Isivumelwano seDupuytren

Isivumelwano se-Dupuytren ukuqina okungenabuhlungu nokuqinisa (isivumelwano) sezicubu ngaphansi kwesikhumba entendeni yesandla neminwe.

Imbangela ayaziwa. Kungenzeka ukuthi usithuthukise lesi simo uma unomlando waso waso. Kubonakala sengathi akudalwa ukuhlala noma ukuhlukumezeka.

Lesi simo sivame kakhulu ngemuva kweminyaka yobudala engama-40. Abesilisa bathinteka kaningi kunabesifazane. Izici ezinobungozi ukusetshenziswa kotshwala, isifo sikashukela nokubhema.

Isandla esisodwa noma zombili zingathinteka. Umunwe wendandatho uthinteka kaningi, kulandelwe iminwe emincane, ephakathi naphakathi kwenkomba.

Isigaxa esincane, i-nodule noma isigaxa sivela ezicutshini ezingaphansi kwesikhumba ohlangothini lwesandla sesandla. Ngokuhamba kwesikhathi, iyaqina ibhande elifana nentambo. Imvamisa, abukho ubuhlungu. Ezimweni ezingavamile, imisipha noma amalunga ayavuvukala futhi abe buhlungu. Ezinye izimpawu ezingaba khona ukulunywa, ingcindezi, ukushiswa, noma ukungezwani.

Njengoba isikhathi sihamba, kuba nzima ukwelula noma ukuqondisa iminwe. Ezimweni ezinzima, ukuziqondisa akunakwenzeka.

Umhlinzeki wezempilo uzohlola izandla zakho. Ukuxilongwa kungenziwa ngezimpawu ezijwayelekile zalesi simo. Olunye uvivinyo aludingeki kakhulu.

Uma isimo singesibi, umhlinzeki wakho angancoma ukuzivocavoca umzimba, ukugeza amanzi afudumele, ukuzelula, noma iziqholo.

Umhlinzeki wakho angancoma ukwelashwa okubandakanya ukujova umuthi noma into ethile ezicutshini ezibomvu noma ezinemicu:

• Umuthi weCorticosteroid uqeda ukuvuvukala nobuhlungu. Isebenza futhi ngokungavumeli ukuqina kwezicubu ukuba kubi kakhulu. Kwezinye izimo, iphilisa ngokuphelele izicubu. Kudingeka ukwelashwa okuningana.
• I-Collagenase yinto eyaziwa njenge-enzyme. Ijojowe ezicutshini ezijiyile ukuze iphule. Le ndlela yokwelashwa ikhonjiswe ukuthi isebenza kahle njengokuhlinzwa.

Ukuhlinzwa kungenziwa ukususa izicubu ezithintekile. Ukuhlinzwa kuvame ukunconywa ezimweni ezinzima lapho umunwe ungeke usakwazi ukunwetshwa. Ukuvivinya umzimba ngokwelashwa ngemuva kokuhlinzwa kusiza isandla ukuthi sithole ukunyakaza okujwayelekile.

Kunganconywa inqubo ebizwa nge-aponeurotomy. Lokhu kuhilela ukufaka inaliti encane endaweni ethintekile ukuhlukanisa nokusika imicu eqine yezicubu. Ngokuvamile kuba nobuhlungu obuncane ngemuva kwalokho. Ukuphulukisa kushesha kunokuhlinzwa.

Imisebe enye indlela yokwelashwa. Isetshenziselwa amacala amancane wenkontileka, lapho izicubu zingagudlile kangako. Ukwelashwa ngemisebe kungamisa noma kwehlise ukuqina kwezicubu. Kuvame ukwenziwa kanye kuphela.

Khuluma nomhlinzeki wakho mayelana nobungozi nezinzuzo zezinhlobo ezahlukahlukene zokwelashwa.

Lesi sifo siqhubeka ngesilinganiso esingalindelekile. Ukuhlinzwa kuvame ukubuyisela ukunyakaza okujwayelekile kwiminwe. Lesi sifo singaphinde sivele kungakapheli iminyaka eyishumi ngemuva kokuhlinzwa kuze kube uhhafu wamacala.

Ukuwohloka kwesivumelwano kungabangela ukukhubazeka nokulahleka komsebenzi wesandla.

Kukhona ingozi yokulimala emithanjeni yegazi nezinzwa ngesikhathi sokuhlinzwa noma i-aponeurotomy.

Shayela umhlinzeki wakho uma unezimpawu zalesi sifo.

Shayela futhi uma ulahlekelwa umuzwa emunweni wakho noma uma amathiphu akho eminwe uzizwa ubanda futhi uluhlaza okwesibhakabhaka.

Ukuqwashisa ngezinto ezinobungozi kungavumela ukutholwa nokwelashwa kusenesikhathi.

I-Palmar fascial fibromatosis - iDupuytren; Isivumelwano se-Flexion - iDupuytren; I-aponeurotomy yenaliti - iDupuytren; Ukukhishwa kwenaliti - iDupuytren; Inaliti ye-Percutaneous fasciotomy - iDupuytren; I-Fasciotomy- iDupuytren; Umjovo we-enzyme - iDupuytren; Umjovo we-Collagenase - Dupuytren; I-Fasciotomy - enzymatic - iDupuytren

UCostas B, uColeman S, uKaufman G, uJames R, uCohen B, uGaston RG. Ukusebenza nokuphepha kwe-collagenase clostridium histolyticum yamaqhubu wesifo se-Dupuytren: isilingo esilawulwa ngokungahleliwe. Ukungezwani KweBMC Musculoskelet. 2017; 18: 374. I-PMCID: 5577662 www.ncbi.nlm.nih.gov/pmc/articles/PMC5577662.

ICalandruccio JH. Isivumelwano seDupuytren. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 75.

Isifo se-Eaton C. Dupuytren. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ukuhlinzwa Kwesandla SikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 4.

IStretanski MF. Isivumelwano seDupuytren. Ku: Frontera WR, iSilver JK, uRizzo TD, Jr., ama-eds. Okubalulekile Kwezomzimba kanye Nokuvuselelwa: Ukukhubazeka Kwemisipha, Ubuhlungu, Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 29.