Eddagala ly’oku nguudo eritali mu nnyumba: okunnyika (trench) ekigere, okulabirira ebiwundu, n’okutereka eddagala¶

Bw’oba ​​obeera ebweru, ng’osula mu weema oba mu mmotoka, oba ng’osula mu bifo omukuŋŋaana, ebizibu ebitonotono eby’obujjanjabi ebyangu okuddukanya mu nnyumba erimu amazzi agakulukuta ne firiigi bisobola okweyongera ne bifuuka embeera ez’amangu eziyinza okutta obulamu oba ebitundu by’omubiri mu ssaawa 48. Okutambula kiromita 15 (mayiro 9) olunaku mu ngatto ezitonnye enkuba nga toggyeemu bbuutu ekiro kireeta obuvune obutali bwa bbugumu (okunnyika oba "trench" foot), ekisambi oba ekizimba ekisekuddwa nga kifunye obucaafu bw'oku nguudo kifuuka okusaasaana amangu bacterial cellulitis, ate ebbugumu erisukkiridde ery'omu kyeya oba omuzira ogw'omu kiseera eky'obutiti gusaanyaawo nga tegufumbiddwa mu firiigi insulin n'ebiwunyiriza eby'okussa.

Abasawo b’eddagala ly’oku nguudo n’abasooka okuddamu mu ddungu bakikkaatiriza nti okukuuma ebigere byo, okuyonja ebiwundu nga bukyali n’amazzi ag’okunywa, okutegeera obubonero bwa sepsis obulaga bbendera emmyufu, n’okukozesa ensawo ezifuumuuka ezikozesebwa amazzi oba ebyuma ebiziyiza ebbugumu ly’omubiri ku ddagala erikulu kiziyiza okuweebwa ebigere mu ddwaaliro n’okutemebwako ebitundu by’omubiri.

