Ngaba iminwe yakho ijika nje ngaphakathi? Ingaba yi-Dupuytren's contracture?

Ngaba ngamanye amaxesha uziva ngathi umnwe omnye okanye emibini esandleni sakho igobile ngaphakathi kwaye kunzima ukuyilungisa? Okanye uziva ngathi unamaqhuqhuva amancinci esandleni sakho, apho iminwe iqala khona? Ungakhathazeki, le ayisiyonto inobungozi njengomhlaza efunyanwa ngabantu abaninzi. Kodwa kubaluleke kakhulu ukuqaphela oku. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yiDupuytren Contracture, enokubangela iimpawu ezinje ngezi.

Ngoko ke yintoni i-Dupuytren's contracture?

Ngamafutshane, i-Dupuytren's contracture yimeko apho umaleko wezicubu phantsi kwesikhumba sezandla zethu uba mkhulu kwaye uqine. Sibiza olu maleko wezicubu ngokuthi yi-fascia . Kufana nebhendi yerabha esinceda sishukumise iminwe yethu. Ngoko ke, amaqhuqhuva amancinci aqala ukwakheka kule fascia. Ekuhambeni kwexesha, la maqhuqhuva aba makhulu aze enze iintambo ezisuka ngaphakathi kwesandla. Kulapho iminwe iqala ukugoba ngaphakathi, ngamanye amaxesha ukuya kwinqanaba apho ingenakukwazi ukulula.

Eyona nto ibalulekileyo kukuba la maqhuqhuva awangomhlaza (angabi yingozi) . Oko kuthetha ukuba awabangelwa ngumhlaza okanye angabangela umhlaza. Ngoko ke ungakhathazeki ngaloo nto.

Kwiimeko ezininzi, oku kunokufuna utyando, kodwa kwezinye iimeko, kunokulawulwa ngonyango olulula.

Ngubani onokuthi abe nale meko?

I-Dupuytren's contracture inokukhula nakubani na. Nangona kunjalo, abanye abantu banamathuba amaninzi okuba nayo. Nazi:

• Amadoda: Le meko ixhaphake kakhulu kumadoda kunabafazi.
• Abantu abazalwa eYurophu: Kufunyaniswe ukuba ixhaphake kakhulu kubantu abavela kumazwe aseMantla Yurophu.
• Abantu abanembali yentsapho yale meko: Ekubeni le yimeko yemfuza , ukuba kukho umntu kusapho lwakho onayo, kukho ithuba lokuba nawe uza kuba nayo.

Ngaba nezinye izifo ziyayichaphazela le nto?

Ewe, abantu abaneengxaki ezithile zempilo banamathuba amaninzi okufumana i-Dupuytren's contracture. Umzekelo:

• Isifo Seswekile (iDiabetes Mellitus)
• Isifo sokuwa kunye nezinye iingxaki zokuxhuzula
• Ingxaki yokusebenzisa utywala
• I-HIV kunye ne-AIDS
• Isifo semithambo yegazi

Oku akuthethi ukuba wonke umntu onesi sifo uza kuba naso, kodwa kukho umngcipheko ophezulu kancinci kunezinye.

Ixhaphake kangakanani le meko?

I-Dupuytren's contracture ayisiyonto ixhaphakileyo . Ichaphazela malunga ne-5% yabemi. Njengoko bekutshiwo ngaphambili, ixhaphake kakhulu kubantu abazalwa eYurophu.

I-Dupuytren's contracture iyichaphazela njani umzimba?

Usenokungazi nokuba le meko ichaphazela njani umzimba wakho. Ukuba iimpawu zincinci kakhulu, usenokungazi nokuba unayo. Nokuba unazo iimpawu, zingathatha iinyanga, kwaneminyaka, ukuba ziqhubeke. Kwiimeko ezinzima, iminwe echaphazelekileyo isenokungakwazi ukululama.

