Mandoline slicer tip yatsa avulsion, immersion blender, da matsanancin yanke wuka na kicin¶
Lambobin gaggawa sun bambanta da ƙasa. Wannan shafin yana amfani da 911, lambar ga Amurka da Kanada. Yawancin ƙasashe suna amfani da 112, 999, ko wata lamba. Nemo lambar don ƙasar ku.
Raunin dafa abinci daga masu yankan kayan lambu na mandoline, wukake mai kaifi mai kaifi, fayafai masu sarrafa kayan abinci, da masu haɗawa da nutsewa suna daga cikin mafi yawan raunin gida da ake jiyya a sassan gaggawa na asibiti a duk duniya. Domin pads da tukwici na yatsun ɗan adam sun ƙunshi babban cibiyar sadarwa na arteries na dijital da ƙarshen jijiyoyi masu ƙarfi a ƙarƙashin matsanancin matsin lamba na jijiyoyin jini, har ma da alama ƙaramin yanki wanda ke cire yanki mai girman tsabar tsabar fata da kitse (ƙarashin yatsa) yana zubar da jini sosai kuma yana iya haifar da amsawar suma na vasovagal kwatsam.
Ko kuna mu'amala da kushin tsinke mai tsaftataccen yatsa akan bene na mandoline, lace mai zurfi a kan ƙwanƙwasa ko dabino daga raba abinci daskararre da wuka, ko kuma hannun da aka makale a cikin injin nutsewa mai gadi, yin aiki cikin natsuwa cikin daƙiƙa sittin na farko yana dakatar da asarar jini cikin sauri, yana adana tsinkewar nama don yuwuwar tiyatar kai, ko kuma hana raunin da ake samu a dafa abinci, ko kuma hana raunin da ya faru na tiyata. tayal
Yi wannan yanzu¶
- ** Cire duk wani na'ura mai motsi daga bangon bangon nan da nan kuma zaunar da wanda ya ji rauni a kasa ko kujera mai ƙarfi ***: Kada ka dogara ga abin da ke haifar da motsi na na'urar nutsewa, mai sarrafa abinci, ko tsayawa mahaɗin yayin da hannun ke kusa da ruwan wukake, kuma koyaushe ka sa wanda ya ji rauni ya zauna nan da nan saboda ciwo na kwatsam da ganin jinin jijiya) akai-akai yana haifar da ciwo a cikin dakika 3.
- Kira lambar gaggawar gaggawa ta gida idan jini yana tasowa, idan yatsa ya kasance wani bangare ko kuma an yanke shi gaba daya ta kashi, ko kuma idan hannu ya makale da injina cikin ruwa: Kira 911 a Amurka da Kanada, 112 a cikin Tarayyar Turai, ko 999 a cikin United Kingdom (ko duba mu lambobin gaggawa directory), kuma sanya wayar akan yanayin lasifika don haka hannaye biyu su kasance masu 'yanci don amfani da matsi.
- ** Aiwatar da ƙarfi, ci gaba da matsa lamba kai tsaye a kan rauni ta amfani da tari mai kauri na gauze gauze ko tawul ɗin auduga mai tsabta mai naɗewa : Danna ƙasa da ƙarfi da yatsu aƙalla ** 10 zuwa 15 cikakkun mintuna da agogon agogo ba tare da ɗaga rigar zuwa "duba" ba kuma duba idan zubar jini ya tsaya, kamar yadda yake ɗaga sabon suturar jini yana cirewa.
- Daga hannun wanda ya ji rauni sama da matakin zuciyar mutum yayin da yake kiyaye matsewar kai tsaye ba tare da karyewa ba: Shin wanda ke zaune ko maƙaryaci ya kwantar da gwiwarsa akan matashin kai ko kuma ya ɗaga hannu sama don yatsan jinin ya fi ƙirjinsa girma, wanda hakan yana rage hawan jini mai ƙarfi a cikin jijiyoyi na dijital kuma yana rage jinni sosai.
- Idan gauze ko tawul na farko ya jike gaba daya da jini, kar a cire shi: Sanya kumfa mai tsabta na biyu mai ninke kai tsaye a saman rigar da jini ya jika sannan a danna kasa da karfi, a nade bandeji ko kyalle mai tsafta da kyau a kusa da yatsa da manne da zarar jini ya ragu.
- ** Nemo duk wani tsinkewar fatar fata ko yanke lambobi, a nannade shi a hankali a cikin ruwa mai ruwa mai ruwa ko kuma tsaftataccen gauze mai ruwan famfo, rufe shi a cikin jakar filastik mara ruwa, sannan a sanya jakar a saman buhun kankara da ruwa na biyu. kumburin nama wanda ke lalata aikin tiyata.