Kino kikole kati¶

1. Sooka okebere obubonero obw’amangu obwa red-flag obwa sepsis oba deep tissue infection. Singa ggwe oba omuntu mu nkambi yo afuna obulwadde bw’olususu obubuguma, obugaziwa nga buwerekerwako omusujja oba okuziyira, okutabulwa, okuziyira, okussa amangu, ebizimba by’olususu ebya kakobe/ebiddugavu, obulumi obw’amaanyi obutatuukana na kiwundu, oba emiguwa emimyufu egisaasaana waggulu ku mukono oba ekigere, kuba essimu y’omu kitundu kyo ennamba z’amangu (911 mu Amerika ne Canada, 112 okwetoloola omukago gwa Bulaaya, 999 mu Bungereza) amangu ago. Ebitongole by’abalwadde ab’amangu mu malwaliro mu mateeka byetaagibwa okwekenneenya n’okutebenkeza embeera ez’amangu ez’obujjanjabi eziyinza okutta omuntu awatali kulowooza ku busobozi bwo okusasula oba oba olina endagamuntu oba yinsuwa.
2. Ggyako engatto zo n'amasokisi amabisi okumala waakiri essaawa 6 ku 8 ezitasalako buli kiro. Tosula mu bbuutu ennyogovu oba amasokisi amanyogovu. Ne bwe kiba nti ebbugumu ebweru liri waggulu nnyo ku bbugumu, okutuuka ku diguli 15 Celsius (diguli 60 Fahrenheit), okukuuma ebigere byo nga bisibye munda mu ngatto ennyogovu, ezinywezeddwa okumala essaawa 24 ku 48 kiziyiza emisuwa, kitta obusimu bw’ebigere, era kireeta ekigere ekinnyika (omukutu).
3. Tobugumya bigere ebizirika, ebimyufu, oba ebikutte omuzira/ebyonooneddwa okunnyika okumpi ddala n’omudumu gw’enkambi, omuliro, oba ekifo ekibugumya mmotoka. Olw’okuba ebigere ebyonooneddwa olw’ennyonta oba ssukaali birina obusimu obuzirika, tosobola kuwulira ng’ebbugumu eritangalijja lyokya olususu lwo, era okuddamu okubuguma amangu mu bbugumu ery’amaanyi erya ekigere ekinnyika kivaako okuzimba kw’ebitundu eby’amaanyi, okuzimba, n’obulumi bw’obusimu obwokya obutagumiikiriza (hyperemia). Bbugumya ebigere ebinyogovu mpola ku bbugumu erya bulijjo oba ku mubiri/enkwaso za munno ezibuguma.
4. Londoola ensalosalo ey’ebweru ey’obulwadde bwonna obw’olususu olumyufu n’ekkalaamu ow’omupiira era owandiike obudde. Singa ekitundu ekisaliddwa, ekiruma ekiwuka oba ekizimba mu magulu kifuuka kimyufu, kyokya, n’okuzimba, kwata layini y’ekkalaamu okumpi ddala ku ludda olw’ebweru olw’ekimyufu. Singa okumyuuka kusaasaana okuyita ku layini y’ekkalaamu yo mu ssaawa 2 ku 4, olina obulwadde bwa bakitiriya obukola cellulitis obwetaagisa eddagala eritta obuwuka eriweebwa mu kamwa oba mu IV okuva mu ddwaaliro ly’eddagala ly’oku nguudo oba obujjanjabi obw’amangu leero.
5. Naaba ebitundu ebiggule n’amazzi amayonjo ag’okunywa oba omunnyo ogutaliimu buwuka, tokozesangako hydrogen peroxide oba okusiiga omwenge munda mu kiwundu ekiggule. Okuyiwa omwenge gwa hydrogen peroxide ogw’amaanyi gonna oba isopropyl alcohol mu kiwundu ekibisi kitta obutoffaali obweru obupya obulamu obulungi n’obutoffaali bw’olususu obugezaako okuwonya ekisala. Fulumya obucaafu ng’okozesa omugga ogw’amaanyi ogw’amazzi ag’okunywa (fumita ekituli mu ppini mu nkofiira y’eccupa y’amazzi essiddwako ssimu okukola eccupa y’okufukirira eya puleesa ey’amaanyi), okale, osiige petulooli omubisi (Vaseline) oba ekizigo ekitta obuwuka, era okikuume nga kibikkiddwa.
6. Kuuma insulini ne epinephrine obutafuuka bbugumu okuva ku ice packs mu kiseera ky’obutiti n’okufumba mu mugongo mu biseera by’obutiti. Mu mbeera y’obudde ey’obutiti, tambula n’ekkalaamu yo eya insulini ekola n’ekyuma ekissa asima mu ensawo y’essaati ey’omunda okukwatagana ddala n’olususu lwo olubuguma kireme kufuuka bbugumu kikalu (insulin eyakazibwako erya frozen esaanawo enkalakkalira era tolina kugikuba mpiso). Mu bbugumu ery’omusana erisukka diguli 30 (diguli 86), tereka insulini munda mu nsawo efuumuuka evaporative cooling pouch (FRIO wallet) ekozesebwa amazzi oba thermos eriko ekisiikirize, totereka mu nsawo y’omugongo ey’ebweru enzirugavu ng’otudde mu musana.

Eddagala ly’oku nguudo ekigere n’ebiwundu triage flowchart¶

Kozesa omuti guno ogw’okusalawo mu bujjanjabi okwekenneenya obulumi bw’ebigere, okuzirika, yinfekisoni z’olususu, n’ebizimba mu nnimiro.

flowchart TD
    A["Okulumwa ebigere, okuziyira, ebizimba oba ekiwundu ky’olususu mu nnimiro"] --> B{"Waliwo bendera emmyufu ez’amangu ez’enkola?"}
    B -->|"Omusujja/okuziyira, okutabulwa, emiguwa emimyufu, ebitundu ebiddugavu, oba omukka oguwunya wansi w’olususu"| C["SEPSIS / NECROTIZING INFECTION EY’OBULAMU: Kuba 911/112/999 oba genda mu ER kati"]
    B -->|"Tewali musujja gwa nkola oba okutabulwa"| D{"Ekigere oba ekiwundu kifaanana ki?"}
    D -->|"Ebigere byali bibisi/binnyogoga okumala essaawa 12+; olususu luba lwa langi ya kikuusikuusi, lunyirira, luzitowa era luba lwa wax"| E["IMMERSION (TRENCH) FOOT: Ggyawo obutto/amasokisi amabisi, pat dry mpola, waggulu, era obugume mpola ku room temp"]
    D -->|"Ebigere byali wansi wa 0°C (32°F); olususu lufuuse bbugumu nga lukaluba, lweru/enzirugavu, era nga lwa mbaawo"| F["FROSTBITE: TOTAMBULA ku bigere ebifuuse bbugumu singa okuddamu okufuuka bbugumu kisoboka; noonya okunaaba mu ddwaaliro mu mazzi agabuguma"]
    D -->|"Ekitundu ekimyufu ekyokya, ekizimba, ekigonvu, ekigaziwa okwetoloola ekifo ekisaliddwa oba ekiwuka ekirumye"| G["CELLULITIS OBA ABSCESS: Kuba ensalosalo y’ekkalaamu okwetoloola obumyufu era ogende mu ddwaaliro lya Street Medicine / FQHC okufuna eddagala eritta obuwuka"]
    D -->|"Ekizimba ky’okusikagana ekijjudde amazzi oba okusenya okutali kwa maanyi"| H["Leka akasolya k’ebizimba nga tekafudde UNPOPPED; pad ne moleskin donut oba okunaaba okusala n'amazzi amayonjo + Vaseline"]

Ekigere eky'okunnyika ("Trench Foot") vs Frostbite: Okuziyiza n'okujjanjaba mu nnimiro¶

Ekigere eky’okunnyika (mu byafaayo kiyitibwa Trench Foot) y’emu ku mbeera ezisinga okumanyibwa era ezisaanyaawo abantu abajjanjabwa ttiimu z’abasawo b’oku nguudo mu biseera by’omusana, eby’obutiti, n’eby’enkuba eby’omu nsenyi.

Lwaki TWEetaaga budde bwa bbugumu okufiirwa engalo ku Immersion Foot¶

Okwawukana ku frostbite (ekibaawo nga tissue literally freezeed into ice crystals ku bbugumu eri wansi wa 0 degrees Celsius / 32 degrees Fahrenheit), ekigere eky’okunnyika kibaawo ku bbugumu lyonna ennyogovu, ennyogovu wakati wa 0 ne 15 degrees Celsius (32 ne 60 degrees Fahrenheit) buli ebigere byo lwe bisigala nga bitonnya obutasalako munda mu madaala oba bbuutu okumala essaawa 12 okutuuka ku 48+.

Ebigere byo bwe biba bibisi era nga biyonjo, omubiri okunyiga emisuwa (vasoconstriction) kifa enjala y’obusimu, olususu, n’ebisenge by’emisuwa mu bigere byo omukka gwa oxygen. Mu kiseera kino, olususu olujjudde amazzi (maceration) lumenya ekiziyiza kyalwo eky’obukuumi, ne kisobozesa ffene ne obuwuka obuli ku masokisi go okuyingira mu bitundu ebiwanvu.

Okugeraageranya mu bujjanjabi: Ekigere eky’okunnyika vs Frostbite vs Diabetic Neuropathy¶

Amateeka 5 agakwata ku ddagala ly’oku nguudo okuziyiza ekigere okunnyika¶

1. Etteeka lya "Sleep Socks vs Walking Socks": Bulijjo kuuma socks emu ey'ebyoya by'endiga ebinene oba eby'endiga ebikoleddwa mu ngeri ey'ekikugu nga bisibiddwa munda mu nsawo ya Ziploc freezer etayingiramu mazzi wansi mu pack yo, ekozesebwa strictly for sleeping. Ne bw’oba ​​olina okuddamu okwambala obugatto obunnyogovu obw’okutambula ku makya okugenda okutambula okugenda mu kifo we basula emisana, okuggyako engatto zo n’okuleka ebigere byo eby’obwereere okukala mu mpewo munda mu masokisi amakalu ag’okwebaka okumala essaawa 7 buli kiro kizzaawo essaawa n’okuziyiza ddala ekigere ky’omukutu.
2. Londa obugatto bwa Merino wool oba synthetic polypropylene, gaana obugatto bwa ppamba 100%: Ebibinja by’okubunyisa amawulire ebirina ebigendererwa ebirungi bwe bigaba obugatto obw’emizannyo obweru obwa ppamba 100%, bukozese mu budde obw’obutiti obukalu bwokka oba ng’emitto egy’omu ngalo egy’omunda. Ppamba akwata entuuyo ku lususu lwo ng’akatambaala akabisi. Buuza kabangali z’okubunyisa amawulire naddala ku amasokisi ga bbuutu agatabuddwamu ebyoya by’endiga oba polyester/acrylic.
3. Kaza obugatto obunnyogovu munda mu nsawo yo ey’okwebaka ng’okozesa ebbugumu ly’omubiri: Bw’oggyayo obugatto obunnyogovu (obutali bufukiddwa mu bitoomi) ekiro, bufulumye n’obuteeka munda mu ssaati yo ku kifuba oba mu kiwato munda mu nsawo yo ey’okwebaka, ebbugumu ly’omubiri gwo lijja kugakala we bunaakeeredde.
4. The Plastic Bread-Bag Vapor Barrier Trick (Emergency short-term use only): Singa engatto zo oba bbuutu zo zinyikiddwa ddala okuyita mu freezing slush era nga olina okutambula essaawa 2 okutuuka mu kifo we basula n’amasokisi go agasembayo amakalu, sooka oyambale amasokisi go amakalu, ssika akaveera k’emmere oba ensawo y’omugaati ku ssokisi enkalu, era oyingire mu ngatto ennyogovu. Kino kikuuma amazzi g’ekiziba ag’ebweru agalimu omuzira obutannyika masokisi go amakalu ng’otambula, naye olina okuggyako obuveera amangu ddala ng’okomye okutambula kale entuuyo ezisibye tezikunyiga lususu.
5. Tosiba bbuutu nnyogovu bulungi: Ebigere ebinyogovu ebizimba ebisibiddwa bulungi munda mu bbuutu enfunda bifiirwa omusaayi ogusigadde mu misuwa. Sumulula emiguwa gyo n’ekitundu kimu era onyige engalo zo okumala sekondi 60 buli luvannyuma lwa ddakiika 20 okupampagira omusaayi ogubuguma okutuuka ku nsonga.

Okulabirira ebiwundu mu nnimiro: Okujjanjaba ebizimba, okusala, ebizimba, n’obulwadde bwa cellulitis nga tolina kinaabiro¶

Bwe babeera nga balamu, okumenya kw’olususu okutonotono buli kiseera kukwatibwa obuwuka bwa Staphylococcus aureus (nga mw’otwalidde ne MRSA, Staph aureus ezigumira methicillin) ne Streptococcus. Goberera enkola zino ez’eddagala ly’oku nguudo ku biwundu:

1. Engeri y’okukolamu eccupa y’okufukirira etali ya puleesa eya waggulu okuva mu ccupa y’amazzi eya doola emu¶

Mu ddagala ly’omu ddungu n’oku nguudo, ensonga #1 eziyiza okukwatibwa ebiwundu si bizigo bya bbeeyi eritta obuwuka, ye okufukirira amazzi mu ngeri ey’ekika kya puleesa eya waggulu (okufukirira obuwuka n’amayinja okuva mu kifo ekisaliddwa).

• Ddira eccupa empya ddala, essiddwako ssimu eya amazzi ag’okunywa aga bulijjo (togattibwako buwoomi oba mazzi agayakaayakana).
• Bbugumya ensonga ya ppini oba ekikwaso ky’empapula (oba kozesa ensonga y’akambe ennyonjo) okukuba ekinnya kya ppini ekimu ekya milimita emu ku bbiri wakati ddala mu kifuba kya sikulaapu eky’akaveera.
• Nywa eccupa n’emikono gyombi, ng’ogenderera omugga gwa puleesa eya waggulu mu nkoona ya diguli 45 okubuna ekitundu ekiggule ng’okozesa waakiri 250 ku 500 mililita (ekikopo 1 ku 2) ez’amazzi okutuusa nga ziro obucaafu obulabika.

