Kodi minofu yanu imatupa, imathina, komanso ikumva kupweteka kwambiri? Ikhoza kukhala compartment syndrome!

Tangoganizani kuti mwagwa mwamphamvu mukusewera cricket, kapena mwagwa pa njinga ndikuvulala mwendo wanu. Poyamba, kuvulalako kumakhala kowawa, koma patangopita maola ochepa, minofu ya pamalo ovulalayo imalimba, kutupa, komanso kupweteka. Mukakhudza malowo, amamva ngati mwala wolimba. Kodi izi zakuchitikirani? Lero tikulankhula za vuto lomwe lingakhale loopsa lomwe limafuna chithandizo chamankhwala mwachangu, chomwe chimatchedwa Compartment Syndrome.

Kodi matenda a m'chipinda ndi chiyani?

Mwachidule, vuto la compartment syndrome limachitika pamene pali kupanikizika kwambiri kuzungulira minofu yanu. Kupanikizika kumeneku kumalepheretsa kuyenda kwa magazi, mpweya, ndi zakudya m'minofu yanu. Imeneyi ndi vuto lopweteka kwambiri.

Tsopano, taonani, minofu, mitsempha, ndi mitsempha yamagazi m'thupi lathu zimagawidwa m'magulu ang'onoang'ono, kapena "zipinda." Chigawo chilichonse chili ndi nembanemba yokhuthala, yopyapyala yotchedwa ``fascia.'' Zili ngati khungu lozungulira soseji. Ngati pazifukwa zina kupanikizika mkati mwa chipindachi kukuwonjezeka, minofu imayamba kukankhira motsutsana ndi ``fascia'' imeneyo. Apa ndi pamene matenda a Chipinda amachitika.

Ngakhale kuti vutoli lingachitike m'gulu lililonse la minofu, limapezeka kwambiri m'malo otsatirawa:

• Miyendo, makamaka m'dera la m'chiuno.
• Kuphatikizapo manja, zikhatho, ndi zikhatho.
• Pansi.
• Mimba (m'mimba).
• Malo a matako.

Pali mitundu iwiri ikuluikulu ya compartment syndrome:

Vutoli likhoza kugawidwa m'magulu awiri akuluakulu kutengera momwe limachitikira. Ndikofunikira kwambiri kudziwa ziwirizi, chifukwa chimodzi ndi vuto lomwe limafuna chithandizo chadzidzidzi.

Kodi zizindikiro za vutoli ndi ziti?

Zizindikiro zodziwika bwino za compartment syndrome ndi izi:

• Kutupa kooneka: Malo omwe minofu ili amaoneka ngati kutupa ndi kutupa.
• Ululu waukulu: Kuposa ululu wa kuvulala kwachibadwa. Kumamveka ngati minofu ikukanikizidwa kuchokera mkati.
• Kuuma: Ukakhudza ndi dzanja lako, umamva ngati wolimba kwambiri, ngati mwala.
• Ululu potambasula: Ululu woopsa minofu ikatambasula.
• Kusamva bwino: Kumva ngati munthu wataya mphamvu pamalo enaake.
• Kumva kutentha: Kumva kuwawa kapena kutentha pansi pa khungu. M'mawu azachipatala, izi zimatchedwa ``paresthesia''.
• Kudzaza mbolo: Mbolo imamveka yayikulu komanso yodzaza kuposa masiku onse.

Nchifukwa chiyani vuto la compartment syndrome limachitika?

Izi zimachitika pamene kuvulala kapena kupanikizika kosalekeza kumayambitsa kutuluka magazi kapena kutupa mkati mwa minofu. Kupanikizika mkati kumawonjezeka, kukankhira minofu motsutsana ndi fascia.

Chigoba ichi chimatha kutambasuka pang'ono, koma chili ndi malire. Pamene kupanikizika kukupitirira kukula, pamapeto pake chigobacho sichingathenso kutambasuka ndipo chimayamba kufinya minofu, mitsempha, ndi mitsempha yamagazi mkati. Kufinya kumeneko ndiko kumayambitsa ululu waukulu ndi zizindikiro zina.

Izi zili ngati kuyenda mu nsapato yaying'ono tsiku lonse. Palibe vuto kuvala m'mawa, koma mukamayenda tsiku lonse, mapazi anu amatupa pang'ono. Madzulo, nsapatoyo imamva ngati ikufinya mapazi anu. Matenda a chipinda ndi pamene kufinya kwamtunduwu kumachitika mkati mwa thupi. Ndicho chifukwa chake ndi koopsa.

Zifukwa za Matenda Oopsa a Chipinda Chogona

Chifukwa chachikulu cha vutoli ladzidzidzi ndi kuvulala kwakukulu. Mwachitsanzo:

• Ngozi za magalimoto.
• Kugwa kuchokera pamwamba, monga kuchokera pa makwerero kapena padenga.
• Kusweka kwa mafupa: Chiwopsezo cha vutoli chimakhala chachikulu makamaka ngati fupa la fupa la mwendo (tibia) lasweka.
• Kuvulala koopsa komwe kumachitika chifukwa chogwa pansi pa chinthu cholemera.
• Kupweteka kwambiri kwa minofu.
• Mavuto pambuyo pa opaleshoni.
• Kumangirira chivundikiro kapena chivundikiro pa mkono kapena mwendo.
• Kugwira mkono kapena mwendo pamalo omwewo kwa maola ambiri.

Zomwe Zimayambitsa Matenda Osatha a Chipinda Chogona

Izi nthawi zambiri zimachitika pakapita nthawi. Chifukwa chachikulu ndi kuchita masewera olimbitsa thupi nthawi zonse. Mukapitiriza kuchita masewera olimbitsa thupi omwewo, minofu yomweyi imatha kupsinjika ndipo vutoli likhoza kuchitika.

• Kuthamanga
• Kukwera njinga
• Kusambira
• Kukweza zolemera

Kodi dokotala amapeza bwanji izi?

Mukapita kukaonana ndi dokotala, iye adzayamba wafufuza minofu yanu ndi malo ozungulira. Adzakufunsani mafunso okhudza momwe ululu unayambira, zomwe mumachita, komanso ngati ukukulirakulira. Angafunenso kuchotsa matenda ena omwe amayambitsa zizindikiro zofanana, monga tendonitis kapena shin splints.

Kuphatikiza apo, mutha kuchita mayeso monga awa:

• X-ray: Kuyang'ana kuvulala kwina, monga mafupa osweka.
• Kuyesa Kupanikizika kwa Chipinda: Iyi ndi mayeso enieni kwambiri. Mu mayeso awa, dokotala amaika singano yopyapyala mu minofu yanu ndikugwiritsa ntchito makina olumikizidwa nayo kuti ayesere kuthamanga mkati. Izi zitha kukhala zopweteka pang'ono. Muyenera kuuza dokotala wanu za ululu.
• Kubwerezabwereza Kuyeza kwa Kupanikizika: Ngati mukuganiza kuti muli ndi Chronic Compartment Syndrome, dokotala wanu angakupangitseni kuchita masewera olimbitsa thupi kenako n’kuyezanso kuthamanga kwa magazi anu.

Kodi chimachiritsidwa bwanji?

Chithandizocho chimadalira mtundu wa vuto la compartment syndrome lomwe muli nalo.

Matenda a Acute Compartment Syndrome ndi matenda omwe amafunika opaleshoni yadzidzidzi. Opaleshoni iyi imatchedwa ``fasciotomy''. Pachifukwa ichi, dokotalayo amachita opaleshoni ndikudula ``fascia'', nembanemba yolimba yomwe imazungulira minofu. Izi nthawi yomweyo zimamasula kupanikizika komwe kumatsekeredwa mkati ndikubwezeretsa kuyenda kwa magazi. Chilondacho chimatsekedwa kachiwiri pokhapokha kutupa kutachepa kwathunthu. ``kulowetsedwa pakhungu'' kungafunikenso.

Matenda Osatha a Chipinda Cham'chipinda Nthawi zambiri safuna opaleshoni. Angathe kuthandizidwa ndi kupuma komanso kusintha zochita zolimbitsa thupi. Dokotala wanu angakulangizeni mankhwala monga:

• Mankhwala oletsa ululu: Mankhwala monga mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) amatha kuchepetsa kutupa ndi ululu. Koma musagwiritse ntchito mankhwalawa nthawi zonse kwa masiku opitilira 10 popanda upangiri wa dokotala.
• Kusintha chizolowezi chanu chochita masewera olimbitsa thupi: Dokotala akulangizani kuti musinthe chizolowezi chanu chochita masewera olimbitsa thupi ndikuyang'ana kwambiri kuchita masewera olimbitsa thupi opepuka. Mwachitsanzo, kuthamanga m'munda wodzala ndi udzu m'malo mothamanga pamsewu wa konkire.
• Chithandizo cha Thupi:Katswiri wa zamaganizo adzakuphunzitsani masewera olimbitsa thupi kuti akulimbikitseni ndikuwonjezera kusinthasintha kwanu.
• Ma Orthotics: Kugwiritsa ntchito ma insoles apadera (ma orthotics) omwe amaikidwa mkati mwa nsapato kumathandiza kwambiri mapazi.

Pokhapokha ngati mankhwala awa sapereka mpumulo kapena ngati vutoli labwereranso ndi opaleshoni (fasciotomy).

Kodi ndi mavuto otani oopsa omwe angabwere chifukwa cha izi?

Matenda a m'chipinda si chinthu chopepuka. Pamene kupanikizika mkati mwa chipinda cha minofu kukukwera kwambiri, minofuyo imasowa magazi, mpweya, ndi zakudya zomwe zimafunikira.

Matenda a Acute Compartment Syndrome ndi vuto lalikulu lomwe lingayambitse imfa ngati silikuthandizidwa mwachangu. Chifukwa chake , ndikofunikira kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala zizindikiro zikayamba kuonekera.