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.