Yu finga dɛn jɔs de kɔl insay? Na Dupuytren in kɔntrakt dat?

Sɔntɛnde yu kin fil lɛk se wan ɔ tu finga dɛn na yu an dɔn bɛn insay ɛn i at smɔl fɔ mek dɛn stret dɛn? Ɔ yu kin fil lɛk se yu gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Nɔ wɔri, dis nɔto tin we denja lɛk kansa we bɔku pipul dɛn kin gɛt. Bɔt i rili impɔtant fɔ no bɔt dis. Tide wi go tɔk bɔt wan sik wae dɛn kɔl Dupuytren Contracture, wae kin mek yu gɛt sɔm kayn sik lɛk dis.

So wetin na Dupuytren in kɔntrakt?

Fɔ tɔk am simpul wan, di kɔntrakt we Dupuytren gɛt na wan kɔndishɔn we wan layt we de ɔnda di skin na wi an kin tik ɛn tayt. Wi kin kɔl dis layt we de na di tisu di fascia . I tan lɛk rɔba band we de ɛp wi fɔ muv wi finga dɛn. so, sכm sכ m nodul dεm de bigin fכ fכm na dis fascia. as tεm de go, dεn nכdul dεm ya kin tik εn fכm kכd dεm we de kכmכt frכm di insay pat pan di an. na da tεm de di finga dεm kin bigin fכ bεnd insay, sכmtεm te dεn nכ kin strεt.

Di tin we impɔtant pas ɔl na dat dɛn lumps ya nɔto kansa (benign) . Dat min se dɛn nɔ kin gɛt kansa ɔ kin mek dɛn gɛt kansa. So nɔ wɔri bɔt am.

Bɔku tɛm, dis kin nid fɔ gɛt ɔpreshɔn, bɔt sɔm tɛm, dɛn kin ebul fɔ kɔntrol am wit simpul tritmɛnt dɛn.

Udat kin gɛt dis sik pas ɔlman?

Dupuytren in kɔntrakt kin divɛlɔp insay ɛnibɔdi. Bɔt sɔm pipul dɛn kin gɛt am mɔ. Dɛn tin ya na:

• Man dɛm: Dis sik kin bɔku pan man dɛm pas uman dɛm.
• Pipul dɛn we kɔmɔt na Yurop: Dɛn dɔn si se i kin bɔku pan pipul dɛn we kɔmɔt na Nɔtan Yuropian kɔntri dɛn.
• Pipul wae gɛt famili histri bɔt dis sik: Bikɔs dis na jɛnɛtik sik, if pɔrsin na yu famili gɛt am, chans de fɔ mek yusɛf gɛt am.

Yu tink se ɔda sik dɛn bak kin afɛkt dis?

Yes, pipul dɛm wae gɛt sɔm kayn mɛrɛsin kin gɛt Dupuytren in kɔntrakt. Fɔ ɛgzampul:

• Dayabitis (Dayabetes Mɛlitɔs) .
• Epilepsy ɛn ɔda sik dɛn we kin mek pɔsin sik
• Dizayd fɔ yuz rɔm
• HIV ɛn AIDS
• Vaskul sik

Dis nɔr min se ɔlman wae gɛt dis sik go gɛt am, bɔt i nɔr kin gɛt dis sik pas ɔda pipul dɛm.

Aw kɔmɔn tin dis kin apin?

Dupuytren in kɔntrakt nɔto rili kɔmɔn kɔndishɔn . I kin afɛkt lɛk 5% pan di pipul dɛn. As wi bin dɔn tɔk, i kin bɔku pan pipul dɛn we kɔmɔt na Yurop.

Aw di kɔntrakt we Dupuytren gɛt kin afɛkt di bɔdi?

Yu nɔr kin ivin no aw dis sik de afɛkt yu bɔdi. If de sik nɔr kin rili so, yu nɔr kin ivin no se yu gɛt am. Ivin if yu gɛt sɔm sayn dɛn, dɛn kin tek sɔm mɔnt, ivin sɔm ia fɔ mek yu go bifo. If i siriɔs, di finga dɛn we gɛt di sik nɔ kin ebul fɔ stret.

