Khawuthelekelele ukuba uwa ngamandla ngelixa udlala ikhilikithi, okanye uwa ebhayisekileni uze wonzakale umlenze wakho. Ekuqaleni, ukwenzakala kuyabuhlungu, kodwa emva kweeyure ezimbalwa, izihlunu kwindawo eyonzakeleyo ziyaqina, zidumbe, kwaye zibe buhlungu. Xa uchukumisa indawo, ivakala iqine njengelitye. Ngaba oku kuye kwenzeka kuwe? Namhlanje sithetha ngemeko enokuba yingozi efuna unyango olukhawulezileyo, ebizwa ngokuba yiCompartment Syndrome.
Yintoni le ngxaki yeCompartment Syndrome?
Ngamafutshane, i-compartment syndrome iyenzeka xa kukho uxinzelelo olukhulu kakhulu olujikeleze izihlunu zakho. Olu xinzelelo luthintela ukuhamba kwegazi, ioksijini, kunye nezondlo kwimisipha yakho. Le yimeko ebuhlungu kakhulu.
Ngoku, khangela, izihlunu, imithambo-luvo, kunye nemithambo yegazi emzimbeni wethu zihlelwe ngamaqela amancinci, okanye "ii-compartments." I-compartment nganye igqunywe yi-membrane etyebileyo, encinci ebizwa ngokuba yi-"fascia." Ifana nolusu olujikeleze isoseji. Ukuba ngesizathu esithile uxinzelelo olungaphakathi kweli compartment luyanda, izihlunu ziqala ukucinezela loo "fascia." Kulapho kuvela khona i-Compartment Syndrome.
Nangona le meko inokwenzeka nakweyiphi na iqela lemisipha, ixhaphake kakhulu kwezi ndawo zilandelayo:
- Imilenze, ingakumbi kwindawo yempumlo.
- Kubandakanya izandla, iintende zezandla, kunye nezandla.
- Ezantsi.
- Isisu (isisu).
- Indawo yamathanga.
Kukho iintlobo ezimbini eziphambili ze-compartment syndrome:
Le meko inokwahlulwa ibe ziintlobo ezimbini eziphambili kuxhomekeke kwindlela eyenzeka ngayo. Kubaluleke kakhulu ukuzazi ezi zimbini, kuba enye yimeko efuna unyango olungxamisekileyo.
| Uhlobo lweSifo seCandelo | Inkcazo |
|---|---|
| Isifo se-Acute Compartment Syndrome | Oku kwenzeka ngequbuliso, ngesiqhelo emva kokwenzakala okukhulu. Le yimeko engxamisekileyo yezonyango . Ukuba ucinga ukuba unale meko, kuya kufuneka uye kwigumbi likaxakeka lesibhedlele (ETU) ngoko nangoko. Ukuba ayinyangwa ngokukhawuleza, inokukhokelela ekonakaleni kwemisipha okungapheliyo, ekukhubazekeni, okanye nasekufeni. |
| Isifo Segumbi Elingapheliyo (imeko yexesha elide) | Le yimeko ekhula kancinci ngokuhamba kwexesha. Idla ngokuvela emva kokuzilolonga okanye imisebenzi yezemidlalo enzima. Ikwabizwa ngokuba yi-"Exertional Compartment Syndrome". Ayisiyongxaki ingxamisekileyo, kodwa inokuba buhlungu kakhulu. |
Zithini iimpawu zale meko?
Iimpawu eziqhelekileyo ze-compartment syndrome zezi:
- Idumbile ngokubonakalayo: Indawo apho izihlunu zikhoyo ibonakala idumbile kwaye ikhukhumele.
- Intlungu ebuhlungu: Ingaphezulu kakhulu kunentlungu yokwenzakala okuqhelekileyo. Ivakala ngathi umsipha ucinezelwa ngaphakathi.
- Ukuqina: Xa uyichukumisa ngesandla sakho, ivakala inzima kakhulu, njengelitye.
- Intlungu xa usolula: Intlungu ebuhlungu xa umsipha usolula.
- Ukungabi nangqondo: Ukuziva ulahlekelwe yimvakalelo kwindawo ethile.
- Ukutsha: Ukurhawuzelela okanye ukutsha phantsi kolusu. Ngokwezonyango, oku kubizwa ngokuba yi-"paresthesia".
- Ukugcwala kwipenisi: Ipenisi ivakala inkulu kwaye igcwele kunesiqhelo.
Kubalulekile: Ingakumbi kwi-Acute Compartment Syndrome, le ntlungu inzima kangangokuba ayipheli nokuba isetyenziswa rhoqo ekuthomalaliseni iintlungu.
Kutheni le nto kukho le compartment syndrome?
Oku kwenzeka xa ukwenzakala okanye uxinzelelo oluqhubekayo lubangela ukopha okanye ukudumba ngaphakathi kwegumbi lezihlunu. Uxinzelelo olungaphakathi luyanda, lutyhala izihlunu nxamnye ne-fascia.
Le fascia inokolulwa kancinci, kodwa inomda. Njengoko uxinzelelo luqhubeka lukhula, ekugqibeleni ifascia ayisakwazi ukolulwa kwaye iqala ukucinezela izihlunu, imithambo-luvo, kunye nemithambo yegazi ngaphakathi. Oko kucudiswa yiyo ebangela le ntlungu inzima kunye nezinye iimpawu.
Oku kufana nokuhambahamba unxibe izihlangu ezincinci imini yonke. Kulungile ukuzinxiba kusasa, kodwa njengoko uhambahamba imini yonke, iinyawo zakho ziyadumba kancinci. Ngokuhlwa, izihlangu ziyacinezela iinyawo zakho, nto leyo eyenza kube nzima ukuzinyamezela. I-Compartment Syndrome kuxa olu hlobo lokucinezela lwenzeka emzimbeni. Yiyo loo nto kuyingozi.
Izizathu ze-Acute Compartment Syndrome
Eyona nto ibangela le meko ngequbuliso kukwenzakala kakhulu. Umzekelo:
- Iingozi zezithuthi.
- Ukuwa ukusuka kwindawo ephakamileyo, njengakwileli okanye eluphahleni.
- Ukwaphuka kwamathambo: Umngcipheko wale meko uphezulu kakhulu ukuba ithambo lesifuba (i-tibia) laphukile.
- Ukulimala okubangelwa kukuwela phantsi kwento enzima.
- Ukuqaqamba kwemisipha okuqatha.
- Iingxaki emva kotyando.
- Ukuqinisa isamente okanye i-splint engalweni okanye emlenzeni.
- Ukuba nengalo okanye umlenze ubambeke kwindawo enye kangangeeyure.
Izizathu zeSifo seZinto ezingapheliyo
Oku kudla ngokuqhubeka ngokuhamba kwexesha. Eyona nto ibangela kukuzilolonga rhoqo nangokuqatha. Xa uqhubeka nokwenza uhlobo olufanayo lomthambo, iqela elifanayo lemisipha linokuba noxinzelelo kwaye le meko inokwenzeka.
- Ukubaleka
- Ukukhwela ibhayisekile
- Ukuqubha
- Ukwenyusa iintsimbi
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kuqala ahlole imisipha yakho kunye nendawo engqongileyo. Baza kukubuza imibuzo malunga nokuba intlungu iqale njani, into oyenzayo, kunye nokuba iya isiba mandundu na. Basenokufuna ukuthintela ezinye iimeko ezibangela iimpawu ezifanayo, ezifana ne-tendonitis okanye i-shin splints.
Ukongeza, ungenza iimvavanyo ezifana nezi:
- I-X-reyi: Ukujonga ezinye iingozi, ezifana namathambo aphukileyo.
- Uvavanyo Lokulinganisa Uxinzelelo Lwegumbi: Olu lolona vavanyo lukhethekileyo. Kolu vavanyo, ugqirha ufaka inaliti encinci kwisihlunu sakho aze asebenzise umatshini oqhagamshelwe kuso ukulinganisa uxinzelelo olungaphakathi. Oku kunokuba buhlungu kancinci. Kufuneka uxelele ugqirha wakho ngentlungu.
- Uvavanyo Loxinzelelo Oluphindaphindwayo: Ukuba ukrokrela ukuba une-Chronic Compartment Syndrome, ugqirha wakho angakucela ukuba wenze umthambo aze aphinde alinganise uxinzelelo lwakho lwegazi.
Iphathwa njani?
Unyango luxhomekeke kuhlobo lwe-compartment syndrome onayo.
I-Acute Compartment Syndrome yimeko efuna utyando olungxamisekileyo. Olu tyando lubizwa ngokuba yi-"fasciotomy". Kule meko, ugqirha wenza utyando aze avule i-"fascia" evulekileyo, i-membrane eqinileyo ejikeleze izihlunu. Oku kukhulula ngoko nangoko uxinzelelo oluvaleleke ngaphakathi kwaye kubuyisele ukuhamba kwegazi. Inxeba liyavalwa kwakhona emva kokuba ukudumba kuphelile ngokupheleleyo. "I-graft yesikhumba" nayo inokufuneka.
I-Chronic Compartment Syndrome ayidingi utyando. Ingalawulwa ngokuphumla kunye nokutshintsha indlela yokuzilolonga. Ugqirha wakho unokucebisa unyango olufana nolu:
- Izithomalalisi zentlungu: Amayeza anjengeziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal (NSAIDs) anokunciphisa ukudumba kunye nentlungu. Kodwa musa ukuzisebenzisa rhoqo iintsuku ezingaphezu kwe-10 ngaphandle kwengcebiso kagqirha wakho.
- Ukutshintsha indlela yakho yokuzilolonga: Ugqirha ucebisa ukuba utshintshe indlela yakho yokuzilolonga kwaye ugxile kwimithambo elula. Umzekelo, ukubaleka ebaleni elinengca endaweni yokubaleka kwindlela yesamente.
- Ulungiso lwenyama:Ingcali yezonyango iza kukufundisa imithambo yokuqinisa nokuphucula ukuguquguquka kwakho.
- Ii-Orthotics: Ukusebenzisa ii-insoles ezikhethekileyo (ii-orthotics) ezifakwe ngaphakathi kwezihlangu kunika inkxaso entle ezinyaweni.
Kuphela xa olu nyango lunganiki ncedo okanye ukuba imeko iphinda ibuyele esiqhelweni kucingelwa ukuba ityandwa (i-fasciotomy).
Ziziphi iingxaki eziyingozi ezinokuvela koku?
Isifo seCompartment Syndrome asinto yokuthatha lula. Xa uxinzelelo ngaphakathi kwi-compartment yezihlunu lusanda kakhulu, izicubu azifumani igazi, ioksijini kunye nezondlo ezizidingayo.
Oku kubangela ukuba izicwili ziqale ukufa. Oku kubizwa ngokuba yi-necrosis . Oku kunokubangela umonakalo ongapheliyo kwizihlunu .
I-Acute Compartment Syndrome yimeko engxamisekileyo esongela ubomi ukuba ayinyangwa ngokukhawuleza. Ke ngoko , kubalulekile ukuya kwiSebe leeNgxamiseko (ETU) lesibhedlele ngokukhawuleza xa kuvela iimpawu.
Umyalezo Wokuya Ekhaya
- I-Compartment Syndrome yimeko embi kakhulu ebangela uxinzelelo olugqithisileyo ngaphakathi kwemisipha.
- I-Acute Compartment Syndrome yimeko engxamisekileyo yezonyango eyenzeka emva kwengozi kwaye ifuna unyango olukhawulezileyo. Ukuba ufumana iintlungu eziqatha, ukudumba, okanye ukuqina, musa ukuchitha ixesha kwaye yiya kwiSebe leNgxamiseko (ETU) ngoko nangoko.
- I-Chronic Compartment Syndrome ibangelwa kukuzilolonga kakhulu. Idla ngokulawulwa ngokuphumla nokutshintsha indlela yakho yokuzilolonga.
- Ungaze uyityeshele intlungu eqatha nengaqhelekanga yemisipha. Isaci esithi "akukho ntlungu, akukho kunyuka" asisebenzi apha. Soloko uqhagamshelana nogqirha wakho.
- Ukuba unesamente kuwe, ukuba ivakala iqinile, okanye ukuba uqaqanjelwa, yazisa ugqirha wakho ngoko nangoko.
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