Tsandanyama dzako dzakasimba uye dziri kurwadziwa zvakanyanya here? Izvi zvinogona kunge zviri "Compartment Syndrome"!

Wakambova nebundu mugumbo kana ruoko rwako rinoita sedombo, rakazvimba uye rinorwadza here? Dzimwe nguva rinopfuura kungokuvara chete. Nhasi tichataura nezvechirwere chakakomba zvishoma, asi chinogona kurapwa zvakanaka kana uchiziva nezvacho. Chinonzi "Compartment Syndrome".

Chii chinonzi "Compartment Syndrome"? Ngatizvinzwisise zviri nyore, handiti?

Zvichitaurwa zviri nyore, `(Compartment Syndrome)` kuwedzera kwakanyanya kwekumanikidzwa munzvimbo yakatenderedza tsandanyama dzako . Funga nezvazvo nenzira iyi, tsandanyama dziri mumuviri wedu dzakaungana pamwe chete mu "makamuri" madiki kana "makamuri" (`(Compartments)`). Chikamu chimwe nechimwe chezvikamu izvi chakafukidzwa neganda rakatetepa, rakasimba rinonzi `(Fascia)` . Zvakafanana neganda rakatetepa rakatenderedza soseji , asi rakasimba.

Saka, kana kumanikidzwa kuri mukati mechikamu ichi kukawedzera nekuda kwechimwe chikonzero, kungave kuri nekuda kwekuzvimba kana kubuda ropa, fascia haigone kutambanudza zvakanyanya. Chinoitika ndechekuti tsandanyama dzese, mitsipa yeropa, uye tsinga dziri mukati mechikamu ichocho dzinotanga kudzvanywa. Kudzvanywa uku kunoita kuti ropa ridzimwe, uye okisijeni nezvinovaka muviri kutsandanyama netsinga zvinodzikira . Ndizvo zvinonzi compartment syndrome. Ichi chirwere chinorwadza zvikuru.

Kunyangwe chirwere ichi chichigona kukanganisa chero boka retsandanyama mumuviri, chinonyanya kuonekwa mu:

• Pamakumbo, kunyanya munzvimbo yepubic (bvudzi rakamera mukati memukati chinhu chakasiyana, izvi zvakanyanya kuipa).
• Mumaoko, kusanganisira ruoko (ruoko) nechanza.
• Patsoka.
• Mudumbu (mudumbu).
• Munzvimbo yemagaro.

Kune mhando mbiri huru dze "Compartment Syndrome"

Tinoziva mhando mbiri huru dzeizvi. Hunhu nekurapwa kwechimwe nechimwe zvakasiyana zvishoma.

1. Chirwere cheAcute Compartment Syndrome

Iyi ndiyo mhando ine njodzi zvikuru . Sezvineiwo, iyi idambudziko rinongoerekana raitika . Rinowanzoitika mushure mekukuvara kwakanyanya. Funga nezvaro setsaona huru, kudonha kubva pakakwirira, kana pfupa rakatyoka.

Iyi inyaya yekurapa! Kana uine fungidziro yekuti une compartment syndrome, unofanira kuenda kuchipatara nekukurumidza . Nekuti kana ikasarapwa nekukurumidza, inogona kutungamira mukukuvadzwa kwetsandanyama zvachose, kuoma mitezo , kana kutofa. Zvinonzwika zvinotyisa, handiti? Asi kuziva ndicho chinhu chakakosha.

2. Chirwere Chisingaperi Chemukamuri

Izvi hazvisi zvekungoerekana zvaitika. Izvi zvinotora nguva refu, zvichikura zvishoma nezvishoma.Izvi zvinonyanya kuitika kuvanhu vanoita maekisesaizi akawandisa uye vanoita mitambo. Ndosaka vanachiremba dzimwe nguva vachizviti "Exercise-Induced (Exertional) Compartment Syndrome ." Kunyangwe izvi zvisiri zvekukurumidzira, zvinogona kurwadza zvikuru.

"Compartment Syndrome" yakajairika zvakadii?

Kutaura zvazviri, chirwere che sudden compartment syndrome hachiwanzoitiki. Kunyangwe muUnited States, chinoitika muvanhu vasingasviki gumi pavanhu 100,000 pagore. Zvisinei, vanhu vakakuvara, sekutyoka kwemapfupa, vane mukana mukuru wekuchibata . Semuenzaniso, zvidzidzo zvakawana kuti vanhu vanosvika 10% vakatyoka tibia yavo (pfupa guru riri pasi pebvi) vanogona kuva nechirwere che compartment syndrome.

Ndezvipi zviratidzo zve `(Compartment Syndrome)`?

Ngationei kuti zviratidzo zvacho ndezvipi. Kana uine zvimwe zvacho, unofanira kuona chiremba.

• Kuzvimba kunoonekwa kana kuzvimba kwakakomberedza bundu renyama.
• Kurwadziwa kwakanyanya kwetsandanyama. Izvi zvakanyanya kupfuura kurwadziwa kwaunowanzo kuwana kubva mukurovedza muviri. Zvinogona kunzwa sekunge banga riri kukubaya.
• Magadzirirwo akaomarara. Paunoibata, inogona kunzwa yakasimba sedombo.
• Kurwadziwa kwakanyanya pakutambanudza.
• Kusanzwa (`(Kusanzwa)`).
• Kunzwa kutsva kana kurira pasi peganda (`(Paresthesia)`). Semasvosve ari kumhanya-mhanya, kana seminzwa iri kubaya.
• Kunzwa sekunge nyama yacho yaguta, yakasimba, uye yakakura kupfuura zvayakajairika.

Chii chinonyanya kukonzera `(Compartment Syndrome)`?

Sezvandambotaura, chikonzero chikuru cheizvi kuwedzera kwekumanikidzwa mukati mekamuri renyama . Kumanikidzwa uku kunowedzerwa nekuzvimba kana kubuda ropa, kungave nekuda kwekukuvara kana kushushikana kuripo.

Chipfuva chinogona kutambanudza zvishoma, asi chine muganho. Sezvo kumanikidzwa kuri kuramba kuchikura, chipfuva hachichagoni kuramba chakabatirira. Ndipo apo tsandanyama netsinga dziri mukati macho zvinotanga kudzvanya. Kudzvanya uku ndiko kunokonzera kurwadziwa nezvimwe zviratidzo.

Fungidzira uchifamba-famba zuva rese wakapfeka shangu diki zvakanyanya kupfuura saizi yako. Zvingave zvakanaka kudzipfeka mangwanani. Asi zuva richienderera mberi, sezvaunofamba, tsoka dzako dzinotanga kuzvimba. Pakupera kwezuva, shangu dzawaifunga kuti "dzakakodzera" dzinonzwa sesimbi dziri kudzvanya tsoka dzako. Compartment Syndrome chinhu chakafanana, asi chine njodzi nekuti kumanikidzwa uku kunoungana mumuviri.

Zvikonzero zve compartment syndrome zvinosiyana zvichienderana nerudzi rwechirwere.

Zvikonzero zve "Compartment Syndrome" kamwe kamwe

Kukuvara kwakanyanya ndicho chikonzero chikuru cheizvi.

• Njodzi dzemotokari.
• Kudonha kubva pakakwirira (sekunge kubva padenga, manera).
• Kutyoka kweMapfupa.
• Kukuvara kwakakomba kunokonzerwa nekudonha kwechinhu pamuviri.
• Kukuvara kwakanyanya kwetsandanyama.
• Njodzi dzemitambo.
• Matambudziko mushure mekuvhiyiwa.
• Matambudziko anokonzerwa nekuiswa kwesimbi yakasimba kana kuti splint.
• Kushushikana kwekuva panzvimbo imwe chete kwemaawa akawanda usingafambise ruoko kana gumbo. (Semuenzaniso, mumwe munhu anga asina kuziva mushure mekunwa doro anogona kusangana neizvi).

Zvikonzero zve `(Compartment Syndrome)` kwenguva refu

Izvi zvinowanzo itika zvishoma nezvishoma nekufamba kwenguva. Kurovedza muviri nguva nenguva uye kunorema ndicho chikonzero chikuru. Kana ukaramba uchiita rudzi rumwe chete rwekurovedza muviri, boka rimwe chete retsandanyama rinogona kushushikana uye kumanikidzwa kunogona kuwedzera.

• Kumhanya (`(Kumhanya)`).
• Kutasva bhasikoro (`(Kutasva bhasikoro)`).
• Kushambira (`(Kushambira)`).
• Kusimudza masimbi (`(Kusimudza masimbi)`).

Pamusoro peizvi, kunyange zvisingawanzoitiki, kufamba-famba kwenguva refu , kungave kubasa kana sechido, kunogonawo kuva chikonzero chechirwere che compartment syndrome.

Ndezvipi zvinhu zvinokonzera njodzi?

Chirwere cheCompartment Syndrome chinogona kukura mune chero munhu mushure metsaona isingatarisirwi.

Zvisinei, vatambi neavo vanoshanda nesimba mumuviri vanowanzo shanda zvakanyanya tsandanyama dzavo vova nechirwere che "Compartment Syndrome" kwenguva refu.

Uyewo, njodzi iyi inogona kuwedzera zvishoma kune vanhu vane zvirwere zveropa zvakaita sehemophilia .

Ndezvipi zvinetso zvinogona kuitika zve `(Compartment Syndrome)`?

Izvi zvinogona kukonzera matambudziko akakomba.

Kana kumanikidzwa kuri mukamuri renyama kwakakwira zvakanyanya, nyama (`(Tissues)`) hadziwani ropa idzva rakakwana, okisijeni, uye zvinovaka muviri . Izvi zvinogona kukonzera kufa kwenyama (`(Necrosis)`) . Kana izvi zvikaitika, kukuvara kusingaperi .

Chirwere cheCompartment Syndrome chinogona kuuraya kana chikasarapwa nekukurumidza. Ndosaka zvichikurudzirwa kuenda kuchipatara nekukasika kana uine kakufungira kadiki.

Vanachiremba vanoongorora sei chirwere chinonzi "(Compartment Syndrome)"?

Chiremba achaongorora izvi nekukuongorora muviri wako uye kuita mimwe miedzo. Achanyatsoongorora tsinga dzako nenzvimbo dzakapoteredza. Vanogonawo kuedza kubvisa zvimwe zvirwere zvinogona kukonzera zviratidzo zvakafanana, zvakaita se tendinitis ( kuzvimba kwetsinga) kana shin splints ( kurwadziwa kwepfupa retsinga).

Udza chiremba wako zvakajeka zvawaiita pawakatanga kunzwa kurwadziwa nezvimwe zviratidzo, uye kuti ndezvipi zvinhu zvinoita kuti zviratidzo zviwedzere kuipa.

Miedzo yekuongorora `(Compartment Syndrome)`

Chiremba anogona kushandisa bvunzo dzakasiyana-siyana kuti aongorore chirwere ichi:

• X-ray: Izvi zvinobatsira kutarisa mamwe maronda , akadai sepfupa rakatyoka.
• Kuyerwa kwekumanikidzwa kwechikamu: Muyedzo uyu, chiremba wako anoisa tsono munzvimbo dzakasiyana-siyana mudumbu mako. Muchina wakabatana netsono unoyera kumanikidzwa mukati memuviri wako. Kuyedzwa uku kunogona kurwadza zvishoma. Udza chiremba wako kuti zvinorwadza sei kana tsono ikaiswa, uye kana dzimwe nzvimbo dzichirwadza kupfuura dzimwe.
• Dzokorora bvunzo yekumanikidzwa: Kana chiremba wako achifunga kuti une persistent compartment syndrome, vanogona kuiongororazve mushure mekurovedza muviri. Vachaenzanisa kumanikidzwa kwako usati waita kurovedza muviri nekumanikidzwa kwako mushure mekurovedza muviri.

Ndeipi mishonga yekurapa `(Compartment Syndrome)`?

Kurapwa kweizvi kunoenderana nerudzi rwe compartment syndrome yaunayo.

Compartment Syndrome chirwere chinoda kuvhiyiwa nekukasika.

Long-term compartment syndrome inowanzovandudzika kana ukachinja maitiro ako ekurovedza muviri uye kuzorora.

Kurapa kwekukurumidzira kwe "Compartment Syndrome"

Chiremba anovhiya achaita oparesheni inonzi "Fasciotomy." Izvi zvinosanganisira kuchekwa neganda rako nefascia kuderedza kumanikidzwa kwetsandanyama dzakakuvara.

Kuchekwa kweganda kunovharwa mushure mekunge kuzvimba nekumanikidzwa kwadzikira. Dzimwe nguva izvi zvingasakwanisika nekukasika. Kana izvi zvikaitika, chiremba anogona kuita ganda rekuwedzera . Izvi zvinoreva kutora ganda kubva kune imwe nhengo yemuviri wako wovhara ganda racho.

