Ingabe imisipha yakho iqinile futhi ibuhlungu kakhulu? Lokhu kungaba yi-"Compartment Syndrome"!

Wake waba neqhubu emlenzeni noma engalweni yakho elizwakala njengetshe, livuvukile futhi libuhlungu? Ngezinye izikhathi lingaphezu nje kokulimaza. Namuhla sizokhuluma ngesimo esibucayi kakhulu, kodwa esingaphathwa kahle uma usazi. Sibizwa ngokuthi "i-Compartment Syndrome".

Kuyini "i-Compartment Syndrome"? Ake sikuqonde kalula, akunjalo?

Kalula nje, `(Isifo Segumbi)` ukwanda okukhulu kwengcindezi esikhaleni esizungeze imisipha yakho . Cabanga ngale ndlela, imisipha emzimbeni wethu ihlanganiswe ndawonye "ngamakamelo" amancane noma "ngamakamelo" (`(Amakamelo)`). Isigaba ngasinye simbozwe ulwelwesi oluncane noluqinile olubizwa ngokuthi `(Fascia)` . Kufana nesikhumba esincane esizungeze isoseji , kodwa sinamandla.

Ngakho-ke, lapho ingcindezi ngaphakathi kwale ngxenye ikhuphuka ngesizathu esithile, kungakhathaliseki ukuthi kungenxa yokuvuvukala noma ukopha, i-fascia ayikwazi ukwelula kakhulu. Okwenzekayo ukuthi yonke imisipha, imithambo yegazi, kanye nemizwa ngaphakathi kwaleyo ngxenye iqala ukucindezelwa. Lokhu kucindezelwa kubangela ukuthi ukuhlinzekwa kwegazi kunqamuke, futhi umoya-mpilo kanye nezakhamzimba emisipheni nasezinzwa kunciphe . Yilokho okubizwa ngokuthi i-compartment syndrome. Lesi yisimo esibuhlungu kakhulu.

Nakuba lesi simo singathinta noma yiliphi iqembu lemisipha emzimbeni, sivame ukubonakala ku:

• Emilenzeni, ikakhulukazi endaweni ye-pubic (izinwele ezikhule ngaphakathi zihlukile, lokhu kubi kakhulu).
• Ezandleni, okuhlanganisa isihlakala (isihlakala) kanye nesundu.
• Ezinyaweni.
• Esiswini (esiswini).
• Endaweni yezinqe.

Kunezinhlobo ezimbili eziyinhloko ze-"Compartment Syndrome"

Siyazazi izinhlobo ezimbili eziyinhloko zalokhu. Uhlobo kanye nokwelashwa kwalokhu kuhlukile kancane.

1. Isifo Esibuhlungu Segumbi Eliphezulu

Lolu uhlobo oluyingozi kakhulu . Njengoba igama lalo lisho, lesi yisimo esenzeka ngokuzumayo . Ngokuvamile sivela ngemva kokulimala okukhulu. Cabanga ngakho njengengozi enkulu, ukuwa usuka endaweni ephakeme, noma ukuphuka kwethambo.

Lesi yisimo esiphuthumayo sezokwelapha! Uma usola ukuthi unesifo se-compartment syndrome, kufanele uye ekamelweni lezimo eziphuthumayo esibhedlela ngokushesha . Ngoba uma kungelashwa ngokushesha, kungaholela ekulimaleni kwemisipha unomphela, ukukhubazeka , noma ngisho nokufa. Kuzwakala kuyesabeka, akunjalo? Kodwa ukuqaphela kuyinto ebaluleke kakhulu.

2. Isifo Segumbi Elingapheli

Lokhu akusikho okuzumayo njengokuqala ngokuzumayo. Lesi yisimo sesikhathi eside, esikhula kancane kancane.Lokhu kuvame kakhulu kubantu abavivinya umzimba ngokweqile futhi abadlala imidlalo. Yingakho odokotela ngezinye izikhathi bekubiza ngokuthi "Isifo Sokuvivinya Umzimba Esibangelwa Ukuzivocavoca (Ukuzivocavoca) ." Nakuba lokhu kungeyona into ephuthumayo, kungaba buhlungu kakhulu.

Ivame kangakanani i-"Compartment Syndrome"?

Eqinisweni, i-sudden compartment syndrome ayivamile kangako. Ngisho nase-United States, iyenzeka kubantu abangaphansi kwabayi-10 kwabayi-100,000 ngonyaka. Kodwa-ke, abantu abaye balimale ngandlela-thile, njengokuphuka kwamathambo, banamathuba amaningi okuba nayo . Isibonelo, izifundo zithole ukuthi cishe abantu abayi-10% abaye baphuka i-tibia yabo (ithambo elikhulu ngaphansi kwedolo) bangase babe ne-compartment syndrome.

