Chikamu chemukati

Acute compartment syndrome chinhu chakakomba chinosanganisira kuwedzera kumanikidzwa mune yemhasuru chikamu. Inogona kutungamira kukuvara kwemhasuru uye tsinga uye matambudziko nekuyerera kweropa.

Makobvu matete enyama, anonzi fascia, akapatsanuka mapoka emhasuru mumaoko nemakumbo kubva kune mumwe nemumwe. Mukati mega yega yefascia mune nzvimbo yakavharika, inonzi compartment. Icho chikamu chinosanganisira mhasuru nyama, tsinga, uye tsinga dzeropa. Fascia inokomberedza zvivakwa izvi, zvakafanana nenzira iyo kuputira inovhara waya.

Fascia haiwedzere. Chero kuzvimba mukamuri kunotungamira mukuwedzera kumanikidza munzvimbo iyoyo. Izvi zvakasimudza kumanikidza, kumanikidza mhasuru, tsinga dzeropa, uye tsinga. Kana iko kumanikidza kwakakwira zvakakwana, kuyerera kweropa muchikamu kuchadzivirirwa. Izvi zvinogona kutungamira mukukuvara zvachose kune mhasuru uye tsinga. Kana kumanikidza kwacho kukatora nguva yakakwana, mhasuru dzinogona kufa uye ruoko kana gumbo harichashande. Kuvhiya kana kutodimurwa kunogona kuitwa kugadzirisa dambudziko.

Acute compartment syndrome inogona kukonzerwa ne:

• Kushungurudzika, senge kukuvara kwepwanya kana kuvhiyiwa
• Bhonzo rakatyoka
• Yakanyanya kukuvara mhasuru
• Kukakavara kwakanyanya
• Simbi kana bhandeji rakamanikana
• Kurasikirwa kweropa nekuda kwekushandiswa kwetoni kana kumisikidza panguva yekuvhiyiwa
  

Yenguva refu (isingagumi) compartment syndrome inogona kukonzerwa nemabasa ekudzokorora, sekumhanya. Iko kumanikidzwa mukamuri kunongowedzera panguva yechiitiko ichocho uye kunodzika mushure mekumiswa kwechiitiko. Aya mamiriro anowanzo kuve mashoma uye haatungamira mukurasikirwa nebasa kana gumbo. Zvisinei, kurwadziwa kunogona kugadzirisa basa uye kutsungirira.

Chikamu chemukati chinowanzoonekwa mugumbo rezasi nepamberi. Izvo zvinogona zvakare kuitika muruoko, tsoka, chidya, magaro, uye ruoko rwekumusoro.

Zviratidzo zvecomputer syndrome hazvisi nyore kuona. Nekukuvara kwakanyanya, zviratidzo zvinogona kuve zvakanyanya mukati memaawa mashoma.

Zviratidzo zvinogona kusanganisira:

• Marwadzo akakwirira zvakanyanya kupfuura anotarisirwa nekukuvara
• Kurwadziwa kwakanyanya kusingaendi mushure mekutora mushonga wemarwadzo kana kukwidza nzvimbo yakakanganiswa
• Yakadzikira manzwiro, chiveve, kurira, kushaya simba kwenzvimbo yakakanganiswa
• Ruvara rweganda
• Kuzvimba kana kutadza kufambisa chikamu chakakanganiswa

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezvezviratidzo, achitarisa kunzvimbo yakakanganiswa. Kuti asimbise kuongororwa, mupi angangoda kuyera kumanikidza kuri muchikamu. Izvi zvinoitwa uchishandisa tsono yakaiswa munzvimbo yemuviri. Tsono yakasungirirwa kumameter yekumanikidza. Muedzo unoitwa panguva uye mushure mechiitiko chinokonzera kurwadziwa.

Chinangwa chekurapa ndechekudzivirira kukuvara kusingaperi. Kune acute compartment syndrome, kuvhiyiwa kunodiwa ipapo ipapo. Kunonoka kuvhiya kunogona kutungamira kukuvara kusingaperi. Kuvhiya kunodaidzwa kunzi fasciotomy uye kunosanganisira kucheka iyo fascia kuti ibvise kumanikidza.

Nezve chisingaperi compartment syndrome:

• Kana simbi kana bhanji rakanyanyisa, rinofanira kutemwa kana kusunungurwa kuti ribvise kumanikidza
• Kumisa kudzokorodza chiitiko kana kurovedza muviri, kana kushandura maitiro azvinoitwa
• Kurera iyo yakakanganiswa nzvimbo pamusoro pemwoyo chiyero kudzora kuzvimba

Nekukurumidza kuongororwa uye kurapwa, maonero acho akanaka uye mhasuru uye tsinga mukati mekamuri inozopora. Zvisinei, maonero akazara anotsanangurwa nekukuvara kwakatungamirira kuchirwere.

Kana chirwere ichi chikanonoka, zvachose kukuvara kwetsinga uye kurasikirwa kwemhasuru basa kunogona kukonzeresa. Izvi zvinowanzoitika kana munhu akakuvara asingazivi kana kugadzikana zvakanyanya uye asingakwanise kunyunyuta nezvekurwadziwa. Kusingaperi kwekukuvara kwetsinga kunogona kuitika mushure memaminitsi asingasviki gumi nemaviri kusvika makumi maviri nemana ekumanikidza. Kukuvara kwemhasuru kunogona kuitika kunyange nekukurumidza.

Matambudziko anosanganisira kukuvara kusingaperi kumitsipa uye mhasuru dzinogona kukanganisa zvakanyanya basa. Izvi zvinodaidzwa kuti Volkmann ischemic contracture kana ikaitika mupamberi.

Muzviitiko zvakakomba, kudimurwa kunogona kudikanwa.

Fonera mupiki wako ipapo ipapo kana wakakuvara uye uine kuzvimba kwakanyanya kana kurwadziwa kusingagadzirise nemishonga yekurwadziwa.

Pamwe hapana imwe nzira yekudzivirira iyi mamiriro. Kutanga kuongororwa uye kurapwa kunobatsira kudzivirira akawanda ematambudziko. Dzimwe nguva, fasciotomies inoitwa pekutanga kudzivirira compartment syndrome kubva pakuitika mune yekukuvara kwakanyanya.

Kana iwe ukapfeka simbi, ona mupi wako kana kuenda kuimba yekukurumidzira kana kurwadziwa pasi pechisimba kuchiwedzera, kunyangwe mushure mekutora mishonga yekurwadziwa nekusimudza nzvimbo.

Kutsemuka - mupanda chirwere; Kuvhiya - kamuri chirwere; Trauma - mupanda chirwere; Tsandanyama maronda - mupanda chirwere; Fasciotomy - chikamu chemurwere

• Kudimburwa gumbo - kubuda
• Gumbo kana tsoka kudimburwa - kupfeka shanduko

• Wrist anatomy

Jobe MT. Chikamu chemukati uye chibvumirano cheVolkmann. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 74.

Modrall JG. Chikamu chemukati uye manejimendi ayo. Mune: Sidawy AN, Perler BA, eds. Rutherford's Vascular uye Endovascular Kuvhiya. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 102.

Stevanovic MV, Sharpe F. Chikamu chemukati uye Volkmann ischemic contracture. Mune: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Green's Inoshanda Ruoko Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 51.