Tiyeni tiphunzire za jakisoni wapadera (Collagenase Injection) wothandiza kuuma kwa zala ndi kupindika kwa mbolo.

Nthawi zina, minofu m'thupi lathu imatha kukhala yokhuthala komanso yolimba. Tangoganizani kuti chala chanu chalimba kwambiri moti simungathe kuchipinda, chimamveka ngati chikukokedwa ndi chingwe. Kapena mbolo ya mwamuna ndi yokhotakhota komanso yopweteka. Matenda oterewa ndi osasangalatsa kwambiri, sichoncho? Lero tikulankhula za jakisoni wapadera womwe umaperekedwa pochiza matenda otere. Imeneyi imatchedwa jakisoni wa Collagenase.

Mwachidule, kodi Collagenase ndi chiyani?

Collagen ndi mtundu wa mapuloteni omwe amathandiza kupatsa minofu ya thupi lathu mphamvu ndi mawonekedwe. Ili ngati mawaya m'nyumba. Koma nthawi zina, m'malo ena, collagen iyi imasonkhana kwambiri ndipo imakhuthala. Pamenepo ndi pamene minofu, monga tafotokozera kale, imakhala yolimba, imataya kusinthasintha, ndipo mavuto amayamba.

Collagenase , kunena zoona, ndi katemera wokhala ndi enzyme yomwe imaphwanya, kusungunula, ndikuchotsa minofu yochulukirapo ya collagen. Katemerayu akalowetsedwa m'dera lomwe lakhudzidwa, ulusi wa collagen wolimba komanso wokhuthala umasweka. Kenako kuuma ndi kulimba kwa minofu kumachepa ndipo kumayamba kubwerera mwakale.

Katemerayu amagwiritsidwa ntchito makamaka pochiza matenda awiri:

1. Kutupa kwa Dupuytren: Izi zimachitika pamene minofu ya collagen yomwe ili pansi pa khungu la chikhatho imakhuthala ndikulimba ngati chingwe, zomwe zimapangitsa kuti zala (nthawi zambiri chala cha mphete ndi chala chaching'ono) zipinde mkati ndikulimba. Izi zimapangitsa kuti chalacho chikhale chovuta kuchiwongolera.

2. Matenda a Peyronie: Uwu ndi mkhalidwe womwe minofu ya collagen mu mbolo imakhuthala (plaque), zomwe zimapangitsa kuti mbolo ikhale yopindika. Izi zingapangitse kugonana kukhala kowawa kapena kovuta.

Zinthu zomwe muyenera kuuza dokotala wanu musanalandire chithandizochi

Popeza uwu ndi chithandizo chapadera, ndikofunikira kwambiri kukambirana momasuka ndi dokotala wanu za chilichonse. Musanayambe chithandizo, onetsetsani kuti mwawauza ngati muli ndi chilichonse mwa izi.

• Ngati muli ndi vuto la kutuluka magazi .
• Ngati munakhalapo ndi vuto la ziwengo ndi mankhwala otchedwa Collagenase kapena mankhwala ena aliwonse, chakudya, kapena utoto.
• Ngati muli ndi pakati kapena mukuyembekezera mwana .
• Ngati ndinu mayi woyamwitsa .

Kutengera ndi izi, dokotala wanu adzatha kusankha ngati chithandizochi chili choyenera kwa inu kapena ayi.

Kodi katemerayu amaperekedwa bwanji?

Iyi si mankhwala omwe mungapite nawo kunyumba ndikugwiritsa ntchito. Iyi ndi jakisoni yomwe imaperekedwa kuchipatala kapena kuchipatala, ndi dokotala wophunzitsidwa bwino, mwachindunji pamalo okhudzidwa. Choncho simuyenera kuda nkhawa nazo.

Mungalandire kabuku kapadera (MedGuide) kokhala ndi zambiri zokhudza mankhwalawa. Ngati mulandira, kawerengeni mosamala ndikumvetsa. Komanso, ngati chithandizochi chaperekedwa kwa ana, chisamaliro chapadera chingafunike. Lankhulani ndi dokotala wanu za izi.

Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?

Mankhwala awa ndi operekedwa ndi dokotala, kotero mwayi woti izi zichitike ndi wochepa. Komabe, ngati mukuganiza kuti china chake chachitika, imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.

Zinthu zofunika kusamala nazo kwambiri mukamalandira chithandizo

Mukapita kunyumba mutalandira katemera, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu ndendende. Malangizo awa amasiyana malinga ndi matenda omwe mukulandira.

Ngati mukulandira chithandizo cha contracture ya Dupuytren m'manja mwanu...

• Kukumana ndi dokotala: Mudzapemphedwa kuti mubwererenso kudzaonana ndi dokotala wanu patatha masiku 1 mpaka 3 mutalandira jakisoni. Musaphonye nthawi imeneyi. Panthawiyo, dokotalayo adzatambasula dzanja lanu pang'onopang'ono ndikuthandizira kuswa minofu yolimba.
• Musagwiritse ntchito dzanja lanu: Mpaka mutawonana ndi dokotala, musapinde kapena kuwongola zala za dzanja lomwe munabayidwa jakisoni. Komanso, musakhudze chala chomwe munabayidwa jakisoni.
• Sungani mkono wanu mmwamba: Sungani mkono wanu mmwamba momwe mungathere, makamaka musanagone. Ndi bwino ngati mungathe kuukweza, ngati pilo.
• Maseŵero Olimbitsa Thupi ndi Mapazi: Dokotala wanu angakupatseni maseŵero apadera a zala kapena chibangili choti muvale usiku. Tsatirani malangizo amenewo molondola.
• Samalani: Ngati kufiira ndi kutupa m'dzanja lanu kukuchulukirachulukira, ngati mukumva dzanzi kapena kutaya kumva m'chala chomwe chathandizidwa, kapena ngati mukuvutika kupinda chala chanu kutupa kutachepa, imbani dokotala nthawi yomweyo.

Ngati mukulandira chithandizo cha matenda a Peyronie (kupindika kwa mbolo)...

Ngakhale kuti nkhaniyi ndi yovuta pang'ono, kutsatira malangizo awa ndikofunikira kuti chithandizocho chipambane.

• Pewani kugonana: Pewani kugonana kotheratu pakati pa mlingo woyamba ndi wachiwiri wa katemera. Musagone kwa milungu inayi mutatenga mlingo wachiwiri ndipo mpaka ululu ndi kutupa kwa mbolo zitatha kwathunthu .
• Pewani kugwiritsa ntchito zipangizo: Musagwiritse ntchito zipangizo zotsukira mbolo zomwe zimathandiza kudzutsa mbolo panthawiyi ya chithandizo.
• Pewani kukanikiza minofu ya m'mimba: Pewani kukanikiza minofu ya m'mimba nthawi zina pamene mukuchita chimbudzi.
• Uphungu wa dokotala: Dokotala wanu adzakupatsani malangizo a momwe mungachitire zinthu zosonyeza chitsanzo kunyumba. Tsatirani malangizowo bwino lomwe.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha katemerayu?

Monga mankhwala ena aliwonse, katemerayu angayambitse zotsatira zina zoyipa. Zina mwa izo ndi zazikulu, zina ndizofala. Tiyeni tiwone zomwe zili.

Mankhwala ena omwe angagwirizane ndi katemerayu

Mankhwala ena omwe mukumwa angakhudze momwe katemerayu amagwirira ntchito. Ndikofunikira kwambiri kuuza dokotala wanu ngati mukumwa mankhwala aliwonse mwa awa.

• Aspirin ndi mankhwala ena okhala ndi aspirin.
• Mankhwala omwe amaletsa magazi kuundana kapena kuchepetsa magazi (monga warfarin, enoxaparin, dalteparin, apixaban, dabigatran, rivaroxaban).

Mndandandawu sunathe. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala aliwonse, mavitamini, mankhwala azitsamba, kapena zowonjezera zomwe mukumwa. Ndikofunikanso kuuza dokotala wanu ngati mukusuta kapena kumwa mowa.