Yu dɔn ɛva fil se yu an dɛn, mɔ na di say we yu finga dɛn de, 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Fɔs, i kin tan lɛk se i nɔ bɔku, bɔt as tɛm de go, di lumps kin tik ɛn wan ɔ mɔ finga dɛn kin bɛn insay smɔl smɔl. Bɔrku pipul kin bigin fɔ tink bɔt dis wae dɛn nɔr kin ivin ebul fɔ stret dɛn an kɔmplit wan ɛn put am pan tebul. Dis na wan sik wae wi kin kɔl Dupuytren’s contracture , ɔr Dupuytren’s disease . Nɔ wɔri, nɔto kansa ɔr wan sik wae de mek yu layf de pan denja. Bɔt i kin mek i nɔ izi fɔ du di tin dɛn we yu de du ɛvride. So, if yu gɛt dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ fɔ no ustɛm i bi. Lɛ wi tek tɛm luk wetin kin apin we yu go to dɔktɔ ɛn wetin yu nid fɔ no.
Kwɛstyɔn dɛn we yu kin aks di dɔktɔ
We yu go si yu dɔktɔ, i go aks yu sɔm kwɛstyɔn dɛn. Dɛn kwɛstyɔn ya na fɔ ɛp am fɔ ɔndastand yu sik ɛn no di bɛst tritmɛnt. Nɔ fred fɔ gi di tru tin dɛn we yu no.
Imajin, lɛk wi ɔnkul Siripala. I bin notis fɔs wan smɔl smɔl tik na in an. I bin tink se na sɔntin we i bin kam fɔ no we i bin de wok na Wattepitiya. As di ia dɛn de go, in smɔl finga ɛn in ring finga bigin fɔ bɛn smɔl smɔl. I nɔ bin ivin ebul fɔ ol wan kɔp ti fayn fayn wan. Na we i dɔn fɛn dɔktɔ, na in i kam fɔ no se na Dupuytren in yon. Dis na sɔm pan di kwɛstyɔn dɛn we di dɔktɔ aks am.
Si di tebul we de dɔŋ fɔ si us kwɛstyɔn dɛn di dɔktɔ de aks ɛn wetin i de luk fɔ pan dɛn.
| Di kwɛstyɔn we di dɔktɔ aks | Wetin mek dat impɔtant? |
|---|---|
| Wetin na yu sayn dɛm? Ustɛm dɛn bigin? | Frɔm wetin yu tɔk bɔt, di dɔktɔ kin gɛt gud aidia bɔt aw di sik bad ɛn aw i de go bifo kwik kwik wan. |
| Yu tink se dis kin mek pɔsin fil bad? | Dis sik nɔr kin pen, bɔt sɔmtɛm di lumps na di pal kin pen smɔl fɔ tɔch. |
| Ɛnibɔdi na yu famili dɔn gɛt dis sik? | Dis na sik wae kin pas frɔm jɛnɛreshɔn. Jɔs lɛk aw dɛn kin se dayabitis ɛn kɔlɔstrel kin rɔn na wi famili, dɛn sik ya sɛf tan lɛk dat. Na dat mek dis kwɛstyɔn rili impɔtant. |
| Yu gɛt sik dɛn lɛk dayabitis ɔr sik wae de mɛk yu nɔr de fil fayn? | Pan ɔl we wi nɔ no di rayt tin we kin mek i gɛt dis sik, Dupuytren in sik kin bɔku pan pipul dɛn we gɛt dɛn tu sik ya. |
| Dis sik kin ambɔg di tin dɛn we yu kin du ɛvride? | Fɔ no if yu gɛt prɔblɛm wit tin dɛn lɛk fɔ shek yu an, fɔ wok na gadin, ɔ fɔ pik tin dɛn, rili impɔtant fɔ disayd if yu fɔ bigin tritmɛnt. |
| Yu kin du "tebul-tɔp tɛst"? | Dis na di tɛst we izi ɛn impɔtant pas ɔl fɔ no if pɔsin gɛt di sik. Dɛn kin chɛk fɔ si if yu go ebul fɔ kip yu an flat ɔlsay na tebul. If yu nɔ ebul, dat na di men sayn fɔ Dupuytren in kɔntrakt. Dis nɔ kin nid ɛnitin lɛk ɛkstrem rayt ɔ MRI. |
Tin dɛn we yu fɔ aks yu dɔktɔ
Jɔs lɛk aw di dɔktɔ kin aks yu kwɛstyɔn dɛn, dis na di bɛst chans fɔ aks ɛn no di kwɛstyɔn dɛn we de na yu maynd. Sɔntɛnde, we wi mit di dɔktɔ, wi kin fɔgɛt di tin dɛn we wi want fɔ aks. So bifo yu go, rayt di tin dɛn we yu want fɔ no na buk. Da we de, yu nɔ go mis ɛnitin. Rayt bak di ansa dɛn we di dɔktɔ gi na di sem buk.
