Kua rongo koe i tētahi, i ētahi rānei o ō matihao e piko haere ana ki roto, ā, e uaua ana ki te whakatika? Me te mea kei te kumea tō matihao ki roto, ā, kei te mau, kāore? Koinei te mea e kiia nei e tātou ko te mate a Dupuytren. Ka taea e tēnei āhuatanga te whakauaua i te mahi i ngā mahi o ia rā. I tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake hei rongoā mō tēnei āhuatanga, e kiia nei ko te Fasciectomy.
Tuatahi, he aha te Fasciectomy?
He whakarāpopototanga noa iho, he pokanga te tango i te kiko (e kiia nei ko te fascia) kua piri, kua matotoru hoki i te taha o roto o tō ringaringa nā te mate a Dupuytren. Mā tēnei āhuatanga ka piko tetahi, ētahi rānei o ō maihao ki te taha o tō ringaringa. I ētahi wā tino kino, ka kore pea ō maihao e taea te whakatika. Nō reira, i muri i tēnei tangohanga, ka tangohia te kiko piri, ka wātea ō maihao, ā, ka taea e koe te mahi noa i roto i tō ringaringa.
He aha tonu te mate a Dupuytren?
He mate hononga-pūnaha te mate a Dupuytren e kino haere ana i roto i te wā. Tērā pea kei te whakaaro koe he aha te hononga-pūnaha. He momo pūnaha e hono ana, e tautoko ana i ngā uaua, ngā whekau, ngā hononga, me te kiri katoa o te tinana.
Ko te take o tēnei mate ko te matotoru me te whakawhāiti o te fascia, he paparanga kiko i raro i te kiri o te nikau. Tērā pea ka riro mai i ētahi tāngata tēnei mate i ō rātou mātua mā te whakarerekētanga ira . Tērā pea ka pāngia ētahi e te mate, kāore he take e kitea ana.
I te tīmatanga o te mate, ka puta mai ngā pona iti i raro i te kiri o te nikau. I roto i te wā, ka honoa ēnei pona hei hanga taura piri . Kātahi ka tīmata te whakawhāiti i ēnei taura, ka kukumea ngā maihao e piri ana ki roto. Ka karangatia hoki tēnei āhuatanga e ngā tākuta ko te whakawhāititanga o Dupuytren .
Ko wai e hiahia ana ki te pokanga fasciectomy?
Nā te mea he mate haere tonu tēnei, ka whakamātau tuatahi tō tākuta i ngā maimoatanga kore-pokanga, pērā i ngā werohanga steroid, ngā werohanga rānei kei roto he whākōkī e kiia nei ko te collagenase.
Heoi, ki te kore ēnei maimoatanga e āwhina, ā, kua piko rawa ō maihao, kāore e taea e koe te mahi i ngā mahi māmā pēnei i te totoro atu ki roto i tō pēke, te horoi rānei i tō mata, ka matapakihia e tō tākuta ngā kōwhiringa pokanga ki a koe, pēnei i te fasciectomy.
He aha te rerekētanga i waenga i te Fasciectomy me te Fasciotomy?
He maha ngā maimoatanga pokanga mō te mate a Dupuytren. Kia mārama tātou ki ngā rerekētanga matua i waenganui i a rātou.
| Tikanga Maimoatanga | He māmā noa iho te mea kua oti. |
|---|---|
| Te mahi whakatārewatanga o te uaua | Ka tapahia he wahi iti ki te nikau, ā, ka tapahia te taura matotoru o te kiko, ka wehea. Kāore e tangohia katoatia te taura, engari ka tapahia noa. Mā tēnei ka wetekina te taura, ā, ka māmā ake te neke i ngā maihao. |
| Te Whakatō Ngira (Te Whakatō Ngira ki te Aponeurotomy) | Mā te whakamahi i te ngira, ka pokaia e rātou ētahi kōhao ki roto i te kiko matotoru. Ka ngoikore te kiko, ka whati. Mā tēnei ka taea te whakatika i ngā maihao. |
| Te tango i te uaua o te uma | Ko te tikanga o tēnei ko te tango katoa i ngā pona me ngā taura e raru ana mā te pokanga. He uaua ake tēnei i ngā tikanga e rua, engari he roa te mau o ngā hua. |
Ngā momo matua o te pokanga fasciectomy
He maha ngā huarahi hei mahi i te fasciectomy. Mā tō tākuta e whiriwhiri te tikanga tino tika i runga i tō āhua.
- Te tango i te uaua wāhanga (wāhanga): 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 uaua matotoru ka tangohia.
- Te tango i te uaua o te nikau: Ka tapahia he tapahi zigzag i ngā kokonga o te nikau me ngā maihao, kia tangohia ai te nui o ngā kiko mate e taea ana. I tēnei wā, ka taea te whakamahi i te whakapiri kiri hei āwhina i te whakaora i te patunga.
- Dermofasciectomy: Ka mahia tēnei mēnā ka hoki mai te mate. I tēnei mahi, ka tangohia te kiko mate me te kiri e takoto ana i runga. I te nuinga o te wā ka hiahiatia he hononga kiri.
He pēhea te roa o te wā whakaora i muri i te pokanga?
He mea noa 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. Ka kitea tēnei ngoikore i te hokinga mai o ngā io kua roa e totoro ana ki te āhua noa, ā, tera pea ka roa pea ētahi marama ka ngaro atu. I runga i te āhua o tō mahi, me okioki pea koe mō te rua ki te tekau mā rua wiki (3 marama).
He mea tino nui kia tino whai koe i ngā tohutohu a tō tākuta.
- Kia mau tonu tō ringa ki runga, me te tāpiri huka.
- Te pupuri i te patunga kia ma.
- Kia maroke te patunga me ngā tuitui, kaua e pā ki te wai.
- Kia mahara ki te haere ki te whakaora tinana (whakaora ringa) me te mahi i ngā mahi kua hoatu ki te kāinga.
- Te whakamahi tika i ngā rongoā whakamamae mamae, me te whakamahi i ngā rongoā paturopi mēnā e tika ana.
- Te mau i te whitiki whakapiri ki tō ringa mō te roa e kīia ana e te tākuta.
He tūponotanga kei roto i te pokanga?
Pērā i ngā pokanga katoa, he tūponotanga kei reira. He mea noa te ngaro o te rongo, te ngoikore rānei o ngā maihao, ā, ka pai ake i roto i te wā. Heoi anō, he tūponotanga nui kei reira, he tino onge te puta.
- Mate pāwera ki te rongoā whakamoe.
- Te mate urutā.
- Ngā kōpura me te pāwera o te kiri ki te wāhi i pokangahia.
- Te pupuhi (edema) me te marō.
- He tino onge pea te pakaru o ngā io, o ngā uaua toto rānei e tata ana ki te wāhi pokanga.
Āhea te rapu tohutohu hauora tonu
Mena ka pāngia koe e tētahi o ngā tohu i raro nei i muri i te pokanga, me waea atu tonu koe ki tō tākuta.
- Ngā tohu o te mate (pēnei i te kirika, te wai kōwhai e maringi ana i te patunga, ngā ira whero).
- Te mamae nui o ngā uaua.
- Te ngaronga o te rongo, te kore rānei e taea te neke i ngā maihao.
- Ki te mamae tō uma, ki te uaua rānei te manawa, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
- Ngā mate pāwera kiri (hei tauira, te mākūkū o te kiri).
Karere Tangohia ki te Kāinga
- Ko te mate a Dupuytren he mate e piko ai ngā maihao ki roto i te roanga o te wā. Ehara tēnei i tōu he.
- Ko te Fasciectomy he tikanga pokanga e tango ana i te kiko mārō, ā, e whakaora ana i te mahi a te ringa.
- Kāore e taea e tēnei pokanga te whakaora katoa i te mate. Tata ki te rua i roto i te tekau (20%) tāngata ka tūpono ka hoki anō te mate.
- Hei whakatutuki i ngā hua pai rawa atu, he mea tino nui te wā whakaora i muri i te pokanga. Me whai i ngā tohutohu a tō tākuta me te whakaora tinana kia tika.
- Mena ka puta ake ētahi tohu mōrearea i muri i te pokanga, me rapu tohutohu hauora tonu.
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