Ke ʻōwili wale nei kou mau manamana lima i loko? ʻO ia anei ka ʻeha o Dupuytren?

Ke manaʻo nei ʻoe i kekahi manawa e kūlou ana kekahi a ʻelua paha mau manamana lima ma kou lima i loko a he mea paʻakikī iki ke hoʻopololei iā lākou? A i ʻole ke manaʻo nei ʻoe he mau puʻupuʻu liʻiliʻi ma kou lima, kahi e hoʻomaka ai nā manamana lima? Mai hopohopo, ʻaʻole kēia he mea weliweli e like me ke kanesa i loaʻa i nā poʻe he nui. Akā he mea nui loa ia e makaʻala i kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo Dupuytren Contracture, hiki ke hana i nā hōʻailona e like me kēia.

No laila he aha ke ʻano o ka ʻaelike a Dupuytren?

I ka ʻōlelo maʻalahi, ʻo ka ʻeha o Dupuytren kahi kūlana kahi e mānoanoa a paʻa ai kahi papa o ka ʻiʻo ma lalo o ka ʻili o ko mākou mau lima. Kāhea mākou i kēia papa o ka ʻiʻo ʻo ka fascia . Ua like ia me kahi kaula laholio e kōkua iā mākou e hoʻoneʻe i ko mākou mau manamana lima. No laila, hoʻomaka nā nodules liʻiliʻi e hana i loko o kēia fascia. I ka hala ʻana o ka manawa, lilo kēia mau nodules i mānoanoa a hana i nā kaula e hoʻolōʻihi ana mai loko mai o ka lima. ʻO ia ka manawa e hoʻomaka ai nā manamana lima e kūlou i loko, i kekahi manawa a hiki i kahi hiki ʻole ke hoʻopololei ʻia.

ʻO ka mea nui loa, ʻaʻole kēia mau puʻupuʻu he maʻi kanesa (benign) . ʻO ia hoʻi, ʻaʻole lākou i hoʻokumu ʻia e ke kanesa a i ʻole ke kumu o ke kanesa. No laila, mai hopohopo no ia mea.

I nā hihia he nui, pono paha kēia i ke ʻoki ʻana, akā i kekahi mau hihia, hiki ke kaohi ʻia me nā lāʻau lapaʻau maʻalahi.

ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?

Hiki ke ulu ka ʻeha o Dupuytren i loko o kekahi. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. Eia kēia mau mea:

• Nā Kāne: ʻOi aku ka maʻamau o kēia ʻano i nā kāne ma mua o nā wahine.
• Nā kānaka o ka hanauna ʻEulopa: Ua ʻike ʻia he mea maʻamau ia i nā kānaka mai nā ʻāina ʻEulopa ʻĀkau.
• ʻO nā kānaka me ka mōʻaukala ʻohana o ke kūlana: ʻOiai he kūlana genetic kēia, inā loaʻa i kekahi o kou ʻohana, aia kahi manawa e loaʻa pū iā ʻoe.

Ke hoʻopilikia nei nā maʻi ʻē aʻe i kēia?

ʻAe, ʻoi aku ka nui o ka poʻe me kekahi mau kūlana olakino e loaʻa i ka Dupuytren's contracture. Eia kekahi laʻana:

• Maʻi diabetes (Diabetes Mellitus)
• ʻO ka maʻi Epilepsy a me nā maʻi hopu ʻē aʻe
• Ka maʻi hoʻohana ʻona
• HIV a me AIDS
• Maʻi ʻaʻa koko

ʻAʻole kēia manaʻo e loaʻa i nā mea āpau me kēia mau maʻi, akā aia ka haʻahaʻa o ka pilikia ma mua o nā poʻe ʻē aʻe.

Pehea ka maʻamau o kēia kūlana?

ʻAʻole maʻamau ka maʻi ʻeha o Dupuytren. Hoʻopilikia ia ma kahi o 5% o ka heluna kanaka. E like me ka mea i ʻōlelo ʻia ma mua, ʻoi aku ka maʻamau o ia i ka poʻe o ka hanauna ʻEulopa.

Pehea ka hopena o ka ʻeha o Dupuytren i ke kino?

ʻAʻole paha ʻoe e ʻike i ke ʻano o kēia maʻi e pili ana i kou kino. Inā he ʻoluʻolu loa nā hōʻailona, ​​ʻaʻole paha ʻoe e ʻike ua loaʻa iā ʻoe. Inā loaʻa iā ʻoe nā hōʻailona, ​​hiki ke hala nā mahina, a hiki i nā makahiki, e holomua. I nā hihia koʻikoʻi, hiki i nā manamana lima i hoʻopilikia ʻia ke hiki ʻole ke hoʻopololei.

Hiki i ka ʻeha o Dupuytren ke hoʻopilikia i kekahi o kou mau manamana lima, ʻoiai kou manamana wāwae nui. Eia naʻe, ʻo nā manamana lima i hoʻopilikia pinepine ʻia:

• Manamana lima apo / manamana lima ʻehā
• Manamana lima / manamana lima ʻelima
• Manamana waena / manamana lima ʻekolu
• Manamana lima kuhikuhi / manamana lima ʻelua
• Manamana nui / manamana mua

Ke hoʻopilikia nei kēia i nā ʻāpana ʻē aʻe o ke kino?

ʻAʻole. Hoʻopilikia wale ka ʻeha o Dupuytren i nā lima . ʻAʻole ia e hana ma kahi ʻē aʻe o ke kino. ʻOiai hiki ke loaʻa nā maʻi pili ʻē aʻe ma nā wahi ʻē aʻe o ke kino, hoʻopilikia wale ka ʻeha o Dupuytren i nā lima.

ʻOi aku ka nui o ka poʻe me ka ʻeha ʻo Dupuytren e loaʻa i nā kūlana like ʻē aʻe, e like me ka maʻi Ledderhose ( kahi kūlana e kū ana ma nā kapuwaʻi wāwae) a me ka maʻi Peyronie ( kahi kūlana e kū ana i nā kāne).

He aha nā hōʻailona o kēia? Pehea e ʻike ai?

Ma muli o ka lōʻihi o nā mahina, a i kekahi manawa he mau makahiki, e ulu ai ka ʻeha o Dupuytren, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona i ka wā mua. ʻIke pinepine ʻia nā hōʻailona ma kēia ʻano:

1. Nā Nodules: ʻO ka hōʻailona mua ka ʻike ʻia ʻana o nā puʻupuʻu liʻiliʻi ma lalo o ka ʻili o ka pāma, ma kahi maʻamau e hui ai nā manamana lima me ka pāma. Hiki iā ʻoe ke ʻike i kēia mau mea ke hoʻopā ʻoe iā lākou, a i kekahi manawa hiki iā ʻoe ke ʻike iā lākou. Hiki i kekahi poʻe ke ulu wale i kēia mau puʻupuʻu a oki, aʻo kekahi poʻe e nalowale nā ​​puʻupuʻu iā lākou iho. Hiki ke ʻike ʻia ka ʻili a puni nā puʻupuʻu he ʻano piholo iki a ʻāwili paha.

2. Nā Kaula Mānoanoa: I ka hala ʻana o ka manawa, hiki i kēia mau puʻupuʻu ke mānoanoa a hana i nā ʻāpana lōʻihi e like me ke kaula o ka ʻiʻo fascia. Hiki i kēia mau kaula ke hana i nā manamana lima e like me he mea lā e huki ʻia ana i loko a i ka pālima.

3. ʻO ke kuʻi ʻana: ʻO kēia ka hōʻailona koʻikoʻi loa o ka maʻi, kahi i loaʻa ai ka inoa o ka maʻi. ʻOi aku ka mānoanoa a me ka paʻakikī o nā kaula e like me ke kaula, e hiki ʻole ai ke hoʻopololei i nā manamana lima i hoʻopilikia ʻia mai ka lima aku.

ʻAʻole e like me kekahi mau kūlana ʻē aʻe, ʻaʻohe mea hoʻonāukiuki kikoʻī o ka Dupuytren e hoʻonui ai i nā hōʻailona. Inā loaʻa iā ʻoe, hiki i nā hōʻailona ke holomua a hiki i kahi e lilo ai nā puʻupuʻu i mau kaula a laila e ʻūlū ʻia nā manamana lima. ʻAʻole hele nā ​​​​kānaka a pau i kēia mau pae āpau.

Hiki paha he mau hōʻailona ʻē aʻe?

Ma waho aʻe o kēia mau pilikia manamana lima, hiki i ka lima i hoʻopilikia ʻia ke loaʻa nā hōʻailona penei:

• Ka mumū a i ʻole ka pehu ʻana
• ʻO ke akahai i ke kaomi ʻia
• ʻEha a wela paha
• ʻĀnai

Akā, he mea kākaʻikahi loa kēia mau hōʻailona. Ma kahi o ka hapahā o ka poʻe me ka Dupuytren's contracture e ʻike iā lākou. Inā loaʻa iā ʻoe ka Dupuytren's contracture a loaʻa iā ʻoe kēia mau hōʻailona, ​​e hōʻoia e haʻi i ke kauka. I kekahi manawa hiki iā lākou ke lilo i hōʻailona o nā pilikia ʻē aʻe e pili ana i kou ʻili a i ʻole fascia.

He aha ke kumu o kēia?

ʻAʻole ʻike maopopo nā loea i ke kumu kikoʻī o ka ʻeha ʻo Dupuytren, akā ua manaʻo ʻia he maʻi hoʻoilina . Ua hōʻoia ʻia inā loaʻa i kekahi o ka ʻohana, ʻoi aku ka nui o ka loaʻa ʻana o kekahi.

ʻO ka mea kupanaha, ʻo ka ʻeha o Dupuytren kekahi o nā maʻi pili pili i hoʻoilina maʻamau.

Pehea e ʻike ai ke kauka i kēia?

E hana ke kauka i kahi hoʻokolokolo kino e hoʻoholo ai inā loaʻa iā ʻoe ka Dupuytren's contracture. E nānā ʻo ia i kou lima a me nā manamana lima, e ʻike i nā puʻupuʻu a i ʻole nā ​​kaula ma lalo o ka ʻili, a e ana i ka nui o ka ʻūlū ʻana o kou mau manamana lima.

ʻO kahi hoʻāʻo maʻalahi hiki iā ʻoe ke hana ma ka home ʻo ia ka "tabletop test." E kau i kou poho lima i lalo ma luna o kahi pālahalaha (e like me ka papa ʻaina). Inā paʻi ʻia ka manamana lima i hoʻopilikia ʻia i ka ʻili a ʻaʻole palahalaha, e ʻoi aku ka koʻikoʻi o kāu mau hōʻailona. Inā pēlā, he manaʻo maikaʻi e ʻimi i ke aʻo lapaʻau.

Aia kekahi mau hoʻokolohua kūikawā e ʻike ai i kēia?

ʻAʻohe hoʻokolohua kūikawā e ʻike ai i ka ʻeha o Dupuytren. Eia nō naʻe, hiki i kāu kauka ke kauoha i nā hoʻokolohua koko a i ʻole nā ​​​​X-ray e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻopilikia i kou mau lima.

He aha nā lāʻau lapaʻau?

Ma muli o ke koʻikoʻi o kou mau hōʻailona, ​​e mālama kāu kauka iā ʻoe ma kekahi mau pae. No ka mea, he ʻano holomua ka ʻeha o Dupuytren, hiki ke hala i nā mahina a i ʻole nā ​​makahiki e holomua ai i ke pae aʻe o ka mālama ʻana. Hiki ke hoʻomaikaʻi ʻia kāu mau hōʻailona me ka mālama mua ʻana a ʻaʻole paha ʻoe e pono hou i ka mālama ʻana. Inā hoʻi hou kāu mau hōʻailona mua, pono paha e hana hou ʻia kekahi o nā ʻanuʻu mālama.

