Ukuqina Kwe-Dupuytren: Ukuqonda Isimo Esigoba Iminwe Yakho

Wake waphawula iqhubu elincane ngaphansi kwesikhumba sesandla sakho, noma mhlawumbe wezwa omunye weminwe yakho - ikakhulukazi indandatho noma umunwe opinki - ugoba kancane kancane uye entendeni yesandla sakho? Ingabe ukuthola kunzima ukubeka isandla sakho etafuleni ngoba umunwe owodwa unamathela phezulu?

Uma lezi zenzakalo zizwakala zijwayelekile, ukuqonda i-Dupuytren Contracture (দুপীযুত্রন ক্ন্টর্ক্চের) kubalulekile. Ungakhathazeki; lokhu akuyona umdlavuza. Ake sihlole ukuthi kuyini, kungani kwenzeka, nokuthi yini engenziwa ngakho.

Iyini ngempela i-Dupuytren Contracture?

Kalula nje, i-Dupuytren contracture ihilela ukuqina nokuqina kwengqimba yezicubu ngaphansi kwesikhumba entendeni yesandla sakho. Lesi zicubu, esaziwa ngokwezokwelapha ngokuthi i -fascia , ngokuvamile sinikeza ukusekelwa esandleni sakho neminwe. Kulesi simo, i-fascia ikhula ibe yizintambo noma amaqhubu aminyene adonsela umunwe owodwa noma ngaphezulu ngaphakathi, ngasentendeni yesandla.

Ngokuvamile kuqala ngamaqhubu amancane, angenabuhlungu (abizwa ngokuthi amaqhubu ) ngaphansi kwesikhumba sesundu. Ngokuhamba kwesikhathi, la maqhubu angakhula futhi axhumane, akhe amabhande noma izintambo ezijiyile. Njengoba la maqhubu efinyeza futhi eqina, adonsela iminwe ethintekile endaweni yokugoba - lokhu kugoba kwaziwa ngokuthi ukugoba .

Okubalulekile, amaqhubu akheka cishe njalo awabi yingozi (awanawo umdlavuza). Awahlobene nomdlavuza noma abangelwa umdlavuza. Ngakho-ke, asikho isidingo sokwesaba umdlavuza kulesi simo.

Ubani Ongase Athole I-Dupuytren Contracture?

Nakuba noma ubani engaba nokuqina kwe-Dupuytren, izici ezithile zandisa ingozi:

• Ubulili: Amadoda anamathuba amaningi okuthola lesi simo kunabesifazane.
• Uhlu Lozalo: Abantu abadabuka eNyakatho Yurophu bavame kakhulu.
• Umlando Womndeni: Umlando womndeni we-Dupuytren contracture usikisela ukuthi umuntu unesifo sofuzo.
• Ezinye Izimo Zezokwelapha: Izimo ezithile zihlotshaniswa nengozi eyengeziwe, okuhlanganisa:
• Isifo sikashukela
• Izinkinga zesifo sokuwa kanye nokuquleka
• Inkinga yokusebenzisa utshwala
• I-HIV kanye ne-AIDS
• Isifo semithambo yegazi (izimo ezithinta imithambo yegazi)

Lesi Simo Sithinta Kanjani Umzimba Wami?

Ukuqina kwe-Dupuytren kuvame ukuhamba kancane kakhulu, ngezinye izikhathi eminyakeni eminingi. Ezigabeni zokuqala, ungase ungabi nomuzwa wokungakhululeki noma ungaboni izinguquko ezibalulekile. Abanye abantu bakha amaqhubu ahlala eqinile futhi angabangeli izinkinga.

Kodwa-ke, njengoba isimo siqhubeka, izintambo zokuqinisa zingenza imisebenzi yansuku zonke ibe nzima. Izenzo ezilula njengokuxhawula izandla, ukufaka isandla sakho ephaketheni, ukugqoka amagilavu, noma ngisho nokugeza ubuso bakho kungaba yinselele ngenxa yokungakwazi ukuqondisa ngokuphelele iminwe ethintekile.

