Yu dɔn ɛva fil lɛk se wan ɔ mɔ pan yu finga dɛn de bɛn smɔl smɔl insay ɛn i nɔ izi fɔ mek yu stret? I kin tan lɛk se dɛn de pul yu finga insay ɛn stɔp, nɔto so? Dis na wetin wi kin kɔl Dupuytren in sik. Dis sik kin mek i nɔ izi fɔ ivin du ɛvride wok. Tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we dɛn kin du as sɔlv fɔ dis sik, we dɛn kɔl Fasciectomy.
Fɔs, wetin na Fasciectomy?
Fɔ tɔk am simpul wan, fasciectomy na ɔpreshɔn we de pul wan layt pan di tisu (we dɛn kɔl fascia) we dɔn tayt ɛn tik insay yu an bikɔs ɔf di sik we dɛn kɔl Dupuytren. Dis sik kin mek wan ɔ mɔ pan yu finga dɛn bɛn to di sayd na yu an we yu nɔ want. Sɔntɛnde, yu finga dɛn nɔ kin ebul fɔ stret atɔl. So, afta dis fasciectomy, dεn de pul di tayt tisu, we de fri yu finga dεm εn alaw yu fכ gεt nכmal fכnshכn bak na yu an.
Wetin rili na di sik we dɛn kɔl Dupuytren?
Dupuytren in sik na wan sik wae de kam wit kɔnektiv tisu wae kin wɔs smɔl smɔl as tɛm de go. Naw yu kin de wɔnda wetin na kɔnɛktiv tisu. Na wan kayn tisu we de kɔnɛkt ɛn sɔpɔt ɔl di mɔsul dɛn, ɔgan dɛn, jɔyn dɛn, ɛn skin na wi bɔdi.
dis kכndyushכn de kכz fכ di tik εn tayt fכ di fascia, we na wan layεr fכ tisu כnda di skin fכ di palm. Sɔm pipul dɛn kin gɛt dis sik frɔm dɛn mama ɛn papa tru wan jin we dɛn chenj . Ɔda pipul dɛn kin gɛt dis sik fɔ no rizin.
As di sik bigin, smɔl smɔl nodul dɛn kin apia ɔnda di skin na di pal. As tɛm de go, dɛn nodul ya kin jɔyn togɛda fɔ mek tayt kɔd dɛn . Dɔn dɛn kɔd ya kin bigin fɔ kɔntrakt, we kin mek di finga dɛn we tay pan dɛn kin pul insay. Dɔktɔ dɛn kin kɔl dis sik bak Dupuytren in kɔntrakt .
Udat nid fɔ gɛt ɔpreshɔn we dɛn kɔl fasciectomy?
Bikɔs dis na sik we de go bifo, yu dɔktɔ go tray fɔs fɔ du tritmɛnt dɛn we nɔto ɔspitul, lɛk stɛroyd injɛkshɔn ɔ injɛkshɔn we gɛt wan ɛnzaym we dɛn kɔl kolagenase.
Bɔt if dɛn tritmɛnt ya nɔ ɛp, ɛn yu finga dɛn bɛn so dat yu nɔ go ebul fɔ du ivin simpul tin dɛn lɛk fɔ put yu an insay yu pɔkit ɔ was yu fes, yu dɔktɔ go tɔk to yu bɔt di ɔpreshɔn we yu go du, lɛk fɔ pul di fas.
Wetin na di difrɛns bitwin Fasciectomy ɛn Fasciotomy?
Bɔku ɔspitul tritmɛnt dɛn de fɔ di sik we dɛn kɔl Dupuytren. Lɛ wi ɔndastand smɔl bɔt di men tin dɛn we difrɛn bitwin dɛn.
| Di we aw dɛn de trit am | Wetin Dɛn Du na simpul tin. |
|---|---|
| Fasciotomy we dɛn kin du | Dɛn kin kɔt smɔl pat na di an ɛn dɛn kin kɔt di kɔd we tik na di tisu ɛn separet am. Dɛn nɔ pul di kɔd ɔl, dɛn jɔs kɔt am. Dis kin mek di kɔd lɔs ɛn mek i izi fɔ muv di finga dɛn. |
| Nid Fasciotomy (Nidul Aponyurotɔmi) . | Dɛn kin yuz nidul fɔ kɔt sɔm ol dɛn na di tik tik. Dɛn ol ya kin mek di tisu wik ɛn mek i brok. Dis kin mek di finga dɛn stret. |
| Fascictomy we dɛn kin du | Dis involv fɔ ɔpreshɔn fɔ pul di nodul ɛn kɔd dɛn we gɛt prɔblɛm kpatakpata. Dis kin kɔmplikt pas di ɔda tu we dɛn, bɔt di tin dɛn we kin apin kin te. |
Men kayn ɔpreshɔn we dɛn kin du fɔ pul fas
Bɔku we dɛn de fɔ mek dɛn pul di fas. Yu dɔktɔ go pik di we we go fayn fɔ yu bay aw yu sik.
