Kupweteka kwa Dupuytren: Kumvetsetsa Matenda Omwe Amapinda Zala Zanu

Kodi munayamba mwaonapo chotupa chaching'ono pansi pa khungu la chikhato chanu, kapena mwina munamvapo chala chanu chimodzi - makamaka chala cha mphete kapena cha pinki - chikupindika pang'onopang'ono kukhudza chikhato chanu? Kodi zimakuvutani kuyika dzanja lanu patebulo chifukwa chala chimodzi chikuima mmwamba?

Ngati izi zikumveka zachilendo, kumvetsetsa Dupuytren Contracture (দুপীযুত্রন ক্ন্টর্ক্চের) ndikofunikira kwambiri. Musadandaule; iyi si khansa. Tiyeni tifufuze kuti ndi chiyani, chifukwa chake imachitika, ndi zomwe tingachite pa izi.

Kodi Dupuytren Contracture ndi chiyani kwenikweni?

Mwachidule, Dupuytren contracture imaphatikizapo kukhuthala ndi kulimbitsa minofu yomwe ili pansi pa khungu m'chikhatho chanu. Minofu imeneyi, yomwe imadziwika kuti fascia , nthawi zambiri imapereka chithandizo ku dzanja lanu ndi zala zanu. Pa vutoli, fascia imakula kukhala zingwe zokhuthala kapena timibulu tomwe timakoka chala chimodzi kapena zingapo mkati, kupita ku dzanja.

Kawirikawiri imayamba ndi tinthu tating'onoting'ono topanda ululu (totchedwa tinthu tating'onoting'ono ) pansi pa khungu la chikhatho. Pakapita nthawi, tinthu tating'onoting'onoti timakula ndikulumikizana, ndikupanga mipiringidzo yokhuthala kapena zingwe. Pamene tinthu tating'onoting'onoti timafupika ndikulimba, timakoka zala zomwe zakhudzidwazo kuti zipinde - kupindika kumeneku kumadziwika kuti contracture .

Chofunika kwambiri n'chakuti, ziphuphu zomwe zimapangika nthawi zambiri zimakhala zopanda vuto (zosakhala khansa). Sizigwirizana ndi khansa kapena zomwe zimayambitsidwa ndi khansa. Chifukwa chake, palibe chifukwa choopa khansa pankhaniyi.

Ndani Amene Angakhale ndi Matenda a Dupuytren Contracture?

Ngakhale kuti aliyense akhoza kukhala ndi Dupuytren contracture, pali zinthu zina zomwe zimawonjezera chiopsezo:

• Jenda: Amuna ali ndi mwayi waukulu wopeza matendawa kuposa akazi.
• Makolo: Anthu ochokera kumpoto kwa Ulaya ndi omwe ali ndi kachilomboka kwambiri.
• Mbiri ya Banja: Mbiri ya banja ya Dupuytren contracture imasonyeza kuti munthuyo ali ndi matenda a majini.
• Matenda Ena: Matenda ena amabwera chifukwa cha chiopsezo chowonjezeka, kuphatikizapo:
• Matenda a shuga
• Matenda a khunyu ndi khunyu
• Matenda ogwiritsira ntchito mowa
• HIV ndi Edzi
• Matenda a mitsempha ya magazi (matenda omwe amakhudza mitsempha yamagazi)

Kodi Matendawa Amakhudza Bwanji Thupi Langa?

Kutupa kwa Dupuytren nthawi zambiri kumapita pang'onopang'ono, nthawi zina kwa zaka zambiri. Poyamba, simungamve kupweteka kulikonse kapena kuwona kusintha kwakukulu. Anthu ena amakhala ndi timibulu tomwe timakhazikika ndipo sitimayambitsa mavuto.

Komabe, pamene vutoli likukulirakulira, zingwe zomangira zimatha kupangitsa ntchito za tsiku ndi tsiku kukhala zovuta. Zochita zosavuta monga kugwirana chanza, kuyika dzanja lanu m'thumba, kuvala magolovesi, kapena kusamba nkhope yanu zingakhale zovuta chifukwa cholephera kuwongola zala zomwe zakhudzidwa.

Ngakhale chala chilichonse chingakhudzidwe, zala zomwe zimakhudzidwa kwambiri ndi izi:

1. Chala cha mphete
2. Chala cha pinki
3. Chala chapakati
4. Chala cha index
5. Chala chachikulu

Kodi Zizindikiro zake ndi ziti ndipo zimazindikirika bwanji?

Kutupa kwa Dupuytren nthawi zambiri kumachitika pang'onopang'ono, ngakhale kuti si aliyense amene amakumana ndi magawo onse:

Magawo a Kutupa kwa Dupuytren

Kupatula zizindikiro zazikulu izi, anthu ena (ngakhale si onse) angakumane ndi izi:

• Kutupa kapena kupweteka m'dzanja
• Chipolopolo kapena dzenje pakhungu pomwe panali chipolopolo
• Ululu kapena kuyabwa (kosowa kawirikawiri)

Ngati mukukayikira kuti Dupuytren contracture, kudziyesa kosavuta kotchedwa "Tabletop Test" kungakuthandizeni kuwona kuopsa kwake. Ikani dzanja lanu patebulo. Ngati chala chilichonse sichikhudza pamwamba pake chifukwa chapinda mkati, zikusonyeza kuti pali contracture. Ichi ndi chizindikiro chabwino choti mukaonane ndi dokotala.

Kodi N’chiyani Chimayambitsa Kutupa kwa Dupuytren?

Chifukwa chenicheni cha contracture ya Dupuytren sichikudziwika. Komabe, imadziwika kuti ili ndi gawo lamphamvu la majini . Izi zikutanthauza kuti imachitika m'mabanja ndipo imatha kutengera cholowa. Si chinthu chomwe chimachitika chifukwa cha kuvulala kapena kusankha moyo.

Kodi Dokotala Amazindikira Bwanji Vutoli?

Kuzindikira matendawa nthawi zambiri kumakhala kosavuta potengera kuyezetsa thupi:

• Dokotala adzayang'ana dzanja lanu ndi chikhato chanu ndi maso.
• Adzamva ngati pali timibulu ndi zingwe pansi pa khungu.
• Adzayesa kuchuluka kwa mayendedwe a zala zanu, ndikuwona kuchuluka kwa momwe zingawongoleredwe.

Kawirikawiri, sipafunika mayeso apadera monga X-ray. Komabe, ngati ululu ndi chizindikiro chachikulu kapena matenda ena akukayikiridwa, zithunzi kapena mayeso a magazi angapemphedwe kuti apeze zifukwa zina.

Kodi Njira Zochiritsira Ndi Ziti?

Chithandizo chimadalira kuopsa kwa zizindikiro zanu komanso momwe zimasokonezera moyo wanu watsiku ndi tsiku. Popeza vutoli likupita patsogolo pang'onopang'ono, zisankho za chithandizo zimatha kusintha pakapita nthawi.

1. Mankhwala Osasintha

Izi nthawi zambiri zimakhala njira yoyamba:

• Kuchiza Thupi: Maseŵero olimbitsa thupi apadera kuti mutambasule zala zanu ndikusunga kusinthasintha.
• Kulimbitsa kapena Kupindika: Kuvala zida usiku kuti chala chomwe chakhudzidwacho chikhale chotambasuka.
• Chithandizo cha Ultrasound: Kugwiritsa ntchito mafunde a phokoso kuti kufewetse minofu yokhuthala.
• Majakisoni a Corticosteroid: Kuika mankhwala mwachindunji m'mabowo kapena m'zingwe kuti muchepetse kutupa ndi kukhuthala (ntchito imasiyanasiyana).

2. Chithandizo cha Radiation

Nthawi zina, chithandizo cha radiation chotsika chingagwiritsidwe ntchito kuchepetsa kupitirira kwa matendawa, makamaka kumayambiriro kwa kupanga tinthu tating'onoting'ono.

