Ukuthini i-Chronic Exertional Compartment Syndrome? Izimpawu, Izimbangela, Nokwelashwa

I-Chronic exertional compartment syndrome (CECS) iyisimo esibuhlungu lapho kukhula khona ukucindezeleka ngaphakathi kwamagumbi emisipha ngesikhathi sokwenza umsebenzi. Cabanga ngakho njengemisipha yakho ecindezelwe kakhulu ekupakweni kwemvelo, okubangela ubuhlungu nokulinganisela ukugcwala kwegazi uma usebenza.

Lesi simo sivame ukubathinta abagijimi nabantu abasebenza kakhulu, ikakhulukazi abagijimi, abadlali bebhola, nabantu basebuthweni. Ngokungafani ne-acute compartment syndrome, okuyisimo esiphuthumayo sezempilo, i-CECS ithuthuka kancane kancane futhi izimpawu zivame ukuthuthuka uma uyeka ukwenza umsebenzi.

Zithini izimpawu ze-Chronic Exertional Compartment Syndrome?

Isimpawu esiyinhloko se-CECS yubuhlungu obukhulu, obuhlungu obukhula ngesikhathi sokwenza umsebenzi futhi buthuthuka ngokuphumula. Uzovame ukubona lobu buhlungu buqala ngesikhathi esithile sokuqeqeshwa kwakho, njengoba nje ngemuva kokugijima imizuzu eyi-10.

Nazi izimpawu ezivamile ongazihlangabezana nazo:

• Ubuhlungu obukhulu, obuhlungu noma obushisayo ekombeni lemisipha elithintekayo
• Ukuqinile noma ukucindezeleka emakhanda akho, izandla, noma izinyawo
• Ukukhahlela noma ukungathuthuki endaweni ethintekayo
• Ubuthakathaka bemisipha ngesikhathi sokwenza umsebenzi
• Ubuhlungu obuqala njalo ngesikhathi esifanayo ngesikhathi somsebenzi
• Ukukhula ekombeni elithintekayo

Izinyawo ezisezansi zivame ukubathinta kakhulu, ikakhulukazi ama-compartment angaphambili nangaphandle. Noma kunjalo, i-CECS ingase ibe khona ezandleni zakho, izandleni, izinyaweni, namathanga.

Kwezinye izimo, ungase uhlangabezane nezimpawu ezingavamile njengomuzwa wokugcwaliswa kwemisipha noma ukukhula okubonakalayo kwekombeni elithintekayo ngesikhathi sokwenza umsebenzi. Lezi zimpawu zivame ukuqeda phakathi kwemizuzu engu-15-30 ngemuva kokuyeka umsebenzi wakho.

Ziyini izinhlobo ze-Chronic Exertional Compartment Syndrome?

I-CECS ihlelwa ngokusekelwe ekombeni lemisipha elithintekayo. Unyaweni olusezansi unezigaba ezine eziyinhloko, futhi ngayinye ingathuthukisa lesi simo ngokuzimela noma ngokuhlanganyela nabanye.

Izinhlobo ezivamile zihlanganisa:

• I-Anterior compartment CECS (ngaphambili kwesinye esisezansi) - ithonya imisipha ephakamisa unyawo lwakho
• I-Lateral compartment CECS (ngaphandle kwesinye esisezansi) - ihilela imisipha ehambisa unyawo lwakho ngaphandle
• I-Deep posterior compartment CECS (emuva okujulile kwesinye esisezansi) - ithonya imisipha ye-calf ejulile
• I-Superficial posterior compartment CECS (emuva olukhulu kwesinye esisezansi) - ihilela imisipha yakho enkulu ye-calf

Ngokungavamile, i-CECS ingathinta ama-compartment ezandla zakho, okubangela ubuhlungu ngesikhathi semisebenzi efana nokuhamba ngomkhumbi noma ukukhwela amatshe. I-Foot compartment syndrome, nakuba ingavamile, ingaba khona kubagijimi nabachuma.

Yini ebangela i-Chronic Exertional Compartment Syndrome?

I-CECS ithuthuka lapho ukushintsha kokucindezeleka okuvamile ngesikhathi sokwenza umsebenzi kuba okukhulu ngaphakathi kwamagumbi emisipha yakho. Ngesikhathi somsebenzi, imisipha yakho ivame ukukhula njengoba ukugcwala kwegazi kukhula, kodwa ku-CECS, lokhu kukhula kwenza ukucindezeleka okukhulu.

Izici eziningi zingase zifake isandla kulesi simo:

• I-fascia eqinile (ithishu eqinile ephakathi kwemisipha) engatholi ukwandisa okwanele
• Ukukhula kwemisipha okudlula amazinga avamile ngesikhathi sokwenza umsebenzi
• Ukugcwala kwegazi okungalungile okuvela ekombeni elithintekayo
• Imisebenzi ephindaphindwayo enkulu ecindezela ama-compartment
• Ukwanda okusheshayo kokuthuthuka komsebenzi noma isikhathi

Isizathu esiqondile sokuthi kungani abanye abantu bathuthukisa i-CECS kanti abanye abakwenzi akuqondakali ngokuphelele. Noma kunjalo, kubonakala kuhlangene nokuhlukahluka komuntu siqu ekuqinisweni kwe-fascial nokuthi umzimba wakho uphendula kanjani ezidingweni zokwenza umsebenzi.

Nini okufanele ubone udokotela nge-Chronic Exertional Compartment Syndrome?

Kufanele ubheke umhlinzeki wezempilo uma uhlangabezana nobuhlungu obuqhubekayo, obuqikelelwayo ngesikhathi sokwenza umsebenzi obuthinta imisebenzi yakho. Ungawunaki izimpawu eziphazamisa ukuqeqeshwa kwakho noma imisebenzi yakho yansuku zonke.

Funani ukunakekelwa kwezokwelapha uma uqaphela ubuhlungu obuqala ngesikhathi esifanayo sokwenza umsebenzi futhi abuthuthuki ngokuguqula ukuphumula. Ukuxilongwa kwasekuqaleni kungavimbela isimo ukuba singabi sibi futhi kukusize ukuba ubuyele emisebenzini yakho ngokushesha.

Thola ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu, obuqhubekayo ngisho nasekuphumuleni, ukukhahlela okukhulu, noma ubuthakathaka obungapheli ngemuva kokuyeka umsebenzi. Lokhu kungase kubonise i-acute compartment syndrome, edinga ukwelashwa okusheshayo.

Ziyini izici ezingaholela e-Chronic Exertional Compartment Syndrome?

Izici ezithile zingandisa amathuba akho okukhula kwe-CECS. Ukuqonda lezi zici ezingaholela ekuseni kungakusiza ukuba uthathe izinyathelo zokuvimbela futhi uqonde ukuthi unokuthinteka kanjani kulesi simo.

Izici eziyinhloko ezingaholela ekuseni zihlanganisa:

• Ukuhlanganyela emidlalweni ephindaphindwayo enkulu efana nokugijima, ibhola, noma ibhasikithi
• Ukuba oneminyaka engaphansi kwengu-30 (nakuba kungenzeka kunoma iyiphi iminyaka)
• Abagijimi besifazane, ikakhulukazi emidlalweni ethile
• Ukwanda okusheshayo kokuthuthuka komsebenzi noma ubuningi
• Ukugijima okungalungile noma ubuchwepheshe
• Imisipha ye-calf eqinile noma ukuguquguquka okulinganiselwe kwe-ankle
• Ukulimala kwangaphambili kwesinye esisezansi

Abantu basebuthweni nabachuma nabo banezinga eliphezulu le-CECS ngenxa yokwenza imisebenzi ephindaphindwayo, enkulu. Ukuba nezinyawo eziqhelelene noma ama-arches aphezulu kungase futhi kufeze ukusabalalisa okungalungile kokucindezeleka ngesikhathi sokwenza umsebenzi.

Ziyini izinhlungu ezingaba khona ze-Chronic Exertional Compartment Syndrome?

Abantu abaningi abane-CECS abanawo ubunzima obukhulu, ikakhulukazi ngokwelashwa okufanele. Noma kunjalo, ukuqhubeka nokwenza umsebenzi ngezimpawu kungadala izinkinga eziqhubekayo.

Izinhlungu ezingaba khona zihlanganisa:

• Ubuhlungu obuqhubekayo obuqhubeka ngisho nasekuphumuleni
• Ukulimala kwama-nerve okuqhubekayo okuholela ekukhahleleni noma ubuthakathaka
• Ukulimala kwemisipha okuvela ekucindezelweni okuqhubekayo
• Ukuthuthukiswa kwe-acute compartment syndrome (okungavamile kodwa okubi kakhulu)
• Ukulahlekelwa umsebenzi kwemisipha ethintekayo

Izindaba ezinhle ukuthi lezi zinhlungu azivamile uma i-CECS ixilongwe futhi ilawulwe kahle. Abantu abaningi bangabuyela emisebenzini yabo ngokwelashwa okufanele nokulungiswa.

I-Chronic Exertional Compartment Syndrome ingavikeleka kanjani?

Nakuba ungakwazi ukuvimbela ngokuphelele i-CECS, amasu amaningi anganciphisa ingozi yakho futhi akusize ulawule izimpawu uma zithuthuka. Ukuvimbela kugxile ezindleleni zokuqeqesha ezifanele nokugcina ukuguquguquka okuhle kwemisipha.

Amasu okuvimbela okuphumelelayo ahlanganisa:

• Ukwandisa kancane ukuthuthuka komsebenzi nesikhathi
• Ukugcina ukuguquguquka okuhle ngokwelula okuvamile
• Ukusebenzisa izicathulo ezifanele ezifanele umsebenzi wakho
• Ukufaka ukuqeqeshwa kwamandla ezinyaweni zakho ezansi
• Ukushintsha izindawo zakho zokuqeqesha nemisebenzi
• Ukubhekana nanoma yiziphi izinkinga ze-biomechanical nomuntu wezokwelapha ezemidlalo

Qaphela izimpawu zomzimba wakho futhi ugweme ukucindezela ubuhlungu obuqhubekayo. Uma uqaphela izimpawu zokuqala, shintsha ukuqeqeshwa kwakho kunokuba uqhubeke nokwenza umsebenzi ngokungakhululeki.

I-Chronic Exertional Compartment Syndrome ixilongwa kanjani?

Ukuxilongwa kwe-CECS kudinga ukuhlanganiswa komlando wakho wezimpawu nokuhlolwa okukhethekile. Udokotela wakho uzoqala ngokuxoxa ngezimpawu zakho nokuthi zenzeka nini ngesikhathi sokwenza umsebenzi.

I-gold standard yokuxilongwa yi-compartment pressure testing. Lokhu kuhilela ukufaka isikhali esincane ekombeni elithintekayo ukuze kuqale ukucindezeleka ngaphambi, ngesikhathi, nangemuva kokwenza umsebenzi. Nakuba lokhu kuzwakala kungakhululeki, kuvame ukuthuthukiswa kahle futhi kunikeza izimpendulo eziqondile.

Udokotela wakho angase futhi asebenzise amanye amathuluzi okuxilonga afana ne-MRI noma i-near-infrared spectroscopy, nakuba lawa angavamile ukusetshenziswa. Ngezinye izikhathi, ukuxilongwa kungenziwa ngokusekelwe ezimpawu zakho zodwa, ikakhulukazi uma zivamile kakhulu ze-CECS.

Ukuthi uthole umhlinzeki wezempilo onolwazi ngalesi simo, njengoba i-CECS ngezinye izikhathi ingase iphuthelwe njengezinye izimo ezifana ne-shin splints noma ukucindezeleka kwama-fractures.

Yini ukwelashwa kwe-Chronic Exertional Compartment Syndrome?

Ukwelashwa kwe-CECS kuvame ukuqala ngezindlela ezigcinwe futhi kuqhubekele ezindleleni zokwelapha uma kudingeka. Umgomo ukunciphisa ukucindezeleka ngaphakathi kwamagumbi athintekayo futhi akuvumele ukuba ubuyele emisebenzini yakho.

Izindlela zokwelapha ezigcinwe zihlanganisa:

• Ukuguqulwa komsebenzi noma ukuphumula okwesikhashana emisebenzini ecasulayo
• Ukwelashwa komzimba okuqondene nokulula nokomelela
• Ukwelashwa ngokumomotheka ukuthuthukisa ukuguquguquka kwethishu
• Imithi yokulwa nokuvuvukala yokulawula ubuhlungu
• Ukuguqulwa kwe-orthotics noma izicathulo
• Ukuhlaziywa kwe-gait nokulungiswa kwe-biomechanical

Uma ukwelashwa okugcinwe kungakuniki ukukhululeka okwanele ngemuva kwezinyanga eziyi-3-6, ukungenelela kokwelapha okuthiwa yi-fasciotomy kungase kunconywe. Le nqubo ihilela ukukhulula i-fascia eqinile ukuze kuncishiswe ukucindezeleka kwekombeni.

Ukwelashwa kuvame ukuphumelela, ngabantu abaningi abakwazi ukubuyela emisebenzini yabo phakathi kwezinyanga eziyi-2-4. Noma kunjalo, njenganoma yiluphi ukwelashwa, kunezingozi ezithile futhi kudinga ukucabangelwa ngokucophelela neqembu lakho lezokwelapha.

Indlela yokuphatha i-Chronic Exertional Compartment Syndrome ekhaya?

Ukuphathwa ekhaya kudlala indima ebalulekile ekwelapheni i-CECS nokunciphisa ukubuyela kwezimpawu. Gxila emisebenzini eunciphisa ukucindezeleka kwekombeni futhi iqhube ukuguquguquka kwethishu.

Amasu ekhaya apumelelayo ahlanganisa:

• Ukwelula okuvamile kwemisipha ye-calf nethishu ezizungezile
• Ukusebenzisa iqhwa ngemuva kokwenza umsebenzi ukuze kuncishiswe ukuvuvukala
• Ukumomotheka okuthambile kwezindawo ezithintekayo
• Ukubuyela kancane emsebenzini ngamandla aguquliwe
• Ukuqeqeshwa okuhle nokupholisa
• Ukuqeqeshwa okuhlukahlukene ngemisebenzi enkulu efana nokuqubha noma ukujika ibhayisikili

Gcina idayari yesimpawu ukuze uqaphele ukuthi yimiphi imisebenzi ecasulayo ubuhlungu bakho futhi ngamandla kangakanani. Lolu lwazi lukusiza wena nodokotela wakho ukuba nithathe izinqumo ezilungile mayelana nelenqubo yakho yokwelapha.

Lalela umzimba wakho futhi ugweme ukucindezela ubuhlungu obukhulu. Ukuqhubeka kancane kuyisihluthulelo sokuphathwa okuphumelelayo kwesikhathi eside se-CECS.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela okuhle kokuqokwa kwakho kungasiza ukuqinisekisa ukuxilongwa okuqondile nelenqubo yokwelapha ephumelelayo. Woza uzimisele ukuxoxa ngezimpawu zakho ngokuningiliziwe nengxenye yazo emisebenzini yakho.

Ngaphambi kokuthi uqokwe, lungiselela ulwazi mayelana:

• Nini lapho izimpawu zakho zaqala futhi zithuthuke kanjani
• Imisebenzi ethile ecasulayo ubuhlungu bakho
• Isikhathi esithathayo izimpawu ukuvela ngesikhathi sokwenza umsebenzi
• Yini eyenza izimpawu zakho zibe ngcono noma zibe zimbi
• Noma yikuphi ukwelashwa okungaphambili okuye wazizama
• Umlando wakho wokuqeqeshwa nokushintsha kwamuva kwemisebenzi

Letha uhlu lwemithi yonke nezinhlanganisela oziphuzayo. Uma kungenzeka, hlela i-aphoyintimenti yakho ngesikhathi lapho ungabonisa khona izimpawu zakho ngokwenza umsebenzi ngaphambili.

Unganqikazi ukubuza imibuzo mayelana nokuxilongwa, izindlela zokwelapha, nesikhathi sokuphulukiswa okulindelekile. Ukuqonda isimo sakho kukusiza ukuba wenze izinqumo ezilungile mayelana nokunakekelwa kwakho.

Yini into ebalulekile mayelana ne-Chronic Exertional Compartment Syndrome?

