Watya singa ofuna obuvune obw’amaanyi (Traumatic Injury) mu kabenje? Kino ka twogere mu bujjuvu!

Kuba akafaananyi nga ggwe oba omuntu gw’omanyi afunye akabenje ak’amaanyi. Oboolyawo kaali kabenje ku luguudo, okugwa okuva waggulu, oba ekintu kye yali tasuubira ddala. Mu nsonga z'obusawo, obuvune buno obw'amaanyi, obuteeka obulamu mu matigga bye tuyita "obuvune obw'ekikangabwa." Kiyinza okuba eky’amaanyi okusinga bw’olowooza, n’olwekyo kikulu okubamanya.

Obuvune obw’ekikangabwa kye ki?

Mu ngeri ennyangu, kino kitegeeza obuvune bwonna obw’amaanyi mu mubiri . Obuvune buno busobola okuvaamu omusaayi omungi oba okulumwa ennyo ku mutwe. Obuvune obw’engeri eno butera nnyo mu mawanga nga Amerika. Mu Sri Lanka, tutera okulaba obubenje mu mpapula z’amawulire ne ku ttivvi, si bwe kiri? Obuvune ng’obwo busobola okubaawo awaka, ku mulimu, ku luguudo, ng’ovuga mmotoka, oba ne bwe tutambula. Ebisago bino ebisinga biva ku kugwa n'obubenje bw'ebidduka . Kyokka n’obuvune obw’amaanyi buyinza okuva ku muntu okukubwa ebikonde, okufumita ebiso, okukubwa amasasi oba okukubwa ekintu ekizito. Zino mbeera za mangu ez'obujjanjabi . Bw’oba ​​olowooza nti ggwe oba omuntu omulala afunye obuvune obw’amaanyi nga buno, olina okukuba ku ssimu 119 mu bwangu n’okuyita ambyulensi . Obuvune ng’obwo buyinza okukyusa obulamu. Kiyinza okukosa ennyo obulamu bwo n’obulamu bw’abo abakulabirira. Kitwala obudde okuwona. Oluusi, kitwala ekiseera kiwanvu okuwona. N’olwekyo, kikulu nnyo okubeera omugumiikiriza , eri ggwe kennyini n’abo abakwetoolodde.

Bika ki ebikulu eby’obuvune nga buno?

Abasawo bagabanya obuvune buno obw’ekikangabwa okusinziira ku ngeri gye bubaawo n’engeri gye bukwata ku mubiri. Waliwo ebika ebikulu bisatu:

1. Blunt force okulumwa obuvune

Kino kye kika ky'obuvune ekisinga okubeerawo . Kibaawo ng’ekintu kikubye omubiri gwo n’amaanyi. Kilowoozeeko ng’okugwa okuva waggulu, okukubwa omuntu mu lutalo. Kino kiyinza okuvaako amagumba okumenyeka, okuvaamu omusaayi munda, okuvaamu omusaayi olw’ebiwundu ebiwanvu oba okukonziba ennyo.

2. Obuvune obuva ku kukendeera kwa sipiidi mu bwangu (Deceleration traumatic injury) .

Kino kibaawo ng’otambula ku sipiidi ya maanyi ate n’oyimirira mu bwangu. Okugeza bw’oba ​​ovuga mmotoka ku sipiidi ya maanyi n’otomera ekintu mu bwangu, omutwe gwo guyinza okugenda mu maaso ne gukuba siteeringi. Kino kiyinza okuleetera obwongo bwo okubuuka nga budda n’okudda munda mu kiwanga kyo, ekivaako obwongo okwonooneka .

3. Obuvune obw’ekikangabwa obuyingira mu mubiri

Kino kibaawo ekintu ekisongovu bwe kifumita olususu ne kiyingira mu mubiri. Ng’ekyokulabirako, ekiwundu ky’amasasi, okufumita ekiso, oba ekintu ekisongovu ekikugwako, oba ebiwujjo ebiva mu kubwatuka kwa bbomu bisobola okukuleetera obuvune obw’ekika kino.

Obuvune obw’amaanyi obw’ekikangabwa kye ki?

Okutwalira awamu, ‘obuvune obw’amaanyi obw’ekikangabwa’ bunnyonnyolwa ng’obuvune obuwera, obuteeka obulamu mu matigga ku bitundu by’omubiri gwo ebingi mu kiseera kye kimu. Abasawo bakozesa enkola eya bulijjo okuzuula kino. Kiyitibwa obubonero bw’obuvune obw’amaanyi (ISS) .

