Kua rongo koe i te āhua kua matotoru te kiri o tō nikau, kua puta he puku iti? Kāore rānei koe i te uaua ki te pupuri i tētahi, i ētahi rānei o ō maihao kia tika, ā, ka piko haere ki te nikau? Ehara tēnei i te mea motuhake ki a koe. He mate hauora tēnei. Ka kiia e mātou ko te Dupuytren's Contracture. He tokomaha te hunga kāore i te mōhio ki tēnei, nō reira ka mataku pea. Nō reira, i tēnei rā ka kōrerohia e tātou ngā mea katoa me te tino māmā, me te ngāwari hoki.
He aha te tikanga o te kirimana a Dupuytren?
Ka puta tēnei nā te mea ka mātotoru haere te paparanga kiko (fascia) i raro i te kiri o tō ringaringa, ka hanga he taura muka. He rite ki te mea kei te kukume tetahi i tētahi taura mai i roto i tō ringaringa. I roto i te wā, i te whakakīkī o ēnei taura, ka tīmata te piko ki roto tetahi, ētahi rānei o ngā maihao e hono ana ki a rātou. Koinei te mea e kiia nei e tātou he 'contracture'. Ko te nuinga o te wā ka pā tēnei āhuatanga ki ngā maihao mowhiti me ngā maihao iti, engari ka pā pea ki tētahi maihao.
Ehara tēnei i te mate pukupuku, ehara hoki i te mate hopuhopu. Ā, he iti noa te mamae o tēnei mate. Engari ko te raruraru matua, ina piko ngā maihao, ka uaua ki te mahi i ngā mahi o ia rā. Hei tauira, ahakoa ngā mea ngāwari pēnei i te rūrū ringa, te totoro atu ki roto i tō pēke, te pupuri pūmau rānei i tētahi mea, ka uaua pea.
Me pēhea te whakatau i te maimoatanga?
Ka rerekē te maimoatanga mō te mate pukupuku o Dupuytren i runga i te kaha o tō mate. Kāore he maimoatanga kotahi e pai ana mō te katoa. Ka tirotirohia koe e tō tākuta , ā, ka whakatauhia te maimoatanga pai rawa atu i runga i te nui o tōna pānga ki tō oranga.
Ko te mea nui, kāore anō kia kitea he rongoā e taea te aukati katoa i te whanaketanga o tēnei mate, te ārai rānei i tōna kino haere ina pā mai. Ko te whāinga matua o te rongoā he whakaiti i ngā tohu me te whakaora i te mahi a te ringa.
Mō ētahi tāngata, ka tino puhoi te whanaketanga o te mate. He puku iti noa iho pea i te nikau o tō ringaringa, kāore e rerekē mō ngā tau. I ēnei wā, ki te kore e whakararuraru i ō mahi o ia rā, he pai ake te whai i te huarahi "tāria, tirohia".
Heoi, ki te tere haere te piko o tō maihao, ā, ka uaua ki te mahi i ngā mahi o ia rā, ka matapakihia e tō tākuta ngā kōwhiringa maimoatanga e tika ana māu.
Ngā Maimoatanga Kore-Pokanga
He maha ngā maimoatanga ka taea te whakamahi i ngā wāhanga tōmua o te mate, hei tāpiri atu rānei ki te pokanga. Heoi, he iti noa iho te angitu o ēnei.
| Tikanga maimoatanga | Ka ahatia? |
|---|---|
| Te totoro | E taunakihia ana mō te hunga he tino ngawari te mate. Ka taea hoki te whakamahi tahi me ētahi atu maimoatanga. Heoi, me mahi ēnei i runga i ngā tohutohu a te tākuta . |
| Ngā Werohanga Steroid | He rongoā kaha ēnei hei ārai i te mumura. Ina werohia tika ki roto i tētahi pona i te ringa, ka taea te whakaiti i tōna rahi. Heoi, ka whai hua anake tēnei i ngā wāhanga tōmua o te mate. Kia matotoru te kiko, kāore i te tino whai hua. |
| Ngā Werohanga Whākōkī | Mena kua piko kē tō maihao, ka tūtohu pea tō tākuta kia werohia he ranunga whākōkī, pērā i te Xiaflex . Ka pakaruhia e ēnei whākōkī te kiko matotoru, ka wetekina. I te rā e whai ake nei, ka ngana tō tākuta ki te whakatika i tō maihao mā te pupuri me te kukume. Ka taea tēnei te whakamahi hei huarahi kē atu i te pokanga. |
| Te Whakaora Irahiko | Ko te rongoā irahiko taumata-iti tētahi atu kōwhiringa, engari he iti tonu ngā raraunga rangahau mō tōna angitu. |
He kōrero anō mō ngā werohanga whākōkī...
Mō te nuinga o te tangata, kotahi, e rua rānei ngā werohanga e ranea ana mō te hononga e pāngia ana. Tērā pea ka hiahiatia kia toru ngā werohanga mō ētahi tāngata. Ko ngā pānga taha e tino kitea ana ko te pupuhi, te toto, te marō, me te mamae i te wāhi i werohia ai. He tino onge, ka puta pea ngā pānga taha kino pērā i te pakaru o te uaua, te pakaru o te io, te mate pāwera rānei.
Kua whakamātauria ētahi atu maimoatanga pēnei i te whakamahi i te whitiki whakapakari waewae, te kirīmi huaora E, me te ultrasound, engari kāore i tino angitu ngā hua.
Āhea te wā e hiahiatia ai te pokanga? (Ngā Maimoatanga Pokanga)
Mena kei te uaua koe ki te mahi i ngā mahi o ia rā, pērā i te hopu i tētahi mea, te tuhituhi, te pupuri rānei i tētahi kapu, ka tūtohu pea tō tākuta i te pokanga. Ko te whāinga matua o te pokanga he whakahoki mai i te nekehanga ngaro o ō maihao.
E rua ngā momo pokanga matua.
| Momo pokanga | Whakaahuatanga |
|---|---|
| Pokanga Tuwhera | Ka tapahia e te taote pokanga te ringa, ā, ka tapahia te kiko matotoru (fasciotomy) ka tangohia rānei te katoa, te wāhanga rānei (fasciectomy) . I ētahi wā ka whakamahia hoki he tākai kiri hei kati i te patunga. |
| Te Aponeurotomy o te ngira | He māmā ake tēnei tikanga i te pokanga tuwhera. Ka whakamahia e te taote pokanga he ngira werohanga hei tapahi me te wehe i te kiko matotoru i runga ake i te kiri. He poto ake te wā whakaora. Kāore te nuinga o te tangata e hiahia ki te whakaora tinana i muri mai. |
He aha ngā mea hei tumanakohia i muri i te pokanga?
He maha ngā wā ka taea e te pokanga te whakatika i te piko o ngā maihao me te whakahoki mai i te mahi a te ringa. Heoi, ki te piko ētahi maihao, ka uaua ake te whakatika.
He tūponotanga me ētahi raruraru anō hoki tō te pokanga.
- Te hokinga mai: He tūponotanga kei te hoki mai anō ngā mate i ngā momo pokanga e rua.
- Ētahi atu raruraru:
- Te pupuhi me te mamae o te patunga
- Te kino ki ngā io, ki ngā oko toto rānei
- Ngā mate urutā
- Te mate o te kiko
Me pēhea te whakaora tere?
He mea tino nui kia whai i ngā tohutohu a tō tākuta i muri tonu i te pokanga.
- Whakaarahia tō ringa: Mā te whakaara ake i tō ringa ki runga ake i tō ngākau ka āwhina i te whakaiti i te pupuhi me te mamae.
- Te nekenekehanga o ō matihao: Ki te tohutohu te tākuta i a koe, nekenekehia ō matihao.
- Te whakaora tinana:Tērā pea ka tukuna koe e tō tākuta ki tētahi kaiwhakaora tinana, māna koe e ako ki ngā mahi whakakori tinana hei whakapai ake i te kaha me te mahi a tō ringa.
Karere Tangohia ki te Kāinga
- Ko te Dupuytren's Contracture he āhua e matotoru ai ngā kiko o te ringa, e piko ai ngā maihao. Ehara i te mate pukupuku, ehara hoki i te mate hopuhopu.
- Kāore e hiahiatia he pokanga mō te katoa. Mēnā he ngawari te mate, kāore he maimoatanga e hiahiatia ana.
- Mena kei te whakararuraru tēnei i ō mahi o ia rā, kei reira ngā kōwhiringa maimoatanga kore-pokanga (werohanga) me te pokanga.
- Ko tō tākuta anake te mea ka taea te whakatau i te maimoatanga pai rawa atu māu. Nō reira, ki te kite koe i ētahi panonitanga ki tō ringaringa, kaua e wehi ki te rapu tohutohu hauora.
- I muri i te maimoatanga, me āta whai i ngā tohutohu a tō tākuta me tō kaiwhakaora tinana kia tere ai te ora.
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