Chii chinonzi Compartment Syndrome, Nei Chichiitika? Zviratidzo uye Kurapwa

Mamiriro anozivikanwa secompartment syndrome anoitika kana kudzvanyirira kwakanyanya kunovaka mukati menzvimbo yakavharwa yemhasuru mumuviri. Ichi chirwere chinowanzokonzerwa nekubuda ropa kana kuzvimba mushure mekukuvara.

Chimiro chinorwadza zvikuru. Dzvinyiriro inovakwa mumamhasuru inogona kupfuura mwero une njodzi, zvichikonzera kudzikiswa kwekuyerera kweropa, izvo zvinodzivirira chikafu uye oxygen kubva pakusvika tsinga uye tsandanyama masero.

Chii chinonzi compartment syndrome?

Tsandanyama dzehuma, gumbo rezasi, uye dzimwe nhengo dzemuviri dzakakomberedzwa nemabhandi efibrous tissue. Izvi zvinogadzira zvikamu zvakasiyana. Fibrous tissue inonyanya kushanduka uye naizvozvo haitambanudzi kuti igadzirise kuzvimba munzvimbo (somuenzaniso, nekuda kwekukuvara). Kana ikasarapwa, tsandanyama netsinga dziri pano hazvigoni kushanda uye pakupedzisira dzinofa. Dzimwe nguva compartment syndrome inogona kuramba isingaperi nekuda kwekuita senge maekisesaizi.

Compartment syndrome inogona kuva yemhando mbiri:

• acute compartment syndrome: Iyi injodzi yekurapa, kazhinji inokonzerwa nekukuvadzwa kwakanyanya. Kana ikasarapwa, inogona kutungamirira kukukuvara kwetsandanyama zvachose.
• chronic compartment syndrome: Kazhinji yenguva, haisi emergency emergency. Inowanzokonzerwa nekushanda kwemitambo.

Chii chinokonzera compartment syndrome?

Mukamuri mushure mekukuvara edema kana kubatanidza ropa. Connective tissue yakaoma uye haigoni kuwedzera nyore nyore, zvichiita kuti kuwedzera kwekamuri kumanikidzwa. Izvi zvinodzivirira kuyerera kweropa rakakwana kune matissue mukati mechikamu. Mamiriro ezvinhu akadaro anogona kukonzera kukanganisa kwakanyanya kwetishu. Maoko, dumbu, nemakumbo ndidzo nzvimbo dzinowanzo gadzira compartment syndrome.

Acute compartment syndrome ndiyo inonyanya kuzivikanwa mhando uye inowanzokonzerwa nekutyoka gumbo kana ruoko. Ichi chirwere chinokura nekukurumidza kwemaawa kana mazuva. Inogona kuitika pasina kuputsika kwepfupa uye inowanzokonzerwa nezvinetso zvinotevera:

• anopisa
• kupwanya kukuvara
• kugwamba kweropa mutsinga yeropa
• Bandage yakanyanyisa
• Kudzvinyirirwa kwenguva refu kwegumbo (kunyanya panguva yekusaziva)
• Kuvhiyiwa kwetsinga dzeropa muruwoko kana gumbo
• Kusimbisa muviri kwakanyanyisa
• kutora anabolic steroids

Chronic compartment syndrome inotora mazuva kana mavhiki kuti iite. Zvinowanzokonzerwa nekurovedza muviri nguva dzose uye nesimba. Muchiitiko ichi, chidya, hip uye gumbo rezasi zvinowanzobatanidzwa.

Abdominal compartment syndrome inowanzoitika mushure mekukuvara kwakakomba, kuvhiyiwa, kana kurwara kwakakomba. Mamwe mamiriro ane chekuita nefomu iyi ndeaya anotevera:

• Kuvhiya mudumbu (zvakadai sekuisa chiropa)
• Kushungurudzika
• Sepsis
• Kubuda ropa kwakanyanya mudumbu
• kutsemuka kwepelvic
• Simba eccentric abdominal exercises

Ndezvipi zviratidzo zvecompartment syndrome?

Zviratidzo zveacute compartment syndrome zvinosanganisira:

• Kurwadza kutsva uye kunoramba kuripo muruoko kana gumbo
• Marwadzo anotanga maawa mashomanana mushure mekukuvara kwakakomba.
• Kuwedzera kurwadziwa kwakanyanya kuenzaniswa nekuoma kwekukuvara
• Tension, kuzvimba, uye mavanga munzvimbo yakabatwa
• chiveve mumakumbo, marwadzo ekubaya

Zviratidzo zve chronic compartment syndrome zvinosanganisira:

• Kuwedzera kukandira mumhasuru yabatwa
• Zviratidzo zvinowanzoitika mukati mehafu yeawa kubva pakutanga maekisesaizi
• Marwadzo anoita seanorerutswa nekuzorora

Zviratidzo zve abdominal compartment syndrome kazhinji hazvionekwi nemurwere (sezvo murwere anowanzo rwara zvakanyanya kana izvi zvichiitika). Vanachiremba kana nhengo dzemhuri dzinogona kuona zviratidzo zvinotevera:

• Kuvhunduka kana kudzvinyirirwa padumbu
• kunonoka kubuda weti
• kuderera kweropa
• Dumbu rakasimba, rakazvimba

Compartment syndrome kurapwa

Chinangwa chekurapa ndechekuderedza kumanikidza kune njodzi muchikamu chemuviri. Kukandwa kana kuti twumitsetse tunotetepa chikamu chemuviri chabatwa chinobviswa.

Vanhu vane acute compartment syndrome vangada kuvhiyiwa kwechimbichimbi kuti vaderedze kumanikidzwa kwekamuri. Iyo yakareba incision inoitwa kuburikidza neganda uye iri pazasi connective tissue layer kuti isunungure pressure. Mamwe marapirwo anotsigira fomu iri anosanganisira:

• Kuti uvandudze kubuda kweropa kune chikamu, chengetedza chikamu chemuviri chakakanganiswa pasi pemoyo.
• Murwere anogona kupihwa oxygen kuburikidza nemhino kana muromo.
• Fluids inopiwa netsinga.
• Mishonga yemarwadzo inogona kunyorwa.

Chronic compartment syndrome inorapwa zvakanyanya nekudzivisa chiitiko chakakonzera. Inogona kutevera kutambanudza uye kurovedza muviri kurapa. Mune chimiro chisingaperi, kunyangwe kuvhiyiwa kusiri kwekukurumidzira, inogona kusarudzwa kudzikisa kumanikidzwa.

Panyaya ye abdominal compartment syndrome, kurapwa kunosanganisira vasopressors, dialysis, mechanical ventilation, nezvimwewo. Inosanganisira matanho ekutsigira hupenyu akadai Mune zvimwe zviitiko, zvingave zvakakosha kuzarura dumbu kuti ubvise kudzvinyirira.

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