Yintoni iCompartment Syndrome, Kutheni isenzeka? Iimpawu kunye noNyango

Imeko eyaziwa ngokuba yi-compartment syndrome yenzeka xa uxinzelelo olugqithisileyo lwakha ngaphakathi kwendawo evaliweyo yemisipha emzimbeni. Le meko idla ngokuvela ngenxa yokopha okanye ukudumba emva kokwenzakala.

Yimeko ebuhlungu kakhulu. Uxinzelelo olwakhiwe kwizihlunu lunokuhamba ngaphaya kwamanqanaba ayingozi, okubangela ukuncipha kokuhamba kwegazi, okuthintela ukondla kunye neoksijini ekufikeleleni kwiiseli ze-nerve kunye nezihlunu.

Yintoni i-compartment syndrome?

Izihlunu kwi-forearm, emlenzeni ongezantsi, nakwezinye iindawo zomzimba zijikelezwe ngamabhande ee-fibrous tissue. Oku kudala amacandelo ahlukeneyo. Izicubu ze-Fibrous zi-elastiki kwaye ngoko azinwebeki ukuze zibambe ukudumba kwindawo (umzekelo, ngenxa yokwenzakala). Ukuba ayiphathwa, izihlunu kunye nemithambo-luvo apha ayikwazi ukusebenza kwaye ekugqibeleni iyafa. Ngamanye amaxesha i-compartment syndrome inokuba yinto engapheliyo ngenxa yokuzibhokoxa, njengokuzilolonga.

I-compartment syndrome inokuba ziindidi ezimbini:

• i-acute compartment syndrome: Le yimeko kaxakeka yonyango edla ngokubangelwa kukwenzakala kakhulu. Ukuba ayiphathwanga, inokubangela umonakalo osisigxina wemisipha.
• I-Cronic compartment syndrome: Amaxesha amaninzi, akuyongxaki yonyango. Ngokuqhelekileyo kubangelwa kukuzibhokoxa kwezemidlalo.

Yintoni ebangela i-compartment syndrome?

Kwigumbi emva kokulimala nokudumba okanye igazi lisenokuqokelelana. Izicubu ezixhumeneyo ziqinile kwaye azikwazi ukwandisa ngokulula, okubangela ukwanda koxinzelelo lwecandelo. Oku kuthintela ukuhamba kwegazi okwaneleyo kwizicubu ngaphakathi kwendawo. Iimeko ezinjalo zinokukhokelela kumonakalo omkhulu wezicubu. Iingalo, isisu kunye nemilenze zezona ndawo zithandwa kakhulu ekuphuhliseni i-compartment syndrome.

I-Acute compartment syndrome lolona hlobo luxhaphakileyo kwaye ludla ngokubangelwa kukuphuka komlenze okanye ingalo. Le meko ikhula ngokukhawuleza kwiiyure okanye iintsuku. Ingenzeka ngaphandle kokuphuka kwethambo kwaye idla ngokubangelwa zezi ngxaki zilandelayo:

• ukutsha
• Ukulimala kokutyumza
• ihlwili legazi kumthambo wegazi
• Ibhandeji liqine kakhulu
• Uxinzelelo olude lwelungu (ingakumbi ngexesha lokulahlekelwa zingqondo)
• Utyando lwemithambo yegazi engalweni okanye emlenzeni
• umthambo onamandla kakhulu
• ukuthatha i-anabolic steroids

I-Cronic compartment syndrome ithatha iintsuku okanye iiveki ukukhula. Ngokuqhelekileyo kubangelwa kukuzivocavoca rhoqo kunye namandla. Kule meko, ithanga, i-hip kunye nomlenze ophantsi zidla ngokuchaphazeleka.

I-Abdominal compartment syndrome ngokuqhelekileyo iyenzeka emva kokulimala kakhulu, utyando, okanye ukugula okubalulekileyo. Eminye imiqathango enxulumene nale fomu yile ilandelayo:

• Utyando lwesisu (njengofakelo lwesibindi)
• Umonzakalo
• Sepsis
• Ukopha kakhulu esiswini
• Ukwaphuka kwePelvic
• Ukuzilolonga okuqinileyo kwe-eccentric besisu

Ziziphi iimpawu ze-compartment syndrome?

Iimpawu ze-acute compartment syndrome zezi zilandelayo:

• Intlungu entsha kunye neqhubekayo kwingalo okanye emlenzeni
• Ubuhlungu buqala kwiiyure ezimbalwa emva kokulimala okukhulu.
• Intlungu enzima kakhulu xa kuthelekiswa nobunzima bokulimala
• Ukuqina, ukuvuvukala kunye nokulimala kwindawo echaphazelekayo
• Ubundisholo, intlungu ehlabayo kwilungu

Iimpawu ze-chronic compartment syndrome zezi zilandelayo:

• Ukukrala nokukrala kwisihlunu esichaphazelekayo
• Iimpawu ezivela kwisiqingatha seyure uqalise umthambo
• Iintlungu ezibonakala ngathi ziyancipha ngokuphumla

Iimpawu ze-compartment syndrome zesisu zihlala zingabonakali ngumguli (kuba isigulane sihlala sigula kakhulu xa le meko isenzeka). Oogqirha okanye amalungu osapho anokubona ezi mpawu zilandelayo:

• Ukuhlutha xa isisu sicinezelwe
• ukuphuma komchamo okucothayo
• uxinzelelo lwegazi oluphantsi
• Isisu esixineneyo, sidumbile

Unyango lwe-compartment syndrome

Ingqwalasela yonyango kukunciphisa uxinzelelo oluyingozi kwindawo yomzimba. Iisasti okanye izikhonkwane ezithintela amalungu omzimba achaphazelekayo ziyasuswa.

Abantu abane-acute compartment syndrome banokufuna utyando olungxamisekileyo ukukhulula uxinzelelo lwecandelo. Ukusikeka okude kwenziwa ngesikhumba kunye ne-subway tissue layer ukukhulula uxinzelelo. Olunye unyango oluxhasayo lwale fomu lubandakanya:

• Gcina inxalenye yomzimba echaphazelekayo ngaphantsi kwinqanaba lentliziyo ukuphucula ukuhamba kwegazi ukuya kwigumbi.
• Isigulana sinokunikwa ioksijini ngeempumlo okanye ngomlomo.
• Ulwelo lunikwa ngemithambo.
• Amayeza eentlungu anokumiselwa.

I-Cronic compartment syndrome iphathwa ngokuyinhloko ngokuphepha umsebenzi owubangelayo. Ukuzolula kunye nokuzivocavoca umzimba kunokulandela. Nangona utyando alungxamisekanga kwifomu engapheliyo, kunokukhethwa ukukhulula uxinzelelo.

Kwimeko ye-syndrome ye-compartment yesisu, unyango lubandakanya i-vasopressors, i-dialysis, i-ventilation yomatshini, njl. Kubandakanya imilinganiselo yenkxaso yobomi efana Kwezinye iimeko, kunokuba yimfuneko ukuvula isisu ukukhulula uxinzelelo.

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