Dupuytren in kɔntrakt kin afɛkt ɛni wan pan yu finga dɛn, ivin yu big fut. Bɔt di finga dɛn we kin afɛkt mɔ na:

• Ring finga / fɔs finga
• Pinkie / fayv finga
• Midul finga / tɔd finga
• Indeks finga / sɛkɔn finga
• Thumb / fɔs finga

Dis kin afɛkt ɔda pat dɛn na di bɔdi?

Nɔ, di kɔntrakt we Dupuytren gɛt de afɛkt di an dɛn nɔmɔ . I nɔ kin apin ɛni ɔda say na di bɔdi. pan ɔl we ɔda kɔnektiv tisu disɔda kin apin na ɔda pat dɛn na di bɔdi, di kɔntrakt we Dupuytren kin gɛt kin jɔs afɛkt di an dɛn.

Sɔm pipul dɛm wae gɛt Dupuytren in kɔntrakt kin gɛt ɔda kayn sik, lɛk Ledderhose disease ( wan sik wae kin apin na di fut dɛm) ɛn Peyronie’s disease ( wan sik wae kin apin to man dɛm).

Wetin na di sayn dɛm fɔ dis? Aw fɔ no am?

Bikɔs Dupuytren in kɔntrakt kin tek mɔnt, sɔmtɛm ia, fɔ divɛlɔp, yu nɔ kin notis ɛni sayn fɔs. Bɔrku tɛm, di sayn dɛm kin apia na dis ɔda:

1. Nodul dεm: di fכs sayn na we sכm sכm sכm sכm sכm sכm dεm de sho כnda di skin fכ di pal, כltεm usay di finga dεm de mit di pal. Yu kin fil dɛn tin ya we yu tɔch dɛn, ɛn sɔntɛnde yu kin ivin si dɛn. Sɔm pipul dɛn kin jɔs gɛt dɛn lumps ya ɛn stɔp, ɔda wan dɛn kin gɛt di lumps fɔ dɔn fɔ dɛnsɛf. Di skin we de rawnd di lumps kin tan lɛk bak se i dɔn sink smɔl ɔ i dɔn rɔtin.

2. Tik Kכd dεm: As tεm de go, dεn lumps dεm ya kin tik εn fכm lכng strip dεm we lεk kכd fכ fascia tisu. Dɛn kɔd ya kin mek di finga dɛn fil lɛk se dɛn de pul dɛn insay ɛn go to di an.

3. Kɔntrakt: Dis na di sayn we de sho se di sik kin rili bad, na in di sik gɛt in nem. di bכnd dεm we lεk kכd kin tik εn stif, we kin mek i nכ kin izi fכ stret di finga dεm we dεn afekt kכmכt frכm di an.

Nɔr lɛk sɔm ɔda kɔndishɔn dɛm, Dupuytren in kɔntrakt nɔ kin gɛt patikyula trig dɛm we kin mek di simptom dɛn wɔs. If yu gɛt am, di sayn dɛn kin go bifo te di lumps kin bi kɔd ɛn afta dat di finga dɛn kin kɔntrakt. Nɔto ɔlman kin go tru ɔl dɛn stej ya.

Yu tink se ɔda sayn dɛn kin de we de sho se yu gɛt dis sik?

Apat frɔm dɛn finga prɔblɛm ya, di an we gɛt di sik kin gɛt dɛn sayn ya bak:

• Inflameshɔn ɔ swel
• Tɛnda we dɛn prɛs am
• Pen ɔ bɔn
• I de it

Bɔt dɛn sayn ya nɔ kin bɔku . Na lɛk wan kwata pan pipul dɛm wae gɛt Dupuytren in kɔntrakt kin ɛkspiriɛns dɛn. If yu gɛt Dupuytren in kɔntrakt ɛn yu gɛt dɛn sik ya, mek shɔ se yu tɛl dɔktɔ. Sɔmtɛm dɛn kin bi sayn fɔ ɔda prɔblɛm dɛn we de afɛkt yu skin ɔr fascia.

Wetin na di rizin fɔ dis?

Masta sabi bukman dɛn stil nɔ no wetin rili mek Dupuytren gɛt kɔntrakt, bɔt dɛn kin tek am se na wan sik we de mek pɔsin gɛt jɛnɛtiks . Dɛn dɔn pruv se if pɔsin na di famili gɛt am, ɔda pipul dɛn kin gɛt am bɔku bɔku wan.

I sɔprayz fɔ no se di kɔntrakt we Dupuytren gɛt na wan pan di kɔmɔn tin dɛn we kin apin we pɔsin gɛt frɔm in mama ɛn papa.

Aw dɔktɔ kin no bɔt dis?

Dɔktɔ go du wan fyzikal ɛgzam fɔ no if yu gɛt Dupuytren in kɔntrakt. I go luk yu an ɛn finga dɛn, fil fɔ lumps ɔ kɔd ɔnda di skin, ɛn mɛzhɔ aw yu finga dɛn dɔn kɔntrakt.

Wan simpul tɛst we yu kin du na os na di "tabletop test." Put yu an fes dɔŋ pan flat say (lɛk tebul). If dɛn prɛs di finga we gɛt di sik ɛn nɔ flat, yu sayn dɛn kin rili bad smɔl. If na so i bi, i go fayn fɔ mek yu go to dɔktɔ.

Ɛni spɛshal tɛst dɛn de fɔ no dis?

No spɛshal tɛst nɔ de fɔ no if Dupuytren gɛt kɔntrakt. Bɔt yu dɔktɔ kin tɛl yu fɔ du blɔd tɛst ɔ ɛkstrem rayt fɔ no ɔda tin dɛn we kin afɛkt yu an.

Wetin na di tritmɛnt dɛn?

Dipen pan aw yu sik bad bad wan, yu dɔktɔ go trit yu insay sɔm stej dɛm. Bikɔs Dupuytren in kɔntrakt na wan sik we de go bifo, i kin tek mɔnt ɔ ia fɔ go bifo to di nɛks stej fɔ tritmɛnt. Yu sik kin bɛtɛ wit di fɔs tritmɛnt ɛn yu nɔr nid ɔda tritmɛnt. If yu fɔs simptom dɛn kam bak, sɔm pan di tritmɛnt step dɛm kin nid fɔ ripit.

Kɔnsɔvativ tritmɛnt

Di tritmɛnt dɛm we de insay dis kategori na:

• Fizik tɛrapi ɔ ɛksesaiz fɔ strɛch.
• We yu wɛr bres ɔ splint fɔ ɛp fɔ strɛch di finga dɛn to dɛn nɔmal rɛnj fɔ muv.
• Inkrεs di fleksibiliti fכ yu fascia tisu wit ultrasonic (painless sound waves) כ hεt tritmεnt.
• Kɔtikosterɔyd injɛkshɔn fɔ shrink di lumps ɛn kɔd dɛn.

Rɛdieshɔn Tɛrapi

Yu dɔktɔ kin rifer yu to spɛshal raydyushɔn fɔ trit Dupuytren in kɔntrakt ɔ fɔ mek di sik nɔ wɔs. Radieshɔn tɛrapi na wan we we nɔ de mek pɔsin fil pen ɛn we dɛn kin yuz ɛkstrem rayt ɔ ɔda bim dɛn we gɛt raytin fɔ mek di lumps ɔ kɔd dɛn sof.

Dɛn kin yuz redyushɔn tɛrapi bak fɔ mɛn sɔm kayn kansa. Bɔt di kɔntrakt we Dupuytren gɛt nɔto kansa . Ɛn fɔ gɛt dis sik nɔ min se yu gɛt ɔ yu go gɛt kansa.

Nidul Aponyurotomi we dɛn kin du

If yu sik nɔr bɛtɛ afta sɔm mɔnt wae yu dɔn du simpul tritmɛnt, yu dɔktɔ kin tɛl yu fɔ du wan tin wae dɛn kɔl nidul aponeurotomy . Sɔntɛnde dɛn kin kɔl dis percutaneous needle fasciotomy . Dis na ɔutpatient prosidur we yu dɔktɔ kin du na in ɔfis.

Di dɔktɔ go numb yu an wit lokal anestetik ɛn afta dat i go yuz nidul fɔ mek sɔm pankchɔ dɛn na di fascia na yu an. Dis go rilis di tayt ɛn alaw yu fɔ stret yu finga dɛn.

