Ungasibona kanjani futhi usiphathe kanjani isivumelwano sikaDupuytren

-Delile

• Izimbangela zesivumelwano sikaDupuytren
• Izimpawu zesivumelwano sikaDupuytren
• Ungayiphatha kanjani inkontileka kaDupuytren
• 1. I-Physiotherapy
• 2. Ukuhlinzwa
• 3. Umjovo we-Collagenase

Inkontileka kaDupuytren inguquko eyenzeka entendeni yesandla ebangela ukuthi umunwe owodwa uhlale ugobile kunabanye. Lesi sifo sithinta kakhulu abesilisa, kusukela eminyakeni engama-40 ubudala kanye neminwe ethinteke kakhulu yiringi nophinki. Ukwelashwa kwayo kwenziwa nge-physiotherapy, kepha kwezinye izimo ukuhlinzwa kungadingeka.

Lesi sivumelwano sinobungozi, kepha singaletha ukungaphatheki kahle futhi sithikameze impilo yansuku zonke yomuntu othintekile, sibangele ubuhlungu nobunzima bokuvula isandla ngokuphelele. Kulokhu, kwakhiwa amaqhubu amancane we-fibrosis angazwakala lapho ucindezela esifundeni sesundu. Njengoba zikhula, amaqhuqhuva kaDupuytren akhulisa imicu emincane enweba ebangela isivumelwano.

Izimbangela zesivumelwano sikaDupuytren

Lesi sifo singaba ngefa, imbangela yokuzimela, singabonakala ngenxa yenqubo ye-rheumatic noma ngenxa yomphumela oseceleni wemithi ethile, njengeGadernal. Imvamisa kubangelwa ukunyakaza okuphindaphindwayo kokuvala isandla neminwe, ikakhulukazi uma kukhona ukudlidliza okuhilelekile. Abantu abanesifo sikashukela, ababhemayo nabaphuza utshwala ngokweqile babonakala bekuthola kulula ukuthuthukisa la maqhuqhuva.

Izimpawu zesivumelwano sikaDupuytren

Izimpawu zesivumelwano sikaDupuytren yilezi:

• Amaqhuqhuva entendeni yesandla, aqhubeka futhi akhe 'izintambo' endaweni ethintekile;
• Kunzima ukuvula iminwe ethintekile;
• Kunzima ukubeka isandla sakho sivuleke kahle endaweni eyisicaba, njengetafula, isibonelo.

Ukuxilongwa kwenziwa ngudokotela ojwayelekile noma udokotela wamathambo, ngaphandle kwesidingo sezivivinyo ezithile. Esikhathini esiningi lesi sifo siqhubeka kancane, futhi cishe cishe uhhafu wamacala zombili izandla ziyathinteka ngasikhathi sinye.

Ungayiphatha kanjani inkontileka kaDupuytren

Ukwelashwa kungenziwa nge:

1. I-Physiotherapy

Ukwelashwa kwenkontileka kaDupuytren kwenziwa nge-physiotherapy, lapho izinsiza ezilwa nokuvuvukala ezifana ne-laser noma i-ultrasound, ngokwesibonelo, zingasetshenziswa. Ngaphezu kwalokho, ukugqugquzelwa ngokuhlanganyela kanye nokuwohloka kohlobo lwe-III collagen olufakwa kwi-fascia kuyingxenye ebalulekile yokwelashwa, kungaba ngokubhucungwa noma ngokusetshenziswa kwamadivayisi, njengehhuku, kusetshenziswa inqubo ebizwa nge-crochet. Ukwelashwa okwenziwa ngesandla kuyakwazi ukuletha ukukhululeka kobuhlungu nokuthamba okukhulu kwezicubu, kulethe induduzo enkulu esigulini, kuthuthukise ikhwalithi yempilo yaso.

2. Ukuhlinzwa

Ukuhlinzwa kukhonjiswa ikakhulukazi lapho isivumelwano sikhulu kuno-30º eminweni futhi sikhulu kuno-15º entendeni yesandla, noma lapho amaqhuqhuva edala ubuhlungu. Kwezinye izimo, ukuhlinzwa akuselaphi lesi sifo, ngoba kungaphinda kwenzeke eminyakeni edlule. Kunamathuba angama-70% okubuya kwesifo uma kukhona okunye kwalokhu okulandelayo: ubulili besilisa, ukuqala kwesifo ngaphambi kweminyaka engama-50, ukuthinteka kwezandla zombili, ukuba nezihlobo ze-degree yokuqala ezisuka enyakatho yeYurophu futhi nokuba neminwe kuthintekile. Kodwa-ke, noma kunjalo, ukuhlinzwa kuyaqhubeka nokukhonjiswa ngoba kungaletha ukukhululeka kwizimpawu isikhathi eside.

Ngemuva kokuhlinzwa, i-physiotherapy kufanele iqale kabusha, futhi i-splint ivame ukusetshenziselwa ukugcina iminwe yakho inwetshiwe izinyanga ezi-4, okumele isuswe kuphela ngenhlanzeko yomuntu siqu nokwenza nokwelashwa komzimba. Ngemuva kwalesi sikhathi, udokotela angabuye ahlole kabusha, futhi anciphise ukusetshenziswa kwalesi sigaxa sokumisa amandla ukuze asisebenzise kuphela ngesikhathi sokulala, ezinye izinyanga ze-4.

3. Umjovo we-Collagenase

Enye indlela yokwelashwa engajwayelekile ukusetshenziswa kwe-enzyme ebizwa nge-collagenase, etholakala kubhaktheriya IClostridium histolyticum, ngqo ku-fascia ethintekile, nayo ethola imiphumela emihle.

Ukugwema ukuvala isandla sakho neminwe kaningi ngosuku isincomo okufanele silandelwe, uma kunesidingo, kunconywa ukuma emsebenzini noma ukuguqulwa komkhakha, uma lokhu kungenye yezimbangela zokubukeka noma ukwanda kokukhubazeka.