I-Trampoline Neck kanye Nokulimala Komgogodla, Ukuphuka Okuphindwe Kabili, Nomphumela Wohlaka¶

Ama-trampoline angemuva kanye nezinkantolo zepaki ze-trampoline zezentengiselwano zithumela izingane nabantu abadala abangaphezu kuka-100,000 eminyangweni yezimo eziphuthumayo unyaka ngamunye e-United States kuphela, namakhulu ezinkulungwane ngaphezulu zelashwa emhlabeni jikelele. Ngenkathi ugxuma kucansi olunwebekayo lwe-polypropylene mat uzizwa uthambile futhi uthethelela, umbhede we-trampoline ocindezelekile usebenza njenge-kinetic energy storage catapult eyethula umzimba womuntu 2.5 kuya ku-4.5 amamitha (8 kuya ku-15 amafidi) emoyeni ngenkathi isusa izinkomba ezijwayelekile zokusabela phansi. Lapho i-backflip ephendulwe ngaphansi noma ibheke phambili i-somersault ihlaba i-vertex-kuqala (emqheleni wekhanda) noma intamo-kuqala kumata we-taut, noma lapho i-jumper idonswa eceleni ibe amashubhu ozimele wensimbi angahlutshiwe, iziphethu zekhoyili ene-high-tension, noma ukhonkolo ozungezile, umgogodla womlomo wesibeletho udonsa amandla amakhulu we-hyperflexion7 akwazi ukucindezela kwe-hyperflexion7 i-fracture-dislocation kanye ne-quadriplegia engapheli**.

Okuvame nakakhulu umphumela othi "double-bounce" (kip / catapult), okwenzeka lapho abantu ababili noma ngaphezulu abanesisindo somzimba esihlukene begxumela kumata we-trampoline ofanayo ngesikhathi esisodwa. Ngokwezifundo ze-biomechanical ezishiwo yi- American Academy of Pediatrics (AAP), ** amaphesenti angu-75 akho konke ukulimala kwe-trampoline kwenzeka lapho abantu abaningi begxuma kumata ngesikhathi esifanayo **. Lapho osemusha ongamakhilogremu angu-80 (amakhilogremu angu-175) noma umuntu omdala ehlala kumata ingxenye yesekhondi ngaphambi kokuba ingane encane enekhilogremu angu-20 (amakhilogremu angu-44) yehle, umbhede oweluliwe ubuyela phezulu ngesivinini esikhulu kuyilapho imilenze yengane isehla. Lowo mphumela onobudlova okhuphukela phezulu ezinyaweni ezehlayo zengane udala amandla e-kinetic alingana ne-ukuwa ngamamitha angu-3 kuye kwangu-4 (amafidi angu-10 kuya kwangu-13) okhunini oluqinile noma ukhonkolo, okubangela isici "ukuphuka kwe-trampoline" kwepuleti lokukhula le-tibial eliseduze, ukuphuka kwendololwane ye-supracondylar humerus, nokuphuka kwendololwane okuphakathi nendawo. Ukwazi ukuthi ungakumisa kanjani konke ukugxuma ngaphandle kokugxuma isisulu esilimele umgogodla kumata oguquguqukayo, indlela yokukhulula isitho esinamathele phakathi kweziphethu zekhoyili yensimbi enamandla kakhulu, kanye nendlela yokuhlukanisa indololwane evulekile noma ukuphuka kweqakala kusindisa izimpilo futhi kuvimbele ukukhubazeka impilo yonke.

Yenza lokhu manje¶

Uma othile ehlala ekhanda noma entanyeni, ekhubazekile esithweni, noma evaleleke emithonjeni noma kuhlaka lwe-trampoline njengamanje, yenza lezi zenzo eziyisithupha ezisheshayo:

