Reka twige ku kubagwa (Fasciectomy) ku ndwara ituma intoki zigonda imbere?

Ese wigeze wumva urutoki rwawe rumwe cyangwa nyinshi zigenda zigorana imbere buhoro buhoro kandi bikagorana kugorora? Ukumva urutoki rwawe rurimo gukururwa imbere rugafata, si byo se? Iyi ni yo ndwara twita indwara ya Dupuytren. Iyi ndwara ishobora gutuma bigorana no gukora imirimo ya buri munsi. Uyu munsi turimo kuvuga ku kubagwa kwihariye gukorwa nk'igisubizo kuri iyi ndwara, byitwa Fasciectomy.

Mbere na mbere, Fasciectomy ni iki?

Muri make, gukubaga fasciectomy ni uburyo bwo kubaga bukuraho urugingo rw'umubiri (rwitwa fasciectomy) rwabaye nk'ururenda rurerure kandi rubyimbye imbere mu kuboko kwawe bitewe n'indwara ya Dupuytren. Iyi ndwara ituma urutoki rumwe cyangwa nyinshi zigonda ku ruhande rw'ukuboko kwawe utabishaka. Mu bihe bimwe na bimwe bikomeye, intoki zawe zishobora kunanirwa kugororoka na gato. Rero, nyuma y'uku kubaga fasciectomy, urugingo rurerure rurakurwaho, intoki zawe zigakurwaho kandi bigatuma ugarura imikorere isanzwe mu kuboko kwawe.

Indwara ya Dupuytren ni iki mu by'ukuri?

Indwara ya Dupuytren ni indwara ifata ingirangingo zihuza umubiri igenda irushaho kwiyongera uko igihe kigenda gihita. Ubu ushobora kwibaza icyo ingirangingo zihuza umubiri ari cyo. Ni ubwoko bw'ingirangingo zihuza kandi zigashyigikira imitsi yose, ingingo, ingingo n'uruhu mu mubiri wacu.

Iyi ndwara iterwa no gukomera no gukomera kw'uruti rw'umugongo, urwego rw'inyama ziri munsi y'uruhu rw'ikiganza. Hari abantu bashobora kuragwa iyi ndwara n'ababyeyi babo binyuze mu ihinduka ry'uturemangingo . Abandi bashobora kuyirwara nta mpamvu igaragara.

Iyo indwara itangiye, udusimba duto tugaragara munsi y'uruhu rw'ikiganza. Uko igihe kigenda gihita, utu dusimba duhurira hamwe tugakora imigozi ikomeye . Hanyuma iyi migozi itangira gufunga, bigatuma intoki ziyifatanyeho zijya imbere. Abaganga kandi bayita Dupuytren's contracture .

Ni nde ukeneye kubagwa fascioctomie?

Kubera ko iyi ndwara ikomeza kwiyongera, muganga wawe azabanza kugerageza uburyo bwo kuvura butari ubwo kubaga, nko gutera inshinge za steroid cyangwa gutera inshinge zirimo enzyme yitwa collagenase.

Ni irihe tandukaniro riri hagati ya Fasciectomy na Fasciotomy?

Hari uburyo butandukanye bwo kubaga indwara ya Dupuytren. Reka dusobanukirwe muri make itandukaniro riri hagati yayo.

Ubwoko bw'ingenzi bwo kubaga fasciectomy

Hari uburyo bwinshi bwo kubaga fasciectomy. Muganga wawe azahitamo uburyo bukwiye bitewe n'uburwayi bwawe.

• Guca urubavu mu gice cy’inyuma (segmental): Muri ubu buryo, hakorwa uduce duto twinshi ku mitsi isanzwe y’ukuboko kandi igice gito cy’urubavu rwagutse ni cyo gikurwaho.
• Guca urubavu rw'ikiganza: Guca urubavu rw'ikiganza bikozwe mu buryo bwa zigzag, bigakuraho ingingo nyinshi zirwaye uko bishoboka kose. Muri iki gihe, hashobora gukoreshwa agakoresho ko gukata uruhu kugira ngo gafashe igikomere gukira.
• Guca uruhu: Ibi bikorwa mu gihe habayeho indwara isubira. Muri ibi, ingingo irwaye ikurwa hamwe n'uruhu ruri hejuru. Ibi akenshi bisaba gusigwa uruhu.

Igihe cyo gukira nyuma yo kubagwa kiba gite?

Ni ibisanzwe kugira ububabare, kubyimba no gukomera mu kuboko kwawe nyuma yo kubagwa. Ushobora kandi kumva udafite ibikomere mu kuboko no mu ntoki. Uku kutagira ibikomere kugaragara mu gihe imitsi yamaze igihe kinini isubira ku murongo, kandi bishobora gufata amezi menshi kugira ngo ishire. Bitewe n'imiterere y'akazi kawe, ushobora gukenera kuruhuka ibyumweru bibiri kugeza kuri cumi na bibiri (amezi 3).

Ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza.

• Gukomeza ukuboko kwawe hejuru no gushyiramo urubura.
• Gukomeza igikomere gisukuye.
• Komeza uruhu rwumutse n'ibipfundikizo, utarinze kubikoresha amazi.
• Menya neza ko witabiriye ubuvuzi bw'umubiri (ubuvuzi bw'intoki) kandi ugakora imyitozo ngororamubiri itangwa mu rugo neza.
• Gukoresha neza imiti igabanya ububabare, ndetse nibiba ngombwa, imiti igabanya ubukana.
• Kwambara agapira ku kuboko kwawe igihe cyose muganga akubwira.

Ese hari ingaruka zishobora guterwa no kubagwa?

Nkuko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe. Ni ibisanzwe kugira ikibazo cyo kubura ibyiyumvo cyangwa kubura ibinure mu ntoki, ibyo bikazagenda neza uko igihe kigenda gihita. Ariko, hari ingaruka zikomeye zishobora kubaho gake cyane .

• Kurwara indwara yo gusinziriza.
• Kwandura indwara.
• Inkovu n'ubwivumbure bw'uruhu aho wakorewe ubuvuzi.
• Kubyimba (edema) no gukomereka.
• Ni gake cyane, kwangirika kw'imitsi cyangwa imitsi y'amaraso hafi y'aho babagiye bishobora kubaho.

Igihe cyo gushaka inama z'abaganga byihutirwa

Niba ubonye kimwe mu bimenyetso bikurikira nyuma yo kubagwa, ugomba guhita uhamagara muganga wawe.

• Ibimenyetso by'ubwandu (nk'umuriro, amazi y'umuhondo ava mu gisebe, imirongo itukura).
• Ububabare bukomeye bw'imitsi.
• Kubura ibyiyumvo cyangwa kudashobora kwimura intoki.
• Niba ubabara mu gatuza cyangwa uhumeka nabi, jya ku bitaro bikuru by’ubutabazi bw’ibanze (ETU) bikwegereye vuba.
• Allergie y'uruhu (urugero: uduheri dushyuha).