Ngaba iminwe yakho igobile ngaphakathi? Ingaba le yiDupuytren's Contracture?

Ngaba wakha waphawula ukuba kukho iqhuma elincinci phantsi kwesikhumba sesandla sakho? Okanye uziva ngathi omnye weminwe yakho, ingakumbi umnwe wakho weringi okanye umnwe omncinci, ugoba kancinci kancinci uye entendeni yesandla? Ngaba wakha wazama ukubeka isandla sakho etafileni waza akakwazi ukusibeka phantsi ngokupheleleyo, kodwa omnye umnwe wawuphakama? Ukuba oku kuye kwenzeka kuwe, kubaluleke kakhulu ukuba uqaphele imeko esithetha ngayo namhlanje, ebizwa ngokuba yiDupuytren Contracture. Ungakhathazeki, asingomhlaza. Makhe sijonge ukuba yintoni, kutheni isenzeka, kwaye yintoni enokwenziwa ngayo.

Ngamafutshane, yintoni iDupuytren Contracture?

Khawuthelekelele, phantsi kwesikhumba sesandla sethu, kukho uthungelwano lwee-membrane, njengebhanti yerabha, enika amandla ezandleni zethu nakwiminwe yethu. Kwizonyango, sibiza le fascia . Kwimeko ebizwa ngokuba yi-Dupuytren's contracture, izicubu ezikule fascia ziyaqina kancinci kancinci, ziqine, kwaye ziqale ukufinyela. Iqala ngamaqhina amancinci (oogqirha bawabiza la maqhuqhuva ) akhiwa phantsi kwesikhumba sesandla. Ekuhambeni kwexesha, la maqhina ayadibana aze abe ngamaqhina amakhulu, afana nentambo. Njengoko la maqhina afana nentambo efinyela ngakumbi, iminwe eqhagamshelwe kuwo iqala ukutsala ngaphakathi. Ekugqibeleni, umnwe ugoba ngaphakathi kangangokuba akunakwenzeka ukuwulungisa. Oku kugoba kweminwe yinto esiyibiza ngokuba yi-contracture .

Ngubani ochaphazeleka kakhulu yile meko?

Nabani na angakwazi ukuba ne-Dupuytren's contracture, kodwa abanye abantu banamathuba amaninzi okuba nayo.

• Kumadoda: Le meko ixhaphake kakhulu kumadoda kunabafazi.
• Kwabo bazalwa eYurophu: Oku kuqheleke kakhulu kubantu baseYurophu xa kuthelekiswa nezinye iintlanga.
• Imbali yosapho : Ukuba kukho umntu kusapho lwakho okhe waba nale meko ngaphambili, nawe usenokuba unesifo sofuzo esinokubangela ukuba nayo ibe yingozi.

Ubudlelwane nezinye iimeko zonyango

Abantu abaneengxaki ezithile zempilo banokuba semngciphekweni omkhulu wokufumana i-Dupuytren's contracture.

• Isifo seswekile
• Izifo zokuxhuzula kunye nokuxhuzula
• Ingxaki yokusebenzisa utywala
• I-HIV kunye ne-AIDS
• Isifo semithambo yegazi

Oku kuyichaphazela njani umzimba wam?

Uninzi lwexesha, le meko ikhula kancinci kakhulu. Kungathatha iinyanga okanye iminyaka ukuba iimpawu zibe nzima. Usenokungaziboni iingxaki ekuqaleni. Abanye abantu bakhula iqhuma elincinci esandleni sabo elingakhuli ngaphaya kwelo nqanaba. Nangona kunjalo, kumanqanaba okugqibela esi sifo, abantu basenokungakwazi ukolula iminwe yabo, okwenza kube nzima ukwenza imisebenzi yemihla ngemihla. Umzekelo, nemisebenzi elula efana nokuxhawula izandla, ukolula isandla epokothweni, ukufaka iikawusi, okanye ukuhlamba ubuso babo kunokuba nzima. Nangona inokuchaphazela nawuphi na umnwe, olona landelelwano luqhelekileyo lolu: 1. Umnwe weringi 2. Umnwe wepinki 3. Umnwe ophakathi 4. Umnwe wesalathisi 5. Ubhontsi

Zithini iimpawu? Siyibona njani le nto?

Ukudumba kukaDupuytren kudla ngokukhula ngamanqanaba ahlukeneyo. Asinguye wonke umntu ohlangabezana nazo zonke ezi zigaba. Abanye abantu banokuyeka kwinqanaba lokuqala.

Ezinye iimpawu ezongezelelweyo

Ukongeza kwezi mpawu ziphambili, abanye abantu (hayi bonke abantu) banokuhlangabezana nezi zinto zilandelayo:

• Ukudumba okanye ukudumba esandleni
• Ukuthamba xa kuchukunyiswa
• Intlungu evuthayo
• Ukurhawuzelelwa

Ezi mpawu aziqhelekanga. Ukuba une-Dupuytren's contracture kwaye uhlangabezana nezi mpawu, kubalulekile ukuxelela ugqirha wakho.

Uvavanyo olulula onokulwenza ngokwakho: "Uvavanyo lweTheyibhile"

Kukho indlela elula yokwazi ukuba iimpawu zakho ziya zisiba mandundu na. Beka intende yakho etafileni ethe tyaba, intende yakho ijonge phantsi. Ngoku jonga ukuba intende yakho nayo yonke iminwe yakho ichukumisa ngokupheleleyo umphezulu wetafile. Ukuba kukho nayiphi na iminwe yakho ephakanyisiweyo kwaye ayikwazi ukufakwa kumphezulu wetafile, oko kuthetha ukuba imeko yakho isenokuba ifikelele kwinqanaba lokuqina. Ukuba kunjalo, lixesha elifanelekileyo lokubona ugqirha kwaye uxoxe ngonyango.

Yintoni isizathu soku?

Iingcali azikafumani sizathu sithile soku. Kodwa kuye kwafunyaniswa ukuba esi sisifo semfuza . Oko kuthetha ukuba sinokudluliselwa kwizizukulwana ngezizukulwana. Ngoko ke asikuko ukuba unetyala. Ukuba kukho umntu kusapho lwakho onayo, nawe unokuba nayo.

Ugqirha uyixilonga njani le nto?

Ugqirha udla ngokuxilonga esi sifo ngokujonga isandla sakho.

• Ujonga isandla sakho, asichukumise, aze asihlole.
• Zive iinduli kunye neentambo ezingaphantsi kolusu.
• Balinganisa ukuba iminwe yakho inokugotywa ize ilungiswe kangakanani.

Oku kudla ngokungadingi vavanyo lukhethekileyo okanye ii-X-ray. Nangona kunjalo, ukuba kukho amathandabuzo malunga nesizathu sentlungu yengalo yakho, i-X-ray okanye uvavanyo lwegazi lunokufuneka ukuze kuthintelwe ezinye iimeko.

Zithini iindlela zonyango?

Kukho iindlela ezahlukeneyo zonyango ezikhoyo, kuxhomekeke kubukhali beempawu zakho. Ngenxa yokuba iqhubeka kancinci kakhulu, kungathatha iminyaka ukusuka kolunye unyango ukuya kolunye. Usenokukwazi ukuba ngcono ngonyango olulula kwizigaba zokuqala kwaye ungadingi olunye unyango.

1. Unyango olulula nolusisiseko (Unyango olulondolozayo)

Ezi zizinto zokuqala omele uzizame.

• Unyango lomzimba : Uqheliso olukhethekileyo lokwelula iminwe.
• Ukuxhoma okanye ukugquma:Isixhobo esinxitywayo ukugcina iminwe yakho yoluliwe.
• Unyango lwe-ultrasound okanye ubushushu: Amaza esandi okanye ubushushu angenabuhlungu asetyenziselwa ukwandisa ukuguquguquka kwezicubu ezityebileyo (i-fascia).
• Iinaliti zeCorticosteroid: Inaliti enikwa ukunciphisa amaqhuqhuva kunye neebhendi.

2. Unyango lweMisebe

Kwezinye iimeko, ingcali yemisebe ingathunyelwa ukuba iyeke okanye icothise ukuqhubela phambili kweempawu. Oku kuquka ukusebenzisa iidosi eziphantsi kakhulu zemisebe, njengee-X-ray, ukuze ithambise amaqhuqhuva.

3. Utyando lwe-aponeurotomy yenaliti

Ukuba unyango olulula alusebenzi, le yinto elandelayo ekufuneka uyiqwalasele. Le yinto enokwenziwa eofisini kagqirha. Apha, isandla siphelelwe ngamandla, kwaye kusetyenziswa inaliti ekhethekileyo ukugqobhoza iintambo eziqinileyo, zikhululeke. Emva koko umnwe ungalungiswa kwakhona.