Lapaʻau mālama

ʻO nā lāʻau lapaʻau e hāʻule i loko o kēia māhele:

• Hoʻoikaika kino a i ʻole nā ​​hoʻomaʻamaʻa hoʻolōʻihi.
• Ke komo ʻana i nā pale a i ʻole nā ​​​​splint e kōkua i ka hoʻolōʻihi ʻana i nā manamana lima i ko lākou neʻe maʻamau.
• E hoʻonui i ka palupalu o kou ʻiʻo fascia me ka ultrasonic (nā nalu kani ʻeha ʻole) a i ʻole nā ​​​​​​lāʻau lapaʻau wela.
• Nā inikini Corticosteroid e hoʻēmi i nā puʻupuʻu a me nā kaula.

Hoʻōla Pāhawewe

Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea radiation e mālama i ka Dupuytren's contracture a pale paha i nā hōʻailona mai ka ʻino ʻana. ʻO ka radiation therapy kahi hana ʻeha ʻole e hoʻohana ana i nā kukuna X a i ʻole nā ​​​​kukuna radiation ʻē aʻe e palupalu i nā puʻupuʻu a i ʻole nā ​​​​kaula.

Hoʻohana ʻia ka radiation therapy e mālama i kekahi mau ʻano maʻi kanesa. Eia nō naʻe, ʻaʻole maʻi kanesa ka Dupuytren contracture . A ʻo ka loaʻa ʻana o kēia maʻi ʻaʻole ia he manaʻo ua loaʻa iā ʻoe a e loaʻa ana paha iā ʻoe ka maʻi kanesa.

ʻO ka Aponeurotomy nila

Inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona ma hope o kekahi mau mahina o nā lāʻau lapaʻau maʻalahi, hiki i kāu kauka ke ʻōlelo aku i kahi kaʻina hana i kapa ʻia he aponeurotomy nila . I kekahi manawa ua kapa ʻia kēia he percutaneous needle fasciotomy . He kaʻina hana outpatient kēia e hiki i kāu kauka ke hana ma kona keʻena.

E hoʻomānoʻo ke kauka i kou lima me kahi anesthetic kūloko a laila e hoʻohana i kahi nila e hana i kekahi mau punctures ma ka fascia o kou lima. E hoʻokuʻu kēia i ka paʻa a hiki iā ʻoe ke hoʻopololei i kou mau manamana lima.

Nā inikini Collagenase

Ma ke ʻano he lāʻau lapaʻau no ka ʻeha o Dupuytren, hiki i kāu kauka ke hoʻokomo i kahi enzyme i kapa ʻia ʻo collagenase i loko o nā puʻupuʻu a i ʻole nā ​​kaula. ʻO Collagenase kahi enzyme e kōkua ana i ka wehe ʻana a me ka wāwahi ʻana i kēia mau mānoanoa i loko o kou fascia. ʻO ka mea mua, e hoʻokomo pololei kāu kauka i ka collagenase i loko o nā puʻupuʻu a i ʻole nā ​​kaula. A laila pono ʻoe e hoʻi mai i kekahi lā aʻe. I kēlā lā, e hoʻomānoino kāu kauka i kou lima a hoʻolōʻihi i nā manamana lima i hoʻopilikia ʻia i ko lākou pae neʻe mua.

ʻO ke ʻoki ʻana o ka ʻaelike ʻo Dupuytren

Inā koʻikoʻi loa ka ʻūlū ʻana o kou manamana lima a hiki ke hoʻopilikia i kou ola o kēlā me kēia lā, pono paha ʻoe i ke ʻoki ʻana. He hana outpatient nō hoʻi ke ʻoki ʻana o Dupuytren, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.

