Yu dɔn ɛva fil lɛk se di skin na yu an dɔn tik ɛn mek smɔl smɔl bɔmp dɛn? Ɔ i nɔ kin izi fɔ yu fɔ kip wan ɔ tu finga dɛn stret, ɛn dɛn kin bɛn smɔl smɔl to di an? Dis nɔto fɔ yu nɔmɔ. Dis na wan sik we pɔsin kin gɛt we i de mɛn pipul dɛn. Wi de kɔl am Dupuytren in Kɔntrakchɔ. Bɔrku pipul nɔr no bɔrku tin bɔt dis, so e kin mek pɔrsin frayd. So tide wi go tɔk bɔt ɔltin rili simpul ɛn fayn fayn wan.
Fɔ tɔk am simpul wan, wetin na Dupuytren in Kɔntrakchɔ?
dis kin apin biכs wan layεr fכ tisu (fascia) כnda di skin na yu an de tik sכmtεm εn fכm fayv kכd dεm. I tan lɛk se sɔmbɔdi de pul rop frɔm insay yu an. As tɛm de go, as dɛn kɔd ya de tayt, wan ɔ mɔ pan di finga dɛn we dɛn kɔnɛkt to dɛn kin bigin fɔ bɛn insay. Dis na wetin wi de kɔl `kɔntrakt.' Dis sik kin afɛkt di ring ɛn smɔl finga dɛn mɔ, bɔt i kin apin to ɛni finga.
Dis nɔto kansa ɔ sik we pɔsin kin gɛt. Ɛn di pen we pɔsin kin fil we i kin fil nɔ kin bɔku. Bɔt di men prɔblɛm na dat we dɛn bɛn di finga dɛn, i kin at fɔ du ɛvride wok. Fɔ ɛgzampul, ivin simpul tin dɛn lɛk fɔ shek yu an, fɔ put yu an insay yu poket, ɔ fɔ ol sɔntin tayt, kin tranga.
Aw dɛn kin disayd fɔ trit pɔsin?
Di tritmɛnt fɔ Dupuytren in kɔntrakt kin difrɛn difrɛn wan fɔ di kayn sik we yu gɛt. No wan saiz tritmɛnt nɔ de fɔ ɔlman. Yu dɔktɔ go chɛk yu ɛn no di bɛst tritmɛnt bay aw i de afɛkt yu layf.
De tin wae impɔtant pas ɔl na dat, nɔr tritmɛnt wae dɛn dɔn fɛn te naw nɔr kin stɔp dis sik ɔltogɛda ɔr kin mek i nɔr de wɔs wans i dɔn kam. Di men gol fɔ tritmɛnt na fɔ ridyus di sayn dɛm ɛn fɔ mek di an wok bak.
Fɔ sɔm pipul dɛm, de sik kin go bifo smɔl smɔl. I kin jɔs bi smɔl smɔl tin we de na yu an we nɔ de chenj fɔ lɔng lɔng tɛm. Na dɛn kayn tin ya, if i nɔ de ambɔg yu ɛvride wok, i bɛtɛ fɔ tek "wet ɛn si" we.
Bɔt if yu finga de fleks kwik kwik wan ɛn i de mek i nɔ izi fɔ du di wok dɛn we yu de du ɛvride, yu dɔktɔ go tɔk bɔt di rayt tritmɛnt fɔ yu.
Tritmɛnt dɛn we Nɔ De Ɔspitul
Bɔku tritmɛnt dɛn de we dɛn kin yuz we di sik bigin, ɔ apat frɔm ɔpreshɔn. Bɔt dɛn tin ya dɔn sho se dɛn nɔ ebul fɔ du bɛtɛ tin.
| Di we aw dɛn kin trit am | Wetin kin apin to am? |
|---|---|
| We yu de strɛch | I kin fayn fɔ di wan dɛn we gɛt sik we nɔ kin rili at. Dɛn kin yuz am bak wit ɔda tritmɛnt dɛn. Bɔt dɛn fɔ du dɛn tin ya jɔs lɛk aw di dɔktɔ tɛl dɛn . |
| Stɛroyd Injɛkshɔn dɛn | Dis na pawaful mɛrɛsin dɛn we de mek pɔsin nɔ gɛt inflammatory. We dɛn injɛkt am dairekt insay wan nodul na di an, i kin ridyus in saiz. Bɔt dis kin wok fayn nɔmɔ we di sik bigin. We di tisu dɔn tik, i nɔ kin rili wok. |
| Enzyme Injɛkshɔn dɛn we dɛn kin yuz | If yu finga dɔn ɔlrɛdi bɛn, yu dɔktɔ kin tɛl yu fɔ injɛkshɔn wan ɛnzaym miksɔp lɛk Xiaflex . dεn εnzym dεm ya de brok dכn di tik tik εn lכs am. Di nɛks de, yu dɔktɔ go tray fɔ stret yu finga bay we i ol am ɛn pul am. Dɛn kin yuz dis as ɔda we fɔ du ɔpreshɔn. |
| Rɛdieshɔn Tɛrapi | Low-level radiation therapy na ɔda opshɔn, bɔt stil smɔl risach data de bɔt aw i dɔn wok fayn. |
Smɔl mɔ bɔt ɛnzaym injɛkshɔn...
