Jonga isandla sakho. Ngamanye amaxesha unokuva into efana neqhuma elincinci phantsi kwesikhumba sesandla sakho. Ekuqaleni, kusenokubonakala ngathi akuninzi kangako, kodwa ekuhambeni kwexesha, oku kubangela ukuba iminwe yakho igobe ngaphakathi, ngokungathi uqinisa inqindi lakho. Ngaba ukufumanisa kunzima ukolula isandla sakho, ukusifaka epokothweni yakho, okanye nokubamba isandla somntu? Le meko yinto esiyibiza ngokwezonyango ngokuba yiDupuytren's Disease okanye iDupuytren's contracture. Makhe sithethe ngale nto ngokulula nangokucacileyo.
Yintoni isifo sikaDupuytren?
Ngamafutshane, kukho umaleko wezicubu phantsi kwesikhumba sezandla zethu. Le nto siyibiza ngokuba yi-fascia . Oku kudla ngokuba kukhululekile kakhulu kwaye kuyaguquguquka. Kukuguquguquka kwale zicubu okusivumela ukuba sigobe kwaye solule izandla zethu nangayiphi na indlela esiyifunayo.
Nangona kunjalo, kwisifo sikaDupuytren, esi sicwili esibizwa ngokuba yi-'fascia' siyaqina kancinci kancinci size siqale ukuqina ngaphandle kwesizathu esicacileyo.
Khawucinge nje, ngaphakathi kwesi sicwili kukho imicu efana neentambo. Kwesi sifo, le micu iqina kancinci kancinci ize iqale ukufinyela. Kulapho iminwe iqala ukutsala kancinci kancinci isiya entendeni yesandla. Ngokuqhelekileyo, le meko ichaphazela umnwe opinkie kunye nomnwe weringi . Ngamanye amaxesha, zombini izandla zakho zinokuchaphazeleka. Kodwa ngokuqhelekileyo, esinye isandla sichaphazeleka ngakumbi kunesinye. Kwiimeko ezinzima, isandla sinokukhubazeka ngokupheleleyo kwaye singasebenzi kakuhle.
Zithini iimpawu zesi sifo? Ungasibona njani?
Iimpawu ze-Dupuytren's contracture aziveli ngequbuliso. Zihlala zibonakala kancinci kancinci, ngokuhamba kwexesha. Makhe sijonge ukuba zeziphi ezo zigaba.
| Isigaba sempawu | Kwenzeka ntoni kwaye Kuvakala Njani |
|---|---|
| Amaqhuqhuva | Olu luphawu lokuqala abantu abaninzi abalubonayo. Lubonakala ngathi ngamaqhuma amancinci, aqinileyo phantsi kwesikhumba sesandla. Ekuqaleni, la maqhuma anokuba buhlungu kancinci kwaye abe novelwano xa echukunyiswa. Nangona kunjalo, ngokuhamba kwexesha, intlungu kunye novakalelo zihlala ziphela. |
| Iintambo | Ekuhambeni kwexesha, la maqhuqhuva aqala ukwenza amaqhina aqinileyo, afana nentambo phantsi kwesikhumba. La awaguquguquki. La maqhina aqinileyo, afana nentambo yiwo abangela ukuba iminwe igobe kancinci kancinci ize itsale esihlahleni. |
| Ukuqiniswa | Xa ukujika kweminwe kuba nzima, kuba nzima ukuyilungisa ngokupheleleyo. Oku kwenza kube nzima kakhulu ukwenza imisebenzi yemihla ngemihla efana nokuphakamisa izinto ezinkulu, ukolula isandla sakho epokothweni ukuze ufumane imali okanye isazisi, ukolula isandla sakho etafileni, ukunxiba iiglavu, okanye ukuxhawulana nomntu. |
Zithini izizathu kunye nezinto ezibangela oku?
Isizathu esichanekileyo sesi sifo asikaziwa, kodwa izazinzulu zikholelwa ukuba kukho izinto ezininzi zebhayoloji ezichaphazela izicubu ezinxibelelanayo esandleni.
Into ebalulekileyo kukuba ayibangelwa kukwenzakala okanye ukusetyenziswa kakhulu kwesandla. Kananjalo ayisosifo esichaphazela imisipha enceda ekushukumiseni isandla.
Nangona kunjalo, kukho izinto ezininzi eziye zachongwa ezibangela ukuba kubekho esi sifo. Nazi:
- Ukusela utywala ngokugqithisileyo: Kodwa khumbula, ayinguye wonke umntu onesi sifo oxhomekeke kutywala.
- Ukuba nesifo seswekile.
- Ukuba nezifo ezibangela ukuxhuzula, ezifana nesifo sokuwa.
- Ukutshaya.
- Ukuba nesi sifo kumntu othile kusapho: Oku kuthetha ukuba kusenokubakho unxibelelwano oluthile oluvela kwilifa laso.
- Ukuba yindoda engaphezulu kweminyaka engama-40 ubudala: Esi sifo sixhaphake kakhulu kumadoda kunabafazi.
- Ukuba nemvelaphi yaseMntla Yurophu (isiNgesi, isi-Irish, isiSkotlani, isiFrentshi, isiDatshi) okanye isiScandinavia (isiSwidi, isiNorway, isiFinnish): Le ayingombandela ubalulekileyo kubantu belizwe lethu, kodwa kulungile ukwazi.
Ugqirha uyifumanisa njani le nto? (Ukuxilongwa)
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho, imbali yakho yempilo kunye neyentsapho yakho, aze emva koko ahlolisise izandla zakho, iingalo zakho kunye neminwe yakho ngononophelo.
Kolu vavanyo, isandla sihlolwa ukuba asinamaqhuqhuva na kwaye mangaphi. Kwakhona, uvavanyo oluphambili oludla ngokwenziwa kukubona ukuba isandla singabekwa sithe tyaba etafileni (uvavanyo lwetafile). Umntu onesi sifo akanakukwazi ukugcina isandla sakhe sithe tyaba ngokupheleleyo etafileni.
Ukongeza, ugqirha angajonga izinto ezifana nezi:
- Kuza kubona ukuba ungazisingatha njani izinto kakuhle.
- Ibonisa indlela yokucinezela izinto ezincinci ngeminwe yakho.
- Uvakalelo olukwisithupha nakwiminwe eminye luyalinganiswa.
- Uluhlu lwentshukumo yeminwe luyajongwa ukuze kubonwe ukuba ingalungiswa ngokupheleleyo na.
Ugqirha angakuthatha imifanekiso yesandla sakho ukuze abone ukuba imeko iyatshintsha na ngokuhamba kwexesha.
Zithini iindlela zonyango zoku?
Into yokuqala ekufuneka uyithethe kukuba akukho nyango lwesi sifo. Kodwa ungakhathazeki, asisosifo esisongela ubomi. Abanye abantu banokuphila naso iminyaka emininzi ngaphandle kweengxaki. Ngamanye amaxesha, basenokungaludingi unyango.
Nangona kunjalo, ukuba amaqhuma abangela iintlungu, okanye ukuba ukushukuma kweminwe kuphazamisana nemisebenzi yakho yemihla ngemihla, kukho unyango olunokwenziwa.
Kubalulekile: Ii-Splints aziyi kunceda kule meko. Enyanisweni, ukuba uzama ukunyanzela umnwe wakho ukuba uqine, kunokuyenza ikruneke ngokukhawuleza. Ngoko ke musa ukwenza ezo zinto ngaphandle kokubonisana nogqirha.
Unyango olungelulo utyando
- Inaliti ye-steroid: Ukuba iqhuma libuhlungu kakhulu, ugqirha wakho unokukunika inaliti ye-corticosteroid. Eli liyeza elinamandla lokulwa nokuvuvukala. Linciphisa ukudumba kunye nentlungu. Ngamanye amaxesha linokuthintela umnwe ukuba ungabi mbi. Nangona kunjalo, le naliti ayizukuwulula umnwe osele ugobile.
- Ukufakwa kwe-enzyme: Ukuba iminwe yakho sele igobile, ugqirha wakho unokukufaka umxube we-enzyme obizwa ngokuba yi-'collagenase' (Xiaflex). Ezi enzymes zinceda ekunyibilikiseni izicwili eziqinileyo neziqinileyo. Oku kwenza buthathaka iintambo eziqinileyo, ezifana nentambo, okuvumela ugqirha ukuba alawule iminwe yakho kancinci.
Unyango lotyando
Ukuba imeko iyaqhubeka nokuba mandundu kwaye iphazamisana kakhulu nokusebenza kwesandla, ugqirha unokucebisa utyando.
- I-Fasciotomy: Olu tyando lubandakanya ukusika nokwahlula izicubu ezijiyileyo ezifana nentambo. Oku kuvumela umnwe ukuba uhambe ngokukhululekileyo. Ugqirha uyayivala loo ndawo aze enze umngxuma omncinci entendeni yesandla.
- Utyando lwe-subtotal palmar fasciectomy:Kule meko, kususwa izicubu ezininzi ezijiyileyo kunye nemisipha kangangoko kunokwenzeka. Oku kuvumela ukuba umnwe ulungiswe. Oku kudla ngokubandakanya ukwenza ukusika "okuzigzag" entendeni yesandla. Oku kunzima ngakumbi kunezinye iindlela zotyando. Kuthatha ixesha elide ukuphola. Emva kotyando, unyango lomzimba kwaye ngamanye amaxesha nokufakelwa kwesikhumba kunokufuneka.
Kusenokubakho ukudumba kunye nentlungu ethile esandleni emva kotyando. Ukugcina isandla singaphezulu kwenqanaba lentliziyo kunye nokugoba kunye nokwandisa iminwe kunokunceda ukunciphisa ukudumba kunye nentlungu kwaye kuncede inkqubo yokuphiliswa ihambe ngokukhawuleza.
Ufanele uye nini kugqirha?
Nangona isifo sikaDupuytren singeyongozi, sinokubangela ukukhubazeka ukuba siba sibi kakhulu. Ngoko ke, ukuba uneempawu ezilandelayo, musa ukulibazisa ukubona ugqirha.
| Ukuba unale mpawu, qiniseka ukuba ubonana nogqirha. |
|---|
| Ukuba uneqhuma elinye okanye ngaphezulu esandleni sakho (nokuba libuhlungu okanye alibuhlungu). |
| Ukuba unengxaki yokulungisa iminwe yakho. |
| Ukuba unengxaki yokubamba izinto ezinkulu okanye ezincinci. |
| Ukuba awukwazi ukubeka isandla sakho etafileni okanye ukufaka isandla sakho epokothweni. |
Umyalezo Wokuya Ekhaya
- Isifo sikaDupuytren sisifo apho izicwili ezingaphantsi kwesikhumba sesandla ziqina kwaye iminwe igobe ngaphakathi. Asiyonto esongela ubomi.
- Iimpawu eziphambili ziziqwenga entendeni yesandla, ubunzima bokulungisa iminwe, kunye nobunzima bokwenza imisebenzi yemihla ngemihla.
- Nangona kungekho sizathu sicacileyo soku, isifo seswekile, ukutshaya, kunye nezinto ezibangela ufuzo ziyandisa umngcipheko.
- Unyango luyimfuneko kuphela xa iimpawu ziphazamisana nobomi bemihla ngemihla. Kukho iindlela ezahlukeneyo zonyango ezikhoyo, ezinje ngeenaliti kunye notyando.
- Ukuba unale mpawu, ungoyiki kwaye ubone ugqirha ngokukhawuleza ukuze akunike ingcebiso. Leyo yeyona nto ilungileyo onokuyenza.
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