Danger
Kada kayi ƙoƙarin cirewa, murɗawa, ko zazzage yatsun mutum daga cikin gidan kararrawa na nutsewa, zubar da shara, ko taron sarrafa kayan abinci idan bakin bakin karfe yana cikin kashi ko tendons. Da farko, cire igiyar wutar lantarki gaba ɗaya daga cikin soket ɗin bango (ko jujjuya na'urar da'ira don jujjuyawar wayoyi). A bar gidan wulakanci ko magudanar abin da za a iya cirewa a kusa da hannu, daidaita shi da manyan tawul ɗin don ba zai iya motsawa ba, kuma a kira ma'aikatan kiwon lafiya na gaggawa don masu kashe gobara ko likitocin tiyata su iya tarwatsa gidan ƙarfe cikin aminci a ƙarƙashin maganin sa barci.
Jadawalin rarrabuwar ƙudiri: bambance-bambancen gaggawa don raunin ruwan wukake¶
flowchart TD
Start["Raunin Wuta na Kitchen (Mandoline, Wuka, ko Blender)"] --> Unplug["Mataki 1: Cire Kayan Aiki Daga bango kuma Zauna Mara lafiya a ƙasa"]
Unplug --> TrapCheck{"Shin Hannun Ya Kama Takoko Cikin Injin Wuta ko Jifa?"}
TrapCheck -->|"Ee: Ruwan Ruwa da aka yanka a Kashi ko Nama"| LeaveIn["KAR KU FITAR DA Hannu: Cire Wutar Lantarki, Gyara Shaft tare da Tawul, da Kira EMS"]
TrapCheck -->|"A'a: Hannu Ya 'Yanci Daga Ruwa"| BleedCtrl["Mataki na 2: Aiwatar da Matsi mai ƙarfi kai tsaye + ɗaga hannu sama da zuciya na mintuna 15"]
BleedCtrl --> AssessType{"Auna Nau'in Rauni da Zurfin Rauni"}
AssessType -->|"An Yanke Kushin Yatsa (Mandoline Avulsion)"| Avulsion["Ajiye Kushin Fata mai Tsabtace a cikin Damp Gauze Cikin Jakar Filastik akan Kankara Kai tsaye"]
Avulsion --> UrgentCare["Je zuwa Ma'aikatar Gaggawa ko Kula da Gaggawa don Ƙimar Tufafi / Ƙirar Ƙarfafawa"]
AssessType -->|"Cikakke ko Sashe na Yanke Yatsa Ta Hanyar Kashi/Haɗuwa"| Amputation["Kira Lambar Gaggawa Nan da nan: Ajiye Lambobi ta Hanyar Damp-Bag-on-Ice"]
Amputation --> MicroSurg["Mayar da Mara lafiya da Sanyi Lambobi zuwa Asibiti tare da Ƙarfin Ƙwararrun Ƙwararrun Hannu"]
AssessType -->|"Yanke Wuka Mai Zurfi A Gaban Yatsa, Dabino, ko Wuta"| FunctionCheck["Bincika Jinin Spurting, Ƙunƙarar Ƙashin Yatsa, ko Ƙarfin Lankwasa/Maida Yatsa"]
FunctionCheck --> SutureWindow["Nemi Kulawar Kiwon Lafiya A cikin Sa'o'i 6 zuwa 8 don Jarrabawar Jijiya/ Jijiya da Sutures"]
Me yasa mandoline slicers ke haifar da raunukan jini na musamman¶
Ana yin gyare-gyaren mandoline na dafa abinci tare da kaifi mai kaifi, bakin karfe mai kusurwa ko yumbu wanda aka ƙera don aske kayan lambu masu yawa zuwa yanki na 1-zuwa-3-millimita (1/32-zuwa-⅛-inch). Lokacin da mai dafa abinci ya tura yanki na ƙarshe na dankalin turawa, kokwamba, ko albasa a saman bene ta amfani da tafin hannunsu maimakon kariya ta filastik, kayan lambu suna zamewa da saurin ƙasa suna fitar da kushin yatsa, fihirisa, ko yatsa na tsakiya kai tsaye a saman ruwan.
Anatomy na ɓangaren ɓangaren ɓangaren litattafan almara¶
Ba kamar yankan ƙasa kai tsaye daga wuƙar dafa abinci (wanda ke yanka a tsaye a cikin fata kuma ya bar gefuna biyu masu rauni waɗanda za a iya dunƙule su tare kuma a haɗa su a rufe), wani yanki na mandoline yana haifar da ** tangential shearing avulsion ***:
- Ba za a iya dinke naman da ya ɓace daga gefe-da-bashi: Saboda ruwan mandoline yana ɗauke da lebur, madauwari ko oval disc na epidermis, dermis, da kushin kitse na subcutaneous (kuma wani lokacin saman rabin farantin farce da gadon ƙusa), babu sako-sako da gefuna na fata da aka bari don ja tare da daidaitattun stitches. Ƙoƙarin cire taurin da ke kewaye da fatar yatsa a cikin wani rami mai faɗi zai haifar da tashin hankali, yanke kwararar jini, da haifar da necrosis na nama.
- Me yasa zunzurutun yatsa ke zub da jini sosai: Kowane yatsa ana kawo shi ta wasu ingantattun arteries na dabino guda biyu da ke gudana tare da gefen lambobin wannan reshen zuwa cikin qananan arterioles a tsaye an tattara su a cikin sassan fibrous (septa) na ɓangaren litattafan yatsa. Lokacin da mandoline yanka daga saman ɓangaren litattafan almara a kan ɗimbin waɗannan tasoshin tsaye a tsaye lokaci ɗaya, ƙwanƙwasa fibrous septa yana riƙe da yankewar tashar jini a buɗe maimakon barin su ja da baya, yana haifar da gatse, ci gaba da zubar jini ko bugun jini.
- Kimanin likitancin hular fatar da aka yanke: Ko da yankakken fata ya yi kama da sirara, kodan da ke zaune akan ruwan mandoline,a kullum kubutar da ita a kawo asibiti ko dakin gaggawa. Idan naman da aka lalatar ya ƙunshi cikakken kauri (ko wani ɓangaren gadon ƙusa), likita ko ƙwararrun hannu za su sau da yawa tsaftace shi, datse kitse, kuma su sanya hular fatar jikin majiyyaci daidai a kan ɗanyen gadon rauni a matsayin ** tufafin halitta** ko haɗaɗɗen dasa. Ko da hular fatar ba ta sake farfadowa ba har abada, tana aiki a matsayin bandeji mafi dacewa na jiki na tsawon kwanaki 10 zuwa 14 yayin da sabuwar fata ke tsiro a ƙarƙashinta.
Kwatanta raunin wurjin kicin: tsanani, alamun lalacewar tsari, da magani¶
Fahimtar abin da ke ƙarƙashin fatar hannun yana taimaka muku gane lokacin da yanke dafa abinci yana buƙatar likitan tiyata na gaggawa tare da daidaitaccen suturar raunin gaggawa na gaggawa.
| Nau'in Raunin Kitchen | Nau'in inji | Mabuɗin Tsarin Halittu a Haɗari | Alamomin Gargaɗi Na Bukatar Kulawar Asibitin Gaggawa | Daidaitaccen Magani na Clinical |
|---|---|---|---|---|
| Zuciyar Hantsi ba tare da Bayyana Kashi ba | Zamewa babu yatsa ko babban yatsan yatsa a kan yanki na mandoline, grater cuku, ko yanki slicer. | Epidermis, dermis, gadon jijiyoyin bugun jini na dijital, da ƙarshen jijiya (Meissner da Pacinian corpuscles). | Rauni mai fadi fiye da 1.5 zuwa santimita 2 (0.6 zuwa 0.8 inci) fadin; ci gaba da zub da jini wanda baya tsayawa bayan mintuna 15 zuwa 20 na tsayin daka kai tsaye. | Ban ruwa, na gida dijital toshe maganin maganin sa barci, aikace-aikace na oxidized cellulose/alginate hemostatic dress ko mara man fetur raga gauze, ko suturing da aka samu hula baya a matsayin nazarin halittu dress; yana warkar da niyya ta biyu sama da makonni 3 zuwa 5. |
| Zuciyar Hantsi ko Yankewa TAREDA Filayen Kashi | Yanke mandoline mai zurfi, sara mai nauyi, ko tuntuɓar ruwan injin sarrafa abinci. | Kashi na phalanx mai nisa, matrix bakararre da matrix na germinal na gadon ƙusa, da gyare-gyaren gyare-gyare/extensor. | Kashi mai wuyan fari ko rawaya-ruwan hoda mai gani a gindin ramin rauni; gadon farce mai tsaga ko raɗaɗi; cikakken yanke titin yatsa sama ko ƙasa da haɗin gwiwa na sama. | Yana buƙatar kimanta Sashen Gaggawa na gaggawa da tuntuɓar aikin tiyatar hannu. Ƙashin da aka fallasa ba zai iya warkewa kawai ta hanyar barin fata ta yi girma a kanta a cikin iska mai buɗewa ba tare da haɗarin kamuwa da kashi ba (osteomyelitis); yana buƙatar tiyata na ci gaba na gida, dasawa, ko sake dasa ƙwayoyin ƙwayoyin cuta. |
| ** Zurfin Zurfin Wuka A Gefen Dabino (Sarfin Wuta) na Yatsa ko Hannu** | Yin amfani da titin wuƙa mai dafa abinci ko wuƙa mai ɗamara don ware daskararrun patties ko jakunkuna, ko yanka avocado da ke riƙe da dabino ("Hannun Avocado"). | Flexor digitorum profundus (FDP) da ** flexor digitorum superficialis (FDS)** tendons, da rukunan jijiyoyi guda biyu ** da * arteries na dijital ** suna gudana tare da bangarorin kowane yatsa. | Numbness ko "fiti da allura" a kowane gefen yatsa; rashin iya lanƙwasa babban haɗin gwiwa ko na tsakiya na yatsa lokacin da sauran hannun ke riƙe da kyau; mai haske ja jini spurting. | Binciken gaggawa na fiɗa, gyaran jijiyoyi a ƙarƙashin haɓakawa, da kuma suture na farko na flexor a cikin kwanaki, tare da ƙwanƙwasa ƙwanƙwasa na hannu; rufewar fata a cikin awanni 6 zuwa 12**. |