Ziyini izimpawu ze-`(Compartment Syndrome)`?

Manje ake sibone ukuthi ziyini izimpawu. Uma unezinye zalezi zimpawu, kufanele nakanjani ubone udokotela.

• Ukuvuvukala okubonakalayo noma ukuvuvukala okuzungeze inqwaba yenyama.
• Ubuhlungu obukhulu bemisipha. Lokhu kubuhlungu kakhulu kunobuhlungu obuvame ukubuzwa ngokuzivocavoca. Kungazwakala sengathi ummese uyakugwaza.
• Ukuthungwa okuqinile. Uma uyithinta, ingazwakala iqine njengetshe.
• Ubuhlungu obukhulu lapho welula umzimba.
• Ukungazwakali (`(Ukungazwakali)`).
• Ukuzwa ukucasuka noma ukushisa ngaphansi kwesikhumba (`(Paresthesia)`). Njengezintuthwane ezigijima nxazonke, noma njengameva ahlabayo.
• Umuzwa wokuthi inyama igcwele, iqinile, futhi inkulu kunokujwayelekile.

Iyini imbangela eyinhloko ye-`(Compartment Syndrome)`?

Njengoba ngishilo ngaphambili, isizathu esiyinhloko salokhu ukwanda kwengcindezi ngaphakathi kwegumbi le-meatus . Lokhu kucindezela kwandiswa ukuvuvukala noma ukopha, kungaba ngenxa yokulimala noma ukucindezeleka okuqhubekayo.

I-fascia inganwebeka kancane, kodwa inomkhawulo. Njengoba ingcindezi iqhubeka nokwakheka, i-fascia ayisakwazi ukuqhubeka. Yilapho imisipha nemizwa engaphakathi kwayo iqala ukucindezela. Lokhu kucindezelwa yikona okubangela ubuhlungu nezinye izimpawu.

Cabanga uhamba usuku lonke ugqoke izicathulo ezincane kakhulu ngobukhulu bakho. Kungase kube kuhle ukuzigqoka ekuseni. Kodwa njengoba usuku luqhubeka, njengoba uhamba, izinyawo zakho ziqala ukuvuvukala. Ekupheleni kosuku, lezo zicathulo obucabanga ukuthi "zilungile" zizwakala sengathi zinothi lwensimbi olucindezela izinyawo zakho. I-Compartment Syndrome iyinto efanayo, kodwa iyingozi kakhulu ngoba lokhu kucindezela kwakheka ngaphakathi emzimbeni.

Izimbangela ze-compartment syndrome ziyahlukahluka kuye ngohlobo.

Izimbangela ze-"Compartment Syndrome" ezumayo

Ukulimala okukhulu yisona sizathu esiyinhloko salokhu.

• Izingozi zezimoto.
• Ukuwa kusuka phezulu (njengokusuka ophahleni, ileli).
• Ukuphuka Kwamathambo.
• Ukulimala okuchotshoziwe okubangelwa ukuthile okuwela emzimbeni.
• Ukuphuka kwemisipha okukhulu.
• Izingozi zezemidlalo.
• Izinkinga ngemva kokuhlinzwa.
• Izinkinga ezibangelwa ukuphonswa okuqinile noma i-splint.
• Ukucindezeleka kokuba sesimweni esifanayo amahora amaningi ngaphandle kokunyakaza ingalo noma umlenze. (Isibonelo, umuntu obengazi lutho ngemuva kokuphuza utshwala angase abhekane nalokhu).

Izimbangela ze-`(Compartment Syndrome)` ezinde

Lokhu kuvame ukukhula kancane kancane ngokuhamba kwesikhathi. Ukuzivocavoca okuvamile nokunzima yimbangela eyinhloko. Uma uqhubeka nokwenza uhlobo olufanayo lokuzivocavoca, iqembu elifanayo lemisipha lingacindezeleka futhi ingcindezi inganda.

• Ukugijima (`(Ukugijima)`).
• Ukuhamba ngebhayisikili (`(Ukugibela ibhayisikili)`).
• Ukubhukuda (`(Ukubhukuda)`).
• Ukuphakamisa izinsimbi (`(Ukuphakamisa izinsimbi)`).

Ngaphezu kwalokhu, nakuba kungavamile, ukunyakaza okuphindaphindiwe isikhathi eside , kungaba semsebenzini noma njengento yokuzilibazisa, kungaba yimbangela yesifo se-compartment syndrome.

Yiziphi izinto ezibangela ingozi?

I-Compartment Syndrome ingakhula kunoma ubani ngemva kwengozi engazelelwe.

Kodwa-ke, abasubathi nalabo abasebenza kanzima ngokomzimba banamathuba amaningi okusebenza imisipha yabo ngokweqile futhi bathuthukise "i-Compartment Syndrome" yesikhathi eside.

Futhi, le ngozi ingase ikhuphuke kancane kubantu abanezifo zegazi ezifana ne-hemophilia .

Yiziphi izinkinga ezingaba khona ze-`(Compartment Syndrome)`?

Lokhu kungabangela izinkinga ezinkulu.

Uma ingcindezi ekamelweni lenyama iba phezulu kakhulu, izicubu (`(Izicubu)`) azitholi igazi elisha elanele, umoya-mpilo, kanye nezakhamzimba . Lokhu kungabangela ukufa kwezicubu (`(Necrosis)`) . Uma lokhu kwenzeka, kuwumonakalo ongunaphakade .

I-Compartment Syndrome ingaba yingozi uma ingelashwa ngokushesha. Yingakho kunconywa ukuthi uye esibhedlela ngokushesha uma unesinsolo esincane.

Odokotela bakuthola kanjani ukuthi "i-Compartment Syndrome" ibangelwa yini?

Udokotela uzokuhlola lokhu ngokukuhlola ngokomzimba nokwenza izivivinyo ezithile. Uzohlola ngokucophelela imisipha yakho nendawo ezungezile. Bangase bazame nokususa ezinye izimo ezingabangela izimpawu ezifanayo, njenge -tendinitis ( ukuvuvukala kwemisipha) noma ama-shin splints ( ubuhlungu ethanjeni le-shin).

Tshela udokotela wakho ngokucacile ukuthi wawunzani lapho uqala ukuzwa ubuhlungu nezinye izimpawu, nokuthi yiziphi izinto ezenza izimpawu zibe zimbi kakhulu noma zibe zimbi kakhulu.

Ukuhlolwa kokuxilonga `(Compartment Syndrome)`

Udokotela angase asebenzise izivivinyo eziningana ukuze axilonge lesi simo:

• I-X-ray: Lokhu kusiza ukuhlola ezinye izingozi , njengethambo eliphukile.
• Ukuhlolwa kokulinganisa ingcindezi yegumbi: Kulokhu kuhlolwa, udokotela wakho ufaka inalithi ezindaweni eziningana esiswini sakho. Umshini oxhunywe nenalithi ulinganisa ingcindezi emzimbeni wakho. Lokhu kuhlolwa kungaba buhlungu kancane. Tshela udokotela wakho ukuthi kubuhlungu kangakanani uma inaliti ifakwa, nokuthi ezinye izindawo zibuhlungu kakhulu kunezinye.
• Phinda ukuhlolwa kwengcindezi: Uma udokotela wakho ecabanga ukuthi une-persistent compartment syndrome, angase aphinde ahlole ingcindezi ngemva kokuzivocavoca. Bazoqhathanisa ingcindezi yakho yangaphambi kokuzivocavoca nengcindezi yakho yangemva kokuzivocavoca.

Yiziphi izindlela zokwelapha `(Compartment Syndrome)`?

Ukwelashwa kwalokhu kuncike ekutheni hlobo luni lwe-compartment syndrome onayo.

I-Compartment Syndrome iyisimo esiphuthumayo sezokwelapha esidinga ukuhlinzwa okusheshayo.

I-long-term compartment syndrome ivame ukuthuthuka ngokushintsha okuthile endleleni yakho yokuzivocavoca kanye nokuphumula.

Ukwelashwa Okuphuthumayo Kwe-"Compartment Syndrome"

Udokotela ohlinzayo uzokwenza inqubo ebizwa ngokuthi "i-Fasciotomy." Lokhu kuhilela ukwenza i-incision esikhumbeni sakho kanye ne-fascia ukuze kuncishiswe ingcindezi engxenyeni yemisipha ethintekile.

Ukusikwa kuyavalwa ngemva kokuba ukuvuvukala kanye nengcindezi sekuyehlile. Ngezinye izikhathi lokhu kungase kungenzeki ngokushesha. Uma lokhu kwenzeka, udokotela ohlinzayo angenza i-graft yesikhumba . Lokhu kusho ukuthatha ingcezu yesikhumba kwenye ingxenye yomzimba wakho bese uvala i-incision.

Ukwelashwa kwe-"Compartment Syndrome" yesikhathi eside

I-compartment syndrome engapheli (ebangelwa ukuzivocavoca) ivame ukuthuthuka ngokuphumula imisipha ethintekile kanye nokuyeka ukuyisebenzisa ngokweqile . Udokotela wakho angase asikisele okulandelayo ukusiza ekulawuleni izimpawu zakho nokuvimbela ukwakheka kwengcindezi eyengeziwe:

• Imithi: Ama-NSAID ( isib. ibuprofen) noma i-acetaminophen ( isib. iPanadol) angathengwa ekhemisi ukuze kuncishiswe ukuvuvukala .Ama-painkiller angasiza ekunciphiseni ukuvuvukala nobuhlungu. Kodwa-ke, ungayithathi le mithi izinsuku ezingaphezu kweziyi-10 ngesikhathi ngaphandle kweseluleko sikadokotela.
• Ukushintsha indlela yakho yokuzivocavoca: Kungase kudingeke wenze izivivinyo ezahlukene, ezingenamthelela omkhulu. Abanye abantu bashintshela "ekuqeqeshweni okuphambeneyo." Okusho ukuthi, ukwenza izinhlobo ezahlukene zokuzivocavoca esikhundleni sokwenza izivivinyo ezifanayo nsuku zonke. Kungase kudingeke futhi ukuthi ushintshe lapho uzivocavoca khona. Isibonelo, esikhundleni sokugijima emgwaqweni okhonkolo, gijima ngendlela ehamba kancane.
• Ukwelashwa Komzimba : Udokotela wezokwelapha umzimba angakusiza ukwandisa amandla nokuguquguquka kwemisipha yakho ethintekile. Bangakukhombisa nokuthi ungazivocavoca kanjani ngendlela evimbela ukucindezeleka nokwanda kokucindezeleka.
• Ama-Orthotics: Lawa ama-insert afakwa ngaphakathi kwezicathulo. Lawa angasiza abantu abane-compartment syndrome. Udokotela wakho uzokutshela ukuthi yiluphi uhlobo lwe-orthotics olufanele wena.

Uma ezinye izindlela zokwelapha zingasebenzi, noma uma i-compartment syndrome iphinda ivele, kungadingeka ukuthi uhlinzwe i- fasciotomy . Udokotela wakho uzokutshela ukuthi kufanele ucabangele nini ukuhlinzwa nokuthi yini ongayilindela.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Uma une-`(Compartment Syndrome)` engazelelwe kufanele uzizwe ungcono njengoba ululama ekuhlinzweni kwe-`(Fasciotomy)`. Abantu abaningi badinga ukuphumula cishe inyanga ngaphambi kokuba baqale ukusebenzisa imisipha futhi. Udokotela wakho ohlinzayo uzokutshela ukuthi kuzothatha isikhathi esingakanani ukuqala ukunyakaza futhi uphinde uqalise umsebenzi womzimba.

Ukuphatha i-chronic compartment syndrome kungathatha isikhathi, ikakhulukazi ezigabeni zokuqala. Kungathatha izinyanga eziningana ukuthola inhlanganisela yokwelashwa kanye nezinguquko zokuzivocavoca ezilawula izimpawu zakho. Njengoba uthola izindlela zokugwema ukucindezela kakhulu imisipha ethintekile, izimpawu zakho kufanele zinciphe kancane kancane.

Ungakuvimbela kanjani `(Isifo Segumbi)`?

I-Compartment Syndrome yinto engavela ngokuzumayo ngemva kokulimala noma ngenxa yenkinga ongeke ukwazi ukuyilawula, ngakho-ke ayinakuvinjelwa. Ukuya ekamelweni eliphuthumayo ngokushesha nje lapho usola ukuthi une-compartment syndrome kuyindlela kuphela yokuvimbela izinkinga ezinkulu.

Uma uzizwa sengathi iplasta noma ibhandishi kuqinile kakhulu, ikakhulukazi uma usenobuhlungu nokuvuvukala kuleyo ndawo naphezu kokuthatha imithi yokubulala izinhlungu, tshela udokotela wakho ngakho. Udokotela wakho angashintsha ukwesekwa kwakho futhi avimbele i-compartment syndrome.

Indlela engcono kakhulu yokuvimbela i-long-term compartment syndrome ukugwema ukubeka ingcindezi enkulu emisipheni yakho . Landela lawa macebiso ukuze unciphise ingozi yakho:

• Gwema ukuziqeqesha ngokweqile – Uma imisipha yakho ibuhlungu, kungaba ngesikhathi noma ngemva komsebenzi womzimba, ungacabangi ukuthi “udlala ngobuhlungu.”
• Fudumala futhi welule umzimba ngaphambi kokuzivocavoca.
• Ngemva komsebenzi onzima, pholisa bese welula.
• Khulisa ukukhuthazela kwakho kancane kancane – ungakhulisi ngokuzumayo ukuqina kokuzilolonga kwakho.
• Shintsha ukujima kwakho. Zama ukugwema ukwenza uhlobo olufanayo lokujima, ngendlela efanayo, nsuku zonke.
• Zama ukugwema ukuzivocavoca ezindaweni eziqinile neziqinile njengokhonkolo kanye nethayela.

