Kodi minofu yanu ndi yolimba ndipo mukuvutika kwambiri? Izi zitha kukhala Compartment Syndrome!

Kodi mudayamba mwakhala ndi chotupa mwendo kapena mkono chomwe chimamveka ngati mwala, chotupa komanso chopweteka? Nthawi zina chimakhala choposa kuvulala chabe. Lero tikambirana za vuto lomwe ndi lalikulu pang'ono, koma lingathe kuthandizidwa bwino ngati mukudziwa. Limatchedwa ``Compartment Syndrome''.

Kodi ``Compartment Syndrome'' ndi chiyani? Tiyeni timvetse mosavuta, sichoncho?

Mwachidule, `(Compartment Syndrome)` ndi kuwonjezeka kwakukulu kwa kupanikizika m'malo ozungulira minofu yanu . Taganizirani izi motere, minofu m'thupi lathu imasonkhana pamodzi mu "zipinda" zazing'ono kapena "zipinda" (`(Zipinda)`). Chigawo chilichonse chimaphimbidwa ndi nembanemba yopyapyala, yolimba yotchedwa `(Fascia)` . Ili ngati khungu lopyapyala lozungulira soseji , koma lolimba.

Choncho, pamene kupanikizika mkati mwa chipinda chino kukuwonjezeka pazifukwa zina, kaya chifukwa cha kutupa kapena kutuluka magazi, fascia singathe kutambasula kwambiri. Chomwe chimachitika ndi chakuti minofu yonse, mitsempha yamagazi, ndi mitsempha mkati mwa chipindacho zimayamba kufinya. Kufinya kumeneku kumapangitsa kuti magazi azimitsidwa, ndipo mpweya ndi zakudya ku minofu ndi mitsempha zimachepa . Ndicho chomwe chimatchedwa compartment syndrome. Ichi ndi vuto lopweteka kwambiri.

Ngakhale kuti vutoli lingakhudze gulu lililonse la minofu m'thupi, limapezeka kwambiri mu:

• Pa miyendo, makamaka m'malo obisika (tsitsi lomera mkati ndi losiyana, izi ndi zoopsa kwambiri).
• M'manja, kuphatikizapo dzanja (dzanja) ndi kanjedza.
• Pa mapazi.
• M'mimba (m'mimba).
• M'dera la matako.

Pali mitundu iwiri ikuluikulu ya ``Compartment Syndrome``

Timazindikira mitundu iwiri ikuluikulu ya izi. Mtundu ndi chithandizo cha chilichonse ndi zosiyana pang'ono.

1. Matenda Oopsa a Chipinda Chogona

Uwu ndi mtundu woopsa kwambiri . Monga momwe dzina lake limanenera, uwu ndi vuto lomwe limachitika mwadzidzidzi . Nthawi zambiri limachitika munthu akavulala kwambiri. Taganizirani ngati ngozi yaikulu, kugwa kuchokera kutalika, kapena kusweka fupa.

Izi ndi zadzidzidzi zachipatala! Ngati mukukayikira kuti muli ndi vuto la compartment syndrome, muyenera kupita kuchipatala nthawi yomweyo . Chifukwa ngati simulandira chithandizo mwachangu, zingayambitse kuwonongeka kwa minofu kosatha, kufooka kwa ziwalo , kapena imfa. Zikumveka zoopsa, eti? Koma kudziwa bwino ndiye chinthu chofunikira kwambiri.

2. Matenda a Chipinda Chosatha

Izi sizili mwadzidzidzi monga momwe zimakhalira mwadzidzidzi. Izi ndi matenda omwe amayamba pang'onopang'ono komanso kwa nthawi yayitali.Izi zimachitika makamaka kwa anthu ochita masewera olimbitsa thupi mopitirira muyeso komanso ochita masewera olimbitsa thupi. Ndicho chifukwa chake madokotala nthawi zina amatcha "Matenda Omwe Amayambitsidwa ndi Kuchita Masewera Olimbitsa Thupi ." Ngakhale kuti izi si zadzidzidzi, zimatha kukhala zopweteka kwambiri.