| ** Zurfi Mai Zurfi A Wajen Baya (Dorsal Surface) na Yatsa ko Knuckle** | Zamewa yayin sarewa da sauri da wuka mai dafa abinci ko wanke wuka mai kaifi a cikin kwandon sabulu. | ** Tsuntsaye masu tsayi** (waɗanda ke kwance takarda-baƙi kai tsaye ƙarƙashin fata akan bayan hannu da ƙuƙumma tare da kusan kitse mai kariya) da capsule na haɗin gwiwa. | Rashin iya miƙewa yatsa ko ɗaga yatsa gaba ɗaya zuwa sama akan juriya mai laushi; bayyane farin kintinkiri mai sheki-kamar filayen tendon a cikin yanke; yanke kai tsaye a kan haɗin gwiwa mai lanƙwasa. | Binciken bakararre tare da yatsa ya motsa ta cikin cikakken kewayon motsinsa (tun lokacin da aka yanke tendon tare da lanƙwasa yatsa yana ja da baya daga gani lokacin da yatsa ya miƙe), gyare-gyaren siffa takwas, da tsattsauran kariya na tsawon makonni 6. |
| ** Ruwan Ruwa (Stick) Blender ko Mai sarrafa Abinci | Isa cikin karfen kararrawa na abin da aka toshe a ciki don goge miya mai tsafta daga cikin ruwan, da bazata tare da babban maɓallin wuta. | Rukunin hadaddun da yawa, tarkacen stellate mai jakunkuna a gefen yatsa, farantin ƙusa, kashi, da dauren jijiyoyin jini a lokaci guda. | Juyawa jujjuyawar nama mai laushi, karyewar kashin phalanx mai nisa, zub da jini mai tsanani, ko ruwan wutsiya na ƙarfe har yanzu suna kama ƙarƙashin farce ko kashi. | Ma'aikatar gaggawa ta gaggawa ta kula da raunin rauni, rigakafin tetanus, rigakafin rigakafi don kamuwa da raunukan abinci mai yawa, gyare-gyaren ƙananan ƙusa na ƙusa, da tsinkewa idan ba ta da ƙarfi. |
Yarjejeniya ta mataki-mataki don adana tsinken yatsa ko yanke yatsa¶
Idan wuka, cleaver, ko mandoline gaba daya ya cire yatsa ko wani babban yanki na yatsa, yadda kuke kula da wannan yanki na nama yayin tafiya zuwa asibiti kai tsaye yana ƙayyade ko likitan hannu zai iya sake haɗa shi.
flowchart TD
Find["Gano Gano Yanke Yatsa ko Kushin Nama Nan take"] --> Rinse["A hankali a wanke tarkacen Abinci tare da Saline mai baƙar fata ko Tsabtace Ruwan Fasa Mai Sanyi (Kada a goge)"]
Rinse --> Wrap["Rufe Nama Gabaɗaya a Gauze ko Tsabtace Tufafi Da Aka Jika Da Saline/Ruwa (Wring Out Excess)"]
Wrap --> Bag1["Wurin Nannade Nama A Cikin Tsaftace, Jakar Filastik Zip-Top Mai Tsaftar Ruwa da Hatimi Tsam"]
Bag1 --> Bag2["Cika Babban Kwantena na Biyu ko Jakar Filastik da Rabin Kankara da Rabin Ruwan Sanyi"]
Bag2 --> Float["Sanya Jakar Nama Mai Rufe A Saman Jakar Ruwan Kankara (Kada a taɓa Kankara Kai tsaye)"]
Float --> Label["Lakabi Bag tare da Sunan Mara lafiya da Daidaitaccen Lokacin Rauni da Hannu kai tsaye ga Nurse mai rarrabewa"]
Kimiyyar lokacin ischemia sanyi da kuma dalilin da yasa kankara kai tsaye ke lalata yatsa¶
Lokacin da lambobi ya yanke daga jininsa, ƙwayoyinsa suna shiga wani yanayi mai suna ** ischemia ** (yunwar iskar oxygen):
- ** Dumi vs sanyi ischemia windows**: A yanayin zafi na ɗaki na al'ada (dumi ischemia), nama maras tsoka (kamar yatsa, wanda ke ɗauke da tendons, kashi, jijiyoyi, da fata, yayin da tsokar da ke motsa shi ya koma baya a cikin gaɓoɓin hannu) yana fara fama da rugujewar salula ba tare da jurewa ba bayan kimanin awa 6 zuwa 12 . Ta hanyar sanyaya yatsan da aka yanke zuwa kusan digiri Celsius 4 (digiri 39 Fahrenheit), buƙatar iskar oxygen na rayuwa yana raguwa sosai, yana faɗaɗa taga mai yuwuwa don sake dasa microvascular har zuwa awanni 12 zuwa 24**.
