Kodi zala zanu zimangopindika mkati? Kodi ndi Dupuytren's contracture?

Kodi nthawi zina mumamva ngati chala chimodzi kapena ziwiri padzanja lanu zapindika mkati ndipo zimakhala zovuta kuziwongola? Kapena mumamva ngati muli ndi ziphuphu zazing'ono padzanja lanu, komwe zala zimayambira? Musadandaule, ichi si chinthu choopsa ngati khansa chomwe anthu ambiri amakumana nacho. Koma ndikofunikira kwambiri kudziwa izi. Lero tikambirana za vuto lotchedwa Dupuytren Contracture, lomwe lingayambitse zizindikiro ngati izi.

Ndiye kodi contracture ya Dupuytren ndi chiyani?

Mwachidule, Dupuytren's contracture ndi vuto lomwe minofu yomwe ili pansi pa khungu la manja athu imakhala yolimba komanso yolimba. Timatcha minofu iyi kuti fascia . Ili ngati rabara yomwe imatithandiza kusuntha zala zathu. Chifukwa chake, timibulu tating'onoting'ono timayamba kupangika mu fascia iyi. Pakapita nthawi, timibuluti timakula ndikupanga zingwe zomwe zimatuluka mkati mwa dzanja. Pamenepo ndi pomwe zala zimayamba kupindika mkati, nthawi zina mpaka kufika poti sizingathe kuwongoledwa.

Chofunika kwambiri ndichakuti zotupa izi si khansa (zoipa) . Izi zikutanthauza kuti sizimayambitsidwa ndi khansa kapena kuyambitsa khansa. Choncho musadandaule nazo.

Nthawi zambiri, izi zingafunike opaleshoni, koma nthawi zina, zimatha kuthetsedwa ndi mankhwala osavuta.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Matenda a Dupuytren amatha kufalikira mwa aliyense. Komabe, anthu ena amatha kudwala matendawa. Izi ndi izi:

• Amuna: Matendawa amapezeka kwambiri mwa amuna kuposa akazi.
• Anthu ochokera ku Ulaya: Zapezeka kuti zimapezeka kwambiri mwa anthu ochokera kumayiko akumpoto kwa Ulaya.
• Anthu omwe ali ndi mbiri ya banja la matendawa: Popeza iyi ndi matenda a majini , ngati wina m'banja mwanu ali nawo, pali mwayi woti nanunso mudzadwala matendawa.

Kodi matenda ena amakhudzanso izi?

Inde, anthu omwe ali ndi matenda enaake amakhala ndi mwayi waukulu wopeza matenda a Dupuytren. Mwachitsanzo:

• Matenda a Shuga (Diabetes Mellitus)
• Matenda a khunyu ndi matenda ena a khunyu
• Matenda ogwiritsira ntchito mowa
• HIV ndi Edzi
• Matenda a mitsempha ya magazi

Izi sizikutanthauza kuti aliyense amene ali ndi matendawa adzadwala matendawa, koma pali chiopsezo chachikulu kuposa ena.

Kodi vutoli ndi lofala bwanji?

Matenda a Dupuytren si matenda ofala kwambiri . Amakhudza anthu pafupifupi 5% mwa anthu onse. Monga tanenera kale, matendawa amapezeka kwambiri mwa anthu ochokera ku Ulaya.

Kodi contracture ya Dupuytren imakhudza bwanji thupi?

Simungazindikire momwe vutoli likukhudzira thupi lanu. Ngati zizindikirozo ndi zochepa kwambiri, simungazindikire kuti muli nazo. Ngakhale mutakhala ndi zizindikiro, zingatenge miyezi, ngakhale zaka, kuti zipitirire. Pa milandu yoopsa, zala zomwe zakhudzidwazo zimatha kulephera kuwongoka.

Kutupa kwa Dupuytren kungakhudze chala chanu chilichonse, ngakhale chala chanu chachikulu cha phazi. Komabe, zala zomwe zimakhudzidwa kwambiri ndi izi:

• Chala cha mphete / chala chachinayi
• Pinkie / chala chachisanu
• Chala chapakati / chachitatu
• Chala chachiwiri / chala chachiwiri
• Chala chachikulu / chala choyamba

Kodi izi zimakhudza ziwalo zina za thupi?

Ayi. Kugundana kwa Dupuytren kumakhudza manja okha . Sikumachitika kwina kulikonse m'thupi. Ngakhale kuti matenda ena olumikizana amatha kuchitika m'ziwalo zina za thupi, kugundana kwa Dupuytren kumakhudza manja okha.

Anthu ena omwe ali ndi vuto la Dupuytren's contracture ali ndi mwayi waukulu wopeza matenda ena ofanana, monga matenda a Ledderhose ( matenda omwe amapezeka pansi pa mapazi) ndi matenda a Peyronie ( matenda omwe amapezeka mwa amuna).

Kodi zizindikiro za izi ndi ziti? Kodi mungazindikire bwanji?

Popeza contraction ya Dupuytren imatenga miyezi, nthawi zina zaka, kuti ikule, simungazindikire zizindikiro zilizonse poyamba. Zizindikiro nthawi zambiri zimawonekera motere:

1. Manodule: Chizindikiro choyamba ndi kuoneka kwa ziphuphu zazing'ono pansi pa khungu la chikhatho, nthawi zambiri pomwe zala zimakumana ndi chikhatho. Mumamva izi mukazikhudza, ndipo nthawi zina mumaziona. Anthu ena amatha kukhala ndi ziphuphuzi ndikusiya, pomwe ena amatha kuzimiririka okha. Khungu lozungulira ziphuphuzo lingawonekenso ngati lamira pang'ono kapena lokwinya.

2. Zingwe Zokhuthala: Pakapita nthawi, ziphuphuzi zimatha kukhuthala ndikupanga timizere tating'onoting'ono ta minofu ya fascia, tofanana ndi zingwe. Zingwezi zimatha kupangitsa zala kumva ngati zikukokedwa mkati ndi m'dzanja.

3. Kupindika kwa minofu: Ichi ndi chizindikiro choopsa kwambiri cha matendawa, chomwe chimachokera ku dzina lake. Mizere yonga chingwe imakhala yolimba komanso yokhuthala, zomwe zimapangitsa kuti zala zomwe zakhudzidwazo zisathe kuwongoledwe kuchokera m'dzanja.

Mosiyana ndi matenda ena, nthawi zambiri kutupa kwa Dupuytren sikukhala ndi zinthu zinazake zomwe zimapangitsa kuti zizindikirozo ziwonjezeke. Ngati muli nako, zizindikirozo zimatha kukula mpaka kufika poti ziphuphu zimakhala zingwe kenako zala zimakokana. Si aliyense amene amadutsa m'magawo onsewa.

Kodi pangakhale zizindikiro zina?

Kuwonjezera pa mavuto a zala izi, dzanja lokhudzidwa likhozanso kukumana ndi zizindikiro zotsatirazi:

• Kutupa kapena kutupa
• Kukoma mtima kukanikizidwa
• Ululu kapena kutentha
• Kuyabwa

Koma zizindikirozi sizimachitika kawirikawiri . Pafupifupi kotala la anthu omwe ali ndi vuto la Dupuytren's contracture amakumana nazo. Ngati muli ndi vuto la Dupuytren's contracture ndipo muli ndi zizindikirozi, onetsetsani kuti mwadziwitsa dokotala. Nthawi zina zizindikirozi zingakhale chizindikiro cha mavuto ena omwe amakhudza khungu lanu kapena fascia.

Kodi chifukwa chake ndi chiyani?

Akatswiri sakudziwabe chomwe chimayambitsa matenda a Dupuytren, koma amaonedwa kuti ndi matenda a majini . Zatsimikiziridwa kuti ngati wina m'banjamo ali ndi matendawa, ena amakhala ndi mwayi waukulu woti adwale matendawa.

