Yu dɔn ɛva fil lɛk se wan finga ɔ sɔm finga dɛn na yu an de bɛn smɔl smɔl to yu an? Yu tink se i kin rili at fɔ stret am ivin we yu de tray fɔ stret am? Dis kin bi sayn fɔ wan sik wae dɛn kɔl Dupuytren in sik. We dis sik kin tranga, i kin bi se yu nɔ go ebul fɔ stret yu finga dɛn atɔl. So, tide wi de tɔk bɔt Fasciectomy, we na wan tritmɛnt we rili fayn fɔ dis sik.
Wetin na Fasciectomy?
Fasciectomy na jɔs ɔpreshɔn we dɛn kin du. I min fɔ pul wan layt we gɛt fayv we dɛn kɔl fascia na yu an. Tink bɔt am lɛk wan tin we tan lɛk tin we de ɔnda di skin na yu an. Insay pɔsin we gɛt di sik we dɛn kɔl Dupuytren, dis mɛmbran kin tik smɔl smɔl, tayt, ɛn bigin fɔ kɔntrakt. Dɔn i kin pul di finga dɛn insay to di an.
So, wetin dis Fasciectomy ɔpreshɔn de du na fɔ pul da tayt tisu de ɛn alaw yu finga dɛn fɔ stret fri wan. Dis go ɛp yu fɔ mek yu an ebul fɔ wok bak.
Wetin na di sik we dɛn kɔl Dupuytren?
Dupuytren in sik na wan sik wae de kam pan pɔrsin wae de kam wit di kɔnektiv tisu. wetin kin apin pan dis na dat di fascia we wi bin dכn tכk bכt, na di an כ di tu an dεm kin tik εn tayt. dis kכnektiv tisu na wi bכdi na in de kכnεkt wi mכsul dεm, כgan dεm, jכint dεm, εn skin togeda εn i de wok lεk sכpכt.
Sɔm pipul dɛn kin gɛt dis sik bikɔs ɔf wan jɛnɛtik muteshon we kin pas tru jɛnɛreshɔn . Bɔt sɔm pipul dɛn kin gɛt dis sik ɛn nɔr kin gɛt ɛni rizin fɔ du dat.
Pipul dεm wae gεt dis kכndyushכn fכs kin gεt sכm sכm nodul dεm כnda di skin na dεn palm dεm. As tɛm de go, dɛn nodul ya kin jɔyn togɛda ɛn mek tik tik kɔd dɛn we tan lɛk rop. Dɛn kɔd ya kin pul wan ɔ mɔ finga dɛn to di an. Dɔktɔ dɛn kin kɔl dis sik bak Dupuytren in kɔntrakt .
Udat rili nid dis ɔpreshɔn?
Bikɔs Dupuytren na sik we de go bifo, yu dɔktɔ go tray fɔs fɔ tek tritmɛnt dɛn we nɔto ɔpreshɔn.
- Sterɔyd injɛkshɔn
- Injεkshכn fכ di εnzym kolagenεz
If dɛn tritmɛnt ya nɔ ɛp, we min se yu fut finga dɛn dɔn bɛn sote yu nɔ ebul fɔ ivin du di tin dɛn we yu de du ɛvride, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Fasciectomy na di ɔpreshɔn we dɛn kin du mɔ pan dɛn kayn tin ya.
Fasciectomy, Fasciotomy... Wetin na di difrɛns?
Bɔku ɔspitul tritmɛnt dɛn de fɔ di sik we dɛn kɔl Dupuytren. Dɛn difrɛn smɔl frɔm dɛnsɛf. Lɛ wi tek wan luk pan wetin dɛn bi. Yu kin ɔndastand dis difrɛns izi wan bay we yu luk dis tebul.
