Ua pehu kou mau ʻiʻo, ua paʻa, a ua ʻeha nui? He compartment syndrome paha ia!

E noʻonoʻo ʻoe e hāʻule ikaika ana ʻoe i ka wā e pāʻani ana i ka cricket, a i ʻole e hāʻule mai kahi paikikala a hōʻeha i kou wāwae. I ka wā mua, ʻeha ka ʻeha, akā i loko o kekahi mau hola, lilo nā ʻiʻo ma kahi i ʻeha i ʻoʻoleʻa, pehu, a ʻeha. Ke hoʻopā ʻoe i ka wahi, ua like ia me ka paʻakikī o ka pōhaku. Ua hiki mai anei kēia iā ʻoe? I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kūlana weliweli e pono ai ke kōkua koke ʻia e ke kauka, ʻo ia hoʻi ka Compartment Syndrome.

He aha kēia Compartment Syndrome?

I ka ʻōlelo maʻalahi, ʻo ka compartment syndrome ka wā he nui loa ke kaomi a puni kou mau ʻiʻo. Hoʻopaʻa kēia kaomi i ke kahe o ke koko, ka oxygen, a me nā meaʻai i kou mau ʻiʻo. He ʻano ʻeha loa kēia.

I kēia manawa, e nānā, ua hoʻonohonoho ʻia nā ʻiʻo, nā aʻalolo, a me nā kīʻaha koko i loko o ko kākou kino i loko o nā hui liʻiliʻi, a i ʻole "nā keʻena." Ua uhi ʻia kēlā me kēia o kēia mau keʻena e kahi membrane mānoanoa a lahilahi i kapa ʻia ʻo "fascia." Ua like ia me ka ʻili a puni ka sausage. Inā no kekahi kumu e piʻi ai ke kaomi i loko o kēia keʻena, hoʻomaka nā ʻiʻo e kaomi i kēlā "fascia." ʻO ia ka manawa e kū mai ai ka Compartment Syndrome.

ʻOiai hiki ke loaʻa kēia ʻano ma kekahi hui uaua, ʻike pinepine ʻia ia ma nā wahi aʻe:

• Nā wāwae, ʻoi aku hoʻi ma ka ʻāpana groin.
• Me nā lima, nā poho lima, a me nā pulima lima.
• Lalo.
• ʻŌpū (ʻōpū).
• Wahi puʻupuʻu.

ʻElua mau ʻano nui o ka compartment syndrome:

Hiki ke hoʻokaʻawale ʻia kēia ʻano i ʻelua ʻano nui ma muli o ke ʻano o kona hanana ʻana. He mea nui loa ka makaʻala i kēia mau mea ʻelua, no ka mea, ʻo kekahi he ʻano e pono ai ka mālama olakino ulia pōpilikia.

He aha nā hōʻailona o kēia maʻi?

ʻO nā hōʻailona maʻamau o ka compartment syndrome:

• Pehu ʻike maka ʻia: ʻIke ʻia ka wahi i loaʻa ai ka ʻiʻo e pehu ana a puʻupuʻu.
• ʻEha nui: ʻOi aku ka ʻeha ma mua o ka ʻeha o kahi ʻeha maʻamau. Me he mea lā e ʻomi ʻia ana ka ʻiʻo mai loko mai.
• Paʻakikī: Ke hoʻopā ʻoe me kou lima, he paʻakikī loa ia, e like me ka pōhaku.
• ʻEha i ka wā e kīkoʻo ai: ʻEha nui loa i ka wā e kīkoʻo ai ke ʻiʻo.
• ʻŌhūhū: Ka manaʻo o ka nalowale ʻana o ka ʻike ma kahi wahi.
• ʻAno kuni: He ʻano ʻā a ʻā paha ma lalo o ka ʻili. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia he "paresthesia".
• ʻO ka piha ʻana o ka penis: ʻOi aku ka nui a me ka piha o ka penis ma mua o ka maʻamau.

No ke aha e kū mai ai kēia compartment syndrome?

Hana ʻia kēia ke hoʻoulu ka ʻeha a i ʻole ke kaomi mau ʻana i ke kahe koko a i ʻole ka pehu ʻana i loko o ka ʻāpana ʻiʻo. A laila piʻi aʻe ke kaomi i loko, e paʻi ana i ka ʻiʻo i ka fascia.

Hiki i kēia fascia ke kīkoʻo iki, akā he palena kona. Ke hoʻomau nei ke kaomi i ke kūkulu ʻana, i ka hopena, ʻaʻole hiki i ka fascia ke kīkoʻo hou a hoʻomaka e ʻomi i nā ʻiʻo, nā aʻalolo, a me nā kīʻaha koko i loko. ʻO kēlā ʻomi ʻana ke kumu o kēia ʻeha nui a me nā hōʻailona ʻē aʻe.

Ua like kēia me ka hele wāwae ʻana me kahi kāmaʻa liʻiliʻi i ka lā a pau. He mea maikaʻi ke kau ʻana iā lākou i ke kakahiaka, akā i kou hele ʻana a puni ka lā a pau, pehu iki kou mau wāwae. I ke ahiahi, ke ʻūmiʻi nei nā kāmaʻa i kou mau wāwae, e hoʻolilo ana iā ia i mea hiki ʻole ke hoʻomanawanui. ʻO ka Compartment Syndrome ka wā e hana ʻia ai kēia ʻano ʻūmiʻi i loko o ke kino. ʻO ia ke kumu he mea weliweli.

Nā kumu o ka Acute Compartment Syndrome

ʻO ke kumu nui o kēia kūlana koke, ʻo ia ka ʻeha nui. Eia kekahi laʻana:

• Nā ulia kaʻa.
• Hāʻule ʻana mai nā wahi kiʻekiʻe, e like me ke alapiʻi a i ʻole ka hale.
• Nā haki: ʻOi aku ka kiʻekiʻe o ka pilikia o kēia ʻano inā haki ka iwi shin (tibia).
• nā ʻeha i hana ʻia e ka hāʻule ʻana ma lalo o kahi mea kaumaha.
• ʻO nā ʻehaʻeha nui o nā ʻiʻo.
• Nā pilikia ma hope o ke ʻoki kino.
• Ke hoʻopaʻa ʻana i kahi mea hoʻolei a i ʻole ka ʻāpana lāʻau ma ka lima a i ʻole ka wāwae.
• Ke paʻa ʻana o ka lima a i ʻole ka wāwae i ke kūlana hoʻokahi no nā hola.

Nā kumu o ka Chronic Compartment Syndrome

ʻO ka maʻamau, hana ʻia kēia i ka hala ʻana o ka manawa. ʻO ke kumu nui, ʻo ia ka hoʻoikaika kino mau a ikaika hoʻi. Ke hoʻomau ʻoe i ka hana ʻana i ke ʻano hoʻoikaika kino like, hiki i ka hui ʻiʻo like ke kaumaha a hiki ke loaʻa kēia ʻano.

• Holo
• Kaʻa paikikala
• ʻAuʻau ʻana
• Ka hāpai kaumaha

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nānā mua ʻo ia i kou mau ʻūlū a me ka ʻāina a puni. E nīnau lākou iā ʻoe e pili ana i ke ʻano o ka hoʻomaka ʻana o ka ʻeha, kāu hana, a inā e ʻoi aku ka ʻino. Makemake paha lākou e kāpae i nā kūlana ʻē aʻe e hoʻoulu ai i nā hōʻailona like, e like me ka tendonitis a i ʻole nā ​​​​​​shin splints.

Eia kekahi, hiki iā ʻoe ke hana i nā hoʻokolohua e like me kēia:

• X-ray: No ka nānā ʻana i nā ʻeha ʻē aʻe, e like me nā iwi haʻihaʻi.
• Hoʻāʻo Ana Kaomi o ka ʻĀpana: ʻO kēia ka hoʻāʻo kikoʻī loa. Ma kēia hoʻāʻo, hoʻokomo ke kauka i kahi nila lahilahi i loko o kou ʻiʻo a hoʻohana i kahi mīkini i pili iā ia e ana i ke kaomi i loko. Hiki ke ʻeha iki kēia. Pono ʻoe e haʻi i kāu kauka e pili ana i ka ʻeha.
• Hoʻāʻo Hou i ke Kaomi: Inā manaʻo ʻoe he Chronic Compartment Syndrome kou, hiki i kāu kauka ke hoʻoikaika kino iā ʻoe a laila e ana hou i kou koko.

Pehea e mālama ʻia ai?

Hoʻokumu ʻia ka lāʻau lapaʻau ma ke ʻano o ka compartment syndrome āu.

ʻO ka Acute Compartment Syndrome kahi maʻi e pono ai ke ʻoki kino ulia pōpilikia. Ua kapa ʻia kēia ʻoki kino he "fasciotomy". Ma kēia, hana ke kauka ʻoki kino i kahi ʻoki a ʻoki i ka "fascia", ka membrane paʻakikī e hoʻopuni ana i ka ʻiʻo. Hoʻokuʻu koke kēia i ke kaomi i hoʻopaʻa ʻia i loko a hoʻihoʻi i ke kahe koko. Hoʻopaʻa hou ʻia ka ʻeha ma hope o ka pau ʻana o ka pehu. Pono paha kahi "skin graft".

ʻAʻole pono ke ʻoki kino i ka Chronic Compartment Syndrome. Hiki ke mālama ʻia me ka hoʻomaha a me nā hoʻololi i ka hana hoʻoikaika kino. Hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me:

• Nā lāʻau hoʻopau ʻeha: Hiki i nā lāʻau lapaʻau e like me nā lāʻau anti-inflammatory nonsteroidal (NSAID) ke hōʻemi i ka pehu a me ka ʻeha. Akā, mai hoʻohana mau i kēia mau mea no nā lā he 10 a ʻoi me ka ʻole o ke aʻo ʻana a kāu kauka.
• Ke hoʻololi nei i kāu hana hoʻoikaika kino: Ke aʻo aku nei ke kauka e hoʻololi i kāu hana hoʻoikaika kino a e kālele ana i nā hoʻoikaika kino māmā. Eia kekahi laʻana, e holo ana ma kahi kahua mauʻu ma kahi o ka holo ʻana ma ke alanui sima.
• Hoʻōla kino:E aʻo aku kekahi mea hoʻoponopono kino iā ʻoe i nā hoʻomaʻamaʻa e hoʻoikaika a hoʻomaikaʻi i kou maʻalahi.
• Orthotics: ʻO ka hoʻohana ʻana i nā insoles kūikawā (orthotics) i kau ʻia i loko o nā kāmaʻa e hāʻawi i ke kākoʻo maikaʻi no nā wāwae.

Inā ʻaʻole kēia mau lāʻau lapaʻau e hāʻawi i ka hōʻoluʻolu a inā hoʻi hou ke ʻano, he ʻoki kino (fasciotomy).

He aha nā pilikia weliweli e hiki ke kū mai mai kēia?

ʻAʻole ia he mea e lawe māmā ʻia ai ka Compartment Syndrome. Ke piʻi nui ke kaomi i loko o kahi ʻāpana ʻiʻo, ua nele nā ​​​​ʻiʻo i ke koko, ka oxygen, a me nā meaʻai e pono ai lākou.

He pilikia weliweli ke Acute Compartment Syndrome inā ʻaʻole mālama koke ʻia. No laila , he mea nui e hele i ka Emergency Department (ETU) o ka haukapila i ka wā e ʻike ʻia ai nā hōʻailona.