Kodi munayamba mwamvapo ngati khungu la pachikhatho chanu lakhuthala ndikupanga ziphuphu zazing'ono? Kapena kuti mukuvutika kusunga chala chimodzi kapena ziwiri zowongoka, ndipo pang'onopang'ono zimapindika kupita kuchikhatho? Izi sizili za inu nokha. Uwu ndi matenda. Timautcha kuti Dupuytren's Contracture. Anthu ambiri sadziwa zambiri za izi, kotero zitha kukhala zoopsa. Chifukwa chake lero tikambirana za chilichonse mosavuta komanso mwaubwenzi.
Mwachidule, kodi Dupuytren's Contracture ndi chiyani?
Izi zimachitika chifukwa chakuti minofu (fascia) yomwe ili pansi pa khungu la dzanja lanu imakhuthala pang'onopang'ono ndikupanga zingwe za ulusi. Zili ngati wina akukoka chingwe kuchokera mkati mwa dzanja lanu. Pakapita nthawi, zingwezi zikamangika, chala chimodzi kapena zingapo zomwe zalumikizidwa nazo zimayamba kupindika mkati. Izi ndi zomwe timatcha 'contracture.' Matendawa nthawi zambiri amakhudza mphete ndi zala zazing'ono, koma zimatha kuchitika pa chala chilichonse.
Iyi si khansa kapena matenda opatsirana. Ndipo ululu umene umabwera chifukwa cha zimenezi nthawi zambiri umakhala wochepa. Koma vuto lalikulu ndilakuti zala zikapindika, zimakhala zovuta kuchita ntchito za tsiku ndi tsiku. Mwachitsanzo, ngakhale zinthu zosavuta monga kugwirana chanza, kulowetsa m'thumba, kapena kugwira chinthu mwamphamvu kungakhale kovuta.
Kodi chithandizo chimasankhidwa bwanji?
Chithandizo cha contraction ya Dupuytren chimasiyana malinga ndi kuopsa kwa vuto lanu. Palibe chithandizo chimodzi choyenera onse. Dokotala wanu adzakuyang'anirani ndikusankha chithandizo chabwino kwambiri kutengera momwe chikukhudzira moyo wanu.
Chofunika kwambiri ndichakuti palibe mankhwala omwe apezeka omwe angaletse kukula kwa matendawa kapena kuwaletsa kuti asakule kwambiri akayamba kukula. Cholinga chachikulu cha chithandizo ndi kuchepetsa zizindikiro ndikubwezeretsa ntchito ya dzanja.
Kwa anthu ena, vutoli limayamba pang'onopang'ono kwambiri . Likhoza kukhala kachidutswa kakang'ono padzanja lanu komwe sikasintha kwa zaka zambiri. Zikatero, ngati sikusokoneza zochita zanu za tsiku ndi tsiku, ndi bwino kuchitapo kanthu kuti "dikirani ndione".
Komabe, ngati chala chanu chikupindika mofulumira ndipo zikukuvutani kuchita ntchito za tsiku ndi tsiku, dokotala wanu adzakulangizani njira zoyenera zochiritsira.
Mankhwala Opanda Opaleshoni
Pali njira zingapo zochiritsira zomwe zingagwiritsidwe ntchito kumayambiriro kwa matendawa, kapena kuwonjezera pa opaleshoni. Komabe, izi zawonetsa kuti sizinaphule kanthu.
| Njira yochizira | Kodi chimachitika ndi chiyani? |
|---|---|
| Kutambasula | Ndibwino kwa iwo omwe ali ndi matenda ochepa kwambiri . Ingagwiritsidwenso ntchito limodzi ndi mankhwala ena. Komabe, izi ziyenera kuchitika kokha monga momwe dokotala wanenera . |
| Majekeseni a Steroid | Awa ndi mankhwala amphamvu oletsa kutupa. Akabayidwa mwachindunji mu nodule pa mkono, amatha kuchepetsa kukula kwake. Komabe, izi zimagwira ntchito kokha kumayambiriro kwa matendawa. Minofu ikakhuthala, sigwira ntchito bwino. |
| Majekeseni a Enzyme | Ngati chala chanu chapindika kale, dokotala wanu angakulangizeni kuti mubayidwe jakisoni wa enzyme, monga Xiaflex . Ma enzyme amenewa amaswa minofu yokhuthala ndikuyimasula. Tsiku lotsatira, dokotala wanu adzayesa kuwongola chala chanu pochigwira ndikuchikoka. Izi zingagwiritsidwe ntchito m'malo mwa opaleshoni. |
| Chithandizo cha X-ray | Chithandizo cha radiation chotsika ndi njira ina, koma kafukufuku wochepa wachitika pakuchita bwino kwake. |
Zambiri zokhudza jakisoni wa ma enzyme...
Kwa anthu ambiri, jakisoni imodzi kapena ziwiri ndizokwanira pa malo okhudzidwawo. Anthu ena angafunike jakisoni atatu. Zotsatirapo zoyipa kwambiri ndi kutupa, kutuluka magazi, kuvulala, ndi kupweteka pamalo obayira jakisoni. Nthawi zambiri, zotsatirapo zoyipa monga kuwonongeka kwa tendon, kuwonongeka kwa mitsempha, kapena ziwengo zimatha kuchitika.
Mankhwala ena monga splinting, vitamini E cream, ndi ultrasound ayesedwa, koma nthawi zambiri sanapereke zotsatira zabwino.
Kodi opaleshoni imafunika liti? (Machiritso a Opaleshoni)
Ngati mukuvutika kuchita ntchito za tsiku ndi tsiku, monga kugwira chinthu, kulemba, kapena kugwira chikho, dokotala wanu angakulangizeni opaleshoni. Cholinga chachikulu cha opaleshoni ndikubwezeretsa kayendedwe ka zala zanu komwe kakutayika.
Pali mitundu iwiri ikuluikulu ya opaleshoni.
| Mtundu wa opaleshoni | Kufotokozera |
|---|---|
| Opaleshoni Yotseguka | Dokotala wa opaleshoni amadula dzanja ndikudula minofu yokhuthala (fasciotomy) kapena kuchotsa yonse kapena gawo lake (fasciectomy) . Nthawi zina chilonda cha pakhungu chimagwiritsidwanso ntchito kutseka bala. |
| Kuchotsa Nsalu mu Ubongo ndi Kuchotsa Mitsempha ya M'mimba | Iyi ndi njira yosavuta kuposa opaleshoni yotseguka. Dokotala amagwiritsa ntchito singano yochepetsera khungu kudula ndikulekanitsa minofu yokhuthala pamwamba pa khungu. Nthawi yochira imakhala yochepa. Anthu ambiri safuna chithandizo chamankhwala pambuyo pake. |
Kodi mungayembekezere chiyani mutachita opaleshoni?
Opaleshoni nthawi zambiri imatha kukonza kupindika kwa zala ndikubwezeretsa ntchito ya dzanja. Komabe, ngati zala zingapo zapindika, zingakhale zovuta pang'ono kuzikonza.
Maopaleshoni alinso ndi zoopsa ndi zovuta zina.
- Kubwerezabwereza: Pali chiopsezo china choti opaleshoni ya mitundu yonse iwiri ibwerezedwenso.
- Mavuto ena:
- Kutupa ndi kupweteka kwa bala
- Kuwonongeka kwa mitsempha kapena mitsempha yamagazi
- Matenda
- Imfa ya minofu
Kodi mungachiritse bwanji msanga?
Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu mutatha opaleshoni.
- Kwezani mkono wanu: Kukweza mkono wanu pamwamba pa mtima wanu kungathandize kuchepetsa kutupa ndi ululu.
- Kugwedezeka kwa zala: Ngati dokotala akulangizani, gwedezani zala zanu.
- Kuchiza thupi:Dokotala wanu angakutumizireni kwa katswiri wa zamaganizo amene angakuphunzitseni masewera olimbitsa thupi kuti muwongolere mphamvu ndi ntchito ya manja anu.
Uthenga Wopita Nawo Kunyumba
- Kutupa kwa Dupuytren ndi vuto lomwe minofu ya dzanja imakhuthala ndipo zala zimapindika. Si khansa kapena matenda opatsirana.
- Si aliyense amene amafunika opaleshoni. Ngati matendawa ndi ochepa, sangafunike chithandizo chilichonse.
- Ngati izi zikusokoneza zochita zanu za tsiku ndi tsiku, pali njira zina zosagwiritsa ntchito opaleshoni (jakisoni) ndi njira zina zochizira opaleshoni.
- Dokotala wanu yekha ndi amene angakuuzeni chithandizo chabwino kwambiri. Choncho ngati muwona kusintha kulikonse m'dzanja lanu, musaope kufunsa upangiri kwa dokotala.
- Mukalandira chithandizo, tsatirani malangizo omwe dokotala wanu ndi katswiri wa zamaganizo akupatsani mosamala kuti muchire mwachangu.
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