I-CECS iyisimo esilawuleka esingadingi ukuphelisa umsebenzi wakho wezemidlalo. Ngokuxilongwa nokwelashwa okufanele, abantu abaningi bangabuyela emisebenzini yabo abayifisayo, nakuba lokhu kungase kudinge ukuguqulwa kokuthuthuka noma ubuchwepheshe.

Ukuthi uthole ukuphathwa okuphumelelayo kuyiqiniso lokuqaphela nokuhlanganyela kwasekuqaleni. Ungawunaki ubuhlungu obuqhubekayo, obuqikelelwayo obuhambisana nomsebenzi, njengoba ukubhekana nakho kwasekuqaleni kuvame ukuletha imiphumela emihle ngokwelashwa okungenayo ubunzima.

Khumbula ukuthi i-CECS ithonya wonke umuntu ngendlela ehlukile, futhi i-treatment plan yakho kufanele ilungiswe ezimpawu zakho nezinhloso zakho. Sebenzani eduze nabhlinzeki bezempilo abaqonda lesi simo ukuze bakhe indlela engcono kakhulu yesimo sakho.

Imibuzo evamile ebuzwayo mayelana ne-Chronic Exertional Compartment Syndrome

Ungasakwazi yini ukwenza umsebenzi nge-CECS?

Ungase ukwazi ukuqhubeka nokwenza umsebenzi ngokuguqula amandla, isikhathi, noma uhlobo lomsebenzi. Abantu abaningi baphatha i-CECS ngempumelelo ngokushintshela emisebenzini enkulu noma ngokulungisa i-training routine yabo. Noma kunjalo, ukuqhubeka nokwenza umsebenzi ngokubuhlungu okukhulu kungenza isimo sibe sibi, ngakho kubalulekile ukusebenza nomhlinzeki wezempilo ukuze uthole ibhalansi efanele yesimo sakho.

Kuthatha isikhathi esingakanani ukuphulukiswa yi-CECS?

Isikhathi sokuphulukiswa sihlukahluka kuye ngokubaluleka kwesimo sakho nendlela yokwelapha ekhethiwe. Ngokwelashwa okugcinwe, ukuthuthuka kungathatha izinyanga eziningi zokwelashwa okuqhubekayo nokulungiswa komsebenzi. Uma ukwelashwa kudingeka, abantu abaningi bangabuyela emsebenzini ophelele phakathi kwezinyanga eziyi-2-4, nakuba ukuphulukiswa okuphelele kungathatha izinyanga eziyisithupha.

Ingabe i-CECS ifana ne-shin splints?

Cha, i-CECS ne-shin splints ziyizimo ezahlukene, nakuba ngezinye izikhathi zingase ziphuthelwe. I-Shin splints ivame ukubangela ubuhlungu emathanjeni futhi ivame ukuthuthuka ngokuphumula neqhwa. I-CECS ibangela ubuhlungu obukhulu obuvamile obuvela ngezikhathi ezithile ngesikhathi sokwenza umsebenzi futhi kungase kuhilele ukukhahlela noma ukungathuthuki.

Ingabe i-CECS izohamba yodwa?

I-CECS ayivamile ukuqeda ngokuphelele ngaphandle kokwelashwa, ikakhulukazi uma uqhubeka nemisebenzi ecasulayo izimpawu. Noma kunjalo, ngokuphathwa okuhle okuhlanganisa ukuguqulwa komsebenzi, ukwelula, nezinye izindlela zokwelapha ezigcinwe, abantu abaningi bangalawula izimpawu zabo ngempumelelo futhi babuyele emisebenzini abayifisayo.

Kwenzekani uma i-CECS ishiyiwe ingalashwa?

I-CECS engalashwa ingadala ubuhlungu obuqhubekayo, ukulimala kwama-nerve okuqhubekayo, nokulahlekelwa umsebenzi kwemisipha ezimweni ezinkulu. Noma kunjalo, izinhlungu ezinkulu azivamile. Abantu abaningi bathola ukuthi izimpawu zihlala nje futhi zingase zibe zimbi kancane kancane, okwenza kube nzima ngokwanda ukuhlanganyela emisebenzini abayithandayo.