Wake wazizwa sengathi umunwe noma iminwe eminingana esandleni sakho igoba kancane kancane ibheke entendeni yesandla? Ingabe kuzwakala kunzima kakhulu ukuyiqondisa ngisho noma uzama ukuyiqondisa? Lokhu kungaba uphawu lwesimo esibizwa ngokuthi isifo sikaDupuytren. Uma lesi simo sibi kakhulu, kungaba nzima nhlobo ukuqondisa iminwe yakho. Ngakho-ke, namuhla sikhuluma nge-Fasciectomy, ukwelashwa okuphumelelayo kakhulu kwalesi simo.
Kuyini i-Fasciectomy?
I-Fasciectomy imane nje inqubo yokuhlinzwa. Ihilela ukususa ungqimba lwezicubu ezinemicu ebizwa ngokuthi i-fascia esandleni sakho. Cabanga ngayo njengolwelwesi oluncane ngaphansi kwesikhumba sesandla sakho. Kumuntu onesifo sikaDupuytren, lolu lwelwesi luyaqina kancane kancane, luqine, bese luqala ukufinyela. Bese ludonsa iminwe iye entendeni yesandla.
Ngakho-ke, okwenziwa yilolu hlinzeko lwe-Fasciectomy ukususa lezo zicubu eziqinile bese uvumela iminwe yakho ukuthi iqonde ngokukhululeka. Lokhu kuzokusiza ukuthi uphinde uthole umsebenzi wesandla sakho.
Iyini isifo sikaDupuytren?
Isifo sikaDupuytren siyisifo esiqhubekayo sezicubu ezixhumeneyo. Okwenzekayo kulokhu ukuthi i-fascia, esikhulume ngayo ekuqaleni, esandleni noma ezandleni zombili iba nkulu futhi iqine. Lesi zicubu ezixhumeneyo emzimbeni wethu yisona esixhumanisa imisipha yethu, izitho zomzimba, amalunga, kanye nesikhumba ndawonye futhi sisebenze njengesisekelo.
Abanye abantu bangase babe nalesi sifo ngenxa yokuguquka kwezakhi zofuzo okudlulela ezizukulwaneni ngezizukulwane . Kodwa-ke, abanye abantu bangase babe nalesi simo ngaphandle kwesizathu esibonakalayo.
Abantu abanalesi simo baqala ngokukhula amaqhubu amancane ngaphansi kwesikhumba sezintende zezandla zabo. Ngokuhamba kwesikhathi, la maqhubu ayahlangana futhi akhe izintambo ezijiyile, ezifana nentambo. Lezi zintambo zidonsa umunwe owodwa noma ngaphezulu ziye entendeni yesandla. Odokotela babiza lesi simo ngokuthi i-Dupuytren's contracture .
Ubani ngempela odinga lokhu kuhlinzwa?
Ngenxa yokuthi i-Dupuytren's iyisifo esiqhubekayo, udokotela wakho uzoqala azame ukwelashwa okungeyona eyokuhlinzwa.
- Umjovo we-steroid
- Ukufakwa kwe-enzyme collagenase
Uma lokhu kwelashwa kungasizi, okusho ukuthi izinzwane zakho zigobile kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke, udokotela wakho angase akuphakamisele ukuhlinzwa. I-Fasciectomy iwukuhlinzwa okuvamile okwenziwa ezimweni ezinjalo.
Ukuhlinzwa kwe-Fasciectomy, i-Fasciotomy... Uyini umehluko?
Kunezindlela eziningana zokwelapha isifo sikaDupuytren ngokuhlinzwa. Zihlukile kancane komunye nomunye. Ake sibone ukuthi ziyini. Ungawuqonda kalula lo mehluko ngokubheka leli thebula.
| Indlela yokwelapha | Okufanele ukwenze nje |
|---|---|
| I-Fasciotomy | Kwenziwa ukusikwa okuncane entendeni yesandla bese intambo ejiyile iyasikwa futhi ihlukaniswe. Ayisuswa, inqunywa nje. Lokhu kwenza buthaka ukucindezeleka kwentambo futhi kwenza kube lula ukuhambisa iminwe. |
| Ukuhlinzwa kwe-Percutaneous needle fasciotomy (i-Needle Aponeurotomy) | Kusetshenziswa inalithi encane, kwenziwa izimbobo eziningana ezicutshini ezijiyile. Lezi zimbobo zenza izicubu zibe buthaka futhi ziphule, okuvumela iminwe ukuthi ikhululeke. |
| Ukususwa kwe-Fasciectomy | Lokhu kuhilela ukusika nokususa ngokuphelele lawo maqhuqhuva nezintambo eziyinkinga. Lena yindlela esizokhuluma ngayo kulesi sihloko. |
Yini okufanele uyenze ngaphambi kokuhlinzwa?
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ohlinzayo ngokucophelela ngaphambi kokuhlinzwa. Ngokuvamile bangase bakucele ukuthi wenze izinto ezifana nalezi:
- Ukuzila ukudla (ukuzila ukudla nokuphuza) amahora amaningana ngaphambi kokuhlinzwa.
- Uma ubhema, yeka . Ukubhema kuphazamisa inqubo yokuphulukiswa.
- Ungase ucelwe ukuthi uyeke okwesikhashana ukuthatha imithi ethile, amavithamini, kanye nezithasiselo zamakhambi .
Ingabe kunezinhlobo ezahlukene zokuhlinzwa?
Yebo, kunezinhlobo nezindlela ezahlukene zokuhlinzwa kwe-fasciectomy kuye ngesimo sesifo.
Umehluko phakathi kwe-Partial and Total Fasciectomy
- Ukususwa okuyingxenye (ukususwa okuyingxenye): Lokhu kuhilela ukususa kuphela izicubu ezigulayo nezijiyile.
- Isiyonke (ukususwa okuphelele):Kulokhu, lonke ulwelwesi lwe-fascia lwengalo luyasuswa, kufaka phakathi izicubu ezinempilo.
Udokotela wakho uzonquma futhi akuchazele ukuthi iyiphi indlela engcono kakhulu kuwe.
Izindlela zokuhlinzwa
- Ukuhlinzwa kwe-segmental fasciectomy: Kule nqubo, kwenziwa imicu eminingana emincane eceleni kwemicu yemvelo yesandla futhi kususwa ingxenye encane kuphela ye-fascia ejiyile (intambo).
- Ukuhlinzwa kwe-Subtotal palmar fasciectomy: Kwenziwa izimbobo eziningana eceleni kwemiphetho yesandla neminwe (ngokuvamile ngesimo sika-'Z') ukuze kususwe izicubu eziningi ezinesifo ngangokunokwenzeka. Ngezinye izikhathi i-graft yesikhumba ingasetshenziswa ukusiza inxeba ukuthi liphilise.
- Ukuhlinzwa kwesikhumba: Lokhu kwenziwa ezimweni lapho lesi sifo siphinde sibuye. Lapha, izicubu ze-fascia ezigulayo ziyasuswa kanye nesikhumba esingaphezulu. Kulesi simo, kudingeka kwenziwe ukufakelwa kwesikhumba.
Ziyini izinzuzo zokuhlinzwa?
Inzuzo enkulu yalokhu kuhlinzwa ukuthi ungabuyisa ukusebenza esandleni sakho, iminwe, kanye nesithupha. Uma izicubu eziqinile sezisusiwe, ungalula futhi uqondise iminwe yakho kangcono. Ezinye izifundo zikhombisile ukuthi imiphumela yokuhlinzwa kwe-fasciectomy ihlala isikhathi eside kunezinye izindlela zokwelapha.
Ingabe zikhona izingozi nezinkinga?
Njenganoma yikuphi ukuhlinzwa, kunethuba elincane lezingozi nezinkinga ezithile. Kodwa ungakhathazeki, lezi azivamile.
Kuvamile ukuzwa ukungabi namizwa noma ukulahlekelwa umuzwa eminweni yakho ngemva kokuhlinzwa. Lokhu kuzothuthuka kancane kancane njengoba imizwa ecindezelwe iqala ukukhululeka.
Ezinye izinkinga ezingaba khona:
- Ukungezwani komzimba ne-anesthesia
- Ukutheleleka kwenxeba
- Ukuzwela kwesikhumba kanye nezibazi
- Imivimbo
- Ukuvuvukala (i-edema)
- Akuvamile kakhulu ukuthi imizwa noma imithambo yegazi esandleni yonakale.
Sinjani isikhathi sokululama?
Kujwayelekile ukuzwa ubuhlungu, ukuvuvukala, kanye nokuqina esandleni sakho ngemva kokuhlinzwa. Ungase uzizwe ungenaso isiqiniseko esandleni sakho kanye neminwe. Kungathatha izinyanga eziningana ukuthi lokhu kuphele ngokuphelele. Kuye ngohlobo lomsebenzi wakho, kungadingeka ukuthi uthathe amasonto amabili kuya kwayishumi nambili (cishe izinyanga ezintathu) ungasebenzi.
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngesikhathi sokululama kwakho.
- Beka iphakethe leqhwa engalweni, uligcine liphakeme.
- Hlanza inxeba ngensipho namanzi bese uligcina limboziwe ngebhandishi.
- Qaphela ukuthi izandla zakho nezithungo zakho azimanzi uma ugeza.
- Ukwelashwa ngokomzimbaUkuya emihlanganweni nokwenza izivivinyo ekhaya kubalulekile ukuze kubuyiselwe ukusebenza kwesandla.
- Ukuthatha imithi yokubulala izinhlungu ebhalwe ngudokotela kanye nama-antibiotic njengoba nje kubhaliwe.
- Ungase ucelwe ukuthi ugqoke i-splint (isisekelo esigcina isandla sakho singanyakazi) cishe izinyanga ezintathu.
Ukuhlinzwa akusiqedi lesi sifo ngokuphelele, kodwa kungathuthukisa kakhulu ukusebenza kwesandla. Cishe abantu ababili kwabayishumi abahlinzwa bazobhekana nokuphindaphinda kwezimpawu ngezinga elithile. Uma lokhu kwenzeka, kungase kudingeke ukuhlinzwa okunye.
Ngingashayela nini udokotela ucingo?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha .
| Isici okufanele usiqaphele | Incazelo |
|---|---|
| Izimpawu zokutheleleka | Umkhuhlane, uketshezi oluphuzi oluphuma esilondeni, kanye nemigqa ebomvu ebonakala nxazonke kwesilonda. |
| Izimpawu zokungezwani komzimba | Ukuvuvukala kwesikhumba okukhasa. |
| Ubuhlungu obukhulu | Ubuhlungu obukhulu bemisipha obungabekezeleleki. |
| Umsebenzi womunwe | Ukulahlekelwa umuzwa eminweni noma ukungakwazi ukuyishukumisa. |
| Ezinye izimpawu eziphuthumayo | Ubuhlungu esifubeni noma ubunzima bokuphefumula. |
Isifo sikaDupuytren singaba yisithiyo esikhulu emisebenzini yakho yansuku zonke nasemsebenzini. Ukuhlinzwa kwe-Fasciectomy kukuvumela ukuthi uphinde usebenzise izandla neminwe yakho ngokugcwele. Into ebaluleke kakhulu ukulandela ukwelashwa ngokomzimba okufanele kanye nokuzivocavoca ngemva kokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Fasciectomy ukuhlinzwa okwenziwa ukuze kuqondiswe iminwe egobile ngenxa yesifo sikaDupuytren.
- Lokhu kuhlinzwa kuhlose ukubuyisela ukusebenza kwesandla ngokususa izicubu ezijiyile ezidonsela iminwe ngaphakathi.
- Kubaluleke kakhulu ukulandela ukwelashwa kokwelashwa ngokomzimba kanye nemiyalelo yezokwelapha ukuqinisekisa ukuthi uyalulama ngokuphelele ngemva kokuhlinzwa.
- Nakuba lokhu kuhlinzwa kungelaphi ngokuphelele lesi sifo, kungathuthukisa kakhulu ikhwalithi yokuphila.
- Uma ubhekene nalezi zimpawu, bheka udokotela ofanelekayo ukuze uxoxe ngezindlela zokwelapha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment