Dupuytren Contracture: Gusobanukirwa imiterere itera intoki zawe

Ese wigeze ubona akantu gato munsi y'uruhu rw'ikiganza cyawe, cyangwa wenda wumva rumwe mu rutoki rwawe - cyane cyane impeta cyangwa urutoki rw'umuhondo - rugenda ruzunguruka rugana ku kiganza cyawe? Ese birakugora gushyira ikiganza cyawe ku meza kubera ko urutoki rumwe rufashe hejuru?

Niba ibi bintu bisa n'ibisanzwe, gusobanukirwa Dupuytren Contracture (দুপীযুত্রন ক্ন্টর্ক্চের) ni ingenzi cyane. Ntugahangayike; iyi si kanseri. Reka turebe icyo ari cyo, impamvu ibaho, n'icyakorwa kuri yo.

Dupuytren Contracture ni iki mu by'ukuri?

Muri make, Dupuytren contracture ikubiyemo gukurura no gukaza igice cy’umubiri kiri munsi y’uruhu mu kiganza cyawe. Iki gice, kizwi mu buvuzi nka fascia , gikunze gutanga inkunga ku kiganza cyawe n’intoki zawe. Muri iki kibazo, fascia ikura ikavamo imigozi minini cyangwa udusimba dukurura urutoki rumwe cyangwa nyinshi imbere, yerekeza ku kiganza.

Ubusanzwe bitangirana n'utubyimba duto tutagira ububabare (twitwa utubyimba ) munsi y'uruhu rw'ikiganza. Uko igihe kigenda gihita, utu tubyimba dushobora gukura no guhuzwa, tugakora imigozi minini cyangwa imigozi. Uko iyi migozi iba ngufi kandi igakomeza gukomera, ikurura intoki zagize ikibazo mu mwanya wo kunama - uku kunama kuzwi nka contracture .

Icy'ingenzi ni uko ibibyimba bibaho hafi ya byose biba ari bibi (bitarimo kanseri). Ntabwo bifitanye isano na kanseri cyangwa ngo bibe byaterwa na kanseri. Rero, nta mpamvu yo gutinya kanseri muri uru rwego.

Ni nde ushobora cyane kugira Dupuytren Contracture?

Nubwo umuntu wese ashobora kugira Dupuytren contracture, hari ibintu bimwe na bimwe byongera ibyago:

• Igitsina: Abagabo bafite amahirwe menshi yo kurwara iyi ndwara kurusha abagore.
• Amasekuru: Abantu bakomoka mu Burayi bw'Amajyaruguru bafite ubwandu bwinshi.
• Amateka y'umuryango: Amateka y'umuryango ya Dupuytren contracture agaragaza ko umuntu afite imiterere y'uturemangingo.
• Izindi ndwara: Hari indwara zimwe na zimwe zifitanye isano n’ingaruka nyinshi, harimo:
• Diyabete
• Indwara z'igicuri n'indwara zo mu mutwe
• Indwara yo kunywa inzoga
• VIH na SIDA
• Indwara z'imitsi (indwara zigira ingaruka ku mitsi y'amaraso)

Iyi ndwara igira ingaruka zite ku mubiri wanjye?

Guhagarara kwa Dupuytren akenshi bigenda buhoro cyane, rimwe na rimwe mu gihe cy'imyaka myinshi. Mu ntangiriro, ushobora kutababara cyangwa ngo ubone impinduka zikomeye. Hari abantu bagira uduheri dukomeza kuba twiza kandi tudatera ibibazo.

Ariko, uko indwara igenda irushaho kwiyongera, imigozi ikomeza gufunga ishobora gutuma imirimo ya buri munsi igorana. Ibikorwa byoroshye nko guhanagura intoki, gushyira ikiganza mu mufuka, kwambara uturindantoki, cyangwa no gukaraba mu maso bishobora kugorana bitewe no kudashobora kugorora neza intoki zangiritse.

Nubwo urutoki urwo ari rwo rwose rushobora kugira ingaruka, intoki zikunze kugira ingaruka ni izi:

1. Urutoki rw'impeta
2. Urutoki rw'ururondo
3. Urutoki rwo hagati
4. Urutoki rw'icyitegererezo
5. Igikumwe

Ibimenyetso ni ibihe kandi bipimwa gute?

Gutuza kwa Dupuytren bikunze kwiyongera mu byiciro, nubwo atari buri wese ugera ku byiciro byose:

Ibyiciro byo Guhagarara kwa Dupuytren

Uretse ibi bimenyetso by'ingenzi, bamwe mu bantu (nubwo atari bose) bashobora kugira ibi bikurikira:

• Kubyimba cyangwa ububabare mu kiganza
• Umwobo cyangwa umwobo ku ruhu aho agahu kari gahari
• Kubabara cyangwa kuribwa (bidakunze kugaragara)

Niba ukeka ko Dupuytren ifite contracture, kwipimisha byoroshye byiswe "Tabletop Test" bishobora gufasha gusuzuma ubukana. Shyira ikiganza cyawe ku meza. Niba hari urutoki rudakoze ku buso kuko ruhengamye imbere, bigaragaza ko hari contracture ishobora kuba ihari. Iki ni ikimenyetso cyiza cyo kubonana na muganga.

Ni iki gitera Dupuytren Contracture?

Impamvu nyayo yateye Dupuytren contracture ntabwo iramenyekana. Ariko, izwiho kuba ifite uruhare rukomeye mu miterere y'umubiri . Ibi bivuze ko ikunze kugaragara mu miryango kandi ishobora kuragwa. Si ikintu giterwa n'imvune cyangwa uburyo umuntu yahisemo bwo kubaho.

Ni gute umuganga ayisuzuma?

Gusuzuma indwara akenshi biroroshye hashingiwe ku isuzuma ry'umubiri:

• Muganga azasuzuma ikiganza cyawe n'ikiganza cyawe mu buryo bw'amaso.
• Zizumva aho hari udusimba n'imigozi munsi y'uruhu.
• Bazasuzuma urwego rw'imikorere y'intoki zawe, barebe uko zishobora kugororwa.

Ubusanzwe, nta bipimo byihariye nka X-rays bikenewe. Ariko, niba ububabare ari ikimenyetso gikomeye cyangwa hakaba hakekwa izindi ndwara, hashobora gutangwa isuzuma ry’amashusho cyangwa ibizamini by’amaraso kugira ngo hamenyekane izindi mpamvu.

Ni ubuhe buryo bwo kuvura?

Uburyo bwo kuvura buterwa n'uburemere bw'ibimenyetso byawe n'uburyo bibangamira ubuzima bwawe bwa buri munsi. Kubera ko indwara igenda ikura buhoro buhoro, ibyemezo byo kuvura bishobora guhinduka uko igihe kigenda.

1. Uburyo bwo kuvura abantu badafite aho bahuriye n'imyitwarire

Ibi akenshi ni byo bikunze gukoreshwa:

• Ubuvuzi bw'umubiri: Imyitozo yihariye yo kunanura intoki no gukomeza koroherwa.
• Gutera cyangwa Gutera Ingufu: Kwambara ibikoresho nijoro kugira ngo urutoki rwangirike.
• Ubuvuzi bwa Ultrasonic: Gukoresha amajwi kugira ngo byoroshye ingingo zuzuye.
• Inshinge za Corticosteroid: Gutera umuti mu tunyangingo cyangwa mu mitsi kugira ngo ugabanye ububyimbirwe no kwiyongera (imikorere iratandukanye).

2. Ubuvuzi bushingiye ku mirasire

Mu bihe bimwe na bimwe, ubuvuzi bushingiye ku mirasire y’urumuri buke bushobora gukoreshwa mu kugabanya ikwirakwira ry’indwara, cyane cyane mu ntangiriro z’uturemangingo tw’urumuri.

3. Kuvura urushinge (NA)

Ubu buryo busanzwe bukorerwa kwa muganga. Akoresheje urushinge, muganga ashobora guca umugozi ukomeye, bigatuma urutoki rugororoka. Bitanga ubutabazi bwihuse ariko bishobora gukenerwa kongeramo niba umugozi uhindutse.

4. Inshinge ya Collagenase (Xiaflex®)

Ibi bikubiyemo gutera enzyme (collagenase clostridium histolyticum) mu buryo butaziguye mu muyoboro w'amaraso. Iyi enzyme ifasha gusenya collagen mu ngingo zuzuye, bigatuma umuyoboro w'amaraso ugabanuka. Nyuma y'amasaha agera kuri 24-72, muganga akoresha urutoki kugira ngo arugorore, avune umuyoboro w'amaraso wacitse intege.

5. Kubaga (Fasciectomy)

Ubusanzwe kubagwa bikorerwa abafite uburwayi bukomeye cyane aho ubundi buryo bwo kuvura butagize icyo bukora cyangwa butajyanye n'igihe. Ubu buryo bukubiyemo gukuraho urugingo rw'uruhu rwangiritse mu kiganza no mu ntoki. Ubusanzwe bikorwa nk'ikibagiro cyo hanze, hanyuma hagakurikiraho ubuvuzi bw'umubiri kugira ngo hongererwe imbaraga n'imikorere.

Ibibazo Bikunze Kubazwa (Ibibazo Bikunze Kubazwa)

• Q: Ese kanseri ya Dupuytren iterwa no guhagarara kw'imibonano mpuzabitsina (contracture cancer) iterwa n'iki?
  A: Oya, Dupuytren contracture si kanseri. Utunyangingo n'imitsi ni ibintu bikura mu mubiri munsi y'uruhu mu kiganza.
• Q: Ese hari icyo nakora mu rugo kugira ngo nyivure?
  A: Nubwo nta muti uhari, imyitozo ngororamubiri yoroshye yo kunanura imitsi nk'uko byasabwe n'umuganga ishobora gufasha mu gukomeza koroherwa n'ubworoherane. Ariko, kwivura si ikintu gisimbura inama n'ubuvuzi bw'inzobere.
• Q: Ese guhagarara kw'imitsi bizagaruka nyuma yo kuvurwa?
  A: Dupuytren Contracture ikunze kugaruka kuko akenshi ifitanye isano n'imiterere y'uturemangingo. Nubwo yavurwa neza, hari amahirwe ko iyi ndwara ishobora kongera kugaragara mu ntoki zimwe cyangwa izindi uko igihe kigenda gihita.
• Q: Ni vuba gute nzabona ibisubizo bivuye mu kuvurwa?
  A: Ibi biratandukanye cyane bitewe n'uburyo bwo kuvura. Gutera inshinge zo gutwika no gutera collagenase bishobora gutanga uburyo bwo koroshya vuba, mu gihe kubagwa bifata igihe kirekire. Ubuvuzi busanzwe bushobora gufata ibyumweru cyangwa amezi kugira ngo bugaragaze iterambere rigaragara.
• Q: Ese iyi ndwara ni umurage?
  A: Yego, hari isano ikomeye hagati y’uturemangingo. Niba abagize umuryango bararwaye Dupuytren Contracture, ibyago byawe byo kuyirwara ni byinshi.

Ibintu by'ingenzi byakunzwe

• Gukomera kwa Dupuytren bikubiyemo gukurura inyama munsi y'ikiganza, bigatera gupfukama k'urutoki.
• Ni indwara itari kanseri ifite igice cy’uturemangingo.
• Ibimenyetso bikunze kwiyongera buhoro buhoro uko imyaka igenda ihita.
• Hari uburyo butandukanye bwo kuvura butanga umusaruro, kuva ku buryo bwo kwirinda indwara kugeza ku kubagwa.
• Gusuzuma indwara hakiri kare no kuyivura bishobora gufasha mu gucunga neza iyo ndwara.

Icyitonderwa: Iyi nkuru itanga amakuru rusange kuri iyi ndwara kandi ntigomba gusimbura inama za muganga wawe. Buri gihe gisha inama umuganga.