Kodi ``Compartment Syndrome’’ ndi yofala bwanji?

Ndipotu, matenda a mwadzidzidzi a compartment syndrome si ofala kwambiri. Ngakhale ku United States, amapezeka mwa anthu osakwana 10 pa anthu 100,000 pachaka. Komabe, anthu omwe avulalapo, monga kusweka kwa mafupa, ali ndi mwayi waukulu wodwala matendawa . Mwachitsanzo, kafukufuku wapeza kuti pafupifupi 10% ya anthu omwe athyoka tibia (fupa lalikulu pansi pa bondo) akhoza kukhala ndi matenda a compartment syndrome.

Kodi zizindikiro za `(Compartment Syndrome)` ndi ziti?

Tsopano tiyeni tiwone zizindikiro zake. Ngati muli ndi zizindikiro zochepa chabe, muyenera kuonana ndi dokotala.

• Kutupa kapena kutupa kooneka mozungulira chipolopolo cha nyama.
• Kupweteka kwambiri kwa minofu. Izi zimakhala zovuta kwambiri kuposa ululu womwe mumamva nthawi zambiri mukamachita masewera olimbitsa thupi. Zingamveke ngati mpeni ukukubayani.
• Kapangidwe kolimba. Ukakhudza, umatha kumveka wolimba ngati mwala.
• Ululu waukulu ukatambasula.
• Kusanza (`(Kusanza)`).
• Kumva kuwawa kapena kutentha pansi pa khungu (`(Paresthesia)`). Monga nyerere zomwe zikuthamanga mozungulira, kapena ngati minga zomwe zikubaya.
• Kumva ngati nyamayo ndi yokhuta, yolimba, komanso yayikulu kuposa yachibadwa.

Kodi chifukwa chachikulu cha `(Compartment Syndrome)` ndi chiyani?

Monga ndanenera kale, chifukwa chachikulu cha izi ndi kuwonjezeka kwa kuthamanga kwa magazi mkati mwa chipinda cha nyama . Kuthamanga kumeneku kumawonjezeka chifukwa cha kutupa kapena kutuluka magazi, mwina chifukwa cha kuvulala kapena kupsinjika maganizo kosalekeza.

Chigoba cha fascia chimatha kutambasuka pang'ono, koma chili ndi malire. Pamene kupanikizika kukupitirira kukula, chigobacho sichingathenso kugwira ntchito. Pamenepo minofu ndi mitsempha mkati mwake zimayamba kufinya. Kufinya kumeneku ndiko kumayambitsa ululu ndi zizindikiro zina.

Tangoganizani mukuyenda tsiku lonse mu nsapato zazing'ono kwambiri kuposa kukula kwanu. Zingakhale bwino kuvala m'mawa. Koma tsiku likamapita, mukamayenda, mapazi anu amayamba kutupa. Pamapeto pa tsikulo, nsapato zomwe mumaganiza kuti "ndizoyenera" zimamveka ngati zomangira zachitsulo zikufinya mapazi anu. Matenda a chipinda ndi ofanana, koma ndi owopsa kwambiri chifukwa kupanikizika kumeneku kumawonjezeka mkati mwa thupi.

Zomwe zimayambitsa matenda a compartment syndrome zimasiyana malinga ndi mtundu wake.

Zifukwa za mwadzidzidzi "Compartment Syndrome"

Kuvulala kwambiri ndiye chifukwa chachikulu cha izi.

