Izimpawu Nezokwelapha ze-Exercise-Induced Compartment Syndrome
I-compartment-induced compartment syndrome, ebizwa nangokuthi i-compertional compartment syndrome kanye ne-compartment syndrome engapheli, yisimo esibangela ubuhlungu besisindo nenkinga ukwenza umsebenzi wezemidlalo. Abantu bavame ukuzwa ubuhlungu ngemva kwesikhathi sokusebenza okukhulu noma ukuzivocavoca, futhi ngokushesha kukhululekile ngokuphumula. Ubuhlungu obuvela emzimbeni we-compartment syndrome obangelwa ukuzivocavoca bungaba nzima kakhulu, futhi ngokuvamile kuvimbela izinga lomsebenzi womuntu.
I-compartment-induced compartment syndrome ihluke ku-acute compartment syndrome, okuphuthumayo okuhlinzayo. Ngokujwayelekile, i-acute compartment syndrome iwumphumela wokulimala okulimazayo okwenza ukwanda okufanayo kwezingcindezi zegumbi. Kulesi simo, ingcindezi ayikwazi ukulawulwa kalula, futhi ukubambezeleka kokwelashwa kungabangela ukulimala okungapheli komzimba kanye nomzimba. Kubantu abane-compartment syndrome engapheli, ingcindezi ikhululeka ngokuyeka umsebenzi wokuzivocavoca, kanti izimpawu zizophuthuma ngokuzenzekelayo. Ngenkathi ukwelashwa kungase kulandelwe, kuhlanganise nokuhlinzeka, lokhu ngokuvamile akubhekwa njengesimo esiphuthumayo.
Izimbangela ze-Exercise-Induced Compartment Syndrome
I-compartment syndrome eyenziwe ngokuzivocavoca ingenxa yokucindezela ukwakha ngaphakathi kwemisipha. Imisipha ihlanganiswe ngaphakathi kwezicubu eziqinile ezibizwa ngokuthi i-fascia. Lesi sici sizungeze futhi siqukethe imisipha. Ngokujwayelekile, i-fascia inekamelo elingeziwe elingaphakathi ngaphakathi ukuze kuvumele umsizi usebenze ngaphandle kwenkinga.
Lapho amazinga omsebenzi ekhuphuka, ukugeleza kwegazi kuya kwanda kwemisipha, futhi ubukhulu bomzimba buyanda. Ngesikhathi somsebenzi okhuni, ivolumu nesisindo semisipha singakhuphuka ngo-20% ngesayizi. Lokhu kungumphumela we-fibre muscle ukuvuvukala izikhathi ezingu-20 ukuphumula kwabo phakathi nalezi zinsuku zomsebenzi okhuni.
Kubantu abaningi, i-fascia ivumela igumbi elanele ukubhekana nalokhu kwanda ngobukhulu besisindo ngesikhathi sokuzivocavoca. Kodwa-ke, kuziguli ezine-compartment syndrome ezenzelwe ukuzivocavoca, i-fascia iyinkimbinkimbi kakhulu, futhi ibeka imisipha phakathi nalezi ziqephu zomsebenzi onzima.
Indawo ejwayelekile kunazo zonke ze-compartment syndrome ezenzelwa ukuzivocavoca ngumlenze, eduze kwethambo le-shin. Izimpawu zivame ukubonwa kwabagijimi kanye nabagibeli bezwe elihamba phambili. I-compartment syndrome nayo ingase ibe khona emthonjeni (ngokuvamile e-weightlifters kanye namabhayisikili), isiphambili (abagibeli nabagibeli be-motocross), neminye imisipha yomzimba.
Ubuhlungu Nge-Compartment Syndrome
Njengoba imisipha ikhula futhi igxiliwe yi-fascia, ukugeleza kwegazi kuya emisipha kuphazamiseka. Ukuntuleka kwegazi kuyabangela ischemia - into efana nokuhlasela kwenhliziyo. Uma igazi ligeleza ukuya kumisipha liphazanyiswa, ubuhlungu bungenzeka. Uma lokhu kwenzeka ezinsikeni zenhliziyo, ubuhlungu besifuba buyimiphumela; uma kwenzeka emlenzeni, ubuhlungu bomlenze buyimiphumela.
Ngaphambi kokuba uqale ukukhathazeka, i-ischemia yenhliziyo ne-compartment-induced compartment syndrome ihluke kakhulu! Isizathu salezi zinkinga sihlukile, kodwa umphumela wokugcina ubangela inkinga efanayo. Ngaphezu kwalokho, ukukhululeka kwe-compartment-induced compartment syndrome ngokuvamile kulula kakhulu - umane umise ukuqhutshwa kwesisipha.
Izimpawu ze-Exercise-Induced Compartment Syndrome
Uphawu oluvame kakhulu ubuhlungu ngenkathi umsebenzi okhululeka ngokushesha ngokuphumula. Iziguli zingase zibone ukuxubha noma ukuphazamiseka ngenxa yokuntuleka kokugeleza kwegazi kuya emithanjeni edlula egumbini. Ngokuvamile uma izimpawu zikhona, indawo engaphezu kwemisipha yendawo ekhathazekile izwa kakhulu.
Ukuxilongwa kwenziwa ngokulinganisa ingcindezi ngaphakathi kwemisipha yendlu egxile. Ngokuvamile isilinganiso sokucindezela senziwa ekuphumuleni, bese isiguli senza umsebenzi othile (njengokugijima okusheshayo) kuze kufike ubuhlungu. Ukwenziwa okuphindaphindiwe kwenziwa futhi ukuguqulwa kwengcindezi kuqhathaniswa.
Ngokuvamile, umehluko wokucindezela kokuphumula nomsebenzi mncane. Iziguli ezine-compartment syndrome ezenzelwe ukuzivocavoca zizokhula kakhulu ekufundeni kwengcindezi lapho izimpawu zikhona ngemuva kokuzivocavoca.
Ezinye izimo eziningi kudingeka zicatshangelwe. I-compartment syndrome eyenziwe ngokuzivocavoca ivamile, futhi kungenzeka ukuthi ubuhlungu bomlenze (indawo evame kakhulu yokusebenzisa i-compartment syndrome) kubangelwa yilezi zimo ezilandelayo:
- I-Medial tibial stress syndrome (ama-shin splints)
- Ukucindezeleka ngokwehlukana
Ukwelashwa kwe-Exertional Compartment Syndrome
Isikhathi sokuphumula singase sizame, kanye nokugwema noma yimiphi imisebenzi edala izimpawu. Kodwa-ke, uma ukuxilongwa kwe-compartment-induced compartment syndrome kucacile, futhi izimpawu ziyaqhubeka, khona-ke ukuhlinzwa kungadingeka.
Ukuhlinzwa kuhilela ukukhulula (ukusika) i-fascia eqinile, ebizwa ngokuthi i-fasciotomy. I-incision yenziwa phezu kwendawo ethintekile, bese udokotela ohlinzayo esika izicubu eziqinile ezizungeze umsizi. Ingozi enkulu yalokhu kuhlinzeka isinciphisa izinzwa ezincane ezinikeza inzwa kuze kube sekugcineni. Ngokuvamile udokotela ohlinzayo angakwazi ukukhomba umlenze futhi awugweme, kodwa kusengenzeka ukulimaza le nerve.
Izwi elivela
I-compartment-induced compartment syndrome kungaba yinkinga ephazamisayo. Ngaphandle kokuhlolwa okulula ukuthola lesi sifo, abantu abaningi bazama ukuthola ukukhululeka kulezi zimpawu. Ngokuvamile, ukukhululeka kungavela kuphela kweyodwa yezindlela ezimbili. Kungenzeka imisebenzi yokulungisa ukuvimbela imisipha ukuba isebenze ngokweqile, noma inqubo yokuhlinza evumela indawo engaphezulu yemisipha. Imisebenzi yokushintsha ingaba nzima kubadlali abadinga umsebenzi ophezulu ukuze bancintisane emazingeni aphezulu emidlalo yabo. Kulezi zimo, izixazululo zokuhlinzeka ngokuvamile ziwukuphela kokwelashwa okuphumelelayo.
Imithombo:
I-Fraipont MJ no-Adamson GJ "Isikhathi Sokuzikhumbuza I-Chronic Exertional Compartment Syndrome" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, Julayi / Agasti 2003; 11: 268 - 276.