Iimpawu kunye neZonyango ze-Exercise-Induced Combined Syndrome
I-compartment-stimulated syndrome syndrome, ebizwa ngokuba yi-compertional syndrome syndrome kunye nesifo esingapheliyo, iimeko ezibangelwa intlungu kunye nobunzima ukwenza umsebenzi wezemidlalo. Abantu bafumana intlungu emva kwexesha eliphezulu lomsebenzi okanye umzimba, kwaye ngokukhawuleza ukhululiwe ngokuphumla. Intlungu evela kwi-compartment-inculated syndrome ingabonakala nzima, kwaye ihlala ibeka umda kumsebenzi womntu ngamnye.
I-compartment-induced compartment syndrome ihluke kwi-acute compartment syndrome, kwimeko engxamisekileyo. Ngokuqhelekileyo, i-compute syndrome ye-compartment iyimiphumo yengozi ebangela ukunyuka okufanayo kwenkcitho. Kule meko, uxinzelelo alukwazi ukulawulwa lula, kwaye ukulibaziseka kwonyango kunokukhokelela kumonakalo osisigxina kunye nesikhokelo somzimba. Kubantu abanesifo esingasigxina segciwane, uxinzelelo lukhululekile ngokuyeka ukusebenza, kwaye iimpawu ziya kuphucula ngokukhawuleza. Nangona unyango lunokususelwa, kuquka ukuhlinzwa, oku kuthethwa ngokungxamisekileyo.
Iimbangela zeCymrome-Induced Combined Syndrome
Isifo se-compartment-stimulated syndrome ngenxa yongcinezelo ekwakheni imisipha. Imisipha idibene ngaphakathi kwimizimba eqinile ebizwa ngokuthi i-fascia. Le fascia ijikeleza kwaye iqukethe imisipha. Ngokuqhelekileyo, i-fascia inekamelo elongezelelweyo elingaphandle ngaphakathi ukuze ivumele umsila usebenze ngaphandle kwengxaki.
Xa amanqanaba omsebenzi anyuka, ukuphuma kwegazi kuya kwanda imisipha, kwaye ubukhulu bomzimba buya kwanda. Ngexesha lomsebenzi onzima, umthamo kunye nesisindo semisipha kunokunyuka ngama-20% ngobukhulu. Esi sisiphumo se-fiber muscle ukuvuvukala ukuya kumaxesha angama-20 ubukhulu babo bokuphumla ngeli xesha lo msebenzi okhuni.
Kwintolinzi yabantu, i-fascia ivumela indawo efanelekileyo ukulungiselela ukunyuka kobukhulu bemisipha ngexesha lokuzivocavoca. Nangona kunjalo, kwizigulane ezine-computed syndrome, i-fascia inzima kakhulu, kwaye ibambelela i-muscle ngexesha lezi ziqendu zomsebenzi onzima.
Indawo eqhelekileyo ye-compartment-incuted syndrome ngumlenze, malunga nesifuba shin. Iimpawu zivame ukubonakala kwiimgijimi kunye ne-skiers-cross country. Isifo segumbi singaphinda senzeke emthonjeni (ngokuqhelekileyo kwi-weightlifters kunye nabaqhubi beebhayisikili), i- forearm (abaqhubi kunye nabagibeli be-motocross) kunye nezinye izihlunu zomzimba.
Ubuhlungu Ngama-Syndrome
Njengoko i-muscle ikhula kwaye iyanqandwa yi-fascia, ukuphuma kwegazi ukuya kumisipha kuphazamiseka. Ukungabikho kokuphuma kwegazi kubangelwa i-ischemia - into efana nokuhlaselwa kwentliziyo. Xa ukuphuma kwegazi kwi-muscle kuphazanyiswa, intlungu ingafumaneka. Xa oku kwenzeka entliziyweni yentliziyo, intlungu yesifuba yiphumo; xa kwenzeka emlenzeni, intlungu yomlenze yiphumo.
