Kodi zala zanu zikupindika mkati? Kodi iyi ndi Dupuytren's Contracture?

Kodi munayamba mwaonapo kuti pali chotupa chaching'ono pansi pa khungu la dzanja lanu? Kapena mumamva ngati chala chanu chimodzi, makamaka chala chanu cha mphete kapena chala chaching'ono, chikuwerama pang'onopang'ono kupita kuchikhatho? Kodi munayesapo kuyika dzanja lanu patebulo koma simunathe kuliyika pansi kwathunthu, koma chala chimodzi chinali kuonekera mmwamba? Ngati izi zakuchitikirani, ndiye kuti ndikofunikira kwambiri kuti mudziwe za matenda omwe tikukamba lero, omwe ndi Dupuytren Contracture. Musadandaule, si khansa. Tiyeni tiwone chomwe chili, chifukwa chake chimachitika, ndi zomwe tingachite nazo.

Mwachidule, kodi Dupuytren Contracture ndi chiyani?

Tangoganizirani, pansi pa khungu la chikhato chathu, pali nembanemba ya nembanemba, ngati lamba wa rabara, yomwe imapatsa mphamvu manja ndi zala zathu. Mu zamankhwala, timatcha izi fascia . Mu vuto lotchedwa Dupuytren's contracture, minofu yomwe ili mu fascia iyi imakhuthala pang'onopang'ono, imalimba, ndipo imayamba kukhuthala. Imayamba ndi mfundo zazing'ono (madokotala amatcha izi tinthu tating'onoting'ono ) zomwe zimapangidwa pansi pa khungu la chikhato. Pakapita nthawi, mfundozi zimalumikizana pamodzi ndikukhala zokhuthala, ngati chingwe. Pamene mikanda iyi ngati chingwe ikukhuthala kwambiri, zala zomwe zimalumikizidwa nazo zimayamba kukoka mkati. Pamapeto pake, chala chimapindika mkati kwambiri kotero kuti sizingatheke kuchiwongola. Kupindika uku kwa zala ndi komwe timatcha contracture .

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Aliyense akhoza kukhala ndi vuto la Dupuytren's contracture, koma anthu ena amakhala ndi vuto limeneli.

• Kwa amuna: Matendawa amapezeka kwambiri mwa amuna kuposa akazi.
• Kwa anthu ochokera ku Ulaya: Izi zimachitika kawirikawiri pakati pa anthu ochokera ku Ulaya poyerekeza ndi mafuko ena.
• Mbiri ya Banja : Ngati wina m'banja mwanu adakhalapo ndi vutoli kale, mwina inunso muli ndi chibadwa choyambitsa vutoli.

Kugwirizana ndi matenda ena

Anthu omwe ali ndi matenda enaake akhoza kukhala pachiwopsezo chachikulu chotenga matenda a Dupuytren.

• Matenda a shuga
• Matenda a khunyu ndi khunyu
• Matenda ogwiritsira ntchito mowa
• HIV ndi Edzi
• Matenda a mitsempha ya magazi

Kodi izi zimakhudza bwanji thupi langa?

Nthawi zambiri, vutoli limayamba pang'onopang'ono kwambiri. Zimatenga miyezi kapena zaka kuti zizindikiro zikhale zovuta. Simungazindikire vuto lililonse poyamba. Anthu ena amakhala ndi chotupa chaching'ono padzanja lawo chomwe sichimakula kuposa pamenepo. Komabe, kumapeto kwa matendawa, anthu amatha kulephera kuwongola zala zawo, zomwe zimapangitsa kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku. Mwachitsanzo, ngakhale ntchito zosavuta monga kugwirana chanza, kulowetsa m'thumba, kuvala masokosi, kapena kutsuka nkhope zawo zingakhale zovuta. Ngakhale zingakhudze chala chilichonse, dongosolo lofala kwambiri ndi ili: 1. Chala cha mphete 2. Chala cha pinki 3. Chala chapakati 4. Chala cham'manja 5. Chala chachikulu

Kodi zizindikiro zake ndi ziti? Kodi tingazizindikire bwanji izi?

Kutupa kwa Dupuytren nthawi zambiri kumachitika m'magawo angapo. Si aliyense amene amakumana ndi magawo onsewa. Anthu ena amatha kusiya pagawo loyamba.