Kurapa kwenguva refu kwe "Compartment Syndrome"

Chirwere che compartment syndrome chisingaperi (chinokonzerwa nekurovedza muviri) chinowanzo wedzera kunaka nekuzorora mhasuru dzakakanganiswa uye kurega kushandisa zvakanyanya . Chiremba wako anogona kukupa mazano anotevera kuti akubatsire kudzora zviratidzo zvako uye kudzivirira kuwedzera kwekumanikidzwa:

• Mishonga: NSAIDs ( semuenzaniso ibuprofen) kana acetaminophen ( semuenzaniso Panadol) dzinogona kutengwa ku pharmacy kuderedza kuzvimba .Mishonga inonyaradza marwadzo inogona kubatsira kuderedza kuzvimba nekurwadziwa. Zvisinei, usatore mishonga iyi kwemazuva anopfuura gumi panguva imwe chete usina kupiwa mazano nachiremba.
• Kuchinja maitiro ako ekurovedza muviri: Ungangoda kuita maekisesaizi akasiyana, asinganyanyi kukanganisa muviri. Vamwe vanhu vanochinja kuita "cross-training." Kureva kuti, kuita maekisesaizi akasiyana pane kuita maekisesaizi akafanana zuva nezuva. Ungangodawo kuchinja kwaunoita maekisesaizi. Semuenzaniso, pane kumhanya mumugwagwa wekongiri, mhanya munzira inononoka zvishoma.
• Kurapa Kwemuviri : Nyanzvi yekurovedza muviri inogona kukubatsira kuwedzera simba uye kuchinjika kwemhasuru dzako dzakakuvara. Vanogonawo kukuratidza maitiro ekurovedza muviri nenzira inodzivirira kushushikana uye kushushikana kuti zvisaungane.
• MaOrthotics: Aya ma inserts anoiswa mukati meshangu. Aya anogona kubatsira vanhu vane compartment syndrome. Chiremba wako achakuudza kuti ndeapi ma orthotics akakunakira.

Kana mamwe marapirwo asingashande, kana kuti kana chirwere che compartment syndrome chikadzoka, ungangoda kuvhiyiwa fasciotomy . Chiremba wako achakuudza nguva yekufunga nezvekuvhiyiwa uye zvekutarisira.

Ndichakurumidza sei kunzwa zviri nani mushure mekurapwa?

Kana ukangoerekana wava ne `(Compartment Syndrome)`, unofanira kunzwa zviri nani paunenge uchipora kubva pakuvhiyiwa kwe`(Fasciotomy). Vanhu vazhinji vanoda kuzorora kwemwedzi mumwe chete vasati vatanga kushandisa tsandanyama zvakare. Chiremba wako achakuudza kuti zvinotora nguva yakareba sei kuti utange kufamba zvakare uye utangezve kuita maekisesaizi.

Kugadzirisa chirwere chechronic compartment syndrome kunogona kutora nguva, kunyanya pakutanga. Zvinogona kutora mwedzi yakati wandei kuti uwane musanganiswa wekurapwa uye shanduko dzekurovedza muviri dzinodzora zviratidzo zvako. Sezvaunowana nzira dzekudzivirira kudzvinyirira zvakanyanya tsandanyama dzakakanganiswa, zviratidzo zvako zvinofanirwa kudzikira zvishoma nezvishoma.

Nzira yekudzivirira `(Compartment Syndrome)`?

Compartment Syndrome chinhu chinogona kuitika kamwe kamwe mushure mekukuvara kana nekuda kwedambudziko rausingakwanise kudzora, saka harigone kudzivirirwa. Kuenda kuchipatara nekukurumidza kana ukangofungidzira kuti une compartment syndrome ndiyo chete nzira yekudzivirira matambudziko akakomba.

Kana uchinzwa sekunge plaster kana bhandeji zvanyanya kuoma, kunyanya kana uchiri kurwadziwa uye kuzvimba munzvimbo iyoyo pasinei nekunwa mishonga inoderedza marwadzo, udza chiremba wako nezvazvo. Chiremba wako anogona kugadzirisa rutsigiro rwako uye kudzivirira compartment syndrome.

Nzira yakanakisisa yekudzivirira chirwere chelong-term compartment syndrome ndeyekudzivisa kuisa tsandanyama dzako zvakanyanya . Tevedzera mazano aya kuti uderedze njodzi yako:

• Dzivisa kurovedza muviri zvakanyanya - Kana tsandanyama dzako dzichirwadza, kungave panguva yekuita muviri kana mushure mekuita, usafunge nezvazvo se "kutamba nekurwadziwa."
• Dziisa muviri wako wozotambanudza muviri usati waita maekisesaizi.
• Mushure mekuita basa rakaoma, tonhodza muviri wozorora.
• Wedzera kutsungirira kwako zvishoma nezvishoma - usakurumidza kuwedzera simba rekurovedza muviri kwako.
• Chinja maekisesaizi ako. Edza kudzivisa kuita maekisesaizi akafanana, nenzira imwecheteyo, zuva nezuva.
• Edza kudzivisa kurovedza muviri panzvimbo dzakaoma, dzakaoma sekongiri nemataira.