- **Kada ka taɓa sanya ɓangaren da aka yanke kai tsaye akan ƙanƙara ko busasshiyar ƙanƙara ***: Idan ka jefar da tsinken yatsa kai tsaye a cikin jakar kankara, ko shirya ƙanƙara tam kusa da wata siririyar jaka ba tare da shingen zane ba, nama yana daskarewa ƙasa da digiri 0 Celsius (digiri 32 Fahrenheit). Lu'ulu'u na kankara suna samuwa a cikin ganuwar capillary microscopic da sel, suna haifar da ** iatrogenic frostbite **. Likitan fiɗa ba zai iya sake haɗa yatsa mai sanyi ba; nasuwar zata koma baki ya mutu koda jini ya dawo.
- Kada a jiƙa ɓangaren da aka yanke a cikin kofi na ruwa, saline, ko madara: Zubar da tsinkewar yatsa a cikin gilashin ruwa ko gishiri yana haifar da ** osmotic maceration** (shafin ruwa da kumburin salula), wanda ke lalata lallausan ƙoshin ƙoshin jini kuma yana lalata fata don yin grafting. Dole ne a ajiye nas ɗin ** danshi, ba a nutsewa ba*, a cikin busasshiyar jakar filastik da aka sanyaya daga waje ta wurin wankan ruwan kankara.
- Kada a taɓa amfani da barasa mai shafa, hydrogen peroxide, povidone-iodine, ko sabulu akan ɓangaren da aka yanke: Magungunan antiseptics sune cytotoxic (suna kashe kitse mai rai, dermis, da ƙwayoyin endothelial akan hulɗa). Bar tsaftacewa mai zurfi na maganin kashe kwayoyin cuta ga ƙungiyar tiyata a cikin dakin aiki.
Yadda za a dakatar da zubar da jini mai taurin kai wanda ke ci gaba da jikewa ta bandeji¶
Mutane da yawa suna firgita lokacin da mandoline ya yanke a saman babban yatsan hannu ko yatsan hannu yana zubar da jini bayan mintuna 20 duk da nannade shi a cikin tawul ɗin takarda. A kusan kowane yanayi, zubar da jini mai dagewa daga ɓacin ran yatsa yana faruwa saboda kurakuran taimakon gaggawa guda uku da aka saba yi.
Gyara waɗannan kurakurai guda 3 don dakatar da yatsa mai zubar jini¶
- **A daina amfani da tawul ɗin takarda ko kyallen fuska akan buɗaɗɗen rauni ***: An ƙera tawul ɗin takarda da kyallen takarda don goge ruwa cikin sauri ta hanyar aikin capillary, kuma ƙaƙƙarfan zaren itace-ɓangarensu suna manne da kansu cikin jini. Lokacin da ka cire tawul ɗin takarda mai zubar da jini daga rauni na mandoline, za ka yage duka gudan jini kuma ka bar bayan ɗan ƙaramin takarda. Yi amfani da soso na gauze mara kyau, tawul ɗin shayi mai tsafta maras terry, ko T-shirt mai tsabta maimakon auduga.
- ** Danna gefen gindin yatsa (inda arteries na dijital ke gudana): Idan danna kai tsaye a kan danyen titin yatsa yana da zafi sosai ko kuma baya jinkirin jinin da sauri, ku tuna da jikin ku: manyan arteries na dijital guda biyu waɗanda ke ba da titin yatsa suna gudana tare da ** hagu da gefen dama ** na yatsa (ba sama ko ƙasa ba). Yayin da kake ajiye gauze mai kauri akan danyan titin da hannu ɗaya, yi amfani da babban yatsan yatsa da maƙasudin hannunka don matsawa da ƙarfi akan ** gefen hagu da dama na yatsan da ya ji rauni kusa da gindinsa yayin da kake riƙe hannun sama sama da zuciyarka. Wannan yana aiki azaman mai sauƙi, yawon shakatawa na hannu da aka yi niyya akan arteries na dijital kuma yana rage saurin gudu zuwa saman cikin mintuna 3 zuwa 5 don haka daskararren gudan jini zai iya samuwa akan gauze.
- Kada a cire murfin gauze na ƙasa da zarar zubar jini ya daina: Lokacin da mandoline avulsion a ƙarshe ya daina zubar jini bayan minti 15 zuwa 20 na matsa lamba, ƙasan gauze ɗin za ta makale da ɗanyen gauze ta busasshen jini na fibrin. Kada a kware wannan lefen gauze na kasa a gida. Kware bushewar gauze daga sabon kogin mandoline zai sake farawa da jini mai nauyi daga kowane buɗaɗɗen arteriole kuma yana haifar da ciwo mai raɗaɗi. Madadin haka, tabbatar da gauze ɗin da ke akwai a wurin tare da tef ɗin takarda kuma je zuwa asibitin gaggawa ko sashen gaggawa, inda likitocin za su iya jiƙa suturar tare da maganin lidocaine-epinephrine mara kyau (wanda duka ke lalata ƙarshen jijiyoyi kuma yana hana tasoshin jini) kuma maye gurbin shi da wani na musamman ** mara madaidaicin silicone ko rigunan petrolatum kamar miya, Meshform, Meshform ko Xerpi.
Warning
Kada ku taɓa nannaɗe bandeji na roba, dauren gashi, kirtani, ko tef ɗin mannewa a cikin cikakkiyar da'irar kusa da gindin yatsan jini a matsayin ingantaccen yawon shakatawa kuma bar shi. Ingantattun tafiye-tafiyen yatsa da aka bari na dogon lokaci akai-akai yana haifar da lalacewar jijiya na ischemic na dindindin ko asarar gangrenous na yatsa, kuma idan an daure su sosai, suna toshe veins marasa ƙarfi ne kawai yayin da jijiyoyin bugun jini ke ci gaba da zubar da jini cikin yatsa, a zahiri yana sa raunin ya zubar da sauri * (sakamakon cinkoson venous). Yi amfani da tsayayyen matsi na tsunkule yatsa da ɗagawa maimakon.
Yadda za a yi jijiyoyi na daƙiƙa 60 da duban kan tendon akan yanke hannu¶
Wani lokaci zamewa tare da wuka mai laushi yayin yankan avocado ("Hannun Avocado"), yankan jakar da aka riƙe a cikin tafin hannunku, ko lalata nama yana haifar da ƙaramin wuka mai ban mamaki 1-centimeter (0.4-inch) ko yanki rauni wanda ke daina zubar jini cikin mintuna goma. Saboda yankan saman ya yi kama da ƙarami, mutane da yawa suna sanya bandeji mai ɗaure a kai kuma suka tsallake likitan, kawai bayan makonni sun gano cewa sun yanke wata igiya mai zurfi ko jijiyar da a yanzu ta ja da baya kuma ta fashe, tana buƙatar hadaddun tiyata na sake ginawa.
Da zarar an sarrafa jini, duba waɗannan ayyuka guda uku akan kowane yanke zuwa hannu, wuyan hannu, ko yatsu:
- 1. Duban Jiɓin Jini Mai Fuska Biyu (Digital Nerves): Rufe idonka ka sa wani a hankali ya shafa gefen hagu na pad ɗin yatsarka da ya ji rauni sannan kuma ta gefen dama na kushin ta hanyar amfani da tip na tissue ko auduga, kwatanta jin da ɗan yatsa mara rauni. Saboda jijiyar dijital daban tana gudana kowane gefen yatsan ku, ƙaramin nick a gefe ɗaya na yatsan zai iya barin rabin ƙarshen yatsa gaba ɗaya ya yi rauni ko tingling. Duk wani rauni ko asarar jin nisa zuwa (bayan) yanke hannu yana buƙatar kimantawa na likita don gyaran jijiyoyi na microsurgical.
- 2. Keɓaɓɓen Tukwici-Haɗin gwiwa da Tsakanin Haɗin Haɗin gwiwa (Flexor Tendons): Kowane yatsa yana da tendons masu sassauƙa daban-daban guda biyu a gefen dabino: tendon superficialis yana lanƙwasa ƙwanƙwasa na tsakiya ( haɗin gwiwar PIP), yayin da * profundus * tendon yana tafiya har zuwa ƙashin titin yatsa don lanƙwasa haɗin gwiwa (DIP knu). Don gwada zurfin tsokar profundus, ɗora tafin hannunku sama akan tebur, riƙe tsakiyar sashin yatsan da ya ji rauni a saman teburin da ɗayan hannun, sannan kuyi ƙoƙarin ** lanƙwasa kawai ƙarshen yatsa zuwa sama **. Don gwada jijiyar superficialis, riƙe sauran yatsun ku guda uku kusa da su gaba ɗaya akan tebur kuma kuyi ƙoƙarin lanƙwasa yatsan da ya ji rauni a tsakiyar ƙugiya. Idan ko dai haɗin gwiwa ya kasa tanƙwara, ko kuma idan lanƙwasawa yana haifar da zafi mai tsanani a cikin dabino, je wurin gaggawa ko ƙwararrun hannu nan da nan.
- 3. Cikakken Duban Madaidaici (Tsarin Ƙunƙarar Ƙarfafawa): Ka shimfiɗa tafin hannunka a kan tebur kuma ka ɗaga yatsan da ya ji rauni kai tsaye zuwa saman rufin, duba cewa duka ƙwanƙarar gindi, ƙwanƙara na tsakiya, da ƙwanƙwasa sosai sun daidaita gaba ɗaya tare da ƙarfi ɗaya kamar ɗayan hannunka. Idan ainihin titin yatsanka ya faɗi ƙasa kuma ba za a iya miƙewa ƙarƙashin ikonsa ba (mummunan buɗewar Yatsar Mallet rauni), an yanke jijiyar tasha kuma tana buƙatar tsagewa ko gyara na musamman.
Haɗarin kamuwa da cuta na musamman: ɗanyen nama, kaji, da slime kifi akan wuƙaƙen kicin¶
Yanke daga wuka mai tsafta yana yanka apple yana ɗauke da haɗarin kamuwa da cuta fiye da yanke daga wuƙar fillet ko cleaver da aka rufe da ɗanyen ruwan kaji, jinin naman alade, ruwan kifi, ko ɗanyen kifin kifi.
- Danyen kaji, naman alade, da gurɓataccen naman sa: Wuƙaƙen da ake amfani da su akan ɗanyen nama na iya haɗa ɗakunan hannu mai zurfi kai tsaye tare da Staphylococcus aureus, Streptococcus pyogenes, Escherichia coli, Salmonella, ko Campylobacter. Saboda an rufe tawul ɗin tafin hannu da yatsa, wuraren ruwa mara kyau, ƙwayoyin cuta da aka gabatar da su ta hanyar wuka mai kaifi a cikin kubewar tendon na iya haifar da ** pyogenic flexor tenosynovitis ** (wani gaggawar gaggawa da ke da alamun Kanavel guda huɗu: tsiran alade-kamar kumburin gabaɗayan yatsa, yatsan da aka riƙe a cikin ɗan lanƙwasa a tsaye, tare da tsananin jin zafi da jin zafi lokacin da take jin zafi da jin zafi a lokacin da take jin zafi. yana gyara yatsa).
- Danyen kifi, jatantanwa, kaguwa, da harsashi na kawa (Vibrio vulnificus da Mycobacterium marinum): Idan ka yanke ko huda hannunka yayin da kake tsaftace danyen kifi mai gishiri, bare danyen shrimp, ko shucking kawa, wanke raunin sosai a ƙarƙashin ruwan famfo da sabulu mai laushi na minti 5 bayan zubar da jini ya shiga nan da nan. * Vibrio vulnificus * (wanda aka samo a cikin abincin teku mai dumi, ciki har da oysters da finfish daga ** Gulf of Mexico ** da kuma irin wannan ruwan dumi na ruwa) na iya haifar da ci gaba da sauri, cututtuka masu laushi na rayuwa a cikin 12 zuwa 24 hours, musamman ma a cikin mutanen da ke fama da cutar hanta, ciwon sukari, ko raunana tsarin rigakafi na uku, da kuma tsarin rigakafi na musamman. cephalosporin) maimakon daidaitattun maganin rigakafi na fata.
- ** Halin rigakafin tetanus ***: Bincika lokacin da kuka karɓi na ƙarshe na mai haɓaka toxoid tetanus (Tdap ko Td). Ga kowane ƙananan yanke mai tsabta, ana ba da shawarar mai ƙarfafawa idan ya wuce ** shekaru 10 ** tun daga kashi na ƙarshe; ga duk wani rauni mai zurfi, jaggu, ko gurɓataccen abinci-da-ƙasa (kamar yankan mandolin dankalin turawa ko yanke ɗanyen wuƙa), jagororin likitanci daga Cibiyar Kula da Cututtuka da Cututtuka ta Amurka (CDC), Hukumar Kiwon Lafiya ta Burtaniya (NHS), da Hukumar Lafiya ta Duniya (WHO) suna ba da shawarar haɓakar tetanus idan ya kasance ** shekaru 5 ko fiye da harbin ku na ƙarshe.
Note
Wannan jagorar tana ba da matakan taimakon gaggawa na gaggawa kuma baya maye gurbin horon hannu ko kulawar asibiti. Muna ba da shawara mai ƙarfi don ɗaukar kwas ɗin taimako na farko da zubar da jini ta hanyar ƙungiyar Red Cross ko Red Crescent ta ƙasa, St John Ambulance, ko Tsarin Tsayar da Jini don ku iya yin matsin lamba kai tsaye, tattara raunuka, da aikace-aikacen bandeji na gaggawa kafin hatsari ya faru.
Tambayoyin da ake yawan yi¶
Can I use household superglue (cyanoacrylate) to glue a deep kitchen knife cut or mandoline slice shut at home?
No, never put hardware-store superglue inside a deep kitchen cut or onto a raw mandoline avulsion crater. First, medical tissue adhesives (such as Dermabond or Histoacryl, which are sterile 2-octyl-cyanoacrylate formulations) are only ever applied to the *outside surface* of clean, shallow, straight-edged cuts whose edges come together effortlessly without tension; they are never dripped down *into* a wound cavity, where glue acts as a foreign body that blocks healing and Causes severe tissue inflammation. Second, hardware-store superglue (methyl or ethyl cyanoacrylate) is not sterile, generates an exothermic chemical heat reaction that burns raw exposed dermis and nerve endings, and if you glue a raw meat or vegetable-contaminated cut shut, you trap anaerobic bacteria underneath an airtight plastic seal, causing a severe abscess.
How many hours do I have to get to the clinic or emergency room before it is too late to get stitches on a hand cut?
For cuts on the hand and fingers, physicians generally prefer to perform primary suture closure within **6 to 8 hours** (and at most **12 hours** for very clean cuts) from the time of injury. Because the hands have a complex network of tendon sheaths and fascial spaces and are constantly exposed to bacteria, waiting longer than 8 to 12 hours allows surface bacteria to multiply past the critical clinical threshold (100,000 organisms per gram of tissue), meaning sewing the wound tightly shut the next day carries an unacceptably high risk of trapping a deep hand infection. Even if more than 12 hours have passed, you should still be evaluated so a clinician can check your tendons and nerves, clean the wound, update your tetanus shot, and dress it for delayed closure or secondary healing.
