{"id":2555,"date":"2026-07-13T15:26:57","date_gmt":"2026-07-13T13:26:57","guid":{"rendered":"https:\/\/www.angryowl.lt\/uncategorized-lt\/ko-rada-petijumi-un-kas-jazina-lietojot-znaugu\/"},"modified":"2026-10-13T07:10:57","modified_gmt":"2026-10-13T05:10:57","slug":"ko-rada-petijumi-un-kas-jazina-lietojot-znaugu","status":"publish","type":"post","link":"https:\/\/www.angryowl.lt\/lv\/uncategorized-lv\/ko-rada-petijumi-un-kas-jazina-lietojot-znaugu\/","title":{"rendered":"Ko r\u0101da p\u0113t\u012bjumi \u2014 un kas j\u0101zina, lietojot \u017e\u0146augu"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u017d\u0146augs ir uzlikts, savilk\u0161anas stienis pagriezts un nofiks\u0113ts. No malas viss izskat\u0101s pareizi \u2014 tom\u0113r asi\u0146o\u0161ana turpin\u0101s, un dist\u0101lais pulss joproj\u0101m ir sataust\u0101ms. \u0160\u012b situ\u0101cija nemit\u012bgi atk\u0101rtojas gan apm\u0101c\u012bb\u0101s, gan p\u0113t\u012bjumos, un t\u0101s c\u0113lonis parasti ir viens un tas pats: k\u013c\u016bda tika pie\u013cauta, pirms v\u0113l s\u0101k\u0101s savilk\u0161ana.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bie\u017ei tiek pie\u0146emts, ka neveiksm\u012bgu \u017e\u0146auga uzlik\u0161anu izraisa p\u0101r\u0101k mazs savilk\u0161anas stie\u0146a apgriezienu skaits. P\u0113t\u012bjumi r\u0101da, ka bie\u017e\u0101k\u0101 probl\u0113ma ir siksna, kas, uzliekot \u017e\u0146augu, nav pievilkta pietiekami cie\u0161i. Atliku\u0161ais va\u013c\u012bgums izskat\u0101s k\u0101 s\u012bka deta\u013ca, ko var nov\u0113rst, grie\u017eot savilk\u0161anas stieni, \u2014 ta\u010du tie\u0161i tas bie\u017ei nosaka, vai \u017e\u0146augs darbosies pareizi.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Kurp aiziet spiediens<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Savilk\u0161anas stie\u0146a un iek\u0161\u0113j\u0101s lentes savilk\u0161anas sp\u0113ks ir ierobe\u017eots. Ja pirms savilk\u0161anas s\u0101kuma siksna cie\u0161i piegu\u013c ekstremit\u0101tei, katrs savilk\u0161anas stie\u0146a pagrieziens palielina spiedienu. Ja siksna ir va\u013c\u012bga, pirmie savilk\u0161anas stie\u0146a pagriezieni nerada nek\u0101du spiedienu \u2014 tie tikai izl\u012bdzina va\u013c\u012bgumu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0160\u012b ir b\u016btisk\u0101k\u0101 at\u0161\u0137ir\u012bba. Savilk\u0161anas stienim n\u0101kas paveikt darbu, kas bija j\u0101izdara ar rok\u0101m, un t\u0101 sp\u0113ks vairs var neb\u016bt pietiekams gal\u012bgajam spiedienam. Tas rada risku: asi\u0146o\u0161ana tiek aptur\u0113ta l\u0113n\u0101k, tiek zaud\u0113ts vair\u0101k asi\u0146u, un slikt\u0101kaj\u0101 gad\u012bjum\u0101 art\u0113rija visp\u0101r netiek nosprostota \u2014 lai gan lietot\u0101jam \u0161\u0137iet, ka viss izdar\u012bts p\u0113c gr\u0101matas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ko atkl\u0101ja p\u0113t\u012bjumi<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Polston un kol\u0113\u0123u p\u0113t\u012bjums \u201cNo Slackers in Tourniquet Use\u201d (2013) par\u0101d\u012bja, ka bie\u017e\u0101kais nepareizas \u017e\u0146auga savilk\u0161anas c\u0113lonis bija nevis nepietiekami pagriezts savilk\u0161anas stienis, bet gan siksn\u0101 atst\u0101tais va\u013c\u012bgums pirms savilk\u0161anas s\u0101kuma. M\u0113\u0123in\u0101jumi to nov\u0113rst, sp\u0113c\u012bg\u0101k grie\u017eot savilk\u0161anas stieni, bie\u017ei nesp\u0113ja rad\u012bt art\u0113rijas nosprosto\u0161anai nepiecie\u0161amo spiedienu. Turpret\u012b labi nospriegota siksna \u013c\u0101va aptur\u0113t asi\u0146o\u0161anu \u0101tr\u0101k \u2014 savilk\u0161anas stie\u0146a pagriezieni tie\u0161i p\u0101rv\u0113rt\u0101s spiedien\u0101.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baruch un kol\u0113\u0123i (2017), p\u0113tot \u017e\u0146augu lietot\u0101jus bez medic\u012bnisk\u0101s izgl\u012bt\u012bbas, aprakst\u012bja p\u0101rliec\u012bbas un kompetences neatbilst\u012bbu: dal\u012bbnieki bija p\u0101rliecin\u0101ti, ka uzliku\u0161i \u017e\u0146augu pareizi, lai gan objekt\u012bvi tas nedarboj\u0101s. \u0160\u012b k\u013c\u016bda nav rakstur\u012bga tikai ies\u0101c\u0113jiem \u2014 to pie\u013cauj ar\u012b pieredz\u0113ju\u0161i lietot\u0101ji, \u012bpa\u0161i stresa apst\u0101k\u013cos, tums\u0101 vai ar cimdiem.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kragh un kol\u0113\u0123u darbs, tostarp oper\u0101cij\u0101s \u201cEnduring Freedom\u201d un \u201cNew Dawn\u201d atg\u016bto \u017e\u0146augu anal\u012bze (2013), apstiprina to pa\u0161u kop\u0113jo secin\u0101jumu: lai gan autori izmantoja at\u0161\u0137ir\u012bgas metodes un v\u0113rt\u0113ja da\u017e\u0101dus \u017e\u0146augu mode\u013cus, efektivit\u0101ti bie\u017e\u0101k noteica nevis apgriezienu skaits, bet siksnas nospriegojums pirms grie\u0161anas s\u0101kuma.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Praktiskie secin\u0101jumi<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">M\u0101cot \u017e\u0146auga lieto\u0161anu, uzsvars j\u0101liek nevis uz savilk\u0161anas stie\u0146a apgriezienu skaitu, bet uz darb\u012bbu sec\u012bbu un rezult\u0101tu. Apgriezienu skaits dabiski at\u0161\u0137iras atkar\u012bb\u0101 no ekstremit\u0101tes apk\u0101rtm\u0113ra un siksnas nospriegojuma, t\u0101p\u0113c ir tikai viens uzticams krit\u0113rijs: asi\u0146o\u0161ana ir aptur\u0113ta un dist\u0101lais pulss ir izzudis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ja savilk\u0161anas stienim nepiecie\u0161ams neparasti liels apgriezienu skaits vai tas grie\u017eas \u013coti smagi, pirmais, kas j\u0101p\u0101rbauda, ir siksnas nospriegojums \u2014 nevis j\u0101pieliek v\u0113l vair\u0101k sp\u0113ka. Tie\u0161u p\u0113t\u012bjumu par to nav, ta\u010du ir ticams, ka va\u013c\u012bga siksna palielina ar\u012b meh\u0101niska boj\u0101juma risku: kad savilk\u0161anas stie\u0146a g\u0101jiens tiek izt\u0113r\u0113ts va\u013c\u012bguma izl\u012bdzin\u0101\u0161anai, meh\u0101nisms tiek noslogots vair\u0101k, nek\u0101 paredz\u0113ts konstrukcij\u0101.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Praktiski ieteikumi:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pievelciet siksnu p\u0113c iesp\u0113jas cie\u0161\u0101k un nofiks\u0113jiet to \u2014 siksnas va\u013c\u012bgumu nekad nedr\u012bkst kompens\u0113t uz savilk\u0161anas stie\u0146a r\u0113\u0137ina.<\/li>\n\n\n\n<li>V\u0113rt\u0113jiet kop\u0113jo rezult\u0101tu, nevis savilk\u0161anas stie\u0146a apgriezienu skaitu.<\/li>\n\n\n\n<li>Savilk\u0161anas stienis grie\u017eas p\u0101r\u0101k smagi vai p\u0101r\u0101k ilgi? P\u0101rbaudiet siksnas nospriegojumu.<\/li>\n\n\n\n<li>Regul\u0101ri tren\u0113jieties instruktora uzraudz\u012bb\u0101 \u2014 \u0161o k\u013c\u016bdu lietot\u0101ji pa\u0161i reti pamana.