Zviratidzo uye Zvirwere Zvokudzidzira-Induced Compartment Syndrome
Kushandisa-induced compartment syndrome, inonziwo exertional compartment syndrome uye chronic compartment syndrome, ndiyo inokonzera marwadzo emusana uye kuoma kuita zvigaro zvemitambo. Vanhu vanowanzosangana nemarwadzo mushure memakore ekukurumidza kuita basa kana kurovedza muviri, uye anokurumidze kununurwa nekuzorora. Kurwadziwa kwekurovedza-induced compartment syndrome kunogona kunge kwakanyanya, uye kazhinji kunogadzirisa basa romumwe munhu.
Kudzidzira-induced compartment syndrome yakasiyana neacute compartment syndrome, chirwere chinokurumidza kuitwa. Kazhinji, acute compartment syndrome inokonzerwa nekukuvadzwa kunorwadza zvichikonzera kuwedzera kwakafanana kwekumanikidzwa kwemakamuri. Mumamiriro ezvinhu aya, kuoma hakugoni kudzorwa nyore nyore, uye kunonoka mukurapa kunogona kutungamirira kumusana unogara nekunyangadza. Mune vanhu vane chronic compartment syndrome, kukanganiswa kunozorodzwa nokurega basa rekuita basa, uye zviratidzo zvichangovandudza pakarepo. Kunyange zvazvo kurapwa kungave kushandiswa, kusanganisira kuvhiyiwa, izvi hazvirevi kuti ndezvekukurumidzira.
Zvinokonzera Kurovedza-Inokonzerwa Ikamuri Syndrome
Kudzidzira-induced compartment syndrome kunokonzerwa nekumanikidzirwa kuvaka-up mukati memaviri. Misumbu inoputirwa mukati mezvisikwa zvakaoma zvinonzi fascia. Izvi zvinoshuva zvakapoteredza uye zvine musuru. Kazhinji, iyo fascia ine nzvimbo yakawanda yepamusoro mukati kuitira kuti misi miviri ishande pasina chinetso.
Apo mabasa ehuwandu akawedzerwa, ropa rinoyerera kusvika musimba rinowedzera, uye ukuru hwemisumbu inowedzera. Munguva yekuita basa rakaoma, kubwinya uye kuyerwa kwemisumbu kunogona kuwedzera nekusvika 20% muhukuru. Ichi chigumisiro chemishupa yemasumbu ichikurira kusvika makumi maviri pakuwanda kwekukura kwavo munguva iyi yekuita basa rakaoma.
Mune vanhu vakawanda, inofanirwa inobvumira nzvimbo yakakwana kuti igone kukura uku musimba wemasisita panguva yekurovedza muviri. Zvisinei, kune varwere vane maitiro ekurovedza-induced compartment syndrome, iyo fascia yakanyanya kusimba, uye inoshandisa musero panguva dzezvikamu zvekuita basa rakaoma.
Nzvimbo yakakurumbira yekuvhima-induced compartment syndrome ndiyo gumbo, rakapoteredza bone. Zviratidzo zvinowanzoonekwa mumhanyi uye nyika yepamusoro-soro. Compartment syndrome inogonawo kuitika muhudyu (inowanzo mu weightlifters nevatasvi vemabhiza), forearm (vanofamba nemotokari), nemamwe mitsipa yemuviri.
Pain With Compartment Syndrome
Sezvo mutsara inowedzera uye inopedzeredzwa ne-fascia, ropa rinoyerera kusvika kumisungo rinoparadzaniswa. Kushaikwa kweropa kunokonzera ischemia - chiitiko chimwechete sekushungurudza mwoyo. Apo ropa rinopera kusvika musimba rinokanganiswa, kurwadziwa kunogona kuitika. Kana izvi zvikaitika mumoyo wemutsipa, kurwadziwa kwepfupa ndicho chigumisiro; apo inowanikwa mumakumbo, kurwadziwa kwemakumbo ndicho chigumisiro.
Usati watanga kunetseka, ischemia yemwoyo uye iko-iko-induced compartment syndrome zvakasiyana zvikuru! Chikonzero chematambudziko aya chakasiyana, asi mugumisiro wekupedzisira unokonzera dambudziko rakafanana. Uyezve, kuponeswa kwekurovedza-induced compartment syndrome kunowanzo nyore kwazvo-kungomira kuedza kushandiswa kwemuviri.
Zviratidzo zvekudzidzira-Induced Compartment Syndrome
Chiratidzo chinowanzoonekwa chinorwadza panguva yebasa rinokurumidza kununurwa nekuzorora. Varwere vanogona kucherechedza kumira kana kushaya simba nekuda kwekushayikwa kweropa kuderera kune mitsipa inopinda nepakati. Kakawanda apo zviratidzo zviripo, nzvimbo iri pamusoro pemasumbu eimba yakavhiringidzika inonzwa yakasimba.
Kuongororwa kunoitwa nekuyera kuoma mukati memisungo yeimba yakavhiringidzika. Kazhinji chiyero chinoshandiswa chinoitwa pakuzorora, uye ipapo murwere anoita chimwe chinhu (sekukurumidza kumhanya) kusvikira marwadzo aripo. Kudzokorora kuyerwa kunobva kwaitwa uye kushandurwa kunoshandiswa kunoenzaniswa.
Kazhinji, kupesana kwepabonde kubva kune imwe nzvimbo uye basa iri shoma. Varwere vane exercise-induced compartment syndrome vachave nekuwedzera kunoshamisa mukumanikidzirwa kuverengwa apo zviratidzo zviripo mushure mokuvhiya.
Mamwe mimwe mamiriro ezvinhu anodiwa kuonekwa. Kudzidzira-induced compartment syndrome hazviwanzovi, uye zvinowanzoita kuti kurwadziwa kwegumbo (nzvimbo inonyanya kunakirwa ye-exercise-induced compartment syndrome) iri kukonzerwa nechimwe chezvinhu zvinotevera:
- Midal tialal stress syndrome (shin splints)
- Kushungurudzika kuputika
Kurapa kweExpensive Compartment Syndrome
Nguva yezororo inogona kuedzwa, pamwe nekudzivisa chero zviitiko zvinokonzera zviratidzo. Zvisinei, kana kuongororwa kwe-exercise-induced compartment syndrome kuri pachena, uye zviratidzo zvinoramba zvichiripo, ipapo chirwere chinogona kudiwa.
Kuvhiyiwa kunosanganisira kurega (kudzvora) iyo tight fascia, inonzi fasciotomy. Iko kusanganisa kunoitwa pamusoro penharaunda inoparidzirwa, uye ipapo chiremba anovhiya anocheka mishonga yakasimba inopoteredza musuru. Dambudziko guru rekuvhiyiwa uku kuri kuderedza nharo duku dzinopa manzwiro kusvika kumucheto. Kazhinji chiremba anovhiya anokwanisa kuona mutsara uye anozvidzivirira, asi achiri kukwanisa kutyisa mutsara.
Shoko Rinobva
Kuita-induced compartment syndrome kunogona kuva dambudziko rinogumbura. Pasina muedzo wakaoma kuti uongorore chirwere ichi, vanhu vazhinji vanotambudzika kuti vawane zororo kubva kune zviratidzo. Kazhinji, rubatsiro runogona kubva kune imwe nzira mbiri. Zvimwe zvinoshandura mabasa kuitira kudzivirira mishonga kuti ishande kushanda zvakawandisa, kana chirongwa chinogadzira chinotendera nzvimbo yakawanda yemisumbu. Kugadzirisa zvinhu zvinogona kuva zvakaoma kuvatambi vanoda hutano hwemabasa kuitira kuti vakwikwidze pamatunhu akakwirira emutambo wavo. Mune mamiriro ezvinhu aya, chirwere chinogadziriswa chinowanzova kurapa kwakanaka chete.
Sources:
Fraipont MJ naAdamson GJ "Chronic Exertional Compartment Syndrome" J. Am. Acad. Ortho. Kupera., July / August 2003; 11: 268 - 276.