Isivumelwano sikaVolkmann

Isivumelwano sikaVolkmann ukukhubazeka kwesandla, iminwe, nesihlakala okubangelwa ukulimala emisipheni yengalo. Isimo sibizwa nangokuthi yi-Volkmann ischemic contracture.

Isivumelwano seVolkmann senzeka lapho kunokushoda kokugeleza kwegazi (ischemia) engalweni. Lokhu kwenzeka lapho kunengcindezi eyengeziwe ngenxa yokuvuvukala, isimo esibizwa nge-compartment syndrome.

Ukulimala engalweni, kufaka phakathi ukulimala noma ukuphuka, kungaholela ekuvuvukeni okucindezela emithanjeni yegazi futhi kwehlise ukugeleza kwegazi kuye engalweni. Ukwehla okuqhubekayo kokugeleza kwegazi kulimaza izinzwa nemisipha, kubenze babe lukhuni (babe nezibazi) futhi bafinyezwe.

Lapho imisipha iba mfushane, idonsa ilunga ekugcineni kwemisipha njengoba nje ibingenza uma ibivame ukungenwa. Kepha ngenxa yokuthi iqinile, ilunga lihlala ligobile futhi linamathele. Lesi simo sibizwa ngokuthi isivumelwano.

Esivumelwaneni sikaVolkmann, imisipha yengalo ilimale kanzima. Lokhu kuholela ekukhubazekeni kwesivumelwano kweminwe, isandla, nesihlakala.

Kunamazinga amathathu obukhali kwinkontileka kaVolkmann:

• Ubumnene - isivumelwano seminwe emi-2 noma emi-3 kuphela, ngaphandle kokulahlekelwa kwemizwa okulinganiselwe noma okulinganiselwe
• Maphakathi - yonke iminwe igobile (igobekile) futhi isithupha sinamathele entendeni yesandla; isihlakala singahle sigobeke, futhi kuvame ukulahleka kwemizwa ethile esandleni
• Kakhulu - yonke imisipha engalweni ukuthi zombili ziyabambeka futhi zelule isihlakala neminwe kuyabandakanyeka; lesi yisimo esikhubaza kakhulu. Kukhona ukunyakaza okuncane kweminwe nesihlakala.

Izimo ezingadala ingcindezi eyandayo engalweni zifaka:

• Ukulunywa kwezilwane
• Ukuphuka kwengalo
• Izinkinga zokopha
• Kushe
• Ukujova kwemithi ethile engalweni
• Ukulimala kwemithambo yegazi engalweni
• Ukuhlinzwa engalweni
• Ukuzivocavoca ngokweqile - lokhu ngeke kubangele izinkontileka ezinzima

Izimpawu zesivumelwano sikaVolkmann zithinta ingalo, isihlakala, nesandla. Izimpawu zingafaka:

• Ukwehla kwemizwa
• Ukuphaphatheka kwesikhumba
• Ubuthakathaka bemisipha nokulahleka (i-atrophy)
• Ukukhubazeka kwesihlakala, isandla, neminwe okwenza isandla sibe nokubukeka okufana nozipho

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba, egxile engalweni ethintekile. Uma umhlinzeki esola isivumelwano sikaVolkmann, imibuzo eningiliziwe izobuzwa ngokulimala kwangaphambilini noma izimo ezithinte ingalo.

Ukuhlolwa okungenziwa kufaka phakathi:

• I-X-ray yengalo
• Ukuhlolwa kwemisipha nezinzwa ukuhlola ukusebenza kwazo

Inhloso yokwelashwa ukusiza abantu ukuthi baphinde bathole okuthile noma basebenzise ngokugcwele ingalo nesandla. Ukwelashwa kuncike ebukhulwini besivumelwano:

• Ngokuthola isivumelwano esincane, kungenziwa ukuzivocavoca nokwelula iminwe ethintekile. Ukuhlinzwa kungadingeka ukwenza amathoni abe made.
• Ngokwesivumelwano esilinganiselayo, kwenziwa ukuhlinzwa ukulungisa imisipha, imisipha, nezinzwa. Uma kudingeka, amathambo engalo ayafinyezwa.
• Ngokwesivumelwano esinzima, kwenziwa ukuhlinzwa ukususa imisipha, imisipha, noma izinzwa ezikhule zajiya, zaba nezibazi noma zafa. Lokhu kushintshwa yimisipha, imisipha, noma izinzwa ezidluliswa zisuka kwezinye izindawo zomzimba. Ama-tendon asasebenza angadinga ukwenziwa isikhathi eside.

Ukuthi umuntu wenza kahle kangakanani kuncike ebukhulwini nasesigabeni sesifo ngesikhathi kuqala ukwelashwa.

Umphumela uvame ukuba muhle kubantu abanenkontileka emnene. Bangaphinde bathole ukusebenza okujwayelekile kwengalo nesandla sabo. Abantu abanenkontileka elinganiselayo noma enzima abadinga ukuhlinzwa okukhulu kungenzeka bangaphinde bathole ukusebenza okugcwele.

Ukungalashwa, isivumelwano seVolkmann siholela ekulahlekelweni okuyingxenye noma okuphelele kokusebenza kwengalo nesandla.

Xhumana nomhlinzeki wakho khona manjalo uma ngabe uke walimala endololwaneni noma engalweni futhi usuqale ukuvuvukala, ukuba ndikindiki, nobuhlungu kuqhubeka nokuba kubi kakhulu.

Isivumelwano se-Ischemic - Volkmann; ICompartment syndrome - Isivumelwano seVolkmann ischemic

Jobe MT. ICompartment syndrome kanye nenkontileka kaVolkmann. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 74.

UNetscher D, uMurphy KD, uFiore NA. Ukuhlinzwa ngesandla. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 69.

I-Stevanovic MV, i-Sharpe F. Compartment syndrome kanye ne-Volkmann ischemic contracture. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ukuhlinzwa Kwesandla SikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 51.