Ingaba izihlunu zakho ziqinile kwaye zibuhlungu kakhulu? Oku kusenokuba yi-"Compartment Syndrome"!

Ngaba wakha waba neqhuma emlenzeni okanye engalweni yakho elivakala ngathi lilitye, lidumbile kwaye libuhlungu? Ngamanye amaxesha lingaphezulu nje kokudumba. Namhlanje siza kuthetha ngemeko enzima kancinci, kodwa enokulawulwa kakuhle ukuba uyazi. Ibizwa ngokuba yi-"Compartment Syndrome".

Yintoni i-"Compartment Syndrome"? Masiyiqonde ngokulula, akunjalo?

Ngamafutshane, `(Compartment Syndrome)` kukunyuka okukhulu koxinzelelo kwindawo ejikeleze izihlunu zakho . Cinga ngale ndlela, izihlunu emzimbeni wethu zihlanganiswe ndawonye zibe "ngamagumbi" amancinci okanye "ngamagumbi" (`(Compartments)`). Ngalinye lala macandelo ligqunywe yi-membrane encinci, eqinileyo ebizwa ngokuba yi -`(Fascia)` . Ifana nolusu olubhityileyo olujikeleze isoseji , kodwa lunamandla.

Ngoko ke, xa uxinzelelo olungaphakathi kweli candelo lusanda ngesizathu esithile, nokuba kungenxa yokudumba okanye ukopha, i-fascia ayikwazi ukunwebeka ngakumbi. Okwenzekayo kukuba zonke izihlunu, imithambo yegazi, kunye nemithambo-luvo engaphakathi kwelo candelo ziqala ukuxinana. Oku kuxinana kubangela ukuba ukuhanjiswa kwegazi kunqunyulwe, kwaye ioksijini kunye nezondlo eziya kwimisipha kunye nemithambo-luvo zinciphe . Yiloo nto ibizwa ngokuba yi-compartment syndrome. Le yimeko ebuhlungu kakhulu.

Nangona le meko inokuchaphazela naliphi na iqela lemisipha emzimbeni, ixhaphake kakhulu xa ibonwa kwezi zilandelayo:

• Emilenzeni, ingakumbi kwindawo ye-pubic (iinwele ezikhule ngaphakathi ziyinto eyahlukileyo, oku kunzulu ngakumbi).
• Ezandleni, kuquka esihlahleni (isandla) kunye nesandla.
• Ezinyaweni.
• Esiswini (esiswini).
• Kwindawo yeempundu.

Kukho iintlobo ezimbini eziphambili ze-"Compartment Syndrome"

Siyazazi iintlobo ezimbini eziphambili zale nto. Uhlobo kunye nonyango lwayo nganye yahlukile kancinci.

1. Isifo se-Acute Compartment Syndrome

Olu lolona hlobo luyingozi kakhulu . Ngokuvisisana negama layo, le yimeko eyenzeka ngequbuliso . Ihlala isenzeka emva kokwenzakala okukhulu. Cinga ngayo njengengozi enkulu, ukuwa kwindawo ephakamileyo, okanye ukwaphuka kwethambo.

Le yingxamiseko yezonyango! Ukuba unesikrokro sokuba une-compartment syndrome, kufuneka uye kwigumbi likaxakeka esibhedlele ngoko nangoko . Kuba ukuba ayinyangwa ngokukhawuleza, inokukhokelela ekonakaleni kwemisipha okusisigxina, ukukhubazeka , okanye nokufa. Kuvakala kuyoyikisa, akunjalo? Kodwa ukuqonda yeyona nto ibalulekileyo.

2. Isifo Segumbi Elingapheliyo

Oku akukhawulezi njengokuqala ngequbuliso. Le yimeko yexesha elide, ekhula kancinci kancinci.Oku kuxhaphake kakhulu kubantu abenza umthambo ngokugqithisileyo nabadlala imidlalo. Yiyo loo nto oogqirha ngamanye amaxesha beyibiza ngokuthi "yi-Exertional Conpartment Syndrome ." Nangona oku kungengongxamiseko, kunokuba buhlungu kakhulu.

Ixhaphake kangakanani i-"Compartment Syndrome"?

Enyanisweni, isifo se-sudden compartment syndrome asiqhelekanga kangako. Kwanase-United States, siyenzeka kubantu abangaphantsi kwe-10 kwi-100,000 ngonyaka. Nangona kunjalo, abantu abaye benzakala, njengokuqhekeka kwamathambo, banamathuba amaninzi okuba nayo . Umzekelo, izifundo zifumanise ukuba malunga ne-10% yabantu abaye baphuka i-tibia yabo (ithambo elikhulu elingaphantsi kwedolo) banokuba nesifo se-compartment syndrome.

Zithini iimpawu ze-`(Compartment Syndrome)`?

Ngoku makhe sibone ukuba zeziphi iimpawu. Ukuba unezinye zezi, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

• Ukudumba okubonakalayo okanye ukudumba okujikeleze iqhekeza lenyama.
• Intlungu ebuhlungu kakhulu yemisipha. Oku kubuhlungu kakhulu kunentlungu oqhele ukuyifumana xa uzilolonga. Kungathi kukuhlaba ngemela.
• Ubume obuqinileyo. Xa uyichukumisa, ingavakala iqine njengelitye.
• Intlungu ebuhlungu xa usolula.
• Ukungaziva ngqindilili (`(Ukungaziva ngqindilili)`).
• Ukurhawuzelela okanye ukutsha phantsi kolusu (`(Paresthesia)`). Njengeembovane ezibaleka zijikeleza, okanye njengameva ahlabayo.
• Ukuziva ngathi inyama ityebile, iqinile, kwaye inkulu kunesiqhelo.

Yintoni imbangela ephambili ye `(Compartment Syndrome)`?

Njengoko benditshilo ngaphambili, esona sizathu siphambili soku kukwanda koxinzelelo ngaphakathi kwigumbi le-meatus . Olu xinzelelo luyanda ngokudumba okanye ukopha, nokuba kungenxa yokwenzakala okanye uxinzelelo oluqhubekayo.

I-fascia inokolula kancinci, kodwa inomda. Njengoko uxinzelelo luqhubeka lukhula, i-fascia ayisakwazi ukuqhubeka. Kulapho ke izihlunu kunye nemithambo-luvo engaphakathi kuyo iqala ukuxinana. Oku kuxinana yikona okubangela iintlungu kunye nezinye iimpawu.

Khawuthelekelele uhambahamba imini yonke unxibe izihlangu ezincinci kakhulu kunobukhulu bakho. Kusenokuba kulungile ukuzinxiba kusasa. Kodwa njengoko usuku luqhubeka, njengoko uhamba, iinyawo zakho ziqala ukudumba. Ekupheleni kosuku, ezo zihlangu ubucinga ukuba "zilungile" zivakala ngathi zizinto zokuthambisa iinyawo zakho. I-Compartment Syndrome iyafana, kodwa iyingozi kakhulu kuba olu xinzelelo luyanda ngaphakathi emzimbeni.

Izizathu ze-compartment syndrome ziyahluka ngokuxhomekeke kuhlobo.

Izizathu ze-"Compartment Syndrome" ngequbuliso

Ukulimala kakhulu sesona sizathu siphambili soku.

• Iingozi zezithuthi.
• Ukuwa ukusuka kwindawo ephakamileyo (njengokusuka eluphahleni, ileli).
• Ukuqhekeka kwamathambo.
• Ukulimala okutyumkileyo okubangelwe yinto ewela emzimbeni.
• Ukudumba kwemisipha okuqatha.
• Iingozi zemidlalo.
• Iingxaki emva kotyando.
• Iingxaki ezibangelwa yi-tight cast okanye i-splint.
• Uxinzelelo lokuba kwindawo efanayo iiyure ezininzi ngaphandle kokuhambisa ingalo okanye umlenze. (Umzekelo, umntu obengekho zingqondweni emva kokusela utywala angahlangabezana nale meko).

Izizathu zesifo seCompartment Syndrome esihlala ixesha elide

Oku kudla ngokukhula kancinci kancinci ngokuhamba kwexesha. Ukuzilolonga rhoqo nokunzima yeyona nto iphambili. Xa uqhubeka nokwenza uhlobo olufanayo lomthambo, iqela elifanayo lemisipha linokuba noxinzelelo kwaye uxinzelelo lunokwanda.

• Ukubaleka (`(Ukubaleka)`).
• Ukukhwela ibhayisekile (`(Ukukhwela ibhayisekile)`).
• Ukudada (`(Ukudada)`).
• Ukuphakamisa iintsimbi (`(Ukuphakamisa iintsimbi)`).

Ukongeza kwezi, nangona kungaqhelekanga, ukunyakaza okuphindaphindwayo okuhlala ixesha elide , nokuba kusemsebenzini okanye njengento yokuzonwabisa, kusenokuba yimbangela yesifo se-compartment syndrome.

Zithini izinto ezibangela umngcipheko?

I-Compartment Syndrome inokukhula nakubani na emva kwengozi engalindelekanga.

