I kutphah vun chu a thim a, bump te te a siam ang maiin i hria ngai em? A nih loh leh kut zungtang pakhat emaw pahnih emaw dik taka vawn harsa i tih a, zawi zawiin kutphah lam pan chuan an inbeng kang tihna em ni? Hei hi nangmah chauh a ni lo. Hei hi damdawi lam dinhmun a ni. Dupuytren-a Contracture kan ti a. Mi tam takin he thil hi an hre vak lo a, chuvangin a hlauhawm thei hle. Chuvangin vawiin hian engkim hi awlsam tak leh friendly takin kan sawi dawn a ni.
A awlsam zawngin Dupuytren-a Contracture chu eng nge ni?
Hei hi i kut vun hnuaia tissue (fascia) layer pakhat chu a thim zauh zauh a, fibrous cords a siam vang a ni. I kut chhung atangin mi pakhatin hrui a rawn chhuhsak ang mai a ni. Hun a kal zel a, heng hrui te hi a nghet chhoh zel chuan, a inzawm kut zungtang pakhat emaw, a aia tam emaw chu chhung lam hawiin a inbeng tan ta a ni. Hei hi `contracture` kan tih chu a ni. Hetiang dinhmun hian ring leh kut zungtang te te a nghawng tam ber a, mahse kut zungtang eng pawhah a thleng thei.
Hei hi cancer leh natna hrik kai theih a ni lo. Tin, chuta tang chuan natna chu a tlem ber tlangpui bawk. Mahse buaina ber chu kut zungtang a ben chuan nitin hna thawh a harsa thin. Entîr nân, thil awlsam tak tak, kut inbeng te, i pocket-a kut luh te, a nih loh leh thil pakhat nghet taka chelh te pawh hi thil harsa tak a ni thei.
Engtin nge enkawl dan tur rel a nih?
Dupuytren’s contracture enkawl dan hi i natna nasat dan azirin a inang lo. Mi zawng zawng tan enkawlna pakhat chauh a awm lo. I doctor chuan a enfiah ang che a, i nun a nghawng dan a zirin enkawlna tha ber a ruat ang.
A pawimawh ber chu tun thlenga enkawlna hmuh chhuah reng reng reng hian he natna hi a lo titawp vek thei lo va, vawi khat a lo awm tawh chuan a na zual zel loh nan a veng thei lo. Enkawlna tum ber chu natna lan chhuah dan tihtlem leh kut hnathawh that leh a ni.
Mi thenkhat tan chuan he natna hi a kal zawi zawi hle . Kum tam tak chhunga danglam ngai lo i kutphahah hnah te tak te mai mai a ni thei. Chutiang hunah chuan nitin hnathawhna a tibuai lo a nih chuan "nghah leh en" tih hi a tha ber.
Mahse, i kut zungtang flexion chu a pung chak hle a, nitin hna thawh a harsat phah a nih chuan i doctor chuan i tana enkawlna tur dik tak a sawipui ang che.
Nonsurgical Treatment te pawh a awm bawk
Natna lo awm tan tirh lamah emaw, surgery bakah pawh hman theih tur enkawlna chi hrang hrang a awm. Mahse, hengte hian hlawhtlinna tlemte chauh an lantir a ni.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Stretching tih hi a ni | Natna na lo tak tak nei tan chuan a tha hle. Damdawi dang nen pawh hman dun theih a ni. Mahse, hengte hi doctor thupek angin chauh tih tur a ni . |
| Steroid Injection hmanga tihdam theih a ni | Hengte hi anti-inflammatory drugs chak tak tak an ni. Arm-a nodule-a direct-a inject a nih chuan a lian lo thei hle. Amaherawhchu, hei hi natna bul tan tirh lamah chauh a thawk thei a ni. Vawikhat tissue a thick tawh chuan a hlawk vak lo. |
| Enzyme Injection hmanga siam a ni | I kut zungtang a ben tawh chuan i doctor chuan enzyme mixture, Xiaflex ang chi injection a rawt thei ang. Heng enzyme te hian tissue thickened chu an tichhia a, an tizau thin. A tuk zingah i doctor chuan i kut zungtang chu a chelh a, a hrual a, a dinglam a tum ang. Hei hi surgery ai chuan hman theih a ni. |
| Radiation hmanga enkawlna a ni | Low-level radiation therapy hi duhthlan tur dang a ni a, mahse a hlawhtlinna chungchangah hian research data a la tlem hle. |
Enzyme injection chungchang tlem tal...
