Compartment Syndrome yog dab tsi, yog vim li cas nws tshwm sim? Cov tsos mob thiab kev kho mob

Ib yam mob hu ua compartment syndrome tshwm sim thaum lub siab ntau dhau los ua rau hauv qhov chaw kaw cov leeg hauv lub cev. Tus mob no feem ntau yog los ntshav los yog o tom qab raug mob.

Nws yog ib qho mob hnyav heev. Lub siab ua rau hauv cov leeg tuaj yeem mus dhau qhov txaus ntshai, ua rau txo qis hauv cov ntshav, uas tiv thaiv kev noj zaub mov thiab oxygen los ntawm kev mus txog cov paj hlwb thiab cov leeg nqaij.

Compartment syndrome yog dab tsi?

Cov leeg ntawm lub hauv pliaj, sab ceg, thiab lwm yam hauv lub cev yog ib puag ncig los ntawm cov ntaub so ntswg fibrous. Qhov no tsim cov partitions sib txawv. Fibrous cov ntaub so ntswg hloov tau yooj yim heev thiab yog li ntawd tsis ncab kom haum raws li qhov chaw o (piv txwv li, vim raug mob). Yog tias tsis kho, cov leeg thiab cov hlab ntsha ntawm no tsis tuaj yeem ua haujlwm thiab thaum kawg tuag. Qee lub sij hawm compartment syndrome tuaj yeem ua mob ntev vim yog kev tawm dag zog xws li kev tawm dag zog.

Compartment syndrome tuaj yeem yog ob hom:

• mob hnyav compartment syndrome: Qhov no yog kev kho mob xwm txheej ceev, feem ntau tshwm sim los ntawm kev raug mob hnyav. Yog tias tsis kho, nws tuaj yeem ua rau cov leeg mob mus tas li.
• mob chronic compartment syndrome: Feem ntau, nws tsis yog kev kho mob xwm txheej ceev. Nws feem ntau tshwm sim los ntawm kev ua kis las.

Dab tsi ua rau compartment syndrome?

Nyob rau hauv lub compartment tom qab raug mob edema los yog ntshav. Kev sib txuas cov ntaub so ntswg yog ib qho nyuaj thiab tsis tuaj yeem nthuav tau yooj yim, ua rau muaj kev sib txuas ntxiv. Qhov no tiv thaiv cov ntshav txaus txaus rau cov ntaub so ntswg hauv qhov chaw. Cov xwm txheej zoo li no tuaj yeem ua rau cov ntaub so ntswg puas. Ob txhais caj npab, plab, thiab ob txhais ceg yog cov chaw uas muaj feem cuam tshuam rau kev tsim cov kab mob compartment.

Acute compartment syndrome yog hom kab mob uas tshwm sim ntau tshaj plaws thiab feem ntau tshwm sim los ntawm cov ceg tawg lossis caj npab. Tus mob no tshwm sim sai heev nyob rau hauv lub sij hawm los yog hnub. Nws tuaj yeem tshwm sim yam tsis muaj pob txha pob txha thiab feem ntau tshwm sim los ntawm cov teeb meem hauv qab no:

• kub hnyiab
• tsoo raug mob
• ntshav txhaws hauv cov hlab ntsha
• Cov ntaub qhwv nruj heev
• Ntev ntev compression ntawm limb (tshwj xeeb tshaj yog nyob rau hauv lub sij hawm tsis nco qab)
• Kev phais ntawm cov hlab ntsha ntawm caj npab los yog ceg
• Kev tawm dag zog heev
• noj anabolic steroids

Chronic compartment syndrome yuav siv sij hawm hnub los yog lis piam los tsim. Nws feem ntau tshwm sim los ntawm kev tawm dag zog tsis tu ncua thiab nquag. Hauv qhov no, tus ncej puab, lub duav thiab sab ceg feem ntau koom nrog.

Abdominal compartment syndrome feem ntau tshwm sim tom qab raug mob hnyav, phais, lossis mob hnyav. Qee lwm yam xwm txheej cuam tshuam nrog daim ntawv no yog raws li hauv qab no:

• Kev phais plab (xws li hloov daim siab)
• Kev poob plig
• mob sepsis
• mob plab los ntshav
• pelvic fractures
• Muaj zog eccentric plab ce

Cov tsos mob ntawm compartment syndrome yog dab tsi?

Cov tsos mob ntawm tus mob hnyav compartment syndrome muaj xws li:

• Ib qho mob tshiab thiab tsis tu ncua ntawm caj npab lossis ceg
• Mob pib ob peb teev tom qab raug mob hnyav.
• Kev mob hnyav dua piv rau qhov hnyav ntawm qhov raug mob
• Tension, o, thiab bruising nyob rau hauv lub cheeb tsam
• loog loog nyob rau hauv limb, stabbing mob

Cov tsos mob ntawm chronic compartment syndrome muaj xws li:

• Kev mob cramping nyob rau hauv cov leeg mob
• Cov tsos mob tshwm sim nyob rau hauv ib nrab ib teev tom qab pib kev tawm dag zog
• Qhov mob uas zoo li yuav txo tau los ntawm kev so

Cov tsos mob ntawm plab hnyuv plab feem ntau tsis pom los ntawm tus neeg mob (raws li tus neeg mob feem ntau mob hnyav thaum qhov no tshwm sim). Cov kws kho mob lossis cov neeg hauv tsev neeg tuaj yeem pom cov tsos mob hauv qab no:

• Startle thaum nias rau ntawm plab
• slowed zis tso zis
• ntshav siab
• Mob plab, mob plab

Compartment syndrome kev kho mob

Lub hom phiaj ntawm kev kho mob yog txo qhov txaus ntshai nyob rau hauv lub cev compartment. Casts los yog splints uas nqaim qhov cuam tshuam lub cev raug tshem tawm.

Cov neeg uas muaj mob plab hnyuv siab raum yuav xav tau kev phais mob xwm txheej ceev kom txo tau qhov siab. Ib qho kev txiav ntev yog ua los ntawm daim tawv nqaij thiab cov ntaub so ntswg hauv qab kom tso tawm lub siab. Lwm cov kev kho mob txhawb nqa rau daim ntawv no suav nrog:

• Txhawm rau txhim kho cov ntshav khiav mus rau qhov chaw, ua kom lub cev cuam tshuam hauv qab lub plawv.
• Tus neeg mob tuaj yeem muab oxygen los ntawm lub qhov ntswg lossis qhov ncauj.
• Cov kua dej yog muab tso rau hauv cov hlab ntsha.
• Cov tshuaj kho mob yuav raug sau tseg.

Chronic compartment syndrome yog kho feem ntau los ntawm kev zam cov dej num uas ua rau nws. Yuav ua raws li kev ncab thiab kev kho lub cev. Nyob rau hauv daim ntawv mob ntev, txawm hais tias kev phais tsis yog ceev, nws yuav nyiam los txo qhov siab.

Nyob rau hauv cov ntaub ntawv ntawm plab compartment syndrome, kev kho mob muaj xws li vasopressors, dialysis, mechanical ventilation, thiab lwm yam. Xws li kev ntsuas kev txhawb nqa lub neej xws li Qee zaum, nws yuav tsum tau qhib lub plab kom txo tau qhov siab.

Cov ntaub ntawv: 1