I-escharotomy (eyaziwa nangokuthi i-fasciotomy) yinkqubo yokuhlinzwa eyenziwa ukuvumela ukujikeleza okukhulu kunxalenye yomzimba.
Kutheni kuqhutywa
Ukulimala kanzima, njengokutshisa, kunokubangela ukuba izicubu zivule kakhulu kangangokuthi igazi alisayi kuhamba ngokukhawuleza ludala. Ulusu lusebenza njengebhanki eqinile, ukuthintela indawo yokulimala ekukhuleni okukhudlwana okuxinzelela imithwalo yegazi, i-muscle kunye nezicubu ezingezansi.
Le ngxaki idla ngokubizwa ngokuba yi-compartment syndrome.
Ngokomzekelo, isigulane sibhekene nokulimala okukhulu emsebenzini, ukuxilonga ingalo, ukuphula amathambo kwi-forearm kunye nokudala umonakalo we-tissue. Ukuvuvukala okubangelwa ukwanda kwingozi, kwaye ekugqibeleni izicubu ziyavuvukala kangangokuba isikhumba sivakalelwa sisandla. Ukuba ukuvuvukala kuyaqhubeka, igazi alikwazi ukuhamba ngokulula ngengalo, kwaye isandla siqala ukulamba i-oxygen. Ikhumba kunye nezicubu ezincinci zisebenza njenge-tourniquet, okwenza kube nzima ukuba igazi liphume.
Xa i-compartment syndrome ikhula, unyango lukunqanda kwesikhumba kunye nezicubu zingaphantsi ukuba zivumeleke ukuba zisasaze, zikhulule isakhiwo soxinzelelo kwingalo. Ezi zihlandlo zivame ukuqhutyelwa kwipateni yokujikeleza, ukugubungela isigxina, esivumela ukuba iziphumo zivuleke.
Emva kokuPiliswa
Ngokungafani nokugqithwa okuqhelekileyo, oku kuthethwa ngayo akukwenziwe okanye kugcinwe, inqubo isebenza ngenxa yokuba izibhengezo zisakazeka zivulekileyo, zinika ingalo kulo mzekelo ukwedlula igumbi lokukhupha ngaphandle kokulahlekelwa ukuhamba kwegazi esandleni.
Kuqhelekile ukuba ukwazi ukubona izicubu kunye nezakhiwo phantsi kwezigqibo ezivulekileyo. Nayiphi na inxeba evulekileyo inomngcipheko wokusuleleka ukuze loo ndawo ingabhekiswa kumabhanki angenasifo kunye ne-IV antibiotics.
Njengoko ukuhlambalaza, ukufakwa kwezibhengezo kuya kuqalisa ukuvala, kwaye xa iigqeba ze-incision zisondele ngokukhawuleza, isiguli sibuyela kwi-OR ukuba ivalwe amanxeba.