Chipinda Cham'mimba
![Chipinda Cham'mimba - Thanzi Chipinda Cham'mimba - Thanzi](https://a.svetzdravlja.org/health/compartment-syndrome.webp)
Zamkati
- Zimayambitsa kuwonongeka kwa zipinda za minofu
- Mitundu yamatenda am'magulu
- Matenda achilengedwe
- Kuzindikira zizindikiro za matenda am'chipinda
- Matenda achilengedwe
- Matenda opatsirana
- Zovuta zazitali
- Matenda achilengedwe
- Matenda opatsirana
- Kuyesa ndi kuzindikira kwa matenda am'magulu
- Njira zochizira matenda am'chipinda
- Matenda achilengedwe
- Matenda opatsirana
Kodi compartment syndrome ndi chiyani?
Matenda a chipinda ndi vuto lalikulu lomwe limakhalapo ngati pali kupanikizika kwakukulu mkati mwa chipinda cha minofu.
Zipindazi ndi magulu a minofu, mitsempha, ndi mitsempha m'manja ndi miyendo yanu yozunguliridwa ndi nembanemba yolimba kwambiri yotchedwa fascia. Fascia sikukula, chifukwa chake kutupa m'chipindacho kumatha kubweretsa kukhathamira mkati mwa chipinda. Izi zimapangitsa kuvulala kwa minofu, mitsempha yamagazi, ndi mitsempha mkati mwa chipinda.
Kuwonjezeka kwa kuthamanga kumatha kudula magazi kulowa mchipinda. Izi zitha kubweretsa kutayika kwa oxygen kupita kumatumba (ischemia) ndi kufa kwama cell (necrosis).
Zimayambitsa kuwonongeka kwa zipinda za minofu
Matenda a chipinda amatha kukula pakakhala magazi kapena kutupa mkati mwa chipinda. Izi zitha kupangitsa kukakamizidwa kukulira mkati mchipinda, chomwe chingalepheretse kuthamanga kwa magazi. Zitha kupangitsa kuwonongeka kwamuyaya ngati sizichiritsidwa, chifukwa minofu ndi minyewa sizingapeze michere ndi mpweya womwe amafunikira. Kusachiza vutoli kumatha kudzadula.
Mitundu yamatenda am'magulu
Matenda achilengedwe
Matenda amtunduwu amapezeka mukamakumana ndi vuto lalikulu. Nthawi zambiri, imathanso kuyamba pambuyo povulala pang'ono. Mwachitsanzo, mutha kukhala ndi matenda osokoneza bongo:
- kutsatira kuphwanya
- pambuyo povulala komwe kumaphwanya dzanja lanu kapena mwendo
- chifukwa cha minofu yotupa kwambiri
- kuyambira kuvala chitsulo kapena bandeji wolimba
- kuledzera kapena kugwiritsa ntchito mankhwala osokoneza bongo
Kuzindikira zizindikiro za matenda am'chipinda
Matenda achilengedwe
Chizindikiro chofala kwambiri cha matenda am'chipinda cham'mimba ndi kupweteka kwambiri komwe sikumasintha pambuyo poti malo ovulala akukwezeka kapena kumwa mankhwala. Mwendo wanu kapena mkono wanu ungamve kuwawa mukawutambasula kapena kugwiritsa ntchito minofu yovulala.
Zizindikiro zina zimaphatikizaponso kumverera kolimba mu minofu kapena kulira kapena kuwotcha pakhungu kuzungulira dera lomwe lakhudzidwa.
Zizindikiro zamatenda apakhungu yayikulu zimatha kuphatikizira kufooka kapena ziwalo. Izi nthawi zambiri zimakhala chizindikiro cha kuwonongeka kwamuyaya.
Matenda opatsirana
Kupweteka kapena kupsinjika mukamachita masewera olimbitsa thupi ndichizindikiro chodziwika kwambiri chazovuta zanyumba. Mukasiya kuchita masewera olimbitsa thupi, kupweteka kapena kuphwanya nthawi zambiri kumatha pakadutsa mphindi 30. Mukapitiliza kuchita zomwe zikuyambitsa vutoli, kupweteka kumatha kuyamba kwakanthawi.
Zizindikiro zina zitha kuphatikiza:
- kukhala ndi vuto kusuntha phazi lanu, mkono, kapena malo okhudzidwa
- dzanzi
- chotupa chowoneka bwino mu minofu yomwe yakhudzidwa
Zovuta zazitali
Matenda achilengedwe
Matenda achilengedwe amafunika kuchipatala kuti athane ndi mavuto. Kuwonongeka kwamuyaya kwa minofu yanu ndi mitsempha yanu kumatha kukula mkati mwa maola ochepa. Izi ndizadzidzidzi chifukwa cha opaleshoni ndipo zitha kufunikira kuti adulidwe ngati sangayankhe mwachangu.
Matenda opatsirana
Matenda a chipinda chosagwiritsidwa ntchito nthawi zambiri samaonedwa ngati mwadzidzidzi, koma muyenera kudziwitsa dokotala ngati mukukumana ndi zizindikiro zilizonse. Musayese kuchita masewera olimbitsa thupi mukamamva kuwawa, chifukwa izi zitha kuwononga minofu yanu, mitsempha yanu, ndi minyewa yanu mpaka kalekale.
Kuyesa ndi kuzindikira kwa matenda am'magulu
Dokotala wanu adzakuyesani kuti muwone ngati ali ndi matenda oopsa kapena opatsirana. Amatha kufinya malo ovulalawo kuti adziwe kukula kwa ululu wanu.
Dokotala wanu amathanso kugwiritsa ntchito mita yamagetsi ndi singano yolumikizidwa kuti azindikire kuchuluka kwakanthawi mchipinda. Muyeso uwu uyenera kutengedwa pamene mukuchita zomwe zimapangitsa kuti mwendo kapena dzanja lanu lipweteke. Idzatengedwanso mukamaliza.
Dokotala wanu akhoza kutenga ma X-ray kuti athetse zina.
Njira zochizira matenda am'chipinda
Matenda achilengedwe
Kuchita opaleshoni ndiyo njira yokhayo yothandizira matenda amtunduwu. Njirayi imakhudza kutsegulira fascia kuti muchepetse kukakamira m'chipindacho. Pazovuta kwambiri, dokotala wanu amayenera kudikirira kuti atsike kuti atseke, ndipo ena mwa mabalawa amafunika kulumikizidwa ndi khungu.
Ngati muli ndi vutoli chifukwa cha pulasitiki kapena bandeji yolimba, zinthuzo ziyenera kuchotsedwa kapena kumasulidwa.
Matenda opatsirana
Dokotala wanu angakulimbikitseni njira zakuchipatala poyamba, kuphatikiza:
- mankhwala kutambasula minofu
- anti-yotupa mankhwala
- kusintha mtundu wa malo omwe mumachita masewera olimbitsa thupi
- kuchita zinthu zosafunikira monga gawo lazomwe mumachita zolimbitsa thupi
- kukweza malekezero
- kupumula mutatha ntchito kapena kusintha ntchitoyo
- kutchingira kumapeto kwa ntchito
Ngati njirazi sizikugwira ntchito, mungafunike kuchitidwa opaleshoni. Opaleshoni nthawi zambiri imakhala yothandiza kuposa njira zopanda chithandizo zochizira matenda opatsirana.