1. Oda wonke amanye ama-jumpers ku-trampoline ukuthi AMAZWE NGOKUSHESHA futhi akhase asuse umata ezandleni nasemadolweni: Sonke isinyathelo noma ukugxuma kumata we-trampoline eqinile kuthumela amaza othusayo anwebekayo kuyo yonke indawo, anyakaze ngobudlova futhi anyakazise intamo ephukile noma ithambo eliphukile lomuntu olimele olele embhedeni. Memeza "HIMA, UNGAGQUMA, GUQUKA EMADODENI AKHO UKHASE KANCANE UYE EMAGQENI" ukuze ukudlidliza okuyiziro kufinyelele isisulu.
2. Zinzisa ukulimala okusolakala kwentamo noma umhlane UKUSUKA NGAPHANDLE KOHLAKA KUQALA, noma khasa umeta esiswini sakho: Uma isisulu siwela ekhanda, entanyeni, noma emhlane, noma sikhononda ngobuhlungu bentamo, ukuluma, ukuba ndikindiki, noma ukungakwazi ukuhambisa izandla noma izinyawo (ukulimala komgogodla), batshele "Ungalinyakazi ikhanda lakho, bheka ngqo endaweni eyodwa." Uma beseduze konqenqema, finyelela ngenetha yokuphepha kusukela phansi ngaphandle kohlaka ukuze ubambe ikhanda labo linganyakazi; uma kufanele ugibele kucansi ukuze ufinyelele phakathi nendawo, khasa kancane ngezindololwane zakho nasemadolweni ukuze umata ungacwilisi futhi utshekise umgogodla.
3. UNGALOKOTHI uzame ukuphakamisa noma ukuthwala isisulu esilimele umgogodla embhedeni oguquguqukayo we-trampoline ngaphandle kwe-backboard eqinile: Ngoba umata we-trampoline ucwila endishini ye-hammock ejulile noma nini lapho abantu ababili abadala bema phakathi kwayo, bezama ukucosha umuntu olimele entanyeni kumata egobisa umgogodla wabo womlomo wesibeletho nowethoracic endaweni encwele. Shiya isisulu silele singaphazamisekile endaweni etholwe kuyo (ngaphandle uma singaphefumuli noma siminyanisa ukuhlanza) kuze kube yilapho abezimo eziphuthumayo befika ukuze bashelele ibhodi lomgogodla eliqinile liwele umata noma bakhumule iziphethu zepherimitha ukuze behlise wonke umata ngobumnene phansi.
4. Uma unyawo, idolo, noma ikhanda lengane limpintshwe phakathi kwemithombo yensimbi ezungezayo, donsa ihhuku yesiphethu esiseduze kuhlaka ngethuluzi le-spring noma impintshisi: Imithombo yekhoyili ye-trampoline icindezeleke kakhulu futhi ishaya ndawonye njengomhlathi wensimbi lapho i-jumper ingena phakathi kwayo. Cela umuntu omdala acindezele phansi kuhlaka lwensimbi futhi adonse amakhoyili asentwasahlobo asondelene kancane ukuze ehlise ingcindezi, noma ahuge i-screwdriver, uphini, noma ihuku ye-trampoline ye-trampoline eyelet yefreyimu yesipringi sokumpintsha ukuze alikhumule ngokuphephile (ukugcina ubuso bucacile emzileni we-spring recoil).
5. Uma ingalo, indololwane, noma iqakala ligobile ngokusobala, likhubazekile, noma linethambo eliphumile ngemva kokuwa, UNGALIqondisi: Amandla aphezulu awela engalweni eyeluliwe ku-trampoline ngokuvamile abangela ukuphuka kwe-humerus supracondylar endololwaneni (engakwazi ukumpintsha ubuciko be-branchial) ukuphuka-ukususwa** (ukuphuka okuvulekile, ukuchayeka kwamathambo ahlanganisiwe, nokuhlolwa kwe-neurovascular). Mboza noma iliphi inxeba lethambo elivulekile nge-gauze emanzi oyinyumba, usekele isitho sakho ngemicamelo noma ithawula eligoqiwe nge-engeli etholakele, futhi uhlole ukuthi iminwe noma izinzwane zifudumele futhi zibomvana.
6. Shayela abezimo eziphuthumayo nganoma yikuphi ukufika kwekhanda/intamo, ukulahlekelwa ukwazi, isitho esikhubazekile, noma ingane enqaba ukuma ngemva kokubhampa kabili: Shayela ucingo lwangakini izinombolo eziphuthumayo (911 e-United States naseCanada, 112 yonkana i-European Union, 999 e-United Kingdom). Ungalokothi uphoqe ingane encane ekhalayo futhi enqabe ukuthwala isisindo ngemva kokugxumela nezingane ezindala ukuze "zihambe," njengoba cishe zine-"proximal tibial fracture" ye-Metaphyseal ("trampoline") engaziwa.

Isihlahla sesinqumo esihlakaniphile sezimo eziphuthumayo ze-trampoline zomgogodla namathambo¶

Sebenzisa lesi sihlahla sesinqumo sokusebenza ukuze ulawule noma yikuphi ukulimala okubi kakhulu ku-trampoline engemuva kwendlu noma enkantolo yezentengiselwano yasendlini ngaphandle kokulimala komgogodla noma kwemithambo yegazi.

