Fungidzira kuti unodonha nesimba uchitamba cricket, kana kuti unodonha kubva pabhasikoro wokuvara gumbo rako. Pakutanga, kukuvara kwacho kunorwadza, asi mukati memaawa mashoma, tsandanyama dziri munzvimbo yakakuvara dzinooma, dzinozvimba, uye dzinorwadza. Paunobata nzvimbo yacho, inonzwa yakaoma sedombo. Izvi zvakaitika kwauri here? Nhasi tiri kutaura nezvechirwere chinogona kuva nengozi chinoda kurapwa nekukurumidza, chinonzi Compartment Syndrome.
Chii chinonzi chirwere ichi chemukamuri?
Zvichitaurwa zviri nyore, compartment syndrome inoitika kana paine kumanikidzwa kwakawandisa kwakakomberedza tsandanyama dzako. Kumanikidzwa uku kunoderedza kufamba kweropa, okisijeni, uye zvinovaka muviri mutsandanyama dzako. Ichi chirwere chinorwadza zvikuru.
Zvino, tarisai, tsandanyama, tsinga, netsinga dzeropa mumuviri wedu zvakarongwa mumapoka madiki, kana kuti "zvikamu." Chikamu chimwe nechimwe chezvikamu izvi chakafukidzwa neganda gobvu, rakatetepa rinonzi ``fascia.'' Zvakafanana neganda rakatenderedza soseji. Kana nekuda kwechimwe chikonzero kumanikidzwa kuri mukati mechikamu ichi kukawedzera, tsandanyama dzinotanga kudzvanya pa "fascia" iyoyo. Ndipo panoitika Compartment Syndrome.
Kunyangwe chirwere ichi chichigona kuitika mune chero boka retsandanyama, chinonyanya kuonekwa munzvimbo dzinotevera:
- Makumbo, kunyanya munzvimbo yehudyu.
- Kusanganisira maoko, zvanza, uye zvigunwe.
- Pasi.
- Dumbu (dumbu).
- Nzvimbo yemagaro.
Kune mhando mbiri huru dze compartment syndrome:
Dambudziko iri rinogona kukamurwa kuita mhando mbiri huru zvichienderana nekuti rinoitika sei. Zvakakosha kuziva izvi zviviri, nekuti chimwe chirwere chinoda kurapwa nekukurumidza.
| Rudzi rweCompartment Syndrome | Tsananguro |
|---|---|
| Chirwere cheAcute Compartment | Izvi zvinoitika kamwe kamwe, kazhinji mushure mekukuvara kwakanyanya. Uku kurwara kwakanyanya . Kana uchifunga kuti une dambudziko iri, unofanira kuenda kuchipatara nekukurumidza. Kana rikasarapwa nekukurumidza, rinogona kukonzera kukuvara kwetsandanyama zvachose, kuoma mitezo, kana kutofa. |
| Chirwere Chisingaperi Chemukamuri (chirwere chenguva refu) | Ichi chirwere chinokura zvishoma nezvishoma nekufamba kwenguva. Chinowanzoitika mushure mekurovedza muviri kwakaoma kana mitambo. Chinonziwo "Exertional Compartment Syndrome". Kazhinji hachisi chinhu chekukurumidzira, asi chinogona kurwadza zvikuru. |
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zvinonyanya kuzivikanwa zve compartment syndrome ndeizvi:
- Zvichionekwa kuti zvakazvimba: Nzvimbo ine tsandanyama inoita seyakazvimba uye yakazvimba.
- Kurwadziwa kwakanyanya: Kunopfuura kurwadziwa kwekukuvara kwakajairika. Zvinonzwa sekunge tsandanyama dziri kudzvanywa kubva mukati.
- Kuoma: Paunoibata neruoko rwako, inonzwa yakaoma zvikuru, sedombo.
- Marwadzo pakutambanudza: Marwadzo anorwadza kana tsandanyama dzatambanudza.
- Kushaya simba: Kunzwa kurasikirwa nemanzwiro munzvimbo.
- Kunzwa kupisa: Kunzwa kutsva kana kurira pasi peganda. Mukurapa, izvi zvinonzi "paresthesia".
- Kuzara kwenhengo yemurume: Nhengo yemurume inonzwa yakakura uye yakazara kupfuura zvakajairika.
Zvakakosha: Kunyanya muAcute Compartment Syndrome, kurwadziwa uku kwakanyanya zvekuti hakuperi kunyangwe nemishonga inopedza marwadzo yenguva dzose.
Sei chirwere ichi che compartment syndrome chichiitika?
Izvi zvinoitika kana kukuvara kana kumanikidzwa kwenguva refu kuchikonzera kubuda ropa kana kuzvimba mukati memhasuru. Kumanikidzwa kuri mukati kunobva kwawedzera, kuchisundidzira tsandanyama pa fascia.
Iyi fascia inogona kutambanuka zvishoma, asi ine muganho. Sezvo kumanikidzwa kuri kuramba kuchikura, pakupedzisira fascia haichakwanise kutambanuka uye inotanga kudzvanya tsandanyama, tsinga, netsinga dzeropa mukati. Kudzvanya ikoko ndiko kunokonzera kurwadziwa uku kwakanyanya nezvimwe zviratidzo.
Izvi zvakafanana nekufamba-famba wakapfeka shangu diki zuva rese. Hazvina kuipa kudzipfeka mangwanani, asi sezvaunofamba-famba zuva rese, tsoka dzako dzinozvimba zvishoma. Manheru, shangu dzacho dzinenge dzave kudzvanya tsoka dzako, zvichiita kuti dzisanyanya kutsungiririka. Compartment Syndrome inguva iyo rudzi urwu rwekudzvanya runoitika mumuviri. Ndosaka zvine njodzi.
Zvinokonzera Acute Compartment Syndrome
Chikonzero chikuru chechirwere ichi chinowanzoitika kukuvara kwakanyanya. Semuenzaniso:
- Njodzi dzemotokari.
- Kudonha kubva pakakwirira, senge kubva pamanera kana padenga.
- Kutyoka: Njodzi yechirwere ichi yakanyanya kukwira kana pfupa remuchiuno (tibia) rakatyoka.
- Kukuvara kwakakomba kunokonzerwa nekuwira pasi pechinhu chinorema.
- Kurwadziwa kwakanyanya kwetsandanyama.
- Matambudziko mushure mekuvhiyiwa.
- Kusunga chibato kana kuti jira rekusimbisa ruoko kana gumbo.
- Kuva neruoko kana gumbo rakanamira panzvimbo imwe chete kwemaawa.
Zvinokonzera Chirwere Chisingaperi Chemukamuri
Izvi zvinowanzoitika nekufamba kwenguva. Chikonzero chikuru ndechekuita maekisesaizi akasimba nguva dzose. Kana ukaramba uchiita maekisesaizi akafanana, boka rimwe chete retsandanyama rinogona kushushikana uye izvi zvinogona kuitika.
- Kumhanya
- Kutasva bhasikoro
- Kushambira
- Kusimudza simbi
Chiremba anowana sei izvi?
Paunoenda kunoona chiremba, ndiye anotanga aongorora mitsipa yako nenzvimbo dzakapoteredza. Vachakubvunza mibvunzo yekuti kurwadziwa kwakatanga sei, zvaunoita, uye kana kuri kuwedzera. Vangangodawo kubvisa zvimwe zvirwere zvinokonzera zviratidzo zvakafanana, zvakaita se tendonitis kana shin splints.
Uye zvakare, unogona zvakare kuita bvunzo dzakadai se:
- X-ray: Kuongorora mamwe maronda, akadai semapfupa akatyoka.
- Kuyerwa kweKumanikidzwa kwechikamu: Uku ndiko kuyedzwa kwakanyatsojeka. Mukuyedzwa uku, chiremba anoisa tsono nhete mutsandanyama yako uye anoshandisa muchina wakabatana nayo kuyera kumanikidzwa kuri mukati. Izvi zvinogona kurwadza zvishoma. Unofanira kuudza chiremba wako nezvekurwadziwa.
- Kudzokorora Kuongororwa Kwepfungwa: Kana uchifungidzira kuti une Chronic Compartment Syndrome, chiremba wako anogona kukuita kuti uite maekisesaizi uye ozoongorora BP yako zvakare.
Inorapwa sei?
Kurapwa kunoenderana nerudzi rwechirwere chemudumbu chaunacho.
Acute Compartment Syndrome chirwere chinoda kuvhiyiwa kwechimbichimbi. Kuvhiyiwa uku kunonzi "fasciotomy". Pakuita izvi, chiremba anovhiya obva abvisa "fascia", membrane yakasimba yakakomberedza tsandanyama. Izvi zvinosunungura kumanikidzwa kwakavharirwa mukati uye zvinodzorera kuyerera kweropa. Ronda rinovharwa zvakare mushure mekunge kuzvimba kwapera zvachose. "Kuiswa kweganda" kunogonawo kudiwa.
Chirwere Chisingaperi Chemukamuri Kazhinji hachidi kuvhiyiwa. Chinogona kugadziriswa nekuzorora uye kuchinja maitiro ekurovedza muviri. Chiremba wako anogona kukurudzira kurapwa kwakadai se:
- Mishonga inouraya marwadzo: Mishonga yakaita semishonga isingashandisi masteroidal anti-inflammatory (NSAIDs) inogona kuderedza kuzvimba nekurwadziwa. Asi usashandise mishonga iyi nguva dzose kwemazuva anopfuura gumi usina kurairwa nachiremba.
- Kuchinja maitiro ako ekurovedza muviri: Chiremba anokukurudzira kuti uchinje maitiro ako ekurovedza muviri uye utarise pakuita maekisesaizi akareruka. Semuenzaniso, kumhanya mumunda une uswa pane kumhanya mumugwagwa wekongiri.
- Kurapa Kwemuviri:Nyanzvi yekurovedza muviri ichakudzidzisa maekisesaizi ekusimbisa nekuvandudza kuchinjika kwako.
- MaOrthotics: Kushandisa ma insoles chaiwo (orthotics) akaiswa mukati meshangu kunotsigira tsoka zvakanaka.
Kana kurapwa uku kusingape zororo kana chirwere chacho chikadzokazve chikaongororwa nekuvhiyiwa (fasciotomy).
Ndezvipi zvinetso zvine njodzi zvinogona kuitika kubva pane izvi?
Chirwere cheCompartment Syndrome hachisi chinhu chekurerutsa. Kana kumanikidzwa kuri mukati mechikamu chetsandanyama kukanyanya, nyama dzinoshaya ropa, okisijeni, uye zvinovaka muviri zvinodiwa.
Izvi zvinoita kuti nyama itange kufa. Izvi zvinonzi necrosis . Izvi zvinogona kukonzera kukuvara kwetsandanyama zvachose .
Chirwere cheAcute Compartment Syndrome chirwere chinouraya kana chikasarapwa nekukasika. Saka , zvakakosha kuenda kuchipatara Emergency Department (ETU) kana zviratidzo zvangoonekwa.
Mharidzo Yekuenda Nayo Kumba
- Compartment Syndrome chirwere chakakomba chinokonzera kumanikidzwa kwakanyanya mukati memhasuru.
- Chirwere cheAcute Compartment Syndrome chirwere chekurapa chinoitika mushure metsaona uye chinoda kurapwa nekukasika. Kana ukanzwa kurwadziwa kwakanyanya, kuzvimba, kana kuomarara, usatambisa nguva uye enda kuEmergency Department (ETU) nekukasika.
- Chirwere Chisingaperi Chemukamuri Chinokonzerwa nekurovedza muviri zvakanyanya. Chinowanzo gadziriswa nekuzorora uye kuchinja maitiro ako ekurovedza muviri.
- Usambofa wakafuratira kurwadziwa kwetsandanyama kwakanyanya, kusingawanzoitiki. Chirevo chekuti "hapana kurwadziwa, hapana kuwedzera" hachishandi pano. Nguva dzose bvunza chiremba wako.
- Kana uine plaster pauri, kana ichiita seyakabatirira, kana kuti kana uchirwadziwa, zivisa chiremba wako nekukasika.
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