Ua manaʻo paha ʻoe ua mānoanoa ka ʻili ma kou poho lima a ua hana i nā puʻupuʻu liʻiliʻi? A i ʻole he paʻakikī iā ʻoe ke mālama pololei i hoʻokahi a ʻelua mau manamana lima, a kūlou mālie lākou i ka poho lima? ʻAʻole kēia nou wale nō. He maʻi lapaʻau kēia. Kāhea mākou iā ia ʻo Dupuytren's Contracture. ʻAʻole ʻike nui ka poʻe he nui e pili ana i kēia, no laila hiki ke hopohopo. No laila i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau me ka maʻalahi a me ke ʻano aloha.
I ka ʻōlelo maʻalahi, he aha ka Dupuytren's Contracture?
Hana ʻia kēia ma muli o ka mānoanoa mālie ʻana o kahi papa o ka ʻiʻo (fascia) ma lalo o ka ʻili o kou lima a hana i nā kaula fibrous. Me he mea lā e huki ana kekahi i ke kaula mai loko mai o kou lima. I ka hala ʻana o ka manawa, i ka wā e paʻa ai kēia mau kaula, hoʻomaka kekahi a ʻoi aku paha o nā manamana lima i pili iā lākou e kūlou i loko. ʻO kēia ka mea a mākou e kapa nei he `contracture.' Hoʻopilikia pinepine kēia ʻano i nā manamana lima apo a me nā manamana lima liʻiliʻi, akā hiki ke hana i kekahi manamana lima.
ʻAʻole kēia he maʻi kanesa a he maʻi lele paha. A ʻo ka ʻeha mai ia mea he liʻiliʻi wale nō ia. Akā ʻo ka pilikia nui, ke kūlou nā manamana lima, lilo ia i mea paʻakikī ke hana i nā hana o kēlā me kēia lā. No ka laʻana, ʻoiai nā mea maʻalahi e like me ka lulu lima ʻana, ke komo ʻana i loko o kāu ʻeke, a i ʻole ka paʻa ʻana i kahi mea hiki ke lilo i mea paʻakikī.
Pehea e hoʻoholo ʻia ai ka lāʻau lapaʻau?
ʻOkoʻa ka lāʻau no ka Dupuytren's contracture ma muli o ke koʻikoʻi o kou kūlana. ʻAʻohe lāʻau hoʻokahi e kūpono i nā mea āpau. E nānā kāu kauka iā ʻoe a hoʻoholo i ka lāʻau maikaʻi loa ma muli o ka nui o kona hoʻopilikia ʻana i kou ola.
ʻO ka mea nui loa, ʻaʻohe lāʻau i loaʻa a hiki i kēia manawa e hiki ke hoʻōki loa i ka ulu ʻana o kēia maʻi a pale aku paha i ka lilo ʻana i mea ʻino ke ulu aʻe. ʻO ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ka hōʻemi ʻana i nā hōʻailona a hoʻihoʻi i ka hana ma ka lima.
No kekahi poʻe, lohi loa ka holomua o ke kūlana. He puʻupuʻu liʻiliʻi paha ia ma ka poho lima e loli ʻole ana no nā makahiki. I ia mau hihia, inā ʻaʻole ia e hoʻopilikia i kāu mau hana o kēlā me kēia lā, ʻoi aku ka maikaʻi o ka lawe ʻana i kahi ala "kali a ʻike".
Eia nō naʻe, inā e piʻi wikiwiki ana kou manamana lima a e paʻakikī ana e hana i nā hana o kēlā me kēia lā, e kūkākūkā kāu kauka i nā koho lapaʻau kūpono nāu.
Nā Lapaʻau ʻAʻole ʻoki kino
Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻohana ʻia i nā pae mua o ka maʻi, a i ʻole ma waho aʻe o ke ʻoki kino. Eia nō naʻe, ua hōʻike wale kēia mau mea i ka holomua palena.
| ʻAno lapaʻau | He aha ka mea e hana ʻia ai? |
|---|---|
| Hoʻolōʻihi | Paipai ʻia no ka poʻe me ka maʻi ʻoluʻolu loa . Hiki ke hoʻohana ʻia me nā lāʻau lapaʻau ʻē aʻe. Eia nō naʻe, pono e hana ʻia kēia mau mea e like me ke kuhikuhi a ke kauka . |
| Nā inikini Steroid | He mau lāʻau anti-inflammatory ikaika kēia. Ke hoʻokomo pololei ʻia i loko o kahi nodule ma ka lima, hiki iā ia ke hoʻemi i kona nui. Eia nō naʻe, he hopena wale nō kēia i nā pae mua o ka maʻi. Ke mānoanoa ka ʻiʻo, ʻaʻole ia he hopena maikaʻi loa. |
| Nā inikini enzyme | Inā ua kūlou mua kou manamana lima, e ʻōlelo paha kāu kauka i kahi inikini o kahi hui enzyme, e like me Xiaflex . Hoʻopau kēia mau enzymes i ka ʻiʻo mānoanoa a hoʻokuʻu iā ia. I ka lā aʻe, e hoʻāʻo kāu kauka e hoʻopololei i kou manamana lima ma ka paʻa ʻana a me ka huki ʻana. Hiki ke hoʻohana ʻia kēia ma ke ʻano he koho ʻē aʻe no ke ʻoki ʻana. |
| Hoʻōla Pāhawewe | ʻO ka radiation therapy haʻahaʻa haʻahaʻa kekahi koho ʻē aʻe, akā ua kaupalena ʻia ka ʻikepili noiʻi e pili ana i kona holomua. |
ʻIke hou aku e pili ana i nā inikini enzyme ...
No ka hapa nui o nā kānaka, ua lawa hoʻokahi a ʻelua paha inikini no ke ami i hoʻopilikia ʻia. Pono paha kekahi poʻe a hiki i ʻekolu. ʻO nā hopena ʻaoʻao maʻamau ka pehu ʻana, ke kahe ʻana o ke koko, ka palapū, a me ka ʻeha ma kahi i inikini ʻia. He mea kākaʻikahi loa , hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi e like me ka hōʻino ʻana o ke aʻalolo, ka hōʻino ʻana o ke aʻalolo, a i ʻole nā hopena maʻi.
Ua hoʻāʻo ʻia nā lāʻau ʻē aʻe e like me ke splinting, ka kirīmi vitamin E, a me ka ultrasound, akā ʻaʻole i loaʻa nā hopena maikaʻi.
I ka manawa hea e pono ai ke ʻoki kino? (Nā Lapaʻau ʻoki kino)
Inā pilikia ʻoe i ka hana ʻana i nā hana o kēlā me kēia lā, e like me ka paʻa ʻana i kahi mea, ke kākau ʻana, a i ʻole ka paʻa ʻana i ke kīʻaha, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. ʻO ka pahuhopu nui o ke ʻoki kino, ʻo ia ke hoʻihoʻi i ka neʻe ʻana i nalowale i kou mau manamana lima.
ʻElua ʻano nui o ke ʻoki kino.
| ʻAno o ke ʻoki kino | Wehewehena |
|---|---|
| ʻO ke ʻoki kino hāmama | Hana ke kauka ʻoki i kahi ʻoki ma ka lima a ʻokiʻoki i ka ʻiʻo mānoanoa (fasciotomy) a wehe paha i nā mea āpau a hapa paha (fasciectomy) . I kekahi manawa hoʻohana ʻia kahi graft ʻili e pani ai i ka ʻeha. |
| ʻO ka Aponeurotomy nila | He hana maʻalahi kēia ma mua o ke ʻoki kino hāmama. Hoʻohana ke kauka ʻoki i kahi nila hypodermic e ʻoki a hoʻokaʻawale i ka ʻiʻo mānoanoa ma luna o ka ʻili. He pōkole ka manawa hoʻōla. ʻAʻole pono ka hapa nui o ka poʻe i ka hoʻōla kino ma hope. |
He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
Hiki i ke ʻoki kino ke hoʻoponopono pinepine i ke kūlou ʻana o nā manamana lima a hoʻihoʻi i ka hana o ka lima. Eia nō naʻe, inā he nui nā manamana lima e kūlou ʻia, hiki ke paʻakikī iki ke hoʻoponopono.
Loaʻa i nā ʻoki kino kekahi mau pilikia a me nā pilikia.
- Ka hana hou ʻana: Aia kekahi pilikia o ka hana hou ʻana me nā ʻano ʻoki kino ʻelua.
- Nā pilikia ʻē aʻe:
- Ka pehu ʻana o ka ʻeha a me ka ʻeha
- Ka hōʻino ʻana i nā aʻalolo a i ʻole nā kīʻaha koko
- Nā maʻi
- Ka make ʻana o nā ʻiʻo
Pehea e ho'ōla koke ai?
He mea nui loa e hahai pono i nā ʻōlelo a kāu kauka ma hope o ke ʻoki ʻana.
- E hoʻokiʻekiʻe i kou lima: ʻO ka hoʻokiʻekiʻe ʻana i kou lima ma luna o kou puʻuwai e hiki ke kōkua i ka hōʻemi ʻana i ka pehu a me ka ʻeha.
- Nīwili ka manamana lima: Inā kuhikuhi ke kauka iā ʻoe, e nīwili i kou mau manamana lima.
- Hoʻōla kino:Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi mea hoʻoponopono kino nāna e aʻo iā ʻoe i nā hoʻomaʻamaʻa e hoʻomaikaʻi i ka ikaika a me ka hana o kou lima.
Leka Lawe-Home
- ʻO ke kuʻi ʻana o Dupuytren kahi kūlana e mānoanoa ai nā ʻiʻo o ka lima a kūlou nā manamana lima. ʻAʻole ia he maʻi kanesa a maʻi lele paha.
- ʻAʻole pono nā kānaka a pau i ke ʻoki kino. Inā he akahai ka maʻi, ʻaʻohe pono o ka lāʻau lapaʻau.
- Inā ke hoʻopilikia nei kēia i kāu mau hana o kēlā me kēia lā, aia nā koho lapaʻau ʻoki ʻole (injections) a me nā koho lapaʻau ʻoki kino.
- ʻO kāu kauka wale nō ke hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. No laila, inā ʻike ʻoe i kekahi mau loli i kou lima, mai makaʻu e ʻimi i ke aʻo lapaʻau.
- Ma hope o ka lāʻau lapaʻau, e hahai pono i nā ʻōlelo aʻoaʻo a kāu kauka a me ka mea hoʻoponopono kino no ka hoʻōla wikiwiki ʻana.
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