Konteraka ea Volkmann

Konteraka ea Volkmann ke ho holofala ha letsoho, menoana le letsoho ho bakoang ke ho lemala mesifeng ea letsoho le ka pele. Boemo bona bo boetse bo bitsoa konteraka ea Volkmann ischemic.

Konteraka ea Volkmann e etsahala ha ho na le khaello ea phallo ea mali (ischemia) sephakeng. Sena se etsahala ha ho na le khatello e eketsehileng ka lebaka la ho ruruha, boemo bo bitsoang compartment syndrome.

Ho lemala letsohong, ho kenyelletsa le ho lemala kapa ho robeha, ho ka lebisa ho ruruheng ho hatellang methapong ea mali le ho fokotsa phallo ea mali letsohong. Phokotso e telele ea phallo ea mali e lematsa methapo le mesifa, e li etsa hore li thatafale (li be le mabali) 'me li khutsufatsoe.

Ha mosifa o khutsufala, o hula lenonyeletso qetellong ea mosifa joalokaha o ne o ka etsa ha o ne o tloaetse ho tšoaroa. Empa kaha e thata, lenonyeletso le lula le kobehile 'me le khomaretse. Boemo bona bo bitsoa tumellano.

Konterakeng ea Volkmann, mesifa ea forearm e lemetse hampe. Sena se lebisa ho holofetseng ha menoana, letsoho le letsoho.

Ho na le maemo a mararo a boima kontrakeng ea Volkmann:

• Bonolo - tumellano ea menoana e 2 kapa e meraro feela, ntle le tahlehelo ea maikutlo kapa e fokolang
• E itekanetse - menoana eohle e kobehile (ea fetoha) mme monwana o motona o khomaretse ka har'a palema; letsoho le ka 'na la kobeha,' me hangata ho ba le tahlehelo ea maikutlo a itseng letsohong
• E matla - mesifa eohle e ka pele ea letsoho e ikamahanya le ho otlolla letsoho le menoana; ena ke boemo bo holofatsang haholo. Ho na le motsamao o fokolang oa menoana le letsoho.

Maemo a ka bakang khatello e eketsehileng ka pele ho letsoho a kenyelletsa:

• Ho longoa ke liphoofolo
• Ho robeha letsoho
• Mathata a ho tsoa mali
• Chesa
• Ho entoa ha meriana e meng kahare
• Kotsi ea methapo ea mali ka pele
• Ho buoa ka letsoho le ka pele
• Ho ikoetlisa ka tsela e feteletseng - hona ho ke ke ha baka likonteraka tse matla

Matšoao a tumellano ea Volkmann a ama forearm, letsoho le letsoho. Matšoao a ka kenyelletsa:

• Ho fokotseha ha maikutlo
• Botlalo ba letlalo
• Bofokoli ba mesifa le tahlehelo (atrophy)
• Ho holofala ha letsoho, letsoho le menoana e etsang hore letsoho le be le ponahalo e kang ea lenala

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele, a shebile letsoho le amehileng. Haeba mofani a belaella tumellano ea Volkmann, ho tla botsoa lipotso tse qaqileng mabapi le kotsi e fetileng kapa maemo a amang letsoho.

Liteko tse ka etsoang li kenyelletsa:

• X-ray ea letsoho
• Liteko tsa mesifa le methapo ea kutlo ho lekola tšebetso ea tsona

Morero oa kalafo ke ho thusa batho hore ba boele ba sebelise letsoho kapa letsoho ka botlalo. Kalafo e ipapisitse le boima ba konteraka:

• Bakeng sa tumellano e bonolo, ho ikoetlisa ha mesifa le ho petsoha menoana e amehileng ho ka etsoa. Ho ka 'na ha hlokahala hore ho buuoe ho etsa hore tendon e be telele.
• Bakeng sa tumellano e itekanetseng, ho etsoa opereishene ho lokisa mesifa, mesifa le methapo. Ha ho hlokahala, masapo a letsoho a khutsufatsoa.
• Bakeng sa tumellano e matla, ho etsoa opereishene ho tlosa mesifa, mesifa, kapa methapo e teteaneng, e nang le mabali kapa e shoeleng. Tsena li nkeloa sebaka ke mesifa, mesifa, kapa methapo e tsoang libakeng tse ling tsa 'mele. Li-tendon tse ntseng li sebetsa li kanna tsa hloka ho etsoa nako e teletsana.

Hore na motho o sebetsa hantle hakae ho latela hore na lefu le tebile hakae nakong eo kalafo e qalisoang.

Sephetho hangata se loketse batho ba nang le tumellano e bonolo. Ba kanna ba fumana ts'ebetso e tloaelehileng ea matsoho le matsoho a bona. Batho ba nang le konteraka e leka-lekaneng kapa e matla ba hlokang ho buuoa haholo ba kanna ba se hlole ba sebetsa hantle.

Ho sa sebetsoe, konteraka ea Volkmann e baka tahlehelo e sa fellang kapa e felletseng ea ts'ebetso ea letsoho le letsoho.

Ikopanye le mofani oa hau hang-hang haeba u kile ua tsoa kotsi setsoeng kapa ka pele 'me u se u tsoetse ho ruruha, ho ba shohlo, le bohloko bo ntse bo mpefala.

Konteraka ea Ischemic - Volkmann; Compartment syndrome - Konteraka ea Volkmann ischemic

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Netscher D, Murphy KD, Fiore NA. Ho buuoa ka matsoho. Ka: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, li-eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 69.

Stevanovic MV, Sharpe F. Compartment syndrome le konteraka ea Volkmann ischemic. Ka: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, bahlophisi. Opereishene ea Letsoho ea Green. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 51.