Isifo segumbi

I-Acute compartment syndrome yisimo esibi esibandakanya ukukhuphuka kwengcindezi egumbini lezicubu. Kungaholela ekulimaleni kwemisipha nemizwa nezinkinga ngokugeleza kwegazi.

Izendlalelo ezijiyile zezicubu, ezibizwa ngokuthi i-fascia, amaqembu ahlukene emisipha ezingalweni nasemilenzeni komunye nomunye. Ngaphakathi kwesendlalelo ngasinye se-fascia kunesikhala esivaliwe, esibizwa ngokuthi igumbi. Igumbi lifaka izicubu zemisipha, izinzwa nemithambo yegazi. I-Fascia izungeze lezi zakhiwo, ngokufana nendlela yokwambathisa okumboza ngayo izintambo.

I-Fascia ayinwebeki. Noma yikuphi ukuvuvukala egumbini kuzoholela ekucindezelweni okwandayo kuleyo ndawo. Lokhu kuphakamisa ingcindezi, kucindezela imisipha, imithambo yegazi nezinzwa. Uma le ngcindezi iphezulu ngokwanele, ukugeleza kwegazi kuya egumbini kuzovinjelwa. Lokhu kungaholela ekulimaleni unomphela kwemisipha nezinzwa. Uma ingcindezi ihlala isikhathi eside ngokwanele, imisipha ingafa futhi ingalo noma umlenze ngeke usasebenza. Ukuhlinzwa noma ngisho nokunqunywa kungenziwa ukulungisa inkinga.

I-Acute compartment syndrome ingabangelwa:

• Ukuhlukumezeka, njengokulimala kokuchotshozwa noma ukuhlinzwa
• Ithambo eliphukile
• Imisipha elimele kakhulu
• Ukuqhuma okukhulu
• Isamente noma ibhandeshi eliqinile
• Ukulahleka kokutholakala kwegazi ngenxa yokusebenzisa i-tourniquet noma ukubeka ngesikhathi sokuhlinzwa
  

Isifo segumbi lesikhathi eside (esingapheli) singabangelwa imisebenzi ephindaphindwayo, njengokugijima. Ingcindezi egumbini iyanda kuphela phakathi kwalowo msebenzi bese yehla ngemuva kokumiswa komsebenzi. Lesi simo imvamisa sincipha futhi asiholeli ekulahlekelweni umsebenzi noma isitho somzimba. Kodwa-ke, ubuhlungu bunganciphisa umsebenzi nokukhuthazela.

ICompartment syndrome ivame kakhulu emlenzeni nangengalo engezansi. Kungenzeka futhi esandleni, onyaweni, ethangeni, ezinqeni, nasengalweni engaphezulu.

Izimpawu zesifo segumbi akulula ukuzibona. Ngokulimala kanzima, izimpawu zingaba nzima emahoreni ambalwa.

Izimpawu zingafaka:

• Ubuhlungu obuphakeme kakhulu kunalokho obekulindelwe ngokulimala
• Ubuhlungu obukhulu obungapheli ngemuva kokuthatha umuthi wezinhlungu noma ukukhulisa indawo ethintekile
• Ukwehla kwemizwa, ukuba ndikindiki, ukuhayiza, ubuthakathaka bendawo ethintekile
• Isikhumba
• Ukuvuvukala noma ukungakwazi ukuhambisa ingxenye ethintekile

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba abuze ngezimpawu, egxile endaweni ethintekile. Ukuqinisekisa ukuxilongwa, umhlinzeki angadinga ukukala ingcindezi egumbini. Lokhu kwenziwa kusetshenziswa inaliti ebekwe endaweni yomzimba. Inaliti inamathiselwe kumitha yengcindezi. Ukuhlolwa kwenziwa ngesikhathi nangemva komsebenzi odala izinhlungu.

Inhloso yokwelashwa ukuvimbela ukulimala unomphela. Nge-acute compartment syndrome, ukuhlinzwa kuyadingeka ngokushesha. Ukubambezeleka kokuhlinzwa kungaholela ekulimaleni unomphela. Ukuhlinzwa kubizwa nge-fasciotomy futhi kufaka phakathi ukusika i-fascia ukukhulula ingcindezi.

Nge-chronic compartment syndrome:

• Uma isamente noma ibhandishi liqinile, kufanele lisikwe noma likhululwe ukuze kuncishiswe ingcindezi
• Ukumisa umsebenzi ophindaphindiwe noma ukuzivocavoca umzimba, noma ukuguqula indlela okwenziwe ngayo
• Ukukhulisa indawo ethintekile ngaphezu kwezinga lenhliziyo ukunciphisa ukuvuvukala

Ngokuxilongwa nokwelashwa okusheshayo, umbono uhle kakhulu futhi imisipha nezinzwa ngaphakathi egumbini zizolulama. Kodwa-ke, umbono jikelele unqunywa ukulimala okuholele ku-syndrome.

Uma ukuxilongwa kubambezeleka, kungalimala unomphela futhi kungasebenzi umsebenzi wemisipha. Lokhu kuvame kakhulu lapho umuntu olimele equlekile noma ehlezi kakhulu futhi engakwazi ukukhononda ngobuhlungu. Ukulimala unomphela kwenzwa kungenzeka ngemuva kokucindezelwa okungaphansi kwamahora ayi-12 kuye kwangama-24. Ukulimala kwemisipha kungenzeka ngokushesha okukhulu.

Izinkinga zifaka ukulimala unomphela emithanjeni nasemisipheni engaphazamisa kakhulu ukusebenza. Lokhu kubizwa ngokuthi yinkontileka kaVolkmann ischemic uma kwenzeka engalweni.

Ezimweni ezinzima kakhulu, kungadingeka ukunqunywa.

Shayela umhlinzeki wakho khona manjalo uma ngabe uke walimala futhi waba nokuvuvukala okukhulu noma ubuhlungu obungathuthuki ngemithi yezinhlungu.

Cishe ayikho indlela yokuvikela lesi simo. Ukuxilongwa nokwelashwa kusenesikhathi kusiza ukuvimbela izinkinga eziningi. Ngezinye izikhathi, ama-fasciotomies enziwa phambilini ukugwema i-compartment syndrome ukuthi ingenzeki esimweni sokuhlukumezeka okukhulu.

Uma ugqoka ukhonkolo, bheka umhlinzeki wakho noma uye egumbini labezimo eziphuthumayo uma ubuhlungu obuphansi kwesamente bukhuphuka, noma ngabe usuthathe imithi yezinhlungu futhi wakhulisa indawo.

Ukwephuka - igumbi lesifo; Ukuhlinzwa - i-compartment syndrome; Trauma - gumbi syndrome; Ukulinyazwa kwemisipha - isifo segumbi; I-Fasciotomy - isifo segumbi

• Ukunqunywa umlenze - ukukhishwa
• Ukunqunywa umlenze noma unyawo - ukugqoka

• I-anatomy yesihlakala

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.

UModrall JG. Igumbi lesifo kanye nokuphathwa kwalo. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular and Endovascular Surgery. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 102.

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.