Ngaphambi kokuba uqale ukuxhalabisa, i-ischemia yentliziyo kunye nesifo sokukhupha isifo se-compartment syndrome ihluke kakhulu! Isizathu sale ngxaki sihlukile, kodwa umphumo wokugqibela ubangela ingxaki efanayo. Ukongezelela, ukukhutshwa kwe-compartment-induced compartment syndrome ngokuqhelekileyo kulula kakhulu - kumisa ukuqhutyelwa komzimba.
Iimpawu zeCym-Induced Igumbi leSyndrome
Uphawu oluqhelekileyo luyintlungu ngexesha lomsebenzi okhutshwa ngokukhawuleza kunye nokuphumla. Izigulane ziyakubona ukubetha okanye ukuphazamiseka ngenxa yokungabikho kokuphuma kwegazi ukuya kwiimbilini ezidlulayo kwigumbi. Ngokuqhelekileyo xa kukho iimpawu, ummandla phezu kwezihlunu zegumbi elichaphazelekayo uzizwa unzima kakhulu.
Ukuxilongwa kuyenziwa ngokulinganisa uxinzelelo phakathi kweengxube zegumbi elichaphazelekayo. Ngokuqhelekileyo umlinganiselo woxinzelelo owenziwe ukuphumla, kwaye ke isigulane senza umsebenzi othile (njengokukhawuleza okuqhutywayo) kude kubekho intlungu. Umlinganiselo wokuphinda uyenziwe kwaye utshintsho lweengcinezelo lufaniswa.
Ngokuqhelekileyo, uxinzelelo lweempembelelo ekuphumleni kunye nomsebenzi mncinane. Izigulane ezinezonyango zonyango ziza kuba nokwanda okukhulu kwimiqathango yokufunda ingcinezelo xa kukho iimpawu emva kokuzivocavoca.
Ezinye iimeko kufuneka ziqwalaselwe. Isiqhelo se-compartment syndrome esingaqhelekanga, kwaye kunokwenzeka ukuba intlungu yomlenze (indawo eqhelekileyo yendawo yokunyamekela i-compartment syndrome) ibangelwa enye yeemeko ezilandelayo:
- I-medial tibial stress syndrome
- Ukuxinwa kweengxaki
Unyango lwe-Exertional Compartment Syndrome
Ixesha lokuphumla lingazama, kunye nokuphepha yonke into eyenza iimpawu. Nangona kunjalo, ukuba ukuxilongwa kwe-compartment-induced compartment syndrome kucacile, kwaye iimpawu ziyaqhubeka, ngoko utyando luya kufuneka.
Utyando lubandakanya ukukhulula (ukusika) i-fascia eqinile, ebizwa ngokuba yi-fasciotomy. Isicatshulwa senziwe phezu kwendawo echaphazelekayo, kwaye ugqirha ugqirha izicubu ezinzima ezijikeleze i-muscle. Umngcipheko omkhulu walo msebenzi uphazamisa amancinci amancinci anika ivakalelo ukuya ekupheleni. Ngokuqhelekileyo ugqirha unogqirha unokukwazi ukubona iimbilini kwaye uyiphephe, kodwa kusenokwenzeka ukulimaza imbilini.
ILizwi
I-compartment-stimulated syndrome ingabangela ingxaki ephazamisayo. Ngaphandle kokuvavanywa okulula ukufumanisa le meko, abaninzi abantu bazama ukufumana ukukhulula kwiimpawu. Ngokuqhelekileyo, uncedo lunokuvela kuphela kweendlela ezimbini. Yenza imisebenzi yokuguqula ukuthintela izihlunu ukuba zisebenze ngokugqithiseleyo, okanye inkqubo yokuvotela evumela indawo engakumbi yezihlunu. Imisebenzi yokuguqula ingaba nzima kubadlali abafuna umsebenzi ophezulu ukuze bancintisane kumazinga aphezulu emidlalo yabo. Kule meko, izisombululo zokugonywa ziqhelekileyo unyango oluphela kuphela.
Imithombo:
I-Fraipont MJ kunye no-Adamson GJ "Igumbi eliQhathelayo eliqhelekileyo Syndrome" J. Am. Acad. IOrn. Ugqirha, uJulayi / Agasti 2003; 11: 268 - 276.