I kut chu a lum a, i kut zungtang a hrual em? Dupuytren natna chungchang hi han sawi ila!

I kutphah chu han en teh. A chang chuan i kutphah vun hnuaiah hian hnah te tak te ang chi thil i hre thei bawk. A tirah chuan a tam lo ang tih a rinawm a, mahse hun kal zelah hei hian i kut zungtangte chu chhung lam hawiin a ti hrual a, i kut i beng ang maiin a ti hrual a ni. I kut dinglam emaw, i pocket-a dah emaw, mi kut i vawn emaw pawh i harsat em? Hetiang dinhmun hi damdawi lama kan sawi thin chu Dupuytren’s Disease emaw Dupuytren’s contracture emaw a ni. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.

Dupuytren natna hi eng nge ni?

A awlsam zawngin kan kut vun hnuaiah hian tissue layer a awm a. Hei hi fascia kan ti a . Hei hi a tlangpuiin a loose hle a, a flexible hle bawk. He tissue flexibility vang hian kan duh angin kan kut kan ben thei a, kan phar thei bawk.

Mahse, Dupuytren natnaah chuan he tissue `fascia` an tih hi a thim zauh zauh a, chhan hriat lohvin a nghet tan ta a ni .

Ngaihtuah teh, he tissue chhungah hian hrui ang maia fiber a awm a. He natnaah hian heng fiber te hi a nghet zauh zauh a, a inzawm tan thin. Chutah chuan kut zungtangte chu zawi zawiin kutphah lam pan chuan an rawn inhnukdawk tan ta a ni. A tam zawkah chuan he natna hian pinkie finger leh ring finger a nghawng thin . A châng chuan, i kut pahnih hi a nghawng thei a ni. Mahse a tlangpuiin kut pakhat hian a dang aiin a nghawng nasa zawk. A nasat chuan kut chu a paralyze vek thei a, a deformed thei bawk.

He natna lan chhuah dan engte nge ni? Engtin nge kan hriat theih ang?

Dupuytren contracture symptoms hi a lo lang nghal lo. Zawi zawiin, hun kal zelah an lo lang tlangpui. Chu stage te chu eng nge ni tih hi han thlir ila.

Hei hi engte nge a chhan leh a hlauhawmna?

He natna thlen chhan dik tak hi hriat chian a la ni lo a, mahse scientist-te chuan kut chhunga connective tissue tichhe thei biochemical factor engemaw zat a inrawlh niin an ngai.

Mahse, he natna vei theihna tipungtu thil engemaw zat hmuhchhuah a ni. Anni chu:

• Zu in tam lutuk: Mahse hei hi hre reng ang che, he natna vei zawng zawng hi zu ruihhlo ngawlvei an ni vek lo.
• Zunthlum vei.
• Seizure thlen thei natna nei, epilepsy ang chi.
• Meizial zuk.
• Chhungkaw zinga mi pakhatah he natna hi neih: Hei hian a nihna takah chuan he natna hi a vei thei tihna a ni.
• Kum 40 chunglam mipa nih: He natna hi hmeichhia aiin mipaah ​​a tam zawk.
• Northern European (English, Irish, Scottish, French, Dutch) emaw Scandinavian (Swedish, Norwegian, Finnish) ancestry neih: Hei hi kan rama mite tan chuan thil pawimawh tak a ni lo a, mahse hriat a tha hle.

Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.

Doctor i pan dawnin i natna lan chhuah dan te, i hriselna chanchin leh i chhungte chanchin te a zawt hmasa ang che a, chutah chuan i kut, i kutphah leh i kut zungtang te uluk takin a enfiah ang.

He test-ah hian kutphah chu lumps awm leh awm loh leh engzat nge awm tih an enfiah thin. Tin, test tih tlangpui chu kut chu dawhkan chungah flat-a dah theih a nih leh nih loh enfiah a ni (tabletop test). He natna vei hian dawhkan chungah a kut a nghat kim thei lo tlangpui.

Chu bâkah, doctor chuan hetiang hi a enfiah thei bawk:

• Thil i tih theih dan tur chu a hmu ang.
• I kut zungtang hmanga thil te te pinch dan a entir a ni.
• Kutpui leh kut zungtang dangtea hriatna chu teh a ni.
• Kut zungtangte range of motion an enfiah a, an ding nghet thei em tih an enfiah thin.

Doctor chuan i kut thlalak a la thei bawk a, hun kal zelah i dinhmun a danglam em tih a en thei bawk.

Hei hi eng enkawlna nge ni?

Kan sawi hmasak ber tur chu he natna hi damdawi a la awm lo tih hi a ni. Mahse, lungngai suh, nunna atana hlauhawm natna a ni lo. Mi thenkhat chuan kum tam tak chhung harsatna nei lovin an khawsa thei a ni. A châng chuan, enkawlna an mamawh ngai lo mai thei.

Mahse, lumps hian natna a thlen a nih chuan, emaw, kut zungtang chet lutuk hian nitin hnathawh a tibuai a nih chuan enkawlna tih theih a awm.

Surgery hmanga enkawl loh

• Steroid injection: Lump a na hle a nih chuan i doctor chuan corticosteroid injection a pe thei ang. Hei hi anti-inflammatory drug chak tak a ni. A hring leh natna a tiziaawm. A chang chuan kut zungtang pakhat a na zual loh nan a titawp thei bawk. Mahse, he injection hian kut zungtang ben tawh chu a tidik lo ang.
• Enzyme injection: I kut zungtang a ben tawh chuan i doctor chuan enzyme mixture `collagenase` (Xiaflex) an inject thei che a ni. Heng enzyme te hian tissue thickened, stiff tissue te chu a tithianghlim thei a ni. Hei hian hrui ang chi band khauh tak takte chu a tichak lo va, doctor chuan i kut zungtangte chu tlem a tidanglam thei a ni.

Surgery hmanga enkawl a ni

A natna a zual zel a, kut hnathawh a tibuai nasa hle a nih chuan doctor chuan operation neih a rawt thei a ni.

• Fasciotomy: He surgery-ah hian tissue thuk tak, cord ang maia awm chu tan leh then a ni. Hei hian kut zungtang chu zalen takin a kal thei a ni. Doctor chuan a hmun chu a ti numb a, a kutphah ah hian incision te tak te a siam bawk.
• Subtotal palmar fasciectomy hmanga tihchhuah a ni.Chutah chuan tissue leh tendon thickened a tam thei ang ber chu lakchhuah a ni. Hei hian kut zungtang chu a tidik thei a ni. Hei hian a tlangpuiin kutphah ah "zig-zag" incision siam a huam thin. Hei hi surgery dang aiin a buaithlak deuh. Tin, a dam theih nan hun a duh rei zawk bawk. Operation hnuah physical therapy leh a chang chuan skin graft pawh a ngai thei.

Operation hnuah kut ah hian a hring a, a na deuh thei bawk. Kut chu thinlung level aia sang zawka dah a, kut zungtang flex leh tihzauh hian hliam leh natna a tihziaawm thei a, damna kalphung pawh a kal chak zawk thei bawk.

Engtikah nge Doctor i hmuh ang?

Dupuytren natna hi natna hlauhawm tak ni lo mah se, a nasat chuan chak lohna a thlen thei a ni. Chuvangin, a hnuaia symptoms te hi i neih chuan Doctor hmuh hun tikhawtlai suh.