Kei te ahua piko tetahi, e rua rānei ōu maihao i roto i tō ringaringa ki roto, ā, he uaua ki te whakatika? Kei te ahua puku iti rānei tō ringaringa, kei te tīmatanga o ngā maihao? Kaua e manukanuka, ehara tēnei i te mea morearea pērā i te mate pukupuku e pāngia ana e te tini o te tangata. Engari he mea nui kia mōhio koe ki tēnei. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te Dupuytren Contracture, ka puta ai ngā tohu pēnei.
Know your body mass index (BMI) and weight classification
Na, he aha te mate pukupuku a Dupuytren?
I te whakarapopototanga, ko te mate pukupuku o Dupuytren he āhua e matotoru ai, e piri ai te paparanga kiko i raro i te kiri o ō tātou ringaringa. Ka kiia tēnei paparanga kiko ko te fascia . He rite ki te here rapa e āwhina ana i a tātou ki te neke i ō tātou maihao. Nō reira, ka tīmata te hanga o ngā pona iti i roto i tēnei fascia. I roto i te wā, ka matotoru ake ēnei pona, ka hanga taura e toro atu ana mai i roto o te ringaringa. Koinā te wā ka tīmata te piko o ngā maihao ki roto, i ētahi wā ka kore e taea te whakatika.
Ko te mea nui, ehara ēnei puku i te matepukupuku (pai) . Arā, ehara i te mea nā te matepukupuku, kāore hoki e puta ai te matepukupuku. Nō reira kaua e manukanuka.
I ētahi wā, me mahi pokanga pea tēnei, engari i ētahi wā, ka taea te whakahaere mā te whakamahi i ngā maimoatanga māmā ake.
Ko wai te mea tino tūpono ka pāngia e tēnei mate?
Ka taea e te tangata te pāngia e te mate pukupuku a Dupuytren. Heoi, he nui ake te tūponotanga ka pāngia ētahi tāngata. Ko ēnei:
- Tāne: He nui ake te kitea o tēnei mate i roto i ngā tāne i ngā wāhine.
- Ngā tāngata nō ngā uri Pākehā: Kua kitea he nui ake te kitea i roto i ngā tāngata nō ngā whenua o te Raki o Ūropi.
- Ngā tāngata whai hītori whānau mō tēnei mate: Nā te mea he mate ira tēnei, ki te pāngia tētahi o tō whānau e tēnei mate, tera pea ka pāngia anō hoki koe e tēnei mate.
Kei te pāngia anō hoki tēnei e ētahi atu mate?
Ae, ko te hunga whai mate hauora motuhake ka nui ake te tūponotanga ka pāngia e te mate pukupuku a Dupuytren. Hei tauira:
- Mate Huka (Diabetes Mellitus)
- Te mate haurangi me ētahi atu mate hopuhopu
- Te mate whakamahi waipiro
- HIV me te AIDS
- Mate toto
Ehara tēnei i te kī ka pāngia te hunga katoa e pāngia ana e ēnei mate, engari he paku teitei ake te mōrearea i ētahi atu.
Adjustable medical memory-foam backrest, head, knee, and leg elevation wedge system for post-operative recovery, acid reflux, and edema reduction, plus medical scar tape.
View Clinical Details →E hia te auau o tēnei āhuatanga?
Ehara te mate pukupuku o Dupuytren i te mate tino noa . E pāngia ana e te 5% o te taupori. E ai ki te kōrero i mua ake nei, ko te nuinga o te wā ka pā ki te hunga nō te iwi Pākehā.
He aha te pānga o te uaua o Dupuytren ki te tinana?
Kāore pea koe e mōhio ki te pānga o tēnei mate ki tō tinana. Mēnā he tino ngawari ngā tohu, kāore pea koe e mōhio kei a koe. Ahakoa he tohu kei a koe, ka roa pea ngā marama, tae noa ki ngā tau, ka whanake haere. Mēnā he kino rawa ngā take, ka kore pea e taea e ngā maihao kua pāngia te whakatika.