2. Lwaki plain White Petrolatum (Vaseline) ekuba Triple-Antibiotic Ointment ku kusala kwa bulijjo¶

Abasawo b’ensusu n’obulwaliro bw’eddagala ly’oku nguudo beeyongera okutereka obupapula obukozesebwa omulundi gumu obw’amafuta aga bulijjo white petrolatum (Vaseline) oba Aquaphor ku mabbali oba mu kifo ky’ebizigo ebizigo eby’eddagala eritta obuwuka emirundi esatu (neomycin / polymyxin B / bacitracin) ezitali ku ddagala.

• Abantu abawera 10 ku 15 ku buli 100 bafuna obulwadde bw’olususu obuyitibwa allergic contact dermatitis reaction eri Neomycin oluvannyuma lw’ennaku eziwera nga bakozesa, ekivaako olususu okwetoloola ekifo ekisaliddwa okumyuuka, okusiiwa, n’okuzimba ebizimba, ekirabika ng’obulwadde bwa bakitiriya obweyongera.
• Okukuuma ekisala ekiyonjo, ekifukirira nga kisiigiddwako oluwuzi olugonvu olwa plain petroleum jelly wansi wa bbandi ennyonjo kikuuma ekitanda ky’ebiwundu nga kinnyogovu kale obutoffaali bw’olususu busenguka okusomoka amangu emirundi ebiri awatali kuzimba, kwatika, oba okuleeta okusiiyibwa kw’eddagala eritta obuwuka.

3. Friction Blisters: Ddi lw’ozireka nga tezifudde vs engeri y’okufulumya amazzi mu kifuba ekinene ekilemaza ebigere¶

Okutambula kiromita 10+ olunaku ng’olina ensawo y’omu mugongo enzito kireeta ebizimba by’amazzi ebiruma ku bigere n’emipira gy’ebigere:

• Singa ekizimba kiba kitono (< 2 cm / 0.8 inches) era nga tekikoseddwa: TOKIKOZESA. Dome y’olususu etamenyeke waggulu w’ekizimba ye bbandi y’ebiramu esinga obutaba na buwuka ku nsi. Sala ekitundu kya moleskin, felt, oba folded duct tape/gauze mu ngeri ya "donut" (nga waliwo ekituli ekisaliddwa wakati right over the blister dome) era okiteeke ku tape okwetoloola blister engatto yo n'esika ku pad eyeetoolodde mu kifo ky'okumenya blister.
• Singa ekizimba ekinene eky’okusika ku sole y’ekigere kyo kinaatera okukutuka ku bwakyo kubanga tolina kyakukola okuggyako okutambula: Mu kifo ky’okuleka ssokisi yo encaafu okukutula akasolya ku kizimba ekiri munda mu bbuutu yo, kifulumye bulungi:
  1. Naaba bulungi ekizimba n’emikono gyo ne ssabbuuni n’amazzi ag’okunywa, era osiimuule ku mabbali g’ekizimba n’ekintu ekiyitibwa 70% alcohol prep pad oba povidone-iodine wipe.
  2. Sterilize empiso y’okutunga oba safety pin ne alcohol pad (tokozesa open match flame singa ereka black carbon enfuufu ku mpiso okuggyako ng’osiimuula enfuufu n’omwenge).
  3. Poke obutuli bubiri obutonotono obuyingira ku mabbali ddala ku base edge y’ekizimba parallel to the foot sole, nyweza mpola amazzi amatangaavu okuvaamu ne gauze ennyonjo, LEKA AKASOLO K’OLUSULU MU KIFO DDALA KU BLISTER BED, coat ne Vaseline, era obikke bulungi ne hydrocolloid blister plaster oba gauze taped wansi n’olugoye ttaapu y’emizannyo (oba duct tape ku square ya gauze).

4. Okutegeera Cellulitis, MRSA Abscesses ("Spider Bites"), n'Obulwadde obuyitibwa Necrotizing Infections¶

Ebweru ne mu bifo eby'okusulamu, abantu batera okulaga ekifuba ekiruma, ekizimba, ekimyufu nga kikulukuta amasira ku kigere oba ku mukono ne bagamba nti, "Enkonge yankuba mu weema yange ekiro ekyakeesezza olwaleero." Mu butuufu, ebitundu 95 ku 100 eby'okuteeberezebwa okuba "okuluma enkonge" mu nkambi n'ebifo eby'okusulamu mu butuufu lususu lwa bakitiriya olwa MRSA (Staphylococcus aureus) olufunibwa mu kitundu ebizimba ebizimba.

Engeri y’okuterekamu Insulin, Inhalers, ne Epinephrine nga tolina firiigi¶

Bw’oba olina obulwadde bwa sukaali, asima/COPD, alergy ey’amaanyi, oba okumira eddagala ly’eby’omutwe oba ery’omutima buli lunaku ng’oli mu nnyumba, ebbugumu erisukkiridde n’obubbi biba bitiisa buli kiseera. Okumanya amateeka agakwata ku kutereka amasannyalaze agavaako awaka, laba... eddagala ly’olujegere lw’ennyonta obulagirizi; bw’oba obeera ebweru oba mu mmotoka, goberera amateeka gano ag’enjawulo agakwata ku ddagala ly’oku nguudo:

Okuziyiza endwadde z’olususu lw’okusula n’enkambi: Enkwaso, Enkwale z’omubiri, n’omusujja gw’omudumu¶

Ebifo ebisanyukirwamu ebijjudde abantu, emifaliso egy’okugabana, n’obutasobola kwoza ngoye mu mazzi agookya, biraga abantu abatalina nnyumba ku biwuka bibiri ebikulu eby’ebweru: Body Lice (Pediculus humanus corporis) ne Scabies (Sarcoptes scabiei).

1. Body Lice vs Head Lice (Lwaki enkwale z'omubiri zibeera mu ngoye zo, so si mu nviiri zo):
   • Okwawukanako n’enkwale z’omutwe, enkwale z’omubiri TEZIBEERA ku lususu lwo oba ku nviiri, zibeera era ne zisiiga amagi gazo (nits) munda ddala mu emisono gy’olugoye olutungiddwa mu buwale bwo obw’omunda, ekiwato, enkokola, ne layers z’omusingi ogw’ebbugumu, ne zeekulukuunya ku lususu lwo lwokka okuliisa era ne zireeta obuwuka obw’amaanyi n’okukunya (nga kw’otadde n’okutambuza obuwuka obuleeta obuwuka Bartonella quintana Omusujja gw’omukutu).
   • Engeri y'okumalawo enkwale z'omubiri mu kawungeezi kamu: Teweetaaga na lotion ya ddagala eri enkwa z'omubiri ezisinga bw'oba osobola okunaaba oba okuzirongoosa mu bbugumu. Okusiba engoye ezirimu obuwuka, emifaliso, n’ensawo z’okwebaka munda mu kifo eky’okwoza engoye eky’ettunzi ekyuma ekikalirira engoye ku BBUGUMU erya waggulu (> 55°C / 130°F) okumala eddakiika 30 ku 40 kitta ebitundu 100 ku 100 eby’enkwale z’omubiri gw’abantu abakulu n’amagi gazo munda mu misonno. Bw’oba ​​tosobola kwoza ngoye zo, saba ttiimu y’eddagala ly’oku nguudo okukyusa engoye ennyonjo ne ddoozi emu ey’ekizigo kya permethrin 1% oba ivermectin ow’omu kamwa.
2. Scabies (Ekizimba ekisiiwa ekiro web-space):
   • Kiva ku buwuka obutonotono obusima mu layeri ey’okungulu ey’olususu naddala wakati w’engalo (web spaces), munda mu bisambi, okwetoloola omusipi, ne mu nnyindo, ne bivaako obutundutundu obutono obumyufu n’ennyiriri z’ebinnya eziriko amayengo eza milimita 5 ezisiiwa ennyo ekiro ng’obuguma wansi w’emifaliso.
   • Obujjanjabi: Yeetaaga okuwandiikibwa 5% Permethrin cream (okusiigibwa okuva mu bulago okukka wansi ku bigere okumala essaawa 8 ku 14 ekiro, oluvannyuma n’oddamu mu nnaku 7) oba dozi bbiri ez’empeke za Ivermectin eziweebwa mu kamwa (abasawo b’eddagala ly’oku nguudo ze batera okwagala ng’omulwadde talina shower ya bwannannyini okunaaba omubiri gwonna) nga kwogasse n’okusiiga ebizigo mu bbugumu oba okubiteeka mu nsawo engoye zo mu buveera obusibiddwa okumala essaawa 72 (enkwaso z’enkwale zifa enjala okuva ku lususu lw’omuntu mu nnaku 3).

Ebibuuzo ebitera okubuuzibwa¶

Ensonda zeekebeddwa¶

• Ekitongole ky'obusawo ku nguudo (streetmedicine.org) n’ebyobulamu mu ggwanga eri olukiiko lw’abatalina mwasirizi (nhchc.org, Amerika): Ebiragiro by’obujjanjabi ku ddagala ly’oku nguudo, okulabirira ebigere n’ebiwundu eby’okunnyika mu bitundu ebya wansi mu bantu abatalina kifo we basula, n’okuddukanya endwadde ezitawona nga tewali nnyumba.
• Ebifo ebifuga n’okuziyiza endwadde (CDC, Amerika): Ebiragiro by’okuziyiza n’okujjanjaba ekigere ky’omukutu (Immersion Foot), okulonda yinfekisoni y’olususu eya MRSA ekwatagana n’abantu b’omukitundu, ne Okulabirira ebiwundu mu bwangu oluvannyuma lw’akatyabaga k’obutonde.
• Wilderness Medical Society (WMS): Ebiragiro by’enkola y’obujjanjabi ku kuziyiza n’okujjanjaba obuvune bw’okulumwa omuzira n’obutabeera mu bbugumu (Immersion Foot) ne puleesa y’okufukirira ebiwundu mu nnimiro.
• Ekitongole ky’emmere n’eddagala mu Amerika (US FDA) n’ekibiina ekigatta abalwadde ba ssukaali mu Amerika (ADA): Amawulire agakwata ku kutereka insulini n’okukyusakyusa wakati w’ebintu mu mbeera ey’amangu (okutebenkera kw’ebbugumu ly’ekisenge okumala ennaku 28, akabi k’okwonooneka kw’omuzira, n’okulungamya okunyogoza okufuumuuka).
• Ekitongole ky’ebyobulamu mu ggwanga (NHS, United Kingdom) ne Faculty for Homeless and Inclusion Health (United Kingdom): Omutindo gw’obujjanjabi ogw’okulabirira ebiwundu okutuuka ku nguudo, ekigere ky’omukutu, ebiragiro by’ebiwuka ebiyitibwa scabies/ectoparasite protocols, n’okufuna obujjanjabi obw’amangu obw’obwereere.
• Centers for Medicare & Medicaid Services (CMS, United States): Etteeka erikwata ku bujjanjabi obw’amangu n’abakozi (EMTALA, 42 U.S.C. 1395dd) eddembe ly’omulwadde erikakasa okutebenkera kw’eddwaliro mu bwangu awatali kulowooza ku yinsuwa, endagamuntu, oba obusobozi bw’okusasula.

Ebiragiro ebikwatagana nabyo¶

• Okuwangaala nga tolina nnyumba n’okusunsula embeera y’obudde esukkiridde
• Hypothermia and frostbite
• Obulwadde bwa sepsis ne septic shock
• Eddagala lya cold-chain mu kuva kw’amasannyalaze