Ngaba wakha waphawula iqhuma elincinci phantsi kwesikhumba sesandla sakho, okanye mhlawumbi uzive omnye weminwe yakho - ingakumbi umnwe ojikelezayo okanye opinki - ugoba kancinci kancinci uye entendeni yesandla sakho? Ngaba ukufumanisa kunzima ukubeka isandla sakho etafileni kuba umnwe omnye unamathela phezulu?
Ukuba la mava avakala eqhelekile, ukuqonda iDupuytren Contracture (দুপীযুত্রন ক্ন্টর্ক্চের) kubalulekile. Musa ukukhathazeka; oku akusilo umhlaza. Masihlole ukuba yintoni, kutheni kusenzeka, kwaye yintoni enokwenziwa ngayo.
Yintoni kanye kanye iDupuytren Contracture?
Ngamafutshane, i-Dupuytren contracture ibandakanya ukuqina nokuqina komaleko wezicubu ezingaphantsi kolusu olusentendeni yesandla sakho. Esi zicubu, esaziwa ngokwezonyango njenge- fascia , sihlala sixhasa isandla sakho neminwe yakho. Kule meko, i-fascia ikhula ibe ziintambo eziqinileyo okanye amaqhuqhuva atsala umnwe omnye okanye ngaphezulu ngaphakathi, ukuya entendeni yesandla.
Idla ngokuqala ngamaqhuqhuva amancinci angenabuhlungu (abizwa ngokuba ngamaqhuqhuva ) phantsi kwesikhumba sesundu. Ekuhambeni kwexesha, la maqhuqhuva anokukhula aze adibane, enze imitya etyebileyo okanye iintambo. Njengoko ezi ntambo zimfutshane kwaye ziqina, zitsala iminwe echaphazelekayo igobe - oku kugoba kwaziwa ngokuba yi- contracture .
Okubalulekileyo kukuba, amaqhuma aqalayo ahlala engengomhlaza (awangomhlaza). Awanxulumananga nomhlaza okanye abangelwa ngumhlaza. Ngoko ke, akukho mfuneko yokoyika umhlaza kule meko.
Ngubani Onokwenzeka Ukuba Afumane I-Dupuytren Contracture?
Nangona nabani na enokuba ne-Dupuytren contracture, kukho izinto ezithile ezinyusa umngcipheko:
- Isini: Amadoda anethuba elikhulu lokufumana esi sifo kunabafazi.
- Ookhokho: Abantu abasuka eMantla Yurophu baxhaphake kakhulu.
- Imbali yoSapho: Imbali yosapho ye-Dupuytren contracture ibonisa ukuba umntu unesifo semfuza.
- Ezinye Iimeko Zezonyango: Ezinye iimeko zinxulunyaniswa nomngcipheko okhulayo, kuquka:
- Isifo seswekile
- Izifo zokuxhuzula kunye nokuxhuzula
- Ingxaki yokusebenzisa utywala
- I-HIV kunye ne-AIDS
- Isifo semithambo yegazi (iimeko ezichaphazela imithambo yegazi)
Le meko iyichaphazela njani umzimba wam?
Ukuqina kwe-Dupuytren kudla ngokuhamba kancinci kakhulu, ngamanye amaxesha kwiminyaka emininzi. Kwinqanaba lokuqala, usenokungaziva ntlungu okanye uphawule utshintsho olubalulekileyo. Abanye abantu baphuhlisa amaqhuqhuva ahlala eqinile kwaye angabangela iingxaki.
Nangona kunjalo, njengoko imeko iqhubeka, iintambo zokuqinisa zinokwenza imisebenzi yemihla ngemihla ibe nzima. Izenzo ezilula ezifana nokuxhawula izandla, ukufaka isandla sakho epokothweni, ukunxiba iiglavu, okanye ukuhlamba ubuso bakho kunokuba nzima ngenxa yokungakwazi ukuyolula ngokupheleleyo iminwe echaphazelekileyo.
Nangona nawuphi na umnwe unokuchaphazeleka, iminwe edla ngokuchaphazeleka yile:
- Umnwe weringi
- Umnwe opinki
- Umnwe ophakathi
- Umwe wesikhombi
- Ubhontsi
Zithini Iimpawu kwaye Zifunyaniswa Njani?
