Ingabe iminwe yakho igoqeka ngaphakathi? Ingabe yi-Dupuytren's contracture?

Ingabe ngezinye izikhathi uzizwa sengathi umunwe owodwa noma emibili esandleni sakho igobile ngaphakathi futhi kunzima ukuyiqondisa? Noma uzizwa sengathi unamaqhubu amancane esandleni sakho, lapho iminwe iqala khona? Ungakhathazeki, lokhu akuyona into eyingozi njengomdlavuza abantu abaningi abayitholayo. Kodwa kubaluleke kakhulu ukuqaphela lokhu. Namuhla sizokhuluma ngesimo esibizwa ngokuthi i-Dupuytren Contracture, esingadala izimpawu ezinjengalezi.

Ngakho-ke kuyini ukuqina kwesisu kukaDupuytren?

Kalula nje, i-Dupuytren's contracture yisimo lapho ungqimba lwezicubu ngaphansi kwesikhumba sezandla zethu luba lukhuni futhi luqine. Sibiza lolu ngqimba lwezicubu ngokuthi i-fascia . Kufana nebhande lerabha elisisiza ukuhambisa iminwe yethu. Ngakho-ke, amaqhubu amancane aqala ukwakheka kule fascia. Ngokuhamba kwesikhathi, la maqhubu aba makhulu futhi akhe izintambo ezisuka ngaphakathi kwesandla. Yilapho iminwe iqala ukugoba ngaphakathi, ngezinye izikhathi kuze kube yilapho ingenakuqondiswa khona.

Into ebaluleke kakhulu ukuthi la maqhubu awawona umdlavuza (angabi yingozi) . Lokho kusho ukuthi awabangelwa umdlavuza noma awabangeli umdlavuza. Ngakho ungakhathazeki ngakho.

Ezimweni eziningi, lokhu kungadinga ukuhlinzwa, kodwa kwezinye izimo, kungalawulwa ngokwelashwa okulula.

Ubani okungenzeka kakhulu ukuthi athole lesi simo?

Ukuqunjelwa kukaDupuytren kungakhula kunoma ubani. Kodwa-ke, abanye abantu banamathuba amaningi okuba nakho. Lokhu yilokhu:

• Abesilisa: Lesi simo sivame kakhulu kwabesilisa kunabesifazane.
• Abantu abadabuka eYurophu: Kutholakale ukuthi kuvame kakhulu kubantu abavela emazweni aseNyakatho Yurophu.
• Abantu abanomlando womndeni walesi simo: Njengoba lesi kuyisimo sofuzo , uma othile emndenini wakho enaso, kungenzeka ukuthi nawe uzosithola.

Ingabe nezinye izifo nazo ziyakuthinta lokhu?

Yebo, abantu abanezimo ezithile zezokwelapha banamathuba amaningi okuthola i-Dupuytren's contracture. Isibonelo:

• Isifo Sikashukela (i-Diabetes Mellitus)
• Isifo sokuwa kanye nezinye izifo zokuwa
• Inkinga yokusebenzisa utshwala
• I-HIV kanye ne-AIDS
• Isifo semithambo yegazi

Lokhu akusho ukuthi wonke umuntu onalezi zifo uzozithola, kodwa kunengozi enkulu kancane kunezinye.

Sivame kangakanani lesi simo?

Ukuqunjelwa kukaDupuytren empeleni akuyona into evamile kakhulu . Kuthinta cishe u-5% wabantu. Njengoba kushiwo ngaphambili, kuvame kakhulu kubantu bozalo lwaseYurophu.

Ukuqunjelwa kukaDupuytren kuwuthinta kanjani umzimba?

Ungase ungaqapheli nokuthi lesi simo sithinta kanjani umzimba wakho. Uma izimpawu zincane kakhulu, ungase ungaqapheli nokuthi unazo. Ngisho noma unezimpawu, zingathatha izinyanga, ngisho neminyaka, ukuba ziqhubeke. Ezimweni ezimbi kakhulu, iminwe ethintekile ingase ingakwazi ukuqondiswa.

Ukugoba kukaDupuytren kungathinta noma yimiphi iminwe yakho, ngisho nozwane lwakho olukhulu. Kodwa-ke, iminwe evame ukuthinteka yile:

• Umunwe wendandatho / umunwe wesine
• Umunwe wesihlanu / uPinkie
• Umunwe ophakathi / umunwe wesithathu
• Umunwe wokukhomba / umunwe wesibili
• Umunwe wokuqala/uthupha

Ingabe lokhu kuthinta ezinye izingxenye zomzimba?

Cha. Ukugoqeka kwe-Dupuytren kuthinta izandla kuphela . Akuveli kwenye indawo emzimbeni. Nakuba ezinye izinkinga zezicubu ezixhumene nazo zingavela kwezinye izingxenye zomzimba, ukugoqeka kwe-Dupuytren kuthinta izandla kuphela.

Abanye abantu abane-Dupuytren's contracture banamathuba amaningi okuthola ezinye izimo ezifanayo, njengesifo iLedderhose ( isimo esenzeka ezinyaweni) kanye nesifo iPeyronie's ( isimo esenzeka emadodeni).

Ziyini izimpawu zalokhu? Ungakubona kanjani?

Ngenxa yokuthi ukugoba kukaDupuytren kuthatha izinyanga, ngezinye izikhathi iminyaka, ukukhula, ungase ungaboni zimpawu ekuqaleni. Izimpawu zivame ukuvela ngale ndlela:

1. Amaqhubu: Uphawu lokuqala ukubonakala kwamaqhubu amancane ngaphansi kwesikhumba sesundu, ngokuvamile lapho iminwe ihlangana khona nesundu. Ungazizwa lezi uma uzithinta, futhi ngezinye izikhathi ungazibona ngisho. Abanye abantu bangase baveze la maqhubu kuphela bese bema, kanti abanye bangase banyamalale ngokwawo. Isikhumba esizungeze amaqhubu singase sibonakale sicwile kancane noma sishwabene.

2. Izintambo Ezijiyile: Ngokuhamba kwesikhathi, lezi zigaxa zingaba zijiyile futhi zakhe imichilo emide efana nentambo yezicubu ze-fascia. Lezi zintambo zingabangela iminwe ukuthi izwakale sengathi idonswa ngaphakathi nangasesithendeni sesandla.

3. Ukugoba: Lolu uphawu olubi kakhulu lwesifo, lapho lesi sifo sithola khona igama laso. Amabhande afana nentambo ayaqina futhi aqine, okwenza kube nzima ukuqondisa iminwe ethintekile esandleni.

Ngokungafani nezinye izimo, ukugoba kukaDupuytren ngokuvamile akunazo izinto ezithile ezenza izimpawu zibe zimbi kakhulu. Uma unazo, izimpawu zingaqhubekela phambili zize zifike ezingeni lapho amaqhubu eba yizintambo bese iminwe igoba. Akuwona wonke umuntu odlula kuzo zonke lezi zigaba.

Ingabe kungaba khona ezinye izimpawu?

Ngaphezu kwalezi zinkinga zeminwe, isandla esithintekile singase sibe nezimpawu ezilandelayo:

• Ukuvuvukala noma ukuvuvukala
• Ubumnene uma bucindezelwa
• Ubuhlungu noma ukusha
• Ukuluma

Kodwa lezi zimpawu azivamile . Cishe ingxenye yesine yabantu abane-Dupuytren's contracture bayabhekana nazo. Uma une-Dupuytren's contracture futhi unalezi zimpawu, qiniseka ukuthi utshela udokotela. Ngezinye izikhathi zingaba uphawu lwezinye izinkinga ezithinta isikhumba sakho noma i-fascia.

Iyini imbangela yalokhu?

Ochwepheshe abakayazi imbangela eqondile yokuqina kwe-Dupuytren, kodwa kubhekwa njengesifo sofuzo . Kuye kwafakazelwa ukuthi uma othile emndenini enaso, abanye banamathuba amaningi okuba naso.

Ngokumangalisayo, ukugoba kukaDupuytren kungenye yezinkinga ezivame kakhulu ezizuzwa njengefa zezicubu ezixhumeneyo.

Udokotela uhlonza kanjani lokhu?

Udokotela uzokwenza ukuhlolwa ngokomzimba ukuze anqume ukuthi une-Dupuytren's contracture. Uzobheka isandla sakho neminwe yakho, azwe amaqhubu noma izintambo ngaphansi kwesikhumba, bese elinganisa ukuthi iminwe yakho inciphe kangakanani.

Ukuhlolwa okulula ongakwenza ekhaya "ukuhlolwa kwetafula." Beka ubuso besandla sakho phansi endaweni eyisicaba (njengetafula). Uma umunwe othintekile ucindezelwe endaweni futhi ungasitheli, izimpawu zakho zingase zibe zimbi kakhulu. Uma kunjalo, kuwumqondo omuhle ukufuna iseluleko sezokwelapha.

Ingabe kukhona ukuhlolwa okukhethekile okuhlonza lokhu?

Azikho izivivinyo ezikhethekile zokuxilonga ukuqina kwe-Dupuytren. Kodwa-ke, udokotela wakho angayala ukuhlolwa kwegazi noma ama-X-ray ukuze akhiphe ezinye izimo ezingathinta izandla zakho.

Yiziphi izindlela zokwelapha?

Kuye ngobukhulu bezimpawu zakho, udokotela wakho uzokulapha ngezigaba eziningana. Ngenxa yokuthi ukuqina kwe-Dupuytren kuyisimo esiqhubekayo, kungathatha izinyanga noma iminyaka ukuqhubekela esigabeni esilandelayo sokwelashwa. Izimpawu zakho zingathuthuka ngokwelashwa kokuqala futhi ungase ungadingi ukwelashwa okwengeziwe. Uma izimpawu zakho zokuqala zibuya, ezinye zezinyathelo zokwelapha kungadingeka ziphindwe.

Ukwelashwa okulondolozayo

Izindlela zokwelapha eziwela kulesi sigaba yilezi:

• Ukwelashwa ngokomzimba noma ukuvivinya umzimba.
• Ukugqoka ama-braces noma ama-splint ukusiza ukwelula iminwe ukuze ifinyelele ezingeni layo elijwayelekile lokunyakaza.
• Khulisa ukuguquguquka kwezicubu zakho ze-fascia nge-ultrasound (amaza omsindo angenabuhlungu) noma ukwelashwa ngokushisa.
• Imijovo ye-corticosteroid ukuze kuncishiswe amaqhubu nezintambo.

Ukwelashwa Ngemisebe

Udokotela wakho angakudlulisela kuchwepheshe wemisebe ukuze elaphe ukuqina kwe-Dupuytren noma avimbele izimpawu ukuthi zingabi zimbi kakhulu. Ukwelashwa ngemisebe kuyindlela engenabuhlungu esebenzisa ama-X-ray noma eminye imisebe yemisebe ukuze athambise amaqhubu noma izintambo.

Ukwelashwa ngemisebe nakho kusetshenziselwa ukwelapha ezinye izinhlobo zomdlavuza. Kodwa-ke, ukugoba kukaDupuytren akuwona umdlavuza . Futhi ukuba nalesi simo akusho ukuthi unomdlavuza noma uzoba nawo.

Ukususwa Kwe-Needle Needle

Uma izimpawu zakho zingathuthuki ngemva kwezinyanga ezimbalwa zokwelapha okulula, udokotela wakho angase ancome inqubo ebizwa ngokuthi i-needle aponeurotomy . Lokhu ngezinye izikhathi kubizwa ngokuthi i-percutaneous needle fasciotomy . Lena inqubo yokulaliswa esibhedlela udokotela wakho angayenza ehhovisi lakhe.

Udokotela uzokonakalisa isandla sakho ngomuthi wokubulala izinzwa wendawo bese esebenzisa inaliti ukwenza ukubhoboza okuningana endaweni yesandla sakho. Lokhu kuzokhulula ukuqina futhi kukuvumele ukuthi uqondise iminwe yakho.

