5 Iingozi ze-Dupuytren's Contracture Treatment

Isivumelwano sikaDupuytren ngumqathango obangela izicubu ezinzima ukuba zenze entendeni yesandla kunye neminwe. Ngokuqinisekileyo ukuba kungani le meko ibonakala ingummangaliso, kodwa kukho inxalenye eyaziwayo yezofuzo kwaye kukho ezinye izinto eziquka indlela yokuphila, imisebenzi, kunye nezinye izimo zonyango ezingadlala nxalenye.

Ukuqiniswa kwezicubu entendeni, ebizwa ngokuba yi-fascia, idonsa iminwe phantsi kwintendeni ukwenza imisebenzi elula nzima-ingakumbi njengoko imeko ibuhlungu. Ngenxa yoko, abaninzi abantu abaneli meko bafuna unyango ukuze bancede ukuphucula umsebenzi wesandla. Iinkatho ezahlukeneyo zineempawu ezahlukahlukeneyo.

Nazi ezinye zeengxaki eziqhelekileyo ezinokuthi zenze unyango lwesivumelwano sikaDupuytren.

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Ukuphindaphinda

Ukuphindaphindwa kweDupuytren kuyisisigqibo emva kokunyanga kwesivumelwano. Isifo sikaDupuytren sisimo esibangela isivumelwano sokuphuhlisa. Utyando lwempawu (isivumelwano) asiyikuphelisa ingxaki (ingxaki). Ngoko ke, ngokuhamba kwexesha, ingxaki ingabuya.

Uphando lwangoku luphanda i-biology yesifo sikaDupuytren kwaye, ngokuhamba kwexesha, sinokuphuhlisa unyango lwenkqubo olusenokutshintsha ikhosi yesi sifo. Nangona kunjalo, unyango olukhoyo, olubandakanya utyando, unyango, i- alex aponeurotomy , kunye ne- injenjini ye-collagenase , zonke ziqondiswe kwiimpawu. Isiqingatha sexesha de kubekho ukuphindaphinda kubonakala phakathi kwala mayeza-kunye nama-50 ekhulwini abantu abaphindaphindiweyo kwiminyaka emithathu ye-needle aponeurotomy kunye neminyaka emihlanu yokuhlinzwa.

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Injury

Inkxalabo yonyango lukaDupuytren eloyikekayo kakhulu ngabagqirha ngokuqhelekileyo yinto yokulimala. Iintambo zikaDupuytren zingasungulwa ngokukhawuleza kwiimbulunga kwiminwe kwaye ngamanye amaxesha intambo ikhupha iimbilini kwindawo engalindelekanga. Naluphi na unyango olungenayo, unobungozi unokulimala. Xa kunobungozi beentlungu, umnwe unokuhlakulela okanye ukuphazamiseka kwaye le nto ingaba yingxaki engunaphakade.

Nangona oogqirha bengabonisana nokukhuselwa kweendlela ezahlukeneyo zonyango, inyaniso yingozi yokuba unobungozi beentlungu ahluke kakhulu kunye neendlela ezichanekileyo zokonyango. Ngokuqinisekileyo, ukulimala kwentsholongwane kukuphephe ngokubakho unyango kunye nogqirha abanezakhono kwonyango olukhethiweyo. Ngokomzekelo, udokotela ogqirha owenza rhoqo utyando unokuba nethuba elincinci lokulimala ngentsholongwane kunokwenziwa ngonyango, kodwa umahluko ukhulu ngenxa yamava ogqirha, kungekhona unyango oluthile. Udokotela ogqirha owenza rhoqo i-alex aponeurotomy cishe unokufumana ithuba elifanayo lokubangela umonakalo weentsimbi.

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Ubuhlungu

Ubuhlungu emva kokuba unyango luyingxaki ephazamisayo. Ngokuqhelekileyo, isivumelwano sikaDupuytren siyingxaki esicasulayo, kodwa asiyiyo ingxaki ebuhlungu. Nangona kunjalo, ukuya kuma-20 ekhulwini abantu babika intlungu ebalulekileyo emva kokunyanga kwimeko.

Isandla kunye neminwe igcwele iziphelo zeentliziyo kwaye zilungele ukuphucula uncedo emva kokunyanga. Ngokuqhelekileyo, intlungu ixazulula ixesha, kodwa kukho abanye abantu abanentlungu engapheliyo okanye imeko ebizwa ngokuba yintlungu yesifo seengingqi ezingabangela ukungahambi kakuhle nokukhubazeka.

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Iinyembezi Zesikhumba

Umonakalo wesikhumba unqabile ngokuqhelekileyo emva kokunyangwa kwesivumelwano sikaDupuytren. Xa isivumelwano sikaDupuytren sithatha iminwe entendeni yesandla, isikhumba sinako ukuqinisa kunye nokuthenga. Ukongeza, ulusu luba luncinci kwaye luguquguquke.

Xa kukhutshwa intambo yeDupuytren, ilusu lingafuneka likhutshwe okanye lingadibana. Ngethuba lokuhlinzwa, ngamanye amaxesha ukuhlenga isikhumba kubalulekile ukuvala amanxeba. Emva kwe-injenjini ye-collagenase okanye i-alexone aponeurotomy, isikhumba sinokuqhawula kunye nezimbobo zivule. Ezi zivulo zesikhumba zinokusuleleka kwaye zibuhlungu. Ngenxa yeso sizathu, ukuxinwa kwesikhumba kunokugqithisa umlinganiselo wokuphucula ugqirha wakho unokufikelela ngonyango.

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Isiva

Isiqwenga somzimba sisiphumo salo naluphi na uhlobo lwonyango olungenayo. Ngonyango oluncinci oluncinci, izifo ezinqabileyo ezingaphantsi zifakela. Ngonyango olongezelelekileyo, uninzi lwamaqhekeza obomvu lunokwenza. Iimfucuza eziqhelekileyo ziqhelekileyo emva kokunyangwa kwonyango kwaye ekugqibeleni zinganciphisa ukhetho lwonyango oluzayo xa kwaye xa isivumelwano sibuyela phantsi kwendlela.

> Imithombo:

> Becker GW, Davis TR: Isiphumo sonyango lwe-Dwaliytren yesifo esiphambili: Uhlolo oluhlelekile. J Hand Surg Eur Vol 2010; 35 (8): 623-626.

> EM emnyama, uBlazar PE. "Isifo se-Dupuytren: ukuqonda okuguqukayo kwesifo esikudala" J Am Acad Orthop Surg. NgoDisemba ka-2011; 19 (12): 746-57.