4. Iinaliti zeCollagenase

I-Collagenase yi-enzyme enceda ekuqhekezeni izicwili ezijiyileyo. Ugqirha ufaka inaliti equlethe le enzyme ngqo kumaqhina okanye kwiibhanti. Emva koko, ngenye imini, isandla siyaphelelwa ngamandla kwaye umnwe uyalungiswa.

5. Utyando (utyando lwe-Dupuytren contracture)

Ukuba ukujika kweminwe yakho kukhulu ngokwaneleyo ukuba kuphazamise imisebenzi yakho yemihla ngemihla, utyando lusenokuba lolona khetho lokugqibela. Oku kukwadla ngokuba yinkqubo yokulaliswa ngaphandle kwesibhedlele. Le nkqubo ibizwa ngokuba yi-fasciectomy. Kule nkqubo, ugqirha utyanda isandla sakho aze asuse inxalenye okanye yonke izicubu ze-fascia eziqinileyo neziqhekekileyo. Emva kotyando, i-physiotherapy idla ngokuba yimfuneko ukunceda ekubuyiseleni amandla kunye nentshukumo esandleni sakho.

Imibuzo ebuzwa rhoqo kunye nezinto ekufuneka uzazi

Ngaba ikho indlela ehlala ihleli yokunyanga oku?

Hayi, akukho nyango lokuphelisa ukudumba kweDupuytren. Nangona kunjalo, yimeko elawulekayo . Ngonyango, unokuphelisa iimpawu kwaye uphile ubomi obuqhelekileyo. Nangona kunjalo, kuba kungenxa yemfuza, kukho ithuba elincinci lokuba liphinde libuye emva konyango, mhlawumbi emva kweminyaka. Ukuba oko kuyenzeka, ungaphinda unyango olufanayo nolwangaphambili.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

• Unyango olulula: Izinto ezifana nokuzilolonga kunye nee-splints zingathatha iinyanga ezininzi ukuze zibone iziphumo.
• I-Needle aponeurotomy: Umnwe ungalungiswa phantse kwangoko emva konyango.
• Utyando:Nokuba utyando luphelisa iimpawu, kungathatha iinyanga ezimbini ukuze uzive uphilile ngokupheleleyo. Kufuneka ulinde de isandla sakho siphole. Emva koko, kuya kufuneka wenze unyango lomzimba kangangeenyanga ezimbalwa.

Ndifanele ndimbone nini ugqirha wam?

Ukuba ubona iqhuma entendeni yesandla sakho, okanye ukuba uziva ngathi umnwe wakho uyagoba, licebo elihle ukubona ugqirha. Ingakumbi ukuba awukwazi ukubeka isandla sakho sithe tyaba etafileni emva kokwenza uvavanyo "lwetafile" esithethe ngalo ngaphambili, lixesha lokuqala unyango.

Ngaba kukho amaxesha apho kufuneka ndiye kwi-ETU?

Yiya kwiSebe leeNgxamiseko (ETU) ngokukhawuleza ukuba oku kulandelayo kwenzeka, njengasemva kotyando.

• Intlungu enzima kakhulu
• Ukudumba okugqithisileyo kwesandla
• Ukutshintsha kombala wesandla
• Ukungakwazi ukuxhawula izandla ngokuqhelekileyo
• Ukuba kukho ukopha kwindawo yotyando

Ngaba iDupuytren Contracture kunye neTrigger Finger ziyafana?

Hayi. Nangona zombini ezi zinto zinokubangela ukuba umnwe ugobe, ziimeko ezimbini ezahlukeneyo ngokupheleleyo.

• Ukugoba kukaDupuytren: Kwenzeka ngenxa yokuqina kwe-fascia phantsi kolusu lwesundu.
• Umnwe obangela ukudumba: Oku kubangelwa kukudumba kwe-'pulley' (i-A1 pulley) enceda ekushukumiseni imisipha emnweni. Oku kubangela ukuba umnwe uzive ngathi ubambekile xa ugoba okanye ulula.

Nokuba uneengxaki ezinjani na esandleni sakho, kungcono ukubona ugqirha ukuze akunike icebiso ngokukhawuleza xa ubona naziphi na iimpawu ezintsha, ingakumbi ukuba kukho intlungu okanye ubunzima bokuhamba. i-dupuytren contracture sinhala, ukugoba kweminwe, amaqhina entendeni yesandla, ukungakwazi ukwandisa iminwe, isifo sika-dupuytren sinhala, izifo zesandla, iintlungu zesandla