Khawuthelekelele uhamba endleleni uze ngequbuliso kubekho ingozi enkulu... Kukho uloyiko kuyo yonke indawo... Abantu bayakhala... Ngelo xesha, kufika i-ambulensi ize ikuthathe ngokukhawuleza uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele. Apho, kukho iqela loogqirha abalwela ukusindisa ubomi bakho, okwesibini ngomzuzwana. Inkokeli yelo qela, oko kukuthi, umntu owenza izigqibo ezibalulekileyo malunga nobomi bakho ngelo xesha, 'nguGqirha weTrauma' esiza kuthetha ngaye.
Ngamafutshane, ngubani lo gqirha wotyando lwengozi?
Ngamafutshane, uGqirha weTrauma yingcali eyenza utyando olungxamisekileyo ukunyanga ukwenzakala okunzulu nokusongela ubomi emva kwengozi.
Ukuba ufumene ingozi enkulu, lo gqirha uya kukhokela lonke iqela lezonyango eliza kukuphatha esibhedlele. Eli qela lingabandakanya abasebenzi bonyango olungxamisekileyo, ezinye iingcali zotyando, kunye nabongikazi. Ugqirha ohlinzayo ngengozi ngulowo uququzelela unyango lwakho emva kotyando, eqinisekisa ukuba yonke into ihamba kakuhle. Ngamanye amaxesha aba gqirha babizwa ngokuba 'ngoogqirha abahlinzayo abakhawulezileyo' okanye 'oogqirha abahlinzayo abangxamisekileyo'. Bonke bathetha into enye.
Zeziphi iingozi eziphambili ezinyangwa yiTrauma Surgeon?
Iingozi azizozinto esizicingayo. Minyaka le, amakhulu amawaka abantu ayonzakala baze baphelele ezibhedlele. Ugqirha wotyando lwezehlo unamava amaninzi kwiintlobo ngeentlobo zeengozi. Makhe sijonge iintlobo zeengozi abaqhele ukuzinyanga.
| Uhlobo Lokwenzakala | Kuthetha ukuthini oko nje? | Imizekelo ebomini bethu |
|---|---|---|
| Ukonzakala Kwamandla Angabonakaliyo | Umonakalo omkhulu kwizitho zangaphakathi (ezifana nesibindi, ipleen, imiphunga) obangelwa kukubetheka ngamandla, nokuba ulusu aluphukanga phezu komphezulu. | - Ingozi yemoto (ibhayisekile, isithuthi esinamavili amathathu, ingozi yemoto) - Ukuwa ukusuka kwindawo ephakamileyo (umthi, isakhiwo) - Ukugquma okanye ukubetheka okuqinileyo. |
| Uxinzelelo Olungena Ngaphakathi | Into ebukhali esika ulusu ize ingene emzimbeni, yonakalise amalungu angaphakathi. | - Inxeba lokuhlatywa - Umpu - Hlaba into efana nentonga yentsimbi ebukhali - Ukuwela kwinto ebukhali. |
| Ukulimala Kokutsha | Umonakalo omkhulu kulusu nakwizicwili ezingaphantsi obangelwa ngumlilo, ubushushu obugqithisileyo, okanye iikhemikhali. | - Ukutsha ngenxa yomlilo, amanzi ashushu okanye ioyile - Ukuvezwa kwikhemikhali efana ne-asidi - Ukuchanabeka kwingqele egqithisileyo (iqabaka) |
| Olunye Utyando Olungxamisekileyo (Utyando Olungxamisekileyo Oluqhelekileyo) | Ezinye iimeko zempilo ezisongela ubomi ezenzeka ngaphandle kwengozi, kodwa zivele ngequbuliso. | - Ukuvaleka kwamathumbu - Usulelo olugqithisileyo olusasazeka emzimbeni wonke (iSepsis) - Ukungaphumeleli kokuphefumla - Ukungasebenzi kakuhle kwamalungu omzimba ngelixa usesibhedlele |
Ziziphi iindlela zotyando eziqhelekileyo ezenziwa ngaba gqirha?
Ugqirha weTrauma akasebenzi yedwa. Bahlala besebenza nezinye iingcali ukusindisa ubomi. Nazi ezinye zezinto abazenzayo:
- I-Emergency Thoracostomy: Oku kuquka ukufaka ityhubhu esifubeni. Khawuthelekelele ukuba isifuba sakho sizele ligazi okanye umphunga uwile ngenxa yengozi. Awukwazi ukuphefumla, kwaye ubomi bakho busengozini. Le tyhubhu ifakwe ukuze ikhuphe igazi okanye umoya.
- Utyando lwe-Emergency Thoracotomy: Olu lutyando olukhulu oluqhutywa ngokuvula isifuba njengomzamo wokugqibela wokusindisa ubomi xa intliziyo sele iza kuma ngenxa yokwenzakala esifubeni.