Kɔlajɛnɛs Injɛkshɔn dɛn

As tritmɛnt fɔ Dupuytren in kɔntrakt, yu dɔktɔ kin injɛkt wan ɛnzaym we dɛn kɔl kolagenase insay di lumps ɔ kɔd dɛn. kolagenase na enzym we de εp fכ lכs εn brok dכn dεn tik dεm ya na yu fascia. Fɔs, yu dɔktɔ go injɛkt di kolagenase dairekt insay di lumps ɔ kɔd dɛn. Dɔn yu go gɛt fɔ kam bak di nɛks de. Da de de, yu dɔktɔ go mek yu an nɔ swɛla ɛn es di finga dɛn we gɛt di sik bak to di we aw dɛn bin de muv fɔs.

Dupuytren Kɔntrakt Ɔpreshɔn

If yu finga kɔntrakt so bad dat i de ambɔg yu ɛvride layf, yu kin nid fɔ ɔpreshɔn. Dupuytren in kɔntrakt ɔpreshɔn na ɔtpeshɛnt prɔsidyu bak, we min se yu kin go na os di sem de.

Di dɔktɔ we de du di ɔpreshɔn kin du wan fascictomy.Dɛn kɔl di we aw dɛn kin du am ablashɔn. I go numb yu an wit lokal anestetik ɛn afta dat i go pul pat ɔ ɔl di fascia we afɛkt. di amount of fascia we yu nid fכ pul dipכnt pan aw tik yu fascia tik εn aw di kכntrakshכn siriכs. Afta yu dɔn ɔpreshɔn, yu kin nid fɔ gɛt fizik tritmɛnt ɔ wok tritmɛnt fɔ ɛp yu jɔyn dɛn fɔ gɛt dɛn nɔmal trɛnk bak.

Yu tink se dis kin mɛn kpatakpata?

Bɔt i sɔri fɔ no se dɛn nɔ kin ebul fɔ mɛn di kɔntrakt we Dupuytren gɛt ɔltogɛda . Bɔt dɛn kin kɔntrol bɔku pan di kes dɛn fayn fayn wan wit tritmɛnt .

Bikɔs no kɔmplit mɛrɛsin nɔ de, ivin if dɛn pul di fascia we afɛkt insay wan ɔpreshɔn, lɛk 1 pan ɛvri 5 pipul dɛn go gɛt Dupuytren in kɔntrakt bak . If dat apin, yu go nid mɔ tritmɛnt tumara bambay.

Aw fɔ kɔntrol di sayn dɛn we pɔsin kin gɛt?

Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. If dɛn tɛl yu fɔ strɛch, ɔ if yu nid fɔ wɛr splint ɔ bres, mek shɔ se yu du am jɔs lɛk aw yu dɔktɔ tɛl yu.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Di tɛm fɔ wɛl de dipen pan di tritmɛnt we yu bin gɛt fɔ Dupuytren in kɔntrakt:

• Sɔntɛnde, i kin tek sɔm mɔnt fɔ mek di sik bɛtɛ wit simpul (fɔs) tritmɛnt .
• Wit nidul aponeurotomy, yu kɔntrakt fɔ wɛl ɔlmost wantɛm wantɛm.
• Ɔpreshɔn fɔ mek yu nɔ gɛt di sik, bɔt i kin tek tu mɔnt fɔ mek yu fil fayn ɔl afta di tɛm we yu dɔn wɛl. Afta yu dɔn du di ɔpreshɔn, yu go nid fɔ alaw yu an fɔ wɛl. Yu go nid bak fɔ du fizik tɛrapi ɔ ɔkupeshɔn tɛrapi fɔ at le sɔm mɔnt fɔ ɛp yu fɔ gɛt trɛnk bak ɛn fɔ muv difrɛn say dɛn na yu an.

Tɔk to yu dɔktɔ bifo yu bigin fɔ du yu nɔmal tin dɛn bak we yu de wɛl.

Ɛni prɔblɛm de wit di tritmɛnt?

