Dikoba dikuate mu tshiamu anyi mu tshiamu tshia plastique: Dipatuka dia tshitupa tshia pankatshi tshidi katshiyi ne kanyinganyinga¶

Kupeta dikoba dikole dikuate mu meno anyi mutu wa tshiamu anyi wa plastique udi unyingalala bikole mu nzubu ne mu lupitadi lua bana. Zippers ke tshintu tshimuepele tshidi tshikebesha mputa ya dikoba dia tshifu ne tshia scrotal kudi bana ba balume ne balume bakulumpe badi bafika mu nzubu ya luondapu, ne misangu ya bungi itu ikuata dikoba dia muinshi mua tshiadi, dia nshingu, dia mishiku anyi dia mêsu dia bana batekete badibu basuike mu bilamba bia mu muvu wa mashika anyi mu bisaka bia kulala, ne kabidi dikoba ditekete dia ku tshianza dia bantu bakulumpe.

Lungenyi luebe lua ku tshilelelu ndua kukuata tshilamba tshia zipper ne kutshikoka panshi mu njila mukuabu. Kukoki tshintu tshia kukoka natshi tshilamba tshidi tshilamakaja kunyima anyi kumpala pa dikoba didi dikuate to. Kukoka tshiamu tshia kukoka natshi kudi kuenzeja tshitupa tshia munda tshidi tshienza bu tshintu tshidi tshienza bu tshiamu tshia mitaku bua kutshibula bikole ne kufikisha mulongo muibidi wa meno a tshiamu adi malamakane bululame mu tshitupa tshidibu basuike, ne kukudimuna dikuma dikese mu tshitupa tshikole. Pamutu pa nanku, londa Mineral Oil Soak ne Median-Bar Wire-Cutter Disassembly Protocol ya tshibambalu tshia malu a mpukapuka idi kuinshi eku bua kuenza bua tshilamba tshikuluke mu tusekonde tukese katshiyi tshienda tshipita pa dikoba to.

Enza nunku mpindieu¶

1. Umbusha bianza biebe ku tshilamba tshia kukoka natshi tshilamba ne KUTEKI bua kutshibulula anyi kutshipingaja to. Ambila muana anyi muntu mukulumpe udi mutapike diakamue ne: "Tshiena mua kukoka tshilamba tshia kukanga nabi tshilamba to. Netumbushe tshilamba tshia kukanga nabi tshilamba pambelu bua katshiyi tshienda pa dikoba diebe to." Kukuata pantalo anyi jacket mule ne bianza bionso bibidi bua bujitu buende kabukoki panshi pa dikoba didi dikuate kudi kukepesha kanyinganyinga diakamue ne bia pa lukama 50.
2. Ikala wenza mudimu ne tshiseba bua kuanji kukosa tshilamba tshia pantalo anyi tshia jacket tshidi tshinyunguluke. Ushiye 2,5 centimètres (1 inch) ya tshilamba tshidi tshinyunguluke tshilamba tshia zipper, kukosa tshilamba tshikuabu tshia jean, pantalon, tshibombi tshia kulala anyi tshilamba tshia mu muvu wa mashika kule ne mubidi ne tshiseba tshia mu nzubu. Kumbusha tshilamba tshinene kudi kupangisha bukole bua buloba bua kukoka mputa, kudi kulama muana udi ne buôwa bua kuikala ne bupole ne ditalala, ne kudi kukupesha tshimuenenu tshimpe tshia 360-degree tshia mushindu udi dikoba dikuate.
3. Tangila mushindu udi dikoba dikuata: "Pankatshi pa menu" anyi "Dibueja munda mua mutu udi unyunguluka." Tangila bimpe ne toshete bua kumona ni tshitupa tshia dikoba tshidi anu tshikuate pankatshi pa meno adi makanga muinshi mua tshintu tshidi tshikosa, anyi tshikuate buludiludi munda mua mutu wa tshiamu tshia tshibombi tshia zipper () nkayatshi.
4. Ela kikoba tshidi tshikuate ne tshiamu tshia tshilamba mu mafuta a mabue, mafuta a bana, mafuta a olive, anyi sabuni wa mâyi mu minite 2 anyi 3. Ela tshina tshinene tshia mafuta a minerale (mafuta a bana), mafuta a olive/a kulamba, vaseline, anyi sabuni wa malonga buludiludi pa dikoba didi dikuate ne mu tshilamba tshia kusukula natshi malonga. Kukoka ku paudi wela mâyi; lekela mafuta apita mu tshitupa tshikese tshidi pankatshi pa tshiamu tshia tshiamu ne dikoba didi ne edema.
5. Bikala dikoba dikuate pankatshi pa meno a tshilamba (muinshi mua tshintu tshidi tshikosa), kosa tshilamba tshia tshilamba tshidi tshitangile kuinshi kua dikoba ne utshibulule kumbukila kuinshi too ne kuulu. Kosa tshitupa tshilulame tshidi tshitangile ku tshilamba tshia tshilamba tshia tshilamba 2 centimètres (0.8 inches) kuinshi kua dikoba didi dikuate, ne koka bilamba bia ku dia bakaji ne bia ku dia balume bitekete bitekete bu mudibi bishilangane: bishilangane: meno neabuluke umue ku umue kumbukila kuinshi too ne kuulu, alekela dikoba kakuyi tshintu tshidi tshienda tshienda.
6. Bikala dikoba dibuikila munda mua mutu wa tshilamba tshidi tshikoseka, kosa tshitupa tshikese tshia "Median Bar" (tshibumba tshia diamant) tshidi kumpala kua tshilamba tshidi tshikosa ne biamu bia kukosa nabi nshinga. Ku diambuluisha dia biamu bia kukosa nabi nshinga bia diagonal (bia kukosa nabi ku luseke), bipese bia ku ndekelu, anyi biamu bia kukosa nabi mionji mikese, kukosa tshibumba tshikese tshia tshiamu tshia mitaku (**) tshidi pa mutu pa tshilamba tshia kukosa natshi udi ulamakaja dilongo dia kumpala ne dilongo dia panyima. Tshintu tshidi tshikoka netshitapuluke bu tshibombi tshia nsongo ne tshipueka pa dikoba kakuyi dikoka. Enda ku Tshibambalu tshia malu a lukasa anyi a lupitadi (anyi ubikile 911 mu États-Unis/Canada, 112 mu UE, 999 mu Grande-Bretagne; tangila nomba ya tshimpitshimpi) pikala dikoba dipatuka mashi a bungi, dibuela mu tshibuelelu tshia mu tshifu anyi tshia ku mêsu, anyi pikala muana ne buôwa bua bungi bua kuikala pabuipi ne biamu bia mudimu.

flowchart TD
    A["Lukoba lukuate mu tshiamu anyi mu tshiamu tshia plastique (mu tshiadi, mu tshiadi, mu nshingu anyi mu tshiadi)"] --> B["Tshitupa 1: LEKELA kukoka tshilamba tshia zipper; kukuatshisha bujitu bua tshilamba ne kukosa pantalo/tshilamba tshidi tshinyunguluke ne tshiseba"]
    B --> C{"Kudi mabenda makunze anyi? (Urethral meatus anyi tshilamba tshia dîsu tshikuate, binsonji bikole, anyi muana udi ne buôwa kayi mua kuimana)"}
    C -->|"Eyowa: Anatomi wa njiwu mikole anyi buôwa bua bungi"| D["Lama tshilamba tshia zipper tshidi tshishala tshilamakaja bimpe ku mubidi; ndaku ku tshibambalu tshia malu a mpukapuka bua kupeta anesthesie wa pa mutu anyi wa pa muaba"]
    C -->|"Tòo: Dikoba didi kadiyi dinyanguke dikuate, muntu udi mua kulama"| E["Tshitupa 2: Ela dikoba ne tshibombi mu mafuta a minerale, mafuta a olive, anyi sabuni wa dilongo mu minite 2 anyi 3"]
    E --> F{"Dikoba didi dikuata penyi?"}
    F -->|"Mushindu A: Mukuma ANYI pankatshi pa meno adi malamakaja kuinshi kua tshintu tshidi tshikosa"| G["Kukosa tshilamba tshia tshilamba tshia kukanga natshi 2 cm kuinshi kua dikoba; ela njila ya ku dia bakaji ne ya ku dia balume kumbukila kuinshi too ne kuulu"]
    F -->|"Mushindu B: Mubuikila munda mua mutu wa tshilamba tshidi tshikoka (kazubu) nkayatshi"| H{"Tshintu tshia tshiamu anyi tshia plastique?"}
    H -->|"Tshintu tshia tshiamu"| I["Wenza mudimu ne biamu bia kukosa nabi nshinga bia diagonal / bipese bia ku ndekelu bua kukosa tshitupa tshia munkatshi (tshibumba tshia munkatshi) kumpala kua tshiamu tshia kukosa natshi; umbusha dilongo"]
    H -->|"Tshiamu tshia plastike tshikola"| J["Ela tournevis wa mutu mupepele mu tshitupa tshia ku luseke bua kualabaja bitekete bitekete NANSHA kukosa tshilamba tshia munkatshi ne tshiamu tshia mudimu kule ne dikoba"]

Bulongolodi bua tshilamba tshia kukanga nabi ne mishindu ibidi mishilangane idi dikoba dikuata¶

Kumpala kua kulenga tshiamu tshia mudimu, umvue bitupa binayi bia tshilamba tshia tshiamu tshia mitaku bua wewe kumanya tshitupa tshia tshiamu tshiudi ne bua kukosa:

1. Tshilamba tshia tshilamba: Bipese bibidi bia tshilamba bisonga mu tshilamba.
2. Meno adi asambakena (Bintu): Meno a tshiamu tshia mitaku, a aluminium, a nylon, anyi a plastike adibu balamakaja ku tshilamba tshionso adi alamakaja padibu baasuika mu nseke.
3. Mubidi wa tshintu tshidi tshienda (Tshiamu tshia kuulu ne tshia kuinshi): Tshibombi tshia tshiamu anyi tshia plastique tshidi tshienda tshienza bu Y tshidi tshitangalake pa meno.
4. The Median Bar (Diamond / Neck Bridge): Mutshi wa tshiamu tshia mitaku muimane udi anu ku munkatshi wa ku mutu (ku ndekelu) kua tshintu tshidi tshiendakana tshidi tshilama dibeji dia kumpala ne dia panyima dia tshintu tshia diendakana pamue ku bule bujadika.

       [ WIDE TOP OF SLIDER ]
     +------------------------+
     |   Left      Right      |
     |  Channel   Channel     |
     |      \       /         |
     |       [MEDIAN]  <-- CUT THIS NARROW BRIDGE WITH WIRE CUTTERS
     |       [ BAR  ]      (Connects Top Plate to Bottom Plate)
     |          |             |
     |      (Pull Tab)        |
     |          |             |
     +----------|-------------+
         [ NARROW BOTTOM ]
           |||||||  <-- Locked Zipper Teeth Below Slider

Mushindu A ne mushindu B Dikuata dia Zipper¶

Tangila dikoba dikuate muinshi mua butoke bua kumanya ni udi wenza mudimu ne Type A anyi Type B:

Mikenji ya dipatuka dia tshitupa ku tshitupa¶

Tshitupa 1: Dijikija dia kanyinganyinga diakamue ne diumusha dia bilamba (Minutu 2 ya kumpala)¶

Nansha wewe mulekele tshilamba tshia kukanga natshi kumbelu anyi mu mashinyi uya ku lupitadi, enza malu asatu aa kumpala: 1. Lekela muntu alale panshi: Leja muana anyi muntu mukulumpe alale panshi pa bulalu anyi pa tshibasa ne tshilamba tshia kulala muinshi mua mutu wende. Kulala panshi kudi kupangisha bukole bua buloba bua kukoka tshilamba panshi ne kudi kupangisha dijimija dia lungenyi (vasovagal syncope udi utamba kuenzeka kudi balume bakulumpe ne bansonga badi ne tshilamba tshia ku tshianza; tangila diambuluisha dia kumpala dia kujimija lungenyi). 2. Kosa pantalo mile anyi kazaku ne tshiseba tshia nsongo: - Ela minu yebe pankatshi pa tshilamba ne mubidi wa muntu bua kukuba dikoba diende, ne ukose tshijengu tshinene tshinyunguluke tshilamba tshia kujingila, umbusha jean anyi jacket bionso. - Lekela anu tshilamba tshikese tshia 2.5-centimetre (1-inch) tshia muelelu tshilamakaja ku meno a zipper. 3. Ela tshiamu tshia mashika (kuyi ufina) muaba au ne umupeshe disulakana dia mukana: Bikala muntu mua kumina bimpe ne kayi ne tshidi tshimupangisha bua kumina, manga a mukana adibu bapanyisha ku tshisalu adi akumbanyine bidimu biende (acetaminophen anyi ibuprofen) adi ambuluisha bua kujikija kanyinganyinga ka panyima pa dipatuka.

Tshitupa 2: Tshiamu tshia minite isatu tshia mafuta a muinshi mua buloba / sabuni wa mâyi (tshidi tshienza mudimu nkayatshi mu misangu 30 too ne ku 40%)¶

Malongesha a bana batekete ne a luondapu lua lukasa adi aleja ne: kuela tshitupa tshia dikoba tshidi ne zipper mu mafuta a minerale munkatshi mua minite 3 anyi 5 kudi kupatula too ne ku 40 pa lukama ya bipese bipepele kakuyi tshiamu tshia kukosa natshi:

1. Ela manyi a minerale (mafuta a bana), mafuta a olive, anyi sabuni wa kusukula:
2. Ela 1 to ne ku 2 tablespoons ya mafuta a bana (mafuta a bana), mafuta a olive, mafuta a canola, anyi sabuni wa mâyi a bungi buludiludi pa tshitupa tshia dikoba tshidibu basuike ne panshi mu tshitupa tshia tshiamu tshia zipper.
3. Indila minite 3 mijima kuyi ukoka kikoba. Mafuta adi alengeja meno a tshiamu ne adi alengeja tshitupa tshia mubidi tshidi tshifiika.
4. Diteta dia dikokangana dia bupole (Anu kikoba, ki ntshintu tshidi tshienda to):
5. Panyima pa wewe mumane kuela mâyi mu minite isatu, udi mua kufina bitekete bitekete tshitupa tshia dikoba tshidi tshiuwule ne minu ibidi idi ne mafuta bua kufinya mâyi a edema ne kumona ni dikoba didibu bele mafuta didi dipatuka bitekete bitekete ku luseke lua tshina tshia dienda nkayadi.
6. Bikalabi kabiyi bipueka ne munu mu masekonde 10, lekela kukoka diakamue ne uya ku tshitupa 3 anyi 4.

Tshitupa 3: Kulekela tshintu tshia mushindu wa A (Dikoba dikuate ANYI pankatshi pa meno adi kuinshi kua tshintu tshidi tshienda)¶

Shi dikoba dikanga pankatshi pa meno a tshiamu anyi a plastique muinshi mua mutu wa tshintu tshidi tshienda (ne ki mmunda mua mutu wa tshintu tshidi tshienda to):

1. Tangila muaba pa tshilamba tshia kukanga natshi 2 centimètres (0.8 inches) MUINSHI mua dikoba didi dikuate: Tangila kuinshi kua dikoba didi dikuate mutangile kuinshi kua tshilamba tshia kukanga nabi.
2. Kosa bululame ku nseke yonso ibidi ya tshilamba tshia tshilamba tshia kukanga natshi tshilamba kuinshi kua dikoba: Ku diambuluisha dia tshiseba tshikole tshia mu nzubu anyi tshiamu tshia kukosa natshi (tshitangile kule ne mubidi), kukosa mu bululame ku dia balume kupitshila ku tshilamba tshia kukanga nabi tshilamba ne pankatshi pa meno abidi kuinshi kua dikoba didi dikuate, kutshibula tshilamba tshia kuinshi tshia tshilamba.
3. Kumbusha tshilamba tshia ku dia bakaji ne tshia ku dia balume kumbukila kuinshi too ne kuulu:
4. Kuata nsongo ya kuinshi ya tshilamba tshia ku dia bakaji ne tshilamba tshia ku dia balume ku bianza biebe bibidi.
5. Koka bipese bibidi bia bilamba bitekete bitekete kule ne bikuabu (mu tshikoso) kutuadijila ku tshitupa tshia kuinshi wenda uya kuulu too ne ku dikoba didi dikuate.
6. Bualu menu a zipper adi akanga anu padiwu makuate mu angle wa parallèle mukole, kutapulula nsongo ya kuinshi kudi kuenza bua meno adi makanga apatuke kakuyi lutatu dinu dimue ku dimue kumbukila kuinshi too ne kuulu. Mu masekonde abidi, njila ibidi idi itapuluka anu ku tshipiminu tshia dikoba ne dikoba didi dipueka kakuyi dikokangana dia dikokangana.

Tshitupa 4: Kulekela tshintu tshia mushindu wa B (tshikoba tshibueja munda mua mutu wa tshilamba tshidi tshienda tshisesuka)¶

Padi dikoba dibueja buludiludi munda mua kazubu ka tshiamu anyi ka plastique, tshintu tshidi tshienda tshidi ne bua kuikala tshiunzulula anyi tshitapulula mu bitupa bibidi.

flowchart TD
    A["Dikoba didi dibuikila munda mua mutu wa tshiamu tshia kukanga natshi (Type B)"] --> B["Ela tshintu tshitekete tshia bukubi (tshiamu tshia mabaya tshia kuela natshi kafe, tshintu tshia kuela natshi menu, anyi karton mubuikila) pankatshi pa tshiamu ne kikoba pikala muaba mua kukuanyishila"]
    B --> C{"Udiku ne biamu bia kukosa nabi nshinga anyi bia kukosa nabi nshinga anyi?"}
    C -->|"Eyowa (Mushindu mutambe buimpe wa tshiamu tshia mitaku)"| D["Tshitupa 4A: Teka mishiku ya tshiamu tshia kukosa natshi bintu pa mutu pa tshitupa tshikese tshia MEDIAN BAR tshidi ku mutu kua tshintu tshidi tshikosa"]
    D --> E["Lama bianza bikole bua slider kayi mua kunyunguluka to; Fina bipese bimpa bua kukosa tshitupa tshia pankatshi"]
    E --> F["Mabeji a kuulu ne a panshi a slider adi matapuluka bu tshibombi tshia nsongo; umbusha tshintu tshidi tshienda buludiludi pa dikoba"]
    C -->|"Kakuena tshiamu tshia kukosa natshi nshinga (anyi tshiamu tshia plastique tshikole)"| G["Tshitupa 4B: Mushindu wa kuenza mudimu ne tournevis wa mutu mupepele"]
    G --> H["Ela nsongo ya tshiamu tshia tournevis tshikese mu tshitupa tshia ku luseke tshidi pankatshi pa tshiamu tshia kuulu ne tshia kuinshi (kule ne dikoba)"]
    H --> I["Kunyungulula tshiamu tshia tournevis bitekete bitekete 15-30 degrés bua kukosa bipese bia kuulu ne bia kuinshi 2 mm mu butshiama bua dikoba didi ne mafuta kadiyi dipueka"]

Mushindu 4A: "Median-Bar Cut" wa or-Standard ne biamu bia kukosa nabi nshinga (bua biamu bia kukosolola nabi)¶

Biamu bionso bia jean, bia pantalo, ne bia jacket binene bitu bienza mudimu ne tshiamu tshia zinc anyi tshia tshiamu tshia mitaku. Nansha mudi bipese bia tshiamu tshia kubandila nabi bikale bialabale, tshitupa tshia munkatshi (tshibumba tshia diamant) tshidi ku mutu menemene tshia tshiamu tshia kubandila natshi tshidi anu 1,5 too ne ku 2,5 milimetre mu butshiama ne tshidi tshikosa bimpe ne biamu bia kukosa nabi nshinga bia mu kazubu ka biamu bia mudimu bia pa tshibidilu:

1. Sungula tshiamu tshia mudimu tshimpe: Enza mudimu ne biamu bia kukosa nabi nkata (pinces ya ku luseke), biamu bia kukosa nabi ku ndekelu kua muena mabaya, biamu bia kukosa nabi bintu bia ku nzembu, biamu bia kukosa nabi mionji mikese, anyi tshiamu tshia kukosa natshi nkamba tshia pinces ya lineman. (Mu tshitupa tshîpi, biamu bia ku makasa bidi ne mudimu mukole bidi mua kukosa biamu bia tshiamu tshia mitaku, nansha mudi biamu bia kukosa nabi nshinga bia mu kazubu ka biamu bia mudimu bikale ne bukole bua bungi.)
2. Koka tshilamba tshia Zipper Pull-Tab pambelu pa njila (anyi Snip Pull-Tab Loop Off kumpala): Shi pull-tab wa munu udi ulenga udi ukupangisha bua kufika ku mutu kua tshitupa tshia slider, kosa tshilamba tshikese tshidi tshikuate pull-tab kumpala bua wewe kumona bar wa munkatshi bimpe.
3. Kulama tshiamu tshia kukoka natshi tshianza tshimue bua katshiyi mua kunyunguluka: Kuata miele ya tshilamba tshia kukanga natshi bikole ne tshianza tshiebe tshidi katshiyi tshikokesha (anyi lomba muntu mukulumpe mukuabu bua akuate tshiamu tshia kukosa natshi ne tshianza tshia nsongo) bua tshiamu tshia kukosa natshi katshiyi mua kunyunguluka anyi kunyunguluka pa dikoba didi dikuate paudi ufina.
4. Teka bipese bia tshiamu tshia mitaku pa tshitupa tshia munkatshi ne ufina bikole:
5. Ela nsongo ya biamu bia kukosa nabi nzembu mu njila ibidi ya ku mutu ku ndekelu kua tshiamu tshia nzembu bua mishiku ya dikosa ikale mitangalake pa barre wa munkatshi udi ulamakaja dibeji dia kumpala ne dibeji dia panyima.
6. Tangila misangu ibidi ne mesu ne: dikoba dia zero didi ditenga ku mishiku ya bantu badi bakosa nshinga.
7. Fina bianza bikole ne bishindame too ne padi tshitupa tshia munkatshi tshipatuka ne dikuma.
8. Umbusha bitupa bibidi: Dîba didi tshitupa tshia munkatshi tshikosolola, dilongo dia kuulu ne dia kuinshi dia tshintu tshidi tshikosolola bidi bipatuka mu bitupa bibidi bishilangane (anyi tshiunzulula bipepele ne minu yebe), bipatula dikoba didi dikuate diakamue kakuyi dipanda.

Mushindu 4B: Tournevis wa mutu mupepele "Gap-Widening Wedge" (Bua biamu bia plastique anyi paudi kuyi ne biamu bia kukosa nabi nshinga)¶

Shi tshiamu tshia zipper tshienza ne nylon/plastique (anyi tshiamu tshikole) ne udi anu ne tshiamu tshia tournevis: 1. Ela dikoba didi dikuate bimpe ne mafuta a minerale anyi ne nsabanga wa kusukuila nabi malonga. 2. Kuata tshintu tshidi tshikoka ne tshianza tshimue (anyi ne tshiamu tshia kukoka natshi) bua katshikoki pa dikoba to. 3. Angata tournevis mukese wa mutu mubalabala (muelelu wa tshiamu tshia 3-to-4-millimetre) ne wela mutu mubalabala mu tshitupa tshia ku luseke tshidi tshiunzulula pankatshi pa tshilamba tshia mpala ne tshia panyima tshia tshiamu tshia kuela natshi bintu ku luseke lukuabu lua dikoba didi dikuate (anyi mu tshina tshia munkatshi tshidi pabuipi ne tshilamba tshia munkatshi). 4. Kunyunguluka bitekete bitekete tshianza tshia tournevis ku 15 too ne ku 30 degrés: Tshiamu tshia tshiamu tshidi tshienza mudimu bu tshiamu tshia cam, tshidi tshikosa dilongo dia kuulu ne dia kuinshi dia tshiamu anyi tshia plastique 1 to 2 millimètres mu butshiama. Padi tshitupa tshienda tshivula, tshitupa tshia dikoba tshidi ne mafuta tshidi tshipatuka mu tshina tshia mâyi kakuyi lutatu.

Mushindu 4C: "Paperclip Un-Locking Pin" ne "Backplate Pry" (Bua Locking Jacket Sliders)¶

Jeans ya bungi ya tshiamu tshikole ne zipper ya jacket wa mudimu idi ne tshiamu tshia munda tshidi tshikanga tshisokoka muinshi mua tshilamba tshia kukoka natshi: paudi ulekela tshiamu tshia kukoka natshi, tshintu tshikese tshia tshiamu tshidi ne ressort tshidi tshipueka mu meno a zipper bua nyunyi kayi mua kudiunzulula nkayende to. Shi dikoba dikuate muinshi mua tshiamu tshia munda tshidi tshikanga: 1. Ela tshiamu tshia tshiamu anyi tshiamu tshia bukubi tshidi katshiyi tshikoseka muinshi mua tshilamba mudi tshiamu tshia kukoka natshi tshilamakaja ku mutu kua tshiamu tshia kukoka natshi ne ubandishe tshiamu tshia kukoka natshi bululame mu angle wa 90 bua kukoka tshiamu tshia kukanga natshi meno tshia munda (kuyi ukoka tshiamu tshia kukoka natshi mulu anyi panshi mu njila). 2. Nansha, shi tshilamba tshia munkatshi tshia kumpala kua tshiamu tshia tshiamu tshia mitaku tshinene tshia mudimu tshidi tshikola bikole bua biamu bikese bia ku nzubu, kukudimuna tshilamba tshia zipper tshidibu balengeje kakese bua kutangila **tshiamu tshia panyima (tshia kuinshi) tshia tshiamu: pa biamu bia bungi bia die-cast, bipese bibidi bia ku luseke lua panyima bidi bitekete kupita tshiamu tshia pankatshi ne bidi mua kuikala bitekete pambelu 2 millimètres wenza mudimu ne bipese bibidi bia nshinga bikuata mapuapua a dia bakaji ne a dia balume musangu umue eku mukuate tshitupa tshia munkatshi tshishindame.

Nsombelu ya pa buayi ya mubidi: tshibeku, nshingu, tshilamba tshia mêsu, difu, ne kikoba tshitekete tshia muntu mukulakaje¶

Nansha mudi mputa ya mu nshingu mikale bualu budi butamba kufikisha bantu ku diya mu nzubu wa lupitadi lua lukasa, mputa ya zipper idi pa mutu pa mubidi ne kudi bantu bakulumpe idi ikengela kushintulula malu kampanda:

1. Dikoba dia muana muinshi mua tshiadi, nshingu, anyi mishiku dikuate mu tshilamba anyi mu tshibombi tshia kulala:
2. Bu mudi tshiadi ne nshingu bia muana mutekete bikale mutantshi wa santimetre mikese ne mêsu ende ne njila wa luya, badi dijinga ne bantu bakole babidi bua dipatuka dionso dia ku nzubu didi dilomba biamu bia mudimu pabuipi ne mpala wa muana: muntu mukulumpe umue udi ukuata maboko a muana bimpe mu tshilamba ("tshiamu tshia kukuata natshi") ne ukuata nseke yonso ibidi ya mutu wa muana bikole ku tshiadi tshiabu bua muana kayi mua kuela tshiadi tshiende panshi, eku muntu mukuabu mukulumpe kayi mua kuela tshiadi tshiende panshi umbusha tshilamba tshia tshilamba, wela mafuta a minerale anyi mafuta a olive, ne wenza Type A Bottom-Up Cloth-Tape Cut (kukosa tshilamba tshia tshilamba tshidi kuinshi kua tshibeku ne kupatula njila ibidi eyi ku luseke).
3. Shi dikoba dia tshibeku didi dibueja munda mua kazubu ka tshiamu kadi muana udila ne udila, kufiki ne tshiamu tshia kukosa natshi pabuipi ne nshingu anyi mpala wa muana udi wendakana: kosa tshilamba tshia kujingila, ushiye anu tshitupa tshikese tshia zipper, ela manyi a minerale, ne uye ku tshibambalu tshia luondapu lua lukasa anyi tshia malu a mpukapuka.
4. Dikoba dia mêsu dikuate mu tshibombi tshia kulala anyi mu tshilamba tshia kulala:
5. Kutetshi bua kupatula tshiamu tshia mudimu kumbelu pikala kikoba tshia ku mêsu tshikuate mu tshilamba. Kosa tshilamba tshia kulala anyi tshia tshilamba tshia kulala kule menemene ne tshilamba tshia tshilamba (shiya tshilamba tshia santimetre 5), ela tshilamba tshidi katshiyi tshikoka bitekete bitekete ku mpala anyi ku ditama bua katshikoki tshilamba tshia ku mêsu, ne ndaku buludiludi ku lupitadi lua E**Emere dipatuka dia mêsu muinshi mua sedation anyi bloc local (tangila diambuluisha dia kumpala dia disama dia mêsu).
6. Dikoba ditekete, ditekete dia ku tshianza anyi dia mu difu dia bantu bakulumpe ("Senile Purpura" Skin Tears):
7. Bantu bakulumpe badi banua manga adi atekesha mashi (anticoagulants), aspirine wa ku dituku ne ku dituku, anyi corticosteroïdes ya matuku a bungi badi ne dikoba ditekete bu dia dibeji didi dinyanguka bu dibeji dia tshilamba padibu badikoka. Koka nansha dimo dikoba dia muntu mukulakaje nansha kunyima kua wewe mumane kuela manyi. Misangu yonso, ikala utapulula tshintu tshia kukanga natshi tshilamba tshijima (Mushindu 4A) anyi utapulule menu ku luseke lua kuinshi (Tshitupa 3), ne bikala tshitupa tshia dikoba (tshitupa tshia dikoba) tshibandishibue kudi meno a dikoba, upingaje tshitupa tshia dikoba atshi pa muaba watshi pa mutu pa tshilonda ku diambuluisha dia tshilamba tshia mâyi a mukele (pamutu pa kukosa dikoba ne dibuikila) ne tshilamba tshia silicone tshidi katshiyi tshilamakaja.

Dilama dia mputa ne dîba dia kuya kumona munganga kunyima kua dipatuka dia tshilamba¶

Padi tshilamba tshipatuka ku dikoba, tangila tshilamba bimpe mu butoke buimpe:

Nkonko itubu bela misangu ya bungi¶

Mmushindu kayi udi kayi ne kanyinganyinga ka lukasa bua kupatula dikoba dia kumpala anyi dia tshiadi mu tshilamba tshidi tshilamakaja?¶

Tshia kumpala, kukoki tshilamba tshia tshilamba tshia kukanga natshi tshilamba anyi panshi to, ne diakamue enza mudimu ne tshiseba bua kukosa bilamba bia bujitu bidi pabuipi ne tshilamba tshia kukanga nabi bua bujitu buabi kabukoki pa dikoba to. Ela dikoba didi dikuate ne tshibombi mu mafuta a minerale (mafuta a bana) anyi mafuta a olive munkatshi mua minite 3. Shi kikoba kikatampe munda mwa mutu wa tshilamba tshia tshiamu tshidi tshikoka, enza mudimu ne biamu bia kukosa nabi nshinga bua kukosa "tshiamu tshia munkatshi" tshikese (tshibumba tshia tshiamu tshitekete tshidi ku mutu kua tshiamu tshidi tshikosa tshidi tshilamakaja mabeji a kumpala ne a panyima), tshidi tshienza bua tshiamu tshidi tshikosa tshikuluke mu bitupa bibidi ne tshipatule dikoba kakuyi dikoka.

Netuambe tshinyi meme tshiyi ne tshiamu tshia kukosa natshi tshiamu tshia zipper?¶

Shi kikoba kikale anu tshikuma pankatshi pa meno a tshilamba tshikanga tshidi kuinshi kua tshiamu tshia kuela nabi bintu (ne ki mmunda mua kazubu ka tshiamu tshia kuela nabi bintu to), enza mudimu ne tshiseba tshia mu nzubu bua kukosa tshilamba tshia kukanga nabi tshilamba tshia tshilamba tshia kukanga natshi 2 centimètres (0.8 inches) kuinshi kua dikoba didi dikuate, pashishe koka tshilamba tshia ku dia bakaji ne tshia ku dia balume kumbukila kuinshi kuulu bua dinu diunzuluke dimue ku dimue. Shi kikoba munda mwa mutu wa tshiamu tshia kukosa natshi ne kuyi ne tshiamu tshia kukosa natshi, ela kikoba ne mafuta a minerale anyi sabuni wa kusukula nabi malonga ne kunyunguluka bitekete bitekete mutu wa tournevis mukese udi ne mutu mupepele munda mua tshitupa tshia ku luseke lua tshiamu tshia kukosa natshi (kule ne dikoba) bua kukosa bipese bia kumpala ne bia panyima mutantshi wa milimetre 1 anyi 2.

Mmunyi mudi baminganga ba mu nzubu wa lupitadi bambusha tshilamba tshidi tshilamakaja ku dikoba dia muana?¶

Mu tshibambalu tshia malu a mpukapuka, baminganga batu banji kuela tshintu tshidi tshienza bua muana ikale ne kanyinganyinga (bu mudi LET gel anyi lidocaine jelly) anyi bamuela tshintu tshidi katshiyi tshienza kanyinganyinga (bu mudi midazolam anyi fentanyl mu mishiku) padi muana mutekete ne buôwa, pashishe bamuela ka-anesthesie kakese padibi bikengela. Padi muaba au mumane kunyanguka ne muwule tente ne mafuta a minerale, munganga udi mua kukosa tshitupa tshia munkatshi tshia tshiamu tshia zipper ne biamu bia orthopaedic wire cutters/cutters of orthopaedic wire cutters/orthopaedic wire cutters/cutters of orthopaedic wire cutters of orthopaedic wire cutters of orthopaedic wire cutters of orthopaedic wire cutters of orthopaedic wire cutters of orthopaedic wire cutters of orthopaedic wire cutters of orthopaedic wire cutters of orthopaedic wire cutters of orthopaedic wire cutters/cutters of mifuba anyi kutapulula meno kuinshi, pashishe wela mafuta a antibiotique anyi tusonji tudi tuela manyi pikala dikoba dinyanguke.

Mmunyi mundi mua kupangisha muana anyi muntu mukulumpe bua kubenga kukuatshika kabidi mu tshibombi?¶

Bua bana ba balume badi ne bidimu muinshi mua 8 (badi bapeta mputa ya bungi ya bana padibu babulula tshilamba tshia pantalo lukasa kabayi ne bilamba bia munda), ikala anu mujadike ne: badi bavuale bilamba bia tshilamba tshia coton anyi bia boxer muinshi mua jeans anyi bilamba bia kulala bidi ne zipper, anyi nusungule pantalon ya elastic ne button-fly trouers padibu benza manaya a kuendesha. Bua bilamba bia bana batekete bia mu muvu wa mashika ne bisaka bia kulala nabi, keba bilamba bidi ne tshilamba tshia "chin guard garage" tshisonga kunyima kua tshilamba tshia zipper, ne misangu yonso wela minu yebe ibidi kunyima kua tshilamba tshia zipper bu tshintu tshia kukuba natshi muana ku nshingu paudi ubanda.

Miaba mifumina¶

• American Urological Association (AUA, United States) ne Pediatric Emergency Care Journal: Clinical Guidelines on Non-Surgical Management of Penile Zipper Entrapment (Mineral Oil Lubrication, Median Bar Transection, and Lateral Tooth Disengagement).
• Lupitadi lua bana lua bukalenge lua mu Melbourne (Australie) Mikenji ya mudimu: Mukenji wa dilama dia tshimpitshimpi tshia disama dia tshiadi ne dia tshiadi.
• UK NHS Emergency Medicine Clinical Procedures and St John Ambulance (United Kingdom): Soft-Tissue Entrapment, Paraphimosis Red Flags, and Pediatric Analgesia in Minor Trauma.

Malu adi apetangana¶

• Dilama dia mashi ne dilama dia mputa
• Tshipese tshilamakaja ku munu muwule: tshilamba tshia meno
• Diambuluisha dia kumpala dia dijimija lungenyi ne muaba wa diondopangana
• Tshilamba tshimpe pa bipese bia mêsu, mishiku anyi dikoba
• Nomba ya njiwu ya pa buloba bujima