Ingabe ungumuntu ovivinya umzimba kakhulu futhi ogijima kakhulu? Noma ingabe kuvamile ukuba nemisipha ebuhlungu ngosuku olulandelayo ngemva kokuzilolonga kanzima? Sikubiza ngokuthi 'ubuhlungu bemisipha'. Kodwa ngezinye izikhathi lobu buhlungu bemisipha abuvamile, futhi bungaba uphawu lwesimo esibucayi kakhulu. Namuhla sikhuluma ngesimo esibucayi kangaka, kodwa sonke okudingeka sisiqaphele. Leso yi-Rhabdomyolysis, esiyibiza ngokuthi 'i-Rhabdo' ngamafuphi.
Kalula nje, iyini i-Rhabdomyolysis?
Leli igama lesayensi kancane, kodwa kulula kakhulu ukuliqonda. Cabanga ukuthi imisipha yakho yakhiwe yinqwaba yemicu emincane. Ku-rhabdomyolysis, le misipha yonakala kakhulu futhi imicu iyaphuka. Uma iphuka, izinto ezingaphakathi kwalezo micu, ikakhulukazi iphrotheni ebizwa ngokuthi 'i-myoglobin', zikhishwa ngqo egazini. Manje nansi inkinga. Izinto ezikhishwa egazini ngale ndlela zinobuthi kakhulu emizimbeni yethu. Lezi zinobuthi zihamba egazini ziye ezinso zethu. Umsebenzi wezinso ukuhlanza igazi. Kodwa uma inani elikhulu lezinobuthi lifika ngesikhathi esisodwa, izinso azikwazi ukuliphatha. Kufana nokuthi uma ubeka inqwaba enkulu yemfucuza esinkini sasekhishini, iyavaleka. Lokhu kungaholela
ekuhlulekeni kwezinso . Lokho kusho ukuthi azikwazi ukususa imfucuza. Lesi yisimo esiyingozi kakhulu. Uma singelashwa ngokushesha, singaba yingozi ngisho nokuphila.
Yiziphi izimbangela ze-rhabdomyolysis?
Asikho isizathu esisodwa salesi simo, kungaba nezizathu eziningi. Ake sizihlukanise zibe izigaba ezimbili eziyinhloko.
1. Izimbangela Ezibuhlungu - Umonakalo obangelwa yizinto zangaphandle emzimbeni 2. Izimbangela Ezingezona Ezibuhlungu
| Uhlobo lwesizathu | Izibonelo nezincazelo |
|---|
| Ukulimala Kokuchotshozwa | Ukucindezeleka okukhulu kwemisipha ngenxa yengozi yemoto, ukuwa usuka endaweni ephakeme, noma ukuwa kwesakhiwo. |
| Ukucindezela Okude | Ukuhlala endaweni efanayo isikhathi eside ngemva kokuwa, ukungakwazi ukuvuka, noma ukulala ungazi lutho endaweni eqinile, njengaphansi, isikhathi eside. |
| Okunye ukulimala okukhulu | Ukushaqeka ngogesi, ukushaywa ngumbani, ukusha kwezinga lesithathu, ukulunywa yinyoka noma izinambuzane ezinobuthi. |
| Ukucindezeleka Okukhulu Kwemisipha | Ikakhulukazi uma umuntu ongajwayele ukwenza ukuqeqeshwa kwesikhashana okunamandla kakhulu (CrossFit) ekwenza ngokuzumayo. Lokhu kungenzeka ngisho nakubasubathi abazivocavoca kahle. Uma umzimba unemisipha eminingi, umonakalo ungaba mkhulu. |
| Izidakamizwa notshwala | Ukusetshenziswa kwezidakamizwa ezifana ne-heroin ne-cocaine, kanye nokuphuza utshwala ngokweqile. |
| Imithi ethile | Uma uthatha imithamo ephezulu yemithi ethile yokwehlisa i-cholesterol (ama-statin) noma imithi ethile yesifo sengqondo (ama-antipsychotic). |
| Ukushisa komzimba okuphezulu (i-Hyperthermia) | Ukushiswa yilanga (ukushisa komzimba) noma umkhuhlane ophakeme. Abantu abasebenza elangeni (abalimi, izisebenzi zokwakha) basengozini enkulu. |
| Ezinye izimo zezokwelapha | Ukuquleka, izinkinga ezihlobene nesifo sikashukela (i-ketoacidosis yesifo sikashukela), izifo ezinzima (umkhuhlane, i-COVID-19, i-sepsis), kanye nezinye izifo zemisipha yofuzo (i-myopathy). |
Ziyini izimpawu zalokhu? Ukubona kanjani?
Izimpawu zalesi sifo azifani kuwo wonke umuntu. Ngezinye izikhathi kunzima ukubona izimpawu. Kodwa "i-classic triad" eyinhloko ebonakala yile: 1.
