Kei te pupuhi ō uaua, kei te piri, kei te mamae nui hoki? Tērā pea he compartment syndrome!

Whakaarohia kei te hinga kaha koe i a koe e tākaro kirikiti ana, kei te hinga rānei koe i te pahikara ka whara tō waewae. I te tīmatanga, he mamae te whara, engari i roto i ētahi haora, ka pakari, ka pupuhi, ka mamae hoki ngā uaua o te wāhi whara. Ina pā koe ki te wāhi, ka rite te pakeke ki te toka. Kua pā tēnei ki a koe? I tēnei rā kei te kōrero tātou mō tētahi āhuatanga morearea pea e hiahia ana kia arohia tonutia e te hauora, e kiia nei ko te Compartment Syndrome.

He aha tēnei Mate Kōwae?

Ki te kī ngāwari, ko te compartment syndrome he nui rawa te pēhanga e karapoti ana i ō uaua. Ka aukati tēnei pēhanga i te rere o te toto, te hāora, me ngā matūkai ki ō uaua. He tino mamae tēnei mate.

Nā, tirohia, ko ngā uaua, ngā io, me ngā oko toto i roto i tō tātou tinana kua whakaritea ki ngā rōpū iti, arā, ngā "wāhanga". Kei ia wāhanga he kiri matotoru, angiangi e kiia nei ko te "fascia." He rite ki te kiri e karapoti ana i te hōtiti. Mēnā ka piki ake te pēhanga i roto i tēnei wāhanga, ka tīmata ngā uaua ki te pēhi i taua "fascia." Koinā te wā ka puta te Mate Wāhanga.

Ahakoa ka taea tēnei āhuatanga te puta i roto i tētahi rōpū uaua, ka kitea nuitia i ngā wāhi e whai ake nei:

• Ngā waewae, inā koa i te rohe o te hope.
• Tae atu ki ngā ringaringa, ngā nikau, me ngā pūngāwerewere.
• Raro.
• Puku (puku).
• Te rohe o te papa.

E rua ngā momo matua o te mate wehenga:

E rua ngā momo matua o tēnei mate, i runga i te āhua o tōna putanga mai. He mea nui kia mōhio koe ki ēnei e rua, nā te mea ko tētahi he mate e hiahia ana ki te maimoatanga hauora ohorere.

He aha ngā tohu o tēnei mate?

Ko ngā tohu tino noa o te syndrome compartment ko:

• Pupuhi kitea: Ko te wāhi kei reira te uaua he ahua pupuhi, he pupuhi hoki.
• Mamae nui: Nui atu i te mamae o te whara noa. Me te mea kei te pēhia te uaua mai i roto.
• Pakeke: Ina pā atu koe ki tō ringa, ka tino pakeke, pērā i te toka.
• Mamae i te totoro: Mamae nui ina totoro te uaua.
• Ngoikore: He kare ā-roto e ngaro ana te mātakitaki i tētahi wāhi.
• Te ngaungau: He ngaungau, he ngaungau rānei i raro i te kiri. I roto i te reo hauora, ka kiia tēnei he "paresthesia".
• Te kī o te ure: He nui ake, he kī tonu ake te ure i te tikanga.

He aha i puta ai tēnei mate wāhanga?

Ka puta tēnei ina puta he toto, he pupuhi rānei i roto i te wāhanga uaua nā te whara, te pēhanga tonu rānei. Kātahi ka piki ake te pēhanga i roto, ka pana te uaua ki te fascia.

Ka taea e tēnei uaua te totoro pakupaku, engari he rohe tōna. I te piki haere tonu o te pēhanga, ā, ka mutu, kāore e taea e te uaua te totoro, ā, ka tīmata te pēhi i ngā uaua, i ngā io, me ngā oko toto ki roto. Ko taua pēhi te take o tēnei mamae nui me ētahi atu tohu.

He rite tēnei ki te hikoi haere i roto i tētahi hū iti i te rā katoa. Kāore he aha te mau i te ata, engari i a koe e hikoi haere ana i te rā katoa, ka pupuhi ō waewae. I te ahiahi, ka rite te hū ki te pēhi i ō waewae. Ko te Compartment Syndrome te wā e puta ai tēnei momo pēhi i roto i te tinana. Koia te take he morearea.

Ngā Take o te Mate Wāhanga Whakamataku

Ko te tino take o tēnei āhua ohorere ko te whara kino. Hei tauira:

• Ngā aituā waka.
• Te hinga mai i ngā teitei, pērā i te arawhata, i te tuanui rānei.
• Ngā whati: He tino teitei te mōrearea o tēnei mate mēnā ka whati te wheua papatahi (tibia).
• Ngā whara e pā mai ana i te hinganga i raro i tētahi mea taumaha.
• Ngā mamae uaua nui.
• Ngā raruraru i muri i te pokanga.
• Te whakau i te whakapiripiri, i te takai rānei ki te ringa, ki te waewae rānei.
• Te mau tonu o te ringa, o te waewae rānei i te tūranga kotahi mō ngā hāora.

Ngā Take o te Mate Pūmau o te Wāhanga

Ka puta tēnei i te nuinga o te wā. Ko te tino take ko te whakakori tinana tonu, kaha hoki. Ina mahi tonu koe i te momo whakakori tinana kotahi, ka taea e te rōpū uaua kotahi te taumaha, ā, ka puta pea tēnei āhuatanga.

• Te oma
• Pahikara
• Kauhoe
• Te hiki taumaha

Me pēhea te kitenga a te tākuta i tēnei?

Ina haere koe ki te tākuta, ka tirohia tuatahitia e ia ō uaua me te rohe e karapoti ana. Ka pātai atu rātou ki a koe mō te tīmatanga o te mamae, ngā mahi e mahia ana e koe, me te kino haere rānei. Tērā pea ka hiahia rātou ki te whakakore i ētahi atu āhuatanga e puta ai ngā tohu rite, pērā i te mate uaua, te pakaru rānei o te hope.

Hei tāpiri, ka taea hoki e koe te whakahaere i ngā whakamātautau penei:

• X-ray: Hei tirotiro mō ētahi atu whara, pērā i te whati o ngā wheua.
• Whakamātautau Ine Pēhanga o te Wāhanga: Koinei te whakamātautau tino motuhake. I roto i tēnei whakamātautau, ka werohia e te tākuta he ngira angiangi ki roto i tō uaua, ā, ka whakamahia he mīhini e hono ana ki a ia hei ine i te pēhanga o roto. Tērā pea he mamae pakupaku tēnei. Me kōrero koe ki tō tākuta mō te mamae.
• Whakamātautau Pēhanga Anō: Ki te whakaaro koe kei a koe te Mate Pūmau o te Wāhanga, ka whakahau pea tō tākuta kia whakakorikori tinana koe, kātahi ka ine anō i tō pēhanga toto.

Me pēhea te rongoā?

Ko te maimoatanga e whakawhirinaki ana ki te momo mate wāhanga kei a koe.

Ko te Acute Compartment Syndrome he mate e hiahia ana ki te pokanga ohorere. Ka kiia tēnei pokanga he "fasciotomy". I tēnei, ka mahi te taote pokanga i tētahi pokanga ka tapahia te "fascia", te kiriuhi uaua e karapoti ana i te uaua. Ka tukuna tonutia te pēhanga kua mau ki roto, ā, ka whakahokia mai te rere o te toto. Ka kati anō te patunga i muri i te memeha katoa o te pupuhi. Tērā pea ka hiahiatia he "tāpiri kiri".

Ko te mate pukupuku mau tonu kāore e hiahiatia he pokanga. Ka taea te whakahaere mā te okioki me te whakarerekē i te mahi whakakori tinana. Ka tūtohu pea tō tākuta i ngā maimoatanga pēnei i:

• Ngā rongoā mamae: Ka taea e ngā rongoā pēnei i ngā rongoā anti-inflammatory kore-steroidal (NSAID) te whakaiti i te pupuhi me te mamae. Engari kaua e whakamahia tonutia ēnei mō ngā rā neke atu i te 10 me te kore he tohutohu a tō tākuta.
• Te whakarerekē i tō mahinga whakakori tinana: E kī ana te tākuta kia whakarerekētia tō mahinga whakakori tinana, kia arotahi ki ngā mahi whakakori tinana māmā ake. Hei tauira, te oma i runga i te papa tarutaru kaua ki te oma i runga i te rori raima.
• Te Whakaora Tinana:Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana hei whakapakari me te whakapai ake i tō ngāwari.
• Orthotics: Mā te whakamahi i ngā takahanga waewae motuhake (orthotics) e whakanohoia ana ki roto i ngā hu ka tautoko pai i ngā waewae.

Mena kāore ēnei maimoatanga e whakaora, ki te hoki mai rānei te mate, kātahi ka whakaarohia te pokanga (fasciotomy).

He aha ngā raruraru mōrearea ka puta mai i tēnei?

Ehara te Mate Wāhanga i te mea e māmā noa ana. Ina nui rawa te pikinga o te pēhanga i roto i te wāhanga uaua, ka ngaro i ngā kiko te toto, te hāora, me ngā matūkai e hiahiatia ana e rātou.

He āhuatanga ohorere e morearea ana te Acute Compartment Syndrome ki te kore e rongoatia wawetia. Nō reira , he mea nui kia haere ki te Tari Ohorere o te hōhipera (ETU) i te wā tonu ka puta mai ngā tohu.