E nānā i kou poho lima. I kekahi manawa hiki iā ʻoe ke manaʻo i kahi mea e like me kahi puʻupuʻu liʻiliʻi ma lalo o ka ʻili o kou poho lima. I ka wā mua, ʻaʻole paha e like me ka nui, akā i ka hala ʻana o ka manawa, hoʻoulu kēia i kou mau manamana lima e wili i loko, me he mea lā e ʻūlū ana ʻoe i kou lima. He paʻakikī iā ʻoe ke hoʻopololei i kou lima, e waiho i loko o kāu ʻeke, a i ʻole e lulu lima i kekahi? ʻO kēia kūlana ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo Dupuytren's Disease a i ʻole Dupuytren's contracture. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.
He aha ka maʻi o Dupuytren?
I ka ʻōlelo maʻalahi, aia kahi papa o nā ʻiʻo ma lalo o ka ʻili o ko mākou mau lima. Kāhea mākou i kēia fascia . He palupalu loa kēia a palupalu hoʻi. ʻO ke palupalu o kēia ʻiʻo e hiki ai iā mākou ke kūlou a hoʻolōʻihi i ko mākou mau lima i kekahi ʻano a mākou e makemake ai.
Eia nō naʻe, i ka maʻi ʻo Dupuytren, ʻo kēia ʻiʻo i kapa ʻia ʻo 'fascia' e mānoanoa mālie a hoʻomaka e ʻūlū me ke kumu ʻole.
E noʻonoʻo, i loko o kēia ʻiʻo aia nā olonā e like me nā kaula. I loko o kēia maʻi, e paʻa mālie kēia mau olonā a hoʻomaka e ʻūlū. ʻO ia ka manawa e hoʻomaka mālie ai nā manamana lima e huki i loko i ka pālima. ʻO ka hapa pinepine, pili kēia ʻano i ka manamana lima liʻiliʻi a me ka manamana lima apo . I kekahi manawa, hiki ke hoʻopilikia ʻia kou mau lima ʻelua. Akā ʻo ka maʻamau, ʻoi aku ka pilikia o kekahi lima ma mua o kekahi. I nā hihia koʻikoʻi, hiki i ka lima ke lilo i maʻi lolo a kīnā.
He aha nā hōʻailona o kēia maʻi? Pehea e ʻike ai?
ʻAʻole hiki koke mai nā hōʻailona o ka ʻeha o Dupuytren. ʻIke pinepine ʻia lākou me ka mālie, i ka hala ʻana o ka manawa. E nānā kākou i kēlā mau pae.
| Ka pae o ka hōʻailona | He aha ka mea e hana nei a pehea kona manaʻo |
|---|---|
| Nā puʻupuʻu | ʻO kēia ka hōʻailona mua a ka poʻe he nui e ʻike ai. Me he mau puʻupuʻu liʻiliʻi a paʻakikī ma lalo o ka ʻili o ka pāma. I ka wā mua, ʻeha iki paha kēia mau puʻupuʻu a ʻoluʻolu hoʻi i ka pā ʻana. Eia naʻe, i ka hala ʻana o ka manawa, e nalowale pinepine ka ʻeha a me ke ʻano naʻau. |
| Nā kaula | I ka hala ʻana o ka manawa, hoʻomaka kēia mau puʻupuʻu e hana i nā kāʻei paʻa e like me ke kaula ma lalo o ka ʻili. ʻAʻole palupalu kēia mau mea. ʻO kēia mau kāʻei paʻa e like me ke kaula ke kumu e kūlou mālie ai nā manamana lima a huki i ka pulima. |
| ʻO ke kuʻikahi ʻana | Ke koʻikoʻi ka pelu ʻana o ka manamana lima, lilo ia i mea hiki ʻole ke hoʻopololei loa iā lākou. ʻO kēia ka mea e paʻakikī loa ai ka hana ʻana i nā hana o kēlā me kēia lā e like me ka hāpai ʻana i nā mea nui, ke komo ʻana i loko o ka ʻeke no ke kālā a i ʻole kahi palapala hōʻoia, ke hoʻopololei ʻana i ka lima ma luna o ka papa ʻaina, ke kau ʻana i nā mīkina lima, a i ʻole ke lulu lima ʻana me kekahi. |
He aha nā kumu a me nā kumu pilikia no kēia?
ʻAʻole maopopo ke kumu kikoʻī o kēia maʻi, akā manaʻoʻiʻo nā kānaka ʻepekema he nui nā mea biochemical e hoʻopilikia ai i nā ʻiʻo pili i ka lima.
ʻO ka mea nui, ʻaʻole ia i hana ʻia e ka ʻeha a i ʻole ka hoʻohana nui ʻana o ka lima. ʻAʻole hoʻi ia he maʻi e hoʻopilikia ai i nā aʻalolo e kōkua ai i ka hoʻoneʻe ʻana i ka lima.
Eia nō naʻe, ua ʻike ʻia kekahi mau kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi. ʻO lākou kēia:
- Ka inu nui ʻana i ka waiʻona: Akā e hoʻomanaʻo, ʻaʻole nā mea a pau me kēia maʻi i hoʻopilikia ʻia e ka waiʻona.
- Loaʻa i ka maʻi diabetes.
- ʻO ka loaʻa ʻana o nā maʻi e hoʻoulu ai i nā hopu ʻana, e like me ka epilepsy.
- Puhi paka.
- ʻO ka loaʻa ʻana o kēia maʻi i kekahi o ka ʻohana: ʻO ke ʻano kēia aia paha kekahi pilina hoʻoilina me ia.
- ʻOiai he kāne ma luna o 40 mau makahiki: ʻOi aku ka maʻamau o kēia maʻi i nā kāne ma mua o nā wahine.
- Loaʻa i nā kūpuna ʻEulopa ʻĀkau (ʻEnelani, ʻAilani, Sekotia, Palani, Holani) a i ʻole Scandinavian (Kuekene, Norewai, Pinilana): ʻAʻole kēia he pilikia pili loa i ka poʻe o ko mākou ʻāina, akā he mea maikaʻi ke ʻike.
Pehea e ʻike ai ke kauka i kēia? (Diagnosis)
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, kou mōʻaukala olakino a me ko kou ʻohana, a laila e nānā pono i kou mau lima, nā pulima lima, a me nā manamana lima.
Ma kēia hoʻāʻo, ua nānā ʻia ka pālima no nā puʻupuʻu a me ka nui o ia mau mea. Eia kekahi, ʻo ka hoʻāʻo nui e hana pinepine ʻia, ʻo ia ke ʻike inā hiki ke kau pālahalaha ʻia ka lima ma luna o ka papaʻaina (hoʻāʻo papaʻaina). ʻO ka mea maʻamau, ʻaʻole hiki i ke kanaka me kēia maʻi ke hoʻopaʻa palahalaha i ko lākou lima ma luna o ka papaʻaina.
Eia kekahi, hiki i ke kauka ke nānā i nā mea e like me:
- E ʻike ia i ka maikaʻi o kāu lawelawe ʻana i nā mea.
- Hōʻike ia pehea e ʻūmiʻi ai i nā mea liʻiliʻi me kou mau manamana lima.
- Hoʻopaʻa ʻia ke ʻano o ka ʻiʻo ma ka manamana nui a me nā manamana lima ʻē aʻe.
- Nānā ʻia ka laulā o ka neʻe ʻana o nā manamana lima e ʻike inā hiki ke hoʻopololei piha ʻia.
Hiki paha i ke kauka ke kiʻi i nā kiʻi o kou lima e ʻike ai inā loli ke ʻano i ka hala ʻana o ka manawa.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mea mua e ʻōlelo ai, ʻaʻohe lāʻau lapaʻau no kēia maʻi. Akā, mai hopohopo, ʻaʻole ia he maʻi e hoʻoweliweli i ke ola. Hiki i kekahi poʻe ke noho me ia no nā makahiki me ka ʻole o nā pilikia. I kekahi manawa, ʻaʻole paha lākou e pono i ka lāʻau lapaʻau.
Eia nō naʻe, inā ʻo nā puʻupuʻu ke kumu o ka ʻeha, a inā paha ke keakea nei ka ʻūlū ʻana o ka manamana lima i kāu mau hana o kēlā me kēia lā, aia kekahi mau lāʻau lapaʻau e hiki ke hana ʻia.
He mea nui: ʻAʻole e kōkua nā splints i kēia kūlana. ʻOiaʻiʻo, inā ʻoe e hoʻāʻo e hoʻopololei ikaika i kou manamana lima, hiki iā ia ke hoʻonui i ka wikiwiki o ka wili ʻana. No laila, mai hana i kēlā mau mea me ka ʻole o ke kūkākūkā ʻana me ke kauka.
Lapaʻau ʻoki ʻole
- ʻInu steroid: Inā ʻeha loa kahi puʻupuʻu, hiki i kāu kauka ke ʻōlelo aku i kahi iniu corticosteroid. He lāʻau anti-inflammatory ikaika kēia. Hoʻemi ia i ka pehu a me ka ʻeha. I kekahi manawa hiki iā ia ke pale aku i ka ʻino o kahi manamana lima. Eia nō naʻe, ʻaʻole e hoʻopololei kēia iniu i kahi manamana lima i kūlou mua ʻia.
- ʻInu ʻenzyme: Inā ua kūlou mua kou mau manamana lima, hiki i kāu kauka ke hoʻokomo iā ʻoe me kahi hui enzyme i kapa ʻia ʻo `collagenase` (Xiaflex). Kōkua kēia mau enzymes i ka hoʻoheheʻe ʻana i nā ʻiʻo mānoanoa a paʻakikī. Hoʻonāwaliwali kēia i nā kaula paʻa e like me ke kaula, e ʻae ana i ke kauka e hoʻopunipuni iki i kou mau manamana lima.
Lapaʻau ʻoki kino
Inā hoʻomau ka ʻino o ke kūlana a hoʻopilikia nui i ka hana lima, hiki i ke kauka ke ʻōlelo i ke ʻoki ʻana.
- Fasciotomy: ʻO kēia ʻoki kino e pili ana i ka ʻoki ʻana a me ka hoʻokaʻawale ʻana i ka ʻiʻo mānoanoa, e like me ke kaula. ʻAe kēia i ka manamana lima e neʻe manuahi. Hoʻomāno ke kauka i ka ʻāpana a hana i kahi ʻoki liʻiliʻi ma ka pālima.
- ʻO ka hoʻopau ʻana i ka palmar fasciectomy subtotal:Ma kēia, ua wehe ʻia ka nui o nā ʻiʻo mānoanoa a me nā aʻalolo e like me ka hiki. ʻAe kēia i ka manamana lima e hoʻopololei. ʻO ka maʻamau, pili kēia i ka hana ʻana i kahi ʻoki "zig-zag" ma ka pālima. He ʻoi aku ka paʻakikī o kēia ma mua o nā ʻoki ʻē aʻe. He lōʻihi hoʻi ka manawa e ho'ōla ai. Ma hope o ke ʻoki ʻana, pono paha ka hoʻōla kino a i kekahi manawa he kāpili ʻili.
Hiki paha ke pehu a me kekahi ʻeha ma ka lima ma hope o ke ʻoki ʻana. ʻO ka mālama ʻana i ka lima ma luna o ka pae o ka puʻuwai a me ke kulou ʻana a me ka hoʻolōʻihi ʻana i nā manamana lima e kōkua i ka hōʻemi ʻana i ka pehu a me ka ʻeha a kōkua i ke kaʻina hana ho'ōla e holo wikiwiki.
Āhea ʻoe e ʻike ai i ke kauka?
ʻOiai ʻaʻole he maʻi weliweli ka maʻi ʻo Dupuytren, hiki iā ia ke hoʻopau inā lilo ia i mea koʻikoʻi. No laila, inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, mai hoʻokaʻulua i ka ʻike ʻana i ke kauka.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike pono i ke kauka. |
|---|
| Inā he hoʻokahi a ʻoi aku paha nā puʻupuʻu ma kou poho lima (inā ʻeha a ʻaʻole paha). |
| Inā pilikia ʻoe i ka hoʻopololei ʻana i kou mau manamana lima. |
| Inā pilikia ʻoe i ka paʻa ʻana i nā mea nui a liʻiliʻi paha. |
| Inā ʻaʻole hiki iā ʻoe ke kau pālahalaha i kou lima ma luna o ka papa ʻaina a waiho paha i kou lima i loko o ka ʻeke. |
Leka Lawe-Home
- ʻO ka maʻi ʻo Dupuytren kahi maʻi e mānoanoa ai ka ʻiʻo ma lalo o ka ʻili o ka lima a ʻōwili nā manamana lima i loko. ʻAʻole ia he maʻi e hoʻoweliweli i ke ola.
- ʻO nā hōʻailona nui he mau puʻupuʻu ma ka poho lima, ka paʻakikī i ka hoʻopololei ʻana i nā manamana lima, a me ka paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā.
- ʻOiai ʻaʻohe kumu kikoʻī no kēia, ʻo ka maʻi diabetes, ka puhipaka, a me nā kumu genetic e hoʻonui i ka pilikia.
- Pono wale nō ka lāʻau lapaʻau inā hoʻopilikia nā hōʻailona i ke ola o kēlā me kēia lā. Nui nā ʻano lāʻau lapaʻau like ʻole e loaʻa ana, e like me nā inikini a me ke ʻoki kino.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hopohopo a e ʻike koke i ke kauka no ka ʻōlelo aʻo. ʻO ia ka mea maikaʻi loa e hana ai.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo