Ngaba wakha waziva ngathi ulusu lwesandla sakho luye lwaqina lwaza lwenza amaqhuqhuva amancinci? Okanye ukuba unobunzima bokugcina umnwe omnye okanye emibini ithe tye, kwaye ngokuthe ngcembe igoba isiya entendeni? Oku akukokwakho wedwa. Le yimeko yezonyango. Siyibiza ngokuba yiDupuytren's Contracture. Abantu abaninzi abazi nto ingako ngale nto, ngoko ke inokuba yinto eyoyikisayo. Ngoko ke namhlanje siza kuthetha ngayo yonke into ngokulula nangendlela enobuhlobo.
Ngamafutshane, yintoni iDupuytren's Contracture?
Oku kwenzeka kuba umaleko wezicubu (i-fascia) phantsi kwesikhumba sesandla sakho uyaqina kancinci kancinci uze wenze iintambo ezinemicu. Kufana nomntu otsala intambo ngaphakathi kwesandla sakho. Ekuhambeni kwexesha, njengoko ezi ntambo ziqina, iminwe enye okanye ngaphezulu eqhagamshelwe kuzo iqala ukugoba ngaphakathi. Oku sikubiza ngokuba yi-'contracture.' Le meko idla ngokuchaphazela iringi kunye neminwe emincinci, kodwa inokwenzeka nakweyiphi na iminwe.
Lo asingomhlaza okanye isifo esosulelayo. Kwaye intlungu ebangelwa yiso idla ngokuba ncinci. Kodwa ingxaki ephambili kukuba xa iminwe yakho igobile, kuba nzima ukwenza imisebenzi yemihla ngemihla. Umzekelo, nezinto ezilula ezifana nokuxhawula izandla, ukufaka isandla epokothweni, okanye ukubamba into ngokuqinileyo kunokuba ngumceli mngeni.
Unyango lugqitywa njani?
Unyango lwe-Dupuytren's contracture luyahluka ngokuxhomekeke kubukhali bemeko yakho. Akukho nyango lufanayo. Ugqirha wakho uza kukuhlola aze amisele unyango olungcono ngokusekwe ekubeni luchaphazela kangakanani ubomi bakho.
Eyona nto ibalulekileyo kukuba akukho nyango lufunyenweyo okwangoku olunokuthintela ngokupheleleyo ukuphuhliswa kwesi sifo okanye ukuthintela ukuba singabi mandundu xa sele sikhulile. Injongo ephambili yonyango kukunciphisa iimpawu nokubuyisela ukusebenza kwesandla.
Kwabanye abantu, le meko iqhubeka kancinci kakhulu . Isenokuba yingxondorha encinci entendeni yesandla sakho engatshintshiyo kangangeminyaka. Kwimeko ezinjalo, ukuba ayiphazamisi imisebenzi yakho yemihla ngemihla, kungcono ukuba "ulinde ubone".
Nangona kunjalo, ukuba ukujika kweminwe yakho kuyanda ngokukhawuleza kwaye kwenza kube nzima ukwenza imisebenzi yemihla ngemihla, ugqirha wakho uza kukuxelela ngeendlela ezifanelekileyo zonyango.
Unyango olungelulo utyando
Kukho unyango oluninzi olungasetyenziswa kwizigaba zokuqala zesifo, okanye ukongeza kutyando. Nangona kunjalo, olu nyango lubonakalise impumelelo encinci.
| Indlela yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| Ukolula | Kuyacetyiswa kwabo banesifo esincinci kakhulu . Ingasetyenziswa kunye nezinye iindlela zonyango. Nangona kunjalo, oku kufuneka kwenziwe kuphela njengoko ugqirha eyalele . |
| Iinaliti zeSteroid | La ngamayeza anamandla okulwa nokuvuvukala. Xa efakwa ngqo kwiqhubu elingalweni, anokunciphisa ubukhulu balo. Nangona kunjalo, oku kusebenza kuphela kwizigaba zokuqala zesifo. Xa izicubu zijiyile, azisebenzi kakuhle. |
| Iinaliti ze-Enzyme | Ukuba umnwe wakho sele ugobile, ugqirha wakho angacebisa ukuba ufake umxube we-enzyme, njenge- Xiaflex . Ezi enzymes ziqhekeza izicubu ezijiyileyo zize zikhulule. Ngosuku olulandelayo, ugqirha wakho uya kuzama ukolula umnwe wakho ngokuwubamba aze awutsale. Oku kungasetyenziswa njengendlela eyahlukileyo kunotyando. |
| Unyango lweMisebe | Unyango lwemitha oluphantsi lolunye ukhetho, kodwa kusekho idatha yophando elinganiselweyo ngempumelelo yalo. |
Okungakumbi malunga nokufakwa kwee-enzymes...
Kubantu abaninzi, inaliti enye okanye ezimbini zanele ilungu elichaphazelekileyo. Abanye abantu banokufuna ukuya kuthi ga kwisithathu. Iziphumo ebezingalindelekanga eziqhelekileyo kukudumba, ukopha, ukukrweleka, kunye nentlungu kwindawo efakwe kuyo inaliti. Kunqabile kakhulu ukuba kubekho iziphumo ebezingalindelekanga ezinzulu ezifana nokonakala kwemisipha, umonakalo wemithambo-luvo, okanye ii-allergy.
Kuye kwazanywa nezinye iindlela zonyango ezifana ne-splinting, i-vitamin E cream, kunye ne-ultrasound, kodwa ngokubanzi azizange ziphumelele.
Kufuneka nini utyando? (Unyango lotyando)
Ukuba unengxaki yokwenza imisebenzi yemihla ngemihla, njengokubamba into ethile, ukubhala, okanye ukubamba ikomityi, ugqirha wakho unokucebisa utyando. Injongo ephambili yotyando kukubuyisela intshukumo elahlekileyo kwiminwe yakho.
Kukho iintlobo ezimbini eziphambili zotyando.
| Uhlobo lotyando | Inkcazo |
|---|---|
| Utyando Oluvulekileyo | Ugqirha wenza i-incision engalweni aze asike izicubu ezijiyileyo (i-fasciotomy) okanye asuse yonke okanye inxalenye yayo (i-fasciectomy) . Ngamanye amaxesha i-graft yesikhumba ikwasetyenziswa ukuvala inxeba. |
| I-Aponeurotomy yenaliti | Le yindlela elula kuneyotyando oluvulekileyo. Ugqirha usebenzisa inaliti ye-hypodermic ukusika nokwahlula izicubu eziqinileyo ngaphezu kolusu. Ixesha lokuchacha lifutshane. Uninzi lwabantu aludingi unyango lomzimba emva koko. |
Yintoni onokuyilindela emva kotyando?
Utyando lunokulungisa ukugoba kweminwe kwaye lubuyisele ukusebenza kwesandla. Nangona kunjalo, ukuba iminwe emininzi igobile, kunokuba nzima ngakumbi ukuyilungisa.
Utyando lukwanazo neengozi ezithile kunye neengxaki.
- Ukuphinda-phinda: Kukho umngcipheko othile wokuphinda-phinda ukwenzeka kwazo zombini ezi ntlobo zotyando.
- Ezinye iingxaki:
- Ukudumba kwenxeba kunye nentlungu
- Ukonakala kwemithambo-luvo okanye imithambo yegazi
- Iintsholongwane
- Ukufa kwezicubu
Indlela yokuphola ngokukhawuleza?
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho emva kotyando.
- Phakamisa ingalo yakho: Ukuphakamisa ingalo yakho ngaphezu kwentliziyo yakho kunokunceda ekunciphiseni ukudumba kunye nentlungu.
- Ukushukuma kweminwe: Ukuba ugqirha uyala, shukuma iminwe yakho.
- Ulungiso lwenyama:Ugqirha wakho angakuthumela kwingcali yezonyango eza kukufundisa imithambo yokuphucula amandla esandla sakho kunye nokusebenza kwaso.
Umyalezo Wokuya Ekhaya
- I-Dupuytren's Contracture yimeko apho izicubu ezisesandleni ziba nkulu kwaye iminwe igobe. Ayisiyo umhlaza okanye isifo esosulelayo.
- Asinguye wonke umntu odinga utyando. Ukuba isifo sincinci, sisenokungadingi naluphi na unyango.
- Ukuba oku kuphazamisana nemisebenzi yakho yemihla ngemihla, kukho iindlela zonyango ezingasebenzisi utyando (iinaliti) kunye nonyango lotyando.
- Ngugqirha wakho kuphela onokumisela unyango olulungele wena. Ngoko ke ukuba ubona naluphi na utshintsho esandleni sakho, ungoyiki ukufuna ingcebiso kagqirha.
- Emva konyango, landela imiyalelo oyinikwe ngugqirha wakho kunye nonyango lomzimba ngononophelo ukuze uphile ngokukhawuleza.
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