So wo nsateaa rebɔ akɔ mu? So eyi yɛ Dupuytren Apam?

So woahyɛ no nsow pɛn sɛ akisikuru ketewaa bi wɔ wo nsa ho were ase? Anaasɛ wote nka sɛ wo nsateaa biako, titiriw wo nsateaa a ɛyɛ ring anaa wo nsateaa ketewa no, de nkakrankakra rekotow akɔ nsateaa no so? So woabɔ mmɔden pɛn sɛ wode wo nsa bɛto pon so na wuntumi mfa nsi fam koraa, nanso na wo nsateaa biako abata soro? Sɛ eyi ato wo a, ɛnde ɛho hia yiye sɛ wuhu tebea a yɛreka ho asɛm nnɛ no, a ɛne Dupuytren Contracture. Mma ɛnhaw wo, ɛnyɛ kokoram. Ma yɛnhwɛ nea ɛyɛ, nea enti a ɛba, ne nea wobetumi ayɛ wɔ ho.

Sɛ yɛbɛka no tiawa a, dɛn ne Dupuytren Apam?

Fa no sɛ, yɛn nsateaa were ase no, ntini ahorow bi wɔ hɔ, te sɛ rɔba, a ɛma yɛn nsa ne yɛn nsateaa ahoɔden. Wɔ nnuruyɛ mu no, yɛfrɛ eyi fascia . Wɔ tebea bi a wɔfrɛ no Dupuytren’s contracture mu no, ntini a ɛwɔ saa fascia yi mu no yɛ den nkakrankakra, ɛyɛ den, na efi ase twetwe. Ɛde nhama nketenkete (nnuruyɛfo frɛ saa ntini yi ) a ɛba nsateaa were ase na efi ase. Bere kɔ so no, saa nhama yi bom na ɛbɛyɛ nhama a ɛyɛ den a ɛte sɛ hama. Bere a saa nhama a ɛte sɛ hama yi twetwe kɔ so no, nsateaa a ɛka ho no fi ase twe kɔ mu. Awiei koraa no, nsateaa no kotow kɔ mu araa ma entumi nteɛ. Saa nsateaa a wɔkotow yi ne nea yɛfrɛ no contracture .

Hena na tebea yi ka no kɛse?

Obiara betumi anya Dupuytren contracture no, nanso nnipa binom taa nya bi.

• Wɔ mmarima fam: Saa tebea yi abu so wɔ mmarima mu sen mmea.
• Wɔn a wofi Europafo fam no: Eyi abu so kɛse wɔ nnipa a wofi Europa mu bere a wɔde toto mmusuakuw afoforo ho no.
• Abusua abakɔsɛm : Sɛ obi a ɔwɔ w’abusua mu anya saa tebea yi pɛn a, ebia wo nso wowɔ awosu mu su a ɛma wunya bi.

Abusuabɔ a ɛda aduruyɛ mu tebea afoforo ntam

Ebia nnipa a wɔwɔ aduruyɛ mu tebea horow bi betumi ayɛ asiane kɛse kakra sɛ wobenya Dupuytren yare no.

• Asikreyare a ɛma obi nya asikreyare
• Akisikuru ne akisikuru a ɛma obi ho kyere no
• Asanom a wɔnom ho haw
• HIV ne AIDS
• Ntini mu yare

Eyi ka me nipadua dɛn?

Mpɛn pii no, saa tebea yi kɔ so nkakrankakra. Ebetumi adi asram anaa mfe pii ansa na yare no ho sɛnkyerɛnne no mu ayɛ den. Ebia mfiase no worenhu ɔhaw biara. Nnipa binom nya akisikuru ketewaa bi wɔ wɔn nsa so a ennyin ntra saa beae no. Nanso, wɔ yare no fã a edi akyiri mu no, nkurɔfo ntumi nteɛ wɔn nsateaa, na ɛma ɛyɛ den sɛ wɔbɛyɛ da biara da nnwuma. Sɛ nhwɛso no, nnwuma a ɛnyɛ den te sɛ nsa a wɔkyere, kotoku a wɔde hyɛ kotoku mu, sɔks a wɔhyɛ, anaa wɔn anim hohoro mpo betumi ayɛ den. Ɛwom sɛ ebetumi aka nsateaa biara de, nanso nhyehyɛe a wɔtaa yɛ ne: 1. Ring finger 2. Pinkie finger 3. Middle finger 4. Index finger 5. Thumb

Dɛn ne sɛnkyerɛnne ahorow no? Yɛyɛ dɛn hu eyi?

Dupuytren contracture no taa ba wɔ akwan horow pii so. Ɛnyɛ obiara na onya saa mmere yi nyinaa mu osuahu. Ebia nnipa binom begyae wɔ ɔfã a edi kan no mu.