Imijovo ye-Collagenase

Njengokwelashwa kokuqina kwe-Dupuytren, udokotela wakho angase afake i-enzyme ebizwa ngokuthi i-collagenase ezinhlamvini noma ezintanjeni. I-Collagenase iyi-enzyme esiza ekukhululeni nasekuphuleni lokhu kuqina kwe-fascia yakho. Okokuqala, udokotela wakho uzofaka i-collagenase ngqo ezinhlamvini noma ezintanjeni. Kuzodingeka ubuye ngosuku olulandelayo. Ngalolo suku, udokotela wakho uzoqinisa isandla sakho futhi andise iminwe ethintekile emuva ebangeni layo lokuqala lokunyakaza.

Ukuhlinzwa Kwe-Dupuytren Contracture

Uma ukugoba komunwe wakho kukhulu kangangokuthi kuphazamisa impilo yakho yansuku zonke, ungase udinge ukuhlinzwa. Ukuhlinzwa kokugoba komunwe kaDupuytren nakho kuyindlela yokulaliswa esibhedlela, okusho ukuthi ungaya ekhaya ngalolo suku.

Udokotela ohlinzayo wenza i-fasciectomy.Le nqubo ibizwa ngokuthi i-ablation. Uzoyiqeda ingalo yakho nge-anesthetic yendawo bese esusa ingxenye noma yonke i-fascia ethintekile. Inani le-fascia okudingeka lisuswe lincike ekutheni i-fascia yakho ijiyile kangakanani nokuthi i-contraction inzima kangakanani. Ngemva kokuhlinzwa, ungadinga ukwelashwa ngokomzimba noma ukwelashwa ngokomsebenzi ukusiza amalunga akho aphinde athole amandla awo ajwayelekile.

Ingabe lokhu kungelapheka ngokuphelele?

Ngeshwa, ukugoba kukaDupuytren akukwazi ukwelapheka ngokuphelele . Kodwa-ke, izimo eziningi zingalawulwa kahle ngokwelashwa .

Ngenxa yokuthi akukho ukwelashwa okuphelele, noma ngabe i-fascia ethintekile isusiwe ekuhlinzweni okukodwa, cishe umuntu oyedwa kwabahlanu uzophinde abe ne-Dupuytren's contracture . Uma lokho kwenzeka, ungase udinge ukwelashwa okwengeziwe esikhathini esizayo.

Ungazilawula kanjani izimpawu?

Landela imiyalelo kadokotela wakho ngqo. Uma unikezwe imiyalelo yokulula imilenze, noma uma udinga ukugqoka i-splint noma i-brace, qiniseka ukuthi uyenza njalo njengoba udokotela wakho ekutshela.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Isikhathi sokululama sincike ekwelashweni okutholile ngenxa yokuqina kwesisu sikaDupuytren:

• Ngezinye izikhathi kungathatha izinyanga ukuthi izimpawu zithuthuke ngokwelashwa okulula (kwasekuqaleni) .
• Ngokuhlikihla i-needle aponeurotomy, ukuqina kwemisipha yakho kufanele kuphole ngokushesha.
• Ukuhlinzwa kufanele kunciphise izimpawu zakho, kodwa kungathatha izinyanga ezimbili ukuze uzizwe ungcono ngokuphelele ngemva kwesikhathi sokululama. Ngemva kokuhlinzwa, kuzodingeka uvumele isandla sakho siphole. Kuzodingeka futhi wenze ukwelashwa ngokomzimba noma ukwelashwa ngokomsebenzi okungenani izinyanga ezimbalwa ukuze kukusize uthole amandla nobubanzi bokunyakaza esandleni sakho.

Khuluma nodokotela wakho ngaphambi kokuba uqhubeke nemisebenzi yakho evamile ngenkathi usalulama.

Ingabe zikhona izinkinga ngokwelashwa?