Yini umuntu one-"Compartment Syndrome" angayilindela?

I-Compartment Syndrome ingaba yisimo esibuhlungu kakhulu, kodwa uma usuqalile ukusilawula, izimpawu kufanele zithuthuke.

I-compartment syndrome ngokuvamile ayiphinde ivele ngemva kokuhlinzwa kwe-fasciotomy. Kodwa-ke, kubalulekile ukuyibona nokuyiphatha ngokushesha okukhulu. Uma ishiywa isikhathi eside ingelashwa, kulapho ingozi yokulimala unomphela iba nkulu khona.

I-long-term compartment syndrome ingaphinde ivele, ikakhulukazi uma ukhuphula izinga lakho lomsebenzi ngokuzumayo. Buza udokotela wakho ngemisebenzi ephephile ongayenza ngenkathi ululama.

Kungathatha cishe unyaka ukubuyela ngokuphephile emisebenzini yomzimba enzima.

Wazi kanjani ukuthi umuntu une-"Compartment Syndrome"?

Udokotela kuphela ongaxilonga i-compartment syndrome. Kodwa-ke, ungazinaki izimpawu ezifana nobuhlungu bemisipha nokuvuvukala. Uma kukhona ngisho nethuba elincane lokuthi ungase ube ne-compartment syndrome, iya ekamelweni lezimo eziphuthumayo ngokushesha.

Bona udokotela uma uzwa ubuhlungu noma ukuvuvukala ngemva kokuzivocavoca, ikakhulukazi uma kwenzeka njalo. Nakuba "i-compartment syndrome" ende ingeyona isimo esiphuthumayo esisongela ukuphila, iseseyimbi kakhulu.

Abanye abantu bacabanga ngesisho esithi "Akukho buhlungu, akukho nzuzo," kodwa lokho akusebenzi nhlobo kulesi simo. Awufuni ukuba sebuhlungwini ngemva kokuzivocavoca noma ukuba matasa. Kunomehluko omkhulu phakathi kobuhlungu obuzwayo usuku noma ezimbili ngemva kokuzivocavoca kanzima kanye nobuhlungu obukwenza ungakwazi ukunyakaza ngaphandle kobuhlungu obukhulu.

Uma uke waba nobuhlungu emzimbeni wakho obukwenza ucabange ukuthi kukhona okungahambi kahle, bona udokotela. Ngisho noma ungenayo "i-compartment syndrome" yesikhathi eside, ungase ube nokulimala noma inkinga ebangela izimpawu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela wakho, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Uhlobo luni lwe-"(Compartment Syndrome)" enginalo?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe kuzodingeka ngihlinzwe?
• Ngingayishintsha kanjani indlela yami yokuzivocavoca?
• Ngingaqala nini futhi umsebenzi womzimba?

Umlayezo Wokuya Nawe Ekhaya

I-Compartment Syndrome yisimo esibangelwa ukucindezela okukhulu okuzungeze izingxenye zenhliziyo. I-Acute compartment syndrome iyisimo esiphuthumayo esisongela impilo. I-chronic compartment syndrome ngokuvamile ingaphathwa ngaphandle kokuhlinzwa.

Nokho, lalela umzimba wakho. Ungaziphoqeleli ukuziqeqesha noma ukuzivocavoca uma usezinhlungwini. Kunomehluko omkhulu phakathi kokucindezela imikhawulo yakho ngokuphepha kanye nokubeka engcupheni yokulimala.

Uma uzwa ubuhlungu obungavamile endaweni efanayo ngemva kokuzivocavoca ngakunye, bona udokotela wakho. Angakusiza ukuthola izindlela zokunciphisa ingcindezi ngaphakathi kwamaseli emisipha yakho nokuvimbela ubuhlungu esikhathini esizayo.

Uma ulimele kakhulu, ngemva kokuhlinzwa, noma uma uzwa ubuhlungu obukhulu, ukuvuvukala, noma ukuba ndikindiki ngenkathi ugqoke i-cast noma i-bandage, iya ekamelweni eliphuthumayo ngokushesha. Khumbula, ukwelashwa kusenesikhathi kungavimbela umonakalo omkhulu.