Tek wan luk pan yu pal. Sɔntɛnde yu kin fil sɔntin lɛk 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, dis kin mek yu finga dɛn kɔl insay, lɛk se yu de klem yu fist. Yu tink se i nɔ kin izi fɔ yu fɔ stret yu an, put am na yu pɔkit, ɔ ivin shek pɔsin in an? Dis kɔndishɔn na wetin wi kin kɔl Dupuytren’s Disease ɔr Dupuytren’s contracture. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Wetin na Dupuytren in Sik?
Fɔ tɔk am simpul wan, wan layt de ɔnda di skin na wi an. Wi kin kɔl dis fascia . Dis kin rili loose ɛn fleksibul. Na di fleksibul we dis tisu de mek wi ebul fɔ bɛn ɛn es wi an dɛn ɛni we we wi want.
כltu, insay di sik we dεn kכl Dupuytren, dis tisu we dεn kכl `fascia` de tik sכmtεm εn bigin fכ tayt fכ nכ rizin.
Imajin, insay dis tisu, fayv dɛn de we tan lɛk rop. Insay dis sik, dɛn fayv ya kin tayt smɔl smɔl ɛn bigin fɔ kɔntrakt. Na da tɛm de di finga dɛn kin bigin fɔ pul insay smɔl smɔl to di an. Bɔku tɛm, dis sik kin afɛkt di pinki finga ɛn di ring finga . Sɔntɛnde, yu tu an kin afɛkt. Bɔt bɔku tɛm, wan an kin afɛkt pas di ɔda wan. If i siriɔs, di an kin paralayz ɔl ɛn i kin pwɛl.
Wetin na di sayn dɛm fɔ dis sik? Aw fɔ no am?
Di simptom dɛm fɔ Dupuytren in kɔntrakt nɔ kin kam wantɛm wantɛm. Dɛn kin apia smɔl smɔl, as tɛm de go. Lɛ wi tek wan luk pan wetin na dɛn stej dɛn de.
| Faz fɔ di simptom | Wetin De Apin & Aw I De Fil |
|---|---|
| Nodul dɛn we de na di bɔdi | Dis na de fɔs sayn wae bɔrku pipul kin gɛt. I tan lɛk 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, dɛn lumps ya kin mek yu fil pen smɔl ɛn i kin fil we yu tɔch yu. Bɔt as tɛm de go, di pen ɛn di we aw pɔsin kin fil kin go. |
| Kɔd dɛn | As tɛm de go, dɛn lumps ya kin bigin fɔ mek tayt, lɛk rop ɔnda di skin. Dɛn tin ya nɔ kin chenj chenj. Dɛn tayt band dɛn ya we tan lɛk rop na dɛn kin mek di finga dɛn bɛn smɔl smɔl ɛn pul dɛn go na di an. |
| Kɔntrakt we dɛn de du | We di finga flekshɔn kin rili bad, i nɔ kin izi fɔ mek dɛn stret dɛn ɔl. Dis kin mek i nɔ izi fɔ du ɛvride wok lɛk fɔ pik big tin dɛn, fɔ put yu an insay pɔkit fɔ gɛt mɔni ɔ fɔ gɛt ID, fɔ stret yu an pan tebul, fɔ wɛr glɔv, ɔ fɔ shek yu an wit pɔsin. |
Wetin na di tin dɛm wae kin mek dis sik ɛn di tin dɛm wae kin mek pɔrsin gɛt dis sik?
Wi nɔ no yet di rayt tin we kin mek pɔsin gɛt dis sik, bɔt sayɛnsman dɛn biliv se sɔm bayɔkemikal tin dɛn we kin afɛkt di kɔnɛktiv tisu na di an kin apin.
Di impɔtant tin na dat, i nɔ kin kam bikɔs i wund ɔ yuz di an pasmak. Nɔto sik bak we de afɛkt di tɛndon dɛn we de ɛp fɔ muv di an.
Bɔt dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt dis sik mɔ ɛn mɔ. Dɛn na:
- Fɔ drink rɔm pasmak: Bɔt mɛmba se nɔto ɔlman we gɛt dis sik gɛt adikshɔn to rɔm.
- Fɔ gɛt dayabitis.
- Fɔ gɛt sik dɛn we kin mek yu fil lɛk se yu de fil lɛk fɔ gɛt ɛpilepshi.
- Fɔ smok.
- Wae yu gɛt dis sik na pɔrsin na yu famili: Dis min se sɔm kayn tin kin de wit am.
- Fɔ bi man we dɔn pas 40 ia: Dis sik kin bɔku pan man dɛn pas uman dɛn.
- Fɔ gɛt Nɔtan Yuropian (Inglish, Ayrish, Skɔtish, Frɛnch, Dɔch) ɔ Skandinevian (Swedish, Nɔwe, Finnish) ansest: Dis nɔto tin we rili impɔtant fɔ pipul dɛn na wi kɔntri, bɔt i fayn fɔ no.
Aw di dɔktɔ kin no bɔt dis? (Diagnosis) .
We yu go to dɔktɔ, i go aks yu fɔs bɔt yu sik, yu wɛlbɔdi istri ɛn yu famili, dɔn i go tek tɛm chɛk yu an, yu an, ɛn finga dɛn.
Insay dis tɛst, dɛn kin chɛk di pal fɔ si if i gɛt lumps ɛn ɔmɔs i gɛt. Dɔn bak, di men tɛst we dɛn kin du na fɔ si if dɛn kin put di an flat pan tebul (tebultɔp tɛst). Bɔrku tɛm, pɔrsin wae gɛt dis sik nɔr kin ebul fɔ kip in an flat ɔl na tebul.
Apat frɔm dat, di dɔktɔ kin chɛk tin dɛn lɛk:
- I go si aw yu go ebul fɔ du tin fayn fayn wan.
- I de sho aw fɔ pinch smɔl smɔl tin dɛn wit yu finga dɛn.
- dεn de mכsu di sεns na di tכmb εn כda finga dεm.
- dεn de chεk di rεnj we di finga dεm de muv fכ si if dεn kin fulכp stret.
De dɔktɔ kin tek yu an pikchɔ bak fɔ si if de sik kin chenj as tɛm de go.
Wetin na di tritmɛnt dɛm fɔ dis?
De fɔs tin fɔ tɔk na dat, no mɛrɛsin nɔr de fɔ dis sik. Bɔt nɔ wɔri, i nɔto sik we de mek pɔsin in layf de pan denja. Sɔm pipul dɛn kin liv wit am fɔ lɔng lɔng tɛm ɛn nɔ gɛt ɛni prɔblɛm. Sɔntɛnde, dɛn nɔ kin ɛva nid tritmɛnt.
Bɔt if di lumps de mek yu fil pen, ɔ if di finga de twitch de ambɔg yu ɛvride, tritmɛnt dɛn de we yu kin du.
Impɔtant: Splint nɔ go ɛp wit dis kɔndishɔn. Infakt, if yu tray fɔ fos yu fɔ stret yu finga, i kin mek i skrach kwik kwik wan. So nɔ du dɛn kayn tin ya we yu nɔ go to dɔktɔ.
Tritmɛnt we nɔto ɔpreshɔn
- Stɛroyd injɛkshɔn: If wan lump de rili pen, yu dɔktɔ kin tɛl yu fɔ tek kɔtikosterɔyd injɛkshɔn. Dis na strɔng anti-inflammatory drɔg. I de mek di swɛlin ɛn pen nɔ bɔku. Sɔntɛnde, i kin stɔp wan finga fɔ mek i nɔ wɔs. Bɔt dis injɛkshɔn nɔ go mek di finga we dɔn ɔlrɛdi bɛn stret.
