ʻO Volkmann ʻaelike

ʻO Volkmann contracture kahi deformity o ka lima, nā manamana lima, a me ka pūlima na ka ʻeha o nā mākala o ka forearm. Kāhea ʻia ke ʻano ʻo Volkmann ischemic contracture.

Hana ʻo Volkmann ʻaelike ke loaʻa ka nele o ke kahe o ke koko (ischemia) i ka forearm. Kū kēia i ka wā e hoʻonui ʻia ai ke kaomi ma muli o ka pehu ʻana, kahi ʻano i kapa ʻia he compartment syndrome.

ʻO ka hōʻeha i ka lima, me kahi ʻeha ʻeha a haki paha, hiki ke alakaʻi i ka pehu e kaomi i nā kīʻaha koko a hoʻemi i ke kahe o ke koko i ka lima. ʻO kahi hōʻemi lōʻihi o ke kahe o ke koko e hōʻeha i nā ʻalolo a me nā mākala, e hoʻonāukiuki ana iā lākou.

Ke pōkole ka mākala, huki ia i ka ami ma ka hope o ka mākala e like me ka mea inā ʻaelike maʻamau. Akā no ka mea ʻoʻoleʻa, kūlou a paʻa paʻa ka ami. Kapa ʻia kēia ʻano ʻaelike.

I ka Volkmann contracture, ʻeha nui nā mākala o ka forearm. ʻO kēia ke alakaʻi i nā deformities o nā manamana lima, ka lima, a me ka lima.

ʻEkolu pae o ka paʻakikī i ka hana Volkmann:

• Mild - hana ʻaelike o 2 a 3 mau manamana lima wale nō, me ka ʻole a me ka liʻiliʻi o ka nalo ʻana o ka manaʻo
• Moderate - kūlou nā manamana lima āpau (flexed) a paʻa ka manamana nui i ka poho lima; kūlou paha ka pūlima, a ma laila ka nalo maʻamau o kekahi ʻano i ka lima
• ʻOi loa - nā mākala āpau i ka forearm e hoʻopili ana a hoʻolōʻihi hoʻi i ka pulima a me nā manamana lima i pili; he kūlana hana hōʻino loa kēia. Aia ka neʻe iki o nā manamana lima a me ka pulima.

ʻO nā kūlana i hiki ke hoʻonui i ka kaomi i ka forearm e:

• Nahu holoholona
• ʻO ka haki lima
• Nā maʻi hōʻeha
• Burns
• Hoʻokomo ʻia o kekahi mau lāʻau i loko o ka forearm
• Ka hōʻeha o nā kīʻaha koko i ka forearm
• ʻOki kino ma ka forearm
• Hoʻohana nui loa - ʻaʻole kēia e kumu i nā ʻaelike koʻikoʻi

Hoʻopili nā ʻōuli o Volkmann contracture i ka forearm, ka pulima, a me ka lima. Pākuʻi ʻia paha nā ʻōuli:

• Hoʻoemi manaʻo
• Pā keʻokeʻo
• ʻO ka nāwaliwali o nā mākala a me ke eo
• Deformity o ka pulima, ka lima, a me nā manamana lima e loaʻa ai ka lima i like me ka maiuu

E hana ka mea mālama ola i kahi hoʻokolohua kino, e kia ana i ka lima i hoʻopili ʻia. Inā manaʻo ka mea hoʻolako Volkmann contracture, e nīnau ʻia nā nīnau kikoʻī e pili ana i ka ʻeha i hala a i ʻole nā ​​kūlana i hoʻopili i ka lima.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• X-ray o ka lima
• Nā hoʻāʻo o nā mākala a me nā aʻalolo e nānā i kā lākou hana

ʻO ka pahuhopu o ka mālama ʻana e kōkua i ka poʻe e loaʻa hou kahi hoʻohana piha ʻana o ka lima a me ka lima. Kū ka mālama i ka paʻakikī o ka ʻaelike:

• No ka hoʻohaʻahaʻa haʻahaʻa, hana i nā hoʻoikaika i nā mākala a me ka hoʻopili ʻana i nā manamana lima i hoʻopili ʻia. Pono paha ke ʻoki e hana i nā kaula i lōʻihi.
• No ka hoʻohaʻahaʻa kaulike, hana ʻia ke ʻoki e hoʻoponopono i nā mākala, nā uaua o ke aʻa, a me nā ʻalolo. Inā pono, hoʻemi ʻia nā iwi lima.
• No ka ʻaelike koʻikoʻi, hana ʻia ke ʻoki e wehe i nā mākala, nā uaua o ke aʻa, a i ʻole nā ​​ʻalalā e mānoanoa, ʻili ʻia, a i make paha. Hoʻololi ʻia kēia mau mea e nā mākala, nā olonā, a i ʻole nā ​​ʻalolo i lawe ʻia mai nā wahi o ke kino. Pono e hana hou ʻia nā tendon e hana mau nei.

Aia ke ʻano o ke kanaka ma muli o ke koʻikoʻi a me ka pae o ka maʻi i ka manawa i hoʻomaka ai ka lapaʻau ʻana.

Maikaʻi ka hopena no nā poʻe me ka ʻaelike haʻahaʻa. Hiki iā lākou ke loaʻa hou ka hana maʻamau o ko lākou lima a me ka lima. ʻO ka poʻe me ke kaulike kaulike a koʻikoʻi paha e pono ai ke kahakaha nui ʻaʻole e loaʻa hou ka hana piha.

ʻAʻole mālama ʻia, nā hopena Volkmann i ka hapa a i ʻole ka pau o ka hana o ka lima a me ka lima.

E kāhea koke aku i kāu mea hāʻawi inā loaʻa iā ʻoe kahi ʻeha i kou kuʻe lima a lima paha a ua hoʻomohala i ka pehu, ka helu, a me ka ʻeha e ʻeha mau ana.

ʻAelike Ischemic - Volkmann; ʻO ka maʻi maʻi - Volkmann ischemic contracture

ʻO Jobe MT. ʻO Comprehensive Syndrome a me Volkmann ʻaelike. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 74.

Netscher D, Murphy KD, Fiore NA. ʻOki kino lima. I: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 69.

Stevanovic MV, Sharpe F. Comprehensive maʻi a me Volkmann ischemic ʻaelike. I: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, hua. ʻO keʻoki lima lima ʻōmaʻomaʻo o Green. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 51.