• Ngozi za magalimoto.
• Kugwa kuchokera pamwamba (monga kuchokera padenga, makwerero).
• Kusweka kwa Mafupa.
• Kuvulala koopsa komwe kumachitika chifukwa cha kugwa kwa chinthu pathupi.
• Kuvulala kwambiri kwa minofu.
• Ngozi zamasewera.
• Mavuto pambuyo pa opaleshoni.
• Mavuto omwe amabwera chifukwa cha thin cast kapena splint.
• Kupsinjika maganizo chifukwa chokhala pamalo omwewo kwa maola ambiri osasuntha mkono kapena mwendo. (Mwachitsanzo, munthu amene wakhala chikomokere atamwa mowa angakumane ndi izi).

Zifukwa za `(Compartment Syndrome)` yayitali

Izi nthawi zambiri zimachitika pang'onopang'ono pakapita nthawi. Kuchita masewera olimbitsa thupi pafupipafupi komanso kolimba ndiye chifukwa chachikulu. Mukapitiriza kuchita masewera olimbitsa thupi omwewo, minofu yomweyi imatha kupsinjika ndipo kupanikizika kumatha kuwonjezeka.

• Kuthamanga (`(Kuthamanga)`).
• Kukwera njinga (`(Kukwera njinga)`).
• Kusambira (`(Kusambira)`).
• Kunyamula zolemera (`(Kunyamula zolemera)`).

Kuwonjezera pa izi, ngakhale kuti ndi zachilendo, kuyenda mobwerezabwereza kwa nthawi yayitali , kaya kuntchito kapena ngati chizolowezi, kungayambitsenso vuto la compartment syndrome.

Kodi zinthu zoopsa ndi ziti?

Matenda a m'chipinda amatha kufalikira mwa aliyense pambuyo pa ngozi yadzidzidzi.

Komabe, othamanga ndi omwe amagwira ntchito molimbika thupi amakhala ndi mwayi wochita masewera olimbitsa thupi mopitirira muyeso ndikukhala ndi "Compartment Syndrome" kwa nthawi yayitali.

Komanso, chiopsezochi chikhoza kuwonjezeka pang'ono kwa anthu omwe ali ndi matenda a magazi monga hemophilia .

Kodi mavuto omwe angakhalepo chifukwa cha `(Compartment Syndrome)` ndi ati?

Izi zingayambitse mavuto aakulu.

Ngati kupanikizika mu chipinda cha nyama kukukwera kwambiri, minofu (`(Minofu)`) siilandira magazi atsopano okwanira, mpweya, ndi michere . Izi zingayambitse imfa ya minofu (`(Necrosis)`) . Ngati izi zitachitika, ndiye kuwonongeka kosatha .

Matenda a m'chipinda chimodzi amatha kupha ngati sakuchiritsidwa mwachangu. Ndicho chifukwa chake tikukulimbikitsani kupita kuchipatala nthawi yomweyo ngati muli ndi kukayikira pang'ono.

Kodi madokotala amazindikira bwanji ``(Compartment Syndrome)''?

Dokotala adzazindikira izi mwa kukufufuzani mwakuthupi ndikukuyesani zina. Adzafufuza mosamala minofu yanu ndi malo ozungulira. Angayesenso kuchotsa matenda ena omwe angayambitse zizindikiro zofanana, monga kutupa kwa minofu ( kutupa kwa minofu) kapena kupweteka kwa minofu ( kupweteka kwa fupa la shin).

Uzani dokotala wanu momveka bwino zomwe munkachita pamene munayamba kumva ululu ndi zizindikiro zina, komanso zinthu zomwe zimapangitsa kuti zizindikirozo zikhale zoipiraipira kapena zoipiraipira.

Mayeso ozindikira `(Compartment Syndrome)`

Dokotala angagwiritse ntchito mayeso angapo kuti adziwe vutoli:

• X-ray: Izi zimathandiza kufufuza kuvulala kwina, monga kusweka kwa fupa.
• Kuyesa kwa kupanikizika kwa chipinda: Mu mayeso awa, dokotala wanu amaika singano m'malo angapo m'mimba mwanu. Makina olumikizidwa ndi singano amayesa kupanikizika mkati mwa thupi lanu. Kuyesa kumeneku kungakhale kopweteka pang'ono. Uzani dokotala wanu momwe zimapweteka singano ikalowetsedwa, komanso ngati malo ena amapweteka kwambiri kuposa ena.
• Kubwerezabwereza mayeso a kuthamanga kwa magazi: Ngati dokotala wanu akuganiza kuti muli ndi vuto la kupuma movutikira, akhoza kuchitanso mayeso a kuthamanga kwa magazi mukatha kuchita masewera olimbitsa thupi. Adzayerekeza kuthamanga kwa magazi musanayambe kuchita masewera olimbitsa thupi ndi kuthamanga kwa magazi mutatha kuchita masewera olimbitsa thupi.

Kodi mankhwala a `(Compartment Syndrome)` ndi ati?

Chithandizo cha izi chimadalira mtundu wa matenda omwe muli nawo m'chipinda chimodzi.

Matenda a m'chipinda ndi vuto ladzidzidzi lomwe limafuna opaleshoni yachangu.

Matenda a nthawi yayitali omwe amakhudza ziwalo za thupi nthawi zambiri amakula ndi kusintha pang'ono pa zochita zanu zolimbitsa thupi komanso kupuma.

Chithandizo chadzidzidzi cha ``Compartment Syndrome``

Dokotala wochita opaleshoni adzachita opaleshoni yotchedwa "Fasciotomy." Izi zimaphatikizapo kudula khungu lanu ndi fascia kuti achepetse kupanikizika kwa minofu yomwe yakhudzidwa.

Kuduladulako kumatsekedwa kutupa ndi kupanikizika zitachepa. Nthawi zina izi sizingatheke nthawi yomweyo. Ngati izi zitachitika, dokotala wa opaleshoni angachite opaleshoni yopalira khungu . Izi zikutanthauza kutenga chidutswa cha khungu kuchokera mbali ina ya thupi lanu ndikutseka kudulako.

Chithandizo cha "Compartment Syndrome" ya nthawi yayitali

Matenda a compartment omwe amayamba chifukwa cha kuchita masewera olimbitsa thupi nthawi zambiri amakula mwa kupumula minofu yomwe yakhudzidwa ndikusiya kugwiritsa ntchito mopitirira muyeso . Dokotala wanu angakupatseni malangizo otsatirawa kuti akuthandizeni kuthana ndi zizindikiro zanu ndikupewa kupanikizika kwina:

• Mankhwala: Mankhwala oletsa kutupa (NSAIDs) ( monga ibuprofen) kapena acetaminophen ( monga Panadol) atha kugulidwa ku pharmacy kuti achepetse kutupa .Mankhwala ochepetsa ululu angathandize kuchepetsa kutupa ndi ululu. Komabe, musamwe mankhwala awa kwa masiku opitilira 10 popanda upangiri wa dokotala.
• Kusintha chizolowezi chanu chochita masewera olimbitsa thupi: Mungafunike kuchita masewera olimbitsa thupi osiyanasiyana, osakhudza kwambiri thupi. Anthu ena amasintha n’kuyamba kuchita masewera olimbitsa thupi osiyanasiyana m’malo mochita masewera olimbitsa thupi omwewo tsiku lililonse. Mungafunikenso kusintha malo omwe mumachita masewera olimbitsa thupi . Mwachitsanzo, m’malo mothamanga pamsewu wa konkire, thamangani panjira yocheperako pang’ono.
• Chithandizo cha Thupi : Katswiri wa physiotherapy angakuthandizeni kuwonjezera mphamvu ndi kusinthasintha kwa minofu yanu yokhudzidwa. Angakuwonetseninso momwe mungachitire masewera olimbitsa thupi m'njira yoti mupewe kupsinjika ndi kupsinjika.
• Ma Orthotics: Izi ndi zoyika mkati mwa nsapato. Izi zingathandize anthu omwe ali ndi vuto la compartment syndrome. Dokotala wanu adzakuuzani mtundu wa ma orthotics omwe ndi oyenera kwa inu.

