Xav txog tias koj ntog hnyav thaum koj ua si cricket, lossis poob ntawm lub tsheb kauj vab thiab ua rau koj ceg raug mob. Thaum xub thawj, qhov kev raug mob yuav mob heev, tab sis tsis pub dhau ob peb teev, cov leeg nqaij hauv qhov chaw raug mob yuav tawv, o, thiab mob. Thaum koj kov qhov chaw ntawd, nws yuav tawv li pob zeb. Qhov no puas tau tshwm sim rau koj? Hnub no peb tab tom tham txog ib qho mob txaus ntshai uas yuav tsum tau kho mob tam sim ntawd, uas hu ua Compartment Syndrome.
Qhov Compartment Syndrome no yog dab tsi?
Hais yooj yim xwb, tus mob compartment syndrome yog thaum muaj kev nyuaj siab ntau dhau nyob ib puag ncig koj cov leeg. Qhov kev nyuaj siab no txwv tsis pub cov ntshav, cov pa oxygen, thiab cov as-ham ntws mus rau koj cov leeg. Qhov no yog ib qho mob uas mob heev.
Tam sim no, saib seb, cov leeg nqaij, cov hlab ntsha, thiab cov hlab ntsha hauv peb lub cev raug teeb tsa ua pawg me me, lossis "compartments." Txhua qhov ntawm cov compartments no yog npog los ntawm ib daim nyias nyias hu ua "fascia." Nws zoo li daim tawv nqaij nyob ib puag ncig cov hnyuv ntxwm. Yog tias vim li cas qhov kev nyem hauv qhov compartment no nce ntxiv, cov leeg nqaij pib nias rau "fascia." Thaum ntawd Compartment Syndrome tshwm sim.
Txawm hais tias qhov mob no tuaj yeem tshwm sim hauv txhua pawg leeg, nws feem ntau pom nyob rau hauv cov cheeb tsam hauv qab no:
- Ob txhais ceg, tshwj xeeb tshaj yog nyob rau hauv thaj chaw puab tais.
- Xws li ob txhais tes, xib teg, thiab dab teg.
- Hauv qab.
- Plab (plab).
- Thaj tsam ntawm lub pob tw.
Muaj ob hom kab mob compartment syndrome tseem ceeb:
Tus mob no muaj ob hom loj nyob ntawm seb nws tshwm sim li cas. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog ob hom no, vim tias ib qho yog tus mob uas xav tau kev kho mob thaum muaj xwm txheej ceev.
| Hom Kab Mob Compartment | Kev piav qhia |
|---|---|
| Mob Acute Compartment Syndrome | Qhov no tshwm sim sai sai, feem ntau tom qab raug mob hnyav. Qhov no yog xwm txheej ceev hauv kev kho mob . Yog tias koj xav tias koj muaj tus mob no, koj yuav tsum mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd. Yog tias tsis kho sai, nws tuaj yeem ua rau cov leeg nqaij puas tsuaj mus tas li, tuag tes tuag taw, lossis tuag taus. |
| Chronic Compartment Syndrome (mob ntev) | Qhov no yog ib qho mob uas maj mam loj hlob zuj zus. Feem ntau nws tshwm sim tom qab kev tawm dag zog lossis kev ua si nawv. Nws tseem hu ua "Exertional Compartment Syndrome". Feem ntau nws tsis yog xwm txheej ceev, tab sis nws tuaj yeem mob heev. |
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob feem ntau ntawm compartment syndrome yog:
- Pom tseeb tias o tuaj: Thaj chaw uas cov leeg nqaij nyob zoo li o tuaj thiab bulging.
- Mob hnyav heev: Mob ntau dua li qhov mob ntawm kev raug mob ib txwm muaj. Zoo li cov leeg nqaij raug zawm los ntawm sab hauv.
- Kev Nyuaj: Thaum koj kov nws nrog koj txhais tes, nws zoo li tawv heev, zoo li pob zeb.
- Mob thaum ncab: Mob heev thaum cov leeg raug ncab.
- Kev tsis hnov lus zoo: Kev xav tias tsis muaj kev xav hauv ib cheeb tsam.
- Kev hnov mob kub hnyiab: Kev hnov mob tingling lossis kub hnyiab hauv qab daim tawv nqaij. Hauv kev kho mob, qhov no hu ua "paresthesia".
- Qhov chaw mos puv nkaus: Qhov chaw mos zoo li loj dua thiab puv nkaus dua li niaj zaus.
