Ngezinye izikhathi, izicubu kwezinye izingxenye zomzimba wethu zingaba nkulu futhi ziqine. Cabanga ukuthi umunwe wakho uqine kangangokuthi awukwazi ukuwugoba, uzwakala sengathi udonswa ngentambo. Noma ipenisi yendoda igobile futhi ibuhlungu. Izimo ezinjalo azijabulisi neze, akunjalo? Namuhla sikhuluma ngomjovo okhethekile onikezwa ukwelapha izimo ezinjalo. Lokhu kubizwa ngokuthi umjovo weCollagenase.
Kalula nje, iyini i-Collagenase?
I-Collagen uhlobo lweprotheni olusiza ekunikezeni amandla nesimo ezicutshini zomzimba wethu. Kufana nezintambo esakhiweni. Kodwa ngezinye izikhathi, kwezinye izindawo, le collagen iqoqana kakhulu futhi iqine. Yilapho izicubu, njengoba kushiwo ngaphambili, ziba lukhuni, zilahlekelwe ukunwebeka kwazo, bese kuvela izinkinga.
I-Collagenase , uma sikhuluma iqiniso, iwumuthi wokugoma oqukethe i-enzyme ephula, incibilikise, futhi isuse izicubu ze-collagen ezisele. Uma lo muthi wokugoma ufakwa endaweni ethintekile, imicu ye-collagen eqinile, ejiyile iyaphuka. Bese ukuqina nokuqina kwezicubu kuncipha bese kuqala ukubuyela esimweni esijwayelekile.
Lo mjovo usetshenziswa kakhulu ukwelapha izimo ezimbili:
1. Ukugoba kukaDupuytren: Lokhu kwenzeka lapho izicubu ze-collagen ezingaphansi kwesikhumba sesundu ziqina futhi ziqina njengentambo, okubangela ukuthi iminwe (ngokuvamile umunwe wendandatho nomunwe omncane) igobe ngaphakathi futhi iqine. Lokhu kwenza kube nzima ukuqondisa umunwe.
2. Isifo SikaPeyronie: Lesi yisimo lapho izicubu ze-collagen epenis ziqina khona (i-plaque), okubangela ukuthi ipipi ligobe. Lokhu kungenza ucansi lube buhlungu noma lube nzima.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthola lokhu kwelashwa
Njengoba lokhu kuyindlela yokwelapha ekhethekile, kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho ngakho konke. Ngaphambi kokuqala ukwelashwa, qiniseka ukuthi uyamtshela uma unanoma iyiphi yalezi zinto.
- Uma unesifo sokopha .
- Uma uke waba nokusabela kokungezwani komzimba kulo muthi obizwa ngokuthi iCollagenase noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma ulindele umntwana .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela wakho uzokwazi ukunquma ukuthi lolu hlobo lokwelashwa lukulungele yini noma cha.
Lo muthi wokugoma unikezwa kanjani?
Lona akuwona umuthi ongawuthatha uye ekhaya uwusebenzise. Lona umjovo onikezwa esibhedlela noma emtholampilo, ngudokotela oqeqeshiwe, ngqo endaweni ethintekile. Ngakho akudingeki ukhathazeke ngakho.
Ungathola incwajana ekhethekile (i-MedGuide) enolwazi olwengeziwe ngalo muthi. Uma uwuthola, uwufunde ngokucophelela futhi uwuqonde. Futhi, uma lokhu kwelashwa kunikezwa izingane, kungase kudingeke ukunakekelwa okukhethekile. Khuluma nodokotela wakho ngalokhu futhi.
Yini okufanele uyenze uma uphuza ngokweqile?
Lona umuthi onikezwa udokotela, ngakho-ke amathuba okuba lokhu kwenzeke mancane. Kodwa-ke, uma ucabanga ukuthi kukhona okwenzekile, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Izinto okufanele uziqaphele kakhulu lapho welashwa
Ngemva kokubuyela ekhaya ngemva kokuthola umuthi wokugomela, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Le miyalelo izohluka kuye ngesimo oselashwa ngaso.
Uma welashwa nge-Dupuytren's contracture esandleni sakho...
- I-aphoyintimenti kadokotela: Uzocelwa ukuthi ubuye uzobona udokotela wakho ezinsukwini ezi-1 kuya kwezi-3 ngemuva komjovo. Ungaphuthelwa yi-aphoyintimenti. Ngaleso sikhathi, udokotela uzokwelula ingalo yakho ngobumnene futhi asize ekuqhekekeni kwezicubu eziqinile.
- Ungasebenzisi isandla sakho: Uze ubone udokotela, ungagobi noma uqondise iminwe yesandla lapho kujovwe khona. Futhi, ungawuthinti umunwe lapho kujovwe khona.
- Gcina ingalo yakho iphakeme: Gcina ingalo yakho iphakeme ngangokunokwenzeka, ikakhulukazi ngaphambi kokulala. Kungcono uma ungayigcina iphakeme, njengasesicamelweni.
- Ukuzivocavoca kanye ne-Splints: Udokotela wakho angakunikeza ukuzivocavoca okukhethekile kweminwe noma i-splint ozoyigqoka ebusuku. Landela leyo miyalelo kahle.