Nangona kunjalo, abadlali bezemidlalo kunye nabo basebenza nzima emzimbeni banamathuba amaninzi okusebenza kakhulu kwizihlunu zabo baze baphuhlise "iCompartment Syndrome" yexesha elide.

Kwakhona, le ngozi inokunyuka kancinci kubantu abanezifo zegazi ezifana ne-hemophilia .

Ziziphi iingxaki ezinokubakho ze-`(Compartment Syndrome)`?

Oku kunokubangela iingxaki ezinkulu.

Ukuba uxinzelelo olukwigumbi lenyama luba phezulu kakhulu, izicubu (`(Izicubu)`) azifumani igazi elitsha elaneleyo, ioksijini, kunye nezondlo . Oku kunokubangela ukufa kwezicubu (`(Necrosis)`) . Ukuba oku kuyenzeka, kukonakala okungapheliyo .

I-Compartment Syndrome inokubulala ukuba ayinyangwa ngokukhawuleza. Yiyo loo nto kucetyiswa ukuba uye esibhedlele ngokukhawuleza ukuba unesikrokro esincinci.

Oogqirha bayixilonga njani ``(Compartment Syndrome)''?

Ugqirha uza kuxilonga oku ngokukuxilonga ngokwasemzimbeni aze enze uvavanyo oluthile. Uza kuhlola ngononophelo imisipha yakho kunye nendawo engqongileyo. Basenokuzama nokuthintela ezinye iimeko ezinokubangela iimpawu ezifanayo, ezifana ne -tendinitis ( ukudumba kwemisipha) okanye ii-shin splints ( intlungu kwithambo le-shin).

Xelela ugqirha wakho ngokucacileyo into obuyenza xa wawuqala ukuva iintlungu kunye nezinye iimpawu, kunye nezinto ezenza iimpawu zibe zimbi okanye zibe zimbi kakhulu.

Uvavanyo lokufumanisa `(Compartment Syndrome)`

Ugqirha angasebenzisa iimvavanyo ezininzi ukufumanisa esi sifo:

• I-X-reyi: Oku kunceda ukujonga ezinye izinto ezenzekileyo , ezifana nethambo elaphukileyo.
• Uvavanyo lokulinganisa uxinzelelo lwegumbi: Kolu vavanyo, ugqirha wakho ufaka inaliti kwiindawo ezahlukeneyo esiswini sakho. Umatshini oqhagamshelwe kwinaliti ulinganisa uxinzelelo olungaphakathi emzimbeni wakho. Olu vavanyo lunokuba buhlungu kancinci. Xelela ugqirha wakho ukuba kubuhlungu kangakanani xa inaliti ifakwa, kwaye ukuba ezinye iindawo zibuhlungu ngaphezu kwezinye.
• Uvavanyo loxinzelelo oluphindaphindwayo: Ukuba ugqirha wakho ucinga ukuba une-persistent compartment syndrome, banokwenza uvavanyo loxinzelelo kwakhona emva kokuba uzilolonge. Baza kuthelekisa uxinzelelo lwakho lwangaphambi kokuzilolonga noxinzelelo lwakho lwasemva kokuzilolonga.

Ziziphi iindlela zonyango ze-`(Compartment Syndrome)`?

Unyango loku luxhomekeke kuhlobo lwe-compartment syndrome onayo.

I-Compartment Syndrome yimeko engxamisekileyo yezonyango efuna utyando olukhawulezileyo.

I-long-term compartment syndrome idla ngokuba ngcono xa kukho utshintsho oluthile kwindlela yakho yokuzilolonga kunye nokuphumla.

Unyango olungxamisekileyo lwe-"Compartment Syndrome"

Ugqirha uza kwenza inkqubo ebizwa ngokuba yi-"Fasciotomy." Oku kuquka ukwenza utyando eluswini nakwi-fascia ukuze kuncitshiswe uxinzelelo kwindawo yemisipha echaphazelekayo.

Ukusika kuyavalwa emva kokuba ukudumba kunye noxinzelelo kuphelile. Ngamanye amaxesha oku kusenokungenzeki ngoko nangoko. Ukuba oku kuyenzeka, ugqirha angenza utyando lokufakelwa ulusu . Oku kuthetha ukuthatha ulusu kwenye indawo yomzimba wakho uze uluvale ukusika.