Na sɔm impɔtant kwɛstyɔn dɛn we yu kin aks.
Aw kwik dis sik go skata?
E tranga fɔ gi difinitiv ansa to dis kwɛshɔn bikɔs di rεt wae de sik de go bifo kin difrɛn frɔm pɔrsin to ɔda pɔrsin. Fɔ bɔku pipul dɛn, i kin go bifo smɔl smɔl fɔ sɔm mɔnt ɔ sɔm ia . Bɔt nɔr kin bɔrku, sɔm pipul dɛn kin gɛt sɔm kayn sik wae kin wɔs fɔ sɔm wik ɔr mɔnt. Yu dɔktɔ go ebul fɔ gi yu wan rough idea bɔt aw yu sik dɔn go bifo te naw.
Aw lɔng te a go si di dɔktɔ bak?
If yu sik nɔr tu siriɔs, min se dɛn nɔr de ambɔg yu ɛvride, de dɔktɔ kin se fɔ wet smɔl bifo yu bigin tritmɛnt.Dɛn kɔl dis di ‘watch and wait’ we fɔ du tin. If na so i bi, dɛn go tɛl yu fɔ de wach yu sik dɛn. Dɛn go aks yu bak fɔ kam bak fɔ chɛk-ap ɔltɛm.
Wetin na di tritmɛnt dɛn we yu kin gɛt?
Di tritmɛnt we yu go gɛt go dipen pan di say we di sik de, di stej, ɛn aw i siriɔs. Bɔku tritmɛnt dɛn de we yu kin gɛt.
Di tin we impɔtant pas ɔl na fɔ mek yu ɛn yu dɔktɔ disayd fɔ gɛt tritmɛnt togɛda. Tɔk ɔltin, ɔndastand ɔltin, dɔn disayd fɔ du sɔntin.
- Enzyme injection: Dis na nyu tritmɛnt. Na ya, dɛn kin injɛkt wan spɛshal ɛnzaym fɔ sɔlv di tik tik ɛn stika tisu. Bɔku tɛm, dɛn kin tray fɔ du dis fɔs bikɔs i nɔ kin ambɔg pɔsin pas ɔpreshɔn.
- Nidul aponeurotomy: Insay dis prosidur, dɛn kin yuz spɛshal nidul fɔ brok di tik tik to smɔl smɔl, we kin mek di finga stret.
- Ɔpreshɔn: If di sik bad ɛn di fut finga dɛn bɛn bad bad wan insay, bɔku tɛm dɛn kin se dɛn fɔ du ɔpreshɔn. Dis min se dɛn fɔ pul di wan ol jɔyn ɛn di tik we dɔn tik.
Dis kin apin bak afta dɛn dɔn trit am?
Yɛs, dis rili impɔtant fɔ no. Dupuytren in sik gɛt bɔku bɔku sik we de kam bak . So, ilɛk us tritmɛnt yu yuz, di sik kin kam bak afta sɔm tɛm. If dat apin, yu go gɛt fɔ gɛt tritmɛnt bak. Bɔt di rit we kin kam bak afta dɛn dɔn du di ɔpreshɔn kin smɔl pas ɔda we dɛn.
Ples de we a kin gɛt infɔmeshɔn ɛn sɔpɔt?
We yu de liv wit sik lɛk dis, na big trɛnk fɔ tɔk to pipul dɛm wae no bɔt am ɛn sheb infɔmeshɔn. So, aks yu dɔktɔ bɔt di kɔmyuniti dɛn we di sik pipul dɛn de ɔ ɔda say dɛn we dɛn kin gɛt infɔmeshɔn.
Mɛsej we dɛn kin kɛr go na os
- Dupuytren in kɔntrakt na wan kɔndishɔn we di finga dɛn na di an kin bɛn smɔl smɔl insay. I nɔto kansa ɔ sik we pɔsin kin gɛt, so nɔ fɔ fred we yu nɔ nid.
- If yu fil lɛk se yu an dɔn knot ɔ yu finga dɛn de kɔl insay, go mɔs go to dɔktɔ fɔ advays.
- di diagnosis kin bi tru wan fyzikal egzamin εn "tebul-tכp tεst." Bɔku tɛm, i nɔ kin nid fɔ du tɛst dɛn we dia lɛk ɛkstrem rayt.
- Tritmɛnt na if i de ambɔg di tin dɛn we dɛn kin du ɛvride. Bɔku tin dɛn de we yu kin du, lɛk injɛkshɔn, akupankcha, ɛn ɔpreshɔn.
- We yu go to dɔktɔ, nɔ fɔgɛt fɔ mek wan list fɔ yu kwɛstyɔn ɛn tin dɛn we de mɔna yu. I go rili ɛp yu.
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