Ubuhlungu obukhulu bemisipha: ubuhlungu obungabekezeleleki, ikakhulukazi emahlombe, emathangeni, nasemhlane ongezansi. 2.
Ubuthakathaka bemisipha: Kuba nzima ukunyakaza noma ukuphakamisa izingalo nemilenze yakho. 3. Umchamo omnyama: Lesi yisibonakaliso esibaluleke kakhulu nesiyingozi . Umchamo uba nsundu ngokubomvu, njengombala we-cola . Inani lomchamo owudlulayo nalo lingase lehle. Kodwa khumbula, cishe ingxenye yabantu abanalesi simo kungenzeka bangabi nobuhlungu bemisipha noma ubuthakathaka. Ngakho-ke udinga ukuqaphela nezinye izimpawu. Ezinye izici ezivamile:
Ukuthola kanjani lokhu, Dokotela?
Uma unalezi zimpawu, kufanele ubonane nodokotela ngokushesha. Udokotela uzokwenza izivivinyo eziningana ukuqinisekisa ukuthi unesifo.- Ukuhlolwa kwegazi kwe -Creatine Kinase (CK): I-CK iyikhemikhali eyinhloko ekhishwa egazini lapho izicubu zemisipha ziphuka. Ku- rhabdomyolysis , amazinga e-CK aphezulu kakhulu. Lokhu kuhlolwa kwenziwa izikhathi eziningana ukuze kubonwe ukuthi amazinga ayancipha yini ngesikhathi sokwelashwa.
- Ukuhlolwa komchamo we-myoglobin: Lokhu kuhlola iphrotheni engikhulume ngayo ekuqaleni, ekhishwa emisipheni, emchameni. Kodwa-ke, lokhu akunembile njengokuhlolwa kwe-CK, ngoba i-myoglobin ikhishwa ngokushesha emzimbeni.
- Ezinye izivivinyo: Kungenziwa ezinye izivivinyo, njengokuhlolwa kokusebenza kwesibindi kanye ne-EKG.
Kufanele uye nini esibhedlela ngokushesha?
Lena yingxenye ebaluleke kakhulu. Izimpawu zivame ukuqala emahoreni angama-24 kuya kwangama-72 ngemuva kokulimala kwemisipha. Kulula ukudida imisipha ebuhlungu efika ngemva kokujima okuvamile nemisipha ebuhlungu ebangelwa yi-rhabdomyolysis. Uma uzwa ubuhlungu obukhulu bemisipha obungabekezeleleki, ubuthakathaka, futhi uqaphela ukuthi umchamo wakho usuphenduke onsundu noma umbala ofana nowe-cola, ungacabangi kabili. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (ETU) ngokushesha.
Iphathwa kanjani?
Uma i-rhabdomyolysis iqinisekisiwe, nakanjani uzolaliswa esibhedlela futhi welashwe.- Ama-IV Fluids (i-Saline ): Ukwelashwa okuyinhloko ukunikeza usawoti ngemithambo yegazi. Lokhu kusiza ukugcina umzimba unamanzi amaningi, kwandise ukuphuma komchamo, futhi 'kukhiphe' ubuthi obuvela ezinso.
- I-Dialysis: Uma izinso zonakele kakhulu futhi zingakwazi ukuhlanza igazi, kungase kudingeke ukuthi zenze i-dialysis, inqubo yokuhlanzwa kwegazi kusetshenziswa umshini.
- Ukuhlinzwa: Ngezinye izikhathi, imisipha elimele ingavuvukala futhi icindezele imithambo yegazi ezungezile kanye nemizwa. Lokhu kubizwa ngokuthi 'i-compartment syndrome'. Ezimweni ezinjalo, ukuhlinzwa okuncane (i-fasciotomy) kungenziwa ukuze kuncishiswe ingcindezi.
- Ukwelapha imbangela eyinhloko: Uma lesi simo sibangelwa isifo sikashukela, ukutheleleka, noma imithi ethile, kuzonikezwa nokwelashwa okufanele kwaleso sizathu.
Umlayezo Wokuya Nawe Ekhaya
- I-Rhabdomyolysis yisimo esibi esibangelwa ukuphuka kwemisipha. Lokhu kungalimaza izinso.
- Izimpawu eziyinhloko ubuhlungu obukhulu bemisipha, ubuthakathaka, futhi ikakhulukazi umchamo onsundu omnyama/onombala we-cola.
- Uma ubona eyodwa noma ngaphezulu yalezi zimpawu, ungachithi isikhathi bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Uma uzivocavoca, ikakhulukazi ngezinsuku ezishisayo, phuza amanzi anele ukuze ugcine umzimba wakho unamanzi. Ungazivivinyi umzimba ngaphezu kwamandla omzimba wakho.
- Ukuxilongwa kusenesikhathi kanye nokwelashwa kungaholela ekululameni okuphelele. Ngakho-ke ungalokothi uzishaye indiva izimpawu.
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