Mi tam zawk tan chuan injection vawi khat emaw pahnih emaw hi a natna ruh tan a tawk. Mi thenkhat chuan pathum thleng an mamawh mai thei. Side effect langsar ber chu injection na hmuna a hring, thisen chhuah, hliam, leh natna te hi a ni. A tlem hle a, side effect na tak tak, tendon tihchhiat, nerve tihchhiat, allergic reaction te pawh a awm thei.
Enkawlna dang, splinting, vitamin E cream, leh ultrasound te pawh an lo enchhin tawh a, mahse a tlangpuiin hlawhtling takin an la chhuak lo.
Engtikah nge operation tih a ngai? (Surgical hmanga enkawlna) .
Nitin hna, thil chelh, ziak, a nih loh leh no vawn ang chi tih i harsat chuan i doctor chuan operation tih a rawt thei ang. Surgery tum ber chu i kut zungtang chhunga chetna hloh tawh chu siam that leh a ni.
Surgery hi chi hnih a awm a.
| Surgery chi hrang hrang | Hrilhfiahna |
|---|---|
| Open Surgery neih a ni | Surgeon chuan kut ah incision a siam a, tissue thickened chu a cut (fasciotomy) emaw, a zawng zawng emaw, a then emaw a paih chhuak (fasciectomy) . A chang chuan vun (skin graft) hmangin hliam hi khar nan an hmang bawk. |
| Needle hmanga aponeurotomy tih a ni | Hei hi open surgery aiin a awlsam zawk. Surgeon chuan hypodermic needle hmangin vun chunga tissue thickened chu a cut a, a then a. Recovery hun hi a tawi zawk. Mi tam zawk chuan a hnuah physical therapy an mamawh lo. |
Operation hnuah eng nge beisei tur?
Surgery hian kut zungtang ben dan chu a siam tha thei fo a, kut hnathawh pawh a siam tha leh thei bawk. Mahse, kut zungtang engemaw zat a ben chuan siamthat a harsa deuh thei.
Surgery hian risk leh complication engemaw zat a nei bawk.
- Recurrence: Surgery chi hnih hmang hian a lo lang leh theihna tur risk engemaw zat a awm.
- Harsatna dangte chu:
- Hliam na leh na
- Nerve emaw thisen kalna kawng emaw a chhiat
- Infection awm thei te
- Tissue thihna
Engtin nge dam thuai theih ang?
Surgery zawhah doctor thupek dik taka zawm a pawimawh hle .
- I kut chu chawi sang rawh: I kut chu i thinlung aia sang zawka chawi sang chuan a hring leh natna a tiziaawm thei a ni.
- Finger wiggles: Doctor-in a hrilh che chuan i kut zungtangte chu wiggle rawh.
- Taksa lam enkawlna: 1.1.I doctor chuan physical therapist hnenah a refer thei che a, ani chuan i kut chakna leh hnathawh thatna tur exercise a zirtir ang che.
Take-Home Thuchah a ni
- Dupuytren’s Contracture hi kut chhunga tissue te chu a thim a, kut zungtang te chu a ben a ni. Cancer leh natna hrik kai theih a ni lo.
- Mi zawng zawng hian operation an mamawh vek lo. Natna a na lo a nih chuan enkawl ngai lo pawh a ni thei.
- Hei hian nitin hnathawhna a tibuai a nih chuan non-surgical (injection) leh surgical treatment option a awm.
- I doctor chauhvin i tana enkawlna tha ber a ruat thei ang. Chuvangin i kutah danglamna i hmu a nih chuan damdawi lam thurawn la hlau suh.
- Enkawl zawhah i doctor leh physical therapist-in a pek angin uluk takin zawm la, a dam thuai ang.
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