Hana ke kauka i kahi fasciectomy.Ua kapa ʻia ke kaʻina hana he ablation. E hoʻomāʻū ʻo ia i kou lima me kahi anesthetic kūloko a laila e wehe i kahi hapa a i ʻole ka fascia i hoʻopilikia ʻia. ʻO ka nui o ka fascia e pono e wehe ʻia ma muli o ka mānoanoa o kou fascia a me ke koʻikoʻi o ka contracture. Ma hope o ke ʻoki ʻana, pono paha ʻoe i ka physical therapy a i ʻole ka occupational therapy e kōkua i kou mau hono e hoʻihoʻi i ko lākou ikaika maʻamau.

Hiki ke ho'ōla loa ʻia kēia?

ʻO ka mea pōʻino, ʻaʻole hiki ke ho'ōla loa ʻia ka ʻeha o Dupuytren. Eia nō naʻe, hiki ke hoʻomalu maikaʻi ʻia ka hapa nui o nā hihia me ka lāʻau lapaʻau .

No ka mea, ʻaʻohe lāʻau lapaʻau piha, ʻoiai inā e wehe ʻia ka fascia i hoʻopilikia ʻia i hoʻokahi ʻoki kino, ma kahi o 1 i loko o 5 mau kānaka e loaʻa hou i ka Dupuytren's contracture . Inā hana ʻia kēlā, pono paha ʻoe i nā lāʻau lapaʻau hou aʻe i ka wā e hiki mai ana.

Pehea e kāohi ai i nā hōʻailona?

E hahai pono i nā ʻōlelo a kāu kauka. Inā ua kuhikuhi ʻia ʻoe i nā hoʻolōʻihi, a inā pono ʻoe e komo i kahi splint a i ʻole ke kākoʻo, e hana pono iā lākou e like me ka pinepine a kāu kauka e ʻōlelo ai iā ʻoe.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?

ʻO ka manawa ho'ōla e pili ana i ka lāʻau i loaʻa iā ʻoe no ka ʻaelike ʻo Dupuytren:

• I kekahi manawa hiki ke hala i nā mahina no ka hoʻomaikaʻi ʻana o nā hōʻailona me nā lāʻau lapaʻau maʻalahi (ka mua) .
• Me ka aponeurotomy nila, pono e ho'ōla koke ʻia kāu ʻaelike.
• Pono ke ʻoki ʻana e hōʻoluʻolu i kāu mau hōʻailona, ​​​​akā hiki ke hala a ʻelua mahina e ʻoluʻolu loa ai ma hope o ka wā hoʻōla. Ma hope o ke ʻoki ʻana, pono ʻoe e ʻae i kou lima e ho'ōla. Pono nō hoʻi ʻoe e hana i ka hoʻōla kino a i ʻole ka hoʻōla hana no kekahi mau mahina ma ka liʻiliʻi e kōkua iā ʻoe e hoʻihoʻi i ka ikaika a me ka neʻe ʻana o kou lima.

E kamaʻilio me kāu kauka ma mua o kou hoʻi hou ʻana i kāu mau hana maʻamau i kou wā e hoʻōla ana.

Aia kekahi mau pilikia me ka lāʻau lapaʻau?

ʻO kekahi mau pilikia e hiki ke kū mai i ka wā o ka mālama ʻana i ka contracture a Dupuytren:

• ʻEha
• Ka pōʻino o ke aʻalolo
• Maʻi
• Ka ʻeha
• Ka hōʻino ʻana i kou mau kīʻaha koko
• Nā pilikia ho'ōla ʻeha

ʻAʻole hiki kēia mau mea i nā kānaka a pau, akā he mea nui e ʻike.

Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?

ʻO ka mea pōʻino, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku ai i ka ʻeha o Dupuytren. ʻO ka ʻōlelo pololei, ʻaʻohe lāʻau lapaʻau no kēia, a ʻaʻole ia he hōʻailona hōʻike .Hoʻomohala ia me ka ʻole. Inā ua ʻike ʻia kekahi o kou ʻohana me ka Dupuytren's contracture, e kamaʻilio me kāu kauka e pili ana i ia mea.

He like anei ka maʻi Dupuytren a me ke kuʻi ʻana o Dupuytren?

Hoʻohana pinepine nā kauka i nā huaʻōlelo ʻo Dupuytren's contracture a me Dupuytren's disease me ke ʻano like ʻole. ʻIke kekahi mau kauka i kahi ʻokoʻa iki ma waena o nā mea ʻelua. Wahi a lākou ʻo ka Dupuytren's contracture (ka mānoanoa o ka fascia i ka lima) he hōʻailona ia o ka maʻi Dupuytren (ke kūlana holoʻokoʻa e kumu ai ka Dupuytren's contracture). Eia naʻe, ke kamaʻilio mākou e pili ana i ia mea ma ke ʻano laulā, pili like lāua ʻelua i ka mea like.

He aha ka ʻokoʻa ma waena o ka Dupuytren Contracture a me ka Trigger Finger?

Hiki i ka ʻūmiʻi ʻana o Dupuytren a me ka manamana lima hoʻāla ke kumu e kūlou ai kou manamana lima i loko a paʻa. Eia nō naʻe, he ʻelua mau kūlana ʻokoʻa loa kēia.

• ʻO ka ʻūmiʻi ʻana o Dupuytren ka mānoanoa a me ka ulu ʻana o ka ʻiʻo fascia ma lalo o ka ʻili o kou lima. Hoʻokumu ʻia nā puʻupuʻu ma ke kumu o nā manamana lima a lilo i mau kāʻei e like me ke kaula ma lalo o ka pālima.
• Hana ʻia ka manamana lima hoʻāla i ka wā e pehu ai ka pulley A1, kahi ʻano hana e kaohi a alakaʻi i nā tendons i loko o kou mau manamana lima a me ka manamana nui. ʻO kēia pehu e paʻakikī ai iā ʻoe ke hoʻoneʻe mālie i kou manamana lima e like me kāu hana maʻamau. Hiki i ka poʻe me ka manamana lima hoʻāla ke manaʻo ua "paʻa" a paʻa paha ka manamana lima i hoʻopilikia ʻia ke kūlou ʻoe.

ʻO kēlā me kēia mea e pilikia ai kou lima, e ʻike koke i ke kauka inā ʻike ʻoe i kekahi mau hōʻailona hou, ʻoiai inā he ʻeha a paʻakikī paha kou e hoʻoneʻe i kou lima ma ke ʻano maʻamau.

ʻO ka mea nui loa - He hōʻuluʻulu manaʻo (Leka Lawe-Home)

Hiki ke hoʻoweliweli ka inoa ʻo Dupuytren's contracture, ʻoiai no ka poʻe me nā hōʻailona koʻikoʻi. Akā e hoʻomanaʻo, he maʻi hiki ke mālama ʻia a ʻoi aku ka nui o ka poʻe ma mua o ia. ʻOiai ʻaʻohe lāʻau lapaʻau, nui nā lāʻau lapaʻau e hiki ke kōkua i ka hōʻoluʻolu i kāu mau hōʻailona. A, ʻaʻole ia he maʻi kanesa .

Inā paʻakikī iā ʻoe ke hoʻopololei i kou mau manamana lima, e hoʻāʻo i ka hoʻāʻo papaʻaina. Inā ʻaʻole e kaomi ikaika kou mau manamana lima i ka ʻili, e ʻike i ke kauka no ka ʻōlelo aʻo. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o kou kūlana e kaohi i kāu mau hōʻailona ma mua o ko lākou ʻino ʻana.

He ʻāpana koʻikoʻi loa kou mau lima o kou kino, ka ʻāpana āu e launa pū ai me ke ao nei a hana i nā mea āu e aloha ai. No laila e mālama pono iā lākou. E hahai pono i nā ʻōlelo a kāu kauka a hana i nā hoʻoikaika kino e pono ai. A laila hiki iā ʻoe ke noho olakino me kēia maʻi!

ʻO ke kuʻi ʻana o Dupuytren, ka pelu ʻana o ka manamana lima, nā nodules palmar, fascia, nā maʻi lima, nā maʻi genetic, ka kuʻi ʻana o ka manamana lima