Dzimwe nguva unonzwa sekunge munwe mumwe kana miviri paruoko rwako yakakotama mukati uye zvichikuomera kuiruramisa here? Kana kuti unonzwa sekunge une mapundu madiki paruoko rwako, ndipo panotangira minwe? Usazvidya moyo, ichi hachisi chinhu chine njodzi sekenza chinowanikwa nevanhu vazhinji. Asi zvakakosha kuziva izvi. Nhasi tichataura nezvechirwere chinonzi Dupuytren Contracture, chinogona kukonzera zviratidzo zvakaita seizvi.
Saka chii chinonzi Dupuytren's contracture?
Zvichitaurwa zviri nyore, Dupuytren's contracture chirwere umo jira renyama riri pasi peganda remaoko edu rinova gobvu uye rakasimba. Tinodana jira iri renyama kuti fascia . Zvakafanana nebhandi rerabha rinotibatsira kufambisa minwe yedu. Saka, tumapundu tudiki tunotanga kuumbwa mujira iri. Nekufamba kwenguva, tumapundu utwu tunokora uye tunoumba tambo dzinobva mukati meruoko. Ndipo panotanga kukotama minwe mukati, dzimwe nguva kusvika paisingakwanise kutwasanudzwa.
Chinhu chakakosha ndechekuti mapundu aya haasi ekenza (asina kuipa) . Izvi zvinoreva kuti haakonzerwi nekenza kana kuti haakonzerwi nekenza. Saka musazvidya mwoyo nazvo.
Kazhinji, izvi zvingada kuvhiyiwa, asi dzimwe nguva, zvinogona kudzorwa nekurapwa kuri nyore.
Ndiani angangonyanya kuva nechirwere ichi?
Dupuytren's contracture inogona kuitika kune chero munhu. Zvisinei, vamwe vanhu vane mukana mukuru wekuva nayo. Izvi ndeizvi:
- Varume: Chirwere ichi chinowanzoitika kuvarume kupfuura kuvakadzi.
- Vanhu vane dzinza rekuEurope: Zvakaonekwa kuti zvakajairika kuvanhu vanobva kunyika dzekuChamhembe kweEurope.
- Vanhu vane nhoroondo yemhuri yechirwere ichi: Sezvo ichi chiri chirwere chemajini , kana mumwe munhu mumhuri yako aine chirwere ichi, pane mukana wekuti iwewo uchachiwana.
Zvimwe zvirwere zvinokanganisawo izvi here?
Ehe, vanhu vane mamwe matambudziko ehutano vane mukana mukuru wekuwana Dupuytren's contracture. Semuenzaniso:
- Chirwere cheshuga (chirwere cheshuga)
- Pfari nezvimwe zvirwere zvepfari
- Dambudziko rekushandisa doro
- HIV neAIDS
- Chirwere chetsinga dzeropa
Izvi hazvirevi kuti munhu wese ane zvirwere izvi achazviwana, asi pane njodzi yakakura zvishoma kupfuura dzimwe.
Mamiriro ezvinhu aya akajairika zvakadii?
Kubata kweDupuytren chirwere ichi hachisi chinhu chinowanzoitika . Chinokanganisa vanhu vanosvika 5%. Sezvambotaurwa, chinowanzoitika kuvanhu vane dzinza rekuEurope.
Kugumburwa kweDupuytren kunokanganisa sei muviri?
Ungasatomboziva kuti chirwere ichi chiri kukanganisa sei muviri wako. Kana zviratidzo zvacho zviri zvishoma, ungasatomboziva kuti unazvo. Kunyangwe uine zviratidzo, zvinogona kutora mwedzi, kunyange makore, kuti zviwedzere. Muzviitiko zvakakomba, minwe inobatwa inogona kutadza kutwasuka.
Kugumburwa kweDupuytren kunogona kukanganisa chero minwe yako, kunyangwe chigunwe chako chikuru. Zvisinei, minwe inonyanya kukanganiswa ndeiyi:
- Munwe wemhete / munwe wechina
- Pinkie / chigunwe chechishanu
- Munwe wepakati / munwe wechitatu
- Munwe wechiratidzo / munwe wechipiri
- Chigunwe chikuru / chigunwe chekutanga
Izvi zvinokanganisa dzimwe nhengo dzemuviri here?
Kwete. Kugumburwa kweDupuytren kunokanganisa maoko chete . Hakuitike kune imwe nzvimbo mumuviri. Kunyange zvazvo mamwe matambudziko ekubatanidza nhengo dzemuviri anogona kuitika mune dzimwe nhengo dzemuviri, kugumburwa kweDupuytren kunokanganisa maoko chete.
Vamwe vanhu vane Dupuytren's contracture vane mukana wekuwana mamwe mamiriro akafanana, akadai seLedderhose disease ( chirwere chinoitika pasi petsoka) uye Peyronie's disease ( chirwere chinoitika kuvarume).
Ndezvipi zviratidzo zveizvi? Ungazviziva sei?
Nekuti Dupuytren's contracture inotora mwedzi yakawanda, dzimwe nguva makore, kuti ibude, ungasaona zviratidzo pakutanga. Zviratidzo zvinowanzoonekwa nenzira iyi:
1. Mapundu: Chiratidzo chekutanga kuoneka kwemapundu madiki pasi peganda rechanza, kazhinji panosangana minwe nechanza. Unogona kunzwa izvi paunozvibata, uye dzimwe nguva unogona kutozviona. Vamwe vanhu vanogona kungobuda mapundu aya vomira, nepo vamwe mapundu acho achinyangarika ega. Ganda rakatenderedza mapundu rinogonawo kuita serakanyura zvishoma kana kuti rakakwenya.
2. Tambo Dzakakora: Nekufamba kwenguva, mapundu aya anogona kukoira oita zvidimbu zve fascia tissue refu, zvakaita setambo. Tambo idzi dzinogona kuita kuti minwe inzwe sekunge iri kudhonzwa mukati uye kuruoko rwechigunwe.
3. Kugumburwa: Ichi ndicho chiratidzo chakanyanya kuipa chechirwere, icho chirwere chakawana zita racho. Mabhandi akafanana netambo anokora uye akaomarara, zvichiita kuti zvisakwanise kutwasanudza minwe yakakuvara kubva paruoko.
Kusiyana nezvimwe zvirwere, Dupuytren's contracture kazhinji haina zvinhu zvinokonzera kuti zviratidzo zviwedzere kuipa. Kana uine, zviratidzo zvinogona kukura kusvika pakuti mapundu anova tambo dzemuviri uye minwe inokotama. Havasi vese vanopinda muzvikamu izvi zvese.
Pangave nezvimwe zviratidzo here?
Kuwedzera kune matambudziko aya eminwe, ruoko rwakakanganiswa runogonawo kuva nezviratidzo zvinotevera:
- Kuzvimba kana kuzvimba
- Unyoro
- Kurwadziwa kana kupisa
- Kukwenya
Asi zviratidzo izvi hazviwanzoitiki . Vanhu vanosvika chikamu chimwe muzvina vane Dupuytren's contracture vanozviona. Kana uine Dupuytren's contracture uye uine zviratidzo izvi, iva nechokwadi chekuudza chiremba. Dzimwe nguva zvinogona kuva chiratidzo chemamwe matambudziko anokanganisa ganda rako kana fascia.
Chikonzero cheizvi chii?
Nyanzvi hadzisati dzaziva chikonzero chaicho cheDupuytren's contracture, asi inoonekwa sechirwere chemajini . Zvakaratidzwa kuti kana mumwe munhu mumhuri aine chirwere ichi, vamwe vane mukana mukuru wekuchibata.
Zvinoshamisa kuti Dupuytren's contracture ndeimwe yezvirwere zvinowanzo gara nhaka zve connective tissue.
Chiremba anoongorora sei izvi?
Chiremba achaita bvunzo yemuviri kuti aone kana une Dupuytren's contracture. Iye achatarisa ruoko rwako neminwe yako, obata mapundu kana tambo dziri pasi peganda, uye oyera kuti minwe yako yakakotama zvakadii.
Bvunzo iri nyore yaunogona kuita kumba ndeye "bvunzo yepatabletop." Isa chanza chako pasi panzvimbo yakati sandara (senge tafura). Kana munwe wakakanganiswa ukadzvanywa pamusoro uye usingatsvedze, zviratidzo zvako zvinogona kunge zvakanyanya. Kana zvakadaro, zvakanaka kutsvaga mazano echiremba.
Pane bvunzo dzakakosha here dzekuona izvi?
Hapana bvunzo dzakakosha dzinoitwa kuti uone kana Dupuytren aine contracture. Zvisinei, chiremba wako anogona kuraira kuongororwa ropa kana X-rays kuti aone kana paine zvimwe zvirwere zvinogona kukanganisa maoko ako.
Ndezvipi zviri kurapwa?
Zvichienderana nekuoma kwezviratidzo zvako, chiremba wako achakurapa muzvikamu zvakasiyana-siyana. Nekuti Dupuytren's contracture chirwere chinoramba chichienderera mberi, zvinogona kutora mwedzi kana makore kuti uende kuchikamu chinotevera chekurapa. Zviratidzo zvako zvinogona kuvandudzika nekurapwa kwekutanga uye ungasada kurapwa zvakare. Kana zviratidzo zvako zvekutanga zvikadzoka, mamwe matanho ekurapa angada kudzokororwa.
