Ngaba wakha waziva ngathi umnwe okanye iminwe emininzi esandleni sakho igoba kancinci isiya entendeni yesandla? Ngaba kuvakala kunzima kakhulu ukuyilungisa nokuba uzama ukuyilungisa? Oku kungaba luphawu lwesifo esibizwa ngokuba sisifo sikaDupuytren. Xa esi sifo sinzima, kunokuba nzima ukuyilungisa iminwe yakho kwaphela. Ngoko ke, namhlanje sithetha ngeFasciectomy, unyango olusebenzayo kakhulu kwesi sifo.
Yintoni iFasciectomy?
I-Fasciectomy yindlela nje yotyando. Ibandakanya ukususa umaleko wezicubu ezine-fibrous ezibizwa ngokuba yi-fascia esandleni sakho. Cinga ngayo njenge-membrane encinci phantsi kwesikhumba sesandla sakho. Kumntu onesifo sikaDupuytren, le membrane iyancipha kancinci kancinci, iqine, kwaye iqale ukufinyela. Emva koko itsala iminwe iye entendeni yesandla.
Ngoko ke, into eyenziwa lolu tyando lweFasciectomy kukususa ezo zicwili ziqinileyo uze uvumele iminwe yakho iqonde ngokukhululekileyo. Oku kuya kukunceda uphinde usebenze kwakhona isandla sakho.
Yintoni isifo sikaDupuytren?
Isifo sikaDupuytren sisifo esiqhubekayo sezicubu ezidityanisiweyo. Okwenzekayo koku kukuba i-fascia, esikhankanyileyo ngaphambili, esandleni okanye ezandleni zombini iba nkulu kwaye iqine. Esi sicubu esidityanisiweyo emzimbeni wethu yiso sidibanisa izihlunu zethu, amalungu, amalungu kunye nolusu kwaye sisebenza njengenkxaso.
Abanye abantu basenokuba nesi sifo ngenxa yotshintsho lwemfuza oludluliselwa kwizizukulwana ngezizukulwana . Nangona kunjalo, abanye abantu banokuba nale meko ngaphandle kwesizathu esicacileyo.
Abantu abanale meko baqala ngokukhula amaqhuqhuva amancinci phantsi kwesikhumba seentende zabo. Ekuhambeni kwexesha, la maqhuqhuva ayadibana aze enze iintambo ezijiyileyo ezifana nentambo. Ezi ntambo zitsala umnwe omnye okanye ngaphezulu ziye entendeni yesandla. Oogqirha bakwabiza le meko ngokuthi yiDupuytren's contracture .
Ngubani ngokwenene odinga olu tyando?
Ngenxa yokuba isifo sikaDupuytren sisifo esiqhubekekayo, ugqirha wakho uza kuqala azame unyango olungelulo utyando.
- Inaliti ye-steroid
- Ukufakwa kwe-enzyme collagenase
Ukuba olu nyango aluncedi, nto leyo ethetha ukuba iinzwane zakho zigobile kangangokuba awukwazi nokwenza imisebenzi yakho yemihla ngemihla, ugqirha wakho angacebisa ukuba utyando. I-Fasciectomy lolona tyando luqhelekileyo olwenziwa kwiimeko ezinjalo.
I-Fasciectomy, i-Fasciotomy... Yintoni umahluko?
Kukho iindlela ezahlukeneyo zonyango lotyando lwesifo sikaDupuytren. Zahlukile kancinci kwenye. Masibone ukuba ziyintoni na. Ungawuqonda lula lo mahluko ngokujonga le theyibhile.