Ukuqina kweDupuytren kudla ngokukhula ngamanqanaba, nangona kungengabo bonke abantu abafumana onke amanqanaba:
Amanqanaba eDupuytren Contracture
| Iqonga | Inkcazo |
|---|---|
| 1. Amaqhuqhuva | Uphawu lokuqala ludla ngokubonakala ngamaqhuqhuva amancinci, aqinileyo phantsi kolusu lwesandla, adla ngokuba kufutshane nesiseko seminwe. La maqhuqhuva anokuba buthathaka okanye angabi buhlungu kwaye ngamanye amaxesha abonakale. Amanye amaqhuqhuva anokuphela ngokwawo ngokuhamba kwexesha. |
| 2. Iintambo | Ekuhambeni kwexesha, amaqhuqhuva anokutyeba aze ahlangane, enze intambo etyebileyo okanye intambo phantsi kwesikhumba. Le ntambo inokutsala umnwe uye entendeni yesandla, idale uvakalelo lokuba kukho umntu ohlala etsala umnwe wakho. |
| 3. Ukuqiniswa | Eli lelona nqanaba liphambili apho iintambo ziqina kakhulu, nto leyo ebangela ukuba umnwe ugobe ngaphakathi ngokusisigxina. Kuba nzima okanye akunakwenzeka ukolula umnwe (iminwe) ochaphazelekayo. |
Ngaphandle kwezi mpawu ziphambili, abanye abantu (nangona kungengabo bonke) banokufumana oku kulandelayo:
- Ukudumba okanye ukuqaqamba kwesandla
- I-dimple okanye umngxuma eluswini apho kwakukho khona iqhubu
- Intlungu okanye ukurhawuzelela (okungaqhelekanga)
Ukuba ukrokrela ukuba iDupuytren contracture, uvavanyo olulula olubizwa ngokuba yi "Tabletop Test" lunokunceda ekuvavanyeni ubukhali bayo. Beka isandla sakho sithe tyaba etafileni. Ukuba kukho umnwe ongawuchukumisiyo umphezulu kuba ugobile ngaphakathi, oko kuthetha ukuba kukho ukugoba. Olu luphawu oluhle lokubona ugqirha.
Yintoni ebangela iDupuytren Contracture?
Isizathu esichanekileyo sokudumba kweDupuytren asikaziwa. Nangona kunjalo, iyaziwa njengene -genetic component enamandla. Oku kuthetha ukuba idla ngokusebenza kwiintsapho kwaye inokufunyanwa njengelifa. Asiyonto ebangelwa kukwenzakala okanye yindlela yokuphila oyikhethileyo.
Ugqirha Uyixilonga Njani Le Ngxaki?
Ukuxilongwa kudla ngokuba lula ngokusekelwe kuvavanyo lomzimba:
- Ugqirha uza kuhlola isandla sakho kunye nesandla sakho ngamehlo.
- Ziya kuziva iinduli kunye neentambo ezingaphantsi kolusu.
- Baza kuvavanya uluhlu lwentshukumo kwiminwe yakho, bejonga ukuba ingakanani na enokululwa.
Ngokwesiqhelo, akufuneki vavanyo lukhethekileyo olufana ne-X-ray. Nangona kunjalo, ukuba intlungu luphawu olubalulekileyo okanye kukho ezinye iimeko ezirhanelwayo, uvavanyo lwemifanekiso okanye lwegazi lunokufuneka ukuze kuthintelwe ezinye izizathu.
Ziziphi Iindlela Zonyango?
Unyango luxhomekeke kubukhali beempawu zakho kunye nokuba ziphazamisana kangakanani nobomi bakho bemihla ngemihla. Ekubeni imeko iqhubeka kancinci, izigqibo zonyango zinokutshintsha ngokuhamba kwexesha.
1. Unyango oluGcinileyo
Le yindlela yokuqala yokuyisebenzisa:
- Unyango Lomzimba: Ukuzilolonga okukhethekileyo ukuze wolule iminwe yakho kwaye ugcine ukuguquguquka.
- Ukuxhoma okanye ukugquma: Ukunxiba izixhobo ebusuku ukuze ugcine umnwe (iminwe) ochaphazelekayo woluliwe.
- Unyango lwe-Ultrasonic: Ukusebenzisa amaza esandi ukuze kuthambe izicubu ezityebileyo.
- Iinaliti zeCorticosteroid: Ukufaka amayeza ngqo kwii-nodules okanye kwiintambo ukunciphisa ukudumba kunye nokuqina (ukusebenza kuyahluka).
