Wake wazizwa sengathi omunye noma eminingi yeminwe yakho igoba kancane kancane ngaphakathi futhi kuba nzima ukuyiqondisa? Kuzwakala sengathi umunwe wakho udonswa ngaphakathi futhi unamathela, akunjalo? Yilokhu esikubiza ngokuthi isifo sikaDupuytren. Lesi simo singenza kube nzima ngisho nokwenza imisebenzi yansuku zonke. Namuhla sikhuluma ngokuhlinzwa okukhethekile okwenziwa njengesixazululo salesi simo, okubizwa ngokuthi i-Fasciectomy.
Okokuqala, kuyini i-Fasciectomy?
Kalula nje, i-fasciectomy inqubo yokuhlinzwa esusa ungqimba lwezicubu (olubizwa ngokuthi i-fascia) oluye lwaba luqinile futhi lwaqina ngaphakathi kwesandla sakho ngenxa yesifo sikaDupuytren. Lesi simo sibangela ukuthi iminwe yakho eyodwa noma ngaphezulu igobe ngokungazikhetheli iye ohlangothini lwesandla sakho. Kwezinye izimo ezinzima, iminwe yakho ingase ingakwazi nhlobo ukuqondisa. Ngakho-ke, ngemva kwalokhu kuhlinzwa kwe-fasciectomy, izicubu eziqinile ziyasuswa, kukhulule iminwe yakho futhi kukuvumele ukuthi uphinde usebenze kahle esandleni sakho.
Iyini ngempela isifo sikaDupuytren?
Isifo sikaDupuytren yisifo sezicubu ezixhumanisayo esiba sibi kancane kancane ngokuhamba kwesikhathi. Manje ungase uzibuze ukuthi siyini izicubu ezixhumanisayo. Luhlobo lwezicubu ezixhumanisa futhi zisekele yonke imisipha, izitho zomzimba, amalunga, kanye nesikhumba emzimbeni wethu.
Lesi simo sibangelwa ukuqina nokuqina kwe-fascia, ungqimba lwezicubu ngaphansi kwesikhumba sesundu. Abanye abantu bangase bazuze lesi simo kubazali babo ngokuguqulwa kwezakhi zofuzo . Abanye bangase babe nalesi simo ngaphandle kwesizathu esibonakalayo.
Njengoba lesi sifo siqala, kuvela amaqhubu amancane ngaphansi kwesikhumba sesundu. Ngokuhamba kwesikhathi, la maqhubu ayahlangana ukuze akhe izintambo eziqinile . La maqhubu abe eseqala ukufinyela, okwenza iminwe enamathele kuwo idonsele ngaphakathi. Odokotela babiza lesi simo ngokuthi ukufinyela kukaDupuytren .
Ubani odinga ukuhlinzwa kwe-fasciectomy?
Ngenxa yokuthi lesi yisifo esiqhubekayo, udokotela wakho uzoqala azame ukwelashwa okungewona okuhlinzwa, njengokujova ngama-steroid noma imijovo equkethe i-enzyme ebizwa ngokuthi i-collagenase.
Kodwa-ke, uma lokhu kwelashwa kungasizi, futhi iminwe yakho igobile kangangokuthi awukwazi ukwenza ngisho nemisebenzi elula njengokufaka isandla ephaketheni lakho noma ukugeza ubuso bakho, udokotela wakho uzoxoxa nawe ngezindlela zokuhlinzwa, njengokuhlinzwa kwe-fasciectomy.
Uyini umehluko phakathi kwe-Fasciotomy ne-Fasciotomy?
Kunezindlela eziningana zokwelapha isifo sikaDupuytren ngokuhlinzwa. Ake siqonde kafushane umehluko omkhulu phakathi kwazo.
| Indlela Yokwelapha | Okwenziwe kulula. |
|---|---|
| I-Fasciotomy | Kwenziwa ukusikwa okuncane entendeni yesandla bese intambo ejiyile yezicubu iyasikwa futhi ihlukaniswe. Intambo ayisuswa ngokuphelele, inqunywa nje. Lokhu kukhulula intambo futhi kwenza kube lula ukuhambisa iminwe. |
| I-Needle Fasciotomy (Ukuhlinzwa Kwezinaliti) | Besebenzisa inaliti, babhoboza izimbobo eziningana esicutshini esijiyile. Lezi zimbobo zenza izicubu zibe buthaka futhi zibangele ukuthi ziphuke. Lokhu kuvumela iminwe ukuthi iqonde. |
| Ukususwa kwe-Fasciectomy | Lokhu kuhilela ukususa ngokuhlinzwa ngokuphelele amaqhubu nezintambo eziyinkinga. Lokhu kuyinkimbinkimbi kakhulu kunezinye izindlela ezimbili, kodwa imiphumela ihlala isikhathi eside. |
Izinhlobo eziyinhloko zokuhlinzwa kwe-fasciectomy
Kunezindlela eziningana zokwenza i-fasciectomy. Udokotela wakho uzokhetha indlela efanele kakhulu ngokusekelwe esimweni sakho.
- Ukuhlinzwa kwe-fasciectomy okuyingxenye (okuyingxenye): Kule nqubo, kwenziwa imivimbo emincane eminingana eceleni kwemivimbo yemvelo yesandla futhi kususwa ingxenye encane kuphela ye-fascia ejiyile.
- Ukuhlinzwa kwe-Subtotal palmar fasciectomy: Kwenziwa ukusika okugobile eceleni kwemiphetho yesandla neminwe, kususwe izicubu eziningi ezinesifo ngangokunokwenzeka. Kulesi simo, i-graft yesikhumba ingasetshenziswa ukusiza inxeba ukuthi liphilise.
- Ukuhlinzwa kwesikhumba: Lokhu kwenziwa ezimweni zesifo esiphindaphindayo. Kulokhu, izicubu ezigulayo ziyasuswa kanye nesikhumba esingaphezulu. Lokhu ngokuvamile kudinga ukufakelwa kwesikhumba.
Isikhathi sokululama sinjani ngemva kokuhlinzwa?
Kujwayelekile ukuzwa ubuhlungu, ukuvuvukala, kanye nokuqina esandleni sakho ngemva kokuhlinzwa. Ungase uzizwe ungenasici esandleni sakho naseminweni. Lokhu kungacaci kuzwakala njengoba imizwa eyeluliwe isikhathi eside ibuyela esimweni sayo esijwayelekile, futhi kungathatha izinyanga eziningana ukuthi iphele. Kuye ngohlobo lomsebenzi wakho, kungadingeka uphumule amasonto amabili kuya kwayishumi nambili (izinyanga ezintathu).
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
- Ukugcina isandla sakho siphakeme futhi ufaka iqhwa.
- Ukugcina inxeba lihlanzekile.
- Gcina inxeba kanye nezithungo zomile, ngaphandle kokuzithinta ngamanzi.
- Qiniseka ukuthi uyaya ekwelashweni ngokomzimba futhi wenze izivivinyo ezinikezwa ekhaya ngqo.
- Ukusetshenziswa okufanele kwemithi yokubulala izinhlungu kanye, uma kudingeka, nama-antibiotic.
- Ukugqoka i-bant esandleni sakho isikhathi eside njengoba udokotela ekutshela.
Ingabe zikhona izingozi zokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Kujwayelekile ukuzwa ukulahlekelwa umuzwa noma ukuba ndikindiki eminweni, okuzothuthuka ngokuhamba kwesikhathi. Kodwa-ke, kunezingozi ezinkulu ezingavela kaningi .
- Ukungezwani komzimba ne-anesthesia.
- Ukutheleleka.
- Izibazi kanye nokuzwela kwesikhumba endaweni yokuhlinzwa.
- Ukuvuvukala (i-edema) kanye nokulunywa.
- Akuvamile kakhulu ukuthi kube nomonakalo emithanjeni noma emithanjeni yegazi eduze kwendawo yokuhlinzwa.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha.
- Izimpawu zokutheleleka (njengomkhuhlane, ukuphuma koketshezi oluphuzi esilondeni, imicu ebomvu).
- Ubuhlungu obukhulu bemisipha.
- Ukulahlekelwa umuzwa noma ukungakwazi ukuhambisa iminwe.
- Uma uzwa ubuhlungu esifubeni noma ubunzima bokuphefumula, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) .
- Ukungezwani nesikhumba (isib. ukuqubuka okulumayo).
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikaDupuytren yisimo esikhula ngokuhamba kwesikhathi futhi sibangele ukuthi iminwe igobe ngaphakathi. Akulona iphutha lakho lokhu.
- I-Fasciectomy inqubo yokuhlinzwa esusa izicubu ezijiyile futhi ibuyisele ukusebenza kwesandla.
- Lokhu kuhlinzwa akusiqedi lesi sifo ngokuphelele. Cishe abantu ababili kwabayishumi (20%) banethuba lokuthi lesi sifo siphinde sivele.
- Ukuze uthole imiphumela emihle kakhulu, isikhathi sokululama ngemva kokuhlinzwa sibaluleke kakhulu. Landela imiyalelo kadokotela wakho kanye nokwelashwa ngokomzimba.
- Uma kuvela izimpawu eziyingozi ngemva kokuhlinzwa, funa iseluleko sezokwelapha ngokushesha.
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