Imajin se yu gɛt siriɔs injuri na yu leg we aksidɛnt apin. Afta sɔm tɛm, di mɔsul dɛn we de rawnd di wund kin swel, ɛn dis kin mek yu fil pen we yu nɔ go ebul fɔ bia, ɛn yu leg kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk. Dis nɔto jɔs nɔmal pen frɔm injury, na sɔntin we pas dat. Dis kin bi wan mɛdikal imejensi. Na da tɛm de dɛn nid fɔ du di ɔpreshɔn we wi de tɔk bɔt tide, we dɛn kɔl fasciotomy. Dis kin bi ɔpreshɔn we yu go du kwik kwik wan fɔ sev yu an, yu fut, ɔ ivin yu layf.
Wetin na Fasciotomy simpul wan?
Fɔ tɔk am simpul wan, fasciotomy na ɔpreshɔn fɔ mek di prɛshɔn we de rawnd di mɔsul nɔ bɔku. dis involv fכ kכt di tכf mεmbran (fascia) we de rawnd di mכsul, fכ rilis di prεshכn we de insay.
Lɛ wi ɛksplen dis smɔl mɔ. Di mɔsul dɛn, di nerv dɛn, ɛn di blɔd vesel dɛn na wi an ɛn leg dɛn ɔl rap togɛda insay wan taf ɛn strɔng mɛmbran. Tink bɔt am lɛk di kes we de rawnd sosish. insay mεdikal, wi kin kכl dis tכf mεmbran ‘fascia’ . di wan ol eria insay dis fascia we gεt di mכsul dεm, di nεv dεm, εn di bכdi vεsul dεm dεn kכl am ‘mכsul kכmכtmεnt.’
Naw imajin, wetin go apin if swɛlin pasmak insay dis kɔmpawtmɛnt bikɔs ɔf sɔm aksidɛnt? Bikɔs ɔf da tayt fascia sheath de, di swɛlin nɔ gɛt say fɔ go na do. Dɔn di prɛshɔn we de insay da kɔmpawtmɛnt de kin bɔku pasmak. Dis na wetin wi kin kɔl ‘kɔmpatmɛnt sindrom’ . Bikɔs ɔf dis prɛshɔn we pasmak, di blɔd vesel dɛn na da eria de kin tayt, ɛn di blɔd flɔ to di mɔsul ɛn nɛv dɛn kin stɔp. If dat apin, da tisu de bigin fɔ day. Na da tɛm de dɛn kin du fasciotomy, kɔt da tayt fascia mɛmbran de, fri di prɛshɔn we de insay, ɛn mek di blɔd flɔ bak.
Aw dis kɔmpawtmɛnt sindrom kin apin?
Dis tin kin apin tu men we dɛn.
1. Acute Compartment Syndrome: Dis na di kayn tin we de mek pɔsin denja pas ɔl ɛn we kin apin wantɛm wantɛm. Bɔku tɛm, i kin apin afta we pɔsin gɛt siriɔs aksidɛnt. Fɔ ɛgzampul, dis sik kin apin bikɔs i kin swel pasmak afta yu dɔn gɛt motoka aksidɛnt, lɛk we yu bon brok ɔ yu mɔsul dɛn kin strɛs bad bad wan. Dis na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.
2. Chronic Compartment Syndrome: Dis na wan sik wae de kam smɔl smɔl. Bɔku tɛm, dɛn kin si am pan pipul dɛn we de yuz di sem mɔsul grup pasmak, lɛk atlet ɛn sojaman dɛn. Di pen kin wɔs we yu de du ɛksɛsayz ɛn i kin bɛtɛ we yu rɛst. Pan ɔl we nɔto imejensi, i kin tranga as tɛm de go.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Bikɔs Acute Compartment Syndrome na imejensi, dɛn nɔ kin plan fɔ du fasciotomy bifo tɛm. We dɛn admit yu na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU), dɔktɔ dɛn kin no dis sik bay di sayn dɛn we yu gɛt. We dɛn dɔn no se i gɛt sɔm sayn dɛn lɛk pen we yu nɔ go ebul fɔ bia, we yu nɔ ebul fɔ bia, ɛn we yu an ɔ yu leg wik, di wan dɛn we de du di ɔpreshɔn go kɛr yu go na di ɔpreshɔn rum kwik kwik wan.
di tin we impɔtant pas ɔl na fɔ du ɔpreshɔn insay sɔm awa afta yu dɔn no dis sik, bikɔs ɛvri mɔnt we pas de mek di tisu dɛn pwɛl mɔ ɛn mɔ.
Dɛn kin du di ɔpreshɔn ɔnda jenɛral anestezi, we min se yu nɔ go fil ɔ mɛmba ɛnitin. Di dɔktɔ we de du di ɔpreshɔn go:
- Dɛn kin kɔt wan ɔ tu skin oba di mɔsul kɔmpawtmɛnt we gɛt fɔ du wit am.
- Dɔn dɛn kin no di fascia we de insay, kɔt am, ɛn di prɛshɔn kin kɔmɔt. I kin nid fɔ fri sɔm kɔmpawtmɛnt dɛn dis we.
- Neks, dɛn kin chɛk fɔ ɛni tisu we dɔn pwɛl ɔ we dɔn day ɛn pul am. Dɛn kin tek tɛm wach bak if blɔd de flɔ bak.
- Bɔku tɛm dɛn nɔ kin sutura dis say we dɛn kɔt wantɛm wantɛm . I kin tek sɔm dez fɔ mek di swɛlin go dɔŋ kpatakpata, so dɛn kin lɛf di wund opin. Sɔntɛnde dɛn kin yuz tritmɛnt we dɛn kɔl ``negative pressure wound therapy'' fɔ ridyus di swel kwik kwik wan bay we dɛn de pul wata na di wund.
- Afta sɔm dez, dɛn kin chɛk di wund bak ɛn pul ɛni ɔda tin we dɔn day.
- We di swɛlin dɔn stɔp, dɛn kin lɔk di wund. sכmtεm, if di skin nכ de fכ kכba di wund, dεn kin tek di skin frכm כda pat na di bכdi εn transplant am (a `skin graft`).
- Fɔ dɔn, dɛn dɔn drɛs di wund fayn ɛn dɛn go tɛl yu aw lɔng fɔ kip di bandej.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we pɔsin kin gɛt we i du ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, fasciotomy gɛt in bɛnifit dɛn ɛn sɔm risk dɛn bak. Lɛ wi tek tɛm luk dɛn gud gud wan.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Sev layf ɛn limb: Insay akyu sityueshɔn, dis ɔpreshɔn de mek di tisu dɛn nɔ day, we kin mek dɛn kɔt dɛn an ɔ gɛt infɛkshɔn we kin mek pɔsin in layf de pan denja. | Jɛnɛral ɔspitul risk: Risk de lɛk wund infɛkshɔn ɛn damej pan nerv ɔ blɔd vesel. |
| Riliv frɔm siriɔs pen: Fɔ di wan dɛn we gɛt krɛse sik, dis ɔpreshɔn kin gi rilif frɔm di pen we nɔ de dɔn. | Di ɔpreshɔn nɔ wok: Sɔntɛnde, risk kin de fɔ lɛ yu lɔs yu an/leg bikɔs dɛn nɔ kin ebul fɔ sev di tisu (especially if yu rich na di ɔspitul tu let). |
| Fɔ gɛt di aktiviti bak: If yu gɛt di rayt fyzikal tritmɛnt, yu kin yuz yu an/leg nɔmal wan bak. | di sik we de kam bak: Ska tisu we de fכm we di wund de hεl kin tayt di fascia bak, we kin mek di kכndyushכn kam bak. |
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Wetin mek i impɔtant fɔ trit pɔsin in bɔdi?
Yu kin fil sɔm pen as di anestezi de west. Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu nɔ fil pen fɔ ɛp yu fɔ kɔntrol am. Afta dɛn dɔn du di ɔpreshɔn , i impɔtant fɔ mek yu ebul fɔ muv ɛn gɛt trɛnk bak na di say we yu de. If yu nɔ du dat, di jɔyn ɔ di mɔsul kin stif ɛn i nɔ kin ebul fɔ muv fayn.
wan kweshon we sכm pipul kin aks na, "Di fascia de rigεnεret afta dεn kכt am?" Yɛs, i kin du am. Bɔt i kin du dat as ska tisu. Na dat mek i rili impɔtant fɔ kip da eria de strɛch fayn fayn wan tru fizik tritmɛnt.
Simptom dɛm wae nid fɔ go to dɔktɔ kwik kwik wan
If yu jɔs dɔn gɛt siriɔs injuri ɔ ɔpreshɔn ɛn yu gɛt ɛni wan pan dɛn sayn ya, i rili impɔtant fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
Mɛmba se, if yu gɛt Acute Compartment Syndrome, di nerve damej fɔ ɔltɛm kin bigin fɔ apin afta 6 awa we dɛn dɔn delay di tritmɛnt. Afta 12 awa, di risk fɔ gɛt kɔmplikeshɔn kin rili bɔku.
Di sayn dɛm wae yu fɔ pe atɛnshɔn to kwik kwik wan:
- Siriɔs pen we pɔsin nɔ go ebul fɔ bia we nɔ gri wit di kayn we aw di pɔsin wund .
- Paralayz fɔ sɔm tɛm na yu an ɔ yu leg, we min se yu nɔ go ebul fɔ muv am.
- Pen we nɔ kɔmɔn, we shap we yu de strɛch wan mɔsul.
- Numbness, tingling senseshɔn (paresthesia).
Na nɔmal tin fɔ mek ɛnibɔdi fred we dɛn tɛl am fɔ du imejensi ɔpreshɔn lɛk dis. Bɔt mɛmba se, fasciotomy na di sɔlv we sef ɛn we go wok fɔ di kɔmpawtmɛnt sindrom. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, tɔk to yu dɔktɔ bɔt am opin wan. Dɛn de de fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Fasciotomy na ɔpreshɔn we kin sev layf bɔku tɛm we dɛn kin du fɔ pul di prɛshɔn we pasmak rawnd di mɔsul dɛn (compartment syndrome).
- Nɔ ɛva ɔndastand di bad bad pen, swɛlin, ɛn swɛlin we kin apin afta pɔsin gɛt siriɔs injury, ɛn we nɔ gri wit di kayn we aw di injuri dɔn pas.
- If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, yu fɔ go na ɔspitul imejensi rum (ETU) wantɛm wantɛm. Taym na di men tin.
- Fizik tritmɛnt impɔtant fɔ mek i wɛl kɔmplit wan afta dɛn dɔn du di ɔpreshɔn.
- If yu gɛt ɛnitin fɔ wɔri bɔt yu wɛlbɔdi biznɛs, nɔ ɛva shem fɔ tɔk bɔt am wit yu dɔktɔ.
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