flowchart TD
    Start["Ukulimala Kwe-Trampoline Kuyenzeka"] --> FreezeMat["1. Memeza MAHHALA kubo bonke abanye abagxumayo ngokushesha<br/>2. Yenza wonke ama-jumpers angalimele awe ezandleni nasemadolweni futhi akhase kancane esuka embhedeni"]
    FreezeMat --> Mechanism{"2. Yayiyini indlela nesikhalazo esikhulu?"}
    Mechanism -->|"A. Ifike Ekhanda/Entanyeni, Iqulekile, noma Ukuba Ndikindiki/Ukukitaza"| CSpine["1. Tshela isisulu: UNGALISHUSI IKHANDA LAKHO<br/>2. Finyelela kusuka kuhlaka lwangaphandle NOMA khasa phansi kumata ukuze ubambe ikhanda emgqeni<br/>3. UNGAMTHATHI isisulu usikhiphe ocansini; linda i-backboard ye-EMS noma ukwehla kwentwasahlobo"]
    Mechanism -->|"B. Isitho Sibanjwe Ku-Perimeter Steel Springs noma Uhlaka"| FreeSpring["Sekela isisindo somuntu ohlukunyeziwe ukuze isitho singasonti; donsa amakhoyili asentwasahlobo asondelene noma ukhiphe isiphethu ku-slot yozimele usebenzisa i-T-hook/plier kude nobuso"]
    Mechanism -->|"C. Indololwane Ekhubazekile, Ingalo, noma Ukuphuka Kweqakala"| SplintAsFound["1. Hlola umbala womunwe/uzwane, imfudumalo, nomuzwa<br/>2. UNGAQINISI ilunga elikhubazekile; iphedi elinemicamelo/thawula endaweni litholakele<br/>3. Mboza noma yiliphi ithambo elivulekile ngempahla emanzi oyinyumba bese ushayela ku-911/112/999"]
    Mechanism -->|"D. Ujahidada Oyaxhuga / Unqaba Ukuma Ngemva Kwe-Multi-Jumper Play"| TibiaCheck["Umsolwa we-Proximal Tibial 'Trampoline Fracture' (ukucindezelwa kwepuleti lokukhula); thwala ingane umata, gcoba iphakethe leqhwa eligoqelwe phezulu, yisa ku-X-ray ephuthumayo/ER"]

I-matrix yokuqhathanisa: izindlela ezinhlanu zakudala zokulimala kwe-trampoline namasignesha omtholampilo¶

Amaqembu okuhlukumezeka kwamathambo kanye ne-neurosurgical ahlukanisa izimo eziphuthumayo ze-trampoline zibe amaphethini amahlanu emishini eyinhloko, ngalinye linamafulegi abomvu okuxilonga kanye nemithetho yosizo lokuqala.

I-Deep Dive 1: Indlela yokuhlenga isisulu sokulimala komgogodla kumata we-trampoline oguquguqukayo¶

Umbhede we-trampoline ungenye yezindawo ezinzima kakhulu ekunakekelweni kwezimo eziphuthumayo zangaphambi kwesibhedlela ngoba uziphatha njenge-hammock enkulu enwebekayo. Uma ibhungu elingamakhilogremu angu-70 (amaphawundi angu-154) lihlala entanyeni yalo phakathi nendawo ye-trampoline engamamitha angu-4.2 (14-foot) engasemuva, futhi abantu abadala ababili abangamakhilogremu angu-85 (187-pound) bagibela kumata futhi bahambe bebheke esikhungweni ukuze basize, isisindo esihlanganisiwe sabatakuli ababili sicindezela isikhungo se-mat engu-5 kuya ku-20 amayintshi), egingqa isisulu ehle ebheke ezinyaweni zabatakuli futhi enyakazisa umgogodla womlomo wesibeletho ophukile.

   [WHY WALKING ON A TRAMPOLINE MAT ENDANGERS A SPINAL VICTIM]

   WRONG (Standing Rescuers):
   [Frame] \                        / [Frame]
            \  [Rescuer] [Victim]  /  <-- Mat sags 40 cm into a deep V-trough,
             \____________________/       rolling and bending the broken neck

   RIGHT (External Reach OR Prone Crawl + Rigid Backboard Slide):
   [Frame] ------------------------ [Frame] <-- Rescuer 1 reaches through net from
             [====Backboard====]                ground (or crawls flat on belly)
                                                while EMS slides rigid board across

Ukuqiniswa komgogodla wesinyathelo ngesinyathelo embhedeni we-trampoline¶

1. Sula I-Mat Ngaphandle Kokubhampa:
2. Cela yonke ingane engalimele ku-trampoline ime ngokushesha, yehle kancane iye kubo bonke abane, bese ikhasela kuhlaka lwepherimitha eyodwa ngesikhathi, yehlela phansi ngaphandle kokuvumela iziphethu zigxumele phezulu.
3. Qinisekisa Ikhanda Ngaphandle Kohlaka Noma Kunini Uma Kungenzeka:
4. Uma ikhanda lesisulu lingaphakathi kwemitha elingu-1 (amafidi angu-3) ohlaka lweringi yensimbi yangaphandle, UNGATHI UNGAKWEBI ugibele ku-trampoline nhlobo.
5. Vula inethi evalekile yokuphepha (noma ufinyelele ngaphansi kwayo), yima noma uguqe endaweni eqinile ngaphandle kohlaka, ubeke izindololwane zakho kumzila wensimbi ogxunyekiwe, bese ubeka izandla zombili ngokuqinile emaceleni ekhanda lesisulu ukuze ubambe umgogodla womlomo wesibeletho unganyakazi.
6. Uma Isisulu Sisesikhungweni Esifile SeTrampoline Enkulu:
7. Umhlengi oyedwa ongasindi kuphela okufanele agibele kumata.
8. Ingabe ** NOT ** usukume noma uhambe ngezinyawo zakho. Lala ngesisu sakho emaphethelweni ohlaka ukuze usakaze isisindo sakho eziphethwini eziningi ngangokunokwenzeka, futhi ukhasa kancane ngesisu nezindololwane uye endaweni engaphezu nje kwekhanda lesisulu.
9. Beka izandla zombili ngobumnene emaceleni ekhanda nasezindlebeni zomuntu ohlukunyeziwe ukugcina ikhala lakhe lihambisana nenkaba (noma usekele ikhanda lakhe ngokuthula endaweni etshekile etholakala uma ezwa ubuhlungu noma ukumelana lapho ehamba).
10. Izimo Eziphuthumayo Zisikhipha Kanjani Isisulu Ku-Mat:
11. Lapho izicishamlilo nabezimo eziphuthumayo befika nebhodi eliqinile lepulasitiki elide lomgogodla (ibhodi elingemuva) noma i-scoop stretcher:
12. Indlela A (Ukushelelisa Ibhodi Elingemuva KuMat): Abatakuli abami endaweni eqinile ngaphandle kohlaka baphusha ibhodi elingemuva eliqinile elilula endaweni eyisicaba yomethi iye phezulu eduze kwesisulu, okuvumela abezimo eziphuthumayo ababili abakhasa kancane ukuthi bashelele noma bagiqe isisulu ngamasentimitha angu-15 (amayintshi angu-6) ngebhodi eligobile, elingemuva, liyibhuqe phansi aphumele onqenqemeni lwefreyimu lapho abatakuli abane abaphansi bethatha isisindo.
13. Indlela B (Ukuqaqa Iziphethu Ukuze Ukwehlisele Umata Phansi): Uma umuntu omdala osindayo eboshwe yinhliziyo noma elimala kabi umgogodla ku-trampoline engemuva kwendlu lapho phansi kucace khona nhlobo, izicishamlilo zingamisa amalungu amane ezisebenzi ezizungeze uhlaka lwensimbi futhi baqaqe ngokuhlelekile ikhoyili ezungeza imilenze ezungeza yonke into umbhede we-polypropylene uhlala uphansi otshanini obuqinile ngaphansi ngaphandle kokugoba umgogodla wesiguli.

I-Deep dive 2: I-"Double-Bounce" physics kanye nengane encane "I-Trampoline Fractures"¶

Kungani i-American Academy of Pediatrics (AAP), i-Canadian Pediatric Society, kanye ne-Royal Society for the Prevention of Accidents (RoSPA)* zigcizelela umthetho oqinile othi "One Jumper ngesikhathi" ngaphezu kwazo zonke ezinye iziqondiso zokuphepha?

1. Ingane enekhilogremu engu-20 imunca kanjani amandla okufika angu-9x avamile¶

Cabanga ngobaba onekhilogremu angu-80 (amakhilogremu angu-175) noma ingane yakini endala igxuma ku-trampoline eduze kwengane eneminyaka engu-4 ubudala engamakhilogremu angu-20 (amakhilogremu angu-44): 1. I-jumper esindayo ihlale phezu komata, inwebe umjikelezo wensimbi iye phansi nezinkulungwane zama-Newtons agciniwe amandla anwebekayo anwebekayo. 2. Ama-millisecond angamashumi amahlanu kamuva, kuyilapho ingane encane iwela phansi isuka ku-hop encane engamasentimitha angu-20 (8-intshi) ngamadolo aqondile, umata we-trampoline oweluliwe ukhulula wonke amandla agciniwe kusukela ekugxumeni komuntu omdala ongamakhilogremu angu-80 futhi ihlwili ibheke phezulu njengepiston ematheni ezinyawo ezehlayo zengane. 3. Amamodeli wobunjiniyela be-biomechanical abonisa ukuthi lokhu "kubhampa kabili" okuphuma esigabeni esingaphandle kwesigaba kudlulisa kufika ku-70 wamaphesenti wamandla e-kinetic we-jumper esindayo ngokuqondile emilenzeni engezansi yengane encane, ekhiqiza umthwalo wokucindezelwa we-axial okhuphukayo olingana no *ukwehlisa ingane efasiteleni lesitezi sesibili (3 kuya ku-4 amamitha / amamitha angu-3 ukuya ku-1 footwalk ukuya ku-concrete)

2. Ukuqaphela i-proximal tibial "Trampoline Fracture" ezinganeni ezingaphansi kweminyaka engu-6¶

Ngenxa yokuthi ithambo lethambo lengane encane elingaphezulu (i-proximal tibia) linepuleti lokukhula elivulekile, elithambile le-cartilaginous (physis) kanye nethambo le-metaphyseal elinezimbotshana ngezansi nje kwelunga ledolo, lawo mandla e-piston agxuma kabili phezulu achoboza i-cortex yangaphambili ye-shinbone engenhla: - Okwenza abazali bakugeje ekuqaleni: Ngokungafani nomlenze omdala ophukile, ukuphuka kwengane encane i-proximal tibial trampoline fracture kuyaqabukela ibukeke igwegwile, ivuvukele, noma ilimele ngaphandle. I-periosteum (umkhono owugqinsi oyintambo ozungeze ithambo lengane) uhlala uqinile njengegatsha lomzane oluhlaza (ibhande / ukuphuka kwe-torus). - Uphawu Olujwayelekile Lwesexwayiso: Ingane ibigxumela ku-trampoline nomunye umuntu, ngokuzumayo ihlala phansi ikhala, futhi yenqaba ukusukuma noma ukuthwala isisindo emlenzeni owodwa (noma ihamba ngokuxhuga okuthinta uzwane) isikhathi esingaphezu kwehora ngemva kwalokho. - Okufanele ngikwenze: - Ingabe UNGAKWENZI ukuphoqa ingane ukuthi ime noma uzame "ukuyisusa." - Thatha ingane uyibeke esofeni noma esihlalweni semoto, uphakamise umlenze phezu komcamelo, bese ugcoba iphakethe elibandayo eligoqwe ngethawula elincanyana emqaleni ongenhla ngaphansi kwe-kneecap imizuzu engu-15 ngesikhathi.amathambo aphukile kanye nama-sprains). - Inothi Le-X-Ray Elibalulekile Labazali: Tshela udokotela wokunakekelwa okuphuthumayo noma wegumbi lezimo eziphuthumayo ngokuqondile ukuthi ukulimala kwenzeke ngesikhathi i-trampoline yabantu abaningi begxuma. Ngosuku lokuqala ngemva kokulimala, kufika kumaphesenti angu-20 we-proximal tibial buckle fractures amancane kakhulu ekubukeni kwe-X-ray okungaphambili kuya emuva kangangokuthi angabonakala kuphela njengokutshekela okucashile ku-**lateral (ukubuka ohlangothini) X-ray ** noma ku-X-ray ephindaphindayo 7 kuya ezinsukwini ezingu-10 kamuva lapho i-callus yamathambo ephulukisa ibonakala. Kuze kube yilapho kukhishwe noma kunganyakazi ku-cast/i-splint yomlenze omude, ingane akumele ithwale isisindo.

I-Deep 3: Ukuphuka kwe-elbow supracondylar, ukuvuleka kweqakala okuvulekile, kanye nokuphakanyiswa komoya¶

Ngaphandle kokulimala kwentamo kanye nokuphuka kwe-shin encane, ama-trampoline abangela izimo eziphuthumayo ezintathu zamathambo nezemvelo ezidinga isinyathelo esisheshayo.

