Kodi muli ndi ululu wosapiririka m'manja ndi m'mapazi anu? Tiyeni tiphunzire za opaleshoni ya Fasciotomy iyi!

Tangoganizani kuti mwavulala kwambiri mwendo wanu pangozi. Patapita kanthawi, minofu yozungulira kuvulalako imatupa, zomwe zimapangitsa ululu wosapiririka, ndipo mwendo wanu umamva ngati wachita dzanzi. Uku si kupweteka kwachibadwa kokha chifukwa cha kuvulala, koma ndi chinthu china choposa pamenepo. Uku kungakhale kuvulala kwadzidzidzi. Pamenepo ndi pamene opaleshoni yomwe tikukamba lero, yotchedwa fasciotomy, ikufunika. Iyi ikhoza kukhala opaleshoni yadzidzidzi yopulumutsa mkono wanu, mwendo, kapena moyo wanu.

Kodi Fasciotomy ndi chiyani?

Mwachidule, fasciotomy ndi opaleshoni yochepetsera kupanikizika kozungulira minofu. Izi zimaphatikizapo kudula nembanemba yolimba (fascia) yomwe imazungulira minofu, ndikutulutsa kupsinjika mkati.

Tiyeni tifotokoze pang'ono izi. Minofu, mitsempha, ndi mitsempha yamagazi m'manja ndi miyendo yathu zonse zakulungidwa pamodzi mu nembanemba yolimba komanso yolimba. Taganizirani izi ngati chivundikiro chozungulira soseji. Mu zamankhwala, nembanemba yolimba iyi timaitcha 'fascia' . Malo onse mkati mwa fascia iyi omwe ali ndi minofu, mitsempha, ndi mitsempha yamagazi amatchedwa 'gawo la minofu.'

Tangoganizani, chimachitika ndi chiyani ngati pali kutupa kwambiri mkati mwa chipinda chino chifukwa cha ngozi inayake? Chifukwa cha thick fascia sheath, kutupako kulibe malo oti kutulukire. Kenako kupanikizika mkati mwa chipindacho kumawonjezeka kwambiri. Ichi ndi chomwe timachitcha 'compartment syndrome' . Chifukwa cha kupanikizika kwakukulu kumeneku, mitsempha yamagazi m'derali imakhala yolimba, ndipo kuyenda kwa magazi kupita ku minofu ndi mitsempha kumatha kuyima. Ngati zimenezo zitachitika, minofuyo imayamba kufa. Pamenepo ndi pamene fasciotomy imachitidwa, kudula thick fascia nembanemba, kutulutsa kupanikizika mkati, ndikubwezeretsa kuyenda kwa magazi.

Kodi vuto la compartment syndrome limachitika bwanji?

Mkhalidwewu ukhoza kuchitika m'njira ziwiri zazikulu.

1. Matenda Oopsa a Chipinda Chogona: Uwu ndi mkhalidwe woopsa kwambiri komanso wadzidzidzi. Nthawi zambiri umachitika ngozi yaikulu itatha. Mwachitsanzo, vutoli likhoza kuchitika chifukwa cha kutupa kwambiri ngozi ya galimoto, monga kusweka kwa fupa kapena kupsinjika kwakukulu kwa minofu. Uwu ndi mkhalidwe womwe umafuna chithandizo chadzidzidzi.

2. Matenda Osatha a Zipinda: Uwu ndi matenda omwe amakula pang'onopang'ono. Nthawi zambiri amapezeka mwa anthu omwe amagwiritsa ntchito minofu mopitirira muyeso, monga othamanga ndi asilikali. Ululu umakula kwambiri akamachita masewera olimbitsa thupi ndipo umakula bwino akamapuma. Ngakhale kuti si vuto ladzidzidzi, limatha kukhala lalikulu pakapita nthawi.

Kodi chimachitika n’chiyani opaleshoni isanachitike komanso ikachitika?

Popeza Acute Compartment Syndrome ndi yadzidzidzi, nthawi zambiri opaleshoni ya fasciotomy simakonzedweratu pasadakhale. Mukalowa m'chipatala cha Emergency Treatment Unit (ETU), madokotala amazindikira vutoli kutengera zizindikiro zanu. Akazindikira zizindikiro monga kupweteka kosapiririka, dzanzi, ndi kufooka kwa mkono kapena mwendo wanu, gulu la opaleshoni lidzakutengerani mwachangu ku chipinda chochitira opaleshoni.

Opaleshoniyi imachitika pansi pa mankhwala oletsa ululu, zomwe zikutanthauza kuti simudzamva kapena kukumbukira chilichonse. Dokotala wa opaleshoniyo:

• Kudula khungu kamodzi kapena kawiri kumachitika pamwamba pa minofu yoyenera.
• Kenako fascia yomwe ili mkati imazindikirika, kudulidwa, ndipo kupanikizika kumatulutsidwa. Zingakhale zofunikira kutulutsa magawo angapo mwanjira iyi.
• Kenako, amafufuza minofu iliyonse yowonongeka kapena yakufa kenako n’kuichotsa. Amaonanso mosamala ngati magazi abwerera m’thupi.
• Kudula kumeneku nthawi zambiri sikumangiriridwa nthawi yomweyo . Zimatenga masiku angapo kuti kutupa kuthe kwathunthu, kotero bala limasiyidwa lotseguka. Nthawi zina chithandizo chotchedwa ``negative pressure wound therapy'' chimagwiritsidwa ntchito kuchepetsa kutupa mwachangu pochotsa madzi m'bala.
• Pakatha masiku angapo, bala limafufuzidwanso ndipo minofu ina yakufa imachotsedwa.
• Chilonda chikatha, chilondacho chimatsekedwa. Nthawi zina, ngati palibe khungu lokwanira kuphimba chilondacho, khungu lochokera mbali ina ya thupi limatengedwa ndikulowetsedwa ('khungu lopachikidwa').
• Pomaliza, bala lakonzedwa bwino ndipo mudzauzidwa nthawi yomwe muyenera kuvala bandeji.

Kodi ubwino ndi zoopsa za opaleshoni ndi ziti?

Monga opaleshoni ina iliyonse, opaleshoni ya fasciotomy ili ndi ubwino wake komanso zoopsa zina. Tiyeni tiwone bwino.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Nchifukwa chiyani physiotherapy ndi yofunika?

Mungamve ululu pang'ono pamene mankhwala oletsa ululu akutha. Dokotala wanu adzakupatsani mankhwala ochepetsa ululu kuti akuthandizeni kuthana ndi ululuwo. Pambuyo pa opaleshoni, chithandizo cha physiotherapy n'chofunikira kuti chikuthandizeni kuyambiranso kuyenda bwino komanso kukhala ndi mphamvu m'derali. Ngati simutero, chiwalo kapena minofu ikhoza kuuma ndipo singayende bwino.

Funso lomwe anthu ena amafunsa ndi lakuti, "Kodi fascia imabwereranso ikadulidwa?" Inde, imachira. Koma imapanga minofu ya zipsera. Ndicho chifukwa chake ndikofunikira kwambiri kuti dera limenelo likhale lotambasuka bwino kudzera mu chithandizo chamankhwala.

Zizindikiro zomwe zimafuna chithandizo chamankhwala mwachangu

Ngati mwavulala kwambiri kapena mwachitidwa opaleshoni ndipo mwakumana ndi zizindikiro zotsatirazi, ndikofunikira kwambiri kupita ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) kuchipatala nthawi yomweyo .

Zizindikiro zomwe zimafunika chisamaliro chachangu:

• Ululu waukulu, wosapiririka womwe ndi woposa kukula kwa kuvulala .
• Kufooka kwakanthawi kwa mkono kapena mwendo, kutanthauza kulephera kuusuntha.
• Ululu wosazolowereka komanso woopsa kwambiri mukatambasula minofu.
• Kusanza, kumva kuwawa (paresthesia).

Ndizachilendo kuti aliyense aziopa akauzidwa kuti ayenera kuchitidwa opaleshoni yadzidzidzi ngati iyi. Koma kumbukirani, fasciotomy ndiyo njira yotetezeka komanso yothandiza kwambiri yothetsera vuto la compartment syndrome. Ngati muli ndi mafunso kapena nkhawa, lankhulani ndi dokotala wanu za iwo momasuka. Alipo kuti akuthandizeni.