Sɔm prɔblɛm dɛn we kin apin we dɛn de trit Dupuytren in kɔntrakt na:

• Pen
• Nɛv dɛn we dɔn pwɛl
• Sik we de prɛd
• Skaring we de mek pɔsin gɛt skata
• Damej to yu blɔd vesel dɛn
• Prɔblɛm dɛn we de mek wund wɛl

Dɛn tin ya nɔ kin apin to ɔlman, bɔt dɛn impɔtant fɔ no bɔt dɛn.

Yu tink se we de fɔ mek dis nɔ apin?

Na ɔnfɔni, natin nɔ de we yu go du fɔ mek Dupuytren nɔ gɛt kɔntrakt. Fɔ tɔk strikt wan, no mɛrɛsin nɔ de fɔ dis, ɛn i nɔto sayn we de wɔn pɔsin .I de divɛlɔp witout. If dɛn dɔn no se sɔmbɔdi na yu famili gɛt Dupuytren in kɔntrakt, tɔk to yu dɔktɔ bɔt am.

Dupuytren Kɔntrakt ɛn Dupuytren Sik na di sem tin?

Sɔntɛnde, dɔktɔ dɛn kin yuz di wɔd dɛn we dɛn kɔl Dupuytren’s contracture ɛn Dupuytren’s disease fɔ chenj dɛnsɛf. Sɔm dɔktɔ dɛn kin si smɔl difrɛns bitwin dɛn tu. Dɛn se Dupuytren in kɔntrakt (di tik we di fascia na di an tik) na wan sayn fɔ Dupuytren in sik (di ɔvala kɔndishɔn we kin mek Dupuytren in kɔntrakt). Bɔt we wi de tɔk bɔt am ɔlsay, dɛn ɔl tu de tɔk bɔt di sem tin.

Wetin na di difrɛns bitwin Dupuytren Kɔntrakchɔ ɛn Triga Finga?

Dupuytren in kɔntrakt ɛn trig finga ɔl tu kin mek yu finga bɛn insay ɛn stɔp. Bɔt dɛn tin ya na tu tin dɛn we rili difrɛn.

• Dupuytren in kɔntrakt na we di fascia tisu de tik ɛn gro ɔnda di skin na yu an. di lumps de fכm na di bכs fכ di finga dεm εn bi kכd lεk bכnd dεm כnda di palm.
• trig finga de apin we di A1 pul, we na wan mεkanism we de kכntro εn gayd di tεndon dεm na yu finga dεm εn tכmb, de inflamed. Dis inflamɛns de mek i nɔ izi fɔ yu fɔ muv yu finga fayn fayn wan lɛk aw yu kin du. Pipul dεm we gεt trig finga kin fil lεk di finga we dεn afekt "stכk" כ stכk we yu bεnd am.

Ilɛk wetin de mek yu an gɛt prɔblɛm, go to dɔktɔ wantɛm wantɛm if yu notis ɛni nyu sayn, mɔ if yu de fil pen ɔ i nɔ izi fɔ muv yu an nɔmal wan.

Di Tin we Impɔtant pas ɔl - Wan Sɔma (Tek-Home Message)

Di nem Dupuytren in kɔntrakt kin mek pɔsin fred, mɔ fɔ di wan dɛn we gɛt mɔ siriɔs sik. Bɔt mɛmba se, na wan sik we dɛn kin trit bad bad wan ɛn bɔku pipul dɛn kin gro pas am. Pan ɔl we nɔr de fɔ mɛn yu, bɔrku tritmɛnt de wae kin ɛp fɔ pul yu sik. Ɛn, i nɔto kansa sik .

If yu si se i nɔ izi fɔ yu fɔ stret yu finga dɛn, tray fɔ du di tɛst we dɛn kin du na tebul. If yu finga dɛn nɔ prɛs tranga wan pan di say we yu de, go to dɔktɔ fɔ advays. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go gɛt chans fɔ kɔntrol yu sik bifo dɛn wɔs.

Yu an dεm na wan rili imכtant pat pan yu bכdi, di pat we yu de intarakt wit di wכl εn du di tin dεm we yu lεk. So tek kia ɔf dɛn. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn du di ɛksesaiz dɛn we yu nid. Dɔn yu kin gɛt wɛlbɔdi ivin wit dis sik!

` Dupuytren kɔntrakt, finga flekshɔn, palma nodul, fascia, an sik, jɛnɛtik sik, finga kɔntrakt