He kikī ō uaua, ā, he tino mamae? Tērā pea ko te "Compartment Syndrome" tēnei!

Kua pāngia koe e tētahi puku i roto i tō waewae, i tō ringa rānei, e ahua ana he kōhatu, he pupuhi, he mamae hoki? I ētahi wā, ehara i te mea he maru noa iho. I tēnei rā ka kōrero tātou mō tētahi mate he kino ake, engari ka taea te whakahaere pai mēnā e mōhio ana koe. Ko te "Compartment Syndrome" te ingoa.

He aha te "Compartment Syndrome"? Me mārama tātou ki tēnei, me pēhea?

Ki te kī māmā noa, ko te (Compartment Syndrome) he pikinga nui o te pēhanga i roto i te wāhi e karapoti ana i ō uaua . Whakaarohia pēnei, ko ngā uaua o tō tātou tinana kua whakarōpūhia ki roto i ngā "rūma" iti, i ngā "wāhanga" rānei ((Compartments)). Kei ia o ēnei wāhanga he kiri angiangi, kaha e kiia nei ko (Fascia) . He rite ki te kiri angiangi e karapoti ana i te hōtiti , engari he kaha ake.

Nō reira, ina piki ake te pēhanga i roto i tēnei wāhanga mō tētahi take, ahakoa he pupuhi, he toto rānei, kāore e taea e te fascia te totoro atu. Ko te mea ka tupu, ka tīmata te pēhi o ngā uaua, ngā oko toto, me ngā io i roto i taua wāhanga. Mā tēnei pēhi ka motuhia te rere o te toto, ā, ka heke te hāora me ngā matūkai ki ngā uaua me ngā io . Koinei te mea e kiia nei ko te compartment syndrome. He tino mamae tēnei mate.

Ahakoa ka pā tēnei āhuatanga ki tētahi rōpū uaua o te tinana, ka kitea nuitia i roto i:

• Ki ngā waewae, inā koa ki te wāhi tūpāpaku (he rerekē te tupu o ngā huruhuru ki roto, he mea kino ake tēnei).
• I roto i ngā ringaringa, tae atu ki te pūringa (ringaringa) me te nikau.
• I runga i ngā waewae.
• I roto i te puku (puku).
• I te rohe o te papa.

E rua ngā momo matua o te "Compartment Syndrome"

E rua ngā momo matua o tēnei. He rerekē te āhua me te maimoatanga o ia momo.

1. Te Mate Pūtake Kōpeke

Koinei te momo tino morearea . E ai ki tōna ingoa, he āhuatanga tēnei ka puta ohorere . I te nuinga o te wā ka puta i muri i te whara kino. Whakaarohia he aituā nui, he hinganga mai i te teitei, he whati wheua rānei.

He āhuatanga ohorere hauora tēnei! Ki te whakapae koe kei te pāngia koe e te mate wāhanga, me haere tonu koe ki te rūma ohorere o te hōhipera . Nā te mea ki te kore e rongoatia wawetia, ka taea e ia te arahi ki te kino o te uaua tuturu, te pararutiki , te mate rānei. He ahua whakamataku, tika? Engari ko te mōhio te mea nui rawa atu.

2. Te Mate Pūmau o te Wāhanga

Kāore tēnei i te ohorere pērā i te tīmatanga ohorere. He mate roa tēnei, e āta whanake haere ana.He mea tino noa tēnei mō te hunga e nui rawa ana te whakakori tinana me te takaro hākinakina. Koia te take e kiia ai e ngā tākuta i ētahi wā ko te "Syndrome Wahanga Whakakorikori Tinana (Whakakorikori Tinana) .'' Ahakoa ehara tēnei i te āhuatanga ohorere, ka tino mamae pea.

He pēhea te noa o te "Compartment Syndrome"?

Ina hoki, ehara i te mea tino noa te mate urutā o te wehenga ohorere. Ahakoa i te Hononga o Amerika, ka puta i roto i te iti iho i te 10 i roto i te 100,000 tāngata ia tau. Heoi, ko te hunga kua pāngia e ētahi whara, pērā i te whati wheua, ka nui ake te tūponotanga ka pāngia e tēnei mate . Hei tauira, kua kitea e ngā rangahau tata ki te 10% o te hunga kua whati te tibia (te wheua nui i raro i te turi) ka pāngia pea e te mate urutā o te wehenga.

He aha ngā tohu o te (Compartment Syndrome)?

Nā, kia tirohia tātou he aha ngā tohu. Mena he iti noa iho ēnei tohu kei a koe, me toro atu koe ki te tākuta.

• He pupuhi, he koriri rānei e kitea ana huri noa i tētahi poraka mīti.
• Mamae uaua nui. He nui ake te kino o tēnei i te mamae e pā ana ki a koe i te whakakori tinana. Ka rite ki te maripi e werohia ana koe.
• He kakano mārō. Ina pā atu koe, ka rite tōna mārō ki te toka.
• Te mamae nui i te wā e totoro ana.
• Ngoikore ((Ngoikore)).
• He ngaungau, he wera rānei i raro i te kiri ((Paresthesia)). He rite ki ngā pōpokorua e oma haere ana, he rite rānei ki ngā tataramoa e wero ana.
• He āhua me te mea kua kī te mīti, kua mārō, kua nui ake i te tikanga.

He aha te tino take o te (Compartment Syndrome)?

E ai ki taku kōrero i mua, ko te take matua mō tēnei ko te pikinga o te pēhanga i roto i te rūma mīti . Ka piki ake tēnei pēhanga i te pupuhi, i te toto rānei, nā te whara, nā te ahotea tonu rānei.

Ka taea e te fascia te totoro pakupaku, engari he rohe tōna. I te piki haere tonu o te pēhanga, kāore e taea e te fascia te pupuri. Ko te wā tēnā ka tīmata te pēhi i ngā uaua me ngā io o roto. Ko tēnei pēhi te take o te mamae me ētahi atu tohu.

Whakaarohia te hikoi haereere i te rā roa me ngā hū he iti rawa mō tō rahi. Tērā pea he pai ki te mau i aua hū i te ata. Engari i te roanga o te rā, i a koe e hikoi ana, ka tīmata te pupuhi o ō waewae. I te mutunga o te rā, ko aua hū i whakaaro koe he "tika" ka rite ki te kokopi rino e pēhi ana i ō waewae. He rite tonu te mate o te wāhanga, engari he tino morearea nā te mea ka nui haere te pēhanga i roto i te tinana.

He rerekē ngā take o te compartment syndrome i runga i te momo.

Ngā take o te "Compartment Syndrome" ohorere

Ko ngā whara kino te tino take o tēnei.

• Ngā aituā waka.
• Te hinga mai i ngā teitei (pērā i te tuanui, i te arawhata rānei).
• Ngā whati wheua.
• Ngā whara e pā mai ana i te takanga o tētahi mea ki te tinana.
• Ngā whara nui o te uaua.
• Ngā aituā hākinakina.
• Ngā raruraru i muri i te pokanga.
• Ngā raruraru i puta mai i te whakapiripiri piri, i te whakapiripiri rānei.
• Ko te ahotea o te noho i te tūranga kotahi mō ngā hāora me te kore e nekehia te ringa, te waewae rānei. (Hei tauira, ko te tangata kua kore e mōhio i muri i te inu waipiro ka pāngia pea e tēnei).

Ngā Take o te (Compartment Syndrome) roa

I te nuinga o te wā ka āta whanake haere tēnei i roto i te wā. Ko te whakakori tinana auau, kaha hoki te tino take. Ina mahi tonu koe i te momo whakakori tinana kotahi, ka taea e te rōpū uaua kotahi te taumaha, ā, ka piki ake te pēhanga.

• E oma ana ((E oma ana)).
• Te eke pahikara ((Te eke pahikara)).
• Kauhoe ((Kauhoe)).
• Te Hiki Taumaha ((Te Hiki Taumaha)).

Haunga ēnei, ahakoa he onge, ko te nekehanga roa , ahakoa i te mahi, i te takaro noa rānei, ka taea hoki te waiho hei take o te compartment syndrome.

He aha ngā āhuatanga mōrearea?

Ka taea e te tangata te whakawhanake i te mate wāhanga i muri i tētahi aituā ohorere.

Heoi, ko ngā kaitākaro me te hunga e kaha ana ki te mahi tinana, he nui ake te tūponotanga ka nui rawa te mahi a ō rātou uaua, ā, ka pāngia e te "Compartment Syndrome" mō te wā roa.

Waihoki, tera pea ka paku piki ake tēnei mōrearea mō te hunga whai mate toto pēnei i te hemophilia .

He aha ngā raruraru pea ka pā mai i te (Compartment Syndrome)?

Ka pā mai pea ngā raruraru nui.

Ki te nui rawa te pēhanga i roto i te rūma mīti, kāore e ranea te toto hou, te hāora, me ngā matūkai ki ngā kiko ((Ngā kiko)) . Ka mate pea ngā kiko ((Necrosis)) . Ki te tupu tēnei, he kino tuturu .

Ka mate pea te mate Compartment Syndrome ki te kore e rongoatia wawetia. Koia te take e taunakihia ana kia haere tonu ki te hōhipera mēnā he iti noa te whakapae kei a koe.

Me pēhea te tautuhi a ngā tākuta i te "(Compartment Syndrome)"?

Mā te tākuta tēnei e tātaritanga ā-tinana i a koe, me te mahi i ētahi whakamātautau. Ka āta tirohia e ia ō uaua me te rohe e karapoti ana. Tērā pea ka ngana rātou ki te whakakore i ētahi atu āhuatanga ka puta ai ngā tohu rite, pērā i te tendinitis ( mumura o te uaua) me te mamae o te wheua waewae (ngā hononga o te hope).

Kōrerotia mārama ki tō tākuta te mea i mahia e koe i te wā i rongo tuatahi ai koe i te mamae me ētahi atu tohumate, me ngā momo mea ka kino ake, ka kino ake rānei ngā tohumate.

Ngā whakamātautau hei tautuhi i te (Compartment Syndrome)

Ka whakamahia pea e te tākuta ētahi whakamātautau hei tautuhi i tēnei mate:

• X-ray: Mā tēnei ka āwhina i te tirotiro mō ētahi atu whara , pērā i te wheua whati.
• Whakamātautau ine pēhanga wāhanga: I tēnei whakamātautau, ka werohia e tō tākuta he ngira ki ētahi wāhi o tō puku. Ka inehia e tētahi mīhini e hono ana ki te ngira te pēhanga i roto i tō tinana. Tērā pea he mamae paku tēnei whakamātautau. Kōrero atu ki tō tākuta te nui o te mamae ina werohia te ngira, me te mea he nui ake te mamae o ētahi wāhi i ētahi atu.
• Whakamātautau pēhanga anō: Ki te whakaaro tō tākuta he mate wāhanga pumau tōu, ka mahi anō pea rātou i te whakamātautau pēhanga i muri i tō whakakori tinana. Ka whakataurite rātou i tō pēhanga i mua i te whakakori tinana ki tō pēhanga i muri i te whakakori tinana.

He aha ngā maimoatanga mō te (Compartment Syndrome)?

Ko te maimoatanga mō tēnei ka whakawhirinaki ki te momo mate wāhanga kei a koe.

He āhuatanga ohorere hauora te Compartment Syndrome e hiahia ana kia pokanga tonutia.

Ka pai ake te roa o te mate wāhanga mā te whakarerekē i ētahi mahi whakakori tinana me te okioki.

Te maimoatanga ohorere mō te "Compartment Syndrome"

Ka whakahaerehia e te taote pokanga tētahi tikanga e kiia nei ko te "Fasciotomy." Ko te tikanga o tēnei ko te tapahi i tō kiri me tō fascia hei whakamama i te pēhanga ki te wāhanga uaua e pāngia ana.

Ka katihia te tapahi i muri i te mimiti o te pupuhi me te pēhanga. I ētahi wā, kāore pea e taea tonu tēnei. Mēnā ka tupu tēnei, ka mahi pea te taote pokanga i tētahi hononga kiri . Ko te tikanga tēnei me tango he wahi kiri mai i tētahi atu wāhanga o tō tinana ka kati i te tapahi.

Te rongoā mō te "Compartment Syndrome" mō te wā roa

Ko te mate pukupuku mau tonu (nā te whakakori tinana) ka pai ake mā te whakangā i ngā uaua e pāngia ana, me te whakamutu i te whakamahi nui . Tērā pea ka tūtohu tō tākuta i ēnei mea hei āwhina i te whakahaere i ō tohu me te ārai i te pikinga o te pēhanga:

• Ngā Rongoā: Ka taea te hoko i ngā NSAID ( hei tauira, ibuprofen) me te acetaminophen ( hei tauira, Panadol) i te whare rongoā hei whakaiti i te mumura .Ka āwhina ngā rongoā mamae ki te whakaiti i te pupuhi me te mamae. Heoi, kaua e tangohia ēnei rongoā mō ngā rā neke atu i te 10 me te kore he tohutohu hauora.
• Te whakarerekē i tō mahinga whakangungu: Me mahi pea koe i ngā whakangungu rerekē, iti ake te pānga. Ka huri ētahi tāngata ki te "whakangungu whakawhiti." Arā, te mahi i ngā momo whakangungu rerekē hei utu mō te mahi i te whakangungu kotahi i ia rā. Me whakarerekē pea hoki te wāhi e whakangungu ai koe. Hei tauira, kaua e oma i runga i te rori raima, oma i runga i te ara puhoi ake.
• Whakaora Tinana : Ka taea e te kaiwhakaora tinana te āwhina i a koe ki te whakanui ake i te kaha me te ngāwari o ō uaua e pāngia ana. Ka taea hoki e rātou te whakaatu ki a koe me pēhea te whakakorikori tinana i roto i te huarahi e ārai ai i te hanga o te ahotea me te taumahatanga.
• Ngā orthotics: He whakaurunga ēnei ka whakanohoia ki roto i ngā hu. Ka taea e ēnei te āwhina i te hunga e pāngia ana e te compartment syndrome. Ma tō tākuta koe e kī ko tēhea momo orthotics te mea tika māu.

Mena kāore ētahi atu maimoatanga e whai hua, ki te hoki mai anō rānei te compartment syndrome, me tango pea koe i te fasciotomy . Mā tō tākuta koe e kī atu āhea koe e whakaaro ai ki te pokanga me ngā mea hei tumanako atu.

Kia pēhea te tere o taku pai ake i muri i te maimoatanga?

Ki te pāngia koe e te (Compartment Syndrome) ohorere, me pai ake tō āhua i a koe e ora ana i te pokanga (Fasciotomy). Me okioki te nuinga o te tangata mō te marama i mua i te tīmatanga o te whakamahi anō i te uaua. Ma tō taote pokanga e kī atu ki a koe te roa o te wā e hiahia ana koe ki te tīmata anō ki te neke me te tīmata anō i ngā mahi ā-tinana.

Ka roa pea te wā e whakahaeretia ai te mate wāhanga mau tonu, inā koa i ngā wāhanga tōmua. Tērā pea ka roa pea ētahi marama ki te kimi i tētahi huinga maimoatanga me ngā whakarerekētanga whakakori tinana hei whakahaere i ō tohumate. I a koe e kimi ana i ngā huarahi hei karo i te pēhanga nui rawa ki ngā uaua e pāngia ana, me heke haere ō tohumate.

Me pēhea te ārai i te (Compartment Syndrome)?

Ko te Mate Wāhanga-ā-Wāhanga he mea ka puta ohorere mai i muri i te whara, i te raruraru rānei kāore e taea te whakahaere, nō reira kāore e taea te ārai. Ko te haere ki te rūma whawhati tata tonu ina whakapae koe he mate wāhanga-ā-wāhi tōu te huarahi anake hei ārai i ngā raruraru nui.

Ki te mea kei te whakaaro koe he kikī rawa te pāreti, te takai rānei, ina koa mēnā kei te mamae tonu koe, kei te pupuhi hoki i taua wāhi ahakoa te tango i ngā rongoā whakamamae, me kōrero ki tō tākuta. Ka taea e tō tākuta te whakarerekē i tō tautoko me te ārai i te mate wāhanga.

Ko te huarahi pai hei ārai i te mate wāhanga roa ko te karo i te whakararuraru nui i ō uaua . Whāia ēnei tohutohu hei whakaiti i tō mōrearea:

• Kaua e whakakorikori tinana rawa – Ki te mamae ō uaua, i a koe e whakakorikori tinana ana, i muri rānei i te whakakorikori tinana, kaua e whakaaro he "tākaro noa iho" tēnei i te mamae.
• Whakamahana, totoro hoki i te tinana i mua i te whakakori tinana.
• I muri i ngā mahi uaua, whakamatao, ka totoro tō tinana.
• Whakanuia mārire tō manawanui – kaua e whakanuia ohoreretia te kaha o ō whakangungu tinana.
• Whakarerekētia ō mahi whakakori tinana. Kaua e mahi i te momo whakakori tinana kotahi, i te ara kotahi, i ia rā.
• Ngāna kia kaua e whakakorikori tinana i runga i ngā mata mārō, pērā i te raima me te taera.

He aha ngā mea ka taea e te tangata e pāngia ana e te "Compartment Syndrome" te tumanako?

He tino mamae te mate Compartment Syndrome, engari ina tīmata te rongoā, ka pai ake pea ngā tohu.

Kāore te mate wāhanga e hoki mai anō i muri i te fasciotomy. Heoi, he mea nui kia kitea, kia rongoātia hoki i te wā e taea ai. Ki te roa te wā kāore e rongoatia, ka nui ake te tūponotanga o te kino tuturu.

Ka taea e te mate wāhanga roa te hoki mai anō, ina koa mēnā ka whakanuia ohoreretia e koe tō taumata mahi. Pātai atu ki tō tākuta mō ngā mahi haumaru ka taea e koe te mahi i a koe e ora ana.

E tata ana ki te tau ka taea te hoki haumaru ki ngā mahi tinana uaua.

Me pēhea koe e mōhio ai mēnā kei te pāngia tētahi e te "Compartment Syndrome"?

Ko te tākuta anake ka taea te tautuhi i te mate compartment syndrome. Heoi, kaua e warewarehia ngā tohu pēnei i te mamae o te uaua me te pupuhi. Mena he iti noa te tūponotanga kei a koe te mate compartment syndrome, haere tonu ki te rūma whawhati tata.

Tirohia te tākuta mēnā ka pāngia koe e te mamae, e te pupuhi rānei i muri i te whakakori tinana, inā koa mēnā ka puta pinepine. Ahakoa ehara te "compartment syndrome" i te āhuatanga ohorere e morearea ai te ora, he mea kino tonu.

Ko ētahi e whakaaro ana ki te kīwaha "Kāore he mamae, kāore he hua," engari kāore rawa tēnā e pā ki tēnei āhuatanga. Kāore koe e hiahia kia mamae i muri i te whakakori tinana, i te mahi rānei. He rerekētanga nui i waenga i ngā mamae me ngā mamae pai e pā ana ki a koe i te rā kotahi, e rua rānei i muri i te whakakori tinana uaua, me te mamae e kore ai koe e taea te neke me te kore e mamae nui.

Ki te pā mai he mamae ki tō tinana, ā, ka whakaaro koe kei te hē tetahi mea, me toro atu ki te tākuta. Ahakoa kāore koe i te pāngia e te "compartment syndrome" mō te wā roa, tera pea he whara, he raruraru rānei kei a koe e puta ai ngā tohu.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina kite koe i tō tākuta, he mea pai kia pātai koe i ēnei pātai:

• He aha te momo "(Compartment Syndrome)" kei a au?
• He aha te momo maimoatanga e hiahiatia ana e au?
• Me pokanga ahau?
• Me pēhea taku whakarerekē i taku mahinga whakakori tinana?
• Āhea ahau ka taea ai te tīmata anō i ngā mahi ā-tinana?

Karere Tangohia ki te Kāinga

Ko te Mate Wāhanga he āhuatanga e puta mai ana i te pikinga o te pēhanga huri noa i ngā wāhanga (ngā wāhanga) o te ngākau. He āhuatanga ohorere e morearea ana ki te ora te mate wāhanga whakapeka. Ko te mate wāhanga mau tonu ka taea te whakahaere me te kore pokanga.

Heoi, whakarongo ki tō tinana. Kaua e akiaki i a koe ki te whakangungu, ki te whakakorikori tinana rānei ina mamae koe. He rerekētanga nui i waenganui i te pana haumaru i ō rohe me te tūponotanga o te whara.

Ki te pāngia koe e te mamae rerekē i te wāhi kotahi i muri i ia whakangungu tinana, tirohia tō tākuta. Ka taea e ia te āwhina i a koe ki te kimi huarahi hei whakaiti i te pēhanga i roto i ō pūtau uaua, hei ārai hoki i te mamae ā muri ake nei.

Ki te whara kino koe, i muri i te pokanga, ki te mamae nui rānei koe, ki te pupuhi, ki te ngoikore rānei i a koe e mau ana i te riu, i te takai rānei, haere tonu ki te rūma whawhati tata. Kia maumahara, mā te maimoatanga wawe ka ārai i ngā kino kino.