Ngati njira zina zothandizira sizikugwira ntchito, kapena ngati vuto la compartment syndrome litabwereranso, mungafunike kuchitidwa opaleshoni ya fasciotomy . Dokotala wanu adzakuuzani nthawi yoti muganizire za opaleshoni komanso zomwe mungayembekezere.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Ngati mwakumana ndi `(Compartment Syndrome)` mwadzidzidzi muyenera kumva bwino pamene mukuchira opaleshoni ya `(Fasciotomy)`. Anthu ambiri amafunika kupuma kwa mwezi umodzi asanayambenso kugwiritsa ntchito minofu. Dokotala wanu adzakuuzani nthawi yomwe idzatenge kuti muyambenso kuyenda ndikuyambiranso kuchita masewera olimbitsa thupi.

Kusamalira matenda osatha a compartment syndrome kungatenge nthawi, makamaka kumayambiriro. Zingatenge miyezi ingapo kuti mupeze njira zosiyanasiyana zochiritsira ndi kusintha masewera olimbitsa thupi zomwe zimawongolera zizindikiro zanu. Pamene mukupeza njira zopewera kukakamiza kwambiri minofu yokhudzidwa, zizindikiro zanu ziyenera kuchepa pang'onopang'ono.

Kodi mungapewe bwanji `(Compartment Syndrome)`?

Matenda a m'chipinda ndi chinthu chomwe chingachitike mwadzidzidzi mutavulala kapena chifukwa cha vuto lomwe simungathe kulithetsa, kotero silingathe kupewedwa. Kupita kuchipatala chadzidzidzi mukangoganiza kuti muli ndi matenda a m'chipinda ndiyo njira yokhayo yopewera mavuto aakulu.

Ngati mukumva ngati pulasitala kapena bandeji yathina kwambiri, makamaka ngati mukumvabe ululu ndi kutupa m'dera limenelo ngakhale mutamwa mankhwala ochepetsa ululu, uzani dokotala wanu za vutoli. Dokotala wanu akhoza kusintha chithandizo chanu ndikupewa vuto la compartment syndrome.

Njira yabwino yopewera matenda a nthawi yayitali ndi kupewa kupsinjika kwambiri minofu yanu . Tsatirani malangizo awa kuti muchepetse chiopsezo chanu:

• Pewani kuchita masewera olimbitsa thupi mopitirira muyeso - Ngati minofu yanu ikupweteka, kaya panthawi yochita masewera olimbitsa thupi kapena mutatha, musaganize kuti ndi "kusewera ndi ululu."
• Dzitenthetseni ndi kutambasula thupi lanu musanayambe kuchita masewera olimbitsa thupi.
• Mukachita zinthu zovuta, ziziziritsani ndi kutambasula thupi.
• Wonjezerani kupirira kwanu pang'onopang'ono - musawonjezere mwadzidzidzi mphamvu ya masewera olimbitsa thupi anu.
• Sinthani masewera olimbitsa thupi anu. Yesetsani kupewa kuchita masewera olimbitsa thupi omwewo, mofanana, tsiku lililonse.
• Yesetsani kupewa kuchita masewera olimbitsa thupi pamalo olimba komanso olimba monga simenti ndi matailosi.

Kodi munthu amene ali ndi "Compartment Syndrome" angayembekezere chiyani?

Matenda a m'chipinda angakhale vuto lopweteka kwambiri, koma mukayamba kulithetsa, zizindikiro zake ziyenera kutha.

Matenda a m'chipinda nthawi zambiri sabwereranso pambuyo pa opaleshoni ya fasciotomy. Komabe, ndikofunikira kuzindikira ndi kuchiza mwamsanga. Ngati sachiritsidwa kwa nthawi yayitali, chiopsezo cha kuwonongeka kosatha chimakula.

