Ngaba wakha waziva ngathi omnye okanye ngaphezulu kweminwe yakho ugoba kancinci kancinci ngaphakathi kwaye kuba nzima ukuwulungisa? Kuvakala ngathi umnwe wakho utsalwa ngaphakathi kwaye unamathela, akunjalo? Le yinto esiyibiza ngokuba sisifo sikaDupuytren. Le meko inokwenza kube nzima nokwenza imisebenzi yemihla ngemihla. Namhlanje sithetha ngotyando olukhethekileyo olwenziwa njengesisombululo sale meko, olubizwa ngokuba yiFasciectomy.
Okokuqala, yintoni iFasciectomy?
Ngamafutshane, i-fasciectomy yinkqubo yotyando esusa umaleko wezicubu (obizwa ngokuba yi-fascia) oye waba lukhuni waza watyeba ngaphakathi kwesandla sakho ngenxa yesifo sikaDupuytren. Le meko ibangela ukuba iminwe yakho enye okanye ezingaphezulu zigobe ngokungazikhetheli ecaleni kwesandla sakho. Kwezinye iimeko ezinzima, iminwe yakho isenokungakwazi ukululama kwaphela. Ngoko ke, emva kolu fasciectomy, izicubu eziqinileyo ziyasuswa, zikhulule iminwe yakho kwaye zikuvumele ukuba uphinde usebenze kakuhle esandleni sakho.
Yintoni kanye kanye isifo sikaDupuytren?
Isifo sikaDupuytren sisifo sezicubu ezidityanisiweyo esiba mandundu kancinci kancinci ngokuhamba kwexesha. Ngoku usenokuba uzibuza ukuba yintoni izicubu ezidityanisiweyo. Luhlobo lwezicubu ezidibanisa kwaye zixhasa zonke izihlunu, amalungu, amalungu kunye nolusu emzimbeni wethu.
Le meko ibangelwa kukutyeba nokuqiniswa kwe-fascia, umaleko wezicubu ezingaphantsi kolusu lwesandla. Abanye abantu banokufumana le meko kubazali babo ngokuguqulwa kwezakhi zofuzo . Abanye banokufumana le meko ngaphandle kwesizathu esicacileyo.
Njengoko isifo siqala, kuvela amaqhuqhuva amancinci phantsi kwesikhumba sesundu. Ekuhambeni kwexesha, la maqhuqhuva ayadibana ukuze enze iintambo eziqinileyo . Ezi ntambo emva koko ziqala ukufinyela, nto leyo ebangela ukuba iminwe enamathele kuzo itsalele ngaphakathi. Oogqirha bakwabiza le meko ngokuthi yiDupuytren's contracture .
Ngubani ofuna utyando lwe-fasciectomy?
Ngenxa yokuba esi sisifo esiqhubekekayo, ugqirha wakho uza kuqala azame unyango olungelulo utyando, olufana neenaliti ze-steroid okanye iinaliti ezine-enzyme ebizwa ngokuba yi-collagenase.
Nangona kunjalo, ukuba olu nyango aluncedi, kwaye iminwe yakho igobile kangangokuba awukwazi ukwenza nemisebenzi elula njengokufaka isandla epokothweni yakho okanye ukuhlamba ubuso bakho, ugqirha wakho uza kuxoxa nawe ngeendlela zotyando, ezifana ne-fasciectomy.
Yintoni umahluko phakathi kweFasciotomy kunye neFasciotomy?
Kukho iindlela ezahlukeneyo zonyango lotyando lwesifo sikaDupuytren. Masiqonde ngokufutshane umahluko ophambili phakathi kwazo.
| Indlela Yonyango | Okugqityiweyo kulula. |
|---|---|
| I-Fasciotomy | Kwenziwa umsikelo omncinci entendeni yesandla kwaye intambo etyebileyo yezicubu iyanqunyulwa ize yahlulwe. Intambo ayisuswa ngokupheleleyo, inqunyulwa nje. Oku kuyayikhulula intambo kwaye kwenza kube lula ukuhambisa iminwe. |
| I-Needle Fasciotomy (Utyando lweNyembe) | Besebenzisa inaliti, bavula imingxunya eliqela kwizicubu ezijiyileyo. Ezi mngxunya zenza buthathaka izicubu zize ziphuke. Oku kuvumela iminwe ukuba iqonde. |
| I-Fasciectomy | Oku kuquka ukususa ngokupheleleyo amaqhuqhuva kunye neentambo ezinengxaki ngotyando. Oku kuyinkimbinkimbi kunezinye iindlela ezimbini, kodwa iziphumo zihlala ixesha elide. |
Iintlobo eziphambili zotyando lwe-fasciectomy
Kukho iindlela ezahlukeneyo zokwenza i-fasciectomy. Ugqirha wakho uya kukhetha eyona ndlela ifanelekileyo ngokwemeko yakho.
- Utyando lwe-fasciectomy olune-segmental (partial): Kule nkqubo, kwenziwa imingxunya emininzi emincinci ecaleni kwemiqolo yendalo yesandla kwaye kususwa inxalenye encinci ye-fascia etyebileyo.
- Utyando lwe -Subtotal palmar fasciectomy: Kwenziwa utyando olugobileyo ecaleni kwemiqolo yesandla neminwe, kususwa izicubu ezininzi ezinesifo kangangoko kunokwenzeka. Kwimeko enjalo, utyando lwesikhumba lungasetyenziswa ukunceda inxeba liphole.
- Utyando lwesikhumba: Oku kwenziwa xa isifo siphinda sibuyele esiqhelweni. Kule meko, izicubu ezinesifo ziyasuswa kunye nolusu olungaphezulu. Oku kudla ngokufuna ukufakelwa kwesikhumba.
Linjani ixesha lokuchacha emva kotyando?
Kuqhelekile ukuba nentlungu, ukudumba, kunye nokuqina esandleni sakho emva kotyando. Usenokuziva ungenamsebenzi esandleni sakho nakwiminwe yakho. Oku kungavisisani kuvakala njengoko imithambo-luvo ebikade yoluliwe ixesha elide ibuyela esiqhelweni, kwaye kungathatha iinyanga ezininzi ukuba iphele. Ngokuxhomekeke kuhlobo lomsebenzi wakho, unokufuna ukuphumla iiveki ezimbini ukuya kwezilishumi elinesibini (iinyanga ezi-3).
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
- Gcina isandla sakho siphakanyisiwe kwaye ubeka umkhenkce.
- Ukugcina inxeba licocekile.
- Gcina inxeba kunye nezithungo zomile, ngaphandle kokuzichukumisa ngamanzi.
- Qiniseka ukuba uyaya kunyango lomzimba (unyango lwezandla) kwaye wenze umthambo onikezelwa ekhaya ngqo.
- Ukusetyenziswa ngokufanelekileyo kwemithi yokuthomalalisa iintlungu, kwaye ukuba kuyimfuneko, amayeza okubulala iintsholongwane.
- Ukunxiba i-splint esandleni sakho ixesha elide njengoko ugqirha ekuxelela.
Ngaba kukho naziphi na iingozi kolu tyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile. Kuqhelekile ukuba umntu alahlekelwe zimvakalelo okanye angabi nanto ifanelekileyo kwiminwe yakhe, nto leyo eya kuphucuka ngokuhamba kwexesha. Nangona kunjalo, kukho iingozi ezinkulu ezinokwenzeka rhoqo .
- Ukunganyamezelani ne-anesthesia.
- Usulelo.
- Amanxeba kunye nolusu oluvakalelwa kakhulu kwindawo yotyando.
- Ukudumba (ukudumba) kunye nokukrwela.
- Kunqabile kakhulu ukuba kubekho umonakalo kwimithambo-luvo okanye kwimithambo yegazi kufutshane nendawo yotyando.
Ixesha lokufuna ingcebiso yezonyango ngokukhawuleza
Ukuba ufumana naziphi na iimpawu ezingezantsi emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko.
- Iimpawu zosulelo (ezifana nomkhuhlane, ulwelo olumthubi oluphuma enxebeni, imicu ebomvu).
- Intlungu eqatha yemisipha.
- Ukulahlekelwa yimvakalelo okanye ukungakwazi ukuhambisa iminwe.
- Ukuba ufumana iintlungu esifubeni okanye ubunzima bokuphefumla, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
- Ukunganyamezelani nolusu (umz., ukurhawuzelela okurhawuzelelayo).
Umyalezo Wokuya Ekhaya
- Isifo sikaDupuytren sisifo esibangela ukuba iminwe igobe ngaphakathi ngokuhamba kwexesha. Asikuko ukuba unetyala.
- I-Fasciectomy yindlela yotyando esusa izicubu eziqinileyo kwaye ibuyisele ukusebenza kwesandla.
- Olu tyando aluyinyangi ngokupheleleyo le sifo. Malunga nabantu ababini kwabalishumi (20%) banethuba lokuba esi sifo siphinde sibuye.
- Ukuze ufumane iziphumo ezilungileyo, ixesha lokuchacha emva kotyando libaluleke kakhulu. Landela imiyalelo kagqirha wakho kunye nonyango lomzimba ngokuchanekileyo.
- Ukuba kuvela naziphi na iimpawu ezinobungozi emva kotyando, funa ingcebiso kagqirha ngokukhawuleza.
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