Ka pāngia pea tētahi o ō matimati e te whara o Dupuytren, tae atu ki tō māikuku nui. Heoi, ko ngā matimati e tino pāngia ana ko:
- Maihao mowhiti / maihao tuawhā
- Māwhero / maihao tuarima
- Maihao waenga / maihao tuatoru
- Maihao tohu / maihao tuarua
- Koromatua / matimati tuatahi
Ka pā tēnei ki ētahi atu wāhanga o te tinana?
Kāo. Ko ngā ringaringa anake ka pā ki te uaua o te hononga o Dupuytren. Kāore e puta i hea atu i te tinana. Ahakoa ka puta ētahi atu mate hononga i ētahi atu wāhanga o te tinana, ko ngā ringaringa anake ka pā ki te uaua o te hononga o Dupuytren.
Ko ētahi tāngata e pāngia ana e te mate pukupuku o Dupuytren, he nui ake te tūponotanga ka pāngia rātou e ētahi atu mate rite, pērā i te mate Ledderhose ( he mate e pā ana ki ngā kapu o ngā waewae) me te mate Peyronie ( he mate e pā ana ki ngā tāne).
He aha ngā tohu o tēnei? Me pēhea te mōhio ki tēnei?
Nā te mea ka roa te whanaketanga o te uaua o Dupuytren, ā, ka roa pea ngā tau, kāore pea koe e kite i tētahi tohu i te tīmatanga. Ko te tikanga ka puta ngā tohu i tēnei raupapa:
1. Ngā Pona: Ko te tohu tuatahi ko te putanga mai o ngā puku iti i raro i te kiri o te nikau, i te nuinga o te wā ko te wāhi e tūtaki ai ngā maihao ki te nikau. Ka taea e koe te rongo i ēnei ina pā atu koe, ā, i ētahi wā ka kitea. Tērā pea ka puta noa ēnei puku i ētahi tāngata ka mutu, ko ētahi ia ka ngaro noa iho ngā puku. Tērā pea ka āhua piko, ka miro rānei te kiri huri noa i ngā puku.
2. Ngā Taura Matotoru: I roto i te wā, ka matotoru ake ēnei puku, ka hanga he kiko fascia roa, rite tonu ki te taura. Ka taea e ēnei taura te meinga ngā maihao kia rite ki te mea e kumea ana ki roto, ki te anga atu ki te nikau.
3. Te Whakapūngao: Koinei te tohu tino kino o te mate, te takenga mai o te ingoa o te mate. Ka matotoru ake, ka pakari ake ngā whitiki rite ki te taura, ā, kāore e taea te whakatika i ngā maihao e pāngia ana kia matara atu i te ringa.
He rerekē ki ētahi atu mate, ko te uaua o te hononga o te uaua o Dupuytren kāore he take motuhake e kino ake ai ngā tohu. Mena kei a koe tēnei mate, ka taea e ngā tohu te horapa ki te wāhi ka huri ngā puku hei taura, kātahi ka piri ngā maihao. Kāore te katoa e puta i ēnei wāhanga katoa.
Tērā pea he tohu kē atu anō?
Haunga ēnei raruraru o te maihao, ka pāngia pea te ringa e pāngia ana e ēnei tohu e whai ake nei:
- Mumura, pupuhi rānei
- Te ngawari ina pēhia
- Te mamae, te wera rānei
- Te mākūkū
Engari he tino onge ēnei tohu. Tata ki te hauwhā o te hunga whai mate pukupuku a Dupuytren ka pāngia e ēnei tohu. Mena kei a koe te mate pukupuku a Dupuytren, ā, kei a koe ēnei tohu, me whakamōhio atu ki te tākuta. I ētahi wā, he tohu pea ēnei mō ētahi atu raruraru e pā ana ki tō kiri, ki tō uaua rānei.
He aha te take mō tēnei?
Kāore anō kia mōhiotia e ngā tohunga te tino take o te mate pukupuku o Dupuytren, engari e kiia ana he mate ira . Kua whakamātauhia mēnā kei roto i te whānau tētahi o te whānau e pāngia ana, ka nui ake te tūponotanga ka pāngia ētahi atu.
He mea whakamiharo, ko te mate pukupuku a Dupuytren tētahi o ngā mate hononga hononga tuku iho tino noa.
Me pēhea te tātaritanga a te tākuta i tēnei?
Ka tirotirohia e te tākuta tō ringa me ō maihao, ka whāwhā i ngā puku, i ngā taura rānei i raro i te kiri, ā, ka ine i te nui o te kōpiritanga o ō maihao.
Ko tētahi whakamātautau māmā ka taea e koe te mahi i te kāinga ko te "whakamātautau i runga tēpu". Whakatakotoria tō nikau ki raro ki runga i tētahi mata papatahi (pērā i te tēpu). Mena ka pēhia te maihao e pāngia ana ki te mata, ā, kāore e papatahi, tera pea ka kaha ake ō tohumate. Mena koinā, he mea pai kia rapu tohutohu hauora.
He whakamātautau motuhake hei tautuhi i tēnei?
Kāore he whakamātautau motuhake hei tātaritanga i te mate pukupuku o Dupuytren. Heoi, ka tono pea tō tākuta i ngā whakamātautau toto, i ngā hihi-X rānei hei whakakore i ētahi atu mate e pā ana ki ō ringaringa.
He aha ngā maimoatanga?
I runga i te kaha o ō tohumate, ka rongoatia koe e tō tākuta i roto i ētahi wāhanga. Nā te mea he mate haere tonu te mate pukupuku o Dupuytren, ka roa pea ngā marama, ngā tau rānei ki te ahu whakamua ki te wāhanga maimoatanga e whai ake nei. Tērā pea ka pai ake ō tohumate i te maimoatanga tuatahi, ā, kāore pea koe e hiahia ki ētahi atu maimoatanga. Mēnā ka hoki mai anō ō tohumate tuatahi, me mahi anō pea ētahi o ngā mahi maimoatanga.
Te maimoatanga tiaki
Ko ngā maimoatanga kei roto i tēnei kāwai ko:
- Te whakaora tinana, te totoro rānei i ngā mahi.
- Te mau i ngā whitiki tautoko, i ngā whitiki whakapiko rānei hei āwhina i te totoro o ngā maihao ki tō rātou awhe nekehanga noa.
- Whakarei ake i te ngāwari o tō kiko fascia mā te whakamahi i ngā ngaru oro ultrasonic (ngā ngaru oro kore mamae) me ngā maimoatanga wera rānei.
- Ngā werohanga corticosteroid hei whakaiti i ngā puku me ngā taura.
Te Whakaora Irahiko
Tērā pea ka tukuna koe e tō tākuta ki tētahi tohunga irahiko hei rongoā i te mate pukupuku o Dupuytren, hei ārai rānei i te kino haere o ngā tohu. He tikanga kore mamae te rongoā irahiko e whakamahi ana i ngā hihi-X, i ētahi atu hihi irahiko rānei hei whakangawari i ngā puku, i ngā taura rānei.
Ka whakamahia hoki te rongoā irahiko hei rongoā i ētahi momo mate pukupuku. Heoi, ehara te mate pukupuku a Dupuytren i te mate pukupuku . Ā, ki te pāngia koe e tēnei mate, ehara i te mea kei a koe, kei te pāngia rānei koe e te mate pukupuku.
Te Aponeurotomy o te ngira
Ki te kore ō tohu e pai ake i muri i ētahi marama o ngā maimoatanga māmā, ka tūtohu pea tō tākuta i tētahi tikanga e kiia nei ko te aponeurotomy ngira . I ētahi wā ka kiia tēnei ko te percutaneous needle fasciotomy . He tikanga tēnei mō te wā o waho ka taea e tō tākuta te mahi i roto i tana tari.
Ka whakangāwaritia tō ringa e te tākuta mā te rongoā whakamoe ā-rohe, kātahi ka whakamahia he ngira hei wero i ētahi poka ki te fascia o tō ringa. Mā tēnei ka wetekina te piri, ā, ka taea e koe te whakatika i ō maihao.
Ngā Werohanga Korarakena
Hei rongoā mō te mate pukupuku o Dupuytren, ka werohia pea e tō tākuta he whākōkī e kiia nei ko te collagenase ki roto i ngā puku, i ngā taura rānei. Ko te Collagenase he whākōkī e āwhina ana ki te wetewete me te wawahi i ēnei matotoru o tō fascia. Tuatahi, ka werohia tika e tō tākuta te collagenase ki roto i ngā puku, i ngā taura rānei. Kātahi ka hoki mai koe i te rā e whai ake nei. I taua rā, ka whakangāwari tō ringa e tō tākuta, ka toro atu hoki ngā maihao e pāngia ana ki tō rātou whānuitanga nekehanga taketake.
Te Pokanga Whakahekenga o Dupuytren
Mena he tino kino te pakaru o tō maihao, ā, ka whakararuraru i tō oranga o ia rā, me mahi pea koe i te pokanga. He mahi ā-waho anō hoki te pokanga pakaru o Dupuytren, arā, ka taea e koe te hoki ki te kāinga i taua rā anō.
Ka mahia e te taote pokanga he fasciectomy.Ko te tikanga he ablation. Ka whakangāwaritia tō ringa e ia mā te rongoā whakamoe ā-rohe, kātahi ka tangohia tetahi wāhanga, te katoa rānei o te fascia e pāngia ana. Ko te nui o te fascia e tika ana kia tangohia ka whakawhirinaki ki te matotoru o tō fascia me te kaha o te uaua o te hononga. I muri i te pokanga, me whai rongoā tinana, rongoā mahi rānei koe hei āwhina i ō hononga kia hoki mai ki tōna kaha noa.
Ka taea te whakaora katoa i tēnei?
Engari, kāore e taea te whakaora katoa i te mamae o te hononga o Dupuytren. Heoi, ko te nuinga o ngā take ka taea te whakahaere pai mā te maimoatanga .
Nā te mea kāore he rongoā katoa, ahakoa ka tangohia te fascia kua pāngia i te pokanga kotahi, tata ki te 1 i roto i te 5 tāngata ka pāngia anō e te mate Dupuytren's contracture . Mēnā ka tupu tēnā, me nui ake pea te maimoatanga ā muri ake nei.
Me pēhea te whakahaere i ngā tohu?
Kia tika te whai i ngā tohutohu a tō tākuta. Mēnā ka tohua he totoro tinana, me te mea rānei me mau he whitiki, kia rite tonu te auau o te mahi i aua mea ki tā tō tākuta e tohutohu ai.
Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga?
Ko te roa o te whakaoranga e whakawhirinaki ana ki te maimoatanga i whiwhi koe mō te kirimana a Dupuytren:
- I ētahi wā, ka roa pea ngā marama ka pai ake ai ngā tohu mā te whakamahi i ngā maimoatanga māmā (moata) .
- Mā te aponeurotomy ngira, me ora tonu tō kiriuhi.
- Me whakaora e te pokanga ō tohumate, engari ka roa pea te rua marama ka tino pai ake ai tō āhua i muri i te wā whakaora. Whai muri i te pokanga, me tuku e koe tō ringa kia ora. Me mahi anō hoki koe i te whakaora tinana, i te whakaora mahi rānei mō te iti rawa i ētahi marama hei āwhina i a koe kia hoki mai te kaha me te whānuitanga o te nekehanga o tō ringa.
Kōrero ki tō tākuta i mua i tō hokinga atu ki ō mahi o ia rā i a koe e ora ana.
He raruraru kei te haere mai i te maimoatanga?
Ko ētahi o ngā raruraru ka puta i te wā e rongoatia ana te kirimana a Dupuytren ko:
- Mamae
- Te pakaru o te io
- Mate pāwera
- Te whara
- Te kino ki ō oko toto
- Ngā raruraru whakaora patunga
Kāore ēnei mea e pā ana ki te katoa, engari he mea nui kia mōhio koe ki ēnei.
He ara kei reira hei ārai i tēnei mea kei tupu?
Engari, kāore he mea ka taea e koe te mahi hei ārai i te mate pukupuku o Dupuytren. Ina hoki, kāore he rongoā mō tēnei, ā, ehara i te tohu whakatūpato .Ka whanake haere, engari kāore. Mena kua kitea tētahi o tō whānau kua pāngia e te mate pukupuku a Dupuytren, kōrero ki tō tākuta.
He rite tonu te mate Dupuytren me te kirimana Dupuytren?
I ētahi wā ka whakamahia ngātahitia e ngā tākuta ngā kupu Dupuytren's contracture me te Dupuytren's disease. E kite ana ētahi tākuta i tētahi rerekētanga iti i waenganui i ngā mea e rua. E kī ana rātou ko te Dupuytren's contracture (te matotoru o te fascia i te ringa) he tohu o te Dupuytren's disease (te āhuatanga whānui e puta ai te Dupuytren's contracture). Heoi, ina kōrerohia whānuitia, he rite tonu te mea e pā ana ki ēnei e rua.
He aha te rerekētanga i waenga i te Dupuytren Contracture me te Trigger Finger?
Ka taea e te uaua o te hononga o Dupuytren me te maihao whakakā te piko o tō maihao ki roto, ki roto hoki, me te piri. Heoi, he rerekē rawa ēnei āhuatanga e rua.
- Ko te uaua o Dupuytren he matotoru me te tipu o te kiko fascia i raro i te kiri o tō ringaringa. Ka puta ngā puku i te pūtake o ngā maihao, ka huri hei whitiki taura i raro i te nikau.
- Ka puta te maihao whakaoho ina mumura te pūrei A1, he tikanga e whakahaere ana, e ārahi ana hoki i ngā uaua o ō maihao me tō koromatua. Nā tēnei mumura ka uaua ki a koe te neke maeneene i tō maihao pērā i tō tikanga. Tērā pea ka rongo te hunga whai maihao whakaoho me te mea kua "mau" te maihao e pāngia ana ina pikohia e koe.
Ahakoa te mea e raru ana tō ringaringa, me toro atu ki te tākuta tonu mēnā ka kite koe i ētahi tohu hou, inā koa mēnā he mamae, he uaua rānei ki te neke i tō ringaringa i te āhua noa.
Te Mea Tino Hira - He Whakarāpopototanga (Karere hei Tango ki te Kāinga)
Ka taea e te ingoa ko te Dupuytren's contracture te whakamataku, inā koa mō te hunga he nui ake ngā tohu. Engari kia maumahara, he mate tino taea te rongoā , ā, ka roa te nuinga o te tangata e tipu haere ana. Ahakoa kāore he rongoā, he maha ngā maimoatanga hei āwhina i te whakamamae i ō tohu. Ā, ehara i te mate pukupuku .
Ki te mea he uaua ki a koe te whakatikatika i ō maihao, ngana ki te whakamātautau i runga i te tēpu. Ki te kore ō maihao e pēhi kaha ki te mata, tirohia he tākuta mō ētahi tohutohu. Ko te wawe o te tīmatanga o te maimoatanga, ko te nui ake o te tūponotanga ka taea e koe te whakahaere i ō tohu i mua i te kino haere.
He wāhanga tino nui ō ringaringa o tō tinana, te wāhanga e taunekeneke ai koe ki te ao, e mahi ai hoki i ngā mea e arohaina ana e koe. Nō reira, tiakina rātou. Āta whai i ngā tohutohu a tō tākuta, ā, mahihia ngā mahi whakakori tinana e tika ana. Kātahi ka taea e koe te noho hauora ahakoa tēnei mate!
Te whakawhāititanga o te uaua Dupuytren, te piko o ngā maihao, ngā pona nikau, te fascia, ngā mate ringa, ngā mate ira, te whakawhāititanga o ngā maihao
No comments yet. Be the first to share your question or experience below.