- I-Emergency Laparotomy: Oku kuquka ukwenza umngxuma omkhulu phakathi kwesisu ukuze kuhlolwe kwaye kulungiswe nawuphi na umonakalo kwizitho zangaphakathi esiswini (ezifana namathumbu, isibindi, kunye nesisu). Oku kungenziwa nakwiimeko ezifana notyando lwe-appendicitis olungxamisekileyo.
- Ukopha kakhulu kunye nokulawula amanxeba:Umsebenzi wabo ophambili kukuyeka ukopha kakhulu, ukucoca inxeba, nokulungisa imithambo yegazi eyonakeleyo kunye nezicubu xa kukho inxeba lokugwazwa okanye ukudutyulwa.
- Ukusebenza nezinye iingcali:
- Ukuba kukho umonakalo engqondweni okanye emgogodleni, basebenzisana noogqirha bemithambo-luvo.
- Ukuba amathambo aphukile, basebenzisana noogqirha bamathambo ukuze bawanyange.
Akukho namnye kuthi olindele ingozi. Kodwa ukuba iyenzeka, kuloo mizuzu ibalulekileyo phakathi kobomi nokufa, uGqirha weeNgxaki zeNgxaki yinkokheli elwela ukusindisa ubomi bakho.
Yintoni umahluko phakathi koGqirha weTrauma kunye noGqirha oQhelekileyo?
Lo ngumbuzo abantu abaninzi abanawo. Impendulo ilula kakhulu.
Wonke uGqirha weTrauma nguGqirha oQhelekileyo. Oko kukuthi, bagqibile uqeqesho olusisiseko kutyando oluqhelekileyo, olufana notyando lwesisu kunye nokuthungwa kwamanxeba.
Nangona kunjalo, uGqirha weeNgxaki zoThutho uqhubeka ngakumbi aze afumane olunye unyaka okanye emibini woqeqesho olukhethekileyo (inkqubo yobudlelwane) kunyango oluqatha kunye noxinzelelo . Ngeli xesha loqeqesho, bafunda indlela yokwenza izigqibo ezikhawulezileyo kunye nokulawula ukwenzakala okunzima kwiimeko ezifanayo ezisongela ubomi, phantsi koxinzelelo.
Kanye njengokuba ugqirha jikelele eba ngugqirha wabantwana, ugqirha jikelele uba ngugqirha wokwenzakala.
Yintoni umahluko phakathi kweZiko leeNgxaki kunye nesibhedlele esiqhelekileyo?
Iziko lezonyango sisibhedlele okanye iyunithi ekhethekileyo yesibhedlele exhotyiswe ngokukodwa ukunyanga izigulana ezenzeke kabuhlungu. Umahluko omkhulu apha kwisibhedlele esiqhelekileyo kukulungiselela .
IZiko leeNgxaki zoThutho lineqela leengcali ezisebenza iiyure ezingama-24 ngosuku, iintsuku ezisi-7 ngeveki , ezilungele ukujongana nayo nayiphi na imeko engxamisekileyo. Oku kuthetha ukuba uGqirha weeNgxaki zoThutho, iNgcali ye-Anesthetist, abahlengikazi abaqeqeshwe ngokukodwa, kunye nazo zonke izixhobo ezifunekayo (ii-CT scanners, iibhanki zegazi, amagumbi otyando) zilungele ukusetyenziswa nangaliphi na ixesha.
ESri Lanka, izibhedlele ezinkulu ezifana neSibhedlele sikaZwelonke eColombo, eKandy, naseKarapitiya zineenkonzo zokulungisa iingozi ezikumgangatho ophezulu. Ukuba usiwa kwindawo enezibonelelo ezinjalo xa kwenzeka ingozi, kukho ithuba elikhulu lokuba ufumane unyango olungcono olufunayo ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ugqirha weTrauma ngugqirha ochwephesha onyanga iimeko ezingxamisekileyo ezisongela ubomi ezifana neengozi zeemoto, ukuwa, amanxeba okuhlatywa, kunye nokutsha.
- Xa uziswa kwiYunithi yoNyango oluNgxamisekileyo (i-ETU), inkokheli yeqela lezonyango elikunyangayo idla ngokuba nguGqirha woNyango oluNgxamisekileyo.
- Wonke uGqirha weTrauma uqala ngokuba nguGqirha oQhelekileyo, aze emva koko afumane uqeqesho olukhethekileyo kwimicimbi engxamisekileyo kunye neyonyango oluqatha.
- Basebenzisana ngokusondeleyo nezinye iingcali ekunyangeni ukonzakala kwengqondo, amathambo, okanye ezinye izinto ezithile.
- IZiko leeNgxaki sisibhedlele esixhotyiswe ngokukodwa ukunyanga ukwenzakala okukhulu iiyure ezingama-24 ngosuku, nto leyo eyonyusa amathuba okusindisa ubomi bakho.
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