I-Mandoline slicer i-avulsion yencam yomnwe, i-blender yokuntywila, kunye nokusikwa kwemela ekhitshini¶

Ukwenzakala ekhitshini ukusuka kwizisiki zemifuno ye-mandoline, iimela zompheki ezibukhali, iidiski zeprosesa yokutya, kunye nezixube zokuntywila ziphakathi kwezona ntlungu zixhaphakileyo zasekhaya zinyangwa kumasebe kaxakeka esibhedlele kwihlabathi liphela. Ngenxa yokuba iipads kunye neengcebiso zeminwe yomntu ziqulethe uthungelwano oluxineneyo lwe-arteries yedijithali kunye ne-sensory nerve endings phantsi koxinzelelo oluphezulu lwe-vascular, kunye neqhekeza elibonakala lincinci elisusa iqhekeza elincinci lemali yesikhumba kunye namanqatha (i-finger avulsion) yopha kakhulu kwaye inokubangela impendulo yokuphelelwa amandla ngokukhawuleza kwe-vasovagal.

Nokuba ujongana nencam yencam ecocekileyo enencam yeminwe kwidekhi ye-mandoline, ukukrazuka okunzulu kwiqhina okanye intende yesandla ekwahluleni ukutya okunomkhenkce ngemela, okanye isandla esibambeke ngaphakathi kwi-blender yokuntywiliselwa ngemoto, ukusebenza ngokuzolileyo kwimizuzwana engamashumi amathandathu yokuqala kunqanda ukulahleka kwegazi ngokukhawuleza, kugcina izicubu ezinqunyuliweyo kwaye zithintele ukwenzakala okuthe kratya kwentloko okanye ukuphinda kufakwe entloko. Ithayile yasekhitshini.

Yenza oku ngoku¶

1. Khupha nasiphi na isixhobo esinenjini ukusuka kwindawo ephuma eludongeni ngoko nangoko kwaye uhlale phantsi umntu owenzakeleyo phantsi okanye kwisitulo esomeleleyo: Ungaze uxhomekeke kwisixhobo sokucupha isixhobo se-blender yokuntywila, iprosesa yokutya, okanye umxube wokuma ngelixa isandla sikufutshane neencakuba, kwaye soloko usenza ukuba umntu owenzakeleyo ahlale phantsi ngoko nangoko ngenxa yokuba iintlungu zequbuliso kunye nokubona igazi le-arterial rhoqo libangela i-vasogal 3 isiqendu sesibini.
2. Fowunela inombolo yakho kaxakeka yasekuhlaleni ngokukhawuleza ukuba igazi liyaphuma, ukuba umnwe unqunyulwe ngokuyinxenye okanye unqunyulwe ngokupheleleyo ngethambo, okanye ukuba isandla sibambeke ngomatshini ngaphakathi kwincakuba: Cofa u-911 eUnited States naseKhanada, 112 ngapha kweEuropean Union, okanye 999 eUnited Kingdom (okanye ujonge unxibelelwano lwethu amanani kaxakeka ulawulo), kwaye ubeke ifowuni kwimowudi yesithethi ukuze izandla zombini zihlale zikhululekile ukufaka uxinzelelo.
3. Faka uxinzelelo oluqinileyo, oluqhubekayo ngokuthe ngqo phezu kwenxeba usebenzisa i-stack eshinyeneyo ye-gauze pads okanye itawuli ecocekileyo esongiweyo ye-cotton dish: Cinezela phantsi ngokuqinileyo kwaye ngokuthe ngcembe ngeminwe yakho ubuncinane 10 ukuya kwimizuzu eyi-15 epheleleyo ngewotshi ngaphandle kokuphakamisa ilaphu "ukukroba" kwaye ukhangele ukuba ukopha kuphelile, njengoko uphakamisa i-blood cloning entsha.
4. **Phakamisa isandla esonzakeleyo sibe ngaphezu komgangatho wentliziyo yomntu ngelixa ugcina uxinzelelo oluthe ngqo olungophukanga **: Cela umntu ohleliyo okanye oleleyo aphumze ingqiniba yakhe phezu komqamelo okanye aphakamise ingalo yakhe phezulu ukuze umnwe owophayo ube phezulu kunesifuba sakhe, nto leyo enciphisa uxinzelelo lwegazi oluyi-hydrostatic ngaphakathi kwemithambo yedijithali kwaye ithobe ukopha kakhulu.
5. Ukuba i-gauze yokuqala okanye itawuli imanzisa ngokupheleleyo egazini, ungayisusi: Beka iphedi egotyiweyo yesibini ecocekileyo ngokuthe ngqo phezu kwempahla egcwele igazi uze ucinezele ezantsi nangakumbi, ubhijele ibhandeji eliqengqelekayo okanye ilaphu elicocekileyo ngokucokisekileyo emnweni nasezikhukweni xa ukopha kucotha.
6. Khangela nayiphi na incam yesikhumba somnwe okanye idijithi enqunyulweyo, yisongele ngobunono kwi-saline emanziswe okanye ecocekileyo ye-tep-gauze emanzi tephu, uyitywine ngaphakathi kwingxowa yeplastiki engangeni manzi, kwaye ubeke loo ngxowa phezu kwengxowa yesibini yomkhenkce namanzi: Ungaze ubeke izihlunu ezinqunyuliweyo ngokuthe ngqo emkhenkceni, ungaze uzintywilisele emanzini aqhaqhazelisa amazinyo, kwaye ungaze uwubhubhise ngokurhawuzelela ulwelo, kwaye ungaze uwubhubhise ngokuthe ngqo kwiiseli ezilulwelo. ukumanzisa kubangela ukudumba kwezicubu oko konakalisa ukuxhunyelelwa ngotyando.

Itshati yesigqibo: uvavanyo olungxamisekileyo lokulimala kweblade ekhitshini¶

flowchart TD
    Start["Ukwenzakala kweBlade ekhitshini (iMandoline, imela, okanye iBlender)"] --> Unplug["Inyathelo 1: Khupha isiXhobo kwiDonga kwaye uhlale umonde phantsi kuMgangatho"]
    Unplug --> TrapCheck{"Ngaba isandla sibanjwe ngencakuba okanye ukulahlwa?"}
    TrapCheck -->|"Ewe: I-Blade Wedged kwiBone okanye kwiTissue"| LeaveIn["UNGAKUTSHISI Isandla: Khupha Amandla, Zinzisa iShaft ngeeTowels, kwaye Fowunela i-EMS"]
    TrapCheck -->|"Hayi: Isandla sikhululekile kwiBlade"| BleedCtrl["Inyathelo lesi-2: Faka uxinzelelo oluqinileyo + uphakamise isandla ngaphezulu kwentliziyo kangangemizuzu eli-15."]
    BleedCtrl --> AssessType{"Vavanya Uhlobo lwenxeba kunye nobunzulu"}
    AssessType -->|"Ipedi yeminwe inqunyulwe (iMandoline Avulsion)"| Avulsion["Londoloza iPadi yolusu eSevered Skin kwiGauze emanzi Ngaphakathi kwisingxobo sePlastiki kumkhenkce ongathanga ngqo"]
    Avulsion --> UrgentCare["Yiya kwiSebe likaNgxamiseko okanye uKhathalelo oluNgxamisekileyo lokuNxitywa okungaBatheleliyo / uVavanyo lweGraft"]
    AssessType -->|"Ukunqunyulwa komnwe ngokugqibeleleyo okanye ngokuyinxenye ngethambo/ ngokudibeneyo"| Amputation["Fowunela iNombolo kaNgxamiseko ngoko nangoko: Gcina iDijithi usebenzisa i-Damp-Bag-on-Ice Method"]
    Amputation --> MicroSurg["ISigulana sezoThutho kunye neDijithi epholileyo ukuya eSibhedlele esineSakhono sotyando lweMicrosurgery"]
    AssessType -->|"Imela enzulu inqumle uMnwe, iPalm, okanye esihlahleni"| FunctionCheck["Jonga ukukhupha igazi, ukuba ndindisholo kwincam yomnwe, okanye ukungakwazi ukugoba/ukolula umnwe"]
    FunctionCheck --> SutureWindow["Funa ukhathalelo lwezoNyango ngaphakathi kwe-6 kwiiyure ze-8 ze-Tendon / i-Nerve Exam kunye ne-Sutures"]

Kutheni i-mandoline slicers ibangela amanxeba ophayo anzima ngokukodwa¶

Isiceli semandoline sasekhitshini senziwe ngentsimbi ebukhali kakhulu, eneengile okanye ngencakuba yeceramic eyenzelwe ukucheba imifuno eshinyeneyo yeengcambu ibe yiyunifomu eyi-1-to-3-millimeter (1/32-to-⅛-intshi). Xa umpheki etyhala iqhekeza lokugqibela letapile, cucumber, okanye itswele linqumle umgangatho esebenzisa intende yesandla engenanto endaweni yesigcina-sandla sokhuseleko seplastiki, imifuno iyatyibilika kwaye isantya esisezantsi siqhuba iphedi engqukuva yobhontsi, isalathisi, okanye umnwe ophakathi ngqo kwincakuba.

I-anatomy ye-pulp avulsion yencam yomnwe¶

Ngokungafaniyo nokusikwa okuthe tye ukuya ezantsi ukusuka kwimela yasekhitshini (esikeka ngokuthe nkqo esikhumbeni kwaye ishiye imiphetho yamanxeba amabini anokucudiswa kwaye athungwe avaliwe), isisiki semandoline sidala ukucheba okurhabaxa:

• Ithishu engekhoyo ayinakuthungwa edge-to-edge: Ngenxa yokuba incakuba ye-mandoline ikhupha idiskhi emcaba, esetyhula okanye embhoxo ye-epidermis, idermis, kunye ne-subcutaneous fat pad (kwaye ngamanye amaxesha isiqingatha esiphezulu sepleyiti yomnwe kunye nebhedi yeenzipho), akukho mida yesikhumba eshiyekileyo ukuze itsalwe kunye nemithungo eqhelekileyo. Ukuzama ukutsala ulusu oluqinileyo lwencam yomnwe kwi-crater ebanzi kuya kudala ukuxinezeleka okugqithisileyo, kunqamle ukuhamba kwegazi, kwaye kubangele i-necrosis yezicubu.
• Kutheni incam yeminwe yopha kakhulu: Umnwe ngamnye unikwa imithambo emibini yedijithali yepalmar ejikeleza emacaleni edijithi eye yangena kwiiarterioles ezincinci ezithe nkqo ezipakishwe ngokuqinileyo ngaphakathi kweekhompatimenti zefibrous (septa) zepulp yencam yomnwe. Xa i-mandoline inqumle umphezulu wentlama kuthotho lwemithanjana emi nkqo emikroskopu ngaxeshanye, i-septa eqinile ibamba umthambo wegazi osikiweyo uvulekile endaweni yokuwuyeka urhoxe, okukhokelela kwi-brisk, ukuqukuqela okuqhubekayo okanye ukutsaza kwegazi.
• Uvandlakanyo lonyango lomnqwazi wolusu olunqunyulweyo: Nokuba iqhekeza lesikhumba elisikiweyo likhangeleka ngathi liqhekeza lesonka elibhityileyo, eliphatshileyo elihleli kwincakuba ye-mandoline, usoloko usihlangula kwaye usizise ekliniki okanye kwigumbi likaxakeka. Ukuba i-tissue ekhutshiweyo iqulethe i-dermis etyebileyo (okanye inxalenye yebhedi yezikhonkwane), ugqirha okanye ingcali yezandla iya kuhlala iyicoca, icoca i-fat layer, kwaye ithunge ikepusi yolusu yesigulana kanye emva kumandlalo wenxeba ekrwada njenge lokhwe yebhayoloji okanye i-composite graft. Nokuba umnqwazi wolusu awutshintshi ngokusisigxina, usebenza njengelona bhandeji lendalo likhululekileyo lomzimba kangangeentsuku ezili-10 ukuya kwezili-14 ngelixa ulusu olutsha lukhula ngaphantsi kwalo.

Ukuthelekiswa kokulimala kwekhitshi ekhitshini: ubunzima, iimpawu zomonakalo wesakhiwo, kunye nonyango¶

Ukuqonda into elele ngokukhawuleza phantsi kwesikhumba sesandla kukunceda ukuba uqaphele xa ukusikwa kwekhitshi kufuna ugqirha wezandla ongxamisekileyo ngokuchasene nokunxitywa kwenxeba elingxamisekileyo.

