Hlanganisa ubuhlungu ekugubheni naseMotocross Athletes
Kunezinkinga ezimbalwa ezingavamile zomuthi wama-orthopedic ezingajwayelekile, ngaphandle kwemidlalo ethile. Ukulimala okunye okubizwa ngokuthi i-frontarm compartment syndrome. I-forearm compartment syndrome cishe ayitholakali kubantu abaningi, kodwa kungenzeka kwezinye zezemidlalo, ikakhulukazi ekugubheni (abasebenzi) kanye nabagibeli be-motocross.
I-Compartment Syndrome
I-compartment syndrome yisimo esingavamile esenzeka lapho ingcindezi enkulu ikhula nxazonke zomzimba, inciphisa ukujikeleza kuya kwezicubu zomzimba.
I-compartment syndrome ingenzeka njengengozi embi (ukuhlukunyezwa) noma ukulimala ngokweqile (ngokuvamile phakathi nemidlalo). I-compact syndrome elula yidinga ukuhlinzwa okuphuthumayo. Ukucindezela okusheshayo okwakungezungeze umsizi kungabangela ukulimala okungapheli komzimba uma kungenjalo ukubhekwa ngokuphuthumayo ngokukhulula izicubu eziqinile ezizungeze imisipha.
Okuvamile kakhulu, i -compartment syndrome eyenziwa ngokuzivocavoca , ebizwa nangokuthi i-compartment syndrome engapheli, eyenzeka ngesikhathi sokuzivocavoca. I-compartment-induced compartment syndrome eyenza ukwanda kancane kancane kwemisipha ethintekile ekugcineni ekunciphiseni ukuzibandakanya kokuzivocavoca. Imisipha ecacile ingathinteka yi-compartment syndrome eyenziwe ngomzimba. Kulabo abagibeli nabagibeli be-motocross, ukusetshenziselwa okuphindaphindiwe kwemisipha ye-forearm kungabangela lolu hlobo lwe-compartment syndrome. I-forearm compartment syndrome nayo yayingavamile ukubikwa ezincwadini zezokwelapha kwezinye izinhlobo zabegijimi kuhlanganise ne-kayak paddler, i-baseball pitcher, ne-elite swimmer.
Izimpawu Ze-Forearm Compartment Syndrome
Izimpawu ezivamile ze-forearm compartment syndrome zihlanganisa:
- Ubuhlungu kusengaphambili
- Ukuvuvukala / ukuqina kwemisipha ye-forearm
- Ukukhululeka kokungahambi kahle nokuphumula
- Ubumbulu kanye nokugubha ebusweni nesandla
Iningi le-forearm-composed syndrome elivame ukuzivocavoca lidala izimpawu ezingalindelekile.
Lokhu kusho ukuthi abagijimi abaningi bayazi ukuthi bangakwazi ukuthatha isikhathi esingakanani emsebenzini wabo, futhi ngokuvamile bathola izimpawu zabo ukuxazulula ngokushesha ngokuphumula.
Ukuhlola okusetshenziselwa ukuqinisekiswa ukuthi i-compartment syndrome ihlolwe ukukala ukucindezeleka emisipha ngesikhathi sokuzivocavoca okukhulu. Lapho ngivivinya abagijimi, ngivame ukuhamba nabo emshini wokugwedla noma ngetanki, bavumele ukuba basebenzise ngamandla kuze kufike ubuhlungu. Umlingo wokucindezela (ohlotshiswe njengenaliti) ufakwa emisipha. Isilinganiso sokucindezela siqhathaniswa nokucindezeleka kokuphumula komzimba ukuze kutholakale ukuthi ukunyuka kwengcindezi kuningi kakhulu.
Ezinye izivivinyo ezinjenge-x-rays, i- MRI , noma ukuhlolwa kwe-nerve conduction zingenziwa uma kukhona umbuzo wenkinga yenkinga, kodwa lezi zivivinyo cishe zivamile kuvamile abane-compartment syndrome.
Ukwelashwa kwe-Compartment Syndrome
Abagijimi abaningi baqala ngemithi elula ye-compartment syndrome. Endabeni ye-forearm compartment syndrome ukuphathwa kahle kakhulu kuvame ukulungisa ukugoba kwe-oar noma ukubamba kwesithuthuthu ukushintsha ukucindezeleka emisipha ye-forearm. Abagijimi abaningi bathola lezi zinguquko ezanele ukuze bavumele ukuba baqhubeke nokuhlanganyela emdlalweni wabo.
Ukulungisa ingcindezi yokubamba kungasiza futhi, nakuba abadlali abaningi bakuthola kunzima, ikakhulukazi ngesikhathi sokusebenza okukhulu.
Uma ukulungiswa kokugqoka kungenakwanele ukwelashwa, futhi ukuhlolwa kwengcindezi yegumbi kuqinisekisa ukuxilongwa kwezingcindezi eziphezulu zegumbi lokuzivocavoca, inqubo yokuhlinzwa ebizwa ngokuthi ukukhululwa kwegumbi ingacatshangelwa. Inqubo iqondakala kahle, futhi ihilela ukwenza ukuchotshozwa phezu kwemisipha, nokusika izicubu eziqinile (okuthiwa i-fascia) ehlanganisa umsizi. Ukukhishwa kwe-fascia kuzovumela ukuthi imisipha ikhule futhi ivule ngaphandle kokucindezelwa.
Imithombo:
UZandi H, uBell S. "Imiphumela ye-compression decompression kwi-forearm compartment syndrome engapheliyo: izinkulumo eziyisithupha ze-case" Br J Sports Med. 2005 Sep; 39 (9): e35.