Zizindikiro ndi Zochiritsira za Malo Opangira Zochita Zochita Syndrome
Matenda opangidwira thupi, omwe amachitanso kuti agwiritse ntchito matenda osokoneza bongo, ndi matenda aakulu, ndizo zimayambitsa kupweteka kwa minofu ndi zovuta kuchita masewera olimbitsa thupi. Anthu amamva ululu pambuyo pochita zinthu zolimbitsa thupi kapena kuchita masewera olimbitsa thupi, ndipo mwamsanga amamasulidwa ndi mpumulo. Kupweteka kwa matenda opatsirana pogonana kungakhale kovuta kwambiri, ndipo nthawi zambiri kumachepetsa zochita za munthu.
Matenda osokoneza bongo ndi osiyana ndi matenda osokoneza bongo. Kawirikawiri, vuto lalikulu la chipinda chokwanira ndilo chifukwa cha kuvulazidwa kwakukulu komwe kumachititsa kuwonjezereka kofananako kwa zovuta za m'chipinda. Zikatero, mavuto sangathe kulamulidwa mosavuta, ndipo kuchedwa kwa chithandizo kungawononge kuwonongeka kwa minofu ndi minofu. Kwa anthu omwe ali ndi kachilombo ka HIV, vutoli limamasulidwa chifukwa chosiya kuchita masewera olimbitsa thupi, ndipo zizindikiro zidzasintha mosavuta. Ngakhale kuchipatala kungafunike, kuphatikizapo opaleshoni, izi sizikudziwika kuti ndizidzidzidzi.
Zifukwa za Chipinda Chochita Zochita Zochita Syndrome
Matenda osokoneza bongo amachititsa kuti thupi likhale lovuta. Mitundu imakhala mkati mwa minofu yolimba yotchedwa fascia. Izi zimakhala zozungulira ndipo zimakhala ndi minofu. Kawirikawiri, fascia ali ndi malo okwanira mkati kuti alowetse minofu popanda vuto.
Pamene ntchito zowonjezereka zikuwonjezeka, magazi amapita ku minofu imakula, ndipo kukula kwa minofu kumawonjezeka. Pa ntchito yovutitsa, voliyumu ndi kulemera kwa minofu zikhoza kuwonjezeka ndi pafupifupi 20% mu kukula. Izi ndi zotsatira za kutupa kwa minofu mpaka maulendo 20 kupuma kwawo pa nthawi ya ntchito yovuta.
Kwa anthu ambiri, fascia imapereka malo okwanira kuti pakhale kuwonjezeka kwa minofu pa nthawi yochita masewera olimbitsa thupi. Komabe, kwa odwala omwe ali ndi kachilombo koyambitsa zochita zolimbitsa thupi, fascia ndi yolimba kwambiri, ndipo imayambitsa minofu pazigawo izi za ntchito yovuta.
Malo ofala kwambiri omwe amagwiritsidwa ntchito pochita masewero olimbitsa thupi ndi mwendo, pafupi ndi fupa la fupa. Zizindikiro nthawi zambiri zimawoneka mwa othamanga ndi skier-country skiers. Matenda a chipinda angathenso kupezeka pa ntchafu (yomwe nthawi zambiri imakhala yothamanga ndi oyendetsa mabasiketi), zowomba (othamanga ndi othamanga), ndi minofu ina ya thupi.
Ululu Womwe Mukukhala ndi Syndrome
Pamene minofu ikukula ndikukhala yovuta ndi fascia, kuthamanga kwa magazi kumasokonezeka. Kuperewera kwa magazi kumayambitsa ischemia - chodabwitsa chomwecho monga kuukira mtima. Pamene magazi akuthamangira ku minofu imasokonezeka, ululu ukhoza kuchitika. Izi zikachitika mu minofu ya mtima, kupweteka pachifuwa ndi zotsatira; ikafika pamlendo, ululu wa mwendo ndi zotsatira.
Musanayambe kudandaula, ischemia ya mtima ndi matenda opangidwira thupi zimakhala zosiyana kwambiri! Choyambitsa mavutowa ndi chosiyana, koma zotsatira zomaliza zimayambitsa vuto lomwelo. Kuwonjezera apo, kupuma kwa matenda opatsirana pogwiritsa ntchito zolimbitsa thupi nthawi zambiri kumakhala kophweka - kungosiya kuchitapo kanthu kwa minofu.
Zizindikiro za Chipinda Chochita Zochita Zochita Syndrome
Chizindikiro chofala kwambiri ndi kupweteka nthawi ndi ntchito zomwe zimatulutsidwa mwamsanga ndi kupumula. Odwala amatha kuzindikira kapena kutaya chifukwa cha kusowa kwa magazi ku mitsempha yomwe imadutsa m'chipinda. Kawirikawiri pamene zizindikiro zilipo, dera lomwe lili pambali ya chipinda chokhudzidwacho limamva kwambiri.
Kuzindikira kumapangidwira poyeza kupanikizika pakati pa chipinda chokhudzidwa. Kawirikawiri chiwerengero cha kupanikizika chimapumula, ndipo wodwala amachita chinthu china (monga kuthamanga mwamsanga) mpaka ululu ulipo. Chiyero chobwerezabwereza chimapangidwa ndipo kusintha kwake kumayesedwa.
Kawirikawiri, kusiyana kosiyana ndi kupuma ndi ntchito ndizochepa. Odwala omwe ali ndi kachilombo koyambitsa zochita zolimbitsa thupi adzakhala ndi kuwonjezeka kwakukulu kwa kuwerengedwa kwachisokonezo pamene zizindikiro zilipo pakatha masewera olimbitsa thupi.
Zinthu zina zingapo ziyenera kuganiziridwa. Matenda osokoneza bongo ndi ovuta kwambiri, ndipo nthawi zambiri ululu wa m'mapazi (malo omwe amachititsa kuti munthu azichita masewero olimbitsa thupi) amayamba chifukwa cha izi:
- Matenda apakatikati a tibial (maonekedwe okhwima)
- Kusweka kwa nkhawa
Kuchiza kwa Magulu Opondereza a Syndrome
Nthawi yopuma ingayesedwe, komanso kupewa zinthu zomwe zimayambitsa zizindikiro. Komabe, ngati matendawa akugwiritsidwa ntchito moyenera, ndipo zizindikiro zikupitirira, ndiye kuti opaleshoni angafunikire.
Kuchita opaleshoni kumaphatikizapo kutulutsa (kudula) fascia yolimba, yotchedwa fasciotomy. Kuwombera kumapangidwira pa malo okhudzidwawo, ndipo dokotalayo amathyola minofu yolimba yomwe ikuzungulira minofuyo. Kuopsa kwakukulu kwa opaleshoniyi ndiko kudula mitsempha yaing'ono yomwe imapereka mphamvu mpaka kumapeto. Kawirikawiri dokotalayo amatha kuzindikira mitsempha ndi kupeĊµa izo, komabe n'zotheka kuwononga mitsempha.
Mawu Ochokera
Matenda osokoneza bongo amatha kukhala vuto lalikulu. Popanda kuyesedwa kosavuta kuti adziwe matendawa, anthu ambiri amavutika kuti athe kupeza mpumulo ku zizindikiro. Kawirikawiri, mpumulo ungachokere mwa njira imodzi yokha. Zinachita zinthu zowononga kuti minofu isamagwire ntchito mopitirira muyeso, kapena njira yopaleshoni yomwe imalola malo ambiri kuti minofu ikhale yovuta. Ntchito zosintha zingakhale zovuta kwa othamanga omwe amafunika kuchita masewera olimbitsa thupi kuti apikisane pa masewera awo apamwamba. Muzochitika izi, njira zothandizila ndizochidziwitso zokha.
Zotsatira:
Fraipont MJ ndi Adamson GJ "Malo Okwanira Omwe Amagwira Ntchito Zachilengedwe" J. Am. Acad. Ortho. Kukonza., July / August 2003; 11: 268 - 276.