Ukufakwa kwamadijithi kabusha

Ukufakwa kwamadijithi kabusha ukuhlinzwa ukuze kunamathiselwe iminwe noma izinzwane ezinqunyiwe (ezinqunyiwe).

Ukuhlinzwa kwenziwa ngale ndlela elandelayo:

• I-anesthesia ejwayelekile izonikezwa. Lokhu kusho ukuthi umuntu uzobe elele futhi angakwazi ukuzwa ubuhlungu. Noma i-anesthesia yesifunda (umgogodla kanye ne-epidural) izonikezwa ukunqanda ingalo noma umlenze.
• Udokotela ohlinzayo ususa izicubu ezilimele.
• Imikhawulo yamathambo iyanqunywa.
• Udokotela ohlinzayo ubeka umunwe noma uzwane (obizwa ngokuthi idijithi) endaweni. Amathambo ahlanganiswa nezintambo noma ipuleti nezikulufu.
• Ama-tendon ayalungiswa, alandelwe izinzwa nemithambo yegazi. Ukulungiswa kwemithambo yegazi kuyisinyathelo esibaluleke kakhulu empumelelweni yenqubo. Uma kudingeka, kusetshenziswa izicubu ezinemizwa nemithambo yegazi evela kwenye ingxenye yomzimba.
• Isilonda sivalwe ngemithungo futhi sibhandishwe.

Ukuhlinzwa kwenziwa lapho kunqunywe iminwe noma izinzwane futhi kusesimweni esivumela ukuthi kutshalwe kabusha.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zalokhu kuhlinzwa zifaka:

• Ukufa kwezicubu eziphindiwe
• Ukwehla komsebenzi wezinzwa noma ukunyakaza kwidijithi ebuyiselwe
• Ukulahlekelwa ukuzwa kwezicubu eziphindwe kabusha
• Ukuqina kwamadijithi
• Ubuhlungu obuqhubeka ngemuva kokuhlinzwa
• Ukuhlinzwa okuningi kuyadingeka kwidijithi ebuyiselwe

Ukunakekelwa okukhethekile kuzothathwa ngenkathi usesibhedlela ukuze uqiniseke ukuthi igazi ligeleza kahle engxenyeni exhunywe kabusha. Ingalo noma umlenze uzogcinwa uphakanyisiwe. Igumbi lingagcinwa lifudumele ukuqinisekisa ukuhamba kwegazi okufanele. Ingxenye enanyathiselwe futhi izobhekwa kaningi ukuqinisekisa ukuthi kunokuhamba kahle kwegazi.

Ngemuva kokuphuma esibhedlela, kungadingeka ukuthi ugqoke ukhonkolo ukuvikela umunwe noma uzwane. Udokotela ohlinzayo angahlinzeka ngemithi yokuncipha kwegazi ukuvimbela amahlule egazi.

Ukunakekelwa okufanele kwengxenye enqunyiwe noma izingxenye kubaluleke kakhulu ekutshaleni kabusha ngempumelelo. Ngaphansi kwezimo ezifanele, kunethuba elihle lokuthi ukuhlinzwa kungabuyisa ukusetshenziswa komunwe noma uzwane. Uzodinga ukuvakashelwa kokulandelela nomhlinzeki wakho wezokunakekelwa kwempilo, ozoqhubeka nokuhlola ukuhamba kwegazi endaweni yokuhlinzwa.

Izingane zingcono ukhetho lokuhlinzwa kabusha ngenxa yekhono lazo elikhulu lokuphulukisa nokubuyisela izicubu.

Ukutshalwa kabusha kwengxenye enqunyiwe kwenziwa kahle kungakapheli amahora ayisithupha ngemuva kokulimala. Kepha ukutshalwa kabusha kusengaphumelela uma ingxenye enqunyiwe ipholile kwaze kwaphela amahora angama-24 ngemuva kokulimala.

Ngeke ube nokuguquguquka okufanayo kumunwe noma kuzwane ngemuva kokuhlinzwa. Izinguquko zobuhlungu nokuzwa zingaqhubeka.

Ukuvuselelwa kabusha kwamadijithi anqunyiwe; Ukufakwa kabusha kweminwe enqunyiwe

• Unqunywe umunwe
• Ukufakwa kabusha kwamadijithi - uchungechunge

IHiggins JP. Ukutshala kabusha. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ukuhlinzwa Kwesandla SikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 42.

UKlausmeyer MA, uJupiter JB. Ukutshala kabusha. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ama-eds. I-Skeletal Trauma: Isayensi Eyisisekelo, Ukuphathwa, kanye nokwakhiwa kabusha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 51.

URose E. Ukuphathwa kwezitho zokunqunywa. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 47.