Unyango lwe-"Compartment Syndrome" yexesha elide

I-compartment syndrome engapheliyo (ebangelwa kukuzilolonga) idla ngokuphucula ngokuphumla kwemisipha echaphazelekayo kunye nokuyeka ukuyisebenzisa ngokugqithisileyo . Ugqirha wakho unokucebisa oku kulandelayo ukunceda ukulawula iimpawu zakho kunye nokuthintela ukwakheka koxinzelelo olungaphezulu:

• Amayeza: Ii-NSAID ( umz. ibuprofen) okanye i-acetaminophen ( umz. iPanadol) zingathengwa kwikhemesti ukunciphisa ukudumba .Iipilisi zokunciphisa iintlungu zinokunceda ekunciphiseni ukudumba kunye nentlungu. Nangona kunjalo, musa ukuthatha la mayeza ngaphezu kweentsuku ezili-10 ngexesha ngaphandle kwengcebiso kagqirha.
• Ukutshintsha indlela yakho yokuzilolonga: Kusenokufuneka wenze imithambo eyahlukeneyo, engenampembelelo ingako. Abanye abantu batshintshela "kuqeqesho olunqamlezileyo." Oko kukuthi, ukwenza iintlobo ezahlukeneyo zokuzilolonga endaweni yokwenza umthambo ofanayo yonke imihla. Kusenokufuneka utshintshe indawo ozilolonga kuyo. Umzekelo, endaweni yokubaleka kwindlela yesamente, baleka kwindlela ecothayo kancinci.
• Unyango Lomzimba : Ingcali yonyango lomzimba inokukunceda ukonyusa amandla kunye nokuguquguquka kwezihlunu zakho ezichaphazelekileyo. Bangakubonisa nendlela yokuzilolonga ngendlela ethintela uxinzelelo kunye nobunzima ukuba bungakheki.
• Ii-Orthotics: Ezi zizinto ezifakwa ngaphakathi kwezihlangu. Ezi zinokunceda abantu abane-compartment syndrome. Ugqirha wakho uza kukuxelela ukuba loluphi uhlobo lwee-orthotics olulungele wena.

Ukuba ezinye iindlela zonyango azisebenzi, okanye ukuba i-compartment syndrome iyaphinda ivele, kunokufuneka wenze i- fasciotomy . Ugqirha wakho uza kukuxelela ukuba ucinge nini ngotyando kunye nento omawuyilindele.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Ukuba une-`(Compartment Syndrome)` ngequbuliso kufuneka uzive ungcono njengoko uphola emva kotyando lwe-`(Fasciotomy). Uninzi lwabantu lufuna ukuphumla malunga nenyanga ngaphambi kokuba baqalise ukusebenzisa izihlunu kwakhona. Ugqirha wakho uza kukuxelela ukuba kuza kuthatha ixesha elingakanani ukuqala ukushukuma kwakhona nokuqalisa umsebenzi womzimba.

Ukulawula isifo se-chronic compartment syndrome kungathatha ixesha, ingakumbi kwizigaba zokuqala. Kungathatha iinyanga ezininzi ukufumana indibaniselwano yonyango kunye notshintsho lokuzivocavoca olulawula iimpawu zakho. Njengoko ufumana iindlela zokuphepha ukubeka uxinzelelo olukhulu kwimisipha echaphazelekayo, iimpawu zakho kufuneka zinciphe kancinci kancinci.

Ungayithintela njani `(Compartment Syndrome)`?

I-Compartment Syndrome yinto enokwenzeka ngequbuliso emva kokwenzakala okanye ngenxa yengxaki ongenakukwazi ukuyilawula, ngoko ke ayinakuthintelwa. Ukuya kwigumbi likaxakeka ngokukhawuleza xa ukrokrela ukuba une-compartment syndrome yindlela ekuphela kwayo yokuthintela iingxaki ezinzulu.

Ukuba uziva ngathi iplasta okanye ibhandishi iqinile kakhulu, ingakumbi ukuba usenentlungu nokudumba kuloo ndawo nangona usela iintlungu zokuphelisa iintlungu, xelela ugqirha wakho ngayo loo nto. Ugqirha wakho unokulungisa inkxaso yakho aze athintele i-compartment syndrome.

Eyona ndlela ilungileyo yokuthintela i-long-term compartment syndrome kukuphepha ukubeka uxinzelelo olugqithisileyo kwimisipha yakho . Landela la macebiso ukuze unciphise umngcipheko wakho:

• Kuphephe ukuzilolonga kakhulu – Ukuba izihlunu zakho ziyaqaqamba, nokuba ngexesha lomsebenzi okanye emva kwawo, musa ukucinga ukuba "udlala ngentlungu."
• Zifudumeze uze wolule umzimba ngaphambi kokuba uzilolonge.
• Emva komsebenzi onzima, phola uze uzolule.
• Yandisa ukunyamezela kwakho kancinci kancinci – ungakhawulezi unyuse amandla okuzilolonga kwakho.
• Guqula iindlela zakho zokuzilolonga. Zama ukuphepha ukwenza uhlobo olufanayo lomthambo, ngendlela efanayo, yonke imihla.
• Zama ukuphepha ukwenza umthambo kwiindawo ezinzima neziqinileyo ezifana nesamente kunye neethayile.