1. Ukuphuka kwe-supracondylar humerus (indololwane) yezingane kanye ne-ischemia ye-Volkmann¶

Lapho ingane ishayelwa phezulu futhi iwela kabuhlungu esandleni eseluliwe (FOOSH), amandla akhuphuka akhuphuke engalweni bese ehlwitha ingxenye engezansi yethambo lengalo engenhla nje kwelunga lendololwane (i-supracondylar humerus fracture), okwenza ngaphezu kwamaphesenti angu-30 akho konke ukuphuka kwe-trampoline: - Ingozi Ye-Brachial Artery: Umthambo oyinhloko ohlinzeka igazi engalweni nasesandleni (i-brachial artery) kanye ne-median/radial/ulnar nerves* igijima inqamule ngqo ngaphambili kwethambo lendololwane lapho unqenqema olucijile lokuphuka lufika phambili. - Umthetho Wosizo Lokuqala Obalulekile: - UNGALOKOTHI ugobise indololwane evuvukele, ekhubazekile ifike kuma-degree angu-90 ukuze uyibeke kusihlilingi sengalo esingunxantathu. Ukugoba ukuphuka kwendololwane ye-supracondylar kugebenga umthambo we-brachial ovaleleke uvale njengokumpintsha ipayipi lasengadini, kunqamule ukugeleza kwegazi emisipheni yengalo bese kubangela ukukhubazeka okungapheliisandla ukuchoboza ukulimala kanye ne-compartment syndrome / i-acute ischemic occlusion, i-arterial occlusion, kanye ne-pulseless extremity). - Esikhundleni salokho, ihlukanise ingalo endaweni eqondile eqonde kancane ingane iyibambe ngokwemvelo (imvamisa ibe ngamadigri angu-20 kuya kwangu-40) ngokuyimisa emcamelweni obekwe eceleni kwayo, bese uhlola ngokushesha ukuthi iminwe yakho i-pink, ifudumele, futhi iyakwazi ukunyakazisa (uma isandla siphaphathekile, sibanda, siluhlaza okwesibhakabhaka, noma sibuhlungu njengemithambo yegazi futhi siphathe isimo esiphuthumayo, bese ubheka ngokushesha ukuthi ingabe iminwe yabo i-pink, ifudumele, futhi iyakwazi ukunyakazisa* 911/112/999).

2. I-trampoline lofting yomoya ophezulu (imicibisholo yohlaka lwensimbi endizayo)¶

Njengendlu ye-bounce ephefumulayo, i-trampoline engamamitha angu-4.2 (amafidi angu-14) engemuva inoseyili omkhulu we-polypropylene omiswe ngaphakathi kwendandatho yensimbi engasindi yeshubhu enesisindo esingamakhilogremu angu-60 kuya kwangu-90 (amaphawundi angu-130 kuya kwangu-200). Lapho ukuduma kwezulu noma i-derecho edlula amakhilomitha angu-50 ngehora (amamayela angu-31 ngehora) ishanela ngaphansi komata, i-trampoline engacishiwe ingena emoyeni, ibhodloza amafasitela ezingilazi ezihlala endaweni yokuhlala, uphahla olunamathiselwe, noma izintambo zikagesi ezihamba phezulu: - I-Anchoring Ground Anchoring: Yonke i-trampoline yangaphandle kufanele imiswe phansi okungenani izigxobo zensimbi ezinezinsimbi ezisindayo ezingu-4 ezisindayo esonte amasentimitha angu-40 (amayintshi angu-16) ajule enhlabathini futhi aboshelwe phezu kweringi yefreyimu eyinhloko engaphezulu (ngoba amasokhethi e-trampoline emlenze axhumene kuphela ngaphandle kokuhlanganisa amamodeli angaphansi I-U-legs ivumela indandatho ephezulu nomata ukuthi idonse imilenze futhi indize ihambe). - Ngaphambi Kwesiphepho Esinamandla Noma Isiphepho: Uma imimoya enamandla engaphezu kwamakhilomitha angu-65 ngehora (amamayela angu-40 ngehora) ibikezelwa, thatha imizuzu engu-10 ukuze ukhiphe umata nenetha lokuphepha ukuze umoya uvunguze ngokungenabungozi ngeringi yensimbi engenalutho.

Uhlu lokuhlola ukuphepha kwepaki engemuva kanye ne-trampoline¶

Uma ukhetha ukuba ngumnikazi we-trampoline engemuva kwendlu noma uvakashele ipaki ye-trampoline yezohwebo naphezu kwezixwayiso zomphakathi wezokwelapha ngokumelene nokusetshenziswa kokuzijabulisa kwasekhaya, sebenzisa le mithetho eyisithupha okungaxoxiswana ngayo njalo ngeseshini eyodwa:

• Sebenzisa umthetho oqinile othi "I-JUMPER NGESIKHATHI" ngaphandle kweziziro: Izingxenye ezintathu kwezine zakho konke ukulimala kwe-trampoline kwenzeka lapho abantu ababili noma ngaphezulu babelana ngomata. Vumela izingane ezilindile zihlale ngaphandle kwenethi eziphulwe futhi zishintshe imizuzu emi-2 eyodwa ngayinye.
• Vimbela wonke ama-somersault, ama-backflip, nama-flips angaphambili: Ama-Somersaults kanye nokupheqa kuyimbangela yokuqala yokukhubazeka okungapheli komgogodla womlomo wesibeletho kuma-trampolines futhi kufanele kulolongelwe kuphela esikhungweni sokuqeqesha i-gymnastics yobungcweti ngaphakathi kwebhande lamabala ngaphansi komqeqeshi oqinisekisiwe.
• Zip futhi ubophe inethi evalekile yokuphepha NGAPHAMBI kokuthi ugxume futhi uhlole iphedi yasentwasahlobo masonto onke: Qinisekisa ukuthi inethi evalekile ayinazinyembezi, uziphu neziqeshana zokuphepha zivaliwe, kanye negwebu eliwugqinsi iphedi lekhava lentwasahlobo nelohlaka liboshwe ngokuvikelekile ngaphezu kwamaphesenti angu-100 wemithombo yekhoyili yensimbi neringi yefreyimu.
• Susa iladi lokufinyelela ngokushesha lapho umuntu omdala engamile eduze kwe-trampoline: Izingane ezisacathula ezingaphansi kweminyaka engu-6 zisengozini enkulu kakhulu yokuphuka kwepuleti le-tibial ukukhula nokulimala kogebhezi; ukususa kanye nokukhiya isitebhisi kuvimbela izinsana ezingagadiwe ekukhuphukeni.
• Gcina i-perimeter yezokuphepha engenazithiyo engamamitha angu-2.5 (amafidi angu-8) bese uhlola NGAPHANSI komtati: Beka i-trampoline otshanini obusezingeni okungenani amamitha angu-2.5 (8 amafidi) kude nocingo, izindonga, amavulandi okhonkolo, amachibi, namashedi, namamitha angu-7.3 (amafidi angu-24) ukusuka phezulu kwentambo nentambo yesihlahla. Ngaso sonke isikhathi hlola ukuthi akukho ngane, ingane encane, noma inja yomndeni ekhasa ngaphansi kwe-trampoline mat ngaphambi kokuba noma ubani agxumele phezulu (i-jumper ehlala kumata ichoboza noma ubani ohlezi ngaphansi).
• Emapaki e-trampoline yezohwebo, ungalokothi ungene ngaphansi kwekhanda emigodini yegwebu futhi ugweme izinkantolo eziminyene: Njalo gxuma emigodini ye-foam cube izinyawo kuqala amadolo agobe kancane (emva kokuqinisekisa ukuthi umgodi ucace ngokuphelele ku-jumper yangaphambilini), futhi ungalokothi uvumele izingane ezincane zigxumele enkantolo enkulu eduze kwentsha noma abantu abadala.

Imibuzo evame ukubuzwa¶

Kungani wonke omunye umuntu ku-trampoline kufanele abe yiqhwa ngokushesha uma othile ehlala entanyeni noma ekhanda?¶

Umbhede we-trampoline ocikizekile usebenza njengesigubhu esikhulu esiqhubekayo lapho unyawo noma ukugxusha kuthumela amaza othusayo anwebekayo kuyo yonke indawo. Uma i-jumper iwela kabi ekhanda noma entanyeni futhi iphuka ngendlela engazinzile yomgogodla womlomo wesibeletho, enye ingane ehamba noma egxumagxuma kumata izonyakazisa futhi igobe intamo yomuntu olimele, okungahle kunqamuke noma kulimaze umgogodla futhi kubangele ukukhubazeka unomphela. Wonke umuntu okwi-trampoline kufanele abe yiqhwa ngokushesha, awele kancane ezandleni nasemadolweni, futhi akhase kancane asuke onqenqemeni lwe-mat ukuze ukudlidliza okuyiziro kufinyelele kohlukunyeziwe kuyilapho umuntu omdala ebambe ikhanda lakhe linganyakazi ngaphandle kohlaka futhi afonele abezimo eziphuthumayo.

Kungani "ukushaya kabili" nabantu ababili ku-trampoline kuyingozi kakhulu ezinganeni ezincane?¶

Ngokusho kwe-American Academy of Pediatrics, amaphesenti angu-75 akho konke ukulimala kwe-trampoline kwenzeka lapho abantu abangaphezu koyedwa begxuma kumata ngesikhathi esifanayo, nengane encane kakhulu ibe cishe izikhathi ezingu-14 zokulimala kune-jumper enzima kakhulu. Lapho osemusha noma umuntu omdala ehlala phezu komata umzuzwana ohlukene ngaphambi kokuba ingane encane yehle, umata oweluliwe uhlwitha ubheke phezulu njengekati emilenzeni eyehlayo yengane. Lokho kuphindisela okungaphandle kwesigaba kudlulisa amandla e-kinetic alingana nokuwisa ingane kumamitha angu-3 kuya kwangu-4 (amafidi angu-10 kuya kwangu-13) kukhonkolo, kuchoboza ipuleti lokukhula phezulu kwe-shinbone ("ukuphuka kwe-trampoline") noma ukwethula ingane ngokungalawuleki ohlakeni lwensimbi.

Iyini ingane encane "i-trampoline fracture," futhi kungani abazali ngezinye izikhathi bephuthelwa ekuqaleni?¶

"I-trampoline fracture" iwukuphuka kwebhande le-shinbone elingenhla (i-proximal tibial metaphysis) ngaphansi kwedolo ezinganeni ezineminyaka engaphansi kwe-6, okubangelwa ukuqhuma kwepiston phezulu umata lapho ugxuma nengane endala noma omdala. Ngokungafani nomlenze omdala ophuke kakhulu, ithambo lomntwana osacathula linomkhono ongaphandle owugqinsi ovimbela ithambo ukuthi lingagudluki endleleni eqondaniswe ngayo, ngakho-ke kuvame ukuba nokukhubazeka okungabonakali, i-zero bruising, kanye nokuvuvukala okuncane. Isibonakaliso esiyisixwayiso esiyinhloko ukuthi ingane ivele iyeka ukugxuma, ikhala, futhi yenqabe ukuma noma ukubeka isisindo kulowo mlenze; akufanele ubaphoqe ukuthi "bahambe," futhi kufanele utshele udokotela ngokuqondile ukuthi ubuhlungu buqale ngesikhathi sokugxuma kwe-trampoline yabantu abaningi ngakho-ke ama-X-ray afanele nokwehlukana ayalwe.

Uyinakekela kanjani ingane enendololwane ebukeka ivuvukele noma igobe nge-engeli eyinqaba ngemva kokuwa ku-trampoline?¶

Ukuwela engalweni eyeluliwe ku-trampoline ngokuvamile kubangela ukuphuka kwe-humerus ye-supracondylar ngenhla nje kwelunga lendololwane, lapho izingcezu zamathambo ezicijile zihlala amamilimitha kude nomthambo oyinhloko we-brachial nezinzwa ezigcina isandla siphila. Ungalokothi uzame ukuqondisa indololwane ekhubazekile futhi ungalokothi uphoqe indololwane evuvukile, ebuhlungu ukuba igoqe ifike kuma-degree angu-90 ukuze ingene endwangwini yengalo evamile, ngoba ukugoba ilunga kungakhahlela umthambo we-brachial futhi kunqamule ukugeleza kwegazi esandleni. Kunalokho, sekela futhi upheqe ingalo ngemicamelo nge-engeli eyingxenye eqondile ingane eyibamba ngokwemvelo, hlola ukuthi iminwe yayo ifudumele futhi ibomvu, bese uya emnyangweni wezimo eziphuthumayo esibhedlela ngokushesha.

Imithombo ihloliwe¶

• I-American Academy of Pediatrics (AAP) Council on Sports Medicine and Fitness: Isitatimende Senqubomgomo mayelana Nokuphepha Kwe-Trampoline Ebuntwaneni Nasebusheni (75% Idatha Yokulimala Kaningi Kwe-Jumper, I-Proximal Tibial Fractures, kanye Nezincomo Zokusetshenziswa Kwekhaya).
• I-ASTM International (i-United States): I-ASTM F381 Ukucaciswa Okujwayelekile Kokuphepha Kwezingxenye, Ukuhlanganisa, Ukusetshenziswa, Nokulebula Kwe-Consumer Trampolines kanye Ne-ASTM F2970 Umkhuba Ojwayelekile Wokuklama, Ukukhiqiza, Ukufakwa, Ukusebenza, Ukugcinwa, Ukuhlolwa kanye Nokuguqulwa Okukhulu Kwezinkantolo Ze-Trampoline.
• I-United States Consumer Product Safety Commission (CPSC, United States) kanye ne-Royal Society for the Prevention of Accidents (RoSPA, United Kingdom): National Electronic Injury Surveillance System (NEISS) Trampoline Trauma Bulletins kanye ne-Enclosure/Anchor Safety Alerts.
• I-American Academy of Orthopedic Surgeons (AAOS) kanye ne-Pediatric Orthopedic Society yaseNyakatho Melika (POSNA): *Ukuphathwa Komtholampilo Kwezingane ze-Supracondylar Humerus Fractures (I-Brachial Artery Protection) kanye ne-Proximal Tibial Metaphyseal Trampoline Fractures *.
• I-British Standards Institution (BSI): BS EN 13219 kanye ne-PAS 5000 Ukucaciswa Kokwakhiwa Nokusebenza Kwamapaki E-Fixed Indoor Trampoline.

Iziqondiso ezihlobene¶

• Ukulimala komgogodla: ukungakwazi ukuhamba nokunakekelwa
• Amathambo aphukile kanye nama-sprains
• Ukuphuka okuvulekile, ukuchayeka kwethambo elihlanganisiwe, nokuhlolwa kwe-neurovascular
• Ukulimala ekhanda nokuquleka kokuquleka
• Ihlombe eliqhephukile, i-kneecap, nokunganyakazi kwamalunga
• Uhla lwemibhalo lwezinombolo eziphuthumayo