Tseem Ceeb: Tshwj xeeb tshaj yog nyob rau hauv Acute Compartment Syndrome, qhov mob no hnyav heev uas nws tsis ploj mus txawm tias siv cov tshuaj tua kab mob ib txwm muaj.
Vim li cas qhov mob compartment syndrome no thiaj tshwm sim?
Qhov no tshwm sim thaum raug mob lossis muaj kev nyuaj siab ua rau los ntshav lossis o hauv cov leeg nqaij. Tom qab ntawd qhov kev nyuaj siab sab hauv nce ntxiv, thawb cov leeg nqaij mus rau ntawm lub fascia.
Lub fascia no tuaj yeem ncab me ntsis, tab sis nws muaj qhov txwv. Thaum lub siab tseem nce ntxiv, thaum kawg lub fascia tsis tuaj yeem ncab ntxiv lawm thiab pib nias cov leeg, cov hlab ntsha, thiab cov hlab ntsha sab hauv. Qhov kev nias ntawd yog qhov ua rau mob hnyav thiab lwm yam tsos mob.
Qhov no zoo li koj hnav ib nkawm khau me me taug kev ncig thoob plaws hnub. Nws tsis ua li cas rau koj hnav lawv thaum sawv ntxov, tab sis thaum koj taug kev ncig thoob plaws hnub, koj txhais taw yuav o me ntsis. Thaum yav tsaus ntuj, cov khau yuav nias koj txhais taw, ua rau nws tsis tuaj yeem ua tau. Compartment Syndrome yog thaum hom kev nias no tshwm sim hauv lub cev. Yog vim li ntawd nws thiaj li txaus ntshai.
Cov Ua Rau Mob Acute Compartment Syndrome
Qhov ua rau muaj qhov xwm txheej tam sim no yog raug mob hnyav. Piv txwv li:
- Kev sib tsoo ntawm tsheb.
- Poob los ntawm qhov siab, xws li los ntawm ntaiv lossis ru tsev.
- Pob txha tawg: Qhov kev pheej hmoo ntawm tus mob no yog qhov siab tshwj xeeb yog tias pob txha nqaj qaum (tibia) tawg.
- Kev raug mob los ntawm kev poob rau hauv qab ib yam dab tsi hnyav.
- Mob nqaij ntshiv hnyav heev.
- Cov teeb meem tom qab phais.
- Ua kom ib daim cam khwb cia los yog daim nplaum rau ntawm ib sab caj npab los yog ceg nruj.
- Muaj ib sab caj npab lossis ib ceg daig rau tib qho chaw rau ntau teev.
Cov Ua Rau Mob Chronic Compartment Syndrome
Qhov no feem ntau tshwm sim raws sijhawm. Qhov ua rau mob yog kev tawm dag zog tas li thiab hnyav. Thaum koj txuas ntxiv ua tib hom kev tawm dag zog, cov leeg nqaij qub tuaj yeem ntxhov siab thiab qhov mob no tuaj yeem tshwm sim.
- Khiav
- Kev caij tsheb kauj vab
- Ua luam dej
- kev tsa hnyav
Tus kws kho mob nrhiav tau qhov no li cas?
Thaum koj mus ntsib kws kho mob, nws yuav xub kuaj koj cov leeg thiab thaj chaw ib puag ncig. Lawv yuav nug koj cov lus nug txog qhov mob pib li cas, koj ua dab tsi, thiab seb nws puas hnyav zuj zus. Lawv kuj tseem yuav xav tshem tawm lwm yam mob uas ua rau muaj cov tsos mob zoo sib xws, xws li mob leeg lossis mob pob qij txha.
Tsis tas li ntawd xwb, koj tuaj yeem ua cov kev ntsuam xyuas zoo li no:
- X-ray: Txhawm rau kuaj xyuas lwm yam kev raug mob, xws li pob txha tawg.
- Kev Ntsuas Siab Hauv Chav: Qhov no yog qhov kev ntsuas tshwj xeeb tshaj plaws. Hauv qhov kev ntsuas no, tus kws kho mob muab ib rab koob nyias nyias ntxig rau hauv koj cov leeg thiab siv lub tshuab txuas nrog nws los ntsuas qhov siab sab hauv. Qhov no tuaj yeem mob me ntsis. Koj yuav tsum qhia rau koj tus kws kho mob txog qhov mob.
- Rov Ntsuas Siab Dua: Yog tias koj xav tias koj muaj Chronic Compartment Syndrome, koj tus kws kho mob yuav kom koj tawm dag zog thiab tom qab ntawd ntsuas koj cov ntshav siab dua.
