Te kirimana Dupuytren: Te Mārama ki te Āhua e Piko ai ō Maihao

Kua kite koe i tētahi puku iti i raro i te kiri o tō nikau, kua rongo rānei koe i tētahi o ō maihao – inā koa ko te maihao mowhiti, te maihao māwhero rānei – e piko haere ana ki tō nikau? He uaua ki a koe te whakatakoto i tō ringa ki runga i te tēpu nā te mea kei te tū ake tētahi maihao?

Mena he rite tonu te ahua o ēnei wheako ki te mea he mea nui te mārama ki te Dupuytren Contracture (Dupuytren Contracture). Kaua e manukanuka; ehara tēnei i te mate pukupuku. Me tūhura tātou he aha tēnei, he aha i puta ai, me ngā mea ka taea te mahi mōna.

He aha tonu te kirimana Dupuytren?

Ki te whakarapopoto, ko te whakawhāititanga o Dupuytren ko te whakamātotoru me te whakakīkī i tētahi paparanga kiko i raro i te kiri i roto i tō nikau. Ko tēnei kiko, e mōhiotia ana i roto i te rongoā ko te fascia , e tautoko ana i tō ringa me ō maihao. I roto i tēnei āhuatanga, ka whanake te fascia hei taura matotoru, hei pona rānei e kukume ana i tētahi, i ētahi atu maihao rānei ki roto, ki te nikau.

Ko te tikanga ka tīmata mā te pupuhi iti, kāore he mamae (e kiia ana he pona ) i raro i te kiri o te nikau. I roto i te wā, ka tipu haere ēnei pona, ka hono, ka hanga he aho matotoru, he taura rānei. I te whakapoto me te whakakīkī o ēnei taura, ka kukumea ngā maihao e pāngia ana ki te tūranga piko – e mōhiotia ana tēnei piko ko te contracture .

He mea nui, ko ngā puku e puta mai ana he tata tonu te pai (kāore he matepukupuku). Kāore e pā ana ki te matepukupuku, kāore hoki i puta mai i te matepukupuku. Nō reira, kāore he take e wehi ai kei puta he matepukupuku i roto i tēnei horopaki.

Ko wai te mea tino pea ka whakawhanakehia he kirimana Dupuytren?

Ahakoa ka taea e te tangata te whakawhanake i te kirimana Dupuytren, ka piki ake te mōrearea e ētahi āhuatanga:

• Ira Tangata: He nui ake te tūponotanga o ngā tāne ki te pāngia e te mate i ngā wāhine.
• Whakapapa: He nui ake te horapa o te hunga nō te Raki o Ūropi.
• Hītori Whānau: Ko te hītori whānau o te kirimana Dupuytren e tohu ana i te mate ira.
• Ētahi atu Āhuatanga Hauora: Ko ētahi āhuatanga e pā ana ki te pikinga o te mōrearea, tae atu ki:
• Mate huka
• Te mate haurangi me ngā mate hopuhopu
• Te mate whakamahi waipiro
• HIV me te AIDS
• Ngā mate toto (ngā āhuatanga e pā ana ki ngā oko toto)

He aha te pānga o tēnei āhuatanga ki tōku tinana?

Ko te whakawhāititanga o te uaua Dupuytren he tino puhoi te whanaketanga, i ētahi wā ka roa te wā. I ngā wāhanga tōmua, kāore pea koe e pāngia e te mamae, e te huringa nui rānei. Ka puta he pona i ētahi tāngata e mau tonu ana, ā, kāore e raru.

Heoi, i te whanaketanga o te mate, ka uaua pea ngā mahi o ia rā nā te whakau o ngā taura. Ko ngā mahi ngāwari pēnei i te rūrū ringa, te kuhu i tō ringa ki roto i te pōke, te mau karapu, tae noa ki te horoi i tō mata ka uaua pea nā te kore e taea te whakatika tika i ngā maihao e pāngia ana.

Ahakoa ka pāngia tetahi maihao, ko ngā maihao e tino pāngia ana ko:

1. Maihao mowhiti
2. Maihao māwhero
3. Maihao waenga
4. Maihao tohu
5. Koromatua

He aha ngā tohu, ā, me pēhea te tautuhi?

Ko te kirimana Dupuytren ka puta i ngā wāhanga, ahakoa kāore e pāngia te katoa e ngā wāhanga katoa:

Ngā Wāhanga o te Whakaaetanga Dupuytren

Haunga ēnei tohu matua, ka pāngia pea ētahi tāngata (ahakoa ehara i te katoa) e:

• Te pupuhi, te ngawari rānei i roto i te nikau
• He rua, he kōhao rānei kei te kiri i reira he pona
• Mamae, mākūkū rānei (kāore i te tino kitea)

Ki te whakapae koe he mate pukupuku Dupuytren, mā te whakamātautau whaiaro māmā e kīia nei ko te "Tabletop Test" ka āwhina i te aromatawai i te kaha. Whakatakotoria tō ringa ki runga i te tēpu. Ki te kore tetahi o ō maihao e pā ki te mata nā te mea e piko ana ki roto, e tohu ana kei reira pea he mate pukupuku. He tohu pai tēnei kia kite i te tākuta.

He aha te take o te kirimana Dupuytren?

Kāore anō kia mōhiotia te tino take o te mate pukupuku a Dupuytren. Heoi, e mōhiotia ana he kaha te ira o tēnei mate . Ko te tikanga he mea tuku iho i roto i ngā whānau, ā, ehara i te mea nā te whara, nā te momo noho rānei i puta.

Me pēhea te tātaritanga a te tākuta?

Ko te tikanga he māmā noa te tautuhi i te mate i runga i te whakamātautau tinana:

• Ka tirotirohia tō ringa me tō nikau e te tākuta.
• Ka whāwhā rātou i ngā pona me ngā taura i raro i te kiri.
• Ka aromatawaihia e rātou te whānuitanga o te nekehanga o ō matihao, me te tirotiro me pēhea te kaha e taea ai te whakatikatika.

I te nuinga o te wā, kāore e hiahiatia he whakamātautau motuhake pērā i te hihi-X. Heoi, ki te mea he tohu nui te mamae, ki te whakapaetia rānei he mate kē atu, ka tonoa pea he whakamātautau whakaahua, he whakamātautau toto rānei hei whakakore i ētahi atu take.

He aha ngā Kōwhiringa Maimoatanga?

Ko te maimoatanga e whakawhirinaki ana ki te kaha o ō tohu me te nui o te whakararuraru i tō oranga o ia rā. Nā te puhoi o te whanaketanga o te mate, ka rerekē pea ngā whakataunga maimoatanga i roto i te wā.

1. Ngā Maimoatanga Matatapu

Koinei te huarahi tuatahi i te nuinga o te wā:

• Whakaora Tinana: Ngā mahi whakakori tinana motuhake hei totoro i ngā maihao me te pupuri i te ngāwari.
• Te Whakapūmau, te Whakapiripiri rānei i te Maihao: Te mau i ngā taputapu i te pō hei pupuri i te/ngā maihao kua pāngia kia totoro.
• Whakaora Ultrasound: Te whakamahi i ngā ngaru oro hei whakangawari i te kiko matotoru.
• Werohanga Corticosteroid: Te werohanga tika i te rongoā ki roto i ngā pona, i ngā taura rānei hei whakaiti i te mumura me te matotoru (ka rerekē te whai huatanga).

2. Te Whakaora Irahiko

I ētahi wā, ka whakamahia pea te rongoā irahiko iti-horopeta hei whakaroa i te haere whakamua o te mate, inā koa i ngā wāhanga tōmua o te hanganga o ngā pona kaha.

3. Te Tātaritanga o te Ngira (NA)

He tikanga iti rawa te whakaekenga tēnei e mahia ana i te tari o te tākuta. Mā te whakamahi i te ngira, ka taea e te tākuta te tapahi i te taura matotoru, kia tika ai te maihao. Ka tere te whakaora engari me mahi anō pea mēnā ka huri te taura.

4. Werohanga Korarakena (Xiaflex®)

Ko te werohanga o tētahi whākōkī (collagenase clostridium histolyticum) ki roto i te taura. Ka āwhina te whākōkī ki te wawahi i te collagen i roto i te kiko matotoru, ka ngoikore ai te taura. Tata ki te 24-72 hāora i muri mai, ka whakahaere te tākuta i te maihao kia tika ai, ka whati ai te taura ngoikore.

5. Pokanga (Fasciectomy)

Ko te tikanga, ka whakamahia te pokanga mō ngā take kino rawa atu, ina kore e whai hua, kāore rānei e tika ana ētahi atu maimoatanga. Ko te tango i te kiko fascia e pāngia ana mai i te nikau me ngā maihao ka mahia i te nuinga o te wā hei pokanga i waho o te hōhipera, ā, muri iho ka rongoatia te tinana hei whakahoki mai i te kaha me te nekehanga.

Ngā Pātai Auau (FAQs)

• P: He mate pukupuku te uaua o te Dupuytren?
  A: Kāo, ehara te uaua o te hononga o Dupuytren i te mate pukupuku. He tipu pai (ehara i te mate pukupuku) o te kiko i raro i te kiri i te nikau o te ringa ngā pona me ngā taura.
• Q: Ka taea e au te mahi i tetahi mea i te kāinga hei rongoā?
  A: Ahakoa kāore he rongoā, mā ngā mahi totoro ngawari e ai ki ngā taunakitanga a te kaiwhakaora hinengaro ka āwhina i te pupuri i te ngāwari. Heoi, ehara te rongoā-ā-koe i te whakakapi i ngā tohutohu me ngā tiaki hauora ngaio.
• P: Ka hoki mai anō te mamae i muri i te maimoatanga?
  A: He āhua anō te hokinga mai o te Dupuytren Contracture nā te mea he maha ngā wā e pā ana ki ngā ira. Ahakoa i muri i te maimoatanga angitu, tera pea ka puta anō te mate i roto i ngā maihao kotahi, i ētahi atu maihao rānei i roto i te wā.
• P: Kia pēhea te tere o taku kitenga i ngā hua o te maimoatanga?
  A: He rerekē rawa tēnei i runga i te tikanga maimoatanga. Mā te werohanga ngira aponeurotomy me te collagenase ka tere te whakatikatika, engari ka roa ake te whakaora i te pokanga. Tērā pea ka roa ngā wiki, ngā marama rānei e kitea ai te whakapainga o ngā maimoatanga matatika.
• P: He mate tuku iho tēnei?
  Āe, he hononga ira kaha kei roto. Mena kua pāngia ngā mema o te whānau e te Dupuytren Contracture, ka nui ake tō tūponotanga ki te pāngia e tēnei mate.

Ngā Whakaaro Matua

• Ko te kirimana Dupuytren ko te matotoru o te kiko i raro i te nikau, ka piko ai te maihao.
• He mate kore-matepukupuku tēnei, ā, he āhuatanga ira anō tōna.
• Ka āta puta haere ngā tohu i roto i ngā tau.
• He maha ngā maimoatanga whai hua e wātea ana, mai i ngā tikanga tiaki ārai mate ki ngā mahi pokanga.
• Mā te tautuhi me te maimoatanga wawe ka āwhina i te whakahaere tika i te mate.

Whakakape: Kei roto i tēnei tuhinga ngā kōrero whānui mō tēnei mate, ā, kaua e whakakapi i ngā tohutohu a tō tākuta. Me kōrero tonu ki tētahi tohunga hauora.