Tiyeni tiphunzire za opaleshoni (Fasciectomy) ya matenda omwe amachititsa kuti zala zipinde mkati?

Kodi munamvapo ngati chala chanu chimodzi kapena zingapo chikupindika pang'onopang'ono mkati ndipo chikuyamba kuvutika kuwongoka? Zikumveka ngati chala chanu chikukokedwa mkati ndikumamatira, sichoncho? Ichi ndi chomwe timachitcha matenda a Dupuytren. Vutoli lingapangitse kuti zikhale zovuta ngakhale kuchita ntchito za tsiku ndi tsiku. Lero tikulankhula za opaleshoni yapadera yomwe imachitidwa ngati yankho la vutoli, lotchedwa Fasciectomy.

Choyamba, kodi Fasciectomy ndi chiyani?

Mwachidule, opaleshoni ya fasciectomy ndi opaleshoni yomwe imachotsa minofu (yotchedwa fascia) yomwe yakhala yolimba komanso yokhuthala mkati mwa dzanja lanu chifukwa cha matenda a Dupuytren. Matendawa amachititsa kuti chala chanu chimodzi kapena zingapo zipinde mosasamala kumbali ya dzanja lanu. Nthawi zina zoopsa, zala zanu zimatha kulephera kuwongoka konse. Chifukwa chake, pambuyo pa opaleshoni ya fasciectomy iyi, minofu yolimba imachotsedwa, zomwe zimamasula zala zanu ndikukulolani kuti mugwirenso ntchito bwino m'dzanja lanu.

Kodi matenda a Dupuytren ndi chiyani kwenikweni?

Matenda a Dupuytren ndi matenda a minofu yolumikizana yomwe imakula pang'onopang'ono pakapita nthawi. Tsopano mwina mukudabwa kuti minofu yolumikizana ndi chiyani. Ndi mtundu wa minofu yomwe imalumikiza ndikuthandizira minofu yonse, ziwalo, mafupa, ndi khungu m'thupi lathu.

Vutoli limayamba chifukwa cha kukhuthala ndi kulimba kwa fascia, yomwe ndi minofu yomwe ili pansi pa khungu la chikhatho. Anthu ena akhoza kutenga vutoli kuchokera kwa makolo awo kudzera mu kusintha kwa majini . Ena akhoza kukhala ndi vutoli popanda chifukwa chomveka.

Matendawa akayamba, timibulu tating'onoting'ono timaonekera pansi pa khungu la chikhatho. Pakapita nthawi, timibuluti timalumikizana kuti tipange timibulu tolimba . Kenako timibuluti timayamba kufinya, zomwe zimapangitsa kuti zala zomwe zili patitulo zilowe mkati. Madokotala amatchanso vutoli kuti Dupuytren's contracture .

Ndani amafunika opaleshoni ya fasciectomy?

Popeza matenda amenewa ndi opitirira muyeso, dokotala wanu adzayesa kaye mankhwala osagwiritsa ntchito opaleshoni, monga jakisoni wa steroid kapena jakisoni wokhala ndi enzyme yotchedwa collagenase.

Kodi kusiyana pakati pa Fasciectomy ndi Fasciotomy ndi kotani?

Pali njira zingapo zochizira matenda a Dupuytren. Tiyeni timvetse mwachidule kusiyana kwakukulu pakati pawo.

Mitundu ikuluikulu ya opaleshoni ya fasciectomy

Pali njira zingapo zochitira opaleshoni ya fasciectomy. Dokotala wanu adzasankha njira yoyenera kwambiri kutengera vuto lanu.

• Kuchotsa mafupa m'magawo (gawo): Mu njira imeneyi, kudula mafupa ang'onoang'ono angapo kumachitika m'mikwingwirima yachilengedwe ya dzanja ndipo gawo laling'ono lokha la fascia yokhuthala limachotsedwa.
• Kuchotsa khungu lonse la palmar fasciectomy: Kuduladula khungu mozungulira m'mbali mwa chikhatho ndi zala, kuchotsa minofu yodwala momwe mungathere. Pankhaniyi, chilondacho chingagwiritsidwe ntchito pothandiza bala kuchira.
• Kuchotsa khungu la m'mimba: Izi zimachitika ngati matenda abwereranso. Pachifukwa ichi, minofu yodwalayo imachotsedwa pamodzi ndi khungu lomwe lili pamwamba pake. Izi nthawi zambiri zimafuna kuikidwa pakhungu.

Kodi nthawi yochira imakhala bwanji pambuyo pa opaleshoni?

Ndi zachilendo kumva ululu, kutupa, ndi kuuma kwa dzanja lanu mutachita opaleshoni. Mungamvenso dzanzi m'dzanja lanu ndi zala zanu. dzanzi ili limamveka pamene mitsempha yomwe yakhala ikuwongoleredwa kwa nthawi yayitali ikubwerera ku thanzi labwino, ndipo zingatenge miyezi ingapo kuti zithe. Kutengera mtundu wa ntchito yanu, mungafunike kupuma kwa milungu iwiri mpaka khumi ndi iwiri (miyezi itatu).

Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola.

• Kusunga dzanja lanu mmwamba ndikugwiritsa ntchito ayezi.
• Kusunga bala loyera.
• Sungani bala ndi zosokera zouma, osakhudza ndi madzi.
• Onetsetsani kuti mwapita ku physiotherapy (hand therapy) ndipo muchite masewero olimbitsa thupi omwe aperekedwa kunyumba ndendende.
• Kugwiritsa ntchito bwino mankhwala ochepetsa ululu komanso, ngati pakufunika, maantibayotiki.
• Kuvala chivundikiro cha dzanja lanu nthawi yonse yomwe dokotala wakuuzani.

Kodi pali zoopsa zilizonse pa opaleshoniyi?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina. Ndizachibadwa kutaya kumva kapena dzanzi m'zala, zomwe zimapita patsogolo pakapita nthawi. Komabe, pali zoopsa zina zazikulu zomwe sizingachitike kawirikawiri .

• Kusamva bwino kwa mankhwala oletsa ululu.
• Matenda.
• Zipsera ndi kukhudzidwa kwa khungu pamalo ochitira opaleshoni.
• Kutupa (edema) ndi mabala.
• Kawirikawiri, kuwonongeka kwa mitsempha kapena mitsempha yamagazi pafupi ndi malo ochitira opaleshoni kungachitike.

Nthawi yoti mupeze upangiri wachipatala nthawi yomweyo

Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa mutachita opaleshoni, muyenera kuyimbira dokotala nthawi yomweyo.

• Zizindikiro za matenda (monga malungo, madzi achikasu akutuluka pabala, mizere yofiira).
• Kupweteka kwambiri kwa minofu.
• Kutaya kumva kapena kulephera kusuntha zala.
• Ngati mukumva kupweteka pachifuwa kapena kupuma movutikira, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi nthawi yomweyo.
• Ziwengo pakhungu (monga kuyabwa).