3. Kuchotsa Nsalu mu Ubongo (NA)

Iyi ndi njira yosapweteka kwambiri yomwe imachitika mu ofesi ya dokotala. Pogwiritsa ntchito singano, dokotala amatha kudula chingwe chokhuthala, zomwe zimathandiza kuti chala chiwongoke. Izi zimathandiza kuti chingwecho chikhale cholimba koma zingafunike kubwerezabwereza ngati chingwecho chasintha.

4. Jekeseni ya Collagenase (Xiaflex®)

Izi zimaphatikizapo kubaya jekeseni wa enzyme (collagenase clostridium histolyticum) mwachindunji mu chingwe. Enzymeyi imathandiza kuswa collagen mu minofu yokhuthala, ndikufooketsa chingwe. Patatha maola pafupifupi 24-72, dokotalayo amayendetsa chala chake kuti achiwongolere, ndikuswa chingwe chofooka.

5. Opaleshoni (Kuchotsa mafupa)

Opaleshoni nthawi zambiri imaperekedwa kwa odwala omwe ali ndi vuto lalikulu pomwe njira zina sizinagwire ntchito kapena sizili zoyenera. Njirayi imaphatikizapo kuchotsa minofu ya fascia yomwe yakhudzidwa padzanja ndi zala. Nthawi zambiri imachitika ngati opaleshoni yakunja kwa wodwalayo, kenako ndi chithandizo chamankhwala kuti apezenso mphamvu ndi kuyenda.

Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)

• Q: Kodi khansa ya Dupuytren contracture ndi yotani?
  A: Ayi, Dupuytren contracture si khansa. Tizilombo ndi ma corneum ndi zotupa zosavulaza (zosakhala khansa) zomwe zimamera m'mitsempha pansi pa khungu m'chikhatho.
• Q: Kodi ndingachite chilichonse kunyumba kuti ndichichiritse?
  A: Ngakhale kuti palibe mankhwala, kuchita masewera olimbitsa thupi pang'onopang'ono monga momwe katswiri wa zamaganizo akulangizira kungathandize kukhalabe omasuka. Komabe, kudzipatsa chithandizo sikulowa m'malo mwa upangiri ndi chisamaliro cha akatswiri azachipatala.
• Q: Kodi contraction idzabwereranso pambuyo pa chithandizo?
  Yankho: Kutupa kwa Dupuytren kumachitika kawirikawiri chifukwa nthawi zambiri kumakhudzana ndi majini. Ngakhale mutalandira chithandizo chabwino, pali mwayi woti vutoli lingabwererenso m'zala zomwezo kapena zina pakapita nthawi.
• Q: Kodi ndidzawona zotsatira za chithandizo mwachangu bwanji?
  A: Izi zimasiyana kwambiri kutengera njira yochizira. Kuchotsa majekeseni a singano ndi jakisoni wa collagenase kungathandize kuwongola msanga, pomwe kuchira kwa opaleshoni kumatenga nthawi yayitali. Mankhwala ochiritsira angatenge milungu kapena miyezi kuti awonetse kusintha koonekera.
• Q: Kodi vutoli ndi lobadwa nalo?
  A: Inde, pali mgwirizano wamphamvu pakati pa majini. Ngati achibale anu adadwalapo Dupuytren Contracture, chiopsezo chanu chotenga matendawa chimakhala chachikulu.

Mfundo Zofunika Kwambiri

• Kupindika kwa Dupuytren kumaphatikizapo kukhuthala kwa minofu pansi pa chikhatho, zomwe zimapangitsa kuti zala zipinde.
• Ndi matenda omwe si a khansa omwe ali ndi gawo la majini.
• Zizindikiro nthawi zambiri zimakula pang'onopang'ono pakapita zaka zambiri.
• Pali njira zosiyanasiyana zochiritsira zothandiza, kuyambira njira zosungira zinthu mpaka opaleshoni.
• Kuzindikira matendawa msanga ndi kulandira chithandizo kungathandize kuthana ndi vutoli bwino.

Chodzikanira: Nkhaniyi ikupereka zambiri zokhudza vutoli ndipo siyenera kulowa m'malo mwa upangiri wochokera kwa dokotala wanu. Nthawi zonse funsani katswiri wa zaumoyo.