Kurapa kwekuchengetedza
Kurapa kuri muchikamu ichi ndekwekuti:
- Kurapa muviri kana maekisesaizi ekutambanudza muviri.
- Kupfeka mabraces kana ma splints ekubatsira kutambanudza minwe kusvika padanho rayo rekufamba.
- Wedzera kuchinjika kwenyama yako yefascia nekushandisa ultrasound (mafungu eruzha asingarwadzi) kana kurapwa nekupisa.
- Majekiseni eCorticosteroid ekudhonza mapundu netambo.
Kurapa Nemwaranzi
Chiremba wako anogona kukutumira kuna chiremba wemwaranzi kuti arape Dupuytren's contracture kana kudzivirira zviratidzo kuti zvisanyanye kuipa. Kurapa nemwaranzi inzira isingarwadzi inoshandisa X-ray kana mamwe marara emwaranzi kuti ipfavise mapundu kana tambo.
Kurapwa nemwaranzi kunoshandiswawo kurapa mamwe marudzi ekenza. Zvisinei, Dupuytren's contracture haisi kenza . Uye kuva nechirwere ichi hazvirevi kuti une kana kuti uchava nekenza.
Kubviswa kwetsinga dzeuropi netsono
Kana zviratidzo zvako zvikasavandudzika mushure memwedzi mishoma yekurapwa kuri nyore, chiremba wako anogona kukurudzira nzira inonzi needle aponeurotomy . Dzimwe nguva iyi inonzi percutaneous needle fasciotomy . Iyi inzira yekuvhiyiwa kunze kwechipatara iyo chiremba wako anogona kuita muhofisi make.
Chiremba achaisa ruoko rwako mudumbu nechinhu chinonyaradza marwadzo uye obva ashandisa tsono kuti aite maburi akawanda mufascia yeruoko rwako. Izvi zvichasunungura kuomarara kweruoko uye zvinokubvumira kuti utwasanudze minwe yako.
Majekiseni eCollagenase
Sekurapa Dupuytren's contracture, chiremba wako anogona kubaya enzyme inonzi collagenase mumapundu kana tambo. Collagenase ienzyme inobatsira kusunungura nekupwanya makobvu aya ari mufascia yako. Kutanga, chiremba wako achabaya collagenase zvakananga mumapundu kana tambo. Uchazofanira kudzoka mangwana acho. Zuva iroro, chiremba wako achaisa ruoko rwako munyama uye achadzorera minwe yakakuvara padanho rayo rekutanga.
Kuvhiyiwa kweDupuytren Contracture
Kana kukwenya kwemunwe wako kwakanyanya zvekuti kunokanganisa hupenyu hwako hwezuva nezuva, ungangoda kuvhiyiwa. Kuvhiya kweDupuytren kukwenya kwemunwe inzira inoitirwawo kunze kwechipatara, zvichireva kuti unogona kuenda kumba zuva rimwe chete.
Chiremba anovhiya anoita fasciectomy.Maitiro acho anonzi ablation. Achabvisa ruoko rwako nechinhu chinondirwadza uye obva abvisa chikamu kana kuti yese yefascia yakakanganiswa. Huwandu hwefascia hunofanirwa kubviswa hunoenderana nekuti fascia yako yakakora sei uye kuti contraction yacho yakakura sei. Mushure mekuvhiyiwa, ungangoda kurapwa kwemuviri kana kurapwa kwebasa kuti ubatsire majoini ako kuti awane simba rawo renguva dzose.
Izvi zvinogona kurapwa zvachose here?
Zvinosuwisa kuti Dupuytren's contracture haigoni kurapwa zvachose . Zvisinei, zvirwere zvakawanda zvinogona kudzorwa zvakanaka nekurapwa .
Nekuti hapana mushonga wakakwana, kunyangwe kana fascia yakakanganisika ikabviswa pakuvhiyiwa kumwe chete, munhu mumwe chete pavanhu vashanu achatangazve Dupuytren's contracture . Kana izvozvo zvikaitika, ungangoda kurapwa kwakawanda mune ramangwana.
Nzira yekudzora zviratidzo?
Tevedzera mirairo yachiremba wako nemazvo. Kana wakanyorerwa kuti utambanudze mabvi ako, kana kuti uchifanira kupfeka brace kana splint, iva nechokwadi chekuti unozviita kakawanda sezvaunoudzwa nachiremba wako.
Zvinotora nguva yakareba sei kuti munhu apore mushure mekurapwa?
Nguva yekupora inoenderana nekurapwa kwawakaitwa paDupuytren's contracture:
- Dzimwe nguva zvinogona kutora mwedzi kuti zviratidzo zvivandudzike nekurapwa kuri nyore (kwekutanga) .
- Kana uchizobviswa ropa netsono, chiuno chako chinofanira kupora nekukasika.
- Kuvhiyiwa kunofanira kuderedza zviratidzo zvako, asi zvinogona kutora mwedzi miviri kuti unzwe zviri nani mushure menguva yekupora. Mushure mekuvhiyiwa, uchafanira kubvumira ruoko rwako kuti rupore. Uchafanirawo kuita physiotherapy kana occupational therapy kwemwedzi mishoma kuti zvikubatsire kuwana simba uye kufamba zvakanaka muruoko rwako.
Taura nachiremba wako usati watanga mabasa ako emazuva ese paunenge uchipora.
Pane matambudziko here pakurapwa kwacho?
Zvimwe zvinetso zvinogona kuitika panguva yekurapwa kweDupuytren's contracture zvinosanganisira:
- Marwadzo
- Kukuvara kwetsinga
- Utachiona
- Mavanga
- Kukuvadzwa kwetsinga dzeropa rako
- Matambudziko ekupora maronda
Zvinhu izvi hazviitiki kune wese munhu, asi zvakakosha kuti uzvizive.
Pane nzira yekudzivirira izvi kuti zvisaitike here?
Zvinosuwisa kuti hapana chaungaita kudzivirira Dupuytren's contracture. Kutaura chokwadi, hapana mushonga weizvi, uye hachisi chiratidzo chekunyevera .Zvinoitika pasina. Kana mumwe munhu mumhuri yako akaonekwa aine Dupuytren's contracture, taura nachiremba wako nezvazvo.
Dupuytren Contracture neDupuytren Disease zvakafanana here?
Dzimwe nguva vanachiremba vanoshandisa mazwi ekuti Dupuytren's contracture neDupuytren's disease vachichinjana. Vamwe vanachiremba vanoona musiyano mudiki pakati pezviviri izvi. Vanoti Dupuytren's contracture (kukora kwefascia iri muruoko) chiratidzo chechirwere cheDupuytren (chirwere chose chinokonzera Dupuytren's contracture). Zvisinei, patinotaura nezvazvo, vese vanotaura chinhu chimwe chete.
Chii chiri musiyano uripo pakati peDupuytren Contracture neTrigger Finger?
Kugumburwa kweDupuytren nemunwe we trigger zvinogona kukonzera kuti munwe wako ugokotama wobva wanamatira. Zvisinei, izvi zvirwere zviviri zvakasiyana zvikuru.
- Dupuytren's contracture ikukura nekukora kwenyama yefascia iri pasi peganda reruoko rwako. Mapundu anoumbwa pasi peminwe uye anova mabhandi akaita setambo pasi pechanza.
- Chigunwe chinokonzeresa kurwadza chinoitika kana pulley yeA1, iyo inodzora uye inotungamira marunda eminwe yako nechigunwe chako, ikazvimba. Kuzvimba uku kunoita kuti zvikuomere kufambisa chigunwe chako zvakanaka sezvawaimboita. Vanhu vane chigunwe chinokonzeresa kurwadza vanogona kunzwa sekunge chigunwe chakabatwa "chakanamira" kana kuti chakanamira paunochikotamisa.
Chero chiri kukonzera matambudziko emaoko ako, enda kuna chiremba nekukasika kana ukaona zviratidzo zvitsva, kunyanya kana uchirwadziwa kana kuti uchiomerwa nekufambisa ruoko rwako zvakanaka.
Chinhu Chinonyanya Kukosha - Pfupiso (Mharidzo Yekuenda Nayo Kumba)
Zita rekuti Dupuytren's contracture rinogona kutyisa, kunyanya kune avo vane zviratidzo zvakanyanya. Asi yeuka, chirwere chinorapika zvikuru uye vanhu vazhinji vanokura nacho. Kunyange zvazvo pasina mushonga, kune nzira dzakawanda dzekurapa dzinogona kubatsira kuderedza zviratidzo zvako. Uye, hachisi chirwere chegomarara .
Kana zvichikuomera kutwasanudza minwe yako, edza bvunzo yetabletop. Kana minwe yako isingadzvanyiriri pamusoro, enda kuna chiremba kuti akupe mazano. Kana ukakurumidza kutanga kurapwa, mikana yako yekudzora zviratidzo zvako isati yawedzera kuipa.
Maoko ako chikamu chakakosha kwazvo chemuviri wako, chikamu chaunoshandisa pakubata nenyika uye kuita zvinhu zvaunoda. Saka chengetedza maoko ako. Tevedzera mirairo yachiremba wako nokungwarira uye ita maekisesaizi anodiwa. Ipapo unogona kuramba uine hutano hwakanaka kunyangwe uine chirwere ichi!
Kubata kweminwe , kupeta kweminwe, mapundu emuchindwe, fascia, zvirwere zvemaoko, zvirwere zvemajini, kubata kweminwe
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