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Secin\u0101jums<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u017d\u0146auga pan\u0101kumi iz\u0161\u0137iras agr\u0101k, nek\u0101 vairums dom\u0101 \u2014 br\u012bd\u012b, kad siksna tiek aplikta ap ekstremit\u0101ti. L\u012bdz maksim\u0101lam nospriegojumam pievilkta siksna \u013cauj visu savilk\u0161anas stie\u0146a sp\u0113ku izmantot spiedienam, nevis iz\u0161\u0137\u0113rd\u0113t to va\u013c\u012bguma izl\u012bdzin\u0101\u0161anai.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Vispirms pievelciet. Tikai tad grieziet.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Atsauces<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Polston RW, Clumpner BR, Kragh JF Jr, Jones JA, Dubick MA, Billings S. No Slackers in Tourniquet Use to Stop Bleeding. J Spec Oper Med. 2013;13(2):12\u201319. PMID: 23817873.<\/li>\n\n\n\n<li>Baruch EN, Kragh JF Jr, Berg AL, Aden JK, Benov A, Shina A, et al. Confidence\u2013competence mismatch and reasons for failure of non-medical tourniquet users. Prehosp Emerg Care. 2017;21(1):39\u201345. doi:10.1080\/10903127.2016.1209261<\/li>\n\n\n\n<li>Altamirano MP, Kragh JF Jr, Aden JK, Dubick MA. Role of the windlass in improvised tourniquet use on a manikin hemorrhage model. J Spec Oper Med. 2015;15(2):42\u201346.<\/li>\n\n\n\n<li>Kragh JF Jr, Burrows S, Wasner C, Ritter BA, Mazuchowski EL, Brunstetter T, et al. Analysis of recovered tourniquets from casualties of Operation Enduring Freedom and Operation New Dawn. Mil Med. 2013;178(7):806\u2013810.<\/li>\n\n\n\n<li>Kragh JF Jr, Walters TJ, Baer DG, Fox CJ, Wade CE, Salinas J, et al. Practical use of emergency tourniquets to stop bleeding in major limb trauma. J Trauma. 2008.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u017d\u0146augs ir uzlikts, savilk\u0161anas stienis pagriezts un nofiks\u0113ts. No malas viss izskat\u0101s pareizi \u2014 tom\u0113r asi\u0146o\u0161ana turpin\u0101s, un dist\u0101lais pulss joproj\u0101m ir sataust\u0101ms. \u0160\u012b situ\u0101cija nemit\u012bgi atk\u0101rtojas gan apm\u0101c\u012bb\u0101s, gan p\u0113t\u012bjumos, un t\u0101s c\u0113lonis parasti ir viens un tas pats: k\u013c\u016bda tika pie\u013cauta, pirms v\u0113l s\u0101k\u0101s savilk\u0161ana. Bie\u017ei tiek pie\u0146emts, ka neveiksm\u012bgu \u017e\u0146auga uzlik\u0161anu izraisa [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2923,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[20],"tags":[],"class_list":["post-2555","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-lt"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/posts\/2555","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/comments?post=2555"}],"version-history":[{"count":1,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/posts\/2555\/revisions"}],"predecessor-version":[{"id":3321,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/posts\/2555\/revisions\/3321"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/media\/2923"}],"wp:attachment":[{"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/media?parent=2555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/categories?post=2555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/tags?post=2555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}