- Segmental (partial) fasciectomy: insay dis prosidכs, dεn kin mek sכm sכm sכm sכm sכm sכm pat dεm along di nεchכral kris dεm na di an εn na sכm pat pan di tik tik fascia nכmכ dεn kin pul.
- Subtotal palmar fasciectomy: dεn kin mek wan zigzag insishכn along di kris dεm na di palm εn finga dεm, we dεn kin pul כl di sik tisu dεm we i kin bi. If na so i bi, dɛn kin yuz wan skin graft fɔ ɛp di wund fɔ wɛl.
- Dermofasciectomy: Dɛn kin du dis if pɔsin gɛt di sik we de kam bak. insay dis, dεn kin pul di tisu we sik wit di skin we de oba. Bɔku tɛm, dis kin nid fɔ mek dɛn graft di skin.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
I nɔmal fɔ mek yu gɛt sɔm pen, swel, ɛn stif na yu an afta dɛn dɔn du yu ɔpreshɔn. Yu kin fil bak se yu an ɛn finga dɛn de swɛ. Dis swɛt kin fil as di nerv dɛm we dɛn dɔn strɛch fɔ lɔng tɛm de kam bak to nɔmal, ɛn i kin tek sɔm mɔnt fɔ lɛ i go. Dipen pan di kayn wok we yu de du, yu kin nid fɔ rɛst fɔ tu to twɛlv wik (3 mɔnt).
I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Fɔ kip yu an ɔp ɛn put ays pan am.
- Fɔ kip di wund klin.
- Kip di wund ɛn di stich dɛn dray, ɛn nɔ tɔch dɛn wit wata.
- Mek shɔ se yu atɛnd fizik tɛrapi (han tɛrapi) ɛn du di ɛgzampul dɛn we dɛn gi yu na os ɛksaktɔli.
- Yuz di mɛrɛsin dɛn we de mek pɔsin fil pen fayn fayn wan ɛn if nid de, yu fɔ yuz antibayɔtiks.
- We yu wɛr splint na yu an fɔ lɔng tɛm lɛk aw di dɔktɔ tɛl yu.
Ɛni risk de fɔ di ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Na nɔmal tin fɔ mek yu nɔ fil fayn ɔ yu finga dɛn nɔ de fil fayn, ɛn dis go bɛtɛ as tɛm de go. Bɔt sɔm siriɔs prɔblɛm dɛn de we nɔ kin apin so ɔltɛm .
- Alɛji fɔ anestezi.
- Sik we de prɛd.
- Ska ɛn skin aypasɛnsitiviti na di say we dɛn du di ɔpreshɔn.
- Swɛlin (ɛdima) ɛn brus.
- Na smɔl tɛm nɔmɔ, di nerv ɔ blɔd vesel dɛn we de nia di say we dɛn de du di ɔpreshɔn kin pwɛl.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu si ɛni wan pan di sayn dɛn we de dɔŋ ya afta yu dɔn du di ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
- Sayn dεm fכ infεkshכn (lεk fiva, yכlכ wata we de kכmכt frכm di wund, rεd strεk).
- Sɔm mɔsul dɛn kin pen bad bad wan.
- Nɔr kin fil fayn ɔr nɔr kin ebul fɔ muv di finga dɛm.
- If yu gɛt pen na yu chɛst ɔ yu nɔ ebul fɔ blo, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Skin alɛji (e.g., itchy rash).
Mɛsej we dɛn kin kɛr go na os
- Dupuytren sik na wan sik wae de mek di finga dεm kכl insay as tεm de go. Dis nɔto yu fɔlt.
- Fasciectomy na ɔspitul we de pul di tisu we dɔn at ɛn mek di an wok bak.
- Dis ɔpreshɔn nɔ de mɛn di sik ɔltogɛda. Na lɛk tu pan ɔl tɛn (20%) pipul dɛm gɛt chans fɔ gɛt dis sik bak.
- Fɔ mek yu gɛt di bɛst rizɔlt, di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn rili impɔtant. Fɔ fala yu dɔktɔ in instrɔkshɔn ɛn fizik tritmɛnt ɛksaktɔli.
- If ɛni risk simptom kam afta di ɔpreshɔn, go to dɔktɔ we nɔ go te.
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