Kodi Compartment Syndrome Ndi Chiyani, Chifukwa Chiyani Imachitika? Zizindikiro ndi Chithandizo

Matenda otchedwa compartment syndrome amapezeka pamene kupanikizika kwambiri kumawonjezeka mkati mwa minofu yotsekedwa m'thupi. Matendawa nthawi zambiri amayamba chifukwa chotuluka magazi kapena kutupa pambuyo povulala.

Ndi chikhalidwe chowawa kwambiri. Kupanikizika komwe kumapangidwira mu minofu kumatha kupitirira miyeso yoopsa, kuchititsa kuchepa kwa magazi, zomwe zimalepheretsa zakudya ndi mpweya kuti zifike ku mitsempha ndi minofu.

Kodi compartment syndrome ndi chiyani?

Minofu ya mkono, m'munsi mwa mwendo, ndi ziwalo zina za thupi zazunguliridwa ndi timagulu ta minofu. Izi zimapanga magawo osiyanasiyana. Minofu ya Fibrous imasinthasintha kwambiri ndipo motero sichimatambasula kuti igwirizane ndi kutupa m'deralo (mwachitsanzo, chifukwa cha kuvulala). Ngati sichitsatiridwa, minofu ndi minyewa pano sizigwira ntchito ndipo pamapeto pake zimafa. Nthawi zina matenda a compartment amatha kukhala aakulu chifukwa chochita masewera olimbitsa thupi.

Compartment syndrome ikhoza kukhala yamitundu iwiri:

• pachimake compartment syndrome: Izi ndizovuta zachipatala, zomwe nthawi zambiri zimachitika chifukwa chovulala kwambiri. Ngati sichitsatiridwa, chingayambitse kuwonongeka kwa minofu kosatha.
• Chronic compartment syndrome: Nthawi zambiri, si vuto lachipatala. Kawirikawiri amayamba chifukwa cha masewera othamanga.

Kodi chimayambitsa compartment syndrome ndi chiyani?

M'chipinda pambuyo pa kuvulala edema kapena kuphatikiza magazi. Minofu yolumikizana ndi yolimba ndipo simatha kukula mosavuta, zomwe zimapangitsa kuti zipinda ziwonjezeke. Izi zimalepheretsa kuti magazi aziyenda bwino m'magulu omwe ali mkati mwa chipindacho. Zinthu zoterezi zimatha kuwononga kwambiri minofu. Mikono, mimba, ndi miyendo ndi malo omwe amapezeka kwambiri ndi matenda a compartment.

Acute compartment syndrome ndi mtundu wofala kwambiri ndipo nthawi zambiri umayamba chifukwa chothyoka mwendo kapena mkono. Matendawa amakula msanga pakapita maola kapena masiku. Zitha kuchitika popanda kusweka kwa fupa ndipo nthawi zambiri zimayamba chifukwa cha mavuto awa:

• amayaka
• kuphwanya kuvulala
• magazi mumtsempha wamagazi
• Bandeji yothina kwambiri
• Kupanikizika kwanthawi yayitali kwa chiwalo (makamaka nthawi ya chikomokere)
• Opaleshoni ya mitsempha ya m'manja kapena mwendo
• Kuchita masewera olimbitsa thupi mwamphamvu kwambiri
• kutenga anabolic steroids

Chronic compartment syndrome imatenga masiku kapena milungu kuti ipangike. Nthawi zambiri zimachitika chifukwa chochita masewera olimbitsa thupi nthawi zonse komanso mwamphamvu. Pankhaniyi, ntchafu, ntchafu ndi mwendo wapansi nthawi zambiri zimakhudzidwa.

Matenda a m'mimba nthawi zambiri amapezeka pambuyo povulala kwambiri, opaleshoni, kapena matenda aakulu. Zina zomwe zimagwirizana ndi fomuyi ndi izi:

• Opaleshoni ya m'mimba (monga kuika chiwindi)
• Zowopsa
• Sepsis
• kutuluka magazi kwambiri m'mimba
• fractures m'chiuno
• Zochita zamphamvu zolimbitsa thupi m'mimba

Kodi zizindikiro za compartment syndrome ndi chiyani?

Zizindikiro za acute compartment syndrome ndi:

• Kupweteka kwatsopano komanso kosalekeza pa mkono kapena mwendo
• Ululu umayamba maola angapo pambuyo povulala kwambiri.
• Kupweteka koopsa kwambiri poyerekeza ndi kuopsa kwa kuvulala
• Kupanikizika, kutupa, ndi mabala m'dera lomwe lakhudzidwa
• dzanzi m'manja, kupweteka kubaya

Zizindikiro za chronic compartment syndrome ndi:

• Kuwonjezereka kwa kukangana kwa minofu yomwe yakhudzidwa
• Zizindikiro zomwe zimachitika mkati mwa theka la ola mutayamba kuchita masewera olimbitsa thupi
• Ululu umene umawoneka kuti umachepetsedwa ndi kupuma

Zizindikiro za matenda am'mimba nthawi zambiri sizimawonedwa ndi wodwalayo (monga wodwalayo nthawi zambiri amadwala kwambiri izi zikachitika). Madokotala kapena achibale angazindikire zizindikiro zotsatirazi:

• Kudzidzimuka mukapanikizidwa pamimba
• kuchedwetsa mkodzo kutulutsa
• kutsika kwa magazi
• Mimba yolimba, yotupa

Chithandizo cha compartment syndrome

Cholinga cha chithandizo ndi kuchepetsa kuthamanga koopsa mu chipinda cha thupi. Zopangira kapena zomangira zomwe zimachepetsa gawo lomwe lakhudzidwa limachotsedwa.

Anthu omwe ali ndi acute compartment syndrome angafunikire opaleshoni yadzidzidzi kuti achepetse kuthamanga kwa chipinda. Kudulira kwautali kumapangidwa kudzera pakhungu ndi minyewa yolumikizirana kuti itulutse mphamvuyo. Njira zina zothandizira fomuyi ndi izi:

• Kuti magazi aziyenda bwino m'chipindacho, sungani gawo lomwe lakhudzidwalo pansi pa mtima.
• Wodwala amatha kupatsidwa mpweya kudzera m'mphuno kapena pakamwa.
• Madzi amaperekedwa kudzera m'mitsempha.
• Mankhwala opweteka akhoza kuperekedwa.

Chronic compartment syndrome imathandizidwa makamaka popewa zomwe zidayambitsa. Mutha kutsatira zolimbitsa thupi zotambasula komanso zolimbitsa thupi. Mu mawonekedwe osatha, ngakhale opaleshoni sikofulumira, zingakhale bwino kuthetsa kupanikizika.

Pankhani ya m'mimba compartment syndrome, chithandizo chimaphatikizapo vasopressors, dialysis, makina mpweya wabwino, etc. Zimaphatikizapo njira zothandizira moyo monga Nthawi zina, zingakhale zofunikira kutsegula pamimba kuti muchepetse kupanikizika.

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