Igumbi lesifo seNhlungu seMilenze

I-compartment syndrome yimeko ebangela uxinzelelo ngaphakathi kweqela lemisipha ukwakha kumanqanaba ayingozi. Olu xinzelelo lwakhiwe luqala ukunciphisa ukuhamba kwegazi, lungavumeli ukujikeleza okufanelekileyo, izondlo, kunye neoksijini ukusuka ekufikeni kwimithambo-luvo kunye neeseli zemisipha. I-syndrome ingaba sibi or ezingapheliyo, kunye notyando inokufunwa. I-Acute compartment syndrome ithathwa njengengxakeko yonyango, ngokuqhelekileyo kubangelwa ukulimala kakhulu kwaye kufuna unyango olukhawulezileyo; ngaphandle koko, kunokukhokelela kumonakalo osisigxina wemisipha. Isifo esinganyangekiyo segumbi okanye i-exertional compartment syndrome ngokuqhelekileyo ayiyongxaki yonyango kwaye ihlala ibangelwa umgudu womzimba.

ICandelo lezihlunu

Ikhompatimenti ibandakanya iqela lezi:

• izihlunu
• Ivazi yegazi
• Imiqolo
• Zigcinwa kwindawo ngu a inwebu ye-fascia.

I-fascia ayinwebeki okanye ikhulise ngenxa yokuba umsebenzi wayo kukugcina izicubu endaweni. Ukuba uxinzelelo lwangaphakathi luyanda, ukudumba kunye nokopha kunokwenzeka. Xa izicubu zingenalo igazi elaneleyo lokubonelela ngeoksijini efanelekileyo kunye nezondlo, izicubu ziqala ukufa, okukhokelela kumonakalo ongunaphakade. Ngenxa yokuba i-fascia ayoluli ukuba kukho ukudumba okanye ukopha ngaphakathi kwigumbi, oku kwandisa uxinzelelo kwi:

• I-capillaries
• Imiqolo
• Izihlunu kwelo candelo.
• Ukujikeleza kwegazi akufikeleli kwigumbi lokubonelela ngeoksijini kunye nezondlo.
• Iiseli zemithambo-luvo nezihlunu zonakele.
• I-compartment syndrome idla ngokwenzeka kwindawo engaphambili yomlenze ongezantsi/ithole lethole.

Nangona kunjalo, inokuphuhliswa kwezinye iindawo ezifana nezi:

• Amagxa
• Izixhobo
• Hands
• iinyawo
• Iintonga

Efanelekileyo

Uphawu oluqhelekileyo lubuhlungu, ngokukodwa xa i-muscle kwi-compartment isoluliwe.

• Intlungu inamandla ngakumbi kunokwenzakala ngokwayo.
• Ukuguquguquka, ukugoba, okanye ukolula izihlunu kwandisa intlungu.
• Ukurhawuzelelwa okanye ukutshisa kusenokubonakala.
• Ukuqina kwemisipha okanye ukuva ukugcwala njengokuqunjelwa.
• Ukuba ndindisholo okanye ukukhubazeka ziimpawu zamva oko ngokuqhelekileyo kubonisa ukwenzakala kakhulu kwithishu esisigxina.

I-acute syndrome ikhula emva kokulimala okukhulu, njenge- ngengozi yemoto okanye kwithambo elaphukileyo. Ukwenzakala kunye neemeko ezinokubangela i-acute compartment syndrome ziquka:

• Izahlulo
• Ukuqhawuka kwemisipha/ukugruzuka oko kudlula nje iqhuma. Imizekelo emibini ibandakanya isithuthuthu esiwa emlenzeni womkhweli okanye umdlali webhola ekhatywayo obethwa kakhulu emlenzeni.
• Ukulimala.
• Ukubopha amabhandeji – Iisasti kunye namabhandeji aqine kakhulu anokubangela ukuvaleka kwegazi. Ukuba iimpawu ziyavela, susa okanye ukhulule nawaphi na amabhandeji abophezelayo. Ukuba ivela kwisamente, qhagamshelana nogqirha ngokukhawuleza.
• I-Anabolic steroids -Ukuthatha i-steroids yinto enokwenzeka kwi-compartment syndrome.

Ukubuyiselwa kokujikeleza kwegazi emva kokuvalelwa.

• Xa ulele, umthambo wegazi unokuvaleka. Ukulala ixesha elide kwindawo ebangela ukuba ilungu lilale, emva koko litshintshe, lishukume, okanye liphakame kunokuba negalelo kule meko. Olu hlobo lophuhliso lunokwenzeka kubantu abane neurological umonakalo okanye abangayiqondiyo into eyenzekayo. Oku kunokwenzeka emva kokunxila kakhulu ngotywala kunye/okanye neziyobisi.
• Ukulungiswa kotyando lomthambo wegazi owonakeleyo owawuvalwe kunokubangela ukudumba kwegumbi.
• Ukukhubazeka okusisigxina kunye nokufa kwezicubu kunokubangela ngaphandle kokuba uxinzelelo luyancitshiswa.

Ukuzibhokoxa Okungapheliyo

Intlungu kunye nokuvuvukala kwimeko engapheliyo kubangelwa ngumsebenzi onamandla womzimba / umthambo. Ngokuqhelekileyo kwenzeka emlenzeni. Abantu abathatha inxaxheba kwimisebenzi enentshukumo ephindaphindwayo banomngcipheko owongeziweyo. Imisebenzi yomzimba/imidlalo ibandakanya:

• Ubaleko
• Biking
• Swimming

Oku akudli ngokuba yingozi kwaye kudla ngokukhululeka ngokuyeka umthambo okanye umthambo okwethutyana. Iimpawu ziquka:

• Iintlungu ngexesha lokuzilolonga.
• Ukuxinezeleka ngexesha lokuzilolonga.
• Ubungqina
• Ukuhambisa unyawo kunzima.
• I-muscle bulge ingabonwa.

Unyango lweChiropractic

Iintlungu zomlenze akufanele zihoywe ixesha elide njengoko iingxaki zinokunyuka zibe ngummandla onzima / onobungozi. Unyango lwe-Chiropractic lusebenza kakhulu ekubhaqweni kunye nokunyangwa kweentlungu zomlenze. Iingcali zeChiropractors ziingcali kwi-neuromusculoskeletal system. Ubungcali babo ekukhuthazeni ukusebenza komzimba busebenza kwiinkqubo zomzimba wonke, kubandakanya:

• izihlunu
• Amathambo
• IiLigaments
• Imiqolo
• Tendons

Baqeqeshelwe ukuxilonga kunye nokunyanga iingxaki ezikhulayo kunye nezingapheliyo ze-musculoskelet kwaye bayazi ukuba bafuna unyango olukhethekileyo xa kuyimfuneko.

UkuBumbiswa kweBhunga

Ngaba abantu abanakukwazi ukuzilolonga ngakumbi kwaye batye nantoni na abayifunayo?

Akukho bantu bangakwaziyo ukuzilolonga / bashukume ngakumbi kwaye batye nantoni na abayifunayo ukuba bazimisele ngokuphulukana nobunzima obugqithisileyo. Ukutya okunempilo kunye nokuzilolonga zizinto ezibalulekileyo zefomula yokwehla kobunzima obusebenzayo. Nye isifundo ibonisa ukuba ukwazi ukutya okusemgangathweni kunye nobuninzi kugqithisa nje umthambo xa ufezekisa kwaye ugcina utshintsho oluphilileyo lomzimba njengenxalenye ebalulekileyo yokugcina indlela yokuphila enempilo. Ukuvavanya imiphumo yokutya, ukuzivocavoca, okanye ukudibanisa zombini kubonise ukuba impumelelo yexesha elide yayibaluleke kakhulu kumxube wokutya kunye nokuzilolonga. Umntu ngamnye unokuzilolonga ngamandla, kodwa ukunciphisa umzimba kunokuba nzima kakhulu ukuba banemikhwa yokutya ngendlela engafanelekanga okanye abakwazi ukubambelela ekutyeni okunempilo. Umntu unokuhlakulela ezinye iingxaki zempilo kwi- ukutya okungenampilo.

Ucaphulo

Braver, uRichard T. "Chronic Exertional Compartment Syndrome." Iiklinikhi kumayeza onyango kunye notyando vol. 33,2 (2016): 219-33. doi:10.1016/j.cpm.2015.12.002

UJoubert, uSonia V, kunye noManuel A Duarte. "I-Chronic Exertional Compartment Syndrome kuMfana osempilweni." Ijenali yamayeza e-chiropractic vol. 15,2 (2016): 139-44. doi:10.1016/j.jcm.2016.04.007

Schmidt, uAndrew H. “Acute compartment syndrome.” Ukwenzakala vol. 48 Suppl 1 (2017): S22-S25. doi:10.1016/j.injury.2017.04.024

Vajapey, Sravya, kunye noTimothy L Miller. "Uvavanyo, ukuxilongwa, kunye nokunyangwa kwe-syndrome engapheliyo ye-compartment syndrome: ukuphononongwa koncwadi lwangoku." UGqirha kunye namayeza ezemidlalo vol. 45,4 (2017): 391-398. doi:10.1080/00913847.2017.1384289