2. Unyango lweMisebe
Kwezinye iimeko, unyango lwemitha olusebenzisa idosi ephantsi lungasetyenziswa ukunciphisa isantya sokuqhubeka kwesi sifo, ingakumbi kumanqanaba okuqala okwakheka kwamaqhuqhuva asebenzayo.
3. I-Needle Aponeurotomy (NA)
Le yinkqubo engaphantsi kakhulu eyenzeka eofisini kagqirha. Esebenzisa inaliti, ugqirha angayinqumla intambo etyebileyo, evumela umnwe ukuba uqonde. Inika isiqabu ngokukhawuleza kodwa inokufuneka iphindwe ukuba intambo iyatshintsha.
4. Inaliti yeCollagenase (Xiaflex®)
Oku kubandakanya ukufaka i-enzyme (collagenase clostridium histolyticum) ngqo kwi-cord. Le enzyme inceda ukuqhekeza i-collagenase kwizicubu ezixineneyo, iyenza buthathaka i-cord. Emva kweeyure ezingama-24-72, ugqirha ulawula umnwe ukuze awulungise, aphule i-cord ebuthathaka.
5. Utyando (iFasciectomy)
Utyando ludla ngokugcinelwa iimeko ezinzima ngakumbi apho ezinye iindlela zonyango zingasebenzi okanye zingafanelekanga. Le nkqubo ibandakanya ukususa izicubu ze-fascia ezichaphazelekayo entendeni yesandla nakwiminwe. Idla ngokwenziwa njengotyando lwangaphandle, kulandele unyango lomzimba ukuze kubuyiselwe amandla kunye nokunyakaza.
Imibuzo Ebuzwa Rhoqo (Ii-FAQ)
- Umbuzo: Ingaba umhlaza we-Dupuytren contracture?
A: Hayi, i-Dupuytren contracture ayilomhlaza. Amaqhuqhuva kunye neentambo zizinto ezikhula kakuhle (ezingengomhlaza) kwizicubu phantsi kwesikhumba entendeni yesandla. - Q: Ndingenza nantoni na ekhaya ukuyinyanga?
A: Nangona kungekho nyango, ukuzilolonga kancinci njengoko kucetyiswa yingcali yezonyango kunokunceda ukugcina ukuguquguquka. Nangona kunjalo, ukuzinyanga ngokwakho akuthathi indawo yeengcebiso zonyango kunye nokhathalelo lobuchwephesha. - U: Ngaba ukudumba kuya kubuya emva konyango?
A: I-Dupuytren Contracture idla ngokubuyela umva kuba idla ngokunxulunyaniswa nemfuza. Nokuba emva konyango oluphumeleleyo, kukho ithuba lokuba imeko ingaphinda ivele kwiminwe efanayo okanye eminye ngokuhamba kwexesha. - U: Ndingazibona ngokukhawuleza kangakanani iziphumo zonyango?
A: Oku kuyahluka kakhulu ngokuxhomekeke kwindlela yonyango. Utyando lwe-aponeurotomy kunye ne-collagenase injections zinokubonelela ngokulungiswa ngokukhawuleza, ngelixa utyando luthatha ixesha elide. Unyango oluzinzileyo lunokuthatha iiveki okanye iinyanga ukubonisa inkqubela ebonakalayo. - U: Ingaba le meko ibangelwa lufuzo?
A: Ewe, kukho unxibelelwano olukhulu lwemfuza. Ukuba amalungu osapho akhe aba neDupuytren Contracture, umngcipheko wakho wokuba nayo uphezulu.
Izinto ezibalulekileyo ekufuneka ziqwalaselwe
- Ukugoba kweDupuytren kubandakanya ukuqina kwezicubu ezingaphantsi kwesandla, nto leyo ekhokelela ekugobeni kweminwe.
- Yimeko engeyoyomhlaza enento ethile yemfuza.
- Iimpawu zihlala zikhula kancinci ngokuhamba kweminyaka.
- Kukho iindlela ezahlukeneyo zonyango ezisebenzayo, ukusuka kumanyathelo okugcina ulusu ukuya kutyando.
- Ukuxilongwa kwangoko kunye nonyango kunokunceda ekulawuleni imeko ngokufanelekileyo.
Isikhanyeli: Eli nqaku linika ulwazi ngokubanzi malunga nale meko kwaye akufuneki lithathe indawo yeengcebiso ezivela kugqirha wakho. Soloko uqhagamshelana neengcali zempilo.
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