Ebinywa byo bizimba, binywezeddwa era biruma nnyo? Kiyinza okuba nga kya compartment syndrome!

Kuba akafaananyi ng’ogwa nnyo ng’ozannya cricket, oba n’ogwa ku ddigi n’ofuna obuvune ku kigere. Mu kusooka, obuvune buba buluma, naye mu ssaawa ntono, ebinywa mu kifo ekifunye obuvune bikaluba, ne bizimba, era ne biruma. Bw’okwata ku kitundu ekyo, kiwulira nga kikaluba ng’olwazi. Kino kikutuuseeko? Leero twogera ku mbeera eyinza okuba ey’akabi nga yeetaaga okujjanjabibwa amangu, eyitibwa Compartment Syndrome.

Obulwadde bwa Compartment Syndrome buno kye ki?

Mu ngeri ennyangu, obulwadde bwa compartment syndrome bwe buba nga waliwo puleesa esukkiridde okwetooloola ebinywa byo. Puleesa eno ekugira omusaayi, omukka gwa oxygen, n’ebiriisa okutambula mu binywa byo. Eno embeera eruma nnyo.

Kati, laba, ebinywa, obusimu, n'emisuwa mu mubiri gwaffe bitegekeddwa mu bibinja ebitonotono, oba "ebisenge." Buli kimu ku bitundu bino kibikkiddwa oluwuzi olugonvu olugonvu oluyitibwa ``fascia.'' Kiringa olususu olwetoolodde sosegi. Singa olw'ensonga ezimu puleesa munda mu kisenge kino yeeyongera, ebinywa bitandika okunyigiriza ku ``fascia'' eyo.Awo we wava Compartment Syndrome.

Wadde embeera eno esobola okubaawo mu kibinja ky’ebinywa kyonna, esinga kulabibwa mu bitundu bino wammanga:

• Amagulu naddala mu kitundu ky’ekisambi.
• Nga mw’otwalidde n’emikono, engalo n’engalo.
• Wansi.
• Olubuto (olubuto).
• Ekitundu ky’akabina.

Waliwo ebika bibiri ebikulu eby’obulwadde bwa compartment syndrome:

Embeera eno esobola okwawulwamu ebika bibiri ebikulu okusinziira ku ngeri gy’ebaawo. Kikulu nnyo okumanya bino ebibiri, kubanga emu mbeera eyeetaaga obujjanjabi obw’amangu.

Bubonero ki obulaga embeera eno?

Obubonero obusinga okulabika mu bulwadde bwa compartment syndrome bwe buno:

• Okuzimba okulabika: Ekitundu ekinywa we kiri kirabika nga kizimba era nga kibuguma.
• Obulumi obw’amaanyi: Businga nnyo obulumi obw’obuvune obwa bulijjo. Kiwulira ng’ekinywa kinyigirizibwa okuva munda.
• Obukaluba: Bw’ogikwatako n’omukono, owulira nga nkalu nnyo, ng’olwazi.
• Obulumi ng’ogolola: Obulumi obw’amaanyi ng’ekinywa kigoloddwa.
• Okuzirika: Okuwulira ng’omuntu tasobola kuwulira mu kitundu.
• Okwokya: Okuwunya oba okwokya wansi w’olususu. Mu ngeri y'obusawo, kino kiyitibwa ``paresthesia''.
• Okujjula mu busajja: Obusajja buwulira nga bunene ate nga bujjudde okusinga bulijjo.

Lwaki obulwadde buno obw’ekisenge (compartment syndrome) bubaawo?

Kino kibaawo ng’obuvune oba puleesa ebaddewo ereese okuvaamu omusaayi oba okuzimba munda mu kisenge ky’ebinywa. Olwo puleesa eri munda yeeyongera, n’esika ekinywa ku fascia.

Fascia eno esobola okugolola katono, naye erina ekkomo. Puleesa bw’egenda yeeyongera okuzimba, okukkakkana ng’ekitundu ky’omubiri ekiyitibwa fascia tekikyasobola kugolola era kitandika okusika ebinywa, obusimu n’emisuwa ebiri munda. Okwesika okwo kwe kuleeta obulumi buno obw’amaanyi n’obubonero obulala.

Kino kiringa okutambula mu ngatto entono olunaku lwonna. Si kibi okuziteeka ku makya naye bw’otambula olunaku lwonna, ebigere bizimba katono. Akawungeezi, engatto ziba zikusika ebigere, ekikufuula obutagumiikiriza. Compartment Syndrome bwe bubaawo okusika okw’ekika kino okubaawo munda mu mubiri. Eno y’ensonga lwaki kya bulabe.

Ebivaako obulwadde bwa Acute Compartment Syndrome

Ekisinga okuvaako embeera eno ey’amangu kwe kufuna obuvune obw’amaanyi. Okugeza nga:

• Obubenje bw'emmotoka.
• Egwa okuva ku buwanvu, gamba ng’okuva ku ddaala oba akasolya.
• Okumenya: Obulabe bw’embeera eno buba bungi naddala singa eggumba ly’ekisambi (tibia) limenyeka.
• Okumenya obuvune obuva ku kugwa wansi w’ekintu ekizito.
• Okuzimba ennyo mu binywa.
• Ebizibu ebivaamu oluvannyuma lw’okulongoosebwa.
• Okunyweza ekiwujjo oba eky’okusiba ku mukono oba ku kigere.
• Okubeera n’omukono oba ekigere nga kikutte mu mbeera y’emu okumala essaawa eziwera.

Ebivaako obulwadde bwa Chronic Compartment Syndrome

Kino kitera okubaawo ng’ekiseera kigenda kiyitawo. Ekisinga okuvaako kwe kukola dduyiro buli kiseera era ow’amaanyi. Bw’ogenda mu maaso n’okukola dduyiro ow’ekika kye kimu, ekibinja ky’ebinywa kye kimu kiyinza okubeera ku situleesi era embeera eno esobola okubaawo.

• Okudduka
• Okusotta
• Okuwuga
• Okusitula obuzito

Omusawo kino akizuula atya?

Bw’ogenda okulaba omusawo, ajja kusooka kukebera misuwa gyo n’ebitundu ebigyetoolodde. Bajja kukubuuza ebibuuzo ku ngeri obulumi gye bwatandika, by’okola, n’okumanya oba bweyongera. Era bayinza okwagala okugaana embeera endala ezireeta obubonero obufaananako bwe butyo, gamba nga tendonitis oba shin splints.

Ng’oggyeeko ekyo, osobola n’okukola ebigezo nga bino:

• X-ray: Okukebera oba waliwo obuvune obulala, gamba ng’amagumba agamenyese.
• Ekigezo ky’okupima puleesa y’ekisenge: Kino kye kigezo ekisinga okwetongodde. Mu kukebera kuno, omusawo ayingiza empiso ennyimpi mu binywa byo n’akozesa ekyuma ekigiyungiddwako okupima puleesa eri munda. Kino kiyinza okukuluma katono. Olina okubuulira omusawo wo ku bulumi.
• Ddamu Okukebera Puleesa: Bw’oba ​​oteebereza nti olina obulwadde bwa Chronic Compartment Syndrome, omusawo ayinza okukufuula dduyiro n’oluvannyuma n’addamu okupima puleesa.

Kijjanjabwa kitya?

Obujjanjabi businziira ku kika ky’obulwadde bwa compartment syndrome bw’olina.

Acute Compartment Syndrome mbeera eyeetaaga okulongoosebwa mu bwangu. Okulongoosa kuno kuyitibwa ``fasciotomy''. Mu kino, omusawo alongoosa n'asala ``fascia'', oluwuzi olukaluba olwetoolodde ekinywa. Kino kisumulula mangu puleesa ekwatiddwa munda n’azzaawo omusaayi okutambula. Ekiwundu kiddamu okuggalwa oluvannyuma lw’okuzimba okukka ddala. ``Okusimbuliza olususu'' nakyo kiyinza okwetaagisa.

Obulwadde bwa Chronic Compartment Syndrome ebiseera ebisinga tekyetaagisa kulongoosebwa. Kisobola okuddukanyizibwa ng’owummudde n’okukyusa mu nkola y’okukola dduyiro. Omusawo ayinza okukuwa amagezi ku bujjanjabi nga:

• Eddagala eriweweeza ku bulumi: Eddagala ng’eddagala eriziyiza okuzimba eritali lya steroid (NSAIDs) liyinza okukendeeza ku kuzimba n’obulumi. Naye bino tobikozesa obutasalako okumala ennaku ezisukka mu 10 nga tolina magezi ga musawo.
• Okukyusa enkola yo ey’okukola dduyiro: Omusawo akuwa amagezi okukyusa mu nkola yo ey’okukola dduyiro n’okussa essira ku dduyiro omutono. Okugeza okuddukira ku nnimiro omuddo mu kifo ky’okuddukira ku luguudo lwa seminti.
• Obujjanjabi bw’omubiri:Omusawo ajja kukuyigiriza dduyiro okunyweza n’okulongoosa obusobozi bwo obw’okukyukakyuka.
• Orthotics: Okukozesa insoles ez’enjawulo (orthotics) eziteekeddwa munda mu ngatto kiwa obuwagizi obulungi eri ebigere.

Singa obujjanjabi buno tebuwa buweerero oba singa embeera eno ezzeemu kwe kulowoozebwako mu kulongoosa (fasciotomy).

Bizibu ki eby’akabi ebiyinza okuva mu kino?

Compartment Syndrome si kintu kya kutwalibwa ng’ekitono. Puleesa munda mu kisenge ky’ebinywa bwe yeeyongera ennyo, ebitundu by’omubiri tebirina musaayi, omukka gwa oxygen, n’ebiriisa bye byetaaga.

Obulwadde bwa Acute Compartment Syndrome mbeera ya mangu eyinza okutta omuntu singa tebujjanjabwa mangu. N’olwekyo , kikulu okugenda mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro amangu ddala ng’obubonero bulabika.