- Qaphela: Uma ukubomvu nokuvuvukala esandleni sakho kukhuphuka, uma uzwa ukungabi namizwa noma ukulahlekelwa umuzwa emunweni olashwe, noma uma unenkinga yokugoba umunwe wakho ngemva kokwehla kokuvuvukala, shayela udokotela wakho ngokushesha.
Uma welashwa isifo sikaPeyronie (ukugoba kwepenisi)...
Nakuba lesi kuyisihloko esibucayi kancane, ukulandela le miyalelo kubalulekile ukuze ukwelashwa kuphumelele.
- Gwema ukuya ocansini: Gwema ukuya ocansini ngokuphelele phakathi komthamo wokuqala nowesibili womuthi wokugoma. Ungalali ucansi amasonto ama-4 ngemva komthamo wesibili futhi kuze kube yilapho ubuhlungu nokuvuvukala kwepenisi sekuphelile ngokuphelele .
- Gwema ukusebenzisa amadivayisi: Ungasebenzisi amadivayisi okufaka i-vacuum creation asiza ekuvuseleleni ipenisi phakathi nalesi sikhathi sokwelashwa.
- Gwema ukukhama imisipha yesisu sakho: Gwema ukukhama imisipha yesisu sakho ngezikhathi ezifana nokuchitha indle.
- Iseluleko sikadokotela: Udokotela wakho uzokunikeza imiyalelo yokuthi ungayenza kanjani imisebenzi yokumodela ekhaya. Yilandele kahle.
Ngesikhathi welashwa isifo sikaPeyronie, uma uzwa ubuhlungu obukhulu noma ukuvuvukala epenisini, ukudumba okukhulu, ubunzima bokuchama, igazi emchameni, umsindo 'wokugoba' noma 'wokugxuma' ovela epenisini, noma ukulahlekelwa amandla okumisa ipenisi ngokuzumayo, shayela udokotela wakho noma uye ku-ETU ngokushesha.
Yimiphi imiphumela emibi engaba khona ngalo muthi wokugomela?
Njenganoma yimuphi umuthi, lo muthi wokugoma ungabangela imiphumela emibi. Eminye yayo iyingozi, eminye ivamile. Ake sibone ukuthi iyini.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukuzwa umsindo othi 'Snap' noma 'Pop' | Uzwa noma uzwa umsindo wokuqhuma endaweni yokujova. Ungase futhi uzwe ubuhlungu obukhulu, ukungazweli, ukuvuvukala, ukushayeka, noma ubunzima bokuhambisa indawo. (Lokhu kungaba uphawu lokuphuka kwezicubu.) |
| Ubuhlungu obukhulu | Ubuhlungu obukhulu emhlane, ubuhlungu besifuba, ikhanda elibuhlungu, kanye nobunzima bokuphefumula ngemva komjovo. |
| Ukutheleleka kwesikhumba | Ubomvu, ukuvuvukala, ukufudumala, noma ubuhlungu endaweni yokujova. |
| IsiyeziNoma uzizwa ubuthakathaka | Umbono ofiphele noma umuzwa wamehlo aluhlaza okwesibhakabhaka. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukungakhululeki endaweni yomjovo | Ubuhlungu, ukubomvu, noma ukuvuvukala okuncane endaweni yomjovo. (Lokhu kulindeleke) |
Eminye imithi engase ihlangane nalo muthi wokugomela
Eminye imithi oyithathayo ingathinta ukusebenza kahle kwalo muthi wokugomela. Kubaluleke kakhulu ukutshela udokotela wakho uma uthatha noma yimuphi wale mithi.
- I-aspirini neminye imithi equkethe i-aspirini.
- Imithi evimbela ukujiya kwegazi noma ukunciphisa igazi (isib. i-warfarin, i-enoxaparin, i-dalteparin, i-apixaban, i-dabigatran, i-rivaroxaban).
Lolu hlu aluphelele. Ngakho-ke, kubalulekile ukutshela udokotela wakho nganoma yimiphi imithi, amavithamini, amakhambi, noma izithasiselo ozithathayo. Kubalulekile futhi ukutshela udokotela wakho uma ubhema noma uphuza utshwala.
Umlayezo Wokuya Nawe Ekhaya
- I-Collagenase iyindlela yokwelapha ngomjovo ekhethekile yezimo ezibangelwa ukuqina kwezicubu, njenge-Dupuytren's Contracture (ukuqina kweminwe) kanye ne-Peyronie's Disease (ukugoba kwepenisi).
- Lo mjovo unikezwa njalo udokotela esibhedlela noma emtholampilo. Akuvunyelwe ukuwuthatha uwuyise ekhaya.
- Ngaphambi kokwelashwa, tshela udokotela wakho ngokucacile ngazo zonke izimo zakho zezokwelapha, ukungezwani komzimba, kanye nayo yonke eminye imithi oyithathayo.
- Ngemva kokuthola umuthi wokugomela, landela ngokuqinile imiyalelo kadokotela (ukuzivocavoca umzimba, ukuphumula, ukungawusebenzisi) mayelana nesimo sakho (isandla noma isitho sangasese sowesilisa).
- Uma uzwa umsindo othi 'tuck' noma 'pop' usuka endaweni yokwelashwa, uzwa ubuhlungu obukhulu, ukuvuvukala, noma izimpawu zokungezwani komzimba, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze.
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