Ua ʻike anei ʻoe he puʻupuʻu liʻiliʻi ma lalo o ka ʻili o kou lima? A i ʻole ke manaʻo nei ʻoe e kūlou mālie ana kekahi o kou mau manamana lima, ʻoiai kou manamana lima apo a manamana lima liʻiliʻi paha, i ka pālima? Ua hoʻāʻo anei ʻoe e kau i kou lima ma luna o ka papa ʻaina a ʻaʻole hiki ke waiho i lalo loa, akā ua kū kekahi manamana lima i luna? Inā ua hana ʻia kēia iā ʻoe, a laila he mea nui loa iā ʻoe ke ʻike i ke kūlana a mākou e kamaʻilio nei i kēia lā, ʻo ia hoʻi ʻo Dupuytren Contracture. Mai hopohopo, ʻaʻole ia he maʻi ʻaʻai. E nānā kākou i ke ʻano o ia mea, no ke aha e hana ʻia ai, a me nā mea hiki ke hana ʻia e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ka Dupuytren Contracture?
E noʻonoʻo, ma lalo o ka ʻili o ko kākou pālima, aia kahi pūnaewele o nā membrane, e like me ke kaula laholio, e hāʻawi ana i ka ikaika i ko kākou lima a me nā manamana lima. I ka lāʻau lapaʻau, kapa mākou i kēia
fascia . Ma ke ʻano i kapa ʻia ʻo Dupuytren's contracture, e mānoanoa mālie ka ʻiʻo i loko o kēia fascia, e paʻa, a hoʻomaka e ʻaelike. Hoʻomaka ia me nā puʻupuʻu liʻiliʻi (kapa nā kauka i kēia
mau nodules ) e hana ʻia ma lalo o ka ʻili o ka pālima. I ka hala ʻana o ka manawa, hui pū kēia mau puʻupuʻu a lilo i mau pūʻulu mānoanoa, e like me ke kaula. I ka wā e ʻaelike hou aku ai kēia mau pūʻulu e like me ke kaula, hoʻomaka nā manamana lima i pili iā lākou e huki i loko. I ka hopena, kūlou ka manamana lima i loko a hiki ʻole ke hoʻopololei. ʻO kēia kūlou ʻana o nā manamana lima ka mea a mākou e kapa nei
he contracture .
ʻO ka mea nui, ʻaʻole kēia mau puʻupuʻu he maʻi kanesa (benign) . ʻO ke ʻano kēia, ʻaʻole lākou he hōʻailona o ka maʻi kanesa a i ʻole kekahi mea e hoʻoulu ai i ka maʻi kanesa. No laila, mai hopohopo no ia mea.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
Hiki i kekahi ke hoʻomohala i ka ʻaelike a Dupuytren, akā ʻoi aku ka nui o ka poʻe e hoʻomohala iā ia.
- No nā kāne: ʻOi aku ka maʻamau o kēia ʻano i nā kāne ma mua o nā wahine.
- No ka poʻe mamo ʻEulopa: ʻOi aku ka maʻamau o kēia i waena o ka poʻe mamo ʻEulopa i hoʻohālikelike ʻia me nā lāhui ʻē aʻe.
- Moʻolelo ʻohana : Inā ua loaʻa i kekahi o kou ʻohana kēia maʻi ma mua, loaʻa paha iā ʻoe kahi predisposition genetic e hoʻomohala pū kekahi.
Pilina me nā kūlana olakino ʻē aʻe
ʻO ka poʻe me kekahi mau kūlana olakino e ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka ʻaelike a Dupuytren.
Pehea kēia e pili ai i koʻu kino?
I ka hapa nui o ka manawa, lohi loa ka ulu ʻana o kēia maʻi. Hiki ke hala nā mahina a i ʻole nā makahiki e lilo ai nā hōʻailona i mea koʻikoʻi. ʻAʻole paha ʻoe e ʻike i kekahi pilikia i ka wā mua. Hoʻomohala kekahi poʻe i kahi puʻupuʻu liʻiliʻi ma ko lākou lima ʻaʻole e ulu ma mua o kēlā kiko. Eia nō naʻe, i nā pae hope o ka maʻi, hiki i nā kānaka ke lilo i hiki ʻole ke hoʻopololei i ko lākou mau manamana lima, e paʻakikī ai ka hana ʻana i nā hana o kēlā me kēia lā. No ka laʻana, ʻoiai nā hana maʻalahi e like me ka lulu lima ʻana, ke komo ʻana i loko o kahi ʻeke, ke kau ʻana i nā socks, a i ʻole ka holoi ʻana i ko lākou maka hiki ke paʻakikī. ʻOiai hiki ke hoʻopilikia i kekahi manamana lima, ʻo ke kaʻina maʻamau: 1. Manamana lima apo 2. Manamana lima ʻulaʻula 3. Manamana waena 4. Manamana kuhikuhi 5. Manamana nui
He aha nā hōʻailona? Pehea mākou e ʻike ai i kēia?
ʻO ka maʻamau, ulu ka ʻeha o Dupuytren i kekahi mau pae. ʻAʻole ʻike nā kānaka a pau i kēia mau pae āpau. Hiki i kekahi poʻe ke kū i ka pae mua.
| Kahua o ka hōʻailona | He wehewehe maʻalahi o ka mea e hana nei |
|---|
| 1. Nā puʻupuʻu | ʻO kēia ka hōʻailona mua. ʻIke ʻia kahi puʻupuʻu liʻiliʻi a paʻakikī paha ma lalo o ka ʻili o ka pāma, ma ke kumu o nā manamana lima. Hiki ke hoʻopā ʻia a ʻike ʻia i kekahi manawa ke hoʻopā ʻia. I kekahi poʻe, e nalowale paha kēia mau puʻupuʻu ma hope o kekahi manawa. |
| 2. Nā kaula | I ka hala ʻana o ka manawa, mānoanoa nā puʻupuʻu mua a lilo i kaula e like me ke kaula e holo ana ma lalo o ka ʻili. Ke huki nei kēia mau pūʻulu i nā manamana lima, hiki ke manaʻo ʻia e like me ke huki mau nei kekahi i ka manamana lima iā ʻoe. |
| 3. ʻO ke kuʻi ʻana o nā manamana lima | ʻO kēia ke kahua koʻikoʻi loa. ʻOi aku ka paʻa o nā kaula e like me ke kaula, e emi ana, a kokoke e kūlou loa ka manamana lima i ka ʻaoʻao. I kēia manawa, ʻaʻole paha ʻoe e hiki ke hoʻopololei i kou manamana lima me ka nui o kou hoʻāʻo ʻana. |
Nā hōʻailona ʻē aʻe
Ma waho aʻe o kēia mau hōʻailona nui, hiki i kekahi poʻe (ʻaʻole nā kānaka āpau) ke loaʻa i kēia mau mea:
- Ka pehu ʻana a i ʻole ka mumū ma ka lima
- ʻO ke akahai i ka wā e hoʻopā ʻia ai
- ʻEha wela
- He ʻūlū
He mea kākaʻikahi loa kēia mau hōʻailona. Inā loaʻa iā ʻoe ka Dupuytren's contracture a ʻike ʻoe i kēia mau hōʻailona, he mea nui e haʻi i kāu kauka.
He hoʻāʻo maʻalahi hiki iā ʻoe ke hana iā ʻoe iho: ka "Tabletop test"
Aia kekahi ala maʻalahi e ʻike ai inā e ʻoi aku ka ʻino o kāu mau hōʻailona. E kau i kou poho lima ma luna o kahi papa pālahalaha me kou poho lima e kū pono ana i ka papahele. I kēia manawa e nānā inā e pā pono ana kou poho lima a me kou mau manamana lima a pau i ka ʻili o ka papaʻaina. Inā hāpai ʻia kekahi o kou mau manamana lima a ʻaʻole hiki ke kau ʻia ma luna o ka ʻili o ka papaʻaina, ʻo ia hoʻi ua hiki paha kou kūlana i ke kahua contracture. Inā pēlā, he manawa kūpono ia e ʻike ai i ke kauka a kūkākūkā i ka lāʻau lapaʻau.
He aha ke kumu o kēia?
ʻAʻole i loaʻa i nā loea kahi kumu kikoʻī no kēia. Akā ua hōʻoia ʻia he
maʻi hoʻoilina kēia. ʻO ia hoʻi, hiki ke hoʻoili ʻia mai kēlā hanauna a i kēia hanauna. No laila, ʻaʻole na ʻoe ia hewa. Inā loaʻa i kekahi o kou ʻohana, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
Pehea e ʻike ai ke kauka i kēia?
Hiki i ke kauka ke ʻike i kēia maʻi ma ka nānā ʻana i kou lima.
- Nānā ʻo ia i kou lima, hoʻopā aku, a hoʻomaoe iā ia.
- E ʻike i nā nodules a me nā kaulahao ma lalo o ka ʻili.
- Ke ana lākou i ka mamao e hiki ai ke kulou a hoʻopololei ʻia kou mau manamana lima.
ʻAʻole pono kēia i nā hoʻokolohua kūikawā a i ʻole nā kukui X. Eia nō naʻe, inā he kānalua e pili ana i ke kumu o kou ʻeha lima, hiki ke kauoha ʻia kahi hoʻāʻo X-ray a i ʻole ke koko e kāpae i nā kūlana ʻē aʻe.
He aha nā lāʻau lapaʻau?
Aia kekahi mau lāʻau lapaʻau i loaʻa, ma muli o ke koʻikoʻi o kāu mau hōʻailona. Ma muli o ka holomua lohi loa, hiki ke hala nā makahiki e holomua ai mai kekahi lāʻau lapaʻau a i kekahi. Hiki paha iā ʻoe ke hoʻomaikaʻi me nā lāʻau lapaʻau maʻalahi i nā pae mua a ʻaʻole pono i kekahi lāʻau lapaʻau hou aʻe.
1. Lapaʻau maʻalahi a maʻamau (Lapaʻau mālama)
ʻO kēia nā mea mua e hoʻāʻo ai.
- Hoʻōla kino : Nā hoʻomaʻamaʻa kūikawā e hoʻolōʻihi i nā manamana lima.
- Ke kākoʻo ʻana a i ʻole ke kāwili ʻana:He mea hana e hoʻolōʻihi ai i nā manamana lima.
- Ultrasonic a i ʻole ka lāʻau wela: Hoʻohana ʻia nā nalu kani ʻeha ʻole a i ʻole ka wela e hoʻonui i ka palupalu o nā ʻiʻo mānoanoa (fascia).
- Nā inikini Corticosteroid: He inikini i hāʻawi ʻia e hoʻēmi i nā nodules a me nā kāʻei.
2. Hoʻōla Radiation
I kekahi mau hihia, hiki ke kuhikuhi ʻia kekahi loea radiation e hoʻōki a hoʻolohi paha i ka holomua o nā hōʻailona. Pili kēia i ka hoʻohana ʻana i nā haʻahaʻa haʻahaʻa o ka radiation, e like me nā X-ray, e palupalu i nā nodules.
E hoʻomanaʻo, hoʻohana ʻia ka radiation therapy no ka maʻi kanesa. Akā, ʻaʻole ka maʻi kanesa ka Dupuytren's contracture. ʻO ka loaʻa ʻana o kēia lāʻau lapaʻau, ʻaʻole ia he manaʻo he maʻi kanesa kou a e loaʻa paha iā ʻoe.
3. ʻO ka aponeurotomy nila
Inā ʻaʻole holo pono nā lāʻau lapaʻau maʻalahi, ʻo kēia ka mea aʻe e noʻonoʻo ai. He mea kēia e hiki ke hana ʻia ma ke keʻena o ke kauka. Maanei, ua hoʻomānoʻo ʻia ka lima, a hoʻohana ʻia kahi nila kūikawā e hou i nā kaula paʻa, e wehe ana iā lākou. A laila hiki ke hoʻopololei hou ʻia ka manamana lima.
4. Nā inikini Collagenase
He enzyme ka Collagenase e kōkua ana i ka wāwahi ʻana i nā ʻiʻo mānoanoa. Hoʻokomo ke kauka i kahi inikini e loaʻa ana kēia enzyme pololei i loko o nā puʻupuʻu a i ʻole nā kāʻei. A laila, i kekahi lā, ua mae ka lima a ua hoʻopololei ʻia ka manamana lima.
5. ʻOki ʻana (ʻoki ʻana i ke ʻano o Dupuytren)
Inā ua lawa ka ʻino o ke kulou ʻana o kou manamana lima e hoʻopilikia ai i kāu mau hana o kēlā me kēia lā, ʻo ke ʻoki kino paha ke ala hope loa. He hana maʻamau kēia no ka poʻe ma waho o ka haukapila. Ua kapa ʻia kēia hana
he fasciectomy. Ma kēia hana, hoʻomānoʻo ke kauka i kou lima a wehe i kahi a i ʻole nā ʻiʻo fascia mānoanoa a ʻokiʻoki. Ma hope o ke ʻoki kino, pono pinepine ka physiotherapy e kōkua i ka loaʻa hou ʻana o ka ikaika a me ka neʻe ʻana i kou lima.
Nā nīnau i nīnau pinepine ʻia a me nā mea e pono ai ke ʻike
Aia kekahi lāʻau lapaʻau mau loa no kēia?
ʻAʻole, ʻaʻohe lāʻau lapaʻau no ka ʻeha o Dupuytren. Eia nō naʻe,
he kūlana hiki ke hoʻokele maikaʻi ʻia . Me ka lāʻau lapaʻau, hiki iā ʻoe ke hoʻopau i nā hōʻailona a ola i kahi ola maʻamau. Eia nō naʻe, no ka mea he genetic ia, aia kahi manawa liʻiliʻi e hoʻi hou mai ma hope o ka lāʻau lapaʻau, malia paha he mau makahiki ma hope. Inā hana ʻia kēlā, hiki iā ʻoe ke hana hou i ka lāʻau like me ma mua.
Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?
- Nā lāʻau lapaʻau maʻalahi: Hiki i nā mea e like me nā hoʻoikaika kino a me nā splints ke hala i kekahi mau mahina e ʻike ai i nā hopena.
- ʻO ka aponeurotomy nila: Hiki ke hoʻopololei ʻia ka manamana lima ma hope koke iho o ka mālama ʻana.
- ʻO ke ʻoki kino:ʻOiai inā hoʻopau ke ʻoki ʻana i nā hōʻailona, hiki ke hala a ʻelua mahina e manaʻo ai ua ola piha. Pono ʻoe e kali a hiki i ka ho'ōla ʻana o kou lima. Ma hope o kēlā, pono ʻoe e hana i ka hoʻōla kino no kekahi mau mahina.
Āhea wau e ʻike ai i kaʻu kauka?
Inā ʻike ʻoe i kahi puʻupuʻu ma kou poho lima, a inā paha e manaʻo ana ʻoe e kūlou ana kou manamana lima, he manaʻo maikaʻi ia e ʻike i ke kauka. ʻOi loa aku inā ʻaʻole hiki iā ʻoe ke kau palahalaha i kou poho lima ma ka papaʻaina ma hope o ka hana ʻana
i ka "tabletop test" a mākou i kamaʻilio ai ma mua, ua hiki i ka manawa e hoʻomaka ai i ka lāʻau lapaʻau.
Aia kekahi mau manawa e pono ai iaʻu ke hele i ETU?
E hele koke
i ka ʻOihana Pilikia (ETU) inā loaʻa kēia mau mea, e like me ma hope o ke ʻoki kino.
- ʻEha nui loa
- Ka pehu nui o ka lima
- Hoʻololi ʻili o ka lima
- ʻAʻole hiki ke lulu lima maʻamau
- Inā he kahe koko mai ka wahi ʻoki
He like anei ka Dupuytren Contracture a me ka Trigger Finger?
ʻAʻole. ʻOiai hiki i kēia mau mea ʻelua ke kumu e kūlou ai kahi manamana lima, he mau kūlana ʻokoʻa loa lāua.
- ʻO ka ʻaelike ʻo Dupuytren: Hana ʻia ma muli o ka mānoanoa o ka fascia ma lalo o ka ʻili o ka pāma.
- Manamana Hoʻoulu: Hana ʻia kēia e ka pehu ʻana o kahi 'pulley' (pulley A1) e kōkua ana i ka hoʻoneʻe ʻana i ke aʻalolo i loko o ka manamana lima. Hoʻolilo kēia i ka manamana lima e like me ke paʻa ʻana i ka wā e kūlou ai ʻoe a hoʻolōʻihi paha.
ʻOiai he aha ka pilikia o kou lima, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo i ka wā e ʻike ai ʻoe i kekahi mau hōʻailona hou, ʻoiai inā he ʻeha a paʻakikī paha ka neʻe ʻana.
Leka Lawe-Home
- ʻO ka Dupuytren's Contracture kahi maʻi e mānoanoa ai ke kino ma lalo o ka ʻili o ka pāma a kūlou nā manamana lima i loko.
- ʻAʻole kēia he maʻi kanesa . ʻO nā puʻupuʻu e hana ʻia ma muli o kēia he mau mea ʻaʻole ia he maʻi kanesa (benign).
- ʻO ke kumu nui o kēia, ʻo ia ka predisposition genetic. No laila, ʻaʻole kēia kou hewa.
- Lohi loa ka ulu ʻana o nā hōʻailona. ʻO ka ʻimi ʻana i ke kōkua lapaʻau i ka wā mua e hiki ke kōkua i ka kaohi ʻana i ke koʻikoʻi o ka maʻi.
- Nui nā lāʻau lapaʻau i kūleʻa loa no kēia, e like me ka hoʻoikaika kino, nā inikini, ka acupuncture, a me ke ʻoki kino.
- Inā ʻaʻole hiki iā ʻoe ke kau i kou lima ma luna o kahi pālahalaha ma hope o ka hana ʻana i ka "tabletop test," e ʻike koke i kāu kauka.
ʻO ke kuʻi ʻana o dupuytren ma Sinhala, ke kūlou ʻana o nā manamana lima, nā puʻupuʻu ma ka pālima, ka hiki ʻole ke hoʻolōʻihi i nā manamana lima, ka maʻi dupuytren ma Sinhala, nā maʻi lima, ʻeha lima
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