Ukudumba kukaDupuytren kunokuchaphazela nayiphi na iminwe yakho, kwanobhontsi wakho omkhulu. Nangona kunjalo, iminwe echaphazeleka kakhulu yile:

• Umnwe weringi / umnwe wesine
• UPinkie / umnwe wesihlanu
• Umnwe ophakathi / umnwe wesithathu
• Umnwe wokwalatha / umnwe wesibini
• Ubhontsi/umnwe wokuqala

Ngaba oku kuyayichaphazela eminye imimandla yomzimba?

Hayi. I-Dupuytren's contracture ichaphazela izandla kuphela . Ayifumaneki naphi na emzimbeni. Nangona ezinye iingxaki zezicubu ezidityanisiweyo zinokwenzeka kwezinye iindawo zomzimba, i-Dupuytren's contracture ichaphazela izandla kuphela.

Abanye abantu abane-Dupuytren's contracture banamathuba amaninzi okufumana ezinye iimeko ezifanayo, ezifana nesifo seLedderhose ( imeko eyenzeka ezinyaweni) kunye nesifo sikaPeyronie ( imeko eyenzeka kumadoda).

Zithini iimpawu zoku? Ungazibona njani?

Ngenxa yokuba ukudumba kukaDupuytren kuthatha iinyanga, ngamanye amaxesha iminyaka, ukuba kuvele, usenokungaziboni iimpawu ekuqaleni. Iimpawu zihlala zibonakala ngolu hlobo:

1. Amaqhuqhuva: Uphawu lokuqala kukuvela kwamaqhuqhuva amancinci phantsi kwesikhumba sesundu, ngokuqhelekileyo apho iminwe idibana khona nesundu. Ungaziva ezi xa uzichukumisa, kwaye ngamanye amaxesha unokuzibona. Abanye abantu banokuthi bavelise la maqhuqhuva kuphela baze bayeke, ngelixa abanye banokuthi amaqhuqhuva anyamalale ngokwawo. Ulusu olujikeleze amaqhuqhuva lusenokubonakala ngathi lutshonile okanye lushwabene kancinci.

2. Iintambo Ezingqindilili: Ekuhambeni kwexesha, ezi ntambo zinokuqina kwaye zenze imicu emide efana nentambo yezicubu ze-fascia. Ezi ntambo zinokubangela ukuba iminwe ivakale ngathi itsalwa ngaphakathi nangasesithendeni sesandla.

3. Ukuqunjelwa: Olu lolona phawu lunzima kakhulu lwesi sifo, apho esi sifo sifumene khona igama laso. Iintambo ezifana nentambo ziyaqina kwaye ziqine, nto leyo eyenza kube nzima ukolula iminwe echaphazelekileyo esandleni.

Ngokungafaniyo nezinye iimeko, i-Dupuytren's contracture ayidli ngokuba nezizathu ezithile ezenza iimpawu zibe zimbi ngakumbi. Ukuba unayo, iimpawu zinokuqhubeka zifikelele kwinqanaba apho amaqhuma aba ziintambo zemisipha ize iminwe iqine. Ayinguye wonke umntu odlula kuzo zonke ezi zigaba.

Ngaba zinokubakho ezinye iimpawu?

Ukongeza kwezi ngxaki zeminwe, isandla esichaphazelekayo sinokubona ezi mpawu zilandelayo:

• Ukudumba okanye ukudumba
• Ububele
• Intlungu okanye ukutsha
• Ukurhawuzelela

Kodwa ezi mpawu aziqhelekanga . Malunga nekota yabantu abane-Dupuytren's contracture bayazibona. Ukuba une-Dupuytren's contracture kwaye unazo ezi mpawu, qiniseka ukuba uxelele ugqirha. Ngamanye amaxesha zinokuba luphawu lwezinye iingxaki ezichaphazela ulusu lwakho okanye i-fascia.

Yintoni isizathu soku?

Iingcali azikayazi eyona nto ibangela ukuba iDupuytren's contracture ivele, kodwa ithathwa njengesifo semfuza . Kuye kwafunyaniswa ukuba ukuba kukho umntu kusapho onaso, abanye banokuba naso.