Inyathelo ngenyathelo lomthetho lomthetho lokugcina umnwe onqunyulweyo okanye umnwe onqunyulweyo¶

Ukuba imela yasekhitshini, i-cleaver, okanye i-mandoline iwuqhawula ngokupheleleyo umnwe okanye inxalenye enkulu yencam yomnwe, indlela osinyamekela ngayo eso siqwenga sethishu esivaliweyo ngexesha lohambo oluya esibhedlele simisela ngokuthe ngqo ukuba ugqirha wotyando angaphinda alufake kwakhona.

flowchart TD
    Find["Fumana iFinger Severed Finger or Tissue Pad ngoko nangoko"] --> Rinse["Khupha ngobunono ubuNkuthuku boKutya ngeSaline eNtsholongwane okanye Amanzi etephu acocekileyo acocekileyo (Musa ukukhuhla)"]
    Rinse --> Wrap["I-Tissue yasonga ngokupheleleyo ngeGauze okanye ilaphu elicocekileyo elifakelwe ngeSaline/Amanzi (Wring Out Excess)"]
    Wrap --> Bag1["Beka i-Tissue esongelwe Ngaphakathi kweSingxobo sePlastiki ecocekileyo, engenaManzi-phezulu kwaye utywine ngokuQinisekileyo."]
    Bag1 --> Bag2["Gcwalisa isikhongozeli seSibini esikhulu okanye isingxobo sePlastiki esinesiqingatha somkhenkce kunye namanzi abandayo anesiqingatha"]
    Bag2 --> Float["Beka iSingxobo seTissue esitywiniweyo PHEZU kwe-Ice-Water Bag (ungaze uchukumise umkhenkce ngokuthe ngqo)"]
    Float --> Label["Ibhegi yeLebhile enegama lesigulana kunye nexesha elichanekileyo lokulimala kunye nesandla ngokuthe ngqo kwi-Triage Mongikazi"]

Inzululwazi yexesha elibandayo le-ischemia kwaye kutheni iqhwa elithe ngqo litshabalalisa umnwe¶

Xa idijithi inqunyulwe kunikezelo lwegazi, iiseli zayo zingena kwimeko ebizwa ngokuba yi-ischemia (indlala yeoksijini):

• ** Iifestile ze-ischemia ezifudumeleyo vs ezibandayo **: Kwiqondo lokushisa eliqhelekileyo legumbi (i-ischemia efudumeleyo), izicubu ezingenazo izihlunu (njengomnwe, oqulethe imisipha, ithambo, imithambo-luvo, kunye nolusu, ngelixa izihlunu ezizihambisayo zihlala ngasemva kwi-forearm) iqala ukubandezeleka kokuqhekeka kweselula okungenakuguqulwa emva kwe- ** 6 ukuya kwiiyure ze-12 **. Ngokupholisa umnwe onqunyulweyo ukuya kutsho malunga ne-*4 degrees celcius (39 degrees Fahrenheit)**, imfuno ye-oksijini ye-metabolic yehla kakhulu, yandisa ifestile esebenzayo yokuphinda kutyalwe i-microvascular ukuya ku 12 kwiiyure ezingama-24.
• Ungaze ubeke indawo enqunyuliweyo ngokuthe ngqo kumkhenkce okanye emkhenkceni owomileyo: Ukuba uwisa incam yomnwe ekhutshiweyo ngqo kwingxowa yeetyhubhu zomkhenkce, okanye upakishe umkhenkce ngokuqinileyo kwingxowa ebhityileyo ngaphandle kwesithintelo selaphu, izicubu ziba ngumkhenkce ngaphantsi kwe-0 degrees Celsius (32 degrees Fahrenheit). Iikristale zomkhenkce zenza ngaphakathi kweendonga ze-capillary microscopic kunye neeseli, ezibangela iatrogenic frostbite. Ugqirha wotyando akanakuphinda aqhoboshele umnwe omkhenkce noluthwe yiqabaka; izicubu ziya kuba mnyama kwaye zife nokuba ukuphuma kwegazi kubuyiselwe.
• Ungaze ucwilise indawo enqunyulweyo kwikomityi yamanzi, i-saline, okanye ubisi: Ukuntywila incam yomnwe enqunyuliweyo kwiglasi yamanzi okanye i-saline kubangela osmotic maceration (i-waterlogging kunye nokudumba kweselula), oko konakalise i-endothelial eethelial yemithambo yegazi kwaye bonakalise ulusu lokuxhunyelelwa. Ithishu mayigcinwe ifumile, ingantywiliselwa, ngaphakathi kweplastiki eyomileyo etywiniweyo epholiswe ngaphandle ngebhafu yamanzi omkhenkce.
• Ungaze usebenzise i-alcohol yokuhlikihla, i-hydrogen peroxide, i-povidone-iodine, okanye isepha kwindawo enqunyuliweyo: Amayeza okubulala iintsholongwane ayi-cytotoxic (abulala amanqatha aphilayo angaphandle, idermis, kunye neeseli ze-endothelial xa zidibana). Shiya ukucoca okunzulu kwe-antiseptic kwiqela lotyando kwigumbi lokusebenza.

Unqanda njani ukopha kwincam yeminwe enenkani ehlala imanzi ngebhandeji¶

Abantu abaninzi bayaphakuzela xa i-mandoline isikwe kwincam kabhontsi okanye umnwe wesalathisi isaphuma igazi emva kwemizuzu engama-20 nangona isongelwe ngeetawuli zephepha. Phantse kuzo zonke iimeko, ukopha okuzingileyo kwincam yomnwe kwenzeka ngenxa yeempazamo ezintathu eziqhelekileyo zoncedo lokuqala.

Lungisa ezi mpazamo zi-3 ukumisa umnwe owophayo¶

1. Yeka ukusebenzisa iitawuli zephepha okanye izihlunu zobuso kwinxeba elivulekileyo: Iitawuli zephepha kunye nezihlunu zenzelwe ukurhabula ulwelo ngokukhawuleza ngentshukumo yecapillary, kwaye imicu yazo erhabaxa yomthi-pulp incamathele kwigazi elihlwili. Xa utsala itawuli yephepha enegazi kwinxeba le-mandoline, ukrazula lonke ihlwili kwaye ushiye ngasemva ilint yephepha elincinane. Sebenzisa izipontshi zegauze ezilukiweyo ezingcolileyo, itawuli yeti ecocekileyo engeyo-terry, okanye isikipa somqhaphu esicocekileyo endaweni yoko.
2. Qinisekisa amacala esiseko somnwe (apho imithambo yedijithali isebenza ngokwenene): Ukuba ukucofa ngokuthe ngqo kwincam ekrwada yomnwe kubuhlungu kakhulu okanye akucothisi igazi ngokukhawuleza ngokwaneleyo, khumbula i-anatomy yesandla sakho: imithambo emibini emikhulu yedijithali enikezela ngencam yomnwe ibaleka ecaleni kwesobunxele nasekunene komnwe (hayi phezulu okanye ezantsi). Ngelixa ugcina i-gauze pad engqindilili phezu kwencam ekrwada ngesandla esinye, sebenzisa ubhontsi kunye nesalathisi somnwe wesinye isandla ukuze ucinezele ngokuqinileyo kwi-asekhohlo nasekunene kwicala lomnwe owenzakeleyo kufutshane neqhosha lesiseko* ngelixa ubambe isandla phezulu ngaphezulu kwentliziyo yakho. Oku kusebenza njenge-tourniquet ethambileyo, ekujoliswe kuyo kwi-arteries yedijithali kwaye inciphisa ngokukhawuleza ukuhamba kwegazi ukuya kwincam phakathi kwemizuzu emi-3 ukuya kwe-5 ukwenzela ukuba ihlwili eliqinileyo likwazi ukwenza i-gauze.
3. Ungaze uwukhuphe umaleko ongezantsi weyasuyasu xa ukopha kuyekile: Xa i-mandoline avulsion ekugqibeleni iye yayeka ukopha emva kwemizuzu eli-15 ukuya kwengama-20 yoxinzelelo oluqinileyo, umaleko ongezantsi weyasuyasu uya kuncamathelwa ngokuqinileyo kumandlalo wenxeba ekrwada ngehlwili elomileyo lefibrin. Sukuwuxobula laa maleko we-gauze ungezantsi ekhaya. Ukukrazula i-gauze eyomileyo kwi-crater entsha ye-mandoline kuya kuphinda kuqalise ukopha kakhulu kwangoko kuyo yonke i-arteriole evulekileyo kwaye kubangele iintlungu ezibuhlungu. Kunoko, khusela i-gauze ekhoyo kwindawo kunye ne-tape yephepha kwaye uye kwikliniki yokunakekelwa ngokukhawuleza okanye isebe likaxakeka, apho oogqirha banokucwina ukugqoka kunye nesisombululo esiyinyumba ye-lidocaine-epinephrine (ezo zombini ziphazamisa i-nerve endings kunye ne-constrict imithambo yegazi) kwaye uyitshintshe nge-specialized ** non-adherent silicone okanye i-petrolatum mesh, i-mesh ye-Adaptic okanye i-Adaptic mesh *, i-Mesh Mesh okanye i-Adaptic.

Indlela yokwenza i-nerve ye-60-yesibini kunye ne-tendon self-check kwi-hand cut¶

Ngamanye amaxesha isiliphu esinemela yokusika ngelixa usika i-avokhado ("Isandla seavokhado"), ukunqunqa i-bagel egcinwe entendeni yesandla sakho, okanye inyama ye-deboning idala i-1-centimeter encinci (0.4-intshi) yokuhlatywa okanye inxeba lesilayi eliyeka ukopha kwimizuzu elishumi. Ngenxa yokuba umphezulu osikiweyo ujongeka umncinci, abantu abaninzi babeka ibhandeji encamathelayo phezu kwayo kwaye batsibe ugqirha, bafumanise ke emva kweeveki ukuba baqhawule umthambo onzulu okanye umthambo-luvo oye warhoxa kwaye wonakele, ofuna utyando oluntsonkothileyo lokwakha ngokutsha.

Nje ukuba ukopha kulawuleke, jonga le misebenzi mithathu nakweyiphi na inqumle esandleni, esihlahleni, okanye kwiminwe:

• 1. Ukujongwa kweMivo emacaleni amaBini (IiNerva zeDijithali): Vala amehlo akho kwaye kubekho umntu ophulula kancinci icala lasekhohlo lepadi yomnwe owenzakeleyo kwaye emva koko icala lasekunene lepadi usebenzisa incam yethishu okanye iswab yomqhaphu, uthelekisa imvakalelo nomnwe ongonzakanga. Ngenxa yokuba i-nerve yedijithali eyahlukileyo ihla kwicala ngalinye lomnwe wakho, i-nick encinci kwelinye icala lomnwe inokushiya isiqingatha somnwe sindindisholo okanye sitshotshozela. Nakuphi na ukuba ndindisholo okanye ukulahleka kokuva okukude ukuya (ngaphaya) kokusikwa kwesandla kufuna uvandlakanyo lwezonyango lokulungiswa kwemithambo-luvo.
• 2. I-Isolated Tip-Joint kunye ne-Middle-Joint Bend Check (i-Flexor Tendons): Umnwe ngamnye uneentambo ezimbini ezihlukeneyo ze-flexor kwicala lesundu: i-tendon * superficialis * igoba i-knuckle ephakathi (i-PIP joint), ngelixa i-tendon ye-profundus * ihamba yonke indlela ukuya kwithambo lomunwe ukugoba i-tip ye-DIP kakhulu. Ukuvavanya umthambo onzulu weprofundus, beka isandla sakho phezu kwetafile, ubambe icandelo eliphakathi lomnwe owonzakeleyo ucake etafileni ngesinye isandla, kwaye uzame uku gobela kanye incam yomnwe phezulu. Ukuvavanya umthambo we-superficialis, bamba eminye iminwe yakho emithathu emeleneyo ithe tyaba ngokupheleleyo etafileni kwaye uzame ukugoba umnwe owenzakeleyo kwiqupha eliphakathi. Ukuba elinye ilungu liyasilela ukugoba, okanye ukuba ukugoba kubangela iintlungu ezibukhali ngaphakathi entendeni, yiya kwigumbi likaxakeka okanye kwingcali yezandla ngokukhawuleza.
• 3. Ukujongwa okuQolileyo okuQinisekileyo (Iithenda zeExtensor): Beka intende yesandla sakho phezu kwetafile kwaye uphakamise umnwe owonzakeleyo ngqo phezulu ngasesilingini, ujonge ukuba zombini iqhina lesiseko, iqhina eliphakathi, kunye neqhina lencam kakhulu zithi nkqo ngokupheleleyo ngamandla afana nesinye isandla sakho. Ukuba incam yomnwe wakho iwela ezantsi kwaye ayinakolulwa phantsi kwamandla ayo (umonzakalo ovuleke kakhulu I-Mallet Finger), i-tendon ye-terminal extensor inqunyulwe kwaye ifuna ukucandwa okukhethekileyo okanye ukulungiswa.

Imingcipheko yosulelo olukhethekileyo: inyama ekrwada, inkuku, kunye nentlanzi egalelwe iimela ekhitshini¶

Ukusika kwimela ecocekileyo ukusika iapile kunomngcipheko osezantsi kakhulu wosulelo kunokusikwa kwimela yefillethi okanye icleaver egqunywe kwijusi ekrwada yenkukhu, igazi lehagu, amanzi oonokrwece, okanye isilayidi sentlanzi ekrwada.

• Inkukhu ekrwada, inyama yehagu, kunye nongcoliseko lwenyama yenkomo: Iimela ezisetyenziswa kwinyama ekrwada zinokutofa amagumbi anzulu ezandla ngokuthe ngqo Staphylococcus aureus, Streptococcus pyogenes, Escherichia coli, Salmonella, okanye Campylobacter. Ngenxa yokuba iintendelezo zeentende zezandla kunye neminwe zivaliwe, izithuba zolwelo ezingasebenzi kakuhle, iibhaktheriya ezivezwa ngendawo yemela ebukhali ngaphakathi kwethango le-tendon kunokubangela ** i-pyogenic flexor tenosynovitis ** (imeko yotyando olungxamisekileyo ebonakaliswa yimiqondiso emine ye-Kanavel: i-sausage efana nokudumba komnwe wonke, umnwe ubanjwe kwikhosi egobileyo kunye nentlungu ethe kratya. ngokungazenzisiyo wolula umnwe wakho).
• (Gulf of Mexico)
• Imeko yogonyo lweTetanus: Jonga ukuba ugqibele nini ukuyifumana i-tetanus toxoid booster (Tdap okanye Td). Nakuphi na ukusika okuncinci okucocekileyo, i-booster iyacetyiswa ukuba sele ingaphezulu iminyaka eyi-10 ukususela kwidosi yakho yokugqibela; nakweliphi na inxeba elinzulu, elijijekileyo, okanye elingcolisekileyo kukutya kunye nomhlaba (njengesikwa semandoline yetapile okanye isikwe ngemela yenyama ekrwada), izikhokelo zonyango ezisuka kumaZiko oLawulo lweSifo noThintelo lwase-US (CDC), iNkonzo yezeMpilo yeSizwe yase-UK (NHS), kunye noMbutho wezeMpilo weHlabathi (i-WHO) ucebisa ukuba i-tetanus ibooster ukuba iye yasukela *5 kwiminyaka yakho edlulileyo okanye ngaphezulu.

Imibuzo edla ngokubuzwa¶

Imithombo ijongiwe¶

• Umbutho waseMelika woCwangciso lweSandla (ASSH, eUnited States): * Isikhokelo soNyango lweNklinikhi yoLondolozo lweMinwe, uKunqunyulwa, ukuTyalwa ngokutsha kweTissue Preservation, iFlexor kunye ne-Extensor Tendon Injuries, kunye neNail Bed Trauma *.
• I-American Academy ye-Orthopedic Surgeons (AAOS, eUnited States): *Izikhokelo zeKlinikhi ye-OrthoInfo malunga nokulimala kweminwe kunye nokuqhawulwa, i-Digital Nerve Lacerations, kunye noLawulo lwe-Acute Hand Wound *.
• I-American Red Cross kunye ne-International Federation ye-Red Cross kunye ne-Red Crescent Societies (i-ARC / IFRC, yamazwe ngamazwe): * Izikhokelo zoNcedo loNcedo loNcedo lokuQala lokuBopha kwaNgaphandle okuNgqongileyo, ubude bexesha loxinzelelo oluthe ngqo, ukuPhakanyiswa, kunye nokunyamekelwa kwaMalungu oMzimba oNcinyiweyo *.
• INkonzo yezeMpilo yeSizwe kunye noMbutho waseBrithani woTyando lweSandla (NHS / BSSH, eUnited Kingdom): *Isigulane kunye neSebe eliNgxamisekileyo Iindlela zeSebe lokuNxilwa kweSandla, iiProtocol zeFingertip Avulsion Dressing, kunye neTetanus Prophylaxis *.
• Amaziko oLawulo lweSifo kunye noThintelo (CDC, eUnited States): *Isikhokelo seKlinikhi ekuLawulweni kwesilonda soThintelo lweTetanus (i-Tdap / Td Booster Intervals) kunye ne-Vibrio vulnificus Izifo zenxeba ezivela kwi-Raw Seafood Handling *.
• I-American College of Surgeons Committee kwi-Trauma (i-ACS Misa i-Bleed, e-United States): * IiProtocol zokuLawula i-Hemorrhage kwi-Extremity kunye ne-Digital Vascular Injuries *.

Izikhokelo ezinxulumeneyo¶

• Ukopha kakhulu
• Ukusika kunye nemikrwelo
• Umothuko
• Imililo yasekhitshini