Wakambonzwa here kuti chimwe kana kupfuura zvezvigunwe zvako zviri kukotama zvishoma nezvishoma zvichienda mukati uye zvichiva zvakaoma kutwasanudza? Zvinonzwa sekunge chigunwe chako chiri kudhonzwa mukati uye chakanamirwa, handiti? Ichi ndicho chatinodaidza kuti chirwere cheDupuytren. Chirwere ichi chinogona kuita kuti zviome kuita mabasa ezuva nezuva. Nhasi tiri kutaura nezvekuvhiyiwa kwakakosha kunoitwa semhinduro yechirwere ichi, kunonzi Fasciectomy.
Kutanga, chii chinonzi Fasciectomy?
Zvichitaurwa zviri nyore, kuvhiyiwa kwefasciectomy inzira yekuvhiya inobvisa jira renyama (rinonzi fascia) rakaita shinda uye rakakora mukati meruoko rwako nekuda kwechirwere cheDupuytren. Dambudziko iri rinoita kuti chigunwe chimwe kana kupfuura chikotame kurutivi rweruoko rwako usingazvidi. Mune zvimwe zviitiko zvakakomba, zvigunwe zvako zvinogona kutadza kutwasuka zvachose. Saka, mushure mekuvhiyiwa uku, nyama yakamanikana inobviswa, zvichisunungura zvigunwe zvako uye zvichikubvumidza kuti udzoke pabasa rakajairika muruoko rwako.
Chii chaizvo chinonzi chirwere cheDupuytren?
Chirwere cheDupuytren chirwere chekubatanidza nhengo dzemuviri chinokura zvishoma nezvishoma nekufamba kwenguva. Iye zvino ungave uchishamisika kuti chii chinonzi connective tissue. Imhando yenyama inobatanidza uye inotsigira tsandanyama dzese, nhengo, mapfundo, uye ganda mumuviri wedu.
Dambudziko iri rinokonzerwa nekukora nekusimba kwe fascia, jira renyama riri pasi peganda rechanza. Vamwe vanhu vanogona kugara nhaka dambudziko iri kubva kuvabereki vavo kuburikidza nekuchinja kwemajini . Vamwe vanogona kuva nedambudziko iri pasina chikonzero chakajeka.
Sezvo chirwere ichi chichitanga, mapundu madiki anoonekwa pasi peganda rechanza. Nekufamba kwenguva, mapundu aya anobatana kuti agadzire tambo dzakasimba . Tambo idzi dzinotanga kukotama, zvichiita kuti minwe yakabatana nadzo idhonze mukati. Vanachiremba vanodanawo chirwere ichi kuti Dupuytren's contracture .
Ndiani anoda kuvhiyiwa kwefasciectomy?
Nekuti ichi chirwere chinoenderera mberi, chiremba wako achatanga aedza mishonga isingashandisirwe kuvhiyiwa, senge majekiseni esteroid kana majekiseni ane enzyme inonzi collagenase.
Zvisinei, kana kurapwa uku kusingabatsire, uye minwe yako yakakombama zvekuti haugone kuita mabasa akareruka sekubata muhomwe yako kana kugeza kumeso kwako, chiremba wako achakurukura newe nezvesarudzo dzekuvhiya, dzakadai sekubvisa ganda.
Chii chakasiyana pakati peFasciectomy neFasciotomy?
Kune nzira dzakasiyana-siyana dzekurapa chirwere cheDupuytren. Ngatinzwisisei muchidimbu musiyano mukuru uripo pakati padzo.
| Nzira yekurapa | Zvaitwa zviri nyore. |
|---|---|
| Kuvhiyiwa kweFasciotomy | Kuchekwa kudiki kunochekwa muchanza uye tambo yakakora yenyama inochekwa yoparadzaniswa. Tambo haibviswi zvachose, inongochekwa chete. Izvi zvinosunungura tambo uye zvinoita kuti zvive nyore kufambisa minwe. |
| Kuvhiyiwa kwetsono (Tsinde yeAponeurotomy) | Vachishandisa tsono, vanoboora maburi akati wandei munyama yakakora. Maburi aya anoita kuti nyama yacho isashande zvakanaka uye anokonzera kuti ityoke. Izvi zvinoita kuti minwe ikwanise kutwasuka. |
| Kuvhiyiwa kweFasciectomy | Izvi zvinosanganisira kubviswa zvachose maronda netambo dzine dambudziko. Izvi zvakaoma kupfuura dzimwe nzira mbiri, asi mhedzisiro yacho inogara kwenguva refu. |
Mhando huru dzekuvhiyiwa kwefasciectomy
Kune nzira dzakasiyana siyana dzekuita fasciectomy. Chiremba wako achasarudza nzira yakakodzera zvichienderana nemamiriro ako ezvinhu.
- Kuvhiyiwa kwechikamu (chikamu) chefasciectomy: Mukuita uku, kucheka kudiki kunoitwa pamitsetse yeruoko uye chikamu chidiki chefascia yakakora chinobviswa.
- Kuvhiyiwa kwechikamu chepasi cheruoko: Kuchekwa kweganda nemaoko kunoitwa nepakati pemipendero yechanza neminwe, zvichibvisa nyama dzine chirwere dzakawanda sezvinobvira. Muchiitiko ichi, ganda rinogona kushandiswa kubatsira ronda kupora.
- Kuvhiyiwa kweganda: Izvi zvinoitwa kana paine chirwere chinodzoka. Pakuita izvi, nyama ine chirwere inobviswa pamwe chete neganda riri pamusoro. Izvi zvinowanzoda kuisirwa ganda.
Nguva yekupora mushure mekuvhiyiwa inomira sei?
Zvakajairika kunzwa kurwadziwa, kuzvimba, uye kuomarara muruoko rwako mushure mekuvhiyiwa. Unogonawo kunzwa kusanzwa zvakanaka muruoko rwako neminwe. Kusanzwa zvakanaka uku kunonzwika sezvo tsinga dzakatambanudzwa kwenguva yakareba dzichidzokera kune zvakajairika, uye zvinogona kutora mwedzi yakati wandei kuti dzibve. Zvichienderana nerudzi rwebasa rako, ungangoda kuzorora kwemavhiki maviri kusvika gumi nemaviri (mwedzi mitatu).
Zvakakosha kutevedzera mirairo yachiremba wako nemazvo.
- Kuramba wakasimudza ruoko rwako uye kuisa chando.
- Kuchengetedza ronda rakachena.
- Chengeta ronda nemasitichi zvaoma, usingazvibate nemvura.
- Iva nechokwadi chekuenda ku physiotherapy (hand therapy) uye kuita maekisesaizi anopiwa kumba.
- Kushandisa mishonga inoderedza marwadzo nemazvo uye, kana zvichidikanwa, mishonga inorwisa mabhakitiriya.
- Kupfeka chifukidziro paruoko rwako kwenguva yakareba sezvaunenge waudzwa nachiremba.
Pane njodzi dziripo pakuvhiyiwa here?
Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi. Zvakajairika kurasikirwa nekunzwa kana kusanzwa zvakanaka muminwe, izvo zvinozove nani nekufamba kwenguva. Zvisinei, kune dzimwe njodzi dzakakomba dzinogona kuitika kashoma .
- Kurwara nechirwere cheanesthesia.
- Utachiona.
- Mavanga uye kusanzwa kweganda zvakanyanya panzvimbo yekuvhiyiwa.
- Kuzvimba (edema) uye mavanga.
- Kashoma, kukuvara kwetsinga kana mitsipa yeropa iri pedyo nenzvimbo yekuvhiyiwa kunogona kuitika.
Nguva yekutsvaga mazano ekurapa nekukasika
Kana ukaona chimwe chezviratidzo zviri pazasi mushure mekuvhiyiwa, unofanira kufonera chiremba wako nekukasika.
- Zviratidzo zvehutachiona (zvakaita sefivha, mvura yeyero inobuda kubva paronda, mitsetse mitsvuku).
- Kurwadziwa kwakanyanya kwetsandanyama.
- Kurasikirwa nemanzwiro kana kutadza kufambisa minwe.
- Kana uchinzwa kurwadziwa pachipfuva kana kufema zvakaoma, enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika.
- Kurwara neganda (semuenzaniso, mapundu anokwenya).
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheDupuytren chirwere chinoita kuti minwe ipinde mukati nekufamba kwenguva. Iyi haisi mhosva yako.
- Fasciectomy inzira yekuvhiya inobvisa nyama yakaoma uye inodzoreredza mashandiro eruoko.
- Kuvhiyiwa uku hakupedzi chirwere chose. Vanhu vaviri pavanhu gumi (20%) vane mukana wekuti chirwere ichi chidzokezve.
- Kuti uwane mhedzisiro yakanaka, nguva yekupora mushure mekuvhiyiwa inokosha zvikuru. Tevedzera mirairo yachiremba wako uye kurovedza muviri nemazvo.
- Kana paine zviratidzo zvengozi mushure mekuvhiyiwa, tsvaga rubatsiro rwechiremba nekukurumidza.
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