| Di we aw dɛn kin trit am | Wetin fɔ du simpul wan |
|---|---|
| Fasciotomy we dɛn kin du | Dɛn kin kɔt smɔl pat na di an ɛn dɛn kin kɔt di kɔd we tik ɛn separet am. Dɛn nɔ de pul am, dɛn jɔs kɔt am. Dis kin mek di tɛnsiɔn we de na di kɔd wik ɛn mek i izi fɔ muv di finga dɛn. |
| Pɛrkyutanɛs nidul fashiɔtɔmi (Nidul Aponeurotomy) . | We dɛn yuz smɔl nidul fɔ mek sɔm ol dɛn na di tik we tik. Dɛn ol ya kin mek di tisu wik ɛn brok am, ɛn dis kin mek di finga dɛn fri. |
| Fascictomy we dɛn kin du | Dis involv fɔ kɔt ɛn pul dɛn nodul ɛn kɔd dɛn de we gɛt prɔblɛm kpatakpata. Dis na di we aw wi go tɔk bɔt na dis atikul. |
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo yu du di ɔpreshɔn. Dɛn kin aks yu fɔ du tin dɛn lɛk:
- Fast (nɔ fɔ it ɛn drink) fɔ sɔm awa bifo dɛn du di ɔpreshɔn.
- If yu de smok, stɔp fɔ smok . Smok kin ambɔg di we aw pɔsin kin wɛl.
- Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul sɔpɔt fɔ sɔm tɛm .
Yu tink se difrɛn kayn ɔpreshɔn dɛn de?
Yɛs, difrɛn kayn ɛn we dɛn de fɔ ɔpreshɔn di fasciectomy dipen pan di kɔndishɔn we di sik de.
Difrɛns bitwin Patɛl ɛn Tɔtɔl Fasciectomy
- Pat (pa pat we dɛn kin pul): Dis min se dɛn kin pul di tisu nɔmɔ we gɛt sik ɛn we tik.
- Tɔtɔl (we dɛn pul am kɔmplit wan):insay dis, dεn de pul di כl fascia mεmbran na di an, inklud di hεlty tisu.
Yu dɔktɔ go disayd ɛn ɛksplen to yu us we go fayn fɔ yu.
Di we aw dɛn kin du ɔpreshɔn
- Segmental fasciectomy: insay dis prosidכs, dεn kin mek sכm sכm sכm sכm sכm pat dεm along di nεchכral kris dεm na di an εn na sכm pat pan di tik fascia (kכd) nכmכ dεn kin pul.
- sכbtotal palma fasεktכmi: dεn kin mek sεvεra insishכn dεm along di kris dεm na di palm εn finga dεm (bכku tεm na ‘Z’ shep) fכ pul כl di sik tisu dεm we i posbul. Sɔntɛnde, dɛn kin yuz skin graft fɔ ɛp di wund fɔ wɛl.
- Dermofasciectomy: Dɛn kin du dis pan kes dɛm we di sik kam bak. na ya, dεn de pul di fascia tisu we sik wit di skin we de oba. If na so i bi, dɛn fɔ du wan skin graft.
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i du ɔpreshɔn?
Di big bɛnifit we dis ɔpreshɔn de gi na dat yu kin ebul fɔ wok bak na yu an, yu finga dɛn, ɛn yu big an. We dɛn dɔn pul di tayt tisu, yu kin ɛkstɛnd ɛn stret yu finga dɛn bɛtɛ bɛtɛ wan. Sɔm stɔdi dɛn dɔn sho se di tin dɛn we kin kɔmɔt frɔm di ɔpreshɔn we dɛn kin du fɔ pul di bɔdi kin las fɔ lɔng tɛm pas ɔda tritmɛnt dɛn.
Risk ɛn prɔblɛm dɛn de we kin apin?
Jɔs lɛk ɛni ɔpreshɔn, smɔl chans de fɔ mek sɔm prɔblɛm dɛn ɛn prɔblɛm dɛn apin. Bɔt nɔ wɔri, dɛn tin ya nɔ kin apin so ɔltɛm.
I nɔmal fɔ fil sɔm kayn we aw yu finga dɛn nɔ de fil fayn ɔ yu nɔ de fil fayn afta dɛn dɔn du yu ɔpreshɔn. Dis go bɛtɛ smɔl smɔl as di nɛf dɛn we dɛn dɔn pinch bigin fɔ rilaks.
Ɔda prɔblɛm dɛn we kin apin:
- Alɛji fɔ anestezi
- Infekshɔn na wund
- Skin sɛnsitiviti ɛn skata
- Brus dɛn we de na di bɔdi
- Swɛlin (ɛdima) .
- Na smɔl tɛm nɔmɔ, di nɛf ɔ di blɔd vesel dɛn na di an kin pwɛl.
Aw na di tɛm fɔ wɛl?
I nɔmal fɔ fil sɔm pen, swel, ɛn stif na yu an afta yu dɔn ɔpreshɔn yu. Yu kin fil bak se yu an ɛn finga dɛn de swɛ. I kin tek sɔm mɔnt fɔ lɛ dɛn tin ya dɔn kɔmɔt kpatakpata. Dipen pan di kayn wok we yu de du, yu kin nid fɔ tek tu to twɛlv wik (lɛk 3 mɔnt) fɔ lɛf fɔ wok.
I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn we yu de wɛl.
- Put ays pak na di an, ɛn kip am ɔp.
- Klin di wund wit sop ɛn wata ɛn kip am kɔba wit bandej.
- Tek tɛm mek yu nɔ wet yu an ɛn stich we yu de was.
- Fizik tɛrapi tritmɛntFɔ atɛnd di sɛshɔn dɛn ɛn du di ɛgzampul dɛn na os ɛksaktɔli impɔtant fɔ mek yu an wok bak.
- Fɔ tek pen kil ɛn antibayɔtik dɛn we dɛn dɔn tɛl yu fɔ tek jɔs lɛk aw dɛn tɛl yu fɔ tek.
- Dɛn kin aks yu fɔ wɛr splint (sɔpɔt we de mek yu an stil) fɔ lɛk 3 mɔnt.
Ɔpreshɔn nɔ kin mɛn di sik ɔl, bɔt i kin rili ɛp fɔ mek di an wok fayn. Na lɛk tu pan tɛn pipul dɛm wae gɛt ɔpreshɔn go gɛt sɔm kayn sik wae de kam bak. If dis apin, dɛn kin nid fɔ du ɔda ɔpreshɔn.
Us tɛm a fɔ kɔl di dɔktɔ?
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
| Ficha fɔ pe atɛnshɔn to | Tɔk bɔt |
|---|---|
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, yɔlɔ wata we de kɔmɔt na di wund, ɛn rɛd strek dɛn we de kɔmɔt rawnd di wund. |
| Di sayn dɛn we de sho se pɔsin gɛt alɛji | Itchy skin rash. |
| I kin fil pen bad bad wan | Pen we yu nɔ go ebul fɔ bia, we de mek yu mɔsul dɛn at pwɛl bad bad wan. |
| Di wok we di finga dɛn de du | Nɔr kin fil fayn na di finga dɛm ɔr nɔr kin ebul fɔ muv dɛm. |
| Ɔda imejensi simptom dɛm | Chɛst pen ɔ i nɔ kin izi fɔ blo. |
Dupuytren sik kin bi big tin wae de ambɔg yu ɛvride woke ɛn woke. Fasciectomy ɔpreshɔn de mek yu ebul fɔ yuz yu an ɛn finga dɛn bak ful wan. Di tin we impɔtant pas ɔl na fɔ fala di kɔrɛkt fizik tritmɛnt ɛn ɛksesaiz afta dɛn dɔn du di ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Fasciectomy na ɔpreshɔn we dɛn kin du fɔ stret di finga dɛn we dɔn bɛn na do bikɔs ɔf di sik we dɛn kɔl Dupuytren.
- dis כpεrayshכn de aim fכ mek di an wok bak bay we dεn de pul di tik tik we de pul di finga dεm insay.
- I rili impɔtant fɔ fala di tritmɛnt fɔ di tritmɛnt we dɛn de gi yu ɛn di mɛrɛsin instrɔkshɔn dɛn fɔ mek shɔ se yu wɛl ɔl afta dɛn dɔn du yu ɔpreshɔn.
- Pan ɔl we dis ɔpreshɔn nɔ de mɛn di sik kpatakpata, i kin rili ɛp fɔ mek pipul dɛn liv bɛtɛ layf.
- If yu de gɛt dɛn sik ya, go to dɔktɔ we sabi du di wok fɔ tɔk bɔt aw fɔ trit yu.
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