Cabanga ukuthi ulimele kakhulu emlenzeni wakho engozini. Ngemva kwesikhashana, imisipha ezungeze ukulimala iyavuvukala, okubangela ubuhlungu obungabekezeleleki, futhi umlenze wakho uzizwa ungasasebenzi. Lokhu akulona nje ubuhlungu obuvamile obuvela ekulimaleni, kuyinto engaphezu kwalokho. Lokhu kungaba yisimo esiphuthumayo sezokwelapha. Yilapho-ke ukuhlinzwa esikhuluma ngakho namuhla, okubizwa ngokuthi i-fasciotomy, kuyadingeka. Lokhu kungaba ukuhlinzwa okuphuthumayo ukusindisa ingalo yakho, umlenze, noma ngisho nokuphila kwakho.
Kuyini i-Fasciotomy kalula?
Kalula nje, i-fasciotomy inqubo yokuhlinzwa yokunciphisa ingcindezi ezungeze imisipha. Lokhu kuhilela ukusika ulwelwesi oluqinile (i-fascia) oluzungeze imisipha, kukhishwe ingcindezi engaphakathi.
Ake sichaze lokhu kakhudlwana. Imisipha, imizwa, kanye nemithambo yegazi ezingalweni nasemilenzeni yethu konke kuhlanganiswe ndawonye kulwelwesi oluqinile noluqinile. Cabanga ngakho njengesivalo esizungeze isoseji. Kwezokwelapha, lesi silwelwesi esiqinile sibiza ngokuthi 'i-fascia' . Yonke indawo engaphakathi kwalesi sici esiqukethe imisipha, imizwa, kanye nemithambo yegazi ibizwa ngokuthi 'igumbi lemisipha.'
Ake ucabange nje, kwenzekani uma kukhona ukuvuvukala okweqile ngaphakathi kwale ndawo ngenxa yengozi ethile? Ngenxa yaleso sikhumba se-fascia esiqinile, ukuvuvukala akunandawo yokuphuma. Bese ingcindezi engaphakathi kwale ndawo iyanda ngokweqile. Yilokhu esikubiza ngokuthi 'i-compartment syndrome' . Ngenxa yale ngcindezi eyeqile, imithambo yegazi kuleyo ndawo iyaqina, futhi ukugeleza kwegazi emisipheni nasezinzwa kungayeka. Uma lokho kwenzeka, leso zicubu siqala ukufa. Yilapho kwenziwa khona i-fasciotomy, kunqunywe lelo membrane le-fascia eliqinile, kukhishwe ingcindezi engaphakathi, futhi kubuyiselwe ukugeleza kwegazi.
Le nkinga ye-compartment syndrome yenzeka kanjani?
Lesi simo singenzeka ngezindlela ezimbili eziyinhloko.
1. I-Acute Comppartment Syndrome: Lesi yisimo esiyingozi kakhulu nesizumayo. Ngokuvamile senzeka ngemva kwengozi enkulu. Isibonelo, lesi simo singabangelwa ukuvuvukala okukhulu ngemva kwengozi yemoto, njengokuphuka kwethambo noma ukucindezeleka okukhulu kwemisipha. Lesi yisimo esidinga ukwelashwa okuphuthumayo.
2. I-Chronic Compartment Syndrome: Lesi yisimo esikhula kancane kancane. Sivame ukubonakala kubantu abasebenzisa kakhulu iqembu elifanayo lemisipha, njengabasubathi nabasebenzi bezempi. Ubuhlungu buba bubi kakhulu ngokuzivocavoca umzimba futhi bungcono ngokuphumula. Nakuba kungesona isimo esiphuthumayo, singaba sibi kakhulu ngokuhamba kwesikhathi.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Njengoba i-Acute Compartment Syndrome iyisimo esiphuthumayo, i-fasciotomy ngokuvamile ayihlelwa kusengaphambili. Uma ungeniswa e-Emergency Treatment Unit (ETU) yesibhedlela, odokotela baxilonga lesi simo ngokusekelwe ezimpawu zakho. Uma sebexilongile ngezimpawu ezifana nobuhlungu obungabekezeleleki, ukungazweli, kanye nobuthakathaka engalweni noma emlenzeni wakho, ithimba lokuhlinzwa lizokuthatha ngokushesha liye egumbini lokuhlinzwa.
Into ebaluleke kakhulu ukwenza ukuhlinzwa zingakapheli amahora ambalwa kusukela kutholakale lesi simo, ngoba umzuzu ngamunye odlulayo wandisa umonakalo ezicutshini.
Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ngeke uzizwe noma ukhumbule lutho. Udokotela ohlinzayo uzokwenza lokhu okulandelayo:
- Kwenziwa ukusikwa kwesikhumba okukodwa noma okubili phezu kwengxenye yemisipha efanele.
- Ngemuva kwalokho i-fascia engaphakathi iyahlonzwa, inqunywe, bese ingcindezi ikhishwa. Kungadingeka ukukhulula izingxenye eziningana ngale ndlela.
- Okulandelayo, bahlola noma yiziphi izicubu ezonakele noma ezifile bese bezisusa. Baphinde baqaphe ngokucophelela ukuthi ukugeleza kwegazi kuyabuyiselwa yini.
- Lokhu kusikwa ngokuvamile akukhuhlwa ngokushesha . Kuthatha izinsuku eziningana ukuthi ukuvuvukala kwehle ngokuphelele, ngakho-ke inxeba lishiywa livulekile. Ngezinye izikhathi ukwelashwa okubizwa ngokuthi "i-negative pressure wound therapy" kusetshenziswa ukunciphisa ukuvuvukala ngokushesha ngokususa uketshezi enxebeni.
- Ngemva kwezinsuku ezimbalwa, inxeba liyahlolwa kabusha bese kususwa ezinye izicubu ezifile.
- Uma ukuvuvukala sekuphelile, inxeba liyavalwa. Ngezinye izikhathi, uma kungekho sikhumba esanele ukumboza inxeba, isikhumba esivela kwenye ingxenye yomzimba siyathathwa bese sitshalwa kabusha ('i-skin graft').
- Ekugcineni, inxeba liboshwe kahle futhi uzofundiswa ukuthi kufanele uligcine isikhathi esingakanani ibhandishi.
Yiziphi izinzuzo nezingozi zokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, i-fasciotomy inezinzuzo zayo kanye nezingozi ezithile. Ake sibheke kabanzi ngazo.
| Izinzuzo | Izingozi |
|---|---|
| Ukusindisa impilo kanye nemilenze: Esimweni esibi kakhulu, lokhu kuhlinzwa kuvimbela ukufa kwezicubu, okungaholela ekunqunyweni noma ekuthelelekeni okusongela ukuphila. | Izingozi ezivamile zokuhlinzwa: Kunezingozi ezifana nokutheleleka kwenxeba kanye nokulimala kwemizwa noma imithambo yegazi. |
| Ukuphumula ebuhlungwini obukhulu: Kulabo abanezimo ezingapheli, lokhu kuhlinzwa kunganikeza ukuphumula ebuhlungwini obungapheli. | Ukwehluleka kokuhlinzwa: Ngezinye izikhathi, kunengozi yokulahlekelwa yingalo/umlenze ngoba izicubu azikwazi ukusindiswa (ikakhulukazi uma ufika esibhedlela sekwephuzile kakhulu). |
| Ukuvuselela umsebenzi: Ngokwelashwa ngokomzimba okufanele, ungasebenzisa ingalo/umlenze wakho ngendlela evamile futhi. | Ukuphinda kwesimo: Izicubu zezibazi ezakheka ngesikhathi sokuphola kwenxeba zingaqinisa i-fascia futhi, okubangela ukuba lesi simo siphinde sivele. |
Kwenzekani ngemva kokuhlinzwa? Kungani i-physiotherapy ibalulekile?
Ungase uzwe ubuhlungu njengoba i-anesthesia iphela. Udokotela wakho uzokunikeza imithi yokwelapha izinhlungu ukuze akusize ulawule ubuhlungu. Ngemva kokuhlinzwa, ukwelashwa ngokomzimba kubalulekile ukuze kukusize uphinde ululame futhi uqine endaweni. Uma ungakwenzi lokho, ilunga noma imisipha ingase iqine futhi ingakwazi ukunyakaza kahle.
Umbuzo abanye abantu abawubuzayo uthi, "Ingabe i-fascia iyavuseleleka ngemva kokusikwa?" Yebo, iyavuseleleka. Kodwa yakha izicubu zesilonda. Yingakho kubaluleke kakhulu ukugcina leyo ndawo inwetshiwe kahle ngokwelashwa ngokomzimba.
Izimpawu ezidinga usizo lwezokwelapha ngokushesha
Uma usanda kulimala noma ukuhlinzwa okukhulu futhi uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kubaluleke kakhulu ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha .
Khumbula, uma kwenzeka i-Acute Compartment Syndrome, ukulimala kwemizwa okuhlala njalo kuqala ukwenzeka ngemva kwamahora ayisithupha okwelashwa okulibazisekile. Ngemva kwamahora ayi-12, ingozi yezinkinga iphezulu kakhulu.
Izimpawu ezidinga ukunakekelwa okusheshayo:
- Ubuhlungu obukhulu, obungabekezeleleki obungalingani nobukhulu bokulimala .
- Ukukhubazeka kwengalo noma umlenze okwesikhashana, okusho ukungakwazi ukuyishukumisa.
- Ubuhlungu obungavamile, obubukhali lapho welula imisipha.
- Ubuthakathaka, umuzwa wokucasuka (i-paresthesia).
Kuvamile ukuthi noma ubani esaba uma etshelwa ukuthi kufanele enze ukuhlinzwa okuphuthumayo okunje. Kodwa khumbula, i-fasciotomy iyisisombululo esiphephile nesisebenza kahle kakhulu se-compartment syndrome. Uma unemibuzo noma ukukhathazeka, khuluma nodokotela wakho ngakho ngokukhululekile. Bakhona ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- I-Fasciotomy iwukuhlinzwa okusindisa impilo okwenziwa ukuze kuncishiswe ingcindezi enkulu ezungeze imisipha (i-compartment syndrome).
- Ungalokothi ubukele phansi ubuhlungu obukhulu, ukungazweli, nokuvuvukala okwenzeka ngemva kokulimala okukhulu, futhi lokho akulingani nobukhulu bokulimala.
- Uma wena noma othile omaziyo eba nalezi zimpawu, kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha. Isikhathi sibaluleke kakhulu.
- Ukwelashwa ngokomzimba kubalulekile ukuze umuntu alulame ngokuphelele ngemva kokuhlinzwa.
- Uma unenkinga ngempilo yakho, ungalokothi unqikaze ukuxoxa ngayo nodokotela wakho.
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