Obuzibu bw’obuvune bupimibwa butya? (Obubonero bw'obuvune obw'amaanyi - ISS)

Enkola eno eya `ISS` esobozesa abasawo okusalawo ku buli buvune mu ngeri y'emu, awatali kujjanjaba buli emu mu ngeri ya njawulo. Okugeza, bw’oba ​​olina obuvune obw’ekikangabwa, enkola eno ey’okuteeba obubonero ekozesebwa okusalawo oba okukukuuma mu ddwaaliro oba okukukyusa okugenda mu kifo eky’enjawulo ekya `trauma center`. Mu kino abasawo batunuulira ebintu bino wammanga:

• Omuwendo gw'ebiwundu : Tujja kukebera ebiwundu bimeka by'olina ku bitundu by'omubiri bino:
• Omutwe n’ensingo
• Feesi
• Amamiro
• Olubuto n’ekisambi
• Emikono n’amagulu
• Omubiri
• Obuvune obw’amaanyi: Obuvune buyinza okuba obutono, obw’ekigero, obw’amaanyi, obw’amaanyi ennyo, obw’amaanyi, era obw’amaanyi oba obutajjanjabibwa. Obuvune gye bukoma okuba obw’amaanyi, n’obubonero gye bukoma okubeera obunene. Okugeza, obuvune obutono buteebwa ng’obumu. Bw’ofuna obubonero mukaaga kitegeeza nti obuvune buba bwa maanyi nnyo nga tewali bujjanjabi buyinza kuziyiza kufa.

Laba engeri obubonero bwa `ISS` gye bubalirirwamu: Abasawo bazuula ebitundu by'omubiri gwo ebisatu ebisinga okulumwa ennyo . Olwo, bakozesa ekipimo ky’obubonero mukaaga okuteeba obuvune obusinga obunene mu bitundu ebyo ebisatu. Olwo, ba square obubonero ne babugatta wamu okufuna obubonero bwa `ISS`. Obukodyo buno buyinza okuva ku 3 okutuuka ku 75. Obukodyo bwa `ISS` obwa 15 oba okusingawo butwalibwa nga `obuvune obw'amaanyi obw'ekikangabwa.' Kino kiyinza okulabika ng’ekizibu, naye kiyamba abasawo okuwa omulwadde obujjanjabi obusinga obulungi.

Endwadde za ngeri ki eziyinza okuva mu buvune obw’ekika kino?

Obuvune obuva ku buvune busobola okuleeta endwadde ez’enjawulo. Ebimu ku byo bye bino:

• Amagumba agamenyese , okumenya omugongo
• Amawuggwe agaguddeObulwadde bw’ekifuba) .
• Compartment syndrome: Kino kibaawo nga puleesa munda mu bitundu by’omubiri ebimu yeeyongedde ekisusse, ne kiremesa omusaayi okubiyitamu.
• Ebisala ebizito
• Amasannyalaze gakubwa
• Flail chest: Mu kino, embiriizi eziwerako mu kifuba zimenyeka mu lunyiriri, ekivaako obuzibu mu kussa olw’entambula ey’ekitalo ey’ekitundu ekyo eky’ekifuba ng’ossa.
• Obuvune ku mutwe: Eby’okulabirako mulimu okuzimba omusaayi mu bitundu by’omubiri ebiyitibwa epidural hematoma, okumenya ekiwanga, okuvaamu omusaayi mu bitundu by’omubiri ebiyitibwa subarachnoid hemorrhage, subdural hematoma, oba traumatic brain injury (TBI) .
• Okuvaamu omusaayi
• Okukonziba kw’emisuwa gy’omutima
• Okukonziba okw’amaanyi
• Severe hypovolemia / Hypovolemic shock: Eno mbeera ya shock eva ku kufiirwa omusaayi oba amazzi amangi okuva mu mubiri.
• Obuvune ku mugongo
• Obuvune mu lubuto obuva ku buvune: Okugeza, omusaayi munda guyinza okuvaamu olw’okwonooneka kw’ebitundu by’omubiri nga enseke, olubuto oba enseke.
• Okutemebwako ebitundu by’omubiri mu ngeri ey’ekikangabwa kwe kufiirwa ekitundu ky’omubiri, gamba ng’omukono oba okugulu, olw’akabenje.
• Okukutuka kw’omusuwa gwa aorta `(Okukutuka kw’omusuwa gw’omusuwa)`

Bubonero ki obulaga obuvune buno?

Obubonero bwawukana nnyo okusinziira ku ngeri obuvune gye bwabaawo n'engeri gye bwakwatamu omubiri . Ng’ekyokulabirako, singa wabaawo okusala okunene oluvannyuma lw’akabenje k’emmotoka, oyinza okulaba ng’omusaayi gukulukuta. Oluusi eggumba erimenyese liyinza okulabika okuyita mu lususu (a compound fracture) . Mu mbeera eyitibwa ``flail chest``, ekifuba kiruma ng'ossa era kizibu okussa. Bw’oba ​​olina obuvune ku mutwe, oyinza okubulwa amagezi, okusesema oba obutasobola kwogera.

Obuvune nga buno obujjanjaba otya?

Waliwo emitendera gy’obujjanjabi emikulu egiwerako. Oluusi eyitibwa enkola ya ABCDE . Emitendera gye gino:

• A - Omukutu gw’empewo: Okusooka, abasawo bajja kukebera okulaba oba waliwo ekiziyiza omukutu gwo ogw’empewo (enkola y’okussa) oba oba waliwo ensonga yonna lwaki tosobola kussa .
• B - Okussa: .Ekiddako, bajja kukebera okulaba oba ossa bulungi, oba olina amawuggwe agagudde (pneumothorax), era oba endotracheal tube yo eri mu kifo kyayo.
• C - Entambula y’omusaayi: Singa wabaawo ebiwundu byonna ebivaamu omusaayi ebweru, bijjanjabwa mangu. Era bakebera oba bavaamu omusaayi munda n’obubonero bw’okukankana.
• D - Obulema (obuzibu bw’obusimu): Ekiddako, bakebera okulaba oba waliwo obuzibu bwonna ku busimu oba oba waliwo okwonooneka kwonna ku mugongo.
• E - Exposure (Full Examination): N’ekisembayo, engoye zo zonna ziggyibwamu era buli nook and cranny y’omubiri gwo ne yeekebejjebwa bulungi, nga banoonya obuvune obulala bwonna n’okukakasa nti tewali kisubwa .

Abasawo basooka kujjanjaba buvune obusinga okutta omuntu. Ebiseera ebisinga, ekyo kitegeeza nti omusawo alongoosa obuvune alongoosa mu bwangu okujjanjaba obuvune oba embeera eziyinza okutta omuntu.

Obujjanjabi bw’ofuna bujja kusinziira ku buvune obw’enjawulo bw’ofunye. Omusawo wo alongoosa obuvune era ayinza okunoonya obuyambi okuva mu bakugu abalala nga bwe kyetaagisa. Okugeza nga:

• Singa emisuwa giba gifunye obuvune, abasawo abalongoosa emisuwa (abalongoosa abakugu mu misuwa) bajja kuyitibwa.
• Singa amagumba gafuna obuvune, abasawo abalongoosa amagumba (abalongoosa abakugu mu ndwadde z’amagumba) bajja kwebuuzibwako.
• Singa wabaawo obuvune ku bwongo , abasawo abalongoosa obusimu (abalongoosa abakugu mu by’obusimu) bajja kuyitibwa.

Ojja kwetaaga okugenda mu maaso n’obujjanjabi mu kiseera kyonna ky’onoodda engulu. Okugeza nga:

• Obujjanjabi bw’omubiri: Okuzzaawo enkola y’omubiri.
• Occupational therapy: Weegezeemu okukola emirimu gya buli lunaku ku bubwo.
• Obuyambi bw‟obulamu bw‟obwongo: Kizibu okugumira embeera oluvannyuma lw‟akabenje akanene nga kano. Kikulu okufuna obuyambi ku nsonga z‟obulamu bw‟omutwe nga okwennyamira, okweraliikirira, n‟obuzibu bw‟okunyigirizibwa oluvannyuma lw‟okukosebwa (PTSD) .

Obubenje nga buno tebusobola kuziyizibwa?

Kya lwatu nti obuvune bwonna obw’ekikangabwa si bwe busobola okuziyizibwa. Kyokka, waliwo ebintu bye tuyinza okukola okukendeeza ku bulabe bwaffe. Okugeza obubenje bw’ebidduka bwe businga okuvaako obuvune buno. Kale, bulijjo bw’oyambala omusipi n’otovuga ng’onywedde omwenge oba ebiragalalagala (oluusi n’eddagala eriwandiikiddwa omusawo), osobola okukendeeza ku bulabe bw’okufuna obuvune mu kabenje. Ebintu ebitonotono ng’okwegendereza ku luguudo n’okulowooza ku by’okwerinda ng’okola emirimu gy’awaka bisobola okuleeta enjawulo nnene.

N’ekisembayo, ebintu by’olina okujjukira

Obuvune obw’amaanyi buyinza okubaawo mu kaseera katono. Kyokka, kiyinza okutwala emyezi, wadde emyaka, egy’obujjanjabi obutasalako n’okuyambibwa okusobola okuwona. Ng’oggyeeko obujjanjabi obw’amangu, gamba ng’okulongoosebwa mu bwangu, okwongera okulongoosebwa oba obujjanjabi obulala kiyinza okwetaagisa oluvannyuma.

Ekintu nga kino bwe kibaawo, wadde ng’ebiwundu by’omubiri biwona, enkovu z’ebirowoozo zitwala ekiseera okuwona, era zisobola okuwangaala obulamu bwonna. Bw’oba ​​olwanagana n’ebiyinza okuva mu buvune obw’amaanyi bwe butyo, oba bw’oba ​​owulira ng’obuvune buyitiriddeko, nsaba onoonye obuyambi okuva eri omusawo oba omubuulirizi ku by’obulamu bw’obwongo . Toli wekka, era tokwatibwa nsonyi kusaba buyambi.

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