I-Compartment Syndrome

-Delile

• Izimbangela zokulimala kwamakamelo emisipha
• Izinhlobo zesifo segumbi
• I-acute compartment syndrome
• Ukubona izimpawu zesifo segumbi
• I-acute compartment syndrome
• Isifo esingalapheki segumbi
• Izinkinga zesikhathi eside
• I-acute compartment syndrome
• Isifo esingalapheki segumbi
• Ukuhlolwa nokuxilongwa kwe-compartment syndrome
• Izinketho zokwelashwa kwesifo segumbi
• I-acute compartment syndrome
• Isifo esingalapheki segumbi

Iyini i-compartment syndrome?

ICompartment syndrome yisimo esibi esenzeka lapho kunengcindezi enkulu ngaphakathi kwegumbi lezicubu.

Izingxenye zingamaqoqo ezicubu zemisipha, imithambo yegazi, nezinzwa ezingalweni nasemilenzeni yakho ezungezwe ulwelwesi oluqine kakhulu olubizwa ngokuthi i-fascia. I-Fascia ayinwebeki, ngakho-ke ukuvuvukala egumbini kungaholela ekwandeni kwengcindezi ngaphakathi kwegumbi. Lokhu kubangela ukulimala kwemisipha, imithambo yegazi, nezinzwa ngaphakathi egumbini.

Ukwanda kwengcindezi kunganqamula ukugeleza kwegazi kuya egumbini. Lokhu kungaholela ekulahlekelweni komoya-mpilo oya ezicutshini (ischemia) nasekufeni kwamangqamuzana (necrosis).

Izimbangela zokulimala kwamakamelo emisipha

I-Compartment syndrome ingakhula lapho kuphuma ukopha noma ukuvuvukala ngaphakathi kwegumbi. Lokhu kungadala ingcindezi yokwakha ngaphakathi egumbini, elingavimbela ukugeleza kwegazi. Kungadala ukulimala okungapheli uma kungalashwa, njengoba imisipha nezinzwa kungeke kuthole izakhamzimba nomoya-mpilo abazidingayo. Ukungasilaphi lesi simo kungaholela ekunqunyweni komzimba.

Izinhlobo zesifo segumbi

I-acute compartment syndrome

Lolu hlobo lwesifo segumbi ngokuvamile lwenzeka ngemuva kokuthola ukulimala okukhulu. Ezimweni ezingavamile, ingakhula futhi ngemuva kokulimala okuncane. Isibonelo, ungahlakulela i-acute compartment syndrome:

• kulandela ukuphuka
• ngemuva kokulimala okuchoboza ingalo noma umlenze wakho
• ngenxa yesicubu esilimele kakhulu
• kusuka ekugqokeni isamente noma ibhandeshi eliqinile
• kusuka ekuphuzeni ngokweqile noma ekusebenziseni izidakamizwa

Ukubona izimpawu zesifo segumbi

I-acute compartment syndrome

Uphawu oluvame kakhulu lwe-acute compartment syndrome ubuhlungu obukhulu obungathuthuki ngemuva kokugcina indawo elimele iphakanyisiwe noma ithathe imithi. Umlenze noma ingalo yakho ingase izwakale kabi uma uyelula noma usebenzisa isicubu esilimele.

Ezinye izimpawu zingabandakanya umuzwa wokuqina emisipheni noma ukuncinza noma ukushisa esikhunjeni endaweni ezungezile.

Izimpawu zesifo sekhompiyutha esithuthukile zingabandakanya ukuphazamiseka noma ukukhubazeka. Lokhu kuvame ukuba uphawu lokulimala unomphela.

Isifo esingalapheki segumbi

Ubuhlungu noma ukuqunjelwa lapho uzivocavoca umzimba kuyisifo esivame kakhulu se-chronic compartment syndrome. Ngemuva kokuyeka ukuzivocavoca, ubuhlungu noma ukucindezelwa kuvame ukuphela kungakapheli imizuzu engama-30. Uma uqhubeka nokwenza umsebenzi odala lesi simo, ubuhlungu bungase buqale ukuhlala isikhathi eside.

Ezinye izimpawu zingafaka:

• unenkinga yokuhambisa unyawo, ingalo, noma indawo ethintekile
• ukuba ndikindiki
• iqhubu elibonakalayo emisipheni ethintekile

Izinkinga zesikhathi eside

I-acute compartment syndrome

I-Acute compartment syndrome idinga ukunakekelwa kwezokwelapha ngokushesha ukuze kunciphise ingcindezi. Ukulimala unomphela kwemisipha nezinzwa zakho kungakhula kungakapheli amahora. Lesi yisimo esiphuthumayo sokuhlinzwa futhi kungadinga ukunqunywa uma kungakhulunywa ngaso ngokushesha.

Isifo esingalapheki segumbi

I-Chronic compartment syndrome ayithathwa njengesiphuthumayo, kodwa kufanele wazise udokotela wakho uma uhlangabezana nezimpawu ezithile. Ungazami ukuzivocavoca lapho uzwa izinhlungu, ngoba lokhu kungadala ukulimala okungapheli emisipheni yakho, emithanjeni yegazi, nasemithanjeni.

Ukuhlolwa nokuxilongwa kwe-compartment syndrome

Udokotela wakho uzokunikeza ukuhlolwa ngokomzimba ukuze ahlole izimpawu zesifo esibuhlungu noma esingamahlalakhona segumbi lesifo. Bangakhama indawo elimele ukuthola ukuthi ubuhlungu bakho bukhulu kangakanani.

Udokotela wakho futhi angasebenzisa imitha yengcindezi nenaliti enamathiselwe ukukala ukuthi ingcindezi ingakanani egumbini. Lesi silinganiso sidinga ukuthathwa ngenkathi wenza umsebenzi olimaza umlenze noma ingalo yakho. Izothathwa futhi ngemuva kokuthi uqede.

Udokotela wakho angathatha ama-X-ray ukukhipha ezinye izimo.

Izinketho zokwelashwa kwesifo segumbi

I-acute compartment syndrome

Ukuhlinzwa kuyindlela kuphela yokwelashwa yalolu hlobo lwe-compartment syndrome. Le nqubo ifaka phakathi ukusika ukuvula i-fascia ukunciphisa ingcindezi egumbini. Ezimweni ezimbi kakhulu, udokotela wakho kuzodingeka alinde ukuvuvukala kwehle ngaphambi kokuvala imbobo, kanti amanye ala manxeba adinga ukufakelwa isikhumba.

Uma uthuthukise lesi simo ngenxa ye-cast noma i-tight bandage, impahla kuzodingeka isuswe noma ikhululwe.

Isifo esingalapheki segumbi

Udokotela wakho angancoma izindlela zokwelashwa ezingezona ezokuhlinzwa kuqala, kufaka phakathi:

• ukwelashwa ngokomzimba ukwelula imisipha
• imithi elwa nokuvuvukala
• ukushintsha uhlobo lwendawo ozivocavoca kuyo
• ukwenza imisebenzi enomthelela ophansi njengengxenye yesimiso sakho sokuzivocavoca umzimba
• ukuphakamisa umkhawulo
• ukuphumula ngemuva komsebenzi noma ukuguqula umsebenzi
• ukuqeda umkhawulo ngemuva komsebenzi

Uma lezi zindlela zingasebenzi, ungadinga ukuhlinzwa. Ukuhlinzwa ngokuvamile kusebenza kangcono kunezindlela ezingezona zokwelashwa zokwelapha isifo esingelapheki segumbi.