Bheka intende yesandla sakho. Ngezinye izikhathi ungase uzwe into efana neqhubu elincane ngaphansi kwesikhumba sesandla sakho. Ekuqaleni, kungase kubonakale kuncane, kodwa ngokuhamba kwesikhathi, lokhu kubangela iminwe yakho ukuba igobe ngaphakathi, njengokungathi ubamba isibhakela sakho. Ingabe ukuthola kunzima ukuqondisa isandla sakho, ukusifaka ephaketheni lakho, noma ngisho nokuxhawula isandla somuntu? Lesi simo yilokho esikubiza ngokwezokwelapha ngokuthi i-Dupuytren's Disease noma i-Dupuytren's contracture. Ake sixoxe ngalokhu kalula nangokucacile.
Iyini Isifo SikaDupuytren?
Kalula nje, kukhona ungqimba lwezicubu ngaphansi kwesikhumba sezandla zethu. Lokhu sikubiza ngokuthi i-fascia . Lokhu kuvame ukukhululeka kakhulu futhi kuyaguquguquka. Ukuguquguquka kwalesi zicubu okusivumela ukuthi sigobe futhi selule izandla zethu nganoma iyiphi indlela esiyifunayo.
Kodwa-ke, esifweni sikaDupuytren, lesi zicubu esibizwa ngokuthi 'i-fascia' siyaqina kancane kancane futhi siqale ukuqina ngaphandle kwesizathu esibonakalayo.
Cabanga nje, ngaphakathi kwalesi zicubu kunezintambo ezifana nezintambo. Kulesi sifo, lezintambo ziqina kancane kancane bese ziqala ukufinyela. Yilapho iminwe iqala kancane kancane ukudonsa iqonde entendeni yesandla. Ngokuvamile, lesi simo sithinta umunwe wepinkie kanye nomunwe wendandatho . Ngezinye izikhathi, zombili izandla zakho zingathinteka. Kodwa ngokuvamile, isandla esisodwa sithinteka kakhulu kunesinye. Ezimweni ezimbi kakhulu, isandla singakhubazeka ngokuphelele futhi siguge.
Ziyini izimpawu zalesi sifo? Ungasibona kanjani?
Izimpawu zokuqina kwe-Dupuytren aziveli ngokuzumayo. Ngokuvamile zibonakala kancane kancane, ngokuhamba kwesikhathi. Ake sibheke ukuthi ziyini lezo zigaba.
| Isigaba sesibonakaliso | Kwenzekani Futhi Kuzizwa Kanjani |
|---|---|
| Amaqhubu | Lesi yisibonakaliso sokuqala abantu abaningi abasibonayo. Sibukeka njengezigaxa ezincane, eziqinile ngaphansi kwesikhumba sesandla. Ekuqaleni, lezi zigaxa zingase zibe buhlungu kancane futhi zizwele uma zithintwa. Kodwa-ke, ngokuhamba kwesikhathi, ubuhlungu nokuzwela kuvame ukuphela. |
| Izintambo | Ngokuhamba kwesikhathi, la maqhubu aqala ukwakha amabhande aqinile, afana nentambo ngaphansi kwesikhumba. Lawa awaguquguquki. Lawa mabhande aqinile, afana nentambo yiwo abangela ukuthi iminwe igobe kancane kancane futhi idonsele esihlakaleni. |
| Ukuqunjelwa | Uma ukujiya kweminwe kuba nzima, kuba nzima ukuyiqondisa ngokuphelele. Lokhu kwenza kube nzima kakhulu ukwenza imisebenzi yansuku zonke njengokuthatha izinto ezinkulu, ukufaka isandla ephaketheni ukuze uthole imali noma i-ID, ukuqondisa isandla etafuleni, ukugqoka amagilavu, noma ukuxhawulana nomuntu. |
Yiziphi izimbangela kanye nezici eziyingozi zalokhu?
Imbangela eqondile yalesi sifo ayikakaziwa, kodwa ososayensi bakholelwa ukuthi kunezici eziningana zamakhemikhali ezithinta izicubu ezixhumene esandleni ezihilelekile.
Into ebalulekile ukuthi ayibangelwa ukulimala noma ukusetshenziswa ngokweqile kwesandla. Futhi akusona isifo esithinta imisipha esiza ekunyakaziseni isandla.
Kodwa-ke, kunezici eziningana eziye zatholakala ezikhulisa ingozi yokuthola lesi sifo. Lezi yizi:
- Ukuphuza utshwala ngokweqile: Kodwa khumbula, akubona bonke abanalesi sifo abalutha utshwala.
- Ukuba nesifo sikashukela.
- Ukuba nezifo ezibangela ukuxhuzula, njengesithuthwane.
- Ukubhema.
- Ukuba nalesi sifo kumuntu emndenini: Lokhu kusho ukuthi kungase kube nokuxhumana okuthile nofuzo.
- Ukuba yindoda engaphezu kweminyaka engama-40: Lesi sifo sivame kakhulu kwabesilisa kunabesifazane.
- Ukuba nozalo lwaseNyakatho Yurophu (isiNgisi, isi-Irish, isiScottish, isiFulentshi, isiDashi) noma isiScandinavia (isiSwidi, isiNorway, isiFinnish): Lena akuyona inkinga ebaluleke kakhulu kubantu ezweni lethu, kodwa kuhle ukukwazi.
Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho, umlando wakho wezempilo kanye nowomndeni wakho, bese ehlola ngokucophelela izandla zakho, izihlakala kanye neminwe yakho.
Kulesi sivivinyo, intende yesandla iyahlolwa ukuze kutholakale amaqhubu nokuthi mangaki akhona. Futhi, isivivinyo esiyinhloko esivame ukwenziwa ukubona ukuthi isandla singabekwa yini etafuleni (isivivinyo setafula). Umuntu onalesi sifo ngokuvamile akakwazi ukugcina isandla sakhe siphelele etafuleni.
Ngaphezu kwalokho, udokotela angahlola izinto ezifana nalezi:
- Kuzobona ukuthi ungazisingatha kahle kangakanani izinto.
- Ibonisa indlela yokucindezela izinto ezincane ngeminwe yakho.
- Umuzwa osesithupheni nakweminye iminwe uyalinganiswa.
- Ububanzi bokunyakaza kweminwe buyahlolwa ukuze kubonakale ukuthi ingaqondiswa ngokuphelele yini.
Udokotela angase futhi athathe izithombe zesandla sakho ukuze abone ukuthi isimo siyashintsha yini ngokuhamba kwesikhathi.
Yiziphi izindlela zokwelapha lokhu?
Into yokuqala okufanele uyisho ukuthi ayikho ikhambi lalesi sifo. Kodwa ungakhathazeki, akusona isifo esisongela ukuphila. Abanye abantu bangaphila naso iminyaka eminingi ngaphandle kwezinkinga. Ngezinye izikhathi, bangase bangadingi ukwelashwa.
Kodwa-ke, uma amaqhubu ebangela ubuhlungu, noma ukushukuma komunwe kuphazamisa imisebenzi yakho yansuku zonke, kunezindlela zokwelapha ezingenziwa.
Okubalulekile: Ama-splint ngeke akusize kulesi simo. Eqinisweni, uma uzama ukuqondisa umunwe wakho ngamandla, kungenza ukhubeke ngokushesha nakakhulu. Ngakho-ke ungenzi izinto ezinjalo ngaphandle kokubonisana nodokotela.
Ukwelashwa okungadingi ukuhlinzwa
- Umjovo we-steroid: Uma iqhubu libuhlungu kakhulu, udokotela wakho angase akunike umjovo we-corticosteroid. Lona umuthi onamandla wokulwa nokuvuvukala. Unciphisa ukuvuvukala nobuhlungu. Ngezinye izikhathi ungavimba umunwe ukuthi ungabi mubi kakhulu. Kodwa-ke, lo mjovo ngeke uqondise umunwe osuvele ugobile.