Yuav kho li cas?
Kev kho mob nyob ntawm seb koj muaj hom mob compartment syndrome li cas.
Mob Acute Compartment Syndrome yog ib yam mob uas yuav tsum tau phais mob thaum muaj xwm txheej ceev. Kev phais mob no hu ua "fasciotomy". Hauv qhov no, tus kws phais mob ua ib qho kev phais thiab txiav qhib "fascia", lub membrane tawv uas nyob ib puag ncig cov leeg. Qhov no tam sim ntawd tso tawm qhov siab uas raug kaw sab hauv thiab rov qab ua kom cov ntshav ntws. Lub qhov txhab raug kaw dua tsuas yog tom qab qhov o tau ploj mus tag. Tej zaum yuav xav tau "daim tawv nqaij graft".
Feem ntau tus mob Chronic Compartment Syndrome tsis tas yuav phais. Nws tuaj yeem tswj tau los ntawm kev so thiab hloov kev tawm dag zog. Koj tus kws kho mob yuav pom zoo kom kho xws li:
- Tshuaj Tua Kab Mob: Cov tshuaj xws li cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) tuaj yeem txo qhov o thiab mob. Tab sis tsis txhob siv cov no txuas ntxiv mus ntau tshaj 10 hnub yam tsis tau koj tus kws kho mob qhia.
- Hloov koj txoj kev tawm dag zog: Tus kws kho mob qhia kom hloov koj txoj kev tawm dag zog thiab tsom mus rau kev tawm dag zog me me. Piv txwv li, khiav ntawm thaj chaw muaj nyom es tsis txhob khiav ntawm txoj kev pob zeb.
- Kev Kho Mob Lub Cev:Tus kws kho mob lub cev yuav qhia koj cov kev tawm dag zog kom txhawb nqa thiab txhim kho koj qhov kev ywj pheej.
- Cov Khoom Siv Kho Mob: Siv cov khoom siv hauv qab khau tshwj xeeb (orthotics) uas muab tso rau hauv khau muab kev txhawb nqa zoo rau ko taw.
Tsuas yog tias cov kev kho mob no tsis pab tau lossis yog tias qhov mob rov qab los yog phais (fasciotomy).
Cov teeb meem txaus ntshai uas tuaj yeem tshwm sim los ntawm qhov no yog dab tsi?
Kab mob Compartment Syndrome tsis yog ib yam uas yuav tsum tau saib yooj yim. Thaum lub siab nyob hauv ib qho chaw ntawm cov leeg nqaij nce ntau dhau, cov nqaij yuav tsis muaj ntshav, oxygen, thiab cov as-ham uas lawv xav tau.
Qhov no ua rau cov nqaij pib tuag. Qhov no hu ua necrosis . Qhov no tuaj yeem ua rau cov leeg nqaij puas tsuaj mus tas li .
Mob Acute Compartment Syndrome yog ib qho xwm txheej ceev uas yuav ua rau tuag taus yog tias tsis kho sai. Yog li ntawd , nws yog ib qho tseem ceeb uas yuav tsum mus rau chav kho mob ceev (ETU) sai li sai tau thaum cov tsos mob tshwm sim.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Compartment Syndrome yog ib qho mob hnyav uas ua rau muaj kev nyuaj siab ntau dhau hauv cov leeg nqaij.
- Mob Acute Compartment Syndrome yog ib qho xwm txheej ceev uas tshwm sim tom qab muaj xwm txheej thiab xav tau kev kho mob tam sim ntawd. Yog tias koj mob hnyav, o, lossis mob nqaij, tsis txhob nkim sijhawm thiab mus rau Chav Kho Mob Ceev (ETU) tam sim ntawd.
- Kab mob Chronic Compartment Syndrome yog tshwm sim los ntawm kev tawm dag zog ntau dhau. Feem ntau nws tuaj yeem tswj tau los ntawm kev so thiab hloov koj txoj kev tawm dag zog.
- Tsis txhob tsis quav ntsej txog qhov mob nqaij loj thiab tsis tshua muaj. Cov lus hais tias "tsis mob, tsis muaj txiaj ntsig" tsis siv rau ntawm no. Ib txwm sab laj nrog koj tus kws kho mob .
- Yog koj muaj ib daim ntaub qhwv koj lub cev, thiab nws nruj lossis mob, qhia rau koj tus kws kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus