Xadhkaha Bungee iyo Ratchet Snapback Int Int: Hyphema, Globe Rupture, Disloction lens, and Rigid Ind Sheeld¶

Dhammaan sariiraha gawaarida xamuulka qaada, saqafka saqafka, gawaarida dhaqaaqa, tareenada doonyaha, iyo xirmooyinka kaydinta garaashka adduunka oo dhan, caag laastikada ah ** xadhkaha bungee ("xadhkaha shoogga") ee lagu rakibay S-hooks-bireed qaawan ama caag J-hooks ** iyo ** xadhig-xidheen polyester ratchet xad-dhaaf ah xadhig-hoos u dhejisyada ** waxay ka dhigan tahay mid ka mid ah sababaha ugu horreeya ee indha la'aanta macaamiisha Ameerika. Ophthalmology (AAO)** iyo ** Diiwaanka Dhaawaca Indhaha ee Maraykanka (USEIR). Si ka duwan sida xadhig aan fidin oo si fudud dhulka ugu dhacaya haddii guntidu simbiriirixo, xadhig bungee ah oo laastikada ah oo fidsan ilaa laba jeer dhererka nasashada wuxuu u dhaqmaa sida ** catapult toosan oo kaydiya 30 ilaa 65+ Joules (22 ilaa 48+ foot-pounds) oo ah tamar karti leh. Sababtoo ah qofka fidinaya xadhig bungee ah sariirta xamuulka ama saqafka saqafka waa inuu si toos ah ugu tiirsadaa wejigooda iyadoo la eegayo dhidibka xadhigga ee xiisadda si uu birta ugu xidho giraanta hoos-u-jiidka ah, marka S-hook-gacmeedku ka siibto faruuryo wareegsan oo wareegsan, ku dhajiyo qoorteeda curyaanka ah, ama toosinaysa culeyska, 30-to---80-ounce) birta gadaal u toosan godka indhaha isticmaalaha 110 ilaa 160+ kiiloomitir saacaddii (70 ilaa 100+ mayl saacaddii) in ka yar 15 millise seconds, taas oo afar jeer ka dhakhso badan falcelinta bini'aadamka (60 ilaa 100 millise seconds).

Waxaa taa ka sii daran, xadhig xawli sare leh oo xadhig bungee ah waxa uu gaystaa si gaar ah wax u xun laba hab oo dhaawac ah: isku mar tamar aad u saraysa oo mawjadaha shoogga ah oo isku mar ah iyo jeex fiiqan oo fiiqan . Luqunta wareegsan ee jillaabku waxay cadaadisaa kubbadda isha hore iyo gadaal sida kubbadda squash, jeexjeexa xididka iris xididdada dhiigga si ay u buuxiyaan isha hore ee dhiig ( dillaaca globe furan), halka caarada fiiqan ee birta S-hook ay si toos ah ugu xidhan tahay lafaha cornea ama daboolka indhaha. Ogaanshaha sababta ** ku cadaadi suufka faashad isha dillaacsan ama ka soo saarida jillaab ku xiran waxay ku tuujinaysaa waxa ku jira isha ee dhabanka, sida loo hagaajiyo oo loo duubo ** eber-cadaadiska indho adag (ama koob warqad hoosta laga gooyay) darajo*, iyo sababta aspirin iyo NSAIDs (ibuprofen, naproxen) si adag loo mamnuucay waxay badbaadisaa aragga. Eeg nambarada degdega ah, dhaawacyada isha, glaucoma xagal-xiran oo degdeg ah iyo luminta aragga ee ishaiyo dhaawacyo madaxa.