Okumangalisayo kukuba, ukudumba kweDupuytren yenye yezona ngxaki zixhaphakileyo zezicubu ezidityanisiweyo ezizuzwe njengelifa.

Ugqirha uyixilonga njani le nto?

Ugqirha uza kwenza uvavanyo lomzimba ukuze afumanise ukuba unayo na i-Dupuytren's contracture. Uza kujonga isandla sakho neminwe yakho, azive amaqhuma okanye iintambo ezingaphantsi kolusu, aze alinganise ukuba iminwe yakho ifinyeze kangakanani.

Uvavanyo olulula onokulwenza ekhaya "luvavanyo lwetafile." Beka ubuso besandla sakho phantsi kwindawo ethe tyaba (njengetafile). Ukuba umnwe ochaphazelekayo ucinezelwe kumphezulu kwaye awuthambathi, iimpawu zakho zinokuba nkulu ngakumbi. Ukuba kunjalo, licebo elihle ukufuna ingcebiso kagqirha.

Ngaba kukho naziphi na iimvavanyo ezikhethekileyo zokuchonga oku?

Akukho vavanyo lukhethekileyo lokuxilonga i-Dupuytren's contracture. Nangona kunjalo, ugqirha wakho unokuyalela uvavanyo lwegazi okanye ii-X-ray ukuze aqinisekise ukuba akukho ezinye iimeko ezinokuchaphazela izandla zakho.

Zithini iindlela zonyango?

Ngokuxhomekeke kubukhali beempawu zakho, ugqirha wakho uza kukuphatha ngamanqanaba aliqela. Ngenxa yokuba i-Dupuytren's contracture yimeko eqhubekayo, kungathatha iinyanga okanye iminyaka ukuya kwinqanaba elilandelayo lonyango. Iimpawu zakho zinokuphucula ngonyango lokuqala kwaye usenokungadingi unyango olongezelelweyo. Ukuba iimpawu zakho zokuqala ziyaphinda zibuye, amanye amanyathelo onyango anokufuneka aphindwe.

Unyango olugcina indalo

Unyango oluwela kolu didi lulandelayo:

• Unyango lomzimba okanye umthambo wokuzolula.
• Ukunxiba iibraces okanye iisplints ukunceda ukolula iminwe ukuya kwinqanaba layo eliqhelekileyo lokuhamba.
• Yandisa ukuguquguquka kwezicubu zakho ze-fascia nge-ultrasound (amaza esandi angenabuhlungu) okanye unyango lobushushu.
• Iinaliti ze-corticosteroid zokunciphisa amaqhuma kunye neentambo.

Unyango lweMisebe

Ugqirha wakho unokukuthumela kwingcali yemisebe ukuze anyange i-Dupuytren's contracture okanye athintele iimpawu ukuba zingabi mandundu. Unyango lwemisebe yinkqubo engenabuhlungu esebenzisa ii-X-ray okanye eminye imisebe yemisebe ukuze athambise amaqhuma okanye iintambo.

Unyango lwemitha lukwasetyenziselwa ukunyanga ezinye iintlobo zomhlaza. Nangona kunjalo, ukudumba kukaDupuytren akusiso isifo somhlaza . Kwaye ukuba nale meko akuthethi ukuba unomhlaza okanye uza kuba nawo.

I-Aponeurotomy yenaliti

Ukuba iimpawu zakho aziphucuki emva kweenyanga ezimbalwa zonyango olulula, ugqirha wakho unokucebisa inkqubo ebizwa ngokuba yi-needle aponeurotomy . Oku ngamanye amaxesha kubizwa ngokuba yi-percutaneous needle fasciotomy . Le yinkqubo yokulaliswa ngaphandle enokwenziwa ngugqirha wakho eofisini yakhe.

Ugqirha uza kukwenza ungaqini isandla sakho nge-anesthetic yendawo aze asebenzise inaliti ukwenza iimbobo ezininzi kwi-fascia yesandla sakho. Oku kuya kukhulula ukuqina kwaye kukuvumele ukuba wolule iminwe yakho.

Iinaliti zeCollagenase

Njengonyango lwe-Dupuytren's contracture, ugqirha wakho angafaka i-enzyme ebizwa ngokuba yi-collagenase kumaqhuma okanye kwiintambo. I-Collagenase yi-enzyme enceda ukukhulula nokuqhekeza ezi ziqwenga kwi-fascia yakho. Okokuqala, ugqirha wakho uza kufaka i-collagenase ngqo kumaqhuma okanye kwiintambo. Kuya kufuneka ubuye ngosuku olulandelayo. Ngaloo mini, ugqirha wakho uza kukwenza ungaqini isandla sakho aze andise iminwe echaphazelekileyo kwisantya sayo sokuqala.

Utyando lweDupuytren Contracture

Ukuba ukugoba kweminwe yakho kukhulu kangangokuba kuphazamisana nobomi bakho bemihla ngemihla, unokufuna utyando. Utyando lwe-Dupuytren's contracture lukwayindlela yokunyanga ngaphandle kwesibhedlele, oko kuthetha ukuba ungagoduka ngaloo mini inye.

Ugqirha wenza i-fasciectomy.Le nkqubo ibizwa ngokuba yi-ablation. Uza kuyivala ingalo yakho nge-anesthetic yendawo aze asuse inxalenye okanye yonke i-fascia echaphazelekayo. Ubungakanani be-fascia ekufuneka isuswe buxhomekeke ekubeni i-fascia yakho ityebile kangakanani kwaye inzima kangakanani na. Emva kotyando, ungadinga unyango lomzimba okanye unyango lomsebenzi ukunceda amalungu akho abuyele kumandla awo aqhelekileyo.

Ngaba oku kunganyangwa ngokupheleleyo?

Ngelishwa, ukudumba kweDupuytren akunyangeki ngokupheleleyo . Nangona kunjalo, uninzi lweemeko zinokulawulwa kakuhle ngonyango .

Ngenxa yokuba akukho nyango lupheleleyo, nokuba i-fascia echaphazelekayo isusiwe kutyando olunye, malunga nomntu omnye kwabahlanu uya kuphinda afumane i-Dupuytren's contracture . Ukuba oko kuyenzeka, unokufuna unyango olungakumbi kwixesha elizayo.

Ungazilawula njani iimpawu?

Landela imiyalelo kagqirha wakho ngokuchanekileyo. Ukuba unikwe imiyalelo yokuzolula, okanye ukuba kufuneka unxibe i-splint okanye i-brace, qiniseka ukuba uyenza rhoqo njengoko ugqirha wakho ekuxelele.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Ixesha lokuchacha lixhomekeke kunyango olufumeneyo ngenxa yokuqina kwesisu sikaDupuytren:

• Ngamanye amaxesha kungathatha iinyanga ukuba iimpawu ziphucuke ngonyango olulula (kwangoko) .
• Ngokusebenzisa i-needle aponeurotomy, ukudumba kwakho kufuneka kuphole ngokukhawuleza.
• Utyando lufanele lunciphise iimpawu zakho, kodwa kungathatha ukuya kuthi ga kwiinyanga ezimbini ukuze uzive ungcono emva kwexesha lokuchacha. Emva kotyando, kuya kufuneka uvumele isandla sakho siphilise. Kuya kufuneka wenze unyango lomzimba okanye unyango lomsebenzi ubuncinane iinyanga ezimbalwa ukuze ufumane amandla kunye nomgama wokunyakaza esandleni sakho.

Thetha nogqirha wakho ngaphambi kokuba uqalise imisebenzi yakho yesiqhelo ngelixa usaphila.

Ngaba kukho naziphi na iingxaki ngonyango?

Ezinye iingxaki ezinokwenzeka ngexesha lonyango lwe-Dupuytren's contracture ziquka:

• Intlungu
• Umonakalo wemithambo-luvo
• Usulelo
• Amanxeba
• Ukonakala kwemithambo yegazi yakho
• Iingxaki zokuphiliswa kwamanxeba

Ezi zinto azenzeki kuwo wonke umntu, kodwa kubalulekile ukuba uzazi.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?

Ngelishwa, akukho nto unokuyenza ukuthintela ukudumba kukaDupuytren. Enyanisweni, akukho nyango loku, kwaye ayisosilumkiso .Iyavela ngaphandle. Ukuba kukho umntu kusapho lwakho oye wafunyaniswa ukuba une-Dupuytren's contracture, thetha nogqirha wakho ngayo.

Ngaba iDupuytren Contracture kunye neDupuytren Disease ziyafana?

Ngamanye amaxesha oogqirha basebenzisa amagama athi Dupuytren's contracture kunye nesifo sikaDupuytren ngokutshintshana. Abanye oogqirha babona umahluko omncinci phakathi kwezi zimbini. Bathi iDupuytren's contracture (ukuqina kwe-fascia esandleni) luphawu lwesifo sikaDupuytren (imeko iyonke ebangela iDupuytren's contracture). Nangona kunjalo, xa sithetha ngayo ngokubanzi, zombini zibhekisa kwinto enye.

Yintoni umahluko phakathi kweDupuytren Contracture kunye neTrigger Finger?

Ukugoba kukaDupuytren kunye nomnwe obangela ukuba umnwe wakho ugobe ngaphakathi kwaye unamathele. Nangona kunjalo, ezi ziimeko ezimbini ezahlukeneyo kakhulu.

• Ukudumba kukaDupuytren kukukhula nokuqina kwezicubu ze-fascia phantsi kwesikhumba sesandla sakho. Amaqhuma akheka ezantsi kweminwe aze abe ziintambo ezifana neentambo phantsi kwesandla.
• Umnwe obangela ukudumba kwenzeka xa i-A1 pulley, indlela elawula kwaye ikhokela imisipha kwiminwe yakho nakubhontsi, idumba. Oku kudumba kwenza kube nzima kuwe ukuhambisa umnwe wakho kakuhle njengoko ubuya kwenza. Abantu abanomnwe obangela ukudumba banokuziva ngathi umnwe ochaphazelekayo "ubambekile" okanye ubambekile xa uwugoba.

Nokuba yintoni ebangela iingxaki zesandla sakho, bonana nogqirha ngokukhawuleza ukuba ubona naziphi na iimpawu ezintsha, ingakumbi ukuba unentlungu okanye ubunzima bokushukumisa isandla sakho ngendlela eqhelekileyo.

Eyona Nto Ibalulekileyo - Isishwankathelo (Umyalezo Omele Uwuthathe Ekhaya)

Igama elithi Dupuytren's contracture linokuba loyikisa, ingakumbi kwabo baneempawu eziqatha ngakumbi. Kodwa khumbula, yimeko enyangekayo kakhulu kwaye uninzi lwabantu luyayishiya. Nangona kungekho nyango, kukho unyango oluninzi olunokukunceda unciphise iimpawu zakho. Kwaye, asiyomeko yomhlaza .

Ukuba kunzima ukolula iminwe yakho, zama uvavanyo lwetafile. Ukuba iminwe yakho ayicinezeli kakhulu kumphezulu, bona ugqirha ukuze akunike ingcebiso. Okukhona uqala unyango ngokukhawuleza, kokukhona amathuba akho okulawula iimpawu zakho ngaphambi kokuba zibe mandundu.

Izandla zakho ziyinxalenye ebaluleke kakhulu yomzimba wakho, indawo osebenzisana ngayo nehlabathi kwaye wenze izinto ozithandayo. Ngoko ke zinyamekele. Landela imiyalelo kagqirha wakho ngononophelo kwaye wenze umthambo ofunekayo. Emva koko ungahlala usempilweni nangona unesi sifo!

Ukugoba kweDupuytren , ukujijeka kweminwe, amaqhuqhuva esundu, i-fascia, izifo zesandla, izifo zemfuza, ukugoba kweminwe