- Umjovo we-enzyme: Uma iminwe yakho isivele igobile, udokotela wakho angakufaka ingxube ye-enzyme ebizwa ngokuthi i-`collagenase` (Xiaflex). Lawa ma-enzyme asiza ekuncibilikiseni izicubu eziqinile neziqinile. Lokhu kwenza buthaka amabhande aqinile, afana nentambo, okuvumela udokotela ukuthi alawule iminwe yakho kancane.
Ukwelashwa ngokuhlinzwa
Uma isimo siqhubeka siba sibi kakhulu futhi siphazamisa kakhulu ukusebenza kwezandla, udokotela angase ancome ukuhlinzwa.
- I-Fasciotomy: Lokhu kuhlinzwa kuhilela ukusika nokuhlukanisa izicubu ezijiyile, ezifana nentambo. Lokhu kuvumela umunwe ukuthi uhambe ngokukhululeka. Udokotela uvala indawo bese enza ukusika okuncane entendeni yesandla.
- Ukuhlinzwa kwe-Subtotal palmar fasciectomy:Kulokhu, kususwa izicubu eziningi ezijiyile kanye nemisipha ngangokunokwenzeka. Lokhu kuvumela umunwe ukuthi uqondiswe. Lokhu kuvame ukuhilela ukwenza ukusika "okuzigzag" entendeni yesandla. Lokhu kuyinkimbinkimbi kakhulu kunezinye izindlela zokuhlinzwa. Kuthatha isikhathi eside futhi ukuphulukiswa. Ngemva kokuhlinzwa, ukwelashwa ngokomzimba kanye ngezinye izikhathi ngisho nokufakelwa kwesikhumba kungadingeka.
Kungase kube nokuvuvukala kanye nobuhlungu obuthile esandleni ngemva kokuhlinzwa. Ukugcina isandla siphezulu kwenhliziyo kanye nokugoba nokwelula iminwe kungasiza ekunciphiseni ukuvuvukala nobuhlungu futhi kusize inqubo yokuphulukiswa ihambe ngokushesha.
Kufanele ubonane nini nodokotela?
Nakuba isifo sikaDupuytren singesona isimo esiyingozi, singakhubaza uma siba sibi kakhulu. Ngakho-ke, uma unezimpawu ezilandelayo, ungalibali ukubona udokotela.
| Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela. |
|---|
| Uma uneqhubu elilodwa noma ngaphezulu esintendeni sakho (kungakhathaliseki ukuthi libuhlungu noma cha). |
| Uma unenkinga yokuqondisa iminwe yakho. |
| Uma unenkinga yokubamba izinto ezinkulu noma ezincane. |
| Uma ungakwazi ukubeka isandla sakho etafuleni noma ukufaka isandla sakho ephaketheni. |
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikaDupuytren yisimo lapho izicubu ezingaphansi kwesikhumba sesandla ziqina khona futhi iminwe igobe ngaphakathi. Akusona isimo esisongela ukuphila.
- Izimpawu eziyinhloko amaqhubu entendeni yesandla, ubunzima bokuqondisa iminwe, kanye nobunzima bokwenza imisebenzi yansuku zonke.
- Nakuba kungekho imbangela ethile yalokhu, isifo sikashukela, ukubhema, kanye nezici zofuzo kwandisa ingozi.
- Ukwelashwa kuyadingeka kuphela uma izimpawu ziphazamisa impilo yansuku zonke. Kunezindlela zokwelapha ezahlukahlukene ezitholakalayo, njengokujova kanye nokuhlinzwa.
- Uma unalezi zimpawu, ungesabi futhi ubone udokotela ngokushesha ngangokunokwenzeka ukuze uthole iseluleko. Yilokho okungcono kakhulu ongakwenza.
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