Isivumelwano sikaVolkmann

Isivumelwano sikaVolkmann kukukhubazeka kwesandla, iminwe, kunye nesihlahla esibangelwa kukwenzakala kwezihlunu zengalo. Le meko ikwabizwa ngokuba yiVolkmann ischemic contracture.

Isivumelwano seVolkmann senzeka xa kukho ukungabikho kwegazi (ischemia) kwingalo yangaphambili. Oku kwenzeka xa kukho uxinzelelo olonyukayo ngenxa yokudumba, imeko ebizwa ngokuba sisifo secandelo.

Ukwenzakala engalweni, kubandakanya ukwenzakala okutyumkileyo okanye ukwaphuka, kungakhokelela kukudumba okucinezela kwimithambo yegazi kunye nokunciphisa ukuhamba kwegazi engalweni. Ukwehla kwexesha elide kokuhamba kwegazi kulimaza imithambo-luvo kunye nezihlunu, kubangele ukuba babe lukhuni (babene scarred) kwaye bafutshane.

Xa isihlunu sifutshane, sitsala ngokudibeneyo ekupheleni kwesihlunu kanye njengokuba bekunokwenzeka ukuba bekunesivumelwano. Kodwa ngenxa yokuba iqine, idibeneyo ihlala igobile kwaye ibambekile. Le meko ibizwa ngokuba sisivumelwano.

Kwisivumelwano seVolkmann, izihlunu zengalo zonzakele kakhulu. Oku kukhokelela kukhubazeko lwesivumelwano seminwe, isandla, kunye nesihlahla.

Kukho amanqanaba amathathu obukrakra kwisivumelwano seVolkmann:

• Ubumnene bekhontrakthi yeminwe emi-2 okanye emi-3 kuphela, ngaphandle kokulahleka kwemvakalelo
• Ngcathu - yonke iminwe igobile (iyaguquguquka) kwaye isithupha sinamathele entendeni yesandla; isihlahla sinokugoba, kwaye kuhlala kukho ukulahleka kwemvakalelo ethile esandleni
• Zomeleleyo - zonke izihlunu kwingalo yomibini ezithi zibhetyebhetye kwaye zolule isihlahla neminwe ziyabandakanyeka; Le yimeko yokukhubazeka kakhulu. Kukho intshukumo encinci yeminwe kunye nesihlahla.

Imiqathango enokubangela ukwanda koxinzelelo kwingalo ibandakanya:

• Ukulunywa zizilwanyana
• Ukuqhekeka kwengalo
• Iingxaki zokopha
• Ukutsha
• Inaliti yamayeza athile kwingalo yangaphambili
• Ukwenzakala kwemithambo yegazi kwingalo yangaphambili
• Utyando kwingalo yangaphambili
• Ukuzivocavoca umzimba okugqithisileyo- oku akunakubangela ukuba kubekho iikhontrakthi ezinzima

Iimpawu zekhontrakthi kaVolkmann zichaphazela ingalo, isihlahla kunye nesandla. Iimpawu zingabandakanya:

• Ukuhla kwemvakalelo
• Ubumdaka besikhumba
• Ubuthathaka bemisipha kunye nelahleko (atrophy)
• Ukukhubazeka kwesihlahla, isandla kunye neminwe ebangela ukuba isandla sibe nenkangeleko enjengezipho

Umboneleli wezempilo uya kwenza uvavanyo lomzimba, egxile kwingalo echaphazelekayo. Ukuba umboneleli urhanela ikhontrakthi kaVolkmann, imibuzo eneenkcukacha iya kubuzwa malunga nokwenzakala kwangaphambili okanye iimeko ezichaphazele ingalo.

Uvavanyo olunokwenziwa lunokubandakanya:

• X-reyi yengalo
• Uvavanyo lwezihlunu kunye nemithambo-luvo ukujonga ukusebenza kwawo

Injongo yonyango kukunceda abantu baphinde bafumane okanye basebenzise ngokupheleleyo ingalo kunye nesandla. Unyango luxhomekeke kubukrakra besivumelwano:

• Kwikhontrakthi emnene, ukuzolula izihlunu kunye nokucheba iminwe echaphazelekayo kunokwenziwa. Utyando lunokufuneka ukwenza iithenda ixesha elide.
• Ukulungiselela ikhontrakthi ngokuphakathi, kwenziwa utyando ukulungisa izihlunu, imisipha kunye nemithambo-luvo. Ukuba iyafuneka, amathambo engalo ayenziwa mfutshane.
• Kwisivumelwano esomeleleyo, kwenziwa utyando ukususa izihlunu, imisipha, okanye imithambo-luvo eqinisiweyo, enezikrelemnqa okanye efileyo. Ezi zithathelwa indawo yimisipha, imisipha, okanye imithambo-luvo egqithiselwe kwezinye iindawo zomzimba. Iithenda ezisasebenza zisenokufuna ukwenziwa ixesha elide.

Ukusebenza kakuhle komntu kuxhomekeke kubukrakra nakwinqanaba lesifo ngexesha lokuqalisa lonyango.

Iziphumo zihlala zilungile kubantu abanesivumelwano esifanelekileyo. Banokuphinda bafumane umsebenzi oqhelekileyo wengalo kunye nesandla sabo. Abantu abanesivumelwano sokumodareyitha okanye esomeleleyo abafuna utyando olukhulu banokungaphindi baphinde basebenze ngokupheleleyo.

Ukunganyangwa, ikhontrakthi kaVolkmann ikhokelela ekuphulukaneni ngokungaphelelanga okanye ngokupheleleyo kokusebenza kwengalo nesandla.

Nxibelelana nomboneleli wakho kwangoko ukuba wenzakele engqinibeni okanye kwingalo kwaye uphuhlise ukudumba, ukuba ndindisholo kunye nentlungu eqhubeka isiba mandundu.

Ischemic contracture - Volkmann; Igumbi lesifo - ikhontrakthi yeVolkmann ischemic

Jobe MT. Igumbi lesifo kunye nesivumelwano seVolkmann. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 74.

UNetscher D, uMurphy KD, uFiore NA. Utyando lwezandla. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 69.

I-Stevanovic MV, i-Sharpe F.Igumbi lesifo kunye neVolkmann ischemic contracture. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, ii-eds. Utyando lwesandla esisebenzayo sikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 51.