Hadda samee tan¶

1. ** HA KU XUMIN, CADAADIN, AMA KU DACBIN CADAADIN ISHA, hana isku dayin inaad xoog ku furto indho tirka bararka leh. ku cadaadinaya daboolka isha oo laalaaban maro laalaaban, baraf, ama faraha si loo "joojiyo dhiigbaxa" waxay si toos ah uga soo baxaysaa iris, lens-ka, jel vitreous, iyo retina oo si toos ah uga sii gudbaya nabarka, taasoo keenta indho la'aan aan laga noqon karin.
2. Haddii birta S-hook ama balaastiggu ay wali ku dheggan tahay kubbadda isha, daboolka isha, ama godka isha lafta: HA FULIN AMA SOO BAXIN. mindida si loo baabi'iyo dhammaan xiisadaha laastikada, oo ku deji jillaabyada soo haray iyadoo la raacayo suuf weyn oo lagu dhisay (aan la cadaadin) isha ilaa uu takhtarka qalliinka indhaha ka soo saaro qolka qalliinka.
3. KU Dabool Isha dhaawacan Garan Adag, Isha caddaadiska ah ee EBER-CADAADAYSAN oo ka gudbaya lafta foodda hore (brown) iyo dhabannada (malarnimada) koob (ama ku qalooci waslad adag oo kartoon ah koontada) oo aad si qotodheer uga dhejiso buundada foodda ilaa dhabanka si ** waxba u taaban isha ama daboolka indhaha**.
4. ** Dhibbanaha u fadhiiso toosan oo madaxa kor loogu qaadayo xagal 30-ilaa 45-degree ah mar walba: ha u ogolaanin inay si siman ugu seexdaan dhabarka ama ay hore u foorarsadaan.** hoose ee qolka hore (ka fog dhidibka muuqaalka dhexe iyo meshwork dheecaanka trabecular) oo hoos u dhigaya cadaadiska xididdada indhaha.
5. ** Waligaa ha siin ASPIRIN, IBUPROFEN (Advil/MotrinNAPROXEN (Aleve), AMA NSAID kasta oo kale oo loogu talagalay xanuunka isha. Xadhkaha xadhkaha bungee, qaadashada ibuprofen ama aspirin waxay kicisaa masiibo "Maalinta 3 ilaa Maalinta 5aad Dib-u-dhiigbaxa" (dhiigbaxa labaad) kaas oo ka buuxiya qolka hore oo dhan xinjir madow (Kaliya cad acetaminophen / paracetamol ayaa la isticmaali karaa haddii uu ogolaado takhtarka oo aysan jirin wax liddi ku ah beerka.)
6. ** Wac lambarkaaga deg-degga ah (911 gudaha Mareykanka iyo Kanada, 112 guud ahaan Midowga Yurub, 999 gudaha Boqortooyada Ingiriiska) ama diyaari gaadiid degdeg ah isbitaal leh dabool 24-saac ah ee degdegga ah ee indhaha. markaa bukaanku ma matago ama ma cadaadiso (** Valsalva spikes intraocular pressure **); hubi nambarada degdega ah.

Geedka go'aanka: xadhig bungee ama suunka ratchet snapback kala soocidda dhaawacyada indhaha¶

flowchart TD
    Start["Xargaha Bungee Cord ama Xargaha Ratchet Snapback wuxuu ku dhuftaa isha / Orbit"] --> HookCheck{"Qaboojiyaha birta/cagtu wali ma ku dhex jiraa isha ama daboolka indhaha?"}
    HookCheck -->|"Haa: Hook ku dhexjira Globe ama Daboolka"| CutCord["1. Isla markiiba xadhkaha ku qabo si miisaanku aanu isha ugu jiidin; 2. Ka jar xadhigga caagga ah 10 ilaa 15 sentimitir ka fog jillaabyo xiirid/ mindi si aad uga saarto xiisadda; 3. Ha furin ama ha bixin jillaabada birta ah; ku xasilli giraanta weyn ee ku dul taagan cidhifka orbital; 4. Ku dhaji koob warqad ah / qubbad balaastiig ah oo ku dheji isha kale si aad u joojiso dhaqdhaqaaqa indhaha ee la ogol yahay"]
    HookCheck -->|"Maya: Hook oo dib uga soo laabtay Isha"| VisualInspect["1. U sheeg dhibbanaha inuusan isha xoqin, daboolin daboolka, sanka afuufin, ama foorarsanin; 2. Si tartiib ah u eeg isha IYADOO aanad jiidin daboolka sare ee isha"]
    VisualInspect --> GlobeSigns{"Ma jiraan calaamado muujinaya dillaaca Globe ama Hyphema?"}
    GlobeSigns -->|"Ilmo Ilmo/Ardayga Ugu Sareeya, Qolka Hore ee Flat/Shallow, Unug Madaw oo Soo Baxaya, ama Lakabka Dhiiga Muuqda (Hyphema)"| ShieldAndElevate["1. Cajalad ku dheji gaashaanka isha ee CADAADADA EE BERBERA (Gashaanka dawacada ama qaybta hoose ee koobka warqadda) oo si adag ugu dul taagan lafta daanka iyo laf dhabarta (Gashaanka hoostiisa ma jiro faashad); 2. Ku fadhiiso bukaanka si toosan 30 ilaa 45 darajo; 3. Mamnuuci DHAMMAAN aspirin/NSAIDs (ibuprofen/naproxen) oo ilaali NPO (cunto/biyo la'aan); 4. Si degdeg ah ugu qaado ER dhakhtarka indhaha"]
    GlobeSigns -->|"Iftiinka Iftiinka, Daah Aragga, Laba Aragga, ama Aragga Daahsoon"| ShieldAndElevate
    CutCord --> EMSCall["Wac 911/112/999 si aad u hesho ambalaas madaxa kor u qaadaya oo aadi doonto Xarunta Dhaawaca/Indhaha"]

