Wake waphawula ukuthi kukhona iqhubu elincane ngaphansi kwesikhumba sesandla sakho? Noma uzizwa sengathi omunye weminwe yakho, ikakhulukazi umunwe wakho wendandatho noma umunwe omncane, ugoba kancane kancane ubheke entendeni yesandla? Wake wazama ukubeka isandla sakho etafuleni kodwa wangakwazi ukusibeka phansi ngokuphelele, kodwa umunwe owodwa wawuphakama? Uma lokhu kuye kwenzeka kuwe, kubaluleke kakhulu ukuthi uqaphele isimo esikhuluma ngaso namuhla, okungukuthi i-Dupuytren Contracture. Ungakhathazeki, akuyona umdlavuza. Ake sibheke ukuthi siyini, kungani senzeka, nokuthi yini engenziwa ngakho.
Kalula nje, iyini i-Dupuytren Contracture?
Cabanga nje, ngaphansi kwesikhumba sesandla sethu, kukhona inethiwekhi yama-membrane, njengebhande lerabha, elinika amandla ezandleni zethu naseminweni yethu. Kwezokwelapha, lokhu sikubiza ngokuthi
i-fascia . Esimweni esibizwa ngokuthi i-Dupuytren's contracture, izicubu ezikulesi sikhumba ziyaqina kancane kancane, ziqine, futhi ziqale ukufinyela. Kuqala ngamafindo amancane (odokotela abawabiza ngokuthi lawa
maqhuqhuva ) akha ngaphansi kwesikhumba sesandla. Ngokuhamba kwesikhathi, la mafindo ayahlangana futhi abe amabhande ajiyile, afana nentambo. Njengoba la mabhande afana nentambo efinyela kakhulu, iminwe exhunywe kuwo iqala ukudonsa ngaphakathi. Ekugcineni, umunwe ugoba ngaphakathi kangangokuthi akunakwenzeka ukuwuqondisa. Lokhu kugoba kweminwe yilokho esikubiza ngokuthi
i-contracture .
Into ebalulekile ukuthi lezi zinhlayiya azihlali zinomdlavuza (zingemnandi) . Lokhu kusho ukuthi azilona uphawu lomdlavuza noma into ebangela umdlavuza. Ngakho ungakhathazeki ngakho.
Ubani othinteka kakhulu yilesi simo?
Noma ubani angaba ne-Dupuytren's contracture, kodwa abanye abantu banamathuba amaningi okuba nayo.
- Kwabesilisa: Lesi simo sivame kakhulu kwabesilisa kunabesifazane.
- Kulabo abadabuka eYurophu: Lokhu kuvame kakhulu kubantu abadabuka eYurophu uma kuqhathaniswa nezinye izizwe.
- Umlando womndeni : Uma othile emndenini wakho eke waba nalesi simo ngaphambili, ungase ube nesifo sofuzo esingabangela ukuba naso.
Ubudlelwano nezinye izimo zezokwelapha
Abantu abanezimo ezithile zezokwelapha bangase babe sengozini enkulu yokuba ne-Dupuytren's contracture.
Lokhu kuthinta kanjani umzimba wami?
Esikhathini esiningi, lesi simo sikhula kancane kakhulu. Kungathatha izinyanga noma iminyaka ukuthi izimpawu zibe zimbi kakhulu. Ungase ungaboni zinkinga ekuqaleni. Abanye abantu bakha iqhubu elincane esandleni sabo elingakhuli ngale kwalelo qophelo. Kodwa-ke, ezigabeni zakamuva zesifo, abantu bangase bangakwazi ukuqondisa iminwe yabo, okwenza kube nzima ukwenza imisebenzi yansuku zonke. Isibonelo, ngisho nemisebenzi elula njengokuxhawula izandla, ukufaka isandla ephaketheni, ukugqoka amasokisi, noma ukugeza ubuso babo kungaba yinselele. Nakuba kungathinta noma yimuphi umunwe, uhlelo oluvame kakhulu yilolu: 1. Umunwe wendandatho 2. Umunwe wepinkie 3. Umunwe ophakathi 4. Umunwe wokukhomba 5. Ubhontsi
Ziyini izimpawu? Sikubona kanjani lokhu?
