Ua manaʻo paha ʻoe e kūlou mālie ana kekahi manamana lima a i ʻole kekahi mau manamana lima ma kou lima i ka pālima? He mea paʻakikī loa anei ke hoʻopololei iā ia ʻoiai ʻoe e hoʻāʻo e hoʻopololei? He hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo ka maʻi ʻo Dupuytren. Ke koʻikoʻi kēia maʻi, hiki ke lilo i mea hiki ʻole ke hoʻopololei i kou mau manamana lima. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana iā Fasciectomy, kahi lāʻau lapaʻau kūpono loa no kēia maʻi.
He aha ka Fasciectomy?
He hana ʻoki kino wale nō ka Fasciectomy. Pili ia i ka wehe ʻana i kahi papa o nā ʻiʻo fibrous i kapa ʻia ʻo fascia mai kou lima. E noʻonoʻo iā ia e like me kahi membrane lahilahi ma lalo o ka ʻili o kou lima. I kekahi kanaka me ka maʻi ʻo Dupuytren, mānoanoa mālie kēia membrane, paʻa, a hoʻomaka e ʻaelike. A laila huki ia i nā manamana lima i loko o ka pālima.
No laila, ʻo ka hana a kēia ʻoki Fasciectomy, ʻo ia ka wehe ʻana i kēlā ʻiʻo paʻa a ʻae i kou mau manamana lima e pololei. E kōkua kēia iā ʻoe e hoʻihoʻi i ka hana o kou lima.
He aha ka maʻi o Dupuytren?
He maʻi hoʻopili ʻiʻo hoʻomau ka maʻi ʻo Dupuytren. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka mānoanoa a paʻa o ka fascia, a mākou i ʻōlelo ai ma mua, ma ka lima a i ʻole nā lima ʻelua. ʻO kēia ʻiʻo hoʻopili i loko o ko mākou kino ka mea e hoʻopili ai i ko mākou mau ʻiʻo, nā ʻōpū, nā hono, a me ka ʻili a hana ma ke ʻano he kākoʻo.
Hiki i kekahi poʻe ke loaʻa i kēia maʻi ma muli o kahi hoʻololi genetic i hoʻoili ʻia i nā hanauna . Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i kēia maʻi me ke kumu ʻole.
Hoʻomaka mua nā kānaka me kēia maʻi i nā nodules liʻiliʻi ma lalo o ka ʻili o ko lākou mau poho lima. I ka hala ʻana o ka manawa, hui pū kēia mau nodules a hana i nā kaula mānoanoa, e like me ke kaula. Huki kēia mau kaula i hoʻokahi a ʻoi aku paha mau manamana lima i ka poho lima. Kāhea pū nā kauka i kēia maʻi ʻo Dupuytren's contracture .
ʻO wai ka mea e pono ai kēia ʻoki kino?
No ka mea he maʻi holomua ʻo Dupuytren, e hoʻāʻo mua kāu kauka i nā lāʻau lapaʻau ʻole.
- ʻO ka inikini steroid
- Ka hoʻokomo ʻana o ka enzyme collagenase
Inā ʻaʻole kōkua kēia mau lāʻau lapaʻau, ʻo ia hoʻi ua kūlou loa kou mau manamana wāwae a ʻaʻole hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā, hiki i kāu kauka ke kuhikuhi i ke ʻoki kino. ʻO Fasciectomy ka ʻoki kino maʻamau i hana ʻia i ia mau hihia.
Fasciectomy, Fasciotomy... He aha ka ʻokoʻa?
Aia kekahi mau ʻano hana lapaʻau no ka maʻi ʻo Dupuytren. He ʻokoʻa iki lākou kekahi i kekahi. E nānā kākou i ko lākou ʻano. Hiki iā ʻoe ke hoʻomaopopo maʻalahi i kēia ʻokoʻa ma ka nānā ʻana i kēia papa.
| ʻAno lapaʻau | He aha e hana maʻalahi ai |
|---|---|
| Fasciotomy | Hana ʻia kahi ʻoki liʻiliʻi ma ka pālima a ʻoki ʻia a hoʻokaʻawale ʻia ke kaula mānoanoa. ʻAʻole ia e wehe ʻia, ua ʻoki wale ʻia. Hoʻonāwaliwali kēia i ke koʻikoʻi o ke kaula a maʻalahi ka hoʻoneʻe ʻana i nā manamana lima. |
| ʻO ka fasciotomy nila percutaneous (Needle Aponeurotomy) | Me ka hoʻohana ʻana i kahi nila liʻiliʻi, hana ʻia kekahi mau puka i loko o ka ʻiʻo mānoanoa. Hoʻonāwaliwali kēia mau lua i ka ʻiʻo a haki iā ia, e ʻae ana i nā manamana lima e hoʻokuʻu ʻia. |
| Hoʻopaʻa ʻana i ka ʻōpū | ʻO kēia ke ʻoki loa ʻana a me ka wehe ʻana i kēlā mau nodules a me nā kaula pilikia. ʻO kēia ke ʻano hana a mākou e kamaʻilio ai ma kēia ʻatikala. |
He aha kāu e hana ai ma mua o ke ʻoki kino?
He mea nui loa ia e hahai pono i nā ʻōlelo a kāu kauka lapaʻau ma mua o ke ʻoki ʻana. Hiki iā lākou ke noi pinepine iā ʻoe e hana i nā mea e like me:
- Ka hoʻokē ʻai ʻana (ka haʻalele ʻana i ka ʻai ʻana a me ka inu ʻana) no kekahi mau hola ma mua o ke ʻoki kino.
- Inā ʻoe e puhipaka, e hoʻōki . Hoʻopilikia ka puhipaka i ke kaʻina hana ho'ōla.
- Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, nā huaora, a me nā mea hoʻohui lāʻau lapaʻau no kekahi manawa.
Aia kekahi mau ʻano hana ʻoki kino like ʻole?
ʻAe, aia nā ʻano like ʻole a me nā ʻano hana o ke ʻoki fasciectomy ma muli o ke ʻano o ka maʻi.
ʻO ka ʻokoʻa ma waena o ka Fasciectomy hapa a me ka Total
- Ka wehe hapa ʻana: ʻO kēia ka wehe ʻana i ka ʻiʻo maʻi a mānoanoa wale nō.
- Huina (wehe piha ʻia):I loko o kēia, ua wehe ʻia ka membrane fascia holoʻokoʻa o ka lima, me nā ʻiʻo olakino.
Na kāu kauka e hoʻoholo a wehewehe iā ʻoe i ke ʻano hana kūpono loa iā ʻoe.
Nā ʻano hana ʻoki kino
- ʻO ka fasciectomy Segmental: Ma kēia kaʻina hana, hana ʻia kekahi mau ʻoki liʻiliʻi ma nā ʻūmiʻi maoli o ka lima a wehe ʻia kahi ʻāpana liʻiliʻi o ka fascia mānoanoa (kaula).
- ʻO ka subtotal palmar fasciectomy: Hana ʻia kekahi mau ʻoki ma nā ʻāpana o ka pāma a me nā manamana lima (pinepine i ke ʻano 'Z') e wehe i ka nui o nā ʻiʻo maʻi e like me ka hiki. I kekahi manawa hiki ke hoʻohana ʻia kahi graft ʻili e kōkua i ka ho'ōla ʻana o ka ʻeha.
- Dermofasciectomy: Hana ʻia kēia i nā hihia kahi e hoʻi hou ai ka maʻi. Maanei, wehe ʻia ka ʻiʻo fascia maʻi me ka ʻili ma luna. I kēia hihia, pono e hana ʻia kahi graft ʻili.
He aha nā pōmaikaʻi o ke ʻoki kino?
ʻO ka pōmaikaʻi nui o kēia ʻoki kino, hiki iā ʻoe ke hoʻihoʻi i ka hana ma kou lima, nā manamana lima, a me ka manamana nui. Ke wehe ʻia ke kino paʻa, hiki iā ʻoe ke hoʻolōʻihi a hoʻopololei i kou mau manamana lima. Ua hōʻike kekahi mau noiʻi e lōʻihi ana nā hopena o ke ʻoki kino fasciectomy ma mua o nā lāʻau lapaʻau ʻē aʻe.
Aia kekahi mau pilikia a me nā pilikia?
E like me nā ʻoki kino āpau, aia kahi manawa liʻiliʻi o kekahi mau pilikia a me nā pilikia. Akā, mai hopohopo, he mea kakaikahi loa kēia.
He mea maʻamau ka manaʻo ʻana i ka mae a i ʻole ka nalowale o ka ʻike ma kou mau manamana lima ma hope o ke ʻoki ʻana. E hoʻomaikaʻi mālie kēia i ka wā e hoʻomaka ai nā aʻalolo i ʻoki ʻia e hoʻomaha.
Nā pilikia ʻē aʻe e hiki ke hana ʻia:
- ʻAleʻaleʻa i ka anesthesia
- Ka maʻi ʻeha
- ʻIkepili ʻili a me ka ʻeha
- Nā palapū
- Pehu (edema)
- I ka liʻiliʻi loa, hiki ke hōʻino ʻia nā aʻalolo a i ʻole nā kīʻaha koko i loko o ka lima.