| Indlela yonyango | Yintoni omawuyenze ngokulula |
|---|---|
| I-Fasciotomy | Kwenziwa umsikelo omncinci entendeni yesandla kwaye intambo etyebileyo iyasikwa ize yahlulwe. Ayisuswa, inqunyulwa nje. Oku kunciphisa uxinzelelo kwintambo kwaye kwenza kube lula ukuhambisa iminwe. |
| Utyando lwe-Percutaneous needle fasciotomy (i-Needle Aponeurotomy) | Kusetyenziswa inaliti encinci, kwenziwa imingxunya eliqela kwizicubu ezijiyileyo. Le mingxunya yenza buthathaka izicubu kwaye ziyaphule, nto leyo evumela iminwe ukuba ikhululeke. |
| I-Fasciectomy | Oku kuquka ukusika nokususa ngokupheleleyo ezo nodules kunye neentambo ezinengxaki. Le yindlela esiza kuthetha ngayo kweli nqaku. |
Yintoni omele uyenze ngaphambi kotyando?
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo ngaphambi kotyando. Basenokukucela ukuba wenze izinto ezifana nezi:
- Ukuzila ukutya (ukuzila ukutya nokusela) iiyure ezininzi ngaphambi kotyando.
- Ukuba uyatshaya, yeka . Ukutshaya kuphazamisa inkqubo yokuphiliswa.
- Usenokucelwa ukuba uyeke okwethutyana ukuthatha amayeza athile, iivithamini, kunye nezongezo zemifuno .
Ngaba kukho iintlobo ezahlukeneyo zotyando?
Ewe, kukho iintlobo ezahlukeneyo kunye neendlela zotyando lwe-fasciectomy kuxhomekeke kwimeko yesifo.
Umahluko phakathi kweFasciectomy eNcinci kunye neTotal Fasciectomy
- Ukususwa okungaphelelanga (okungaphelelanga): Oku kuquka ukususa kuphela izicubu ezigulayo nezityebileyo.
- Isimbuku (ukususwa ngokupheleleyo):Kule nto, lonke ulwelwesi lwe-fascia lwengalo luyasuswa, kuquka nezicubu eziphilileyo.
Ugqirha wakho uza kugqiba aze akuchazele ukuba yeyiphi indlela efanelekileyo kuwe.
Iindlela zotyando
- Utyando lwe-fasciectomy olusecaleni: Kule nkqubo, kwenziwa imingxunya emininzi emincinci ecaleni kwemiqolo yendalo yesandla kwaye kususwa inxalenye encinci ye-fascia etyebileyo (intambo).
- Utyando lwe-Subtotal palmar fasciectomy: Kwenziwa imingxunya emininzi ecaleni kwemiqolo yesandla neminwe (ngokufuthi ikwimo ka-'Z') ukuze kususwe izicubu ezininzi ezinesifo kangangoko kunokwenzeka. Ngamanye amaxesha ulusu lungasetyenziswa ukunceda inxeba liphole.
- Utyando lwe-Dermofasciectomy: Oku kwenziwa kwiimeko apho isifo siphinda sibuye. Apha, izicubu ze-fascia ezinesifo ziyasuswa kunye nolusu olungaphezulu. Kwimeko enjalo, kufuneka kwenziwe utyando lwesikhumba.
Zithini iingenelo zotyando?
Eyona nzuzo inkulu yolu tyando kukuba unokubuyisela ukusebenza kwesandla sakho, iminwe, kunye nobhontsi. Nje ukuba izicubu eziqinileyo zisusiwe, ungolula kwaye ulungise iminwe yakho ngcono. Ezinye izifundo zibonise ukuba iziphumo zotyando lwe-fasciectomy zihlala ixesha elide kunezinye iindlela zonyango.
Ngaba kukho iingozi kunye neengxaki?
Njengakwezinye iintlobo zotyando, kukho ithuba elincinci lokuba kubekho iingozi neengxaki. Kodwa ungakhathazeki, ezi azixhaphakanga.
Kuqhelekile ukuba uzive ungenazimvakalelo okanye uphelelwe zimvakalelo kwiminwe yakho emva kotyando. Oku kuya kuphucuka kancinci kancinci njengoko imithambo-luvo exineneyo iqala ukukhululeka.
Ezinye iingxaki ezinokubakho:
- Ukunganyamezelani ne-anesthesia
- Usulelo lwenxeba
- Uvakalelo lolusu kunye nokuqhekeka kwamanxeba
- Imivumbo
- Ukudumba (ukudumba)
- Kunqabile kakhulu ukuba imithambo-luvo okanye imithambo yegazi esandleni yonakale.
Linjani ixesha lokuchacha?
Kuqhelekile ukuba uzive iintlungu, ukudumba, kunye nokuqina esandleni sakho emva kotyando. Usenokuziva ungenamsebenzi esandleni sakho nakwiminwe yakho. Kungathatha iinyanga ezininzi ukuba ezi zinto ziphele ngokupheleleyo. Ngokuxhomekeke kuhlobo lomsebenzi wakho, kunokufuneka uchithe iiveki ezimbini ukuya kwezilishumi elinambini (malunga neenyanga ezi-3) ungasebenzi.
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngexesha lokuchacha kwakho.
- Beka ipakethe yomkhenkce engalweni, uyigcine iphakanyisiwe.
- Coca inxeba ngesepha namanzi uze uligqume ngebhandishi.
- Lumka ungamanzisi izandla zakho kunye nezithungo xa uhlamba.
- Unyango lomzimbaUkuya kwiiseshoni nokwenza umthambo ekhaya kubalulekile ukuze kubuyiselwe ukusebenza kwesandla.
- Ukusela amayeza okudambisa iintlungu kunye nee-antibiotics njengoko kuchazwe ngugqirha.
- Usenokucelwa ukuba unxibe i-splint (isixhobo esixhasa isandla sakho singashukumi) kangangeenyanga ezi-3.
Utyando alunyangi ngokupheleleyo esi sifo, kodwa lunokuphucula kakhulu ukusebenza kwesandla. Malunga nabantu ababini kwabalishumi abenza utyando baya kuphinda babonakale benazo iimpawu. Ukuba oku kuyenzeka, kunokufuneka olunye utyando.
Ndifanele ndimfowunele nini ugqirha?
Ukuba ufumana naziphi na ezi mpawu zilandelayo emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko .
| Uphawu ekufuneka luqwalaselwe | Inkcazo |
|---|---|
| Iimpawu zosulelo | Umkhuhlane, ulwelo olumthubi oluphuma enxebeni, kunye nemigca ebomvu ebonakala ijikeleze inxeba. |
| Iimpawu ze-aleji | Ukurhawuzelela kwesikhumba okurhawuzelelayo. |
| Intlungu ebuhlungu | Intlungu yemisipha enganyamezelekiyo neqatha. |
| Umsebenzi weminwe | Ukulahlekelwa yimvakalelo kwiminwe okanye ukungakwazi ukuyishukumisa. |
| Ezinye iimpawu ezingxamisekileyo | Intlungu esifubeni okanye ubunzima bokuphefumla. |
Isifo sikaDupuytren sinokuba ngumqobo omkhulu kwimisebenzi yakho yemihla ngemihla nasemsebenzini. Utyando lwe-Fasciectomy lukuvumela ukuba uphinde usebenzise izandla neminwe yakho ngokupheleleyo. Eyona nto ibalulekileyo kukulandela unyango olufanelekileyo lomzimba kunye nokuzilolonga emva kotyando.
Umyalezo Wokuya Ekhaya
- I-Fasciectomy lutyando olwenziwa ukolula iminwe egobileyo ngenxa yesifo sikaDupuytren.
- Olu tyando lujolise ekubuyiseleni umsebenzi wesandla ngokususa izicubu ezijiyileyo ezitsala iminwe ngaphakathi.
- Kubaluleke kakhulu ukulandela unyango lomzimba kunye nemiyalelo yezonyango ukuqinisekisa ukuba uyachacha ngokupheleleyo emva kotyando.
- Nangona olu tyando lungasinyangi ngokupheleleyo esi sifo, lunokuphucula kakhulu umgangatho wobomi.
- Ukuba uhlangabezana nezi mpawu, bonana nogqirha ofanelekileyo ukuze uxoxe ngeendlela zonyango.
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