Isifo seCandelo

Umxholo

• Oonobangela bokonakala kumacandelo emisipha
• Iindidi zesifo secandelo
• Iimpawu zesifo segumbi
• Ukuqaphela iimpawu zesifo secandelo
• Iimpawu zesifo segumbi
• Isifo esinganyangekiyo segumbi
• Iingxaki zexesha elide
• Iimpawu zesifo segumbi
• Isifo esinganyangekiyo segumbi
• Uvavanyo kunye novavanyo lwesifo secandelo
• Unyango ukhetho lwecandelo lesifo
• Iimpawu zesifo segumbi
• Isifo esinganyangekiyo segumbi

Yintoni i-compartment syndrome?

I-syndrome yegumbi yimeko enzima eyenzekayo xa kukho isixa esikhulu soxinzelelo ngaphakathi kwigumbi lezihlunu.

Amagumbi ngamaqela ezihlunu zemithambo, imithambo yegazi, kunye nemithambo-luvo ezingalweni nasemilenzeni ejikelezwe yinwebu eyomelele kakhulu ebizwa ngokuba yi-fascia. I-Fascia ayandisi, ke ukudumba kwigumbi kunokubangela ukwanda koxinzelelo ngaphakathi kwigumbi. Oku kukhokelela ekonzakaleni izihlunu, imithambo yegazi, kunye ne-nerves ngaphakathi kwigumbi.

Ukwanda koxinzelelo kunqumle ukuphuma kwegazi kwigumbi. Oku kunokubangela ilahleko yeoksijini eya kwizicubu (ischemia) kunye nokufa kweselula (necrosis).

Oonobangela bokonakala kumacandelo emisipha

Isifo secandelo sinokukhula xa kukho ukopha okanye ukudumba ngaphakathi kwigumbi. Oku kunokubangela uxinzelelo lokwakha ngaphakathi kwigumbi, elinokuthintela ukuhamba kwegazi. Ingabangela umonakalo osisigxina ukuba iyekwe inganyangwa, njengoko izihlunu kunye neethambo zingazukufumana izakhamzimba kunye neoksijini abayifunayo. Ukunganyangi imeko kungakhokelela ekunqunyulweni komzimba.

Iindidi zesifo secandelo

Iimpawu zesifo segumbi

Olu hlobo lwesifo sekhompawundi senzeka emva kokuba ufumane ukwenzakala okukhulu. Kwiimeko ezinqabileyo, inokuphinda ikhule emva kokonzakala okuncinci. Umzekelo, unokuhlakulela isifo sekhomputha esibuhlungu:

• ukulandela ukwaphuka
• emva kokonzakala okutyumza ingalo okanye umlenze
• ngenxa yesihlunu esenzakeleyo
• ukusuka ekunxibeni isamente okanye ibhandeji eqinileyo
• ukusela kakhulu okanye ukusebenzisa iziyobisi

Ukuqaphela iimpawu zesifo secandelo

Iimpawu zesifo segumbi

Olona phawu luxhaphakileyo lwe-acute compartment syndrome ziintlungu eziqatha ezingaphuculiyo emva kokugcina indawo eyonzakeleyo iphakanyisiwe okanye ithathe amayeza. Umlenze okanye ingalo yakho inokuziva imbi xa usolula okanye usebenzisa umsipha owenzakeleyo.

Ezinye iimpawu zinokubandakanya ukuziva uxinekile kwimisipha okanye ukurhawuzelela okanye ukutshisa ulusu kulusu oluchaphazelekayo.

Iimpawu zesifo sekhomputha esihamba phambili sinokubandakanya ukuphazamiseka okanye ukukhubazeka. Oku kuhlala kungumqondiso womonakalo osisigxina.

Isifo esinganyangekiyo segumbi

Ubuhlungu okanye ukuqunjelwa xa usenza umthambo luphawu oluqhelekileyo lwesifo esinganyangekiyo segumbi. Emva kokuba uyekile ukuzilolonga, iintlungu okanye ukutyiwa sisisu kudla ngokuhamba kwisithuba semizuzu engama-30. Ukuba uqhubeka nokwenza umsebenzi obangela le meko, iintlungu zingaqala ukuhlala ixesha elide.

Ezinye iimpawu zingabandakanya:

• unengxaki yokuhambisa unyawo, ingalo, okanye indawo echaphazelekayo
• ukuba ndindisholo
• ukudumba okubonakalayo kwimisipha echaphazelekayo

Iingxaki zexesha elide

Iimpawu zesifo segumbi

Igumbi lesifo esibuhlungu lifuna unyango olukhawulezileyo ukunciphisa uxinzelelo. Umonakalo osisigxina kwiimisipha zakho kunye nemithambo-luvo inokukhula ngaphakathi kweeyure. Le yimeko engxamisekileyo yotyando kwaye kunganyanzeleka ukuba unqunyulwe unyawo ukuba awuphendulwanga kwangoko.

Isifo esinganyangekiyo segumbi

Isifo esinganyangekiyo segumbi lokulala asithathwa njengengxamisekileyo, kodwa kuya kufuneka ugqirha wakho azi ukuba ufumana naziphi na iimpawu. Ungazami ukwenza umthambo xa usentlungwini, kuba oku kunokubangela umonakalo ongapheliyo kwimisipha yakho, kwimithambo yegazi, kunye nakwimithambo-luvo.

Uvavanyo kunye novavanyo lwesifo secandelo

Ugqirha wakho uya kukunika uvavanyo lomzimba ukujonga iimpawu zesifo esibi okanye esinganyangekiyo segumbi. Banokuyicudisa indawo eyonzakeleyo ukumisela ubuzaza bentlungu yakho.

Ugqirha wakho unokusebenzisa imitha yoxinzelelo nenaliti eqhotyoshelweyo ukulinganisa ukuba ungakanani na uxinzelelo kwigumbi. Lo mlinganiselo kufuneka uthathwe ngelixa usenza umsebenzi owenzakalisa umlenze okanye ingalo yakho. Izakuthathwa kwakhona emva kokuba ugqibile.

Ugqirha wakho angathatha i-X-ray ukulawula ezinye iimeko.

Unyango ukhetho lwecandelo lesifo

Iimpawu zesifo segumbi

Utyando kuphela kwendlela yokhetho yolu hlobo lwesifo secandelo. Inkqubo ibandakanya ukusika ukuvula i-fascia ukunciphisa uxinzelelo kwigumbi. Kwiimeko ezinzima, ugqirha wakho kuya kufuneka alinde ukudumba ukuba kwehle ngaphambi kokuvala ukusikwa, kwaye amanye ala manxeba afuna ukumiliselwa kolusu.

Ukuba uphuhlisile le meko ngenxa yesamente okanye ibhandeji eqinileyo, loo nto iya kufuna ukususwa okanye ikhululwe.

Isifo esinganyangekiyo segumbi

Ugqirha wakho unokucebisa ngeendlela zonyango zokuqala, kubandakanya:

• unyango lomzimba ukolula umsipha
• amayeza anti-ukudumba
• Ukutshintsha uhlobo lomhlaba owusebenzisayo
• ukwenza imisebenzi eneempembelelo eziphantsi njengenxalenye yomthambo wakho
• ukuphakamisa umda
• ukuphumla emva komsebenzi okanye ukuguqula umsebenzi
• icing isiphelo emva komsebenzi

Ukuba ezi ndlela azisebenzi, unokufuna utyando. Utyando ngokubanzi lusebenza ngakumbi kuneendlela zokwenza unyango zokunyanga isifo esinganyangekiyo segumbi.