What should I do when it is time to change the bandage on a mandoline fingertip cut and the gauze is stuck like cement?
Never pull dry, stuck gauze off a healing mandoline wound; doing so rips off the fragile new layer of migrating epithelial skin cells along with the clot and resets your healing clock back to day one. First, if the original emergency dressing was applied at a clinic, follow their exact timeline (often leaving the inner non-adherent mesh layer untouched for several days while changing only the outer absorbent wrap). When an inner gauze pad must be removed and is stuck, soak the entire finger in a clean bowl of lukewarm **sterile saline solution** (or boiled-and-cooled tap water mixed with 1 level teaspoon / 5 grams of non-iodized salt per 500 milliliters / 2 cups of water) for **15 to 20 minutes** until the dried blood softens completely and the gauze floats free without resistance. Always apply a sterile **non-adherent silicone or petrolatum mesh pad** coated with a thick layer of plain white petrolatum (such as Vaseline) before putting new gauze on top so it never sticks again.
Will my fingertip and fingerprint actually grow back flat and normal after a mandoline slicer takes a chunk out of it?
Yes, human fingertips have remarkable regenerative remodeling capacity compared to the rest of the body, provided the underlying bone was not exposed and the nail germinal matrix at the base of the fingernail was not destroyed. For mandoline pulp avulsions smaller than 1.5 to 2 centimeters (0.6 to 0.8 inches) treated with moist wound healing (petrolatum/non-adherent dressings), granulation tissue fills in the depressed crater from the bottom up and epidermal cells migrate inward from the edges over **3 to 6 weeks**. In most cases, the rounded contour of the fingertip pad, normal skin sensation, and even the papillary ridges of your fingerprint regenerate with minimal scarring, though the new skin may feel slightly tender or cold-sensitive for several months while microscopic nerve endings finish maturing.
What should I do if a mandoline or knife sliced through the top of my fingernail and the nail is half-torn off?
Do not pull or clip the remaining attached piece of fingernail off. The smooth pink skin directly underneath your fingernail is the **nail bed (sterile matrix)**, and if it is cut or torn and allowed to heal dry and scarred without protection, your future permanent fingernail will grow in split, ridged, or permanently unattached to the finger. Leave the partially attached fingernail plate in place, control bleeding with gentle direct pressure and elevation, and go to an urgent care clinic or emergency department. A physician will numb your whole finger with a quick digital nerve block at the base knuckle, temporarily lift the nail plate, repair the torn nail bed underneath using microscopic dissolvable stitches, and slide your cleaned natural nail plate right back into the nail fold as a custom anatomical splint while the new nail grows out over 4 to 6 months.
How can I completely prevent mandoline slicer and avocado knife injuries in my kitchen in the future?
For mandoline slicers, throw away or supplement the clumsy plastic pronged handguard with a pair of **ANSI Level A5 to A9 (or EN 388 Level E/F) food-safe cut-resistant gloves** knitted from ultra-high-molecular-weight polyethylene (UHMWPE / Dyneema), Kevlar, and stainless-steel core yarn; wearing a 12-dollar cut-resistant glove on your slicing hand allows you to hold small pieces of vegetables with full finger dexterity while making it physically impossible for the mandoline blade to slice your skin. For avocados and frozen foods, never hold an avocado in your bare palm while stabbing the pit with a chef knife or scooping with a blade (place the avocado flat on a cutting board instead), and never use the point of a knife to pry apart frozen hamburger patties or uncut frozen bagels.
An duba tushe¶
- American Society for Surgery of the Hand (ASSH, United States): Handcare Clinical Guidance on Fingertip Injuries, Amputations, Replantation Tissue Preservation, Flexor and Extensor Tendon Injuries, and Nail Bed Trauma.
- American Academy of Orthopaedic Surgeons (AAOS, United States): OrthoInfo Clinical Practice Guidelines on Fingertip Injuries and Amputations, Digital Nerve Lacerations, and Acute Hand Wound Management.
- Red Cross ta Amurka da Ƙungiyar Red Cross ta Duniya da Ƙungiyoyin Red Crescent (ARC / IFRC, International): Sharuɗɗan Taimako na Farko don Tsananin Jini na waje, Tsawon Matsi kai tsaye, Girma, da Kula da sassan Jiki da aka yanke.
- Sabis na Kiwon Lafiya na Ƙasa da Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Hannu (NHS / BSSH, United Kingdom): Hanyoyin Sashen Mara lafiya da Gaggawa don Lantar da Hannu, Ka'idojin Gyaran Yatsa, da Kariyar Tetanus.
- Cibiyoyin Kula da Cututtuka da Rigakafi (CDC, Amurka): Jagorancin Likita game da Kula da Rauni don Rigakafin Tetanus (Tdap/Td Booster Intervals) da Vibrio vulnificus Rauni daga Raw Abincin Teku.
- Kwamitin Likitan Likita na Amirka akan Raɗaɗi (ACS Tsaida Jini, Amurka): Ka'idojin Kula da Jini don Rauni da Raunukan Jijiyoyin Dijital.