Yini eyenza i-compertional compartment syndrome futhi ungenza noma yini ngakho?
I-compartment syndrome engavamile iyingozi engavamile yezemidlalo eyenziwa ngokuvamile kubagijimi noma abanye abagijimi abenza noma yiluphi uhlobo lokuzivocavoca okuphindaphindiwe kanye nokuphatha ngokweqile noma amandla amakhulu ngokwemilenze ephansi. I-compartment syndrome ibizwa ngokuthi i-exertional compartment syndrome ngoba ngokuvamile ibangelwa ukusebenzisa ngokweqile noma ngokweqile imisipha.
Indawo evamile kakhulu kubagijimi ukuzwa i-part compartment syndrome isemisipha yomlenze ophansi.
Izimpawu ze-Chronic Compartment Syndrome
Izimpawu ezisemqoka ze-compartment syndrome zibangelwa ukucindezelwa kwezicubu ezithambile ngaphakathi nangaphansi kweqembu elithintekayo le-muscle. Izimpawu zesisindo somzimba nesishukela njengokunganxibilika, ukugubha, ubuhlungu, ubuthakathaka nokushisa, kuvame ukuzwa phambi komlenze ophansi. Ezinye izimpawu zifaka ukwehla kwezinyawo emlenzeni othintekile. Ukunyakaza kwezinyawo kusho ngokuyinhloko ukuthi, ngokucindezelwa kwemizwa nezinzwa ezihamba ngezinyawo, kukhona ukulahlekelwa okuhambisana nokulawulwa kwemisipha ephakamisa unyawo phezulu, futhi unyawo luyehla. Ukuwa kwezinyawo, kanye nezicubu ezinamandla, njengezintuthwane ezincane, phambi kwezimpawu ezihambisana nezinye izimpawu, kubonisa i-compartment syndrome eyingozi kakhulu.
Esinye isibonakaliso esikhulu se-compartment syndrome ubuhlungu obuvamile obuqala lapho uqala ukuvivinya umzimba futhi uyaqhubeka nokuqhubeka nokuqhubeka isikhathi eside uma usebenzisa umzimba, bese uhamba kancane kancane uma ushiya ukuvivinya umzimba.
Ezimweni ezintsha, ubuhlungu buyeke phakathi kwehora noma ukuyeka ukuzivocavoca, kepha uma ukucindezela kunzima noma kungapheli, ubuhlungu obunzima buhlala isikhathi eside ngemva kokuzivocavoca.
Izimbangela ze-Compartment Syndrome
Ezingalweni nasemilenzeni, izicubu ezinzima ezibizwa ngokuthi i- fascia zizungeze amaqembu ahlukahlukene asemasipha. Lo mdlalo uyingxenye encane engaphansi kwemisipha, imithambo yegazi kanye nemisipha.
I-Fascia inezimo eziguquguqukayo ezilinganiselwe ngakho uma imisipha ikhula ngaphezu kwamandla e-fascia ekusweleni kwayo ibeka ingcindezi emithanjeni nasemithanjeni yegazi endaweni encane. Uma ukuvuvukala kuyaqhubeka nokugeleza kwegazi kuya emisipha kuyoncipha, izinzwa zicindezeleke futhi zingabangela ukuphazamiseka noma ukugubha ezinyaweni nasemilenzeni ephansi.
Indlela enembile kunazo zonke yokuthola lesi simo ukufaka inaliti egumbini ngokushesha ngemuva komsebenzi obangela ubuhlungu nokulinganisa ukucindezelwa. Ukufunda ukucindezela okulinganisa kuka-45 mmHg kubonisa i-compartment syndrome.
I-compartment syndrome kwenzeka kaningi kubagijimi, nakuba noma yiliphi umdlali ongathinteka yi-compartment syndrome. Ngenxa yendawo yobuhlungu, ngokuvamile kuvame ukubhekwa kabi njengezingqimba ze- shin noma ukuphazamiseka kokucindezeleka.
Ukwelashwa kwe-Compartment Syndrome
Inkambo yokuqala yokwelapha ye-compartment syndrome engapheli iphumula imisipha ethintekile ukunciphisa ukuvuvukala nokuvuvukala. Ezinye izindlela zokwelashwa eziqaphile zihlanganisa icing, welula futhi ephakamisa umlenze ophansi ngemuva umsebenzi. Ukuguqula umzimba isikhathi esithile kunconywa ukunciphisa umthelela emzimbeni ophansi. Uma, njengesibonelo ulokhu ugijima, kuyasiza ukufaka ithrekhi yezemidlalo engenamthelela kunalokho.
Ezimweni eziningi i-compartment syndrome iphathwa ngokuhlinzwa ukuze kukhululwe i-fascia futhi ivumele ikamelo elingaphakathi. Ukuhlinzeka ngokuqondile kuya phambili, kodwa akuyona ingozi. Kubalulekile ukukhuluma nodokotela wakho ukuqonda izingozi nezinzuzo zalolu hlobo lwenqubo yokuhlinzwa.
Ukuze ugweme i-compartment syndrome, kuyasiza ukugqoka izicathulo ezifanele, futhi ugijime ezindaweni ezilula futhi uhlanganise ivolumu yakho yokuqeqesha. Ukunaka kunoma yiziphi izinhlungu nezinhlungu ngokunciphisa isikhathi sakho nokusebenza kwakho kunganciphisa amathuba okuthuthukisa i-compartment syndrome.
Njengawo wonke ukulimala okuhlobene nezemidlalo ukuvakashela kudokotela ukuthola uhlelo olufanele lokuxilongwa nokuphathwa kokwelashwa kubalulekile.
Umthombo:
I-American Academy yeMithi Yezemidlalo Yezempi, i-Chronic Compartment Syndrome.
Blackman, uPaul. Ukubuyekezwa kwe-compartment syndrome engapheli emlenzeni ophansi. Imithi neSayensi Yezemidlalo Nokuzivocavoca. I-Vol. 32, No. 3, Supplement, 2000.