Nakuba noma yimuphi umunwe ungathinteka, iminwe evame kakhulu ukuthinteka yile:

1. Umunwe wendandatho
2. Umunwe opinki
3. Umunwe ophakathi
4. Umunwe wokukhomba
5. Isithupha

Ziyini Izimpawu Futhi Zitholakala Kanjani?

Ukuqina kwe-Dupuytren kuvame ukukhula ngezigaba, yize kungebona bonke abantu ababhekana nazo zonke izigaba:

Izigaba Zokuqunjelwa Kwe-Dupuytren

Ngaphandle kwalezi zimpawu eziyinhloko, abanye abantu (nakuba kungebona bonke) bangase babe nalokhu:

• Ukuvuvukala noma ubuthakathaka entendeni yesandla
• I-dimple noma umgodi esikhumbeni lapho kwakukhona khona iqhubu
• Ubuhlungu noma ukulunywa (okungavamile)

Uma usola ukuthi i-Dupuytren contracture, ukuzihlola okulula okubizwa ngokuthi "i-Tabletop Test" kungasiza ekuhloleni ubukhali. Beka isandla sakho phansi etafuleni. Uma kukhona umunwe ongathinti indawo ngoba ugobile ngaphakathi, kusho ukuthi kungenzeka ukuthi kukhona ukugoba. Lesi yisibonakaliso esihle sokubona udokotela.

Yini Ebangela Ukuqunjelwa Kwe-Dupuytren?

Imbangela eqondile yokuqina kwe-Dupuytren ayaziwa. Kodwa-ke, ibhekwa njengenesakhi esiqinile sezakhi zofuzo . Lokhu kusho ukuthi ivame ukwenzeka emindenini futhi ingazuzwa njengefa. Akuyona into ebangelwa ukulimala noma ukukhetha indlela yokuphila.

Udokotela Uyixilonga Kanjani Le Nkinga?

Ukuxilongwa kuvame ukuba lula ngokusekelwe ekuhlolweni ngokomzimba:

• Udokotela uzohlola isandla sakho nesandla sakho ngamehlo.
• Zizozwa amaqhubu kanye nezintambo ngaphansi kwesikhumba.
• Bazohlola ububanzi bokunyakaza kweminwe yakho, behlola ukuthi ingaqondiswa kangakanani.

Ngokuvamile, azikho izivivinyo ezikhethekile ezifana ne-X-ray ezidingekayo. Kodwa-ke, uma ubuhlungu buwuphawu olubalulekile noma kusolwa ezinye izimo, kungase kudingeke ukuhlolwa kwezithombe noma kwegazi ukuze kutholakale ezinye izimbangela.

Yiziphi Izindlela Zokwelapha?

Ukwelashwa kuncike ebunzimeni bezimpawu zakho nokuthi ziphazamisa kangakanani impilo yakho yansuku zonke. Njengoba lesi simo siqhubeka kancane, izinqumo zokwelashwa zingase zishintshe ngokuhamba kwesikhathi.

1. Ukwelashwa Okulondolozayo

Lezi zivame ukuba yindlela yokuqala yokusondela:

• Ukwelashwa Komzimba: Ukuzivocavoca okukhethekile ukuze welule iminwe futhi ugcine ukuguquguquka.
• Ukuziqinisa noma Ukuziqinisa: Ukugqoka amadivayisi ebusuku ukuze ugcine umunwe/iminwe ethintekile yeluliwe.
• Ukwelashwa Nge-Ultrasonic: Ukusebenzisa amaza omsindo ukuze kuthambe izicubu ezijiyile.
• Imijovo ye-Corticosteroid: Ukujova umuthi ngqo kumaqhubu noma ezintanjeni ukuze kuncishiswe ukuvuvukala nokuqina (ukusebenza kuyahlukahluka).

2. Ukwelashwa Ngemisebe

Kwezinye izimo, ukwelashwa ngemisebe ngemithamo ephansi kungasetshenziswa ukunciphisa ijubane lokuqhubeka kwesifo, ikakhulukazi ezigabeni zokuqala zokwakheka kwamaqhubu asebenzayo.

