwendo, zomwe zimachitika chifukwa changozi kapena kuvulala.

Ngati ngozi kapena zoopsa zatuluka pakudulidwa kwathunthu (gawo la thupi lidadulidwa kotheratu), gawolo nthawi zina limatha kulumikizanidwanso, nthawi zambiri akasamalidwa moyenera ndi gawo lomwe linadulidwa, kapena chiwalo chotsalira.

Pakudulidwa pang'ono, kulumikizana kwaminyewa yofewa kumatsalira. Kutengera ndi kuvulala kwakukuluko, malekezero ocheperako atha kupezekanso kapena sangathe kulumikizidwa.

Zovuta zimachitika nthawi zambiri gawo la thupi likadulidwa. Chofunika kwambiri pa izi ndi magazi, mantha, ndi matenda.

Zotsatira za nthawi yayitali kwa wopunduka zimadalira kasamalidwe koyambirira ndi chisamaliro chofunikira. Kuphatikizika koyenera komanso kogwira ntchito komanso kuphunzitsanso kumatha kukonzanso msanga.

Kudulidwa modabwitsa kumachitika chifukwa cha fakitale, famu, ngozi yazida zamagetsi, kapena ngozi zapagalimoto. Masoka achilengedwe, nkhondo, ndi zigawenga zingayambitsenso ziwalo.

Zizindikiro zimaphatikizapo:

• Kuthira magazi (kumatha kukhala kocheperako kapena koopsa, kutengera komwe kuvulako kuli komanso mtundu wake)
• Ululu (kuchuluka kwa zowawa sikukhudzana nthawi zonse ndi kuopsa kwa kuvulala kapena kuchuluka kwa magazi)
• Minofu yophwanyika (yopindika bwino, komabe imalumikizidwa pang'ono ndi minofu, fupa, tendon, kapena khungu)

Zomwe mungachite:

• Onani momwe munthu akuyendera (tsegulani ngati kuli kofunikira); cheke kupuma ndi kufalikira. Ngati ndi kotheka, yambani kupuma, kupuma kwa mtima (CPR), kapena kuwongolera magazi.
• Itanani kuchipatala.
• Yesetsani kumukhazika mtima pansi komanso kumutsimikizira munthuyo momwe angathere. Kudulidwa kumakhala kowawa komanso kowopsa kwambiri.
• Pewani kutaya magazi mwa kupondereza pachilonda. Kwezani malo ovulala. Ngati magazi akupitilizabe, yang'anirani komwe kutuluka magazi ndikuyambiranso kupanikizika, mothandizidwa ndi munthu amene sanatope. Ngati munthuyo ali ndi magazi owopsa moyo, bandeji yolimba kapena tchuthi chimakhala chosavuta kugwiritsa ntchito kuposa kuponderezedwa pachilondacho. Komabe, kugwiritsa ntchito bandeji yolimba kwa nthawi yayitali kumatha kuvulaza koposa.
• Sungani ziwalo zilizonse zodulidwa ndikuonetsetsa kuti akukhala ndi munthuyo. Ngati ndi kotheka, chotsani chilichonse chodetsa chomwe chingawononge chilonda, kenako tsukutsani pang'ono thupi lanu ngati malowo ndi odetsedwa.
• Manga gawo lomwe lidadulidwa mu nsalu yoyera, yonyowa, ndikuyiyika mu thumba la pulasitiki losindikizidwa ndikuyika thumba lanu mu bafa lamadzi oundana.
• Osayika thupi lathu m'madzi kapena mu ayezi osagwiritsa ntchito thumba la pulasitiki.
• Osayika gawo lomwe lidadulidwa mwachindunji pa ayezi. Musagwiritse ntchito ayezi wouma chifukwa izi zimayambitsa chisanu ndi kuvulala kwa gawolo.
• Ngati madzi ozizira sakupezeka, sungani gawolo kutali ndi kutentha momwe mungathere. Sungani kuti gulu la azachipatala, kapena mupite nawo kuchipatala. Kuziziritsa gawo lomwe lidadulidwalo kumalola kuti kulumikizanso kudzachitike nthawi ina. Popanda kuzirala, gawo lomwe lidadulidwa limangobwezeretsanso pafupifupi maola 4 mpaka 6.
• Sungitsani munthuyo kukhala wofunda komanso wodekha.
• Chitani zinthu zotetezera mantha. Ikani munthuyo pansi, kwezani mapazi ake pafupifupi masentimita 30, ndikuphimba munthuyo ndi malaya kapena bulangeti. MUSAMAYIKE munthuyo pamalopo ngati akuganiza kuti wavulala mutu, khosi, msana, kapena mwendo kapena ngati zikumupangitsa kuti asakhale womasuka.
• Magazi akayamba kuyang'aniridwa, fufuzani munthuyo ngati ali ndi zizindikiro zina zovulala zomwe zimafunikira chithandizo chadzidzidzi. Samalani ma fracture, mabala owonjezera, ndi zovulala zina moyenera.
• Khalani ndi munthuyo kufikira pomwe chithandizo chamankhwala chidzafike.

• Musaiwale kuti kupulumutsa moyo wa munthu ndikofunikira kuposa kupulumutsa gawo la thupi.
• Musanyalanyaze kuvulala kwina kosawonekera kwenikweni.
• Osayesa kukankhira gawo lirilonse m'malo mwake.
• Musaganize kuti gawo la thupi ndiloling'ono kwambiri kuti lisapulumuke.
• MUSAMAYAMBE zokolola, pokhapokha magazi akakhala owopsa, chifukwa chiwalo chonse chitha kuvulazidwa.
• MUSAKHUDZITSE chiyembekezo chabodzanso.

Ngati wina adula chiwalo, chala, chala chakumapazi, kapena gawo lina la thupi, muyenera kuyimbira nthawi yomweyo kuti akalandire thandizo lachipatala.

Gwiritsani ntchito zida zachitetezo mukamagwiritsa ntchito zida za fakitole, famu, kapena magetsi. Valani malamba pamene mukuyendetsa galimoto. Nthawi zonse gwiritsani ntchito nzeru ndikuwonetsetsa chitetezo.

Kutaya thupi

• Kudulidwa kwamapazi - kutulutsa
• Kudulidwa mwendo - kutulutsa

• Kukonza ziwalo

American Academy of Orthopedic Surgeons tsamba lawebusayiti. Kuvulala chala ndi kudulidwa ziwalo. orthoinfo.aaos.org/en/diseases--conditions/fingertip-injury-and-amputations. Idasinthidwa mu Julayi 2016. Idapezeka pa Okutobala 9, 2020.

Rose E. Kuwongolera kudula ziwalo. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts & Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 47.

Switzer JA, Bovard RS, Quinn RH. (Adasankhidwa) Mafupa a m'chipululu. Mu: Auerbach PS, Cushing TA, Harris NS, eds. Mankhwala A m'chipululu cha Auerbach. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 22.