Ukuqunjelwa kukaDupuytren kuvame ukukhula ngezigaba eziningana. Akuwona wonke umuntu obhekana nazo zonke lezi zigaba. Abanye abantu bangase bayeke esigabeni sokuqala.
| Isigaba sesibonakaliso | Incazelo elula yalokho okwenzekayo |
|---|
| 1. Amaqhubu | Lesi yisibonakaliso sokuqala. Kuvela iqhubu elincane, eliqinile noma amaqhubu ngaphansi kwesikhumba sesandla, ngokuvamile phansi kweminwe. Lokhu kungazwakala futhi ngezinye izikhathi kubonakale uma kuthintwa. Kwabanye abantu, la maqhubu angase aphele ngokwawo ngemva kwesikhashana. |
| 2. Izintambo | Ngokuhamba kwesikhathi, amafindo okuqala ayaqina abe yibhande elifana nentambo elihamba ngaphansi kwesikhumba. Njengoba la mabhande edonsa iminwe, kungazwakala sengathi othile udonsa umunwe njalo ngakuwe. |
| 3. Ukufinyela kweminwe | Lesi yisigaba esinzima kakhulu. Amabhande afana nentambo ayaqina kakhulu, anciphe, futhi umunwe ugoba cishe ngokuphelele ohlangothini. Kuleli qophelo, ungase ungakwazi ukuqondisa umunwe wakho kungakhathaliseki ukuthi uzama kangakanani. |
Ezinye izimpawu ezengeziwe
Ngaphezu kwalezi zimpawu eziyinhloko, abanye abantu (hhayi bonke) bangase babe nalokhu okulandelayo:
- Ukuvuvukala noma ukuvuvukala esandleni
- Ububele uma buthintwa
- Ubuhlungu obuvuthayo
- Ukulunywa
Lezi zimpawu azivamile. Uma une-Dupuytren's contracture futhi uhlangabezana nalezi zimpawu, kubalulekile ukutshela udokotela wakho.
Isivivinyo esilula ongasenza wena: "Isivivinyo sethebhulethi"
Kukhona indlela elula yokwazi ukuthi izimpawu zakho ziya ziba zimbi kakhulu. Beka intende yakho etafuleni eliyisicaba, intende yakho ibheke phansi. Manje hlola ukuze ubone ukuthi intende yakho nayo yonke iminwe yakho ithinta ngokuphelele ubuso betafula. Uma noma yimiphi iminwe yakho iphakanyisiwe futhi ingakwazi ukufakwa ebusweni betafula, kusho ukuthi isimo sakho kungenzeka ukuthi sesifinyelele esigabeni sokuqunjelwa. Uma kunjalo, yisikhathi esihle sokubona udokotela futhi uxoxe ngokwelashwa.
Iyini imbangela yalokhu?
Ochwepheshe abakayitholi imbangela ethile yalokhu okwamanje. Kodwa sekufakazelwe ukuthi lokhu
kuyisifo sofuzo . Lokho kusho ukuthi singadluliselwa kusuka esizukulwaneni kuya kwesinye. Ngakho-ke akulona iphutha lakho. Uma othile emndenini wakho enaso, nawe unamathuba amaningi okusithola.
Udokotela uhlonza kanjani lokhu?
Udokotela ngokuvamile angasithola lesi simo ngokuhlola isandla sakho.
- Ubheka isandla sakho, asithinte, bese esihlola.
- Zizwa amaqhubu nezintambo ngaphansi kwesikhumba.
- Balinganisa ukuthi iminwe yakho ingagoba futhi iqondiswe kangakanani.
Lokhu ngokuvamile akudingi ukuhlolwa okukhethekile noma ama-X-ray. Kodwa-ke, uma kukhona ukungabaza ngembangela yobuhlungu bengalo yakho, i-X-ray noma ukuhlolwa kwegazi kungacelwa ukuze kukhishwe ezinye izimo.
Yiziphi izindlela zokwelapha?
Kunezindlela zokwelapha eziningana ezitholakalayo, kuye ngokuthi izimpawu zakho zibucayi kangakanani. Ngenxa yokuthi ziqhubeka kancane kakhulu, kungathatha iminyaka ukuthuthuka kusuka kokwelashwa okukodwa kuya kolandelayo. Ungase ukwazi ukuba ngcono ngokwelashwa okulula ezigabeni zokuqala futhi ungadingi ukwelashwa okwengeziwe.
1. Ukwelashwa okulula nokuyisisekelo (Ukwelashwa okulondolozayo)
Lezi yizinto zokuqala ongazizama.
- Ukwelashwa ngokomzimba : Ukuzivocavoca okukhethekile kokwelula iminwe.
- Ukubopha noma ukubopha:Ithuluzi eligqokwa ukugcina iminwe yeluliwe.
- Ukwelashwa nge-ultrasound noma ngokushisa: Amaza omsindo noma ukushisa okungenabuhlungu asetshenziselwa ukwandisa ukuguquguquka kwezicubu ezijiyile (i-fascia).
- Imijovo ye-Corticosteroid: Umjovo onikezwa ukunciphisa amaqhubu namabhande.
2. Ukwelashwa Ngemisebe
Kwezinye izimo, uchwepheshe wemisebe angathunyelwa ukuzomisa noma ukulibazisa ukuqhubeka kwezimpawu. Lokhu kuhilela ukusebenzisa imithamo ephansi kakhulu yemisebe, njenge-X-ray, ukuze athambise amaqhubu.
Khumbula, ukwelashwa ngemisebe kuyasetshenziswa nakwesifo somdlavuza. Kodwa ukugoba kukaDupuytren akuwona umdlavuza. Ukuba nalokhu kwelashwa akusho ukuthi unomdlavuza noma ukuthi uzowuthola.
3. Ukususwa kwe-needle neurotomy
Uma ukwelashwa okulula kungasebenzi, lena yinto elandelayo okufanele uyicabangele. Lena yinto engenziwa ehhovisi likadokotela. Lapha, isandla siyavaleka, bese kusetshenziswa inaliti ekhethekile ukubhoboza izintambo eziqinile, zikhululeke. Ngemuva kwalokho umunwe ungaqondiswa futhi.
4. Imijovo ye-Collagenase
I-Collagenase iyi-enzyme esiza ekuhlukaniseni izicubu ezijiyile. Udokotela ufaka umjovo oqukethe le enzyme ngqo emafindweni noma emabhandeni. Bese kuthi ngolunye usuku, isandla siphelelwe amandla futhi umunwe uqondiswe.
5. Ukuhlinzwa (ukuhlinzwa kwe-Dupuytren contracture)
Uma ukugoba kweminwe yakho kukhulu ngokwanele ukuphazamisa imisebenzi yakho yansuku zonke, ukuhlinzwa kungaba yindlela yokugcina. Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela. Le nqubo ibizwa ngokuthi
i-fasciectomy. Kule nqubo, udokotela ohlinzayo uqinisa isandla sakho futhi asuse ingxenye noma yonke izicubu ze-fascia eziqinile nezihlanganisiwe. Ngemva kokuhlinzwa, i-physiotherapy ivame ukudingeka ukuze kusizwe ekutholeni amandla nokunyakaza esandleni sakho.
Imibuzo evame ukubuzwa nezinto okufanele uzazi
Ingabe ikhona ikhambi elihlala njalo lalokhu?
Cha, ayikho ikhambi lokuqeda ukugoba kwe-Dupuytren. Kodwa-ke,
kuyisimo esilawuleka kalula . Ngokwelashwa, ungasusa izimpawu futhi uphile impilo evamile. Kodwa-ke, ngoba kuyizakhi zofuzo, kunethuba elincane lokuthi kuzophinde kubuye ngemva kokwelashwa, mhlawumbe eminyakeni eminingi kamuva. Uma lokho kwenzeka, ungaphinda ukwelashwa okufanayo njengangaphambili.
Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?
- Ukwelashwa okulula: Izinto ezifana nokuzivocavoca kanye ne-splint zingathatha izinyanga eziningana ukubona imiphumela.
- I-aponeurotomy yenaliti: Umunwe ungaqondiswa cishe ngokushesha ngemva kokwelashwa.
- Ukuhlinzwa:Ngisho noma ukuhlinzwa kuqeda izimpawu, kungathatha izinyanga ezimbili ukuzizwa ululame ngokuphelele. Udinga ukulinda kuze kube yilapho isandla sakho siphola. Ngemva kwalokho, kuzodingeka wenze ukwelashwa ngokomzimba izinyanga ezimbalwa.
Kufanele ngimbone nini udokotela wami?
Uma ubona iqhubu entendeni yesandla sakho, noma uma uzizwa sengathi umunwe wakho uyagoba, kungumqondo omuhle ukubona udokotela. Ikakhulukazi uma ungakwazi ukubeka intende yakho etafuleni iqonde ngokuphelele ngemva kokwenza
"ukuhlolwa kwethebhulethi" esikhulume ngakho ngaphambilini, sekuyisikhathi sokuqala ukwelashwa.
Zikhona yini izikhathi lapho kufanele ngiye e-ETU?
Yiya
eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha uma okulandelayo kwenzeka, njengangemva kokuhlinzwa.
- Ubuhlungu obukhulu kakhulu
- Ukuvuvukala okukhulu kwesandla
- Ukushintsha kombala wesandla
- Ukungakwazi ukuxhawulana ngezandla ngendlela evamile
- Uma kukhona ukopha okuvela endaweni yokuhlinzwa
Ingabe i-Dupuytren Contracture kanye ne-Trigger Finger ziyinto efanayo?
Cha. Nakuba kokubili lokhu kungabangela ukugoba komunwe, kuyizimo ezimbili ezihluke ngokuphelele.
- Ukuqina kukaDupuytren: Kwenzeka ngenxa yokuqina kwe-fascia ngaphansi kwesikhumba sesundu.
- Umunwe Wokubangela: Lokhu kubangelwa ukuvuvukala kwe-'pulley' (i-pulley ye-A1) esiza ukuhambisa imisipha emunweni. Lokhu kubangela ukuthi umunwe uzizwe sengathi unamathele lapho uwugoba noma uwunweba.
Kungakhathaliseki ukuthi unenkinga engakanani esandleni sakho, kungcono ukubona udokotela ukuze akunike iseluleko ngokushesha nje lapho ubona noma yiziphi izimpawu ezintsha, ikakhulukazi uma kukhona ubuhlungu noma ubunzima bokunyakaza.
Umlayezo Wokuya Nawe Ekhaya
- I-Dupuytren's Contracture yisimo lapho izicubu ezingaphansi kwesikhumba sesandla ziqina khona futhi iminwe igobe ngaphakathi.
- Lokhu akusiwo umdlavuza . Amaqhubu akheka ngenxa yalokhu ahlala engenawo umdlavuza (angabi yingozi).
- Isizathu esiyinhloko salokhu ukuthambekela kwezakhi zofuzo. Ngakho-ke lokhu akulona iphutha lakho.
- Izimpawu zikhula kancane kakhulu. Ukufuna iseluleko sezokwelapha kusenesikhathi kungasiza ekulawuleni ubucayi besifo.
- Kunezindlela eziningi zokwelapha eziphumelela kakhulu kulokhu, njengokuzivocavoca umzimba, imijovo, i-acupuncture, kanye nokuhlinzwa.
- Uma ungakwazi ukubeka intende yakho endaweni eyisicaba ngemva kokwenza "ukuhlolwa kwetafula," bona udokotela wakho ngokushesha.
ukugoba kweminwe, amafindo entendeni yesandla, ukungakwazi ukwelula iminwe, isifo sika-dupuytren, izifo zesandla, ubuhlungu besandla
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