Wake wazizwa sengathi isikhumba esintendeni yesandla sakho siqine futhi sakha amaqhubu amancane? Noma ukuthi unenkinga yokugcina umunwe owodwa noma emibili iqondile, bese igoba kancane kancane ibheke entendeni yesandla? Lokhu akusikho okwenu kuphela. Lesi yisimo sezokwelapha. Sikubiza ngokuthi yi-Dupuytren's Contracture. Abantu abaningi abazi okuningi ngalokhu, ngakho-ke kungaba yinto eyesabekayo. Ngakho-ke namuhla sizoxoxa ngakho konke kalula nangendlela enobungane.
Kalula nje, iyini i-Dupuytren's Contracture?
Lokhu kwenzeka ngoba ungqimba lwezicubu (i-fascia) ngaphansi kwesikhumba sesandla sakho luyaqina kancane kancane futhi lwakhe izintambo ezinemicu. Kufana nokuthi othile udonsa intambo ngaphakathi kwesandla sakho. Ngokuhamba kwesikhathi, njengoba lezi zintambo ziqina, omunye noma ngaphezulu weminwe exhunywe kuzo uqala ukugoba ngaphakathi. Lokhu yilokho esikubiza ngokuthi 'ukugoba'. Lesi simo sivame ukuthinta indandatho neminwe emincane, kodwa kungenzeka kunoma yimuphi umunwe.
Lokhu akusiwo umdlavuza noma isifo esithathelwanayo. Futhi ubuhlungu obuvela kukho buvame ukuba buncane. Kodwa inkinga enkulu ukuthi uma iminwe yakho igobile, kuba nzima ukwenza imisebenzi yansuku zonke. Isibonelo, ngisho nezinto ezilula njengokuxhawula izandla, ukufaka isandla ephaketheni lakho, noma ukubamba into ethile ngokuqinile kungaba yinselele.
Ukwelashwa kunqunywa kanjani?
Ukwelashwa kwe-Dupuytren's contracture kuyahlukahluka kuye ngokuthi isimo sakho sibucayi kangakanani. Akukho ukwelashwa okukodwa okulingana nakho konke. Udokotela wakho uzokuxilonga futhi anqume ukwelashwa okungcono kakhulu kuye ngokuthi kuthinta kangakanani impilo yakho.
Into ebaluleke kakhulu ukuthi akukho ukwelashwa okutholakale kuze kube manje okungamisa ngokuphelele ukukhula kwalesi sifo noma kusivimbele ukuthi singabi sibi kakhulu uma sesiqalile. Umgomo oyinhloko wokwelashwa ukunciphisa izimpawu nokubuyisela ukusebenza kwesandla.
Kwabanye abantu, lesi simo siqhubeka kancane kakhulu . Kungase kube yiqhubu elincane entendeni yesandla sakho elingashintshi iminyaka eminingi. Ezimweni ezinjalo, uma lingaphazamisi imisebenzi yakho yansuku zonke, kungcono ukuthatha indlela ethi "linda ubone".
Kodwa-ke, uma ukugoba kweminwe yakho kukhula ngokushesha futhi kwenza kube nzima ukwenza imisebenzi yansuku zonke, udokotela wakho uzoxoxa ngezinketho zokwelapha ezifanele.
Ukwelashwa Okungahlinzwa
Kunezindlela zokwelapha eziningana ezingasetshenziswa ezigabeni zokuqala zesifo, noma ngaphezu kokuhlinzwa. Kodwa-ke, lezi zibonise impumelelo encane kuphela.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Ukunweba | Kunconywa kulabo abanesifo esincane kakhulu . Kungasetshenziswa kanye nezinye izindlela zokwelapha. Kodwa-ke, lokhu kufanele kwenziwe kuphela njengoba kuqondiswe udokotela . |
| Imijovo ye-steroid | Lezi yimithi enamandla yokulwa nokuvuvukala. Uma ifakwa ngqo eqhubu engalweni, inganciphisa ubukhulu bayo. Kodwa-ke, lokhu kusebenza kuphela ezigabeni zokuqala zesifo. Uma izicubu sezijiyile, azisebenzi kahle. |
| Imijovo ye-Enzyme | Uma umunwe wakho usuvele ugobile, udokotela wakho angase akuncome ukuthi umjovo wengxube ye-enzyme, njenge- Xiaflex . Lawa ma-enzyme aphula izicubu ezijiyile bese ezikhulula. Ngosuku olulandelayo, udokotela wakho uzozama ukuqondisa umunwe wakho ngokuwubamba nokuwudonsa. Lokhu kungasetshenziswa njengendlela ehlukile yokuhlinzwa. |
| Ukwelashwa Ngemisebe | Ukwelashwa ngemisebe ezingeni eliphansi kungenye indlela, kodwa kusenedatha yocwaningo elinganiselwe ngempumelelo yayo. |
Okunye okwengeziwe mayelana nokujova ama-enzyme...
Kwabaningi abantu, umjovo owodwa noma emibili yanele ilunga elithintekile. Abanye abantu bangadinga kufika kwemithathu. Imiphumela emibi evame kakhulu ukuvuvukala, ukopha, ukuklwebheka, kanye nobuhlungu endaweni yomjovo. Akuvamile kakhulu ukuthi kube nemiphumela emibi kakhulu njengokulimala kwemisipha, ukulimala kwemizwa, noma ukusabela kokungezwani komzimba.
Kuye kwazanywa ezinye izindlela zokwelapha ezifana ne-splinting, ukhilimu we-vitamin E, kanye ne-ultrasound, kodwa ngokuvamile azizange ziphumelele.
Kunini lapho kudingeka khona ukuhlinzwa? (Ukwelashwa Ngokuhlinzwa)
Uma unenkinga yokwenza imisebenzi yansuku zonke, njengokubamba okuthile, ukubhala, noma ukubamba indebe, udokotela wakho angase akuncomele ukuhlinzwa. Umgomo oyinhloko wokuhlinzwa ukubuyisela ukunyakaza okulahlekile eminweni yakho.
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa.
| Uhlobo lokuhlinzwa | Incazelo |
|---|---|
| Ukuhlinzwa Okuvulekile | Udokotela ohlinzayo usika ingalo bese esika izicubu ezijiyile (i-fasciotomy) noma asuse konke noma ingxenye yazo (i-fasciectomy) . Ngezinye izikhathi i-graft yesikhumba nayo isetshenziswa ukuvala inxeba. |
| Ukususwa Kwe-Needle Needle | Lena inqubo elula kunokuhlinzwa okuvulekile. Udokotela ohlinzayo usebenzisa inalithi yokwehlisa isikhumba ukuze asike futhi ahlukanise izicubu ezijiyile ngaphezu kwesikhumba. Isikhathi sokululama sifushane. Iningi labantu alidingi ukwelashwa ngokomzimba ngemva kwalokho. |
Yini ongayilindela ngemva kokuhlinzwa?
Ukuhlinzwa kungalungisa ukugoba kweminwe futhi kubuyisele ukusebenza kwesandla. Kodwa-ke, uma iminwe eminingana igobile, kungaba nzima kancane ukuyilungisa.
Ukuhlinzwa nakho kunezingozi nezinkinga ezithile.
- Ukuphinda: Kukhona ingozi ethile yokuphinda kwenzeke ngazo zombili izinhlobo zokuhlinzwa.
- Ezinye izinkinga:
- Ukuvuvukala nobuhlungu besilonda
- Ukulimala kwemizwa noma imithambo yegazi
- Izifo
- Ukufa kwezicubu
Indlela yokululama ngokushesha?
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngemva kokuhlinzwa.
- Phakamisa ingalo yakho: Ukuphakamisa ingalo yakho ngaphezu kwenhliziyo yakho kungasiza ekunciphiseni ukuvuvukala nobuhlungu.
- Ukunyakazisa iminwe: Uma udokotela ekuyala, nyakazisa iminwe yakho.
- Ukwelashwa ngokomzimba:Udokotela wakho angakudlulisela kuchwepheshe wezokwelapha ozokufundisa ukuzivocavoca ukuze uthuthukise amandla nokusebenza kwesandla sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Dupuytren's Contracture yisimo lapho izicubu esandleni ziba zijiyile futhi iminwe igobe. Akuyona umdlavuza noma isifo esithathelwanayo.
- Akuwona wonke umuntu odinga ukuhlinzwa. Uma lesi sifo sincane, akukho ukwelashwa okudingekayo.
- Uma lokhu kuphazamisa imisebenzi yakho yansuku zonke, kunezindlela zokwelapha ezingadingi ukuhlinzwa (imijovo) kanye nokuhlinzwa.
- Udokotela wakho kuphela onganquma ukwelashwa okungcono kakhulu kuwe. Ngakho-ke uma ubona noma yiziphi izinguquko esandleni sakho, ungesabi ukufuna iseluleko sezokwelapha.
- Ngemva kokwelashwa, landela imiyalelo enikezwe udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba ngokucophelela ukuze ululame ngokushesha.
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