Zizindikiro zina zowonjezera

Kuwonjezera pa zizindikiro zazikuluzi, anthu ena (osati aliyense) angakumanenso ndi zotsatirazi:

• Kutupa kapena kutupa m'dzanja
• Kukoma mtima kukakhudzidwa
• Kupweteka koyaka
• Kuyabwa

Zizindikiro zimenezi sizichitika kawirikawiri. Ngati muli ndi vuto la Dupuytren ndipo mukukumana ndi zizindikiro zimenezi, ndikofunika kuuza dokotala wanu.

Mayeso osavuta omwe mungadzipangire nokha: "Mayeso a patebulo"

Pali njira yosavuta yodziwira ngati zizindikiro zanu zikukulirakulira. Ikani dzanja lanu patebulo lathyathyathya ndi dzanja lanu litayang'ana pansi. Tsopano yang'anani ngati dzanja lanu ndi zala zanu zonse zakhudza kwambiri pamwamba pa tebulo. Ngati chala chanu chilichonse chakwezedwa ndipo sichingathe kuyikidwa pamwamba pa tebulo, zikutanthauza kuti vuto lanu mwina lafika pamlingo wovuta. Ngati ndi choncho, ndi nthawi yabwino yoti mukaonane ndi dokotala ndikukambirana za chithandizo.

Kodi chifukwa chake ndi chiyani?

Akatswiri sanapeze chifukwa chenicheni cha izi. Koma zatsimikiziridwa kuti iyi ndi matenda a majini . Izi zikutanthauza kuti amatha kupatsiridwa kuchokera ku mibadwomibadwo. Choncho si vuto lanu. Ngati wina m'banja mwanu ali ndi matendawa, inunso muli ndi mwayi woti muwapeze.

Kodi dokotala amazindikira bwanji izi?

Dokotala nthawi zambiri amatha kuzindikira vutoli pongoyang'ana dzanja lanu.

• Akuyang'ana dzanja lanu, akulikhudza, ndipo akuliyang'ana.
• Fukani ngati pali timibulu ndi zingwe pansi pa khungu.
• Amayesa kutalika komwe zala zanu zingapindidwe ndi kuwongoledwa.

Izi nthawi zambiri sizimafuna mayeso apadera kapena ma X-ray. Komabe, ngati pali kukayikira kulikonse pa chifukwa cha kupweteka kwa mkono wanu, X-ray kapena mayeso a magazi angaperekedwe kuti athetse matenda ena.

Kodi mankhwala ake ndi otani?

Pali njira zingapo zochiritsira matenda, kutengera kuopsa kwa zizindikiro zanu. Popeza zimapita pang'onopang'ono, zingatenge zaka kuti mupite patsogolo kuchokera ku chithandizo chimodzi kupita ku china. Mutha kukhala bwino ndi mankhwala osavuta kumayambiriro kwa matendawa ndipo simukusowa chithandizo china.

1. Chithandizo chosavuta komanso choyambira (Chithandizo cha Conservative)

Izi ndi zinthu zoyamba kuyesa.

• Kuchiza thupi : Maseŵero apadera otambasula zala.
• Kulimbitsa kapena kulimbitsa:Chipangizo chomwe chimavalidwa kuti zala zisamatambasulidwe.
• Chithandizo cha ultrasound kapena kutentha: Mafunde a phokoso kapena kutentha kosapweteka amagwiritsidwa ntchito kuwonjezera kusinthasintha kwa minofu yokhuthala (fascia).
• Jakisoni wa Corticosteroid: Jakisoni woperekedwa kuti achepetse timibulu ndi mipiringidzo.

2. Chithandizo cha Radiation

Nthawi zina, katswiri wa radiation angatumizidwe kuti aletse kapena kuchepetsa kupita patsogolo kwa zizindikiro. Izi zimaphatikizapo kugwiritsa ntchito mphamvu zochepa kwambiri za radiation, monga X-ray, kuti achepetse tinthu tating'onoting'ono.

3. Kuchotsa chotupa cha ubongo pogwiritsa ntchito singano

Ngati chithandizo chosavuta sichikugwira ntchito, ichi ndi chinthu chotsatira choyenera kuganizira. Ichi ndi chinthu chomwe chingachitike ku ofesi ya dokotala. Apa, dzanja lachita dzanzi, ndipo singano yapadera imagwiritsidwa ntchito kuboola zingwe zolimba, kuzimasula. Kenako chala chikhoza kuwongoledwanso.

4. Jakisoni wa Collagenase

Collagenase ndi enzyme yomwe imathandiza kuswa minofu yokhuthala. Dokotala amabaya jakisoni wokhala ndi enzyme iyi mwachindunji m'mafundo kapena m'mabande. Kenako, tsiku lina, dzanja limasowa chochita ndipo chala chimawongoleredwa.

5. Opaleshoni (opaleshoni ya Dupuytren contracture)

Ngati chala chanu chikupindika kwambiri moti chingasokoneze zochita zanu za tsiku ndi tsiku, opaleshoni ikhoza kukhala njira yomaliza. Iyi nthawi zambiri imakhala njira yochizira matenda akunja. Njirayi imatchedwa fasciectomy. Mu njira iyi, dokotalayo amachotsa dzanja lanu ndi dzanzi ndikuchotsa gawo kapena minofu yonse yokhuthala ya fascia. Pambuyo pa opaleshoni, physiotherapy nthawi zambiri imakhala yofunikira kuti muthandize kubwezeretsa mphamvu ndi kuyenda m'dzanja lanu.

Mafunso Ofunsidwa Kawirikawiri ndi Zinthu Zofunika Kudziwa

Kodi pali mankhwala ochiritsira izi?

Ayi, palibe mankhwala a Dupuytren's contracture. Komabe, ndi vuto losavuta kulithetsa . Ndi chithandizo, mutha kuchotsa zizindikirozo ndikukhala moyo wabwinobwino. Komabe, chifukwa ndi majini, pali mwayi wochepa woti zingabwererenso mutalandira chithandizo, mwina patapita zaka zambiri. Ngati zimenezo zitachitika, mutha kubwereza chithandizo chomwecho monga kale.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

• Mankhwala osavuta: Zinthu monga masewera olimbitsa thupi ndi ma splints zingatenge miyezi ingapo kuti ziwonekere zotsatira.
• Kuchotsa chotupa cha singano: Chala chikhoza kuwongoledwa nthawi yomweyo chithandizo chitatha.
• Opaleshoni:Ngakhale opaleshoniyo itachotsa zizindikiro, zingatenge miyezi iwiri kuti mumve bwino. Muyenera kudikira mpaka dzanja lanu litachira. Pambuyo pake, muyenera kuchita physiotherapy kwa miyezi ingapo.

Ndiyenera kupita liti kwa dokotala wanga?

Ngati muwona chotupa m'dzanja lanu, kapena ngati mukumva ngati chala chanu chikupindika, ndi bwino kupita kwa dokotala. Makamaka ngati simungathe kuyika dzanja lanu lathyathyathya patebulo mutachita "mayeso a patebulo" omwe tidakambirana kale, ndi nthawi yoti muyambe kulandira chithandizo.

Kodi pali nthawi zina zomwe ndiyenera kupita ku ETU?

Pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) nthawi yomweyo ngati zotsatirazi zachitika, monga mutachita opaleshoni.

• Ululu woopsa kwambiri
• Kutupa kwambiri kwa dzanja
• Kusintha kwa mtundu wa manja
• Kulephera kugwirana chanza nthawi zonse
• Ngati pali kutuluka magazi kuchokera pamalo ochitira opaleshoni

Kodi Dupuytren Contracture ndi Trigger Finger ndi chinthu chimodzi?

Ayi. Ngakhale zonsezi zingapangitse chala kupindika, ndi zinthu ziwiri zosiyana kwambiri.

• Kutupa kwa Dupuytren: Kumachitika chifukwa cha kukhuthala kwa fascia pansi pa khungu la chikhatho.
• Chala Choyambitsa: Izi zimachitika chifukwa cha kutupa kwa 'pulley' (pulley ya A1) yomwe imathandiza kusuntha mtsempha wa chala. Izi zimapangitsa chala kumva ngati chagwira mukachipinda kapena kuchitambasula.

Kaya muli ndi vuto lanji ndi dzanja lanu, ndi bwino kupita kwa dokotala kuti akupatseni upangiri mukangoona zizindikiro zatsopano, makamaka ngati pali ululu kapena kuvutika kuyenda. dupuytren contracture sinhala, kupindika kwa zala, mfundo m'dzanja, kulephera kutambasula zala, matenda a dupuytren sinhala, matenda a manja, kupweteka kwa dzanja