Pehea ka manawa ho'ōla?
He mea maʻamau ka manaʻo ʻana i kekahi ʻeha, pehu, a me ka ʻoʻoleʻa ma kou lima ma hope o ke ʻoki ʻana. Hiki iā ʻoe ke manaʻo i ka mae ʻana ma kou lima a me nā manamana lima. Hiki ke hala kekahi mau mahina no ka nalo loa ʻana o kēia mau mea. Ma muli o ke ʻano o kāu hana, pono paha ʻoe e hoʻomaha i ʻelua a ʻumikūmālua pule (ma kahi o 3 mahina) mai ka hana.
He mea nui loa e hahai i nā ʻōlelo a kāu kauka i kou wā e hoʻōla ai.
- E kau i kahi ʻeke hau ma ka lima, e mālama pono ana.
- E hoʻomaʻemaʻe i ka ʻeha me ke kopa a me ka wai a uhi ʻia me kahi kāʻei.
- E mālama iā ʻoe iho i ʻole e pulu kou mau lima a me nā humuhumu i ka wā e ʻauʻau ai.
- Lapaʻau hoʻoikaika kinoʻO ka hele ʻana i nā kau a me ka hana ʻana i nā hoʻomaʻamaʻa i hāʻawi ʻia ma ka home he mea nui ia no ka hoʻi hou ʻana i ka hana lima.
- ʻO ka lawe ʻana i nā lāʻau ʻeha a me nā antibiotics e like me ke kauoha.
- E noi ʻia paha ʻoe e ʻaʻahu i kahi splint (kahi kākoʻo e hoʻopaʻa mālie ai kou lima) no kahi o 3 mahina.
ʻAʻole hiki i ke ʻoki kino ke ho'ōla loa i ka maʻi, akā hiki iā ia ke hoʻomaikaʻi nui i ka hana lima. Ma kahi o ʻelua o ka ʻumi o ka poʻe i hana ʻia ke ʻoki kino e ʻike i kekahi ʻano o ka hoʻi hou ʻana o nā hōʻailona. Inā hana ʻia kēia, pono paha kekahi ʻoki kino ʻē aʻe.
I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, pono ʻoe e kāhea koke aku i kāu kauka .
| Hiʻohiʻona e hoʻolohe ai | Wehewehena |
|---|---|
| Nā hōʻailona o ka maʻi | Ke kuni, ke kahe ʻana o ka wai melemele mai ka ʻeha, a me nā kaha ʻulaʻula a puni ka ʻeha. |
| Nā hōʻailona alerika | ʻŌhūhū ʻili. |
| ʻEha nui | ʻEha nui o nā ʻiʻo a hiki ʻole ke hoʻomanawanui. |
| Hana manamana lima | Ka nalowale ʻana o ka manaʻo ma nā manamana lima a i ʻole ka hiki ʻole ke hoʻoneʻe iā lākou. |
| Nā hōʻailona pilikia ʻē aʻe | ʻEha ka umauma a i ʻole ka paʻakikī o ka hanu ʻana. |
Hiki i ka maʻi ʻo Dupuytren ke lilo i mea keakea nui i kāu mau hana a me ka hana o kēlā me kēia lā. ʻO ke ʻoki ʻana o Fasciectomy e hiki ai iā ʻoe ke hoʻohana hou i kou mau lima a me kou mau manamana lima. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i ka lāʻau lapaʻau kino kūpono a me nā hoʻomaʻamaʻa ma hope o ke ʻoki ʻana.
Leka Lawe-Home
- ʻO ka Fasciectomy kahi hana ʻoki e hana ʻia e hoʻopololei i nā manamana lima i kūlou i waho ma muli o ka maʻi ʻo Dupuytren.
- ʻO ka pahuhopu o kēia ʻoki kino ke hoʻihoʻi i ka hana o ka lima ma ka wehe ʻana i nā ʻiʻo mānoanoa e huki ana i nā manamana lima i loko.
- He mea nui loa e hahai i ka lāʻau lapaʻau kino a me nā ʻōlelo lapaʻau e hōʻoia i ka ho'ōla piha ʻana ma hope o ke ʻoki ʻana.
- ʻOiai ʻaʻole hiki i kēia ʻoki kino ke ho'ōla piha i ka maʻi, hiki iā ia ke hoʻomaikaʻi nui i ka maikaʻi o ke ola.
- Inā ʻike ʻoe i kēia mau hōʻailona, e ʻike i ke kauka kūpono e kūkākūkā i nā koho lapaʻau.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo