Ese intoki zawe zirimo kuzunguruka imbere? Ese iyi ni indwara ya Dupuytren's Contracture?

Ese wigeze ubona ko hari akantu gato munsi y'uruhu rw'ukuboko kwawe? Cyangwa wumva intoki zawe zimwe, cyane cyane urutoki rwawe rw'impeta cyangwa urutoki ruto, zigenda zigonda buhoro buhoro zerekeza ku kiganza? Ese wigeze ugerageza gushyira ikiganza cyawe ku meza ntushobore kugishyira hasi burundu, ariko urutoki rumwe rukazamuka? Niba ibi byarakubayeho, ni ngombwa cyane ko umenya indwara tuvuga uyu munsi, ari yo Dupuytren Contracture. Ntugahangayike, si kanseri. Reka turebe icyo ari cyo, impamvu ibaho, n'icyakorwa kuri yo.

Mu magambo make, Dupuytren Contracture ni iki?

Tekereza, munsi y'uruhu rw'ikiganza cyacu, hari urusobe rw'uturemangingo, nk'umukandara w'intoki, uha imbaraga amaboko yacu n'intoki zacu. Mu buvuzi, ibi tubyita fascia . Mu ndwara yitwa Dupuytren's contracture, ingingo iri muri iyi fascia irakomera buhoro buhoro, irakomera, kandi igatangira gufunga. Itangirana n'udupfundo duto (abaganga bita utu dupfundo ) twiba munsi y'uruhu rw'ikiganza. Uko igihe kigenda gihita, aya mapfundo arahuza maze agahinduka imigozi minini, isa n'imigozi. Uko iyi migozi imeze nk'imigozi irushaho gufunga, intoki zifatanye na zo zitangira kwikurura imbere. Amaherezo, urutoki rurapfukama imbere cyane ku buryo bidashoboka kurugorora. Uku gupfukama kw'intoki ni cyo twita gupfukama .

Ni nde ugerwaho n'iki kibazo cyane?

Umuntu wese ashobora kugira contracture ya Dupuytren, ariko hari abantu bashobora kuyigira.

• Ku bagabo: Iyi ndwara ikunze kugaragara ku bagabo kurusha abagore.
• Ku bakomoka mu Burayi: Ibi bikunze kugaragara cyane mu bantu bakomoka mu Burayi ugereranyije n'andi moko.
• Amateka y'umuryango : Niba hari umuntu wo mu muryango wawe wigeze kugira iyi ndwara mbere, nawe ushobora kuba ufite imiterere y'uturemangingo ishobora gutuma uyirwara.

Isano n'izindi ndwara

Abantu bafite indwara zimwe na zimwe bashobora kuba bafite ibyago byinshi byo kurwara indwara ya Dupuytren.

• Diyabete
• Indwara z'igicuri n'indwara zo mu mutwe
• Indwara yo kunywa inzoga
• VIH na SIDA
• Indwara y'imitsi

Ibi bigira ingaruka zite ku mubiri wanjye?

Akenshi, iyi ndwara ikura buhoro buhoro. Bishobora gufata amezi cyangwa imyaka kugira ngo ibimenyetso bikomere. Ushobora kutabona ikibazo na kimwe mu ntangiriro. Hari abantu bagira akantu gato ku kuboko katarenga iyo ngingo. Ariko, mu byiciro bya nyuma by'iyi ndwara, abantu bashobora kunanirwa kugorora intoki zabo, bigatuma bigorana gukora imirimo ya buri munsi. Urugero, ndetse n'imirimo yoroshye nko guhanagura intoki, gushyira mu mufuka, kwambara amasogisi, cyangwa gukaraba mu maso bishobora kugorana. Nubwo bishobora kugira ingaruka ku rutoki urwo arirwo rwose, uburyo bukunze gukoreshwa ni ubu: 1. Urutoki rwa 2. Urutoki rwa Pinkie 3. Urutoki rwo hagati 4. Urutoki rwa 5. Igikumwe

Ibimenyetso ni ibihe? Ni gute twabimenya?

Guhagarara kwa Dupuytren bikunze kubaho mu byiciro bitandukanye. Si buri wese uhura n'ibi byiciro byose. Hari abantu bashobora guhagarara ku cyiciro cya mbere.

Ibindi bimenyetso by'inyongera

Uretse ibi bimenyetso by'ingenzi, hari abantu bamwe (si bose) bashobora no kugira ibi bikurikira:

• Kubyimba cyangwa kubyimba mu kiganza
• Ubugwaneza iyo bukozweho
• Ububabare butwika
• Kuryarya

Ibi bimenyetso ni gake cyane. Niba ufite contracture ya Dupuytren kandi ukagira ibi bimenyetso, ni ngombwa kubimenyesha muganga wawe.

Ikizamini cyoroshye ushobora gukora ubwawe: "Ikizamini cyo hejuru y'amatafari"

Hari uburyo bworoshye bwo kumenya niba ibimenyetso byawe bikomeje kwiyongera. Shyira ikiganza cyawe ku meza arambuye, ikiganza cyawe cyerekeye hasi. Noneho reba niba ikiganza cyawe n'intoki zawe zose bikora ku buso bw'ameza. Niba hari intoki zawe zazamuwe kandi zidashobora gushyirwa ku buso bw'ameza, bivuze ko indwara yawe ishobora kuba igeze ku rwego rwo gufunga. Niba ari uko bimeze, ni igihe cyiza cyo kubonana na muganga no kuganira ku buvuzi.

Impamvu ni iyihe?

Impuguke ntizirabona impamvu yihariye ibitera. Ariko byagaragaye ko iyi ari indwara iterwa n'uturemangingo . Ibyo bivuze ko ishobora guhererekanywa kuva ku gisekuru kugeza ku kindi. Rero si ikosa ryawe. Niba hari umuntu wo mu muryango wawe uyifite, nawe ushobora kuyirwara.

Ni gute umuganga asuzuma ibi?

Ubusanzwe umuganga ashobora gusuzuma iki kibazo asuzumye ukuboko kwawe gusa.

• Arareba ikiganza cyawe, akagikoraho, hanyuma akagisuzuma.
• Umva niba hari udusimba n'imigozi munsi y'uruhu.
• Bapima uburebure bw'intoki zawe bushobora kunama no kugororwa.

Ibi ubusanzwe ntibisaba ibizamini byihariye cyangwa imirasire ya X. Ariko, niba hari gushidikanya ku cyateye ububabare bw'ukuboko kwawe, X-ray cyangwa ikizamini cy'amaraso bishobora gutangwa kugira ngo harebwe izindi ndwara.

Ni ubuhe buryo bwo kuvura?

Hari uburyo butandukanye bwo kuvura, bitewe n'uburemere bw'ibimenyetso byawe. Kubera ko bigenda buhoro cyane, bishobora gufata imyaka myinshi kugira ngo uvane ku buvuzi bumwe ujya ku bundi. Ushobora koroherwa n'ubuvuzi bworoshye mu ntangiriro kandi ntukeneye ubundi buvuzi.

1. Uburyo bworoshye kandi bw'ibanze bwo kuvura (Ubuvuzi busanzwe)

Ibi ni byo bintu bya mbere ugomba kugerageza.

• Ubuvuzi bw'umubiri : Imyitozo yihariye yo kurambura intoki.
• Gutera cyangwa gupfuka inkingi:Igikoresho cyambarwa kugira ngo intoki zikomeze kurambura.
• Ubuvuzi bwa Ultrasonic cyangwa ubushyuhe: Amajwi cyangwa ubushyuhe bitababaza bikoreshwa mu kongera ubworoherane bw'ingingo zibyimbye (fascia).
• Inshinge za Corticosteroid: Inshinge zitangwa kugira ngo zigabanye utunyangingo n'imitsi.

2. Ubuvuzi bushingiye ku mirasire

Mu bihe bimwe na bimwe, inzobere mu by’imirasire ishobora koherezwa kugira ngo ihagarike cyangwa igabanye iterambere ry’ibimenyetso. Ibi bikubiyemo gukoresha imirasire mike cyane, nka X-rays, kugira ngo yorohereze utubuto.

3. Kubaga urushinge rw'amaraso mu bwonko

Niba uburyo bworoshye bwo kuvura budakora, iki ni cyo kintu gikurikiraho cyo gusuzuma. Iki ni ikintu gishobora gukorwa kwa muganga. Aha ngaha, ukuboko kuba gufite intege nke, hanyuma hagakoreshwa urushinge rwihariye kugira ngo imigozi ifatanye ifunguke. Hanyuma urutoki rushobora kongera kugororwa.

4. Inshinge za Collagenase

Collagenase ni enzyme ifasha mu gusenya ingirangingo zikomeye. Muganga atera urushinge rurimo iyi enzyme mu buryo butaziguye mu mapfundo cyangwa mu migozi. Hanyuma, umunsi umwe, ikiganza kiracika intege maze urutoki ruragororoka.

5. Kubaga (kubaga kwa Dupuytren contracture)

Niba urutoki rwawe rukora cyane ku buryo rubangamira imirimo yawe ya buri munsi, kubagwa bishobora kuba ari bwo buryo bwa nyuma. Ubu busanzwe ni uburyo bwo kuvura hanze. Ubu buryo bwitwa fasciectomy. Muri ubu buryo, umuganga agutera ibinure mu kiganza cyawe agakuraho igice cyangwa igice cyose cy'ingingo zabyimbye kandi zacitse. Nyuma yo kubagwa, physiotherapy ikunze kuba ngombwa kugira ngo wongere imbaraga n'imikorere mu kiganza cyawe.

Ibibazo bikunze kubazwa n'ibintu ugomba kumenya

Ese hari umuti uhoraho w'ibi?

Oya, nta muti uhari wo kuvura indwara ya Dupuytren. Ariko, ni indwara ishoboka cyane . Iyo uvuwe, ushobora gukuraho ibimenyetso no kubaho ubuzima busanzwe. Ariko, kubera ko ari imiterere y'umubiri, hari amahirwe make ko ishobora kongera kugaruka nyuma yo kuvurwa, wenda nyuma y'imyaka myinshi. Ibyo nibibaho, ushobora kongera kuvurwa nk'uko byari bimeze mbere.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

• Uburyo bworoshye bwo kuvura: Ibintu nk'imyitozo ngororamubiri n'imigozi bishobora gufata amezi menshi kugira ngo bibone umusaruro.
• Kuvura urutoki: Urutoki rushobora kugororwa ako kanya nyuma yo kuvurwa.
• Kubaga:Nubwo kubagwa byakuraho ibimenyetso, bishobora gufata amezi abiri kugira ngo wumve ko wakize neza. Ugomba gutegereza kugeza igihe ukuboko kwawe gukira. Nyuma y'ibyo, uzakenera gukora physiotherapy mu gihe cy'amezi make.

Ni ryari ngomba kubonana na muganga wanjye?

Niba ubonye ikibyimba mu kiganza cyawe, cyangwa niba wumva urutoki rwawe rurimo guhindagurika, ni byiza kujya kwa muganga. Cyane cyane niba udashobora gushyira ikiganza cyawe ku meza nyuma yo gukora "ikizamini cyo ku meza" twavuze mbere, ni cyo gihe cyo gutangira kuvurwa.

Hari igihe nkwiye kujya muri ETU?

Jya mu Ishami ry’Ubutabazi bw’Ibanze (ETU) vuba niba ibi bikurikira bibaye, urugero nko nyuma yo kubagwa.

• Ububabare bukabije cyane
• Kubyimba cyane kw'ukuboko
• Guhindura ibara ry'intoki
• Kudashobora guhana amaboko mu buryo busanzwe
• Niba hari amaraso ava aho bakorewe ubuvuzi

Ese Dupuytren Contracture na Trigger Finger ni kimwe?

Oya. Nubwo ibi byombi bishobora gutuma urutoki rugorama, ni ibintu bibiri bitandukanye rwose.

• Dupuytren's Contracture: Iterwa no kwiyongera kw'agahu kari munsi y'uruhu rw'ikiganza.
• Urutoki rutera imvune: Ibi biterwa no kubyimba k'umugozi (A1 pulley) ufasha kwimura umutsi wo mu rutoki. Ibi bituma urutoki rusa n'aho rwafashe iyo urunamye cyangwa ururambura.

Uko ikibazo cyawe cyaba kiri kose, ni byiza kujya kwa muganga kugira ngo akugire inama ukimara kubona ibimenyetso bishya, cyane cyane iyo hari ububabare cyangwa ingorane zo kwimuka. dupuytren contracture sinhala, kunama kw'intoki, amapfundo mu kiganza, kudashobora kongera intoki, indwara ya dupuytren sinhala, indwara z'amaboko, ububabare bw'amaboko