Ingabe imisipha yakho ivuvukile, iqinile, futhi inobuhlungu obukhulu? Kungaba yi-compartment syndrome!

Cabanga ukuthi uwa kanzima ngenkathi udlala ikhilikithi, noma uwa ebhayisikilini bese ulimala umlenze. Ekuqaleni, ukulimala kubuhlungu, kodwa kungakapheli amahora ambalwa, imisipha endaweni elimele iba lukhuni, ivuvuke, futhi ibe buhlungu. Uma uthinta indawo, izwakala iqine njengetshe. Ingabe lokhu kuye kwenzeka kuwe? Namuhla sikhuluma ngesimo esingaba yingozi esidinga ukunakekelwa kwezokwelapha okusheshayo, okubizwa ngokuthi i-Compartment Syndrome.

Iyini le-Compartment Syndrome?

Kalula nje, i-compartment syndrome ilapho kunokucindezeleka okukhulu kakhulu emisipheni yakho. Lokhu kucindezela kuvimbela ukugeleza kwegazi, umoya-mpilo, kanye nezakhamzimba emisipheni yakho. Lesi yisimo esibuhlungu kakhulu.

Manje, bheka, imisipha, imizwa, kanye nemithambo yegazi emzimbeni wethu kuhlelwe ngamaqembu amancane, noma "izingxenye." Izingxenye ngayinye imbozwe ulwelwesi olujiyile noluncane olubizwa ngokuthi "i-fascia." Kufana nesikhumba esizungeze isoseji. Uma ngesizathu esithile ingcindezi engaphakathi kwale ngxenye ikhuphuka, imisipha iqala ukucindezela kuleyo "fascia." Yilapho-ke i-Compartment Syndrome iqala khona.

Nakuba lesi simo singase senzeke kunoma yiliphi iqembu lemisipha, sivame ukubonakala kulezi zindawo ezilandelayo:

• Imilenze, ikakhulukazi endaweni yesisu.
• Kubandakanya izandla, izintende zezandla, kanye nezihlakala.
• Ngaphansi.
• Isisu (isisu).
• Indawo yesinqe.

Kunezinhlobo ezimbili eziyinhloko ze-compartment syndrome:

Lesi simo singahlukaniswa sibe izinhlobo ezimbili eziyinhloko kuye ngokuthi senzeka kanjani. Kubaluleke kakhulu ukuqaphela lezi ezimbili, ngoba esinye yisimo esidinga ukwelashwa okuphuthumayo.

Ziyini izimpawu zalesi simo?

Izimpawu ezivame kakhulu ze-compartment syndrome yilezi:

• Ukuvuvukala okubonakalayo: Indawo lapho umsipha ukhona ibonakala ivuvukile futhi ikhukhumele.
• Ubuhlungu obukhulu: Okungaphezu kakhulu kobuhlungu bokulimala okuvamile. Kuzwakala sengathi imisipha icindezelwa ngaphakathi.
• Ukuqina: Uma uyithinta ngesandla sakho, izwakala inzima kakhulu, njengetshe.
• Ubuhlungu lapho welula: Ubuhlungu obukhulu lapho imisipha yelula.
• Ukuba ndikindiki: Umuzwa wokulahlekelwa umuzwa endaweni ethile.
• Umuzwa wokushisa: Umuzwa wokucasuka noma wokushisa ngaphansi kwesikhumba. Ngokwezokwelapha, lokhu kubizwa ngokuthi "i-paresthesia".
• Ukugcwala kwepenisi: Ipenisi izwakala inkulu futhi igcwele kunokujwayelekile.

Kungani kwenzeka lesi sifo se-compartment syndrome?

Lokhu kwenzeka lapho ukulimala noma ukucindezeleka okuqhubekayo kubangela ukopha noma ukuvuvukala ngaphakathi kwemisipha. Ukucindezeleka okungaphakathi kuyakhula, kusunduze imisipha ngokumelene ne-fascia.

Le fascia inganwebeka kancane, kodwa inomkhawulo. Njengoba ingcindezi iqhubeka nokwakheka, ekugcineni i-fascia ayisakwazi ukwelula futhi iqala ukucindezela imisipha, imizwa, kanye nemithambo yegazi ngaphakathi. Lokho kucindezelwa yikho okubangela lobu buhlungu obukhulu kanye nezinye izimpawu.

Lokhu kufana nokuhamba ngesicathulo esincane usuku lonke. Kulungile ukusigqoka ekuseni, kodwa njengoba uhamba usuku lonke, izinyawo zakho ziyavuvukala kancane. Kusihlwa, isicathulo sizwakala sengathi sicindezela izinyawo zakho. I-Compartment Syndrome yilapho lolu hlobo lokucindezelwa lwenzeka ngaphakathi emzimbeni. Yingakho kuyingozi.

Izimbangela ze-Acute Compartment Syndrome

Imbangela eyinhloko yalesi simo esiphuthumayo ukulimala okukhulu. Isibonelo:

• Izingozi zezimoto.
• Ukuwa kusuka phezulu, njengasesitebhisini noma ophahleni.
• Ukuphuka: Ingozi yalesi simo iphezulu kakhulu uma ithambo lomlenze (i-tibia) liphukile.
• Ukulimala okuchotshoziwe okubangelwa ukuwela ngaphansi kwento esindayo.
• Ukuqaqamba okukhulu kwemisipha.
• Izinkinga ngemva kokuhlinzwa.
• Ukuqinisa i-cast noma i-splint engalweni noma emlenzeni.
• Ukuba nengalo noma umlenze ubambeke endaweni efanayo amahora amaningi.

Izimbangela Ze-Chronic Compartment Syndrome

Lokhu kuvame ukwenzeka ngokuhamba kwesikhathi. Imbangela eyinhloko ukuzivocavoca okuqhubekayo nokuqina. Uma uqhubeka nokwenza uhlobo olufanayo lokuzivocavoca, iqembu elifanayo lemisipha lingacindezeleka futhi lesi simo singavela.

• Ukugijima
• Ukuhamba ngebhayisikili
• Ukubhukuda
• Phakamisa izinsimbe ezisindayo

Udokotela ukuthola kanjani lokhu?

Uma uya kudokotela, uzoqala ahlole imisipha yakho nendawo ezungezile. Bazokubuza imibuzo mayelana nokuthi ubuhlungu buqale kanjani, ukuthi wenzani, nokuthi buqala yini ukuba bubi kakhulu. Bangase bafune nokususa ezinye izimo ezibangela izimpawu ezifanayo, njenge-tendonitis noma i-shin splints.

Ngaphezu kwalokho, ungenza futhi izivivinyo ezifana nalezi:

• I-X-ray: Ukuhlola ezinye izingozi, njengamathambo aphukile.
• Ukuhlolwa Kokulinganisa Ukucindezeleka Kwegumbi: Lolu ukuhlolwa okuqondile kakhulu. Kulolu vivinyo, udokotela ufaka inalithi encane emisipheni yakho bese esebenzisa umshini oxhunywe kuyo ukukala ukucindezeleka okungaphakathi. Lokhu kungaba buhlungu kancane. Kufanele utshele udokotela wakho ngobuhlungu.
• Ukuhlolwa Kokucindezeleka Okuphindaphindiwe: Uma usola ukuthi une-Chronic Compartment Syndrome, udokotela wakho angase akucele ukuthi uvivinye umzimba bese ephinda alinganise umfutho wegazi lakho.

Iphathwa kanjani?

Ukwelashwa kuncike ohlotsheni lwe-compartment syndrome onayo.

I-Acute Compartment Syndrome yisimo esidinga ukuhlinzwa okuphuthumayo. Lokhu kuhlinzwa kubizwa ngokuthi "i-fasciotomy". Kulokhu, udokotela ohlinzayo wenza ukuhlinzwa futhi anqume "i-fascia" evulekile, ulwelwesi oluqinile oluzungeze imisipha. Lokhu kukhulula ngokushesha ingcindezi ebambeke ngaphakathi futhi kubuyisele ukuhamba kwegazi. Inxeba liyavalwa futhi kuphela ngemva kokuba ukuvuvukala sekuphelile ngokuphelele. "I-graft yesikhumba" nayo ingadingeka.

I-Chronic Compartment Syndrome ngokuvamile ayidingi ukuhlinzwa. Ingaphathwa ngokuphumula kanye nokushintsha indlela yokuzivocavoca. Udokotela wakho angase ancome ukwelashwa okufana nalokhu:

• Iziqeda-zinhlungu: Imithi efana nemithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) inganciphisa ukuvuvukala nobuhlungu. Kodwa ungayisebenzisi njalo izinsuku ezingaphezu kweziyi-10 ngaphandle kweseluleko sikadokotela wakho.
• Ukushintsha indlela yakho yokuzivocavoca: Udokotela ukweluleka ukuthi ushintshe indlela yakho yokuzivocavoca futhi ugxile ekuzivocavoceni okulula. Isibonelo, ukugijima ensimini enotshani esikhundleni sokugijima emgwaqweni okhonkolo.
• Ukwelashwa Komzimba:Udokotela wezokwelapha uzokufundisa ukuzivocavoca ukuze uqinise futhi uthuthukise ukuguquguquka kwakho.
• Ama-Orthotics: Ukusebenzisa ama-insoles akhethekile (ama-orthotics) afakwe ngaphakathi kwezicathulo kunikeza ukusekelwa okuhle kwezinyawo.

Kuphela uma lezi zindlela zokwelapha zinganikezi impumuzo noma uma isimo siphinde sibuye kucatshangelwa ukuhlinzwa (i-fasciotomy).

Yiziphi izinkinga eziyingozi ezingavela kulokhu?

I-Compartment Syndrome akuyona into okufanele ithathwe kalula. Lapho ingcindezi ngaphakathi kwe-muscle compartment ikhula kakhulu, izicubu zilahlekelwa igazi, umoya-mpilo, kanye nezakhamzimba ezizidingayo.

I-Acute Compartment Syndrome iyisimo esiphuthumayo esisongela ukuphila uma singelashwa ngokushesha. Ngakho-ke , kubalulekile ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha nje lapho kuvela izimpawu.