Nsɛnkyerɛnne afoforo a ɛka ho

Wɔ sɛnkyerɛnne atitiriw yi akyi no, nnipa binom (ɛnyɛ obiara) nso betumi anya nea edidi so yi:

• Nsa a ɛho ahonhon anaasɛ ɛyɛ hyew
• Sɛ wɔde wɔn nsa ka a, ɛyɛ mmerɛw
• Ɛyaw a ɛyɛ hyew
• Ɛyɛ akisikuru

Saa sɛnkyerɛnne ahorow yi ho yɛ na koraa. Sɛ wowɔ Dupuytren’s contracture na wunya saa sɛnkyerɛnne ahorow yi a, ɛho hia sɛ woka kyerɛ wo duruyɛfo.

Sɔhwɛ a ɛnyɛ den a w'ankasa wubetumi ayɛ: "Tabletop sɔhwɛ".

Ɔkwan tiawa bi wɔ hɔ a wobɛfa so ahu sɛ wo yare no ho sɛnkyerɛnne no reyɛ kɛse anaa. Fa wo nsateaa to pon a ɛyɛ tratraa so na wo nsateaa hwɛ fam. Afei hwɛ sɛ wo nsateaa ne wo nsateaa nyinaa aka pon no ani koraa anaa. Sɛ wo nsateaa biara kɔ soro na wuntumi mfa nsi pon no ani a, ɛkyerɛ sɛ ebia wo tebea no adu contracture stage. Sɛ saa a, ɛyɛ bere pa a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn na wo ne wɔn susuw ayaresa ho.

Dɛn nti na ɛte saa?

Abenfo nnya nhuu nea ɛde eyi bae pɔtee. Nanso wɔada no adi sɛ eyi yɛ awosu mu yare . Ɛno kyerɛ sɛ wobetumi de afi awo ntoatoaso so akɔ awo ntoatoaso so. Enti ɛnyɛ wo mfomso. Sɛ obi wɔ w’abusua mu a, ɛda adi sɛ wo nso wubenya bi.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Mpɛn pii no, oduruyɛfo betumi ahu saa tebea yi denam wo nsa a ɔbɛhwehwɛ mu ara kwa so.

• Ɔhwɛ wo nsa, de ne nsa ka, na ɔhwehwɛ mu.
• Te nka sɛ ntini ne nhama wɔ honam ani.
• Wɔsusuw baabi a wo nsateaa betumi abɔ na woateɛteɛ mu akodu.

Mpɛn pii no, eyi nhia sɛ wɔyɛ nhwehwɛmu titiriw anaa X-ray. Nanso, sɛ adwenem naayɛ bi wɔ nea ɛde wo nsa mu yaw no ho a, wobetumi ahyɛ sɛ wɔnyɛ X-ray anaa mogya mu nhwehwɛmu na ama wɔahu tebea afoforo.

Dɛn ne ayaresa ahorow no?

Ayaresa ahorow pii wɔ hɔ a wobetumi de adi dwuma, a egyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den so. Esiane sɛ ɛkɔ so nkakrankakra nti, ebetumi agye mfe pii ansa na wɔanya nkɔso afi ayaresa biako so akɔ foforo so. Ebia wubetumi anya ayaresa a ɛnyɛ den wɔ mfiase no mu na wunhia ayaresa foforo biara.

1. Ayaresa a ɛnyɛ den na ɛyɛ mfitiasede (Conservative treatment) .

Eyinom ne nneɛma a edi kan a ɛsɛ sɛ wosɔ hwɛ.

• Apɔw-mu-teɛteɛ : Apɔw- mu-teɛteɛ titiriw a wɔde trɛw nsateaa mu.
• Bracing anaa splinting: .Afiri a wɔhyɛ na ama nsateaa no atrɛw.
• Ultrasonic anaa ɔhyew ayaresa: Wɔde nnyigyei asorɔkye anaa ɔhyew a ɛnyɛ yaw di dwuma de ma ntini a ayɛ den (fascia) no tumi yɛ mmerɛw kɛse.
• Corticosteroid injections: Injection a wɔde ma de tew ntini ne nhama no so.

2. Mframa a Wɔde Yɛ Ayaresa

Wɔ tebea horow bi mu no, wobetumi de mframa ho ɔbenfo bi akɔma sɛ onnyae yare no ho sɛnkyerɛnne ahorow no anaasɛ ɔmma ɛnkɔ so brɛoo. Nea ɛka eyi ho ne sɛ wɔde mframa a ɛba fam koraa te sɛ X-ray bedi dwuma de ayɛ ntini no mmerɛw.

3. Wɔde ade a wɔde yɛ aponeurotomy

Sɛ ayaresa a ɛnyɛ den nyɛ adwuma a, eyi ne ade a edi hɔ a ɛsɛ sɛ wususuw ho. Eyi yɛ biribi a wobetumi ayɛ wɔ oduruyɛfo adwumayɛbea. Ɛha no, wɔma nsa no yɛ mmerɛw, na wɔde ade titiriw bi tow nhama a ɛyɛ den no mu, na ɛma ɛsansan. Afei wobetumi asan ateɛteɛ nsateaa no.

4. Collagenase a wɔde twitwiw nipadua no mu

Collagenase yɛ enzyme a ɛboa ma ntini a ayɛ den no bubu. Oduruyɛfo no de aduru bi a enzyme yi wom gu nhama anaa nhama no mu tẽẽ. Afei, da koro bi, nsa no yɛ mmerɛw na wɔteɛ nsateaa no.

5. Oprehyɛn (Dupuytren contracture oprehyɛn) .

Sɛ wo nsateaa a wobɛbɔ no mu yɛ den araa ma esiw wo da biara da dwumadi ahorow kwan a, ebia oprehyɛn bɛyɛ ɔkwan a etwa to. Eyi nso taa yɛ ayaresa a wɔde kɔ ayaresabea. Wɔfrɛ saa adeyɛ yi sɛ fasciectomy. Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no ma wo nsa yɛ mmerɛw na oyi fascia ntini a ayɛ den na ɛtwetwe no fã bi anaa ne nyinaa fi hɔ. Sɛ woyɛ oprehyɛn wie a, mpɛn pii no, ɛho hia sɛ wɔde apɔw-mu-teɛteɛ di dwuma na aboa ma woasan anya ahoɔden na woatumi akanyan wo nsa.

Nsɛm a wɔtaa bisa ne nneɛma a ɛsɛ sɛ wohu

So aduru bi wɔ hɔ a wɔde sa eyi daa?

Dabi, aduru biara nni hɔ a wɔde sa Dupuytren akisikuru no. Nanso, ɛyɛ tebea a wotumi di ho dwuma yiye . Sɛ wosa wo yare a, wubetumi ayi sɛnkyerɛnne ahorow no afi hɔ na woabɔ bra sɛnea ɛsɛ. Nanso, esiane sɛ efi awosu mu nti, hokwan ketewaa bi wɔ hɔ sɛ ɛbɛsan aba bio bere a wɔasa no yare akyi, ebia mfe bi akyi. Sɛ ɛba saa a, wubetumi asan ayɛ ayaresa koro no ara sɛnea na woyɛ kan no.

Me ho bɛtɔ me ntɛm dɛn wɔ ayaresa akyi?

• Ayaresa a ɛnyɛ den: Nneɛma te sɛ apɔw-mu-teɛteɛ ne apɔw-mu-teɛteɛ betumi agye asram pii ansa na woahu nea efi mu ba.
• Needle aponeurotomy: Ɛkame ayɛ sɛ wobetumi ateɛteɛ nsateaa no ntɛm ara wɔ ayaresa no akyi.
• Sɛɛgyiri:Sɛ oprehyɛn no yi yare no ho sɛnkyerɛnne fi hɔ mpo a, ebetumi agye asram abien ansa na wɔate nka sɛ ne ho atɔ no koraa. Ɛsɛ sɛ wotwɛn kosi sɛ wo nsa bɛsa. Ɛno akyi no, ebehia sɛ woyɛ nipadua mu ayaresa asram kakraa bi.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wuhu sɛ akuru bi wɔ wo nsateaa mu, anaasɛ wote nka sɛ wo nsateaa rekotow a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn. Titiriw sɛ wuntumi mfa wo nsateaa ntra pon no so koraa bere a woayɛ "tabletop test" a yɛadi kan aka ho asɛm no awie a, ɛyɛ bere a ɛsɛ sɛ wufi ase sa yare.

So mmere bi wɔ hɔ a ɛsɛ sɛ mekɔ ETU?

Kɔ Emergency Department (ETU) ntɛm ara sɛ nea edidi so yi si, te sɛ oprehyɛn akyi.

• Ɛyaw a emu yɛ den yiye
• Nsa a ɛho ahonhon dodo
• Nsa kɔla a ɛsakra
• Nsa a wontumi nkyere wɔn ho sɛnea ɛsɛ
• Sɛ mogya tu fi baabi a wɔyɛɛ oprehyɛn no a

So Dupuytren Contracture ne Trigger Finger yɛ ade koro?

Dabi, ɛwom sɛ eyinom abien nyinaa tumi ma nsateaa kotow de, nanso ɛyɛ tebea abien a ɛsono emu biara koraa.

• Dupuytren’s Contracture: Ɛba esiane fascia a ɛwɔ nsateaa honam ani hwɛbea ase a ɛyɛ den nti.
• Trigger Finger: Eyi fi ‘pulley’ (A1 pulley) a ɛboa ma ntini a ɛwɔ nsateaa no mu no hoo. Eyi ma nsateaa no te sɛ nea akɔhyɛ bere a wokotow anaa wotrɛw mu no.

Ɛmfa ho ɔhaw biara a wowɔ wɔ wo nsa ho no, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu bere a woahu sɛnkyerɛnne foforo biara ara pɛ, titiriw sɛ ɛyaw anaasɛ ɛyɛ den sɛ wobɛkeka wo ho a. dupuytren contracture sinhala, nsateaa a wɔkotow, nhama a ɛwɔ nsateaa mu, nsateaa a wontumi ntrɛw mu, dupuytren yare sinhala, nsa mu nyarewa, nsa mu yaw