- εnzym injεkshכn: If yu finga dεm dεn dכn bεn, yu dכkta kin injεkt yu wit wan εnzym miksכp we dεn kכl `kolagenase` (Xiaflex). dis εnzym dεm de εp fכ sכlv di tik tik stif tisu. Dis kin mek di tayt band dɛn we tan lɛk rop wik, ɛn dis kin mek di dɔktɔ ebul fɔ chenj yu finga dɛn smɔl.
Ɔspitul tritmɛnt
If di sik kɔntinyu fɔ wɔs ɛn i rili ambɔg di an fɔ wok, di dɔktɔ kin tɛl yu fɔ du ɔpreshɔn.
- Fasciotomy: Dis ɔpreshɔn kin gɛt fɔ kɔt ɛn separet di tik tik we tan lɛk kɔd. Dis kin mek di finga ebul fɔ muv fri wan. Di dɔktɔ de mek di say nɔ gɛt bɛtɛ trɛnk ɛn mek smɔl say na di an.
- Sabtɔtal palma fasɛktɔmi: .insay dis, dεn kin pul כl di tik tik εn di tεndon dεm we dεn kin pul. Dis kin mek di finga stret. dis kin involv fכ mek "zig-zag" insayshכn na di palm. Dis kin kɔmplikt smɔl pas ɔda ɔpreshɔn dɛn. I kin tek lɔng tɛm bak fɔ mek i wɛl. Afta dɛn dɔn du di ɔpreshɔn, dɛn kin nid fɔ du fizik tritmɛnt ɛn sɔntɛnde ivin fɔ graft di skin.
I kin swel ɛn sɔm pen kin de na di an afta dɛn dɔn du di ɔpreshɔn. fכ kip di an oba di lεvεl na di at εn fכ fleks εn εksεnd di finga dεm kin εp fכ ridyus di swel εn pen εn εp di hiling prכsεs fכ go fast.
Ustɛm yu fɔ go to dɔktɔ?
Pan ɔl we Dupuytren in sik nɔto denja, i kin mek pɔsin nɔ ebul fɔ du am if i rili bad. So, if yu gɛt dɛn sik ya, nɔ de te fɔ go to dɔktɔ.
| If yu gɛt dɛn sik ya, yu go mɔs go to dɔktɔ. |
|---|
| If yu gɛt wan ɔ mɔ lumps na yu pal (ilɛksɛf i de pen ɔ i nɔ de pen). |
| If i nɔ izi fɔ yu fɔ stret yu finga dɛn. |
| If i nɔ izi fɔ yu fɔ ol big ɔ smɔl tin dɛn. |
| If yu nɔ ebul fɔ put yu an flat pan tebul ɔ put yu an na pɔkit. |
Mɛsej we dɛn kin kɛr go na os
- Dupuytren sik na wan sik we di tisu we de ɔnda di skin na di an kin tik ɛn di finga dɛn kin kɔl insay. I nɔto tin we kin mek pɔsin in layf de pan denja.
- Di men sayn dɛm na di lump na di palm, i nɔ kin izi fɔ mek di finga dɛn stret, ɛn i nɔ kin izi fɔ du di wok dɛn we i kin du ɛvride.
- Pan ɔl we no patikyula rizin nɔ de fɔ dis, dayabitis, smok, ɛn tin dɛn we kin mek pɔsin gɛt jɛnɛtiks kin mek i gɛt mɔ prɔblɛm.
- Tritmɛnt kin jɔs nid fɔ de if di sayn dɛm de ambɔg di layf ɛvride. Difrɛn tritmɛnt dɛn de we pɔsin kin gɛt, lɛk injɛkshɔn ɛn ɔpreshɔn.
- If yu gɛt dɛn sik ya, nɔr panik ɛn go to dɔktɔ kwik kwik wan fɔ advays. Dat na di bɛst tin fɔ du.
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