Kodi manja anu akuyamba kutupa ndipo zala zanu zikugwedezeka? Tiyeni tikambirane za matenda a Dupuytren!

Yang'anani dzanja lanu. Nthawi zina mungamve ngati chotupa chaching'ono pansi pa khungu la dzanja lanu. Poyamba, sizingawoneke ngati zambiri, koma pakapita nthawi, izi zimapangitsa kuti zala zanu zipinde mkati, ngati kuti mukukoka nkhonya yanu. Kodi zimakuvutani kuwongola dzanja lanu, kuliyika m'thumba lanu, kapena kugwirana chanza ndi wina? Vutoli ndi lomwe timalitcha kuti Matenda a Dupuytren kapena Dupuytren's contracture. Tiyeni tikambirane izi momveka bwino komanso momveka bwino.

Kodi matenda a Dupuytren ndi chiyani?

Mwachidule, pali minofu pansi pa khungu la manja athu. Timatcha izi fascia . Izi nthawi zambiri zimakhala zomasuka komanso zosinthasintha. Kusinthasintha kwa minofu iyi ndi komwe kumatithandiza kupindika ndikutambasula manja athu mwanjira iliyonse yomwe tikufuna.

Komabe, mu matenda a Dupuytren, minofu iyi yotchedwa `fascia` imakhuthala pang'onopang'ono ndipo imayamba kulimba popanda chifukwa chomveka.

Tangoganizirani, mkati mwa minofu iyi muli ulusi womwe uli ngati zingwe. Mu matendawa, ulusiwu umalimba pang'onopang'ono ndikuyamba kufinya. Pamenepo ndi pomwe zala zimayamba kukoka pang'onopang'ono kupita ku chikhatho. Nthawi zambiri, vutoli limakhudza chala cha pinkie ndi chala cha mphete . Nthawi zina, manja anu onse awiri amatha kukhudzidwa. Koma nthawi zambiri, dzanja limodzi limakhudzidwa kwambiri kuposa linzake. Pa milandu yoopsa, dzanja limatha kufooka kwathunthu ndikusokonekera.

Kodi zizindikiro za matendawa ndi ziti? Kodi mungazindikire bwanji?

Zizindikiro za contracture ya Dupuytren sizibwera mwadzidzidzi. Nthawi zambiri zimawonekera pang'onopang'ono, pakapita nthawi. Tiyeni tiwone magawo amenewo.

Kodi zifukwa ndi zoopsa zake ndi ziti?

Choyambitsa chenicheni cha matendawa sichikudziwikabe, koma asayansi amakhulupirira kuti zinthu zingapo zokhudzana ndi michere ya m'thupi zomwe zimakhudza minofu yolumikizana m'dzanja zimakhudzidwa.

Komabe, zinthu zingapo zapezeka zomwe zimawonjezera chiopsezo chotenga matendawa.

• Kumwa mowa mopitirira muyeso: Koma kumbukirani kuti si aliyense amene ali ndi matendawa amene amamwa mowa mopitirira muyeso.
• Kukhala ndi matenda a shuga.
• Kukhala ndi matenda omwe amayambitsa khunyu, monga khunyu.
• Kusuta fodya.
• Kukhala ndi matendawa mwa munthu wina m'banjamo: Izi zikutanthauza kuti pakhoza kukhala chifukwa cha matendawo.
• Kukhala mwamuna wazaka zoposa 40: Matendawa amapezeka kwambiri mwa amuna kuposa akazi.
• Kukhala ndi makolo a ku Northern Europe (English, Irish, Scotland, French, Dutch) kapena Scandinavian (Swedish, Norway, Finnish): Iyi si nkhani yofunika kwambiri kwa anthu m'dziko lathu, koma ndi bwino kudziwa.

Kodi dokotala amazindikira bwanji izi? (Kuzindikira)

Mukapita kukaonana ndi dokotala, choyamba adzakufunsani za zizindikiro zanu, mbiri yanu ya thanzi komanso ya banja lanu, kenako adzafufuza mosamala manja anu, zikhatho zanu, ndi zala zanu.

Mu mayeso awa, chikhatho chimafufuzidwa kuti chione ngati pali ziphuphu komanso kuchuluka kwa ziphuphuzo. Komanso, mayeso akuluakulu omwe nthawi zambiri amachitidwa ndikuwona ngati dzanja likhoza kuyikidwa patebulo (tebulo). Munthu amene ali ndi matendawa nthawi zambiri sangathe kusunga dzanja lake lonse patebulo.

Komanso, dokotala akhoza kulangiza zinthu monga:

• Idzawona momwe mungachitire zinthu bwino.
• Ikusonyeza momwe mungakanikire zinthu zazing'ono ndi zala zanu.
• Kumva kwa chala chachikulu ndi zala zina kumayesedwa.
• Kusuntha kwa zala kumayesedwa kuti ziwone ngati zingathe kuwongoledwa mokwanira.

Dokotala angajambulenso zithunzi za dzanja lanu kuti aone ngati vutoli likusintha pakapita nthawi.

Kodi mankhwala ochizira izi ndi otani?

Choyamba kunena n’chakuti palibe mankhwala a matendawa. Koma musadandaule, si matenda oopsa. Anthu ena amatha kukhala nawo kwa zaka zambiri popanda vuto lililonse. Nthawi zina, sangafunikire chithandizo.

Komabe, ngati zotupazo zikukupangitsani kupweteka, kapena ngati kugwedezeka kwa chala kukusokoneza zochita zanu za tsiku ndi tsiku, pali mankhwala omwe angachite.

Chithandizo chosagwiritsa ntchito opaleshoni

• Jakisoni wa steroid: Ngati chotupa chikupweteka kwambiri, dokotala wanu angakulembereni jakisoni wa corticosteroid. Uwu ndi mankhwala amphamvu oletsa kutupa. Amachepetsa kutupa ndi ululu. Nthawi zina amatha kuletsa chala kuti chisakule kwambiri. Komabe, jakisoniyu sangawongole chala chomwe chapindika kale.
• Kuika jakisoni wa enzyme: Ngati zala zanu zapindika kale, dokotala wanu angakupatseni jakisoni wosakaniza wa enzyme wotchedwa `collagenase` (Xiaflex). Ma enzyme amenewa amathandiza kusungunula minofu yokhuthala komanso yolimba. Izi zimafooketsa mipiringidzo yolimba ngati chingwe, zomwe zimathandiza dokotalayo kusintha zala zanu pang'ono.

Chithandizo cha opaleshoni

Ngati vutoli likupitirirabe kuipiraipira ndipo likusokoneza kwambiri ntchito ya manja, dokotala angakulangizeni opaleshoni.

• Fasciotomy: Opaleshoni iyi imaphatikizapo kudula ndi kulekanitsa minofu yokhuthala ngati chingwe. Izi zimathandiza kuti chala chiziyenda momasuka. Dokotala amachotsa dzanzi pamalopo ndikudula pang'ono pachikhatho.
• Kuchotsa mafupa a palmar onse:Mu izi, minofu ndi minyewa yokhuthala imachotsedwa momwe zingathere. Izi zimathandiza kuti chala chiwongoleredwe. Izi nthawi zambiri zimaphatikizapo kudula "zig-zag" pachikhatho. Izi zimakhala zovuta pang'ono kuposa maopaleshoni ena. Zimatenganso nthawi yayitali kuti munthu achire. Pambuyo pa opaleshoni, chithandizo chamankhwala komanso nthawi zina ngakhale kuyika khungu pakhungu kungafunike.

Pakhoza kukhala kutupa ndi kupweteka pang'ono m'dzanja mutachita opaleshoni. Kusunga dzanja pamwamba pa mulingo wa mtima ndi kupindika ndi kutambasula zala kungathandize kuchepetsa kutupa ndi ululu ndikuthandizira kuti machiritso apite mwachangu.

Kodi muyenera kupita kwa dokotala liti?

Ngakhale kuti matenda a Dupuytren si oopsa, amatha kufooketsa ngati afika poipa kwambiri. Chifukwa chake, ngati muli ndi zizindikiro zotsatirazi, musachedwe kupita kwa dokotala.