Kua rongo koe i te āhua o te piko haere o tētahi maihao, o ētahi maihao rānei o tō ringaringa ki te nikau? He tino uaua ki te whakatikatika ahakoa e ngana ana koe ki te whakatikatika? He tohu pea tēnei o tētahi mate e kiia nei ko te mate a Dupuytren. Ina tino kino tēnei mate, ka kore e taea te whakatikatika i ō maihao. Nō reira, i tēnei rā kei te kōrero tātou mō te Fasciectomy, he maimoatanga tino whai hua mō tēnei mate.
He aha te Fasciectomy?
He pokanga noa iho te tango i te uaua o te ringa (fascia). Ko te tango i tētahi paparanga kiko muka e kiia nei ko te fascia mai i tō ringaringa. Whakaarohia he rite ki tētahi kiriuhi angiangi i raro i te kiri o tō ringaringa. Mō tētahi tangata e pāngia ana e te mate a Dupuytren, ka mātotoru haere tēnei kiriuhi, ka piri, ka tīmata te whakawhāiti. Kātahi ka kukume i ngā maihao ki roto ki te nikau.
Nō reira, ko tā te pokanga Fasciectomy he tango i taua kiko piri, ka tuku i ō maihao kia tika noa. Mā tēnei ka āwhina i a koe kia hoki mai te mahi a tō ringa.
He aha te mate a Dupuytren?
He mate hononga ā-whatumanawa haere tonu te mate a Dupuytren. Ko te mea ka tupu i tēnei, ka matotoru, ka piri te kiko o te uaua, i kōrerotia ake nei e tātou, i roto i te ringa, i ngā ringa e rua rānei. Ko tēnei kiko hononga i roto i tō tātou tinana te mea e hono ana i ō tātou uaua, ō tātou whekau, ō tātou hononga, me te kiri, ā, e mahi ana hei tautoko.
Tērā pea ka pāngia ētahi tāngata e tēnei mate nā te whakarerekētanga ira e tukuna iho ana i roto i ngā whakatipuranga . Heoi anō, tērā pea ka pāngia ētahi tāngata e tēnei mate, kāore he take e kitea ana.
Ka puta tuatahi ngā pona iti i raro i te kiri o ō rātou nikau o te hunga whai mate nei. I roto i te wā, ka honoa ēnei pona, ka hanga he taura matotoru, he rite ki te taura. Ka kukumea e ēnei taura tētahi, neke atu rānei o ngā maihao ki te nikau. Ka karangatia hoki tēnei mate e ngā tākuta ko te kirimana a Dupuytren .
Ko wai rā te tangata e hiahia ana ki tēnei pokanga?
Nā te mea he mate haere tonu te mate a Dupuytren, ka whakamātau tuatahi tō tākuta i ngā maimoatanga kore-pokanga.
- Werohanga steroid
- Werohanga o te whākōkī collagenase
Ki te kore ēnei maimoatanga e āwhina, arā, kua piko rawa ō matimati, ā, kāore e taea e koe te mahi i ō mahi o ia rā, ka tūtohu pea tō tākuta kia pokangahia. Ko te fasciectomy te pokanga tino noa e mahia ana i roto i ēnei take.
Te tango i te tākihi, te tango i te tākihi... He aha te rerekētanga?
He maha ngā maimoatanga pokanga mō te mate a Dupuytren. He rerekē paku nei ēnei. Me titiro tātou ki ēnei. Ka taea e koe te mārama ngāwari ki tēnei rerekētanga mā te titiro ki tēnei ripanga.
| Tikanga maimoatanga | He aha te mea hei mahi noa |
|---|---|
| Te mahi whakatārewatanga o te uaua | Ka tapahia he wahi iti ki te nikau, ā, ka tapahia te taura matotoru, ka wehea. Kāore e tangohia, ka tapahia noa. Ka ngoikore te kaha o te taura, ā, ka māmā ake te neke i ngā maihao. |
| Te tango i te ngira i roto i te kiri (Needle Aponeurotomy) | Mā te whakamahi i tētahi ngira iti, ka hangaia he maha ngā kōhao ki roto i te kiko matotoru. Ka ngoikore te kiko, ka pakaru hoki i ēnei kōhao, ka taea ai te wetekina ngā maihao. |
| Te tango i te uaua o te uma | Ko te tikanga tēnei me tapahi katoa, me tango atu hoki i ngā pona me ngā taura e raru ana. Koinei te tikanga ka kōrerohia i roto i tēnei tuhinga. |
Me aha koe i mua i te pokanga?
He mea tino nui kia ata whai i ngā tohutohu a tō taote pokanga i mua i te pokanga. Tērā pea ka tono atu rātou kia mahia e koe ngā mea penei:
- Te nohopuku (te kore kai me te kore inu) mō ētahi haora i mua i te pokanga.
- Ki te kai paipa koe, kati . Ka whakararu te kai paipa i te tukanga whakaora.
- Ka tonoa pea koe kia mutu te tango i ētahi rongoā, huaora, me ngā tāpiringa otaota mō tētahi wā.
He rerekē ngā momo pokanga?
Ae, he rerekē ngā momo me ngā tikanga o te pokanga fasciectomy i runga i te āhua o te mate.
Te rerekētanga i waenga i te Fasciectomy Wāhanga me te Katoa
- Tango wāhanga (tango wāhanga): Ko te tango anake i te kiko mate, matotoru hoki.
- Katoa (tangohanga katoa):I tēnei, ka tangohia te kiriuhi fascia katoa o te ringa, tae atu ki ngā kiko hauora.
Mā tō tākuta koe e whakatau, e whakamārama hoki ko tēhea tikanga te mea pai mōu.
Ngā tikanga pokanga
- Te tango i te uaua o te ringa: I tēnei tikanga, ka mahia ētahi tapahi iti i te taha o ngā kopa tūturu o te ringa, ā, he wāhanga iti noa iho o te taura matotoru ka tangohia.
- Te tango i te uaua o te nikau: He maha ngā tapahi ka mahia i te taha o ngā kōpiko o te nikau me ngā maihao (he maha ngā wā he āhua 'Z') hei tango i te nui o ngā kiko mate e taea ana. I ētahi wā ka whakamahia he tākai kiri hei āwhina i te whakaora i te patunga.
- Dermofasciectomy: Ka mahia tēnei mēnā ka hoki anō te mate. I konei, ka tangohia te kiko fascia mate me te kiri e taupoki ana. I tēnei wā, me mahi he hononga kiri.
He aha ngā painga o te pokanga?
Ko te painga nui o tēnei pokanga ko te taea e koe te whakaora i te mahi a tō ringa, ō maihao, me tō koromatua. Kia tangohia te kiko piri, ka taea e koe te toro atu me te whakatikatika i ō maihao. Kua whakaatuhia e ētahi rangahau he roa ake te mau o ngā hua o te pokanga fasciectomy i ētahi atu maimoatanga.
He tūponotanga, he raruraru rānei kei reira?
Pērā i ngā pokanga katoa, he iti noa te tūponotanga o ētahi mōrearea me ngā raruraru. Kaua e manukanuka, he tino onge ēnei.
He mea noa te rongo i te ngoikore, te ngaro rānei o te kare ā-roto o ō matimati i muri i te pokanga. Ka pai haere tēnei i te tīmatanga o te whakangā o ngā io kua kōpeke.
Ētahi atu raruraru pea:
- Mate pāwera ki te rongoā whakamoe
- Mate pāwera
- Te aro o te kiri me te whara
- Ngā marō
- Pupuhi (edema)
- He tino onge pea te pakaru o ngā io, o ngā uaua toto rānei o te ringa.
He pēhea te wā whakaora?
He mea noa te rongo i te mamae, te pupuhi, me te pakari o tō ringaringa i muri i te pokanga. Tērā pea ka rongo koe i te ngoikore o tō ringaringa me ō maihao. Tērā pea ka roa ētahi marama ka ngaro katoa ēnei. I runga i te āhua o tō mahi, me tango pea koe i te rua ki te tekau mā rua wiki (tata ki te 3 marama) hei whakatā i te mahi.
He mea tino nui kia whai i ngā tohutohu a tō tākuta i a koe e ora ana.
- Whakatakotoria he putea hukapapa ki runga i te ringa, kia teitei tonu.
- Horoia te patunga ki te hopi me te wai, ka hipoki ki te takai.
- Kia tūpato kei mākū ō ringaringa me ō tuitui i a koe e kaukau ana.
- Maimoatanga whakaora tinanaHe mea nui te haere ki ngā wā whakangungu me te mahi i ngā mahi whakakori tinana i te kāinga kia hoki mai ai te mahi a te ringa.
- Ko te tango i ngā rongoā whakamamae mamae me ngā paturopi kua tohua e te rata kia rite tonu ki te mea kua tohua.
- Tērā pea ka tonoa koe kia mau i te whitiki tautoko (he tautoko hei pupuri i tō ringa kia kaua e neke) mō te toru marama pea.
Kāore e taea e te pokanga te whakaora katoa i te mate, engari ka taea e ia te whakapai ake i te mahi a te ringa. Tata ki te rua i roto i te tekau o ngā tāngata kua pokaina ka pāngia e te hokinga mai o ngā tohumate. Mēnā ka puta tēnei, tera pea ka hiahiatia tētahi atu pokanga.
Ahea te wā me waea atu ahau ki te tākuta?
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, me waea atu koe ki tō tākuta tonu atu .
| Āhuatanga hei aro atu | Whakaahuatanga |
|---|---|
| Ngā tohu o te mate | Te kirika, te wai kōwhai e maringi ana i te patunga, me ngā ira whero e puta ana huri noa i te patunga. |
| Ngā tohu mate pāwera | Mākūkū te kiri. |
| Mamae nui | Te mamae uaua e kore e taea te whakamanawanui, te mamae nui. |
| Mahi a te maihao | Te ngaronga o te rongo i ngā maihao, te kore rānei e taea te neke. |
| Ētahi atu tohu ohorere | Te mamae o te uma, te uaua rānei ki te manawa. |
Ka taea e te mate a Dupuytren te waiho hei arai nui ki ō mahi me ō mahi o ia rā. Mā te pokanga fasciectomy ka taea e koe te whakamahi anō i ō ringaringa me ō maihao. Ko te mea nui ko te whai i te whakaora tinana me ngā mahi whakakori tinana tika i muri i te pokanga.
Karere Tangohia ki te Kāinga
- Ko te Fasciectomy he pokanga hei whakatika i ngā maihao kua piko ki waho nā te mate a Dupuytren.
- Ko te whāinga o tēnei pokanga he whakaora i te mahi a te ringa mā te tango i te kiko matotoru e kukume ana i ngā maihao ki roto.
- He mea tino nui te whai i ngā tohutohu hauora me ngā maimoatanga whakaora tinana kia ora katoa ai koe i muri i te pokanga.
- Ahakoa kāore e tino rongoatia te mate e tēnei pokanga, ka taea e ia te whakapai ake i te kounga o te oranga.
- Mena kei te pāngia koe e ēnei tohu, me toro atu ki tētahi tākuta whai tohu hei matapaki i ngā huarahi maimoatanga.
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