Fɔ bɔku pipul dɛn, wan ɔ tu injɛkshɔn kin du fɔ di jɔyn we dɔn afɛkt. Sɔm pipul dɛn kin nid fɔ rich tri. Di sayd ɛfɛkt dɛm we kin apin pas ɔl na fɔ swel, blɔd, brus, ɛn pen na di say we dɛn injekt am. Na sכm tεm, siriכs sayd ifekt dεm lεk tεndon dεm we de pwεl, nεv dεm we dεn dכn pwεl, כ alerji rεakshכn kin apin.
Dɛn dɔn tray ɔda tritmɛnt dɛn lɛk fɔ splin, vaytamɛn E krim, ɛn ɔltra saund, bɔt bɔku tɛm dɛn nɔ kin gi fayn fayn tin dɛn.
Ustɛm i nid fɔ du ɔpreshɔn? (Sɔjmɛnt Tritmɛnt dɛn) .
If i nɔ izi fɔ yu fɔ du ɛvride wok, lɛk fɔ ol sɔntin, fɔ rayt, ɔ fɔ ol kɔp, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn. Di men gol fɔ ɔpreshɔn na fɔ mek di muvmɛnt we yu dɔn lɔs na yu finga dɛn kam bak.
Tu men kayn ɔpreshɔn dɛn de.
| Di kayn ɔpreshɔn we dɛn kin du | Tɔk bɔt |
|---|---|
| Opin Ɔpreshɔn | Di dɔktɔ we de du di ɔpreshɔn kin kɔt di an ɛn kɔt di tik tik (fasciotomy) ɔ pul ɔl ɔ pat pan am (fasciectomy) . Sɔntɛnde, dɛn kin yuz skin graft bak fɔ lɔk di wund. |
| Nidul Aponyurotomi we dɛn kin du | Dis na tin we simpul pas fɔ du ɔpreshɔn we dɛn opin. Di dɔktɔ we de du di ɔpreshɔn de yuz haypodamik nidul fɔ kɔt ɛn separet di tik tik we de ɔp di skin. Di tɛm fɔ wɛl kin shɔt. Bɔrku pipul nɔr nid fɔ gɛt fizik tritmɛnt afta dɛn dɔn du am. |
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Bɔku tɛm, ɔpreshɔn kin kɔrɛkt di we aw di finga dɛn bɛn ɛn mek di an wok bak. Bɔt if dɛn bɛn sɔm finga dɛn, i kin at fɔ kɔrɛkt am smɔl.
Ɔpreshɔn kin gɛt sɔm prɔblɛm dɛn bak ɛn sɔm prɔblɛm dɛn.
- Rikɔrɛshɔn: Sɔm risk de fɔ mek i kam bak wit ɔl tu di kayn ɔpreshɔn.
- Ɔda prɔblɛm dɛn we kin apin:
- Wund de swel ɛn pen
- Damej pan di nerv ɔ blɔd vesel
- Infεkshכn dεm
- Tisu day
Aw fɔ wɛl kwik kwik wan?
I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn jɔs afta yu dɔn du di ɔpreshɔn.
- Ɛlevɛt yu an: If yu es yu an ɔp yu at, dat kin ɛp fɔ mek yu nɔ swel ɛn nɔ fil pen.
- Finga wiggles: If di dɔktɔ tɛl yu, wiggle yu finga dɛn.
- Fizik tritmɛnt:Yu dɔktɔ kin sɛn yu to dɔktɔ we de mɛn yu bɔdi we go tich yu ɛksesaiz fɔ mek yu an gɛt trɛnk ɛn wok fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- Dupuytren in Kɔntrakchɔ na wan kɔndishɔn we di tisu dɛn na di an kin tik ɛn di finga dɛn kin bɛn. I nɔto kansa ɔ sik we pɔsin kin pas.
- Nɔto ɔlman nid ɔpreshɔn. If di sik nɔr tu, no tritmɛnt nɔr nid fɔ de.
- If dis de ambɔg yu wok we yu de du ɛvride, tritmɛnt dɛn de we yu nɔ de du ɔpreshɔn (injɛkshɔn) ɛn ɔspitul.
- Na yu dɔktɔ nɔmɔ go ebul fɔ no di bɛst tritmɛnt fɔ yu. So if yu notis ɛni chenj na yu an, nɔ fred fɔ go to dɔktɔ.
- Afta yu dɔn gɛt tritmɛnt, fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn pɔsin we de mɛn yu bɔdi dɔn gi yu fɔ mek yu wɛl kwik kwik wan.
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