He mamae nui tōu i ō ringaringa me ō waewae? Me ako tātou mō tēnei pokanga Fasciotomy!

Whakaarohia kua whara kino tō waewae i roto i tētahi aituā. I muri i tētahi wā, ka pupuhi ngā uaua huri noa i te whara, ka mamae rawa, ā, ka ngoikore tō waewae. Ehara i te mamae noa iho tēnei i te whara, engari he mea nui atu i tēnā. Tērā pea he āhuatanga ohorere hauora tēnei. Koinei te wā e hiahiatia ai te pokanga e kōrerohia nei e tātou i tēnei rā, e kiia nei ko te fasciotomy. Tērā pea he pokanga ohorere tēnei hei whakaora i tō ringa, i tō waewae, i tō ora rānei.

He aha te tikanga māmā o te Fasciotomy?

He whakarāpopototanga noa iho, he pokanga te fasciotomy hei whakamama i te pēhanga huri noa i te uaua. Ko te tikanga o tēnei ko te tapahi i te kiriuhi uaua (fascia) e karapoti ana i te uaua, kia tukuna ai te pēhanga ki roto.

Me whakamārama ake tēnei. Ko ngā uaua, ngā io, me ngā oko toto i roto i ō tātou ringa me ō tātou waewae kua takai katoatia ki roto i tētahi kiriuhi pakari, pakari. Whakaarohia he rite ki te anga e karapoti ana i tētahi hōtiti. I roto i te rongoā, ka kiia tēnei kiriuhi pakari ko 'fascia' . Ko te wāhi katoa i roto i tēnei fascia kei roto ngā uaua, ngā io, me ngā oko toto ka kiia he 'wāhi uaua'.

Whakaarohia, he aha te mea ka tupu mēnā he nui rawa te pupuhi i roto i tēnei wāhanga nā tētahi aituā? Nā te kikī o te uhi fascia, kāore he wāhi e puta ai te pupuhi. Kātahi ka tino piki te pēhanga i roto i taua wāhanga. Koinei te mea e kiia nei e tātou ko te 'compartment syndrome' . Nā te nui rawa o te pēhanga, ka kikī ngā uaua toto i taua wāhi, ā, ka mutu te rere o te toto ki ngā uaua me ngā io. Ki te tupu tēnā, ka tīmata te mate o taua kiko. Ko te wā tēnā e mahia ai he fasciotomy, e tapahi ana i taua kiriuhi fascia kikī, e tuku ana i te pēhanga ki roto, ā, e whakahoki ana i te rere o te toto.

Me pēhea te puta mai o tēnei mate wāhanga?

E rua ngā huarahi matua e puta ai tēnei āhuatanga.

1. Te Mate Pūngao Koretake: Koinei te āhuatanga tino mōrearea, tino ohorere hoki. I te nuinga o te wā ka puta i muri i tētahi aituā nui. Hei tauira, ka puta pea tēnei āhuatanga nā te pupuhi nui i muri i tētahi aituā motuka, pērā i te whati wheua, te whara uaua rānei. He āhuatanga tēnei e hiahia ana ki te maimoatanga hauora ohorere.

2. Te Mate Pūmau o te Wāhanga: He āhuatanga tēnei e whanake haere ana. E kitea ana i roto i te hunga e whakamahi nui ana i te rōpū uaua kotahi, pērā i ngā kaitākaro me ngā hōia. Ka kino ake te mamae i te wā e whakakori tinana ana, ā, ka pai ake i te wā e okioki ana. Ahakoa ehara i te mea ohorere, ka kaha haere te mamae i roto i te wā.

He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?

I te mea he āhuatanga ohorere te Acute Compartment Syndrome, kāore te fasciotomy i te whakaritea i mua. Ina whakaurua koe ki te Emergency Treatment Unit (ETU) o te hōhipera, ka tātaritatia tēnei āhuatanga e ngā tākuta i runga i ō tohumate. Kia tātaritatia e rātou me ngā tohumate pēnei i te mamae kore e taea te pupuri, te ngoikore, me te ngoikore o tō ringa, o tō waewae rānei, ka haria wawetia koe e te tīma pokanga ki te rūma pokanga.

Ka mahia te pokanga i raro i te mate whakamoe whānui, arā, kāore koe e rongo, e mahara rānei ki tetahi mea. Ka mahi te taote pokanga:

• Kia kotahi, kia rua rānei ngā tapahi kiri ka mahia ki runga i te wāhanga uaua e tika ana.
• Kātahi ka tautuhia te fascia o roto, ka tapahia, ā, ka tukuna te pēhanga. Tērā pea me tuku ētahi wāhanga pēnei.
• Kātahi ka tirohia mēnā he kiko kua pakaru, kua mate rānei, kātahi ka tangohia. Ka āta tirotirohia anō hoki mēnā kua hoki mai te rere o te toto.
• Kāore tēnei tapahi e tuia tonutia . E hia ngā rā ka memeha katoa te pupuhi, nō reira ka waiho tuwhera te patunga. I ētahi wā ka whakamahia he maimoatanga e kiia nei ko te "whakaora patunga pēhanga kino" hei whakaiti tere i te pupuhi mā te tango i te wai mai i te patunga.
• I muri i ētahi rā, ka tirohia anō te patunga, ā, ka tangohia atu ngā kiko mate katoa.
• Kia memeha te pupuhi, ka kati te patunga. I ētahi wā, ki te kore e ranea te kiri hei taupoki i te patunga, ka tangohia te kiri mai i tētahi atu wāhanga o te tinana ka whakatōkia (he 'tārua kiri').
• Hei whakamutunga, kua pai te takai o te patunga, ā, ka tohutohungia koe mō te roa o te wā e mau ai te takai.

He aha ngā painga me ngā mōrearea o te pokanga?

Pērā i ngā pokanga katoa, he pai ngā painga o te fasciotomy, me ētahi mōrearea anō hoki. Me titiro matatau atu tātou ki ēnei.

He aha ngā mea ka tupu i muri i te pokanga? He aha te hiranga o te whakaora tinana?

Tērā pea ka pāngia koe e te mamae i te memeha haere o te rongoā whakamoe. Ka hoatu e tō tākuta he rongoā whakamamae hei āwhina i a koe ki te whakahaere i tēnei mamae. I muri i te pokanga, he mea nui te whakaora tinana hei āwhina i a koe ki te hoki mai ki te nekeneke me te kaha i te wāhi. Ki te kore, ka pakari pea te hononga, te uaua rānei, ā, kāore e taea te neke tika.

Ko tētahi pātai e pātaihia ana e ētahi, "Ka ora anō te kiriuhi i muri i te tapahi?" Ae, ka ora anō. Engari ka puta he kiko koha. Koia te mea nui kia totoro pai taua wāhi i roto i te whakaora tinana.

Ngā tohu e hiahia ana kia aro wawe tonu ki te hauora

Mena kua whara kino koe, kua pokanga rānei i ngā wā tata nei, ā, ka pāngia koe e tētahi o ngā tohu e whai ake nei, he mea tino nui kia haere tonu koe ki te Tari Whawhati Tata (ETU) o te hōhipera .

Ngā tohu e hiahia ana kia aro wawe ki a rātou:

• Te mamae nui, kāore e taea te manawanui, kāore e rite ki te nui o te whara .
• Te pararutiki rangitahi o te ringa, o te waewae rānei, arā, te kore e taea te neke.
• He mamae koi, rerekē i te wā e totoro ana te uaua.
• Te ngenge, te mākūkū o te tinana (paresthesia).

He mea noa ki te tangata te mataku ina kīia atu me mahi pokanga ohorere pēnei. Engari kia maumahara, ko te fasciotomy te otinga haumaru me te tino whai hua mō te compartment syndrome. Mena he pātai, he āwangawanga rānei āu, kōrero noa ki tō tākuta mō ēnei mea. Kei reira rātou hei āwhina i a koe.