Chii chingatarisirwa nemunhu ane "Compartment Syndrome"?

Compartment Syndrome inogona kuva chirwere chinorwadza zvikuru, asi kana wangotanga kurarama nacho, zviratidzo zvinotanga kuderera.

Kazhinji chirwere chemudumbu hachidzokorori mushure mekuvhiyiwa kwefasciotomy. Zvisinei, zvakakosha kuchiziva nekurapa nekukurumidza sezvinobvira. Kana chikasarapwa kwenguva yakareba, njodzi yekukuvara zvachose inowedzera.

Dambudziko rekuti "long-term compartment syndrome" rinogona kudzoka, kunyanya kana ukawedzera nhanho yezviito zvako kamwe kamwe. Bvunza chiremba wako nezvemabasa akachengeteka aunogona kuita paunenge uchipora.

Zvinogona kutora gore rose kuti udzokere zvakachengeteka kumabasa emuviri anorema.

Ungaziva sei kana munhu aine "Compartment Syndrome"?

Chiremba chete ndiye anogona kuona chirwere che compartment syndrome. Zvisinei, usafuratira zviratidzo zvakaita sekurwadziwa kwetsandanyama nekuzvimba. Kana paine mukana mudiki wekuti ungave uine chirwere che compartment syndrome, enda kuchipatara nekukurumidza.

Enda kuna chiremba kana uchinzwa kurwadziwa kana kuzvimba mushure mekurovedza muviri, kunyanya kana zvichiitika kakawanda. Kunyange zvazvo "compartment syndrome" yenguva refu isiri njodzi inotyisidzira hupenyu, ichiri yakakomba.

Vamwe vanhu vanofunga nezvechirevo chinoti "Hapana kurwadziwa, hapana kufambira mberi," asi izvozvo hazvishande zvachose panyaya iyi. Haufaniri kurwadziwa mushure mekurovedza muviri kana kushanda nesimba. Pane musiyano mukuru pakati pemarwadzo anofadza aunonzwa zuva rimwe kana maviri mushure mekurovedza muviri kwakaoma uye kurwadziwa kunoita kuti usakwanise kufamba pasina kurwadziwa kwakanyanya.

Kana ukanzwa kurwadziwa mumuviri wako kunoita kuti ufunge kuti pane chakaipa, enda kuna chiremba. Kunyangwe usina chirwere che "compartment syndrome" kwenguva refu, unogona kunge uine rimwe kukuvara kana dambudziko riri kukonzera zviratidzo.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana ukaona chiremba wako, zvakanaka kubvunza mibvunzo yakaita seiyi:

• Rudzii rwe "(Compartment Syndrome)" rwandinarwo?
• Rudzii rwekurapwa rwandinoda?
• Ndichazofanira kuvhiyiwa here?
• Ndinofanira kuchinja sei maitiro angu ekurovedza muviri?
• Ndingatanga rini zvakare kuita zvekurovedza muviri?

Mharidzo Yekuenda Nayo Kumba

Compartment Syndrome chirwere chinokonzerwa nekumanikidzwa kwakanyanya kutenderedza makamuri emwoyo. Acute compartment syndrome chirwere chinotyisidzira hupenyu. Chronic compartment syndrome inogona kurapwa pasina kuvhiyiwa.

Zvisinei, teerera muviri wako. Usazvimanikidza kurovedza muviri kana kurovedza muviri paunenge uchirwadziwa. Pane musiyano mukuru pakati pekumanikidza zvaunofanira kuita zvakachengeteka uye kuisa pangozi yekukuvara.

Kana uchinzwa kurwadziwa kusingawanzoitiki panzvimbo imwe chete mushure mekurovedza muviri kwega kwega, ona chiremba wako. Iye anogona kukubatsira kuwana nzira dzekuderedza kumanikidzwa mukati memasero emhasuru dzako uye kudzivirira kurwadziwa mune ramangwana.

Kana wakakuvara zvakanyanya, mushure mekuvhiyiwa, kana ukanzwa kurwadziwa kwakanyanya, kuzvimba, kana kusanzwa zvakanaka paunenge wakapfeka plaster kana bhandeji, enda kuchipatara nekukurumidza. Yeuka kuti kurapwa nekukurumidza kunogona kudzivirira kukuvara kwakanyanya.