Khawuthelekelele ukuba wenzakele kakhulu emlenzeni wakho kwingozi. Emva kwexesha elithile, izihlunu ezijikeleze ukwenzakala ziyavuvukala, zibangele iintlungu ezinganyamezelekiyo, kwaye umlenze wakho uzive ungasasebenzi. Oku akusiyo nje intlungu eqhelekileyo ebangelwa kukwenzakala, yinto engaphezulu koko. Oku kungaba yingxamiseko yezonyango. Kulapho ke kufuneka khona utyando esithetha ngalo namhlanje, olubizwa ngokuba yi-fasciotomy. Olu lusenokuba lutyando olungxamisekileyo lokusindisa ingalo yakho, umlenze, okanye ubomi bakho.
Yintoni iFasciotomy elula?
Ngamafutshane, i-fasciotomy yindlela yotyando yokunciphisa uxinzelelo olujikeleze izihlunu. Oku kuquka ukusika i-membrane eqinileyo (i-fascia) ejikeleze izihlunu, ikhuphe uxinzelelo olungaphakathi.
Masiyicacise ngakumbi le nto. Izihlunu, imithambo-luvo, kunye nemithambo yegazi ezingalweni nasemilenzeni zethu zonke zihlanganiswe ndawonye kwi-membrane eqinileyo neyomeleleyo. Cinga ngayo njengesiciko esijikeleze isoseji. Kwizonyango, le membrane inzima siyibiza ngokuba yi-'fascia' . Yonke indawo engaphakathi kweli fascia equlethe izihlunu, imithambo-luvo, kunye nemithambo yegazi ibizwa ngokuba 'yindawo yemisipha.'
Khawucinge nje, kwenzeka ntoni ukuba kukho ukudumba okugqithisileyo ngaphakathi kweli candelo ngenxa yengozi ethile? Ngenxa yeso siciko se-fascia esiqinileyo, ukudumba akunandawo yokuphuma. Emva koko uxinzelelo olungaphakathi kwelo candelo luyanda kakhulu. Oku sikubiza ngokuba yi-'compartment syndrome' . Ngenxa yolu xinzelelo lugqithisileyo, imithambo yegazi kuloo ndawo iyaqina, kwaye ukuhamba kwegazi ukuya kwimisipha kunye nemithambo-luvo kunokuyeka. Ukuba oko kuyenzeka, loo zicubu ziqala ukufa. Kulapho kwenziwa khona i-fasciotomy, kunqunyulwa loo membrane ye-fascia eqinileyo, kukhululwe uxinzelelo olungaphakathi, kwaye kubuyiselwe ukuhamba kwegazi.
Ivela njani le compartment syndrome?
Le meko inokwenzeka ngeendlela ezimbini eziphambili.
1. I-Acute Comppartment Syndrome: Le yeyona meko iyingozi kakhulu neyenzeka ngequbuliso. Ihlala isenzeka emva kwengozi enkulu. Umzekelo, le meko inokubangelwa kukudumba kakhulu emva kwengozi yemoto, njengokuphuka kwethambo okanye ukuxinana kwemisipha okukhulu. Le yimeko efuna unyango olungxamisekileyo.
2. I-Chronic Compartment Syndrome: Le yimeko ekhula kancinci kancinci. Idla ngokubonakala kubantu abasebenzisa kakhulu iqela elifanayo lemisipha, njengabadlali bezemidlalo kunye nabasebenzi basemkhosini. Intlungu iba mandundu xa uzilolonga kwaye iba ngcono xa uphumle. Nangona ingeyonto ingxamisekileyo, inokuba mandundu ngokuhamba kwexesha.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ekubeni i-Acute Compartment Syndrome iyingxamiseko, i-fasciotomy ayisoloko icwangciswa kwangaphambili. Xa ungeniswe kwi-Emergency Treatment Unit (ETU) yesibhedlele, oogqirha bafumanisa le meko ngokusekelwe kwiimpawu zakho. Nje ukuba bayifumanise ineempawu ezifana nentlungu enganyamezelekiyo, ukungakhululeki, kunye nobuthathaka engalweni okanye emlenzeni wakho, iqela lotyando liza kukusa ngokukhawuleza kwigumbi lotyando.
Eyona nto ibalulekileyo kukwenza utyando kwiiyure ezimbalwa emva kokuxilongwa kwesi sifo, kuba yonke imzuzu edlulayo yonyusa umonakalo kwizicwili.
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba awuyi kuva okanye ukukhumbula nantoni na. Ugqirha uza:
- Kwenziwa ukusika ulusu olunye okanye amabini phezu kwecandelo lemisipha elifanelekileyo.
- Emva koko i-fascia engaphakathi iyachongwa, inqunyulwe, kwaye uxinzelelo luyakhululwa. Kungafuneka ukukhulula amacandelo aliqela ngale ndlela.
- Emva koko, bajonga naziphi na izicwili ezonakeleyo okanye ezifileyo baze bazisuse. Bakwajonga ngononophelo ukuba ukuhamba kwegazi kuyabuya na.
- Olu siko aluqhelekanga ukuthungwa ngoko nangoko . Kuthatha iintsuku ezininzi ukuba ukudumba kuphele ngokupheleleyo, ngoko ke inxeba lishiywa livulekile. Ngamanye amaxesha unyango olubizwa ngokuba yi-"negative pressure wound therapy" lusetyenziswa ukunciphisa ngokukhawuleza ukudumba ngokususa ulwelo enxebeni.
- Emva kweentsuku ezimbalwa, inxeba liyahlolwa kwakhona kwaye ezinye izicwili ezifileyo ziyasuswa.
- Xa ukudumba kuphelile, inxeba liyavalwa. Ngamanye amaxesha, ukuba akukho sikhumba saneleyo sokugubungela inxeba, ulusu oluvela kwenye indawo yomzimba luyathathwa luze lutyalwe kwenye indawo ('skin graft').
- Ekugqibeleni, inxeba libotshelelwe kakuhle kwaye uza kufundiswa ukuba kufuneka uligcine ixesha elingakanani ibhandishi.
Ziziphi iingenelo kunye neengozi zotyando?
Njengalo naluphi na utyando, i-fasciotomy ineenzuzo zayo kunye neengozi ezithile. Makhe sijonge ngokusondeleyo.
| Iinzuzo | Iingozi |
|---|---|
| Ukusindisa ubomi kunye nemilenze: Kwimeko engxamisekileyo, olu tyando luthintela ukufa kwezicubu, okunokukhokelela ekunqunyulweni kwezicubu okanye usulelo olusongela ubomi. | Iingozi zotyando ngokubanzi: Kukho iingozi ezifana nokosuleleka ngamanxeba kunye nomonakalo kwimithambo-luvo okanye kwimithambo yegazi. |
| Ukunceda kwiintlungu eziqatha: Kwabo baneengxaki ezingapheliyo, olu tyando lunokunceda kwiintlungu ezingapheliyo. | Ukungaphumeleli kotyando: Ngamanye amaxesha, kukho umngcipheko wokulahlekelwa yingalo/umlenze kuba izicubu azinakusindiswa (ingakumbi ukuba ufika esibhedlele emva kwexesha). |
| Ukuphinda usebenze: Ngonyango olufanelekileyo lomzimba, ungasebenzisa ingalo/umlenze wakho ngokuqhelekileyo kwakhona. | Ukuphinda-phinda kwesi sifo: Izicubu ezibuhlungu ezenzeka ngexesha lokuphola kwenxeba zinokuqinisa i-fascia kwakhona, nto leyo ebangela ukuba imeko ibuye kwakhona. |
Kwenzeka ntoni emva kotyando? Kutheni unyango lomzimba lubalulekile?
Usenokuva iintlungu ezithile njengoko i-anesthesia iphela. Ugqirha wakho uza kukunika iintlungu zokuthomalalisa iintlungu ukukunceda ukuba uzilawule. Emva kotyando, unyango lomzimba lubalulekile ukukunceda ufumane amandla nokushukuma kwakhona kuloo ndawo. Ukuba awukwenzi oko, ilungu okanye izihlunu zinokuba lukhuni kwaye zingakwazi ukuhamba kakuhle.
Umbuzo abanye abantu abawubuzayo ngulo, "Ngaba i-fascia iyaphinda ikhule emva kokuba isikiwe?" Ewe, iyenza. Kodwa yenza amanxeba. Yiyo loo nto kubaluleke kakhulu ukugcina loo ndawo ilula ngonyango lomzimba.
Iimpawu ezifuna unyango olukhawulezileyo
Ukuba usandul’ ukwenzakala okanye utyando olukhulu kwaye ufumana naziphi na iimpawu ezilandelayo, kubaluleke kakhulu ukuya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko .
Khumbula, kwimeko ye-Acute Compartment Syndrome, umonakalo osisigxina wemithambo-luvo uqala ukwenzeka emva kweeyure ezi-6 zonyango olulibazisekileyo. Emva kweeyure ezili-12, umngcipheko weengxaki uphezulu kakhulu.
Iimpawu ezifuna ingqalelo ekhawulezileyo:
- Intlungu enzima, enganyamezelekiyo, engalinganiyo nobungakanani bokwenzakala .
- Ukukhubazeka kwengalo okanye umlenze okwethutyana, oko kuthetha ukungakwazi ukuyishukumisa.
- Intlungu engaqhelekanga, ebukhali xa usolula izihlunu.
- Ubuthathaka, ukurhawuzelela (i-paresthesia).
Kuqhelekile ukuba nabani na oyike xa exelelwa ukuba kufuneka enze utyando olungxamisekileyo olunje. Kodwa khumbula, i-fasciotomy sesona sisombululo sikhuselekileyo nesisebenzayo kwi-compartment syndrome. Ukuba unemibuzo okanye iinkxalabo, thetha nogqirha wakho ngazo ngokukhululekileyo. Bakho ukukunceda.
Umyalezo Wokuya Ekhaya
- I-Fasciotomy lutyando oluhlala lusindisa ubomi olwenziwa ukunciphisa uxinzelelo olugqithisileyo olujikeleze izihlunu (i-compartment syndrome).
- Ungaze uyithathe lula intlungu enzima, ukungaziva, kunye nokudumba okwenzeka emva kokwenzakala okukhulu, kwaye oko akulingani nobungakanani bokwenzakala.
- Ukuba wena okanye umntu omaziyo uhlangabezana nezi mpawu, kufuneka uye kwigumbi likaxakeka esibhedlele (ETU) ngoko nangoko. Ixesha libaluleke kakhulu.
- Unyango lomzimba lubalulekile ukuze umntu aphile ngokupheleleyo emva kotyando.
- Ukuba uneengxaki ngempilo yakho, ungaze ungathandabuzi ukuzithetha nogqirha wakho.
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