Matenda a nthawi yayitali omwe amakhudza ziwalo za thupi angabwerenso, makamaka ngati mwadzidzidzi mwawonjezera kuchuluka kwa zochita zanu. Funsani dokotala wanu za zochita zotetezeka zomwe mungachite mukachira.

Zingatenge pafupifupi chaka chimodzi kuti munthu abwererenso kuchita masewera olimbitsa thupi mwamphamvu.

Kodi mungadziwe bwanji ngati munthu ali ndi "Compartment Syndrome"?

Dokotala yekha ndi amene angazindikire matenda a compartment syndrome. Komabe, musanyalanyaze zizindikiro monga kupweteka kwa minofu ndi kutupa. Ngati pali mwayi wochepa woti mungakhale ndi matenda a compartment syndrome, pitani kuchipatala mwamsanga.

Pitani kwa dokotala ngati mukumva kupweteka kapena kutupa mutatha kuchita masewera olimbitsa thupi, makamaka ngati kumachitika kawirikawiri. Ngakhale kuti ``compartment syndrome`` yayitali si vuto lalikulu lomwe lingawononge moyo, koma ndi loopsa kwambiri.

Anthu ena amaganiza za mawu akuti "Palibe ululu, palibe phindu," koma zimenezo sizikugwira ntchito pankhaniyi konse. Simukufuna kumva ululu mukatha kuchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi. Pali kusiyana kwakukulu pakati pa ululu wosangalatsa womwe mumamva tsiku limodzi kapena awiri mutatha kuchita masewera olimbitsa thupi ovuta komanso ululu womwe umakupangitsani kuti musathe kuyenda popanda ululu waukulu.

Ngati mukumva kupweteka m'thupi lanu komwe kumakupangitsani kuganiza kuti pali vuto, pitani kwa dokotala. Ngakhale mutakhala kuti mulibe "compartment syndrome" ya nthawi yayitali, mutha kukhala ndi kuvulala kwina kapena vuto lomwe limayambitsa zizindikirozo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso ngati awa:

• Kodi ndi mtundu wanji wa ``(Compartment Syndrome)'' womwe ndili nawo?
• Kodi ndi chithandizo chamtundu wanji chomwe ndikufunika?
• Kodi ndiyenera kuchitidwa opaleshoni?
• Kodi ndingasinthe bwanji nthawi yanga yochita masewera olimbitsa thupi?
• Kodi ndiyamba liti kuchita masewera olimbitsa thupi?

Uthenga Wopita Nawo Kunyumba

Matenda a Compartment Syndrome ndi matenda omwe amayamba chifukwa cha kupanikizika kwambiri kuzungulira zipinda za mtima. Matenda a acute compartment syndrome ndi vuto lalikulu lomwe lingayambitse imfa. Matenda a chronic compartment syndrome nthawi zambiri amatha kuchiritsidwa popanda opaleshoni.

Komabe, mverani thupi lanu. Musadzikakamize kuchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi mukakhala ndi ululu. Pali kusiyana kwakukulu pakati pa kuchita masewera olimbitsa thupi mosamala komanso kuvulala.

Ngati mukumva kupweteka kosazolowereka m'dera lomwelo mukatha kuchita masewera olimbitsa thupi, onani dokotala wanu. Iye angakuthandizeni kupeza njira zochepetsera kuthamanga kwa magazi mkati mwa maselo anu a minofu ndikupewa kupweteka mtsogolo.

Ngati mwavulala kwambiri, mutachita opaleshoni, kapena ngati mukumva kupweteka kwambiri, kutupa, kapena dzanzi mukuvala pulasitala kapena bandeji, pitani kuchipatala mwamsanga. Kumbukirani kuti chithandizo choyambirira chingalepheretse kuwonongeka kwakukulu.