Yintoni enokulindelwa ngumntu ono-"Compartment Syndrome"?

I-Compartment Syndrome inokuba yimeko ebuhlungu kakhulu, kodwa wakuba uqalile ukuyilawula, iimpawu ziya kuba ngcono.

Isifo sendawo yokuhlala asiphindi sibuye emva kotyando lwe-fasciotomy. Nangona kunjalo, kubalulekile ukuyiqonda nokuyinyanga ngokukhawuleza. Okukhona inganyangwa ixesha elide, kokukhona umngcipheko wokonakala okungapheliyo uyanda.

Isifo se-long-term compartment syndrome sinokuphinda sibuye, ingakumbi ukuba ngequbuliso unyusa amanqanaba akho okusebenza. Buza ugqirha wakho ngemisebenzi ekhuselekileyo onokuyenza ngelixa uphila.

Kungathatha malunga nonyaka ukubuyela ngokukhuselekileyo kwimisebenzi yomzimba enzima.

Uyazi njani ukuba umntu une-"Compartment Syndrome"?

Ngugqirha kuphela onokuxilonga i-compartment syndrome. Nangona kunjalo, musa ukuzityeshela iimpawu ezifana neentlungu zemisipha kunye nokudumba. Ukuba kukho ithuba elincinci lokuba unokuba ne-compartment syndrome, yiya kwigumbi longxamiseko ngoko nangoko.

Bona ugqirha ukuba uva iintlungu okanye ukudumba emva kokuzilolonga, ingakumbi ukuba kwenzeka rhoqo. Nangona "isifo segumbi" esihlala ixesha elide singeyongxaki esongela ubomi, kodwa sisesibi kakhulu.

Abanye abantu bacinga ngentetho ethi "Akukho ntlungu, akukho nzuzo," kodwa loo nto ayisebenzi kwaphela kule meko. Awufuni ukuba buhlungu emva kokuzilolonga okanye ukuba sempilweni. Kukho umahluko omkhulu phakathi kweentlungu ezimnandi ozivayo usuku okanye ezimbini emva kokuzilolonga nzima kunye nentlungu ekwenza ungakwazi ukushukuma ngaphandle kwentlungu ebuhlungu.

Ukuba ukhe waba nentlungu emzimbeni wakho ekwenza ucinge ukuba kukho into engalunganga, bona ugqirha. Nokuba awunayo i-"compartment syndrome" yexesha elide, usenokuba nolunye umonzakalo okanye ingxaki ebangela ezi mpawu.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa ubona ugqirha wakho, kungcono ukubuza imibuzo efana nale:

• Luhlobo luni lwe-``(Compartment Syndrome)'' endinalo?
• Luhlobo luni lonyango endiludingayo?
• Ngaba kuya kufuneka ndityandwe?
• Ndingayitshintsha njani indlela endizilolonga ngayo?
• Ndingawuqala nini kwakhona umsebenzi womzimba?

Umyalezo Wokuya Ekhaya

I-Compartment Syndrome yimeko ebangelwa kukunyuka koxinzelelo olujikeleze iindawo (iindawo) zentliziyo. I-Acute compartment syndrome yimeko engxamisekileyo esongela ubomi. I-Chronic compartment syndrome idla ngokulawulwa ngaphandle kotyando.

Nangona kunjalo, mamela umzimba wakho. Musa ukuzinyanzela ukuba uzilolonge okanye uzilolonge xa ​​usentlungwini. Kukho umahluko omkhulu phakathi kokusebenzisa imida yakho ngokukhuselekileyo kunye nokubeka esichengeni sokwenzakala.

Ukuba uziva iintlungu ezingaqhelekanga kwindawo enye emva kokuzilolonga ngakunye, bonana nogqirha wakho. Angakunceda ufumane iindlela zokunciphisa uxinzelelo ngaphakathi kwiiseli zakho zemisipha kwaye uthintele iintlungu kwixesha elizayo.

Ukuba wenzakele kakhulu, emva kotyando, okanye ukuba ufumana iintlungu eziqatha, ukudumba, okanye ukuba ndindisholo ngelixa unxibe isamente okanye ibhandishi, yiya kwigumbi likaxakeka ngokukhawuleza. Khumbula, unyango lwangethuba lunokuthintela umonakalo omkhulu.