Ballistics-ka xadhiga bungee ee dib-u-dhaca iyo 5ta saxeex ee dhaawacyada indhaha¶

1. Waa maxay sababta xadhigga bungee uu isha uga khatar badan yahay qoriga BB¶

Tijaabada bayomechanical ee cilmi-baarayaasha dhaawacyada indhaha ayaa muujinaya sababta xadhkaha laastikada caadiga ah ay u keenaan heerar sare oo indho-la'aan sharciyeed oo joogto ah marka loo eego qalabka kale ee guriga:

• 60+ Joules of Elastic Tamarta Kaydsan: Halka pellet airsoft ama toy dart ay saamaynayso qiyaastii 1 ilaa 3 Joules ee tamarta kinetic iyo heerka caadiga ah .177Qoriga caliber BB wuxuu keenaa ** 4 ilaa 8 Joules ***, hawl culus ** 9-milimitir (3/8-inchXadhkaha goos gooska caag ah oo lagu fidiyay 40 kiiloogaraam (90 rodol) oo xoog jiid ah waxa uu kaydiyaa 40 ilaa 65 Joules ee tamarta ***.
• ** Hoos-Blink-Reflex Xawaare (120 to 160+ km/h:** Marka birta S-hook ay ka siibto barta barroosinka, tamartaas kaydsan waxay deddejisaa caarada birta xoogga leh si toos ah ugu socota xariiqda aragga ee 35 ilaa 45 mitir ilbiriqsikii (125 ilaa 160 km/h). Sababtoo ah palpebral blink reflex ee bini'aadamka waxay qaadataa ** 60 ilaa 100 millise seconds** si ay u xirto daboolka indhaha iyo bungeeska ayaa ka gudba 50-sintimitir (20-inch) fogaan gaarayo kaliya 12 ilaa 15 millise seconds, jillaabtu waxay ku dhufataa ** ballaaran oo furan, maskaxda aan gaashaanka lahayn xitaa ka hor intaan la diwaangelin

4¶

Sababtoo ah birta S-hook ama balaastigga ayaa ka yar 35-ilaa-40-millimitir (1.5-inch) furitaanka godka isha lafaha (** cirifka orbital **), lafaha dhafooradu ma leexin karaan; 100 boqolkiiba tamarta saameynta waxaa si toos ah u nuugta kubbadda jilicsan ee isha:

   HOW TO APPLY A ZERO-PRESSURE RIGID EYE SHIELD (OR PAPER CUP)

   [1] WRONG: GAUZE PAD UNDER TAPE          [2] RIGHT: RIGID VAULT ON BONY RIM
   ===============================          ==================================
       [ Forehead Brow Bone ]                   [ Forehead Brow Bone ]
                 ||                                       ||   \\  <-- Tape
            +----+----+                                   ||    \\     Bridge
            |  GAUZE  | <-- FATAL TO VISION:              ||     +-----+
       (Eye)|  PRESS  |     Presses down on          (Eye)||     | AIR | <-- Paper Cup
        ()  |  PAD    |     ruptured globe,           ()  ||     | GAP |     Bottom or
            +----+----+     extruding iris/               ||     +-----+     Fox Shield
                 ||         lens/vitreous                 ||    //
        [ Cheekbone (Malar) ]                    [ Cheekbone (Malar) ]

   CRITICAL RULE: Do NOT stuff gauze pads underneath a rigid eye shield on a
   suspected globe rupture or hyphema. The rigid shield must form a hollow
   protective dome resting 100% on the hard skull bones above and below the eye.