3. Ukususwa Kwe-Needle (NA)

Lena inqubo engadingi ukungenelela okuningi eyenziwa ehhovisi likadokotela. Esebenzisa inalithi, udokotela anganqamula intambo ejiyile, avumele umunwe ukuthi uqonde. Inikeza impumuzo esheshayo kodwa ingadinga ukuphinda uma intambo ishintsha.

4. Umjovo we-Collagenase (Xiaflex®)

Lokhu kuhilela ukufaka i-enzyme (collagenase clostridium histolyticum) ngqo entanjeni. I-enzyme isiza ekuqhekekeni kwe-collagenase ezicutshini ezijiyile, yenze intanjeni ibe buthaka. Cishe emahoreni angama-24-72 kamuva, udokotela ulawula umunwe ukuze awuqondise, aphule intanjeni ebuthaka.

5. Ukuhlinzwa (i-Fasciectomy)

Ukuhlinzwa kuvame ukugcinelwa izimo ezinzima kakhulu lapho ezinye izindlela zokwelapha zingasebenzi noma zingafaneleki. Le nqubo ihilela ukususa izicubu ze-fascia ezithintekile entendeni yesandla naseminweni. Ngokuvamile kwenziwa njengokuhlinzwa kwangaphandle, kulandelwe ukwelashwa ngokomzimba ukuze kutholakale amandla nokunyakaza.

Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)

• U: Ingabe umdlavuza we-Dupuytren contracture?
  A: Cha, ukuqina kwe-Dupuytren akuyona umdlavuza. Amaqhubu kanye nezintambo kuyizinto ezikhula kahle (ezingenawo umdlavuza) zezicubu ngaphansi kwesikhumba entendeni yesandla.
• U: Ngingenza noma yini ekhaya ukuze ngiyiphathe?
  A: Nakuba kungekho ikhambi, ukuvivinya umzimba kancane njengoba kunconywa ngudokotela wezokwelapha kungasiza ekulondolozeni ukuguquguquka. Kodwa-ke, ukuzelapha akuthathi indawo yeseluleko nokunakekelwa kochwepheshe bezokwelapha.
• U: Ingabe ukugoba kuzobuya ngemva kokwelashwa?
  A: I-Dupuytren Contracture inomkhuba wokuphinda ivele ngoba ivame ukuhlotshaniswa nezakhi zofuzo. Ngisho nangemva kokwelashwa okuphumelelayo, kunethuba lokuthi lesi simo singaphinde sivele eminwe efanayo noma eminye ngokuhamba kwesikhathi.
• U: Ngizobona imiphumela ngokushesha kangakanani ngokwelashwa?
  A: Lokhu kuyahlukahluka kakhulu kuye ngendlela yokwelashwa. Ukuhlinzwa kwe-aponeurotomy kanye nemijovo ye-collagenase kunganikeza ukuqondiswa okusheshayo, kuyilapho ukululama kokuhlinzwa kuthatha isikhathi eside. Ukwelashwa okulondolozayo kungathatha amasonto noma izinyanga ukubonisa intuthuko ebonakalayo.
• U: Ingabe lesi simo siwufuzo?
  A: Yebo, kukhona ukuxhumana okuqinile kwezakhi zofuzo. Uma amalungu omndeni eke aba ne-Dupuytren Contracture, ingozi yakho yokuba nayo iphezulu.

Izinto Ezibalulekile Okufanele Uzicabangele

• Ukugoba kwe-Dupuytren kuhilela ukuqina kwezicubu ngaphansi kwesandla, okuholela ekugobeni kweminwe.
• Kuyisifo esingenawo umdlavuza esinofuzo.
• Izimpawu zivame ukukhula kancane kancane ngokuhamba kweminyaka.
• Kunezindlela zokwelapha ezahlukahlukene ezisebenzayo ezitholakalayo, kusukela ezindleleni zokulondoloza kuya ekuhlinzweni.
• Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekuphatheni lesi simo ngempumelelo.

Isixwayiso: Lesi sihloko sinikeza ulwazi olujwayelekile ngalesi simo futhi akufanele sithathe indawo yeseluleko esivela kudokotela wakho. Njalo xhumana nochwepheshe wezempilo.