Iyini I-Compartment Syndrome, Kungani Kwenzeka? Izimpawu Nokwelashwa

Isimo esaziwa ngokuthi i-compartment syndrome senzeka lapho ukucindezela okukhulu kwakha ngaphakathi kwesikhala semisipha esivaliwe emzimbeni. Lesi simo ngokuvamile sibangelwa ukopha noma ukuvuvukala ngemva kokulimala.

Kuyisimo esibuhlungu kakhulu. Umfutho owakhelwe emisipheni ungadlulela ngalé kwamazinga ayingozi, okubangela ukuncipha kokugeleza kwegazi, okuvimbela umsoco nomoya-mpilo ekufinyeleleni amangqamuzana ezinzwa nemisipha.

Iyini i-compartment syndrome?

Izicubu zengalo, umlenze ongezansi, nezinye izingxenye zomzimba zizungezwe amabhande ezicubu ezinemicu. Lokhu kudala ama-partitions ahlukene. Izicubu ze-Fibrous ziguquguquka kakhulu ngakho-ke azinwebeki ukuze zivumelane nokuvuvukala endaweni (isibonelo, ngenxa yokulimala). Uma ingelashwa, izicubu nezinzwa lapha azikwazi ukusebenza futhi ekugcineni zife. Kwesinye isikhathi i-compartment syndrome ingaba yisifo esingelapheki ngenxa yokuzikhandla okufana nokuzivocavoca.

I-Compartment syndrome ingaba yizinhlobo ezimbili:

• i-acute compartment syndrome: Lesi isimo esiphuthumayo sezokwelapha, ngokuvamile esibangelwa ukulimala okubi kakhulu. Uma ingelashwa, ingaholela ekulimaleni kwemisipha unomphela.
• i-chronic compartment syndrome: Isikhathi esiningi, akusona isimo esiphuthumayo sezempilo. Ngokuvamile kubangelwa ukuzikhandla kwezemidlalo.

Yini ebangela i-compartment syndrome?

Ekamelweni ngemva kokulimala edema noma ukuhlanganisa igazi. Izicubu ezixhumeneyo ziqinile futhi azikwazi ukwanda kalula, okuholela ekwenyukeni kwengcindezi yekhompathi. Lokhu kuvimbela ukugeleza kwegazi okwanele ezicutshini ezingaphakathi kwegumbi. Izimo ezinjalo zingaholela ekulimaleni okukhulu kwezicubu. Izingalo, isisu, nemilenze yizindawo ezivame kakhulu ukuba ne-compartment syndrome.

I-acute compartment syndrome iwuhlobo oluvame kakhulu futhi ngokuvamile lubangelwa ukuphuka komlenze noma ingalo. Lesi simo sikhula ngokushesha phakathi namahora noma izinsuku. Kungenzeka ngaphandle kokuphuka kwethambo futhi ngokuvamile kubangelwa izinkinga ezilandelayo:

• ukusha
• ukulimala kokuchoboza
• ihlule legazi emithanjeni yegazi
• I-bandage eqine kakhulu
• Ukucindezelwa isikhathi eside kwesitho (ikakhulukazi ngesikhathi sokuquleka)
• Ukuhlinzwa kwemithambo yegazi engalweni noma emlenzeni
• Ukuzivocavoca okunamandla ngokwedlulele
• ukuthatha ama-anabolic steroids

I-Chronic compartment syndrome ithatha izinsuku noma amasonto ukukhula. Ngokuvamile kubangelwa ukuzivocavoca okuvamile nokunamandla. Kulokhu, ithanga, i-hip kanye nomlenze ophansi kuvame ukubandakanyeka.

I-Abdominal compartment syndrome ngokuvamile ivela ngemva kokulimala okubi kakhulu, ukuhlinzwa, noma ukugula okubucayi. Eminye imibandela ehambisana naleli fomu yilena elandelayo:

• Ukuhlinzwa kwesisu (njengokufakelwa kwesibindi)
• Ukuhlukumezeka
• Sepsis
• ukopha kakhulu kwesisu
• ukuphuka kwe-pelvic
• Ukuzivocavoca okunamandla kwe-eccentric besisu

Yiziphi izimpawu ze-compartment syndrome?

Izimpawu ze-acute compartment syndrome zihlanganisa:

• Ubuhlungu obusha futhi obuqhubekayo engalweni noma emlenzeni
• Ubuhlungu buqala emahoreni ambalwa ngemva kokulimala kanzima.
• Ubuhlungu obukhulu kakhulu uma kuqhathaniswa nobukhulu bokulimala
• Ukushuba, ukuvuvukala, kanye nemihuzuko endaweni ethintekile
• ukuba ndikindiki esithweni, ubuhlungu obuhlabayo

Izimpawu ze-Cronic compartment syndrome zifaka:

• Ukuwohloka kokuqina kwemisipha ethintekile
• Izimpawu ezenzeka kungakapheli isigamu sehora uqale ukujima
• Ubuhlungu obubonakala buqedwa ukuphumula

Izimpawu ze-abdominal compartment syndrome ngokuvamile azibonwa isiguli (njengoba isiguli sivame ukugula kakhulu uma lokhu kwenzeka). Odokotela noma amalungu omndeni angaqaphela izimpawu ezilandelayo:

• Athuke lapho ecindezelwe esiswini
• ukunciphisa ukuphuma komchamo
• umfutho wegazi ophansi
• Isisu esishubile, esikhukhumele

Ukwelashwa kwe-Compartment syndrome

Inhloso yokwelashwa ukunciphisa ingcindezi eyingozi engxenyeni yomzimba. Ama-casts noma ama-splints anciphisa ingxenye yomzimba ethintekile ayasuswa.

Abantu abane-acute compartment syndrome bangase badinge ukuhlinzwa okuphuthumayo ukuze kuncishiswe ukucindezela kwegumbi. Ukusika okude kwenziwa ngesikhumba kanye nongqimba lwezicubu ezixhumene ezingaphansi ukuze kukhululwe ingcindezi. Ezinye izindlela zokwelapha ezisekela leli fomu zihlanganisa:

• Ukuze uthuthukise ukugeleza kwegazi ekhomishini, gcina ingxenye yomzimba ethintekile ingaphansi kweleveli yenhliziyo.
• Isiguli singanikezwa umoya-mpilo ngamakhala noma ngomlomo.
• Uketshezi lunikezwa ngomjovo.
• Imithi yobuhlungu ingase inqunywe.

I-Chronic compartment syndrome iphathwa ngokuyinhloko ngokugwema umsebenzi oyidalile. Ingalandela izivivinyo zokwelula nokwelashwa ngokomzimba. Ngefomu elingapheli, nakuba ukuhlinzwa kungaphuthumi, kungase kunconywe ukukhulula ingcindezi.

Endabeni ye-abdominal compartment syndrome, ukwelashwa kuhlanganisa i-vasopressors, i-dialysis, i-ventilation yemishini, njll. Kubandakanya izinyathelo zokusekela impilo ezifana Kwezinye izimo, kungase kudingeke uvule isisu ukuze ukhulule ingcindezi.

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