Chodabwitsa n'chakuti, contracture ya Dupuytren ndi imodzi mwa matenda ofala kwambiri okhudzana ndi minofu yolumikizana.

Kodi dokotala amazindikira bwanji izi?

Dokotala adzakuyezani thupi kuti adziwe ngati muli ndi contracture ya Dupuytren. Iye adzayang'ana dzanja lanu ndi zala zanu, adzakhudza zotupa kapena zingwe pansi pa khungu, ndikuyesa kuchuluka kwa zala zanu zomwe zakokedwa.

Mayeso osavuta omwe mungachite kunyumba ndi "mayeso a patebulo." Ikani dzanja lanu pansi pa malo athyathyathya (monga tebulo). Ngati chala chomwe chakhudzidwacho chakanikizidwa pamwamba ndipo sichikuphwanyika, zizindikiro zanu zitha kukhala zokulirapo pang'ono. Ngati ndi choncho, ndi bwino kufunsa upangiri wa dokotala.

Kodi pali mayeso apadera oti azindikire izi?

Palibe mayeso apadera oti azindikire matenda a Dupuytren. Komabe, dokotala wanu angakupatseni mayeso a magazi kapena X-ray kuti athetse matenda ena omwe angakhudze manja anu.

Kodi mankhwala ake ndi otani?

Kutengera ndi kuopsa kwa zizindikiro zanu, dokotala wanu adzakupatsani chithandizo m'magawo angapo. Popeza Dupuytren's contracture ndi vuto lomwe limayamba pang'onopang'ono, zingatenge miyezi kapena zaka kuti mupite ku gawo lotsatira la chithandizo. Zizindikiro zanu zimatha kuchira mukalandira chithandizo choyamba ndipo simungafunike chithandizo china. Ngati zizindikiro zanu zoyambirira zibwereranso, njira zina zochiritsira zingafunike kubwerezedwanso.

Chithandizo chachisamaliro

Mankhwala omwe ali mgululi ndi awa:

• Kuchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi.
• Kuvala zomangira kapena zomangira kuti zithandize kutambasula zala kuti zifike pamlingo woyenera.
• Wonjezerani kusinthasintha kwa minofu yanu ya fascia pogwiritsa ntchito ma ultrasound (mafunde a phokoso osapweteka) kapena mankhwala otentha.
• Jakisoni wa corticosteroid kuti muchepetse ziphuphu ndi zingwe.

Chithandizo cha X-ray

Dokotala wanu angakutumizireni kwa katswiri wa radiation kuti akachiritse contraction ya Dupuytren kapena kupewa zizindikiro zake kuti zisakule kwambiri. Chithandizo cha radiation ndi njira yopanda ululu yomwe imagwiritsa ntchito X-ray kapena kuwala kwina kwa radiation kuti ifewetse zilonda kapena zingwe.

Chithandizo cha radiation chimagwiritsidwanso ntchito pochiza mitundu ina ya khansa. Komabe, Dupuytren's contracture si khansa . Ndipo kukhala ndi vutoli sikutanthauza kuti muli ndi khansa kapena mudzakhala nayo.

Kuchotsa Nsalu mu Ubongo ndi Kuchotsa Mitsempha ya M'mimba

Ngati zizindikiro zanu sizikusintha patatha miyezi ingapo ya chithandizo chosavuta, dokotala wanu angakulangizeni njira yotchedwa needle aponeurotomy . Nthawi zina izi zimatchedwa percutaneous needle fasciotomy . Iyi ndi njira yochizira matenda yomwe dokotala wanu angachite ku ofesi yake.

Dokotala adzakupangitsani dzanzi ndi mankhwala oletsa ululu a m'dera lanu kenako n’kugwiritsa ntchito singano kuti apangitse kubowola kangapo m’dera la dzanja lanu. Izi zidzamasula kulimba kwa dzanja lanu ndikukulolani kuti muwongole zala zanu.

Majekeseni a Collagenase

Pofuna kuchiza contracture ya Dupuytren, dokotala wanu angalowetse enzyme yotchedwa collagenase m'mabowo kapena zingwe. Collagenase ndi enzyme yomwe imathandiza kumasula ndikuswa makulidwe awa mu fascia yanu. Choyamba, dokotala wanu adzalowetsa collagenase mwachindunji m'mabowo kapena zingwe. Kenako mudzayenera kubwerera tsiku lotsatira. Tsiku limenelo, dokotala wanu adzakupangitsani dzanzi ndikuwonjezera zala zomwe zakhudzidwazo ku mwendo wawo woyamba.

Opaleshoni ya Dupuytren Contracture

Ngati chala chanu chikukoka kwambiri moti chimasokoneza moyo wanu watsiku ndi tsiku, mungafunike opaleshoni. Opaleshoni ya Dupuytren yokoka ndi njira yochitira opaleshoni yakunja, zomwe zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo.

Dokotalayo amachita opaleshoni ya fasciectomy.Njirayi imatchedwa ablation. Iye adzachititsa dzanzi dzanja lanu ndi mankhwala oletsa ululu kenako n’kuchotsa gawo lina kapena lonse la fascia lomwe lakhudzidwa. Kuchuluka kwa fascia komwe kumafunika kuchotsedwa kumadalira momwe fascia yanu ilili yokhuthala komanso momwe contraction yake ilili yoopsa. Pambuyo pa opaleshoni, mungafunike chithandizo cha physiotherapy kapena chithandizo cha ntchito kuti mafupa anu abwererenso mphamvu zawo zachibadwa.

Kodi izi zingathe kuchiritsidwa kwathunthu?

Mwatsoka, contracture ya Dupuytren singathe kuchiritsidwa kwathunthu . Komabe, milandu yambiri imatha kuthetsedwa bwino ndi chithandizo .

Popeza palibe mankhwala okwanira, ngakhale fascia yomwe yakhudzidwayo itachotsedwa pa opaleshoni imodzi, pafupifupi munthu m'modzi mwa anthu asanu aliwonse adzayambanso kudwala Dupuytren's contracture . Ngati zimenezo zitachitika, mungafunike chithandizo china mtsogolo.

Kodi mungatani kuti muchepetse zizindikiro?

Tsatirani malangizo a dokotala wanu molondola. Ngati mwapatsidwa malangizo otambasula minofu yanu, kapena ngati mukufuna kuvala chogwirira cha mkono kapena cholumikizira cha mkono, onetsetsani kuti mwachita izi nthawi zonse monga momwe dokotala wanu wanenera.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?

Nthawi yochira imadalira chithandizo chomwe mudalandira chifukwa cha contracture ya Dupuytren:

• Nthawi zina zimatenga miyezi kuti zizindikiro zisinthe ndi chithandizo chosavuta (choyambirira) .
• Ndi opaleshoni ya singano, contraction yanu iyenera kuchira nthawi yomweyo.
• Opaleshoni iyenera kuchepetsa zizindikiro zanu, koma zingatenge miyezi iwiri kuti mumve bwino mutachira. Mukamaliza opaleshoni, muyenera kulola dzanja lanu kuti lichiritse. Muyeneranso kuchita physiotherapy kapena occupational therapy kwa miyezi ingapo kuti muthe kupezanso mphamvu ndi mphamvu zoyendera m'dzanja lanu.

Lankhulani ndi dokotala wanu musanapitirize ntchito zanu zachizolowezi pamene mukuchira.

Kodi pali zovuta zilizonse ndi chithandizochi?

Mavuto ena omwe angachitike panthawi ya chithandizo cha Dupuytren ndi awa:

• Ululu
• Kuwonongeka kwa mitsempha
• Matenda
• Zilonda
• Kuwonongeka kwa mitsempha yanu yamagazi
• Mavuto ochiritsa mabala

Zinthu izi sizichitika kwa aliyense, koma ndizofunikira kuzidziwa.

Kodi pali njira yopewera izi kuti zisachitike?

Mwatsoka, palibe chomwe mungachite kuti mupewe kutsekeka kwa Dupuytren. Kunena zoona, palibe mankhwala a izi, ndipo si chizindikiro chochenjeza .Zimayamba popanda. Ngati wina m'banja mwanu wapezeka ndi matenda a Dupuytren, lankhulani ndi dokotala wanu za vutoli.

Kodi Dupuytren Contracture ndi Dupuytren Disease ndi chinthu chimodzi?

Madokotala nthawi zina amagwiritsa ntchito mawu akuti Dupuytren's contracture ndi matenda a Dupuytren mosinthana. Madokotala ena amaona kusiyana pang'ono pakati pa awiriwa. Amati Dupuytren's contracture (kukhuthala kwa fascia m'dzanja) ndi chizindikiro cha matenda a Dupuytren (vuto lonse lomwe limayambitsa Dupuytren's contracture). Komabe, tikamalankhula za izi, onsewa amatanthauza chinthu chimodzi.

Kodi pali kusiyana kotani pakati pa Dupuytren Contracture ndi Trigger Finger?

Kutsekeka kwa Dupuytren ndi chala choyambitsa zimatha kupangitsa chala chanu kupindika mkati ndikukakamira. Komabe, izi ndi matenda awiri osiyana kwambiri.

• Kutupa kwa Dupuytren ndi kukula kwa minofu ya fascia pansi pa khungu la dzanja lanu. Ziphuphuzo zimapangidwa pansi pa zala ndipo zimakhala ngati zingwe pansi pa chikhatho.
• Choyambitsa chala chimachitika pamene pulley ya A1, yomwe imawongolera ndikutsogolera minofu ya zala zanu ndi chala chachikulu, yatupa. Kutupa kumeneku kumakupangitsani kukhala kovuta kusuntha chala chanu bwino monga momwe mumachitira nthawi zonse. Anthu omwe ali ndi choyambitsa chala angamve ngati chala chomwe chakhudzidwacho "chakhazikika" kapena chakhazikika mukachipinda.

Kaya chikukuvutitsani ndi dzanja lanu, pitani kwa dokotala nthawi yomweyo ngati muwona zizindikiro zatsopano, makamaka ngati mukuvutika kusuntha dzanja lanu bwino.

Chinthu Chofunika Kwambiri - Chidule (Uthenga Wopita Nawo Kunyumba)

Dzina lakuti Dupuytren's contracture lingakhale loopsa, makamaka kwa iwo omwe ali ndi zizindikiro zoopsa kwambiri. Koma kumbukirani, ndi vuto lochiritsika kwambiri ndipo anthu ambiri amakula akalisiya. Ngakhale kuti palibe mankhwala, pali mankhwala ambiri omwe angathandize kuchepetsa zizindikiro zanu. Ndipo, si matenda a khansa .

Ngati zikukuvutani kuwongola zala zanu, yesani mayeso a patebulo. Ngati zala zanu sizikukanikiza mwamphamvu pamwamba pake, onani dokotala kuti akupatseni upangiri. Mukayamba chithandizo mwachangu, mwayi wanu wowongolera zizindikiro zanu umakhala wabwino kwambiri.

Manja anu ndi gawo lofunika kwambiri la thupi lanu, gawo lomwe mumagwirira ntchito limodzi ndi dziko lapansi komanso kuchita zinthu zomwe mumakonda. Choncho samalirani. Tsatirani malangizo a dokotala wanu mosamala ndikuchita masewera olimbitsa thupi ofunikira. Mukatero mutha kukhala ndi thanzi labwino ngakhale muli ndi vutoli!

Kupindika kwa Dupuytren, kupindika kwa zala, timibulu ta palmar, fascia, matenda a manja, matenda a majini, kupindika kwa zala