Tallaabo-tallaabo ah gargaarka koowaad: gaashaanka indhaha oo adag, 30-ilaa-45-madaxa kor u qaadista, iyo mamnuucidda NSAID¶

1. Sida loo baaro isha si badbaado leh adoon keenin barar¶

Haddii qof uu isha kaga dhufto xadhig goglan ama suunka jiirka:

• **Weligaa ha ku furin daboolka indhaha oo barara suulkaaga
• Haddii qofku si tartiib ah keligiis u furi karo daboolkiisa qol iftiin yar leh, ku eeg iftiinka qolka caadiga ah (ha ku iftiimin toosh taatiko ah oo indho la'aan si toos ah isha sawir-qaade) laba calaamadood oo muhiim ah:
• qaabka Ardayga Madow: Ardaygu ma wareegsan yahay, mise loo jiiday qaab "jeexan" ama "pear" fiiqan? Ardayga ilmada ayaa ah astaanta caadiga ah ee ** dildillaac globe furan **: dareeraha aqueous ee isha ayaa ka soo daatay kala go'a kornea ama sclera, oo nuugaya gunti iris midab leh oo godka ku jira sida saxamada musqusha.
• ** Dheecaan ama Heerka Dhiiga ee Hortiisa Iris:** Ma aragtaa ** barkad guduudan oo dhiig ah oo degtay xagga hoose ee iris-ka midabka leh** (sida biyaha gunta weelka kalluunka) ama baraf cas oo fidsan oo qarinaya iris-ka? Taasi waa ** naxdinta daran ***.

2. Dhisidda iyo ku dhejinta gaashaanka indhaha ee eber-cadaadiska ah 30 ilbiriqsi gudahood¶

Xirmad kasta oo gargaarka degdegga ah waa in ay sidataa ** aluminium daloolsan ama polycarbonate Fox Eye Shield , kaas oo leh cidhif daboolan oo lagu nasinayo ** cirifka sare (lafta baraf), ** buundada sanka*, iyo ** zygomatic/malar lafta (dhabanka)**. Haddi aanad ku haysan gaadhigaaga ama garaashkaaga gaashaanka isha Fox:

1. ** Xaashida ama koobka Styrofoam Cup (Gaashaan Dahab ah oo la hagaajiyay):**
2. Qaado warqad nadiif ah, kartoon, ama koob caag adag oo cabitaan ah oo isticmaal maqas ama mindi jeebka si aad ** ka jar gunta hoose ee 3.5 ilaa 4.5 sentimitir (1.5 inji) koobka *** si aad u yeelato qubbad wareeg ah oo qoto dheer.
3. Ha dhigin suufka faashad laalaaban ee koobka dhexdiisa.
4. Geli cidhifka koobka hoose ee rogan isha dhaawacantay si cidhifka sare u dul istaago lafta sunniyaha* cidhifka hoosena wuxuu dulsaaraa ta adag lafo dhaban.
5. Si adag ugu xafid 3 ama 4 xariijimo xariijimo ah oo cajalad caafimaad ah ama sharooto dhuuban oo ka socota badhtamaha foodda iyada oo si toos ah hoos ugu dhigaysa koobka ilaa dhabanka dibadda.
6. ka warran haddii aadan xitaa haysan koob warqad ah?
7. Haddii dhibbanuhu xidho ** muraayadaha indhaha ama muraayadaha badbaadada **, ha dib ugu celiyaan muraayadaha si ay u noqdaan bamper adag, ama ka goo goobabada ** daboolka sanduuqa kartoonada (8 cm / 3 in dhexroorka
8. ** Goorta la daboosho LABADA indhood (Labbada indhood ee la isku dhejiyo ee Qaboojiyaha La Dulmaray):**
9. Indhaha bini'aadamku waxay si wada jir ah u wada socdaan si isku mid ah (Xeerka hering ee sinnaanta is-dhexgalka/dhaqdhaqaaqa isku-dhafka ah ee la isku raacsan yahay): Marka ishaada bidix ee aan dhaawacmin ay u soo leexato bidix iyo midig si ay u eegto hareeraha qolka, ishaada midig ee dhaawacan waxay si toos ah u jiidhaysaa bidix iyo midig isla xawaaraha saxda ah.
10. Haddii jillaab bir ah oo bungee ah ama jeex jeex ah oo quraarad ah ** wali ku dhex jiro gudaha kubbadda isha**, dhaqdhaqaaq kasta oo isha wanaagsan wuxuu keenaa in kubbadda isha ee dhaawacan ay hore iyo dib uga xoqdo birta go'an. Xaaladdaas gaarka ah, ka dib markaad ku dhejiso koob waraaqo dheer isha dhaawacan, ** si khafiif ah ugu dabool isha aan dhaawacan maro nadiif ah ama balastar ** oo qabo gacanta bukaanka si aad u hagto, si ay labada indhoodba u nastaan ​​iyagoo si toos ah u eegaya hore.

3. Waa maxay sababta kor u qaadista madaxa 30-ilaa-45-degree iyo nasasho adag ay uga hortagayaan "8-Ball Hyphema"¶

Marka xadhiga bungee uu keeno ** traumatic hyphema *** (dhiigbax ka yimaadda iris/mareennada ciliary jeexan oo gala qolka hore):

• Sida cufisjiiisku u ilaaliyo xagasha lafaha lafaha iyo dheecaanka: Haddii bukaanku si siman ugu seexdo dhabarka, unugyada dhiigga cas ayaa sabbaynaya dhammaan jilitaanka aqueous, oo daboolaya dhabarka xudunta oo ay xidhaan 360 darajo ** meshwork trabecular ** (shaandho yar oo ka soo saarta dareeraha isha). In bukaanka la fadhiisto oo toosan oo madaxa kor loogu qaadayo 30 ilaa 45 darajo (labadaba inta lagu jiro gaadiidka isbitaalka iyo marka la seexanayo sariirta 5ta ilaa 7da maalmood ee soo socota) waxay u oggolaaneysaa cuf-isjiidadka inuu lakabyo unugyada dhiigga cas si habsami ah ugu hoos jira booska 6-saac ee isha, ka ilaalinta ardayga oo u oggolaanaya in cadaadiska sare ee trabecular uusan sii wado dheecaanka** cirka isku shareeray.
• Waa maxay sababta maalmaha 3 ilaa 5 ay u yihiin daaqada ugu khatarta badan (Khatarta Dib-u-dhiigga):
• Jeexitaanka bilowga ah ee halbowlaha iris waxa lagu xidhay xinjir-jilicsan fibrin-platelet. Inta u dhaxaysa 72 iyo 120 saacadood (Maalmaha 3 ilaa 5) shaqo joojinta bungee ka dib, xinjirowga dabiiciga ah ee jidhku (plasmin) wuxuu bilaabaa inuu jebiyo furkaas fibriinka ah.
• Haddii bukaanku qaatay ** xitaa hal kiniin oo aspirin ah, ibuprofen, ama naproxen**, ama haddii ay foorarsadaan si ay kabaha u xidhaan, u qaadaan sanduuq culus, isha xoqaan, ama cadaadis, weelka jilicsan ayaa mar kale furfuran (** dhiigbax labaad**). Dib-u-dhiigbaxa had iyo jeer aad ayey uga daran yihiin dhiigii hore, waxayna u beddelaan dhammaan dhinaca hore ee isha gariir-madow ("8-Ball Hyphema"), kaxaynta cadaadiska intraocular ee ka sarreeya ** 50 mmHg**, burburinta neerfaha indhaha, oo si joogto ah u wasakheeya miridhku-brown-brown (** hemosiderosis corneal**).
• Cudurka Sickle Cell / Cudur Digniin Degdeg ah: Haddii qofka dhaawacmay uu ka soo jeedo Afrika, Mediterranean, Bariga Dhexe, ama Hindi, ** u sheeg dhakhtarka xaaladaha degdegga ah iyo dhakhtarka indhaha haddii ay qabaan cudurka Sickle cell ama xitaa asymptomatic Sickle cell (HbAS). Gudaha oksijiin-hooseeya, kaftan aashitada isha ee leh hyphema, unugyada dhiigga cas ee qofka leh ** Sickle Cell Trait ** sickle bilaha adag oo si buuxda u xidha meshwork trabecular, taasoo keenta ** Wadnaxanuun neerfaha indhaha oo joogto ah iyo indho la'aan cadaadis yar oo kor u kaca indhaha.>= 24 mmHg* 24 saacadood gudahood, iyo liddi ku ah dhibcaha kaarboonka anhydrase inhibitor ee caadiga ah (acetazolamide) oo isha asiidhka ka dhiga; eeg xanuunka laabta oo ba'an, kala soocida splenic, iyo priapism ee cudurada carruurta iyo kuwa qaangaarka ah.

Hantidhawrka badbaadada xamuulka ee xidhidhiyaha: bedelida xadhkaha bungee ee S-hook oo leh beddelaad badbaado leh¶

Si aad uga hortagto dhaawaca xadhiga bungee iyo suunka ratchet ee dhaawaca si joogto ah:

• ** Tuur dhammaan xadhkaha laastikada ah ee leh qaloocsan, aan xidhnayn, ama bir-gacmeed S-hooks:** Siligga caadiga ah ee S-hooks waxay toosan yihiin kaliya 15 ilaa 25 kiiloogaraam (33 ilaa 55 rodol) jiid. Isla markiiba ku beddel xadhkaha buundada gu'ga-carabiner-ka-xiran (halkaas oo albaabka badbaadada gu'gu raran yahay uu ku xidho jillaabka giraanta barroosinka si aanu uga siibxi karin xiisadda hoosteeda) ama ** Xarig-kaamiro-kaamiro ah oo aan lalastik ahayn.
• ** Marna wejigaaga ha ku tiirin jidka fidsan ee xadhig bungee ah ama suunka jiirka:** Markaad xidhid ama furayso xadhig bungees ah ama aad sii daynayso suunka suunka kacsan ee kacsan, istaag ** dhinac *** diyaaradda suunka oo ka jiid ** ka fogee jidhkaaga iyo wejigaaga, marna kor ha u qaadin gadhkaaga iyo indhahaaga.
• Xiro ANSI Z87.1+ / EN 166 muraayadaha badbaadada polycarbonate mar kasta oo la xidho alaabta:ANSI Z87.1+ Saamaynta sare ee lagu qiimeeyay)** si dadaal la'aan ah u joojiso 160 km/h (100 mph) bir bungee S-hook ah iyada oo aan dillaacin.
• ** U fiiri suunka ratchet webbing ee jabka UV iyo gees goynta (> 10% Balaadhka khasaaraha):** Marka suunka roogagga polyester-ka ee jajaban ee ka hooseeya ** 500 kiiloogaraam (1,100 rodol)** ee xiisaddu ay ka gudubto koonaha sariirta baabuurka ee fiiqan, xidhidhka birta culus ee birta-jiirta ah ayaa gadaal u garaacaysa sida foorar.

Nambarada degdega ah ee gobolka iyo heerarka dhaawaca indhaha¶

Haddii xadhig bungee ah ama suunka jiirku isha ku dhufto, isla markiiba u tag waaxda xaaladaha degdegga ah oo leh caymiska isha ee la wacayo ama Waaxda Gurmadka Indhaha ee heeganka u ah. Eeg nambarada degdega ah.

Su'aalaha soo noqnoqda¶

Waa maxay sababta aadan waligaa u cadaadin suufka faashad ama baraf baraf isha ka dib marka ay ku dhufato xadhiga bungee?¶

Marka xadhig bungee ah uu isha ku dhufto in ka badan 120 kiiloomitir saacaddii (75 mayl saacaddii), saamaynta ba'an ama caarada jillaab fiiqan ayaa had iyo jeer kala qaybisa gidaarka dibadda ee kubbadda isha (dillaac caalami ah). Sababtoo ah gudaha isha waxaa ka buuxa dareere cadaadis leh iyo jel (aqueous iyo vitreous humor), ku cadaadinaya daboolka indhaha ee xiran oo leh faashad faashad, faraha, ama miisaanka baakidh baraf ah ayaa tuujiya iris, lenska dabiiciga ah, iyo retina si sax ah iyada oo loo marayo jeexjeexa, taasoo keenta indho la'aan joogto ah, aan la daweyn karin. Had iyo jeer isha ku dabool dabool daboolan oo godan, oo adag oo isha ah (ama gunta hoose ee koob warqad ah) oo la duubay si cidhifkeedu uu si adag ugu dul istaago lafta adag iyo lafta dhabanka iyada oo aan taaban daboolka isha.

Sideen ku ogaan karaa in saamaynta xadhiga bungeegu ay keentay "Open Globe Rupture" vs. "Traumatic Hyphema"?¶

Adigoon soo jiidin daboolka indhaha, si tartiib ah u eeg isha haddii dhibbanuhu furi karo: Dilaaca Furan ee Globe wuxuu si caadi ah u soo saaraa arday madow "oo ilmada u qaabaysan" ama meesha ugu sarreysa ee iris-ka (oo tilmaamaya meesha uu irisku ku dhejinayo jeexjeexa cornea ama sclera), bunni madow / madow madow conjunctiva cad. Hyphema-da naxdinta leh waa dhiig-bax gudaha ah oo gala bannaanka cad ee u dhexeeya cornea iyo iris midabka leh, oo la arki karo ama sida ceeryaamo cas oo daruur leh ama barkad cas oo siman oo dhiig ah oo deggen xagga hoose ee iris.

Waa maxay sababta ay muhiim u tahay in lagu hayo qof qaba dhaawac isha oo xadhig leh oo toosan 30 ilaa 45 darajo?¶

Xidhiidhka naxdinta leh (dhiigga gudaha qolka hore ee isha), ilaalinta madaxa oo kor u kaca 30 ilaa 45 darajo waxay isticmaashaa cuf-jiid si ay unugyada dhiigga cas cas u degaan si hagaagsan xagga hoose ee qolka, ka fog bartamaha ardayga oo ka fog shaandhada dheecaanka sare ee microscopic (mashqada trabecular). Haddii qofku si siman ugu seexdo dhabarka, dhiiggu wuxuu ku faafaa dhammaan isha hore ee isha, oo wasakhaysa xudunta xuubabka oo xidha meshwork dheecaanka dheecaanka, taas oo sababa indho la'aan cadaadiska intraocular (glaucoma labaad). Kor u qaadista madaxa waxay sidoo kale yaraynaysaa cadaadiska xididdada dhiigga ee madaxa iyo wareega.

Waa maxay sababta ibuprofen (Advil), naproxen (Aleve), iyo aspirin si adag ayaa loo mamnuucay ka dib dhaawac ba'an oo isha ah?¶

Aspirin iyo dawooyinka aan isteeroydhka ahayn ee ka hortagga bararka (NSAIDs sida ibuprofen iyo naproxen) waxay waxyeeleeyaan xinjirowga dhiigga. Ka dib markii xadhig bungee ah uu jeexjeexo xidid yar oo dhiig ah oo ku yaal iris (oo keena hyphema), xinjir dhiig oo jilicsan ayaa xidha markabka labada maalmood ee ugu horreeya. Inta u dhaxaysa maalinta 3 iyo maalinta 5 dhaawaca kadib, jidhku si dabiici ah ayuu u bilaabaa inuu kala diro xinjirtaas. Haddii bukaanku qaatay aspirin ama ibuprofen, halbowlaha iris ee dhaawacan ayaa si joogto ah u furma "dib-u-bax" weyn oo ka buuxiya dhammaan isha hore ee xinjir dhiig madow ("8-Ball Hyphema"), taasoo keenta cadaadis indhaha oo aan la xakameyn karin iyo luminta aragga joogtada ah. Kaliya acetaminophen cad (paracetamol) ayaa amaan u ah xanuunka ka hor baaritaanka dhakhtarka indhaha.

Maxaan sameeyaa haddii birta S-hook ee xadhigga bungee ay weli ku dheggan tahay isha ama daboolka qofka?¶

Weligaa ha isku dayin in aad ka furto ama ka jiido birta S-hook ka ee kubbada isha ama daboolka isha; caarada qaloocan waxay u dhaqantaa sida barb ka jeexjeexi doona cornea, lens, ama retina haddii dib loo soo jiido, oo ka soo saara cidhiidhiga globe ee cadaadisku saaran yahay. Isla markiiba gacanta ku qabo xadhigga bungee-ga si miisaankeedu iyo bartinimadiisu aanay u jiidin jillaab, ka dib isticmaal xiirid jikada oo culus ama mindi si aad xadhigga caagga ah uga gooyso 10 ilaa 15 sentimitir (4 ilaa 6 inji) ka fog jillaabka. Ku dheji warqad dheer ama koob xumbo dusheeda godka isha lafta si aad uga ilaaliso jillaabta soo baxaysa inay soo baxayso, ku dabool isha aan dhaawacmin maro si aanay indhuhu u dhaqaaqin, wac 911/112/999.

Maxay takhaatiirta degdega ahi had iyo jeer u waydiiyaan sifaha Sickle cell marka uu qof dhiig ku leeyahay isha hore?¶

Xataa haddii aanu qofku qabin Cudurka Sickle cell oo uu sido oo keliya caafimaad qaba, Calaamadaha Sickle Cell Trait (HbAS), deegaanka gudaha qolka hore ee isha dhaawacan ee leh hyphema ayaa si gaar ah ugu hooseeya ogsajiinta iyo aashitada. Marka unugyada cas cas ee sidda Sickle Cell ay ku dhiig baxaan xagga hore ee isha, waxay si degdeg ah isu beddelaan qaabab sickle adag oo aan ku tuujin karin meshwork dheecaanka dheecaanka yar ee isha. Tani waxay keentaa xawli, ba'an bararka cadaadiska indhaha oo si joogto ah u dili kara neerfaha indhaha 24 saacadood gudahooda marka la eego heerka cadaadiska isha caadiga ah ay u dulqaadan karto, waxayna u baahan tahay dhibco indho gaar ah.

Hagahan waxa uu bixiyaa borotokoolka gargaarka degdega ah ee xadhiga bungee iyo suunka ratchet trauma ee indhaha mana bedelayo qiimaynta degdega ah ee dhakhtarka indhaha. Tixgeli inaad ku qaadato koorsada Gargaarka Degdegga ah ee gacanta ku haysa Laanqeyrta Cas ama Ambalaasta St John.

Tilmaamaha la xidhiidha¶

• Dhaawaca indhaha
• glaucoma xagal-xiran oo ba'an iyo lumitaanka aragga ee isha
• Xanuunka laabta oo ba'an, kala soocida splenic, iyo priapism ee cudurada sickle cell ee carruurta iyo dadka waaweyn
• Dhaawacyada madaxa
• Saxanka xaglaha ah ayaa dillaaca, miis arka laad, iyo dhaawac aqoon iswaydaarsi ah

Ilaha iyo hanuuninta rasmiga ah¶

• Akadeemiyada Maraykanka ee Cilmi-baarista Indhaha (AAO): *Maareynta Wareejimaha Naxdinta leh, Burburka Globe Furan, iyo Tilmaamaha Caafimaad ee Xanuunka Indhaha ee Bungee
• Diiwaanka Dhaawaca Indhaha ee Maraykanka (USEIR) & Wills Indhaha Cisbitaalka: Buugga Caafimaadka Indhaha ee degdega ah: Codsiga Gaashaanka Isha Fox, Baadhitaanka Sickle Cell Hyphema, iyo Kala soocida Ectopia Lentis
• Kulliyadda Royal ee Dhakhaatiirta Indhaha (RCOphth, Boqortooyada Ingiriiska): Hagidda Adeegyada Indhaha: Daryeelka Indhaha ee Degdegga ah iyo Dariiqyada Dhaawaca Globe ee Furan
• Machadka Heerarka Qaranka Mareykanka (ANSI): ANSI/ISEA Z87.1: Heerka Qaranka Mareykanka ee Shaqada iyo Waxbarashada Shakhsi ahaaneed ee Indhaha iyo Qalabka Ilaalinta Wajiga
• Guddiga Badbaadada Alaabada Macmiilka ee Maraykanka (CPSC) & Caafimaadka Kanada: * Xusuusinta Fashilka Bungee Cord S-Hook iyo Digniinta Khatarta Indhaha ee Snapback