Ezinye izinkinga ezingase zenzeke ngesikhathi sokwelashwa kwe-Dupuytren's contracture zifaka:

• Ubuhlungu
• Ukulimala kwemizwa
• Ukutheleleka
• Izibazi
• Ukulimala kwemithambo yegazi yakho
• Izinkinga zokuphulukisa amanxeba

Lezi zinto azenzeki kuwo wonke umuntu, kodwa kubalulekile ukuziqaphela.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

Ngeshwa, akukho ongakwenza ukuvimbela ukuqunjelwa kukaDupuytren. Empeleni, alikho ikhambi lalokhu, futhi akusona isixwayiso .Kuqala ngaphandle. Uma othile emndenini wakho etholakale ene-Dupuytren's contracture, khuluma nodokotela wakho ngakho.

Ingabe i-Dupuytren Contracture kanye ne-Dupuytren Disease ziyinto efanayo?

Odokotela ngezinye izikhathi basebenzisa amagama athi Dupuytren's contracture kanye nesifo sikaDupuytren ngokushintshana. Abanye odokotela babona umehluko omncane phakathi kwalokhu okubili. Bathi i-Dupuytren's contracture (ukuqina kwe-fascia esandleni) kuyisibonakaliso sesifo sikaDupuytren (isimo esijwayelekile esibangela i-Dupuytren's contracture). Kodwa-ke, uma sikhuluma ngakho ngokuvamile, bobabili babhekisela entweni efanayo.

Uyini umehluko phakathi kwe-Dupuytren Contracture kanye ne-Trigger Finger?

Ukugoba kukaDupuytren kanye nomunwe obangela ukuvuvukala kungabangela ukuthi umunwe wakho ugobe ngaphakathi futhi unamathele. Kodwa-ke, lezi yizimo ezimbili ezihluke kakhulu.

• Ukugoba kukaDupuytren kuwukuqina nokukhula kwezicubu ze-fascia ngaphansi kwesikhumba sesandla sakho. Amaqhubu akheka phansi kweminwe bese eba amabhande afana nentambo ngaphansi kwesandla.
• Umunwe obangela ukuvuvukala kwenzeka lapho i-A1 pulley, indlela elawula futhi iqondise imisipha yeminwe yakho kanye nesithupha, ivuvukala. Lokhu kuvuvukala kwenza kube nzima ngawe ukuhambisa umunwe wakho kahle njengoba ubuvame ukwenza. Abantu abanomunwe obangela ukuvuvukala bangase bazizwe sengathi umunwe othintekile "unamathele" noma unamathele lapho uwugoba.

Kungakhathaliseki ukuthi yini ebangela izinkinga zesandla sakho, bona udokotela ngokushesha uma ubona noma yiziphi izimpawu ezintsha, ikakhulukazi uma unobuhlungu noma ubunzima bokuhambisa isandla sakho ngendlela evamile.

Into Ebaluleke Kakhulu - Isifinyezo (Umyalezo Owuyisa Ekhaya)

Igama elithi Dupuytren's contracture lingase lesabise, ikakhulukazi kulabo abanezimpawu ezinzima kakhulu. Kodwa khumbula, kuyisimo esingelapheka kakhulu futhi abantu abaningi bayasishiya. Nakuba kungekho ikhambi, kunezindlela eziningi zokwelapha ezingasiza ekunciphiseni izimpawu zakho. Futhi, akusona isimo somdlavuza .

Uma ukuthola kunzima ukuqondisa iminwe yakho, zama ukuhlolwa kwetafula. Uma iminwe yakho ingacindezeli ngokuqinile ebusweni, bona udokotela ukuze akunike iseluleko. Uma uqala ukwelashwa ngokushesha, amathuba akho okulawula izimpawu zakho ngaphambi kokuba zibe zimbi kakhulu.

Izandla zakho ziyingxenye ebaluleke kakhulu yomzimba wakho, ingxenye oxhumana ngayo nomhlaba futhi wenze izinto ozithandayo. Ngakho-ke zinakekele. Landela imiyalelo kadokotela wakho ngokucophelela futhi wenze izivivinyo ezidingekayo. Khona-ke ungahlala uphilile ngisho noma unalesi simo!

Ukugoba kwe - Dupuytren, ukugoba kweminwe